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Central Nervous System IndicationPhase 2NCT03749252

Pharmacokinetics, Safety and Efficacy of P03277 in Pediatric Patients Undergoing Central Nervous System Contrast-enhanced MRI

A Phase 2 study testing P03277 in people with Central Nervous System Indication and Pediatric Patients, run by Guerbet at 16 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a pharmacokinetics (PK), open-label, uncontrolled, multicenter phase II trial with age-staggered approach. The primary objective is to evaluate the PK profile of gadopiclenol in plasma following single IV injection of 0.05 mmol/kg body weight (BW) in pediatric population aged from 2 to 17 years undergoing CNS… Read more about this study

Who is it for?
Ages 2 to 17 years
What is being tested?
P03277
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
16 sitesin 5 countries
Study dates
6 Nov 2018to 10 Aug 2020
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • To be included in the study, the patient had to meet all the following criteria:
  • Female or male pediatric patient aged 2 to 17 years,
  • Patient with known or suspected lesion(s) scheduled to undergo routine contrast-enhanced MRI of CNS or of other organs including at least one organ among head and neck, thorax, abdomen, pelvis or musculoskeletal system (including extremities),
  • Patient whose parent(s) or legal guardian having read the information, provided their consent to patient's participation in writing by dating and signing the informed consent prior to any trial related procedure being conducted,
  • Patient with capacity of understanding who received age- and maturity-appropriate information and provided his/her assent to participate in the trial (as required by national regulations),
  • Patient affiliated to national health insurance according to local regulatory requirements.
Show all 30Show fewer
  • Non-inclusion Criteria:
  • Patients could not be included in the study if they presented with one or more of the following non-inclusion criteria:
  • Patient planned for treatment or procedure (e.g., surgery) that would prevent obtaining the required blood samples or performing other trial procedures between the screening visit and up to 1 day after gadopiclenol administration,
  • Patient undergoing treatment or procedure (e.g., diuretics, clinically significant blood loss or blood transfusion) preceding or subsequent to gadopiclenol administration that would alter gadopiclenol PK parameters,
  • Patient with acute or chronic renal insufficiency defined as estimated Glomerular Filtration Rate (eGFR) out of age-adjusted normal ranges (eGFR calculated with bedside Schwartz equation),
  • Patients referred for MR Angiography,
  • Patient with history of bleeding disorder,
  • Patient with known severe liver disease,
  • Patient with known cardiac disease (e.g., heart rhythm anomalies, long QT syndrome),
  • Patient with any clinically significant abnormal 12-lead ECG that in the Investigator's opinion would affect the safety evaluation or place the patient at risk,
  • Patient with electrolyte or fluid imbalance that at Investigator's judgment presents undue risk assessed within 1 month prior to gadopiclenol administration,
  • Patient undergoing a change in chemotherapy within 1 day prior to or 1 day after gadopiclenol administration,
  • Patient who received any other contrast agent for CT and/or MRI within 1 week prior to or 1 week after gadopiclenol administration,
  • Patient with contraindication for MRI such as iron metal implants (e.g., aneurysm clips, pacemaker),
  • Patient with history of anaphylactoid or anaphylactic reaction to any allergen including drugs,
  • Patient with history of hypersensitivity caused by any contrast media / agents (iodinated or gadolinium-based),
  • Patient with known contraindication(s) to the use of any GBCA,
  • Pregnant or breast-feeding female patient (female patient with childbearing potential [who experienced menarche] must have a negative urine pregnancy test within 24 hours prior to gadopiclenol administration and must be using medically approved contraception* if sexually active),
  • Patient with anticipated, current or past condition (medical, psychological, social or geographical) that would compromise the patient's safety or her/his ability to participate to the whole trial,
  • Patient unlikely to comply with the protocol, e.g., uncooperative attitude of parent(s) or legal guardian, inability to return for follow-up visits and unlikelihood of completing the trial,
  • Having participated in a clinical trial and having received any investigational product within 7 days prior to gadopiclenol administration or planned during the trial,
  • Patient previously included in this trial,
  • Patient related to the Investigator or any other trial staff or relative directly involved in the trial conduct.
  • medically approved contraception methods include: female sterilization, use of oral, injected or implanted hormonal methods of contraception or other forms of hormonal contraception that have comparable efficacy (failure rate <1%), for example hormone vaginal ring or transdermal hormone contraception, placement of an Intrauterine Device (IUD) or Intrauterine System (IUS), barrier methods of contraception (condom or occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/ vaginal suppository).

