Trial Condition(s):

Contrast enhancement in magnetic resonance imaging, Non-central nervous system pathology

A study to compare how well gadoquatrane works and its safety with an already available contrast agent for MRI in people with any known or suspected problems of the body (except brain or spinal cord-related problems) (Quanti OBR)

Bayer Identifier:

21197

ClinicalTrials.gov Identifier:

NCT05915728

EudraCT Number:

Not Available

EU CT Number:

2022-501885-24-00

Study Completed

Trial Purpose

Researchers are looking for a better way to help people with any known or suspected problems (except brain or spinal cord-related problems) scheduled for a “contrast-enhanced” Magnetic Resonance Imaging (MRI).
MRI is used by doctors to create detailed images of the inside of the body to identify health problems. Sometimes doctors need to inject contrast agent into a patient’s vein to perform a so called “contrast-enhanced” MRI (CE-MRI). Such CE-MRI examinations may support doctors to identify certain health problems or improve the evaluation.
The contrast agents commonly used in MRI are gadolinium-based contrast agents (GBCAs). GBCAs contain a “rare earth” element called gadolinium (Gd). Gadoquatrane is a new contrast agent under development with a lower amount of Gd needed per CE-MRI.
The main purpose of this study is to learn whether CE-MRI scans with gadoquatrane work better than MRI scans without the use of a contrast agent (GBCA). The researchers will compare the ability to detect known or suspected problems (except brain or spinal cord-related problems) with gadoquatrane-MRI scans to plain-MRI scans without the use of a contrast agent.
The participants will undergo 2 MRI scans, one with gadoquatrane and one with currently used GBCA. Both contrast agents will be injected into the vein.
Each participant will be in the study for between 6 and 42 days with up to 7 doctor visits.
At the start or during the study, the doctors and their study team will:
• take blood and urine samples
• do physical examinations
• check blood pressure and heart rate
• review the MRI scans obtained in the study and decide on the diagnosis
• ask the participants questions about how they are feeling and what adverse events they are having.
An adverse event is any medical problem that a participant has during a study. Doctors keep track of all adverse events, irrespective if they think it is related or not to the study treatments.

Inclusion Criteria
- Participant must be >=  18 years of age inclusive, at the time of signing the informed consent form
- Participants with a clinical indication for a contrast-enhanced MRI (including magnetic resonance angiography [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 central nervous system [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.
- Participants who can undergo study-related procedures, including 2 contrast-enhanced MRI examinations (one with gadoquatrane and one with a comparator macrocyclic GBCA), as per participant and Investigator's judgement
- Contraceptive use by female participants should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. A female participant is eligible to participate if she is not pregnant or breastfeeding, and one of the following conditions applies: Is a woman of nonchildbearing potential (WONCBP) OR Is  a woman of childbearing potential (WOCBP) and using an acceptable contraceptive method during the study intervention period (at a minimum of 24 hours after the last dose of study intervention).
Exclusion Criteria
- 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, pharmacokinetics [PK] parameters) or would not allow participation for the full planned study period, in the judgement of the investigator
- Participants presenting with severe renal insufficiency, defined as an estimated glomerular filtration rate (eGFR) < 30 mL/min/1.73 m^2, derived from a serum or plasma creatinine sample obtained within 48 hours prior to the first contrast agent injection in the study
- Participants with acute kidney injury (i.e., acute renal failure), regardless of eGFR
- History of moderate to severe allergic-like reaction to any GBCA
- Bronchial asthma considered unstable or who have had recent modification to their medical therapy
- Receipt of any contrast agent < 72 h prior to the study MRIs or planned to receive any contrast agent during the trial until 24 h +/- 4 h after the second study MRI
- Planned or expected interventional diagnostic or therapeutic procedure (e.g. biopsy or surgery in the region of interest) or change in treatment (e.g. start of chemotherapy or antiangiogenic therapy, significant change in corticosteroids dose) that may significantly alter image comparability between the 2 MRIs or other study parameters (i.e. safety/adverse events [AEs] [e.g. confounding AEs or safety events due to surgery or chemotherapy], PK parameters), from the first study MRI up to 24 h after the second study MRI
- Has received any investigational product within 30 days, or within 5 times half-life of the investigational product, whatever is shorter, prior to or concurrent with this study
- Contraindications to the administration of macrocyclic GBCAs (depending on local product label), or history of adverse reaction to gadoquatrane
- Any contraindication to MRI examinations based on institution policy and investigator's clinical judgement (e.g. some metallic implants or active implants)

