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Clinical Trials List

Protocol Number21197

2023-09-29 - 2025-01-16

Phase III

Not yet recruiting2

Recruiting1

Terminated1

ICD-10Z01.89

Encounter for other specified special examinations

ICD-9V72.5

Radiological examination, not elsewhere classified

A multicenter, randomized, prospective double-blind, cross-over Phase 3 study to evaluate the efficacy and safety of 0.04 mmol Gd/kg body weight of gadoquatrane for MRI in adults with known or suspected pathology of any body region (except CNS), compared to 0.1 mmol Gd/kg approved macrocyclic gadolinium-based contrast agents (GBCAs)

  • Trial Applicant

    BAYER TAIWAN COMPANY LTD.

  • Sponsor

    Bayer AG

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/11/03

Investigators and Locations

Principal Investigator 鄭碩仁 Division of Radiology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator YUEH-HSUN LU Division of Radiology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator 張維洲 Division of Radiology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Condition/Disease

Contrast-enhanced MRI is used to assess known or suspected pathology in body sites.

Objectives

 To demonstrate non-inferior efficacy of gadoquatrane compared to macrocyclic GBCAs1

Test Drug

Gadoquatrane (BAY 1747846)
Dotarem (Gadoteric acid)

Active Ingredient

Gadoquatrane (BAY 1747846)
Gadoteric acid

Dosage Form

270
270

Dosage

257.903 mg gadoquatrane /mL(equivalent to 0.4 mmol Gd/mL)
279.32 mg (equivalent to 0.5 mmol/ml)

Endpoints

3 visualization parameters2
(enhancement on a 4PS,
delineation on a 4PS, morphology on a 3PS) assessed by
separate blinded evaluation of combined pre- and postgadoquatrane MRI and combined pre- and post-comparator
MRI with macrocyclic GBCAs
1
, by a BICR

Inclution Criteria

2. Participants with a clinical indication for a contrast-enhanced MRI (including MRA),
with any approved standard of care macrocyclic GBCA with proven efficacy, safety
and tolerability in clinical routine CE-MRI/MRA (gadobutrol, gadoterate meglumine/
gadoteric acid or gadoteridol) that is used at the site for the indication, with known or
suspected pathology of any body region, e.g. head and neck (except CNS), thorax
(including e.g. breast, heart, chest wall), abdomen (including e.g. liver, kidney,
pancreas), pelvis (including e.g. prostate, uterus, ovaries), extremities (including upper
and lower.
Note: pathology includes any vasculature or non-vasculature abnormality, such as
benign or malignant (primary/secondary) tumoral lesions; inflammatory or infectious
lesions; vascular abnormalities, such as stenotic or aneurysmal lesions; malformative
lesions; and any other lesion of body, and associated vessels that are commonly
evaluated with CE-MRI.
The study will be monitored by GCIS for the actual prevalence of contrast-enhancing
lesions in the images sets to ensure sufficient numbers for the evaluation of endpoints.
If the prevalence is below 65%, investigators will be instructed to enroll subjects with
confirmed lesions. Additionally, the study will be monitored for enrollment per body
region and certain target organs (see Section 4.1). Investigators will be instructed to
enroll subjects with CE MRI examinations of certain body regions, target organs
including blood vessels if representative number of certain CE MRIs cannot be
included.

Exclusion Criteria

1. Considered clinically unstable or has a concurrent/concomitant condition that may
significantly alter image comparability between the 2 study MRIs or between study
parameters (e.g. safety, PK parameters) or would not allow participation for the full
planned study period, in the judgement of the investigator.
2. Participants presenting with severe renal insufficiency, defined as an estimated
glomerular filtration rate (eGFR) < 30 mL/min/1.73 m², derived from a serum
creatinine sample obtained within 48 hours prior to the first contrast agent injection in
the study. See Section 8.1.3.
3. Participants with acute kidney injury (i.e., acute renal failure), regardless of eGFR
4. History of moderate to severe allergic-like reaction to any GBCA
5. Bronchial asthma considered unstable and/or requiring medical treatment

The Estimated Number of Participants

  • Taiwan

    30 participants

  • Global

    500 participants