Who cannot join

None listed.

Trial locations and contacts

16 sites in 5 countries.

16 sites in 5 countries

Poland6 sites
  • Szpital Uniwersytecki nr 1 w Bydgoszczy im. dr Jurasza, Oddział Kliniczny Chirurgii Ogólnej i Onkologicznej Dzieci i Młodzieży

    Bydgoszcz

  • Instytut Centrum Zdrowia Matki Polki

    Lodz

  • Uniwersytecki Szpital Dziecięcy w Lublinie

    Lublin

  • Klinika Chirurgii Dziecięcej

    Rzeszów

  • Instytut "Pomnik -Centrum Zdrowia Dziecka"

    Warsaw

  • Zakład Radiologii PediatrycznejSamodzielny Publ. Dziecięcy Szp. Kliniczny w Warszawie

    Warsaw

Other trials in Poland

Bulgaria3 sites
  • MHAT Central Onco Hospital Ltd

    Plovdiv

  • Acibadem City Clinic Tokuda Hospital

    Sofia

  • MHAT Dr. Stoyan Kirkovich

    Stara Zagora

Other trials in Bulgaria

Hungary3 sites
  • Semmelweis Egyetem II. sz Gyermekgyogyaszati Klinika

    Budapest

  • Markhot Ferenc Oktatokorhaz es Rendelointezet

    Eger

  • B.-A.-Z. Megyei Korhaz Gyermek-Egeszsegugyi Kozpont

    Miskolc

Other trials in Hungary

Slovakia3 sites
  • II. Detská klinika SZU, Detská fakultná nemocnica s poliklinikou Banská Bystrica

    Banská Bystrica

  • Klinika detí a dorastu JLF UK a UNM, Univerzitná nemocnica Martin

    Martin

  • Faculty hospital Nitra, Clinic of neonates, children and adolescents

    Nitra

Other trials in Slovakia

Ukraine1 site
  • Children's City Clinical Hospital

    Dnipro

Other trials in Ukraine

About this study

Official title: Pharmacokinetics, Safety and Efficacy of a New Gadolinium-based Contrast Agent, P03277, in Pediatric Patients From 2 to 17 Years of Age Undergoing Central Nervous System Contrast-enhanced MRI

This is a pharmacokinetics (PK), open-label, uncontrolled, multicenter phase II trial with age-staggered approach.

The primary objective is to evaluate the PK profile of gadopiclenol in plasma following single IV injection of 0.05 mmol/kg body weight (BW) in pediatric population aged from 2 to 17 years undergoing CNS contrast-enhanced MRI (CNS cohort).

Read the detailed description

A population PK approach and an age-down staggered approach will be used. Patients will be recruited into 3 predefined age groups: 12-17, 7-11 and 2-6 years. The inclusions will start with the older group (Adolescents, 12-17 years), followed by Preadolescents (7-11 years) and finally Young Children (2-6 years of age).

Being tested
P03277

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • P03277Drug

    Also called gadopiclenol

    A dose of 0.05 mmol/kg body weight (0.1 mL/kg body weight) of P03277 will be administered to each patient in a single intravenous injection.

Study groups in NCT03749252
Study groupRoleWhat they receive
CNS Cohort 2-6 yearsExperimentalPediatric patients aged 2-6 years undergoing CNS contrast-enhanced MRI
Receives: Drug: P03277
CNS Cohort 7-11 yearsExperimentalPediatric patients aged 7-11 years undergoing CNS contrast-enhanced MRI
Receives: Drug: P03277
CNS Cohort 12-17 yearsExperimentalPediatric patients aged 12-17 years undergoing CNS contrast-enhanced MRI
Receives: Drug: P03277
Body Cohort 2-6 yearsExperimentalPediatric patients aged 2-6 years undergoing contrast-enhanced MRI of other body organs (head and neck, thorax, abdomen, pelvis or musculoskeletal system)
Receives: Drug: P03277
Body Cohort 7-11 yearsExperimentalPediatric patients aged 7-11 years undergoing contrast-enhanced MRI of other body organs (head and neck, thorax, abdomen, pelvis or musculoskeletal system)
Receives: Drug: P03277
Body Cohort 12-17 yearsExperimentalPediatric patients aged 12-17 years undergoing contrast-enhanced MRI of other body organs (head and neck, thorax, abdomen, pelvis or musculoskeletal system)
Receives: Drug: P03277