Trial Summary

Enrollment Goal
404
Trial Dates
black-arrow
Phase
3
Could I receive a placebo?
No
Products
Gadoquatrane (BAY1747846)
Accepts Healthy Volunteers
No

Where to Participate

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Locations
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The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, China, 325000

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The First Affiliated Hospital of Jinan University

Guangzhou, China, 510630

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Nanfang Hospital, Southern Medical University

Guangzhou, China, 510515

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Centro de Diagnóstico Dr. Enrique Rossi

Buenos Aires, Argentina, C1425BEE

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Sanatorio Allende | Departamento de Investigación Clínica

Córdoba, Argentina, X5000JHQ

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Fundacion Cientifica del Sur | Centro de Lomas de Zamora - Imaging Interventionism Department

Lomas de Zamora, Buenos Aires, Argentina, B1832BRQ

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Sanatorio Otamendi | Imaging Diagnostic Center

Buenos Aires, Argentina, C1115AAB

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Clinica Universitaria Reina Fabiola | Consultorios Externos

Cordoba, Argentina, X5004FHP

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Instituto Alexander Fleming | Sede Central - Departamento de Diagnostico por Imagenes

CABA, Argentina, C1426

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Beijing Hospital

Beijing, China, 100730

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Beijing Chaoyang Hospital, Capital Medical University

Beijing, China, 100020

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Seoul National University Hospital

Seoul, South Korea, 3080

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Asan Medical Center

Seoul, South Korea, 138-736

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Konkuk University Medical Center

Seoul, South Korea, 5030

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Ajou University Hospital

Suwon, South Korea, 443-721

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Centrum Medyczne HCP Sp. z o.o.

Poznan, Poland, 61-485

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Uniwersyteckie Centrum Kliniczne

Gdansk, Poland, 80-214

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Centra Medyczne Medyceusz

Lodz, Poland, 91-053

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Queen Elizabeth University Hospital

Glasgow, United Kingdom, G51 4TF

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University Hospital of Wales

Cardiff, United Kingdom, CF14 4XW

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Nottingham University Hospital

Nottingham, United Kingdom, NG7 2UH

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Trial Pharma Kft. Szeged

Szeged, Hungary, 6726

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Pecsi Tudomanyegyetem Klinikai Kozpont

Pecs, Hungary, 7625

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Fakultni nemocnice Plzen - Lochotin

Plzen, Czech Republic, 32300

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Vseobecna fakultni nemocnice v Praze

Praha 2, Czech Republic, 12808

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Fakultni nemocnice Ostrava

Ostrava, Czech Republic, 708 52

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Fakultni Thomayerova Nemocnice

Prague, Czech Republic, 140 59

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Fakultni nemocnice Brno

Brno, Czech Republic, 625 00

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Nemocnice Pardubickeho kraje, a.s., Pardubicka nemocnice

Pardubice, Czech Republic, 530 03

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UMHAT Alexandrovska EAD

Sofia, Bulgaria, 1431

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A.O.U. Sant'Andrea

Roma, Italy, 00189

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ASST Spedali Civili di Brescia

Brescia, Italy, 25123

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ULSS2 Marca Trevigiana

Treviso, Italy, 31100

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University of Alabama at Birmingham

Birmingham, United States, 35233

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University of Missouri Hospital and Clinic – Neuroradiology

Columbia, United States, 65212

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University of Connecticut Health Center

Farmington, United States, 06030

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UC Irvine Medical Center

Orange, United States, 92868

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Halo Diagnostics

Indian Wells, United States, 92210

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Pennsylvania State University College of Medicine

Hershey, United States, 17033

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Duke University School of Medicine

Durham, United States, 27710

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Houston Methodist Hospital

Houston, United States, 77030

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Boston Medical Center

Boston, United States, 02118

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Northwestern University

Chicago, United States, 60611

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Hokkaido University Hospital

Sapporo, Japan, 060-8648

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National Hospital Organization Kanazawa Medical Center | Clinical Trial Management Office

Kanazawa, Japan, 920-8650

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Public Central Hospital of Matto Ishikawa | Clinical Trial Management Office