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Elimination Half-life

    P03277 pharmacokinetic parameters in plasma were determined from the population PK model.

    This outcome was assessed only for the CNS cohort.

    Measured: 4 blood samples per patient were taken post-injection for PK analysis, one within each window: 1 min to 20 min, 30 min to 45 min, 2 to 3 hours and 7 to 8 hours

  2. Total Clearance

    P03277 pharmacokinetic parameters in plasma were determined from the population PK model.

    This outcome was assessed only for the CNS cohort.

    Measured: 4 blood samples per patient were taken post-injection for PK analysis, one within each window: 1 min to 20 min, 30 min to 45 min, 2 to 3 hours and 7 to 8 hours

  3. Central Volume of Distribution

    P03277 pharmacokinetic parameters in plasma were determined from the population PK model.

    This outcome was assessed only for the CNS cohort.

    Measured: 4 blood samples per patient were taken post-injection for PK analysis, one within each window: 1 min to 20 min, 30 min to 45 min, 2 to 3 hours and 7 to 8 hours

  4. Peripheral Volume of Distribution

    P03277 pharmacokinetic parameters in plasma were determined from the population PK model.

    This outcome was assessed only for the CNS cohort.

    Measured: 4 blood samples per patient were taken post-injection for PK analysis, one within each window: 1 min to 20 min, 30 min to 45 min, 2 to 3 hours and 7 to 8 hours

  5. Area Under the Curve

    P03277 pharmacokinetic parameters in plasma were determined from the population PK model.

    This outcome was assessed only for the CNS cohort.

    Measured: 4 blood samples per patient were taken post-injection for PK analysis, one within each window: 1 min to 20 min, 30 min to 45 min, 2 to 3 hours and 7 to 8 hours

  6. Simulated Concentrations 10 Minutes Post-injection

    P03277 pharmacokinetic parameters in plasma were determined from the population PK model.

    This outcome was assessed only for the CNS cohort.

    Measured: 10 minutes post-injection

  7. Simulated Concentrations 20 Minutes Post-injection

    P03277 pharmacokinetic parameters in plasma were determined from the population PK model.

    This outcome was assessed only for the CNS cohort.

    Measured: 20 minutes post-injection

  8. Simulated Concentrations 30 Minutes Post-injection

    P03277 pharmacokinetic parameters in plasma were determined from the population PK model.

    This outcome was assessed only for the CNS cohort.

    Measured: 30 minutes post-injection

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Nov 2018
  2. Study start6 Nov 2018
  3. Primary completion18 Dec 2019
  4. Study completion10 Aug 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Diagnosis
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03749252
Sponsor's protocol ID
GDX-44-007
Other IDs
2018-001516-30, 2018
Status last verified
May 2022
First submitted
20 Nov 2018
Last updated
1 Jun 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Jurkiewicz E, Tsvetkova S, Grinberg A, Pasquiers B. Pharmacokinetics, Safety, and Efficacy of Gadopiclenol in Pediatric Patients Aged 2 to 17 Years. Invest Radiol. 2022 Aug 1;57(8):510-516. doi: 10.1097/RLI.0000000000000865. Epub 2022 Mar 2.

    PubMed 35318970

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing P03277 in people with Central Nervous System Indication and Pediatric Patients, run by Guerbet at 16 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 30 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in Poland, Bulgaria, Hungary, Slovakia, Ukraine. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 Jun 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Elimination Half-life (time frame: 4 blood samples per patient were taken post-injection for PK analysis, one within each window: 1 min to 20 min, 30 min to 45 min, 2 to 3 hours and 7 to 8 hours). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03749252, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jun 2022.

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