Hakusan, Japan, 924-8588

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Osaka City General Hospital

Osaka, Japan, 534-0021

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Hyogo Prefectural Nishinomiya Hospital

Nishinomiya, Japan, 662-0918

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National Hospital Organization Kanmon Medical Center

Shimonoseki, Japan, 752-8510

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Takamatsu Red Cross Hospital

Takamatsu, Japan, 760-0017

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Social Medical Corporation the Chiyukai foundation Fukuoka Wajiro Hospital

Fukuoka, Japan, 811-0213

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Hospital of the University of Occupational and Environmental Health, Japan

Kitakyushu, Japan, 807-8556

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JCHO Kyushu Hospital

Kitakyushu, Japan, 806-8501

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Kishiwada Tokushukai Hospital

Kishiwada, Japan, 596-0042

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Japan Organization of Occupational Health and Safety Sanin Rosai Hospital

Yonago, Japan, 683-8605

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West China Hospital Sichuan University

Chengdu, China, 610041

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Karolinska University Hospital Huddinge Radiology

Stockholm, Sweden, 14186

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University Multiprofile Hospital for Active Treatment Prof. Dr. Alexander Chirkov EAD

Sofia, Bulgaria, 1431

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University Multiprofile Hosp. for Active Treat. Sveti Ivan

Sofia, Bulgaria, 1431

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Acibadem City Clinic | University Multiprofile Hospital for Active Treatment Tokuda - Radiology Department

Sofia, Bulgaria, 1407

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University Hospital for Active Treatment Tsaritsa Joanna - ISUL | Radiology Department

Sofia, Bulgaria, 1784

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University Multiprofile Hospital for Active Treatment Sveti Georgi | Base II - Imaging Diagnostic Department

Plovdiv, Bulgaria, 4002

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Multiprofile Hospital for Active Treatment Central Onco Hospital | Independent Medical Diagnostic Laboratory Mediscan

Plovdiv, Bulgaria, 4002

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Peking University First Hospital

Beijing, China, 100034

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Hopital du Sacre-Coeur de Montreal

Montreal, Canada, QC H4J 1C5

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St.Joseph's Health Care-London

London, Canada, N6G 2M3

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Huai'an First People's Hospital, Nanjing Medical University

Huai'An, China, 223300

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Zhongda Hospital Southeast University

Nanjing, China, 210009

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Binali Yildirim Universitesi Mengucek Gazi EAH - Radyoloji

erzincan, Turkey, 24610

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Istanbul Universitesi Istanbul Tip Fakultesi

Istanbul, Turkey, 34093

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Koc Universitesi Tip Fakultesi - Radyoloji

Istanbul, Turkey, 34010

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Istanbul Universitesi Cerrahpasa-Cerrahpasa Tip Fakultesi

Istanbul, Turkey, 34098

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Ondokuz Mayis Uni Tip Fakultesi

Samsun, Turkey, 55139

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University Multiprofile Hospital for Active Treatment Dr Georgi Stranski Pleven | Surgery Department

Pleven, Bulgaria, 5800

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Universitätsmed Göttingen Institut f. Diag&Interv Radiologie

Göttingen, Germany, 37075

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Helios Herzzentrum Leipzig - Abteilung für Radiologie

Leipzig, Germany, 04289

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Uniklinik Freiburg / Radiologie

Freiburg, Germany, 79106

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Uniklinik Bonn / Radiologie

Bonn, Germany, 53127

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Universitätsklinikum Essen - Institut für Diagnostische und Interventionelle Radiologie und Neuroradiologie - 21197

Essen, Germany, 45147

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HELIOS Klinikum Berlin - Buch

Berlin, Germany, 13125

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Debreceni Egyetem Klinikai Kozpont

Debrecen, Hungary, 4032

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Centre Hospitalier Universitaire - Angers

Angers, France, 49933

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Hospices Civils de LYON

LYON, France, 69229

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Hopital Bichat - Paris

PARIS, France, 75018

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Akademiska Sjukhuset

Uppsala, Sweden, 751 85

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London Health Sciences Centre (LHSC) - University Hospital

London, Canada, N6A 5A5

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NZOZ Kendron

Bialystok, Poland, 15-402

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Hakodate Central General Hospital

Hakodate, Japan, 040-8585

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Inje University Busan Paik Hospital

Busan, South Korea, 47392

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Biogenix Molecular, LLC

Miami, United States, 33165

Trial Design