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.
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
- Conditions the study is for
- Central Nervous System Indication, Pediatric Patients, Body Indication
- 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
Bulgaria3 sites
MHAT Central Onco Hospital Ltd
Plovdiv
Acibadem City Clinic Tokuda Hospital
Sofia
MHAT Dr. Stoyan Kirkovich
Stara Zagora
Hungary3 sites
Semmelweis Egyetem II. sz Gyermekgyogyaszati Klinika
Budapest
Markhot Ferenc Oktatokorhaz es Rendelointezet
Eger
B.-A.-Z. Megyei Korhaz Gyermek-Egeszsegugyi Kozpont
Miskolc
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
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 group | Role | What they receive |
|---|---|---|
| CNS Cohort 2-6 years | Experimental | Pediatric patients aged 2-6 years undergoing CNS contrast-enhanced MRI Receives: Drug: P03277 |
| CNS Cohort 7-11 years | Experimental | Pediatric patients aged 7-11 years undergoing CNS contrast-enhanced MRI Receives: Drug: P03277 |
| CNS Cohort 12-17 years | Experimental | Pediatric patients aged 12-17 years undergoing CNS contrast-enhanced MRI Receives: Drug: P03277 |
| Body Cohort 2-6 years | Experimental | Pediatric 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 years | Experimental | Pediatric 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 years | Experimental | Pediatric 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.
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
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
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
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
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
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
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
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.
- First posted21 Nov 2018
- Study start6 Nov 2018
- Primary completion18 Dec 2019
- Study completion10 Aug 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Central Nervous System IndicationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Guerbet
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Elżbieta Jurkiewicz, MD, Principal investigator, Instytut Pomnik
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 1 Jun 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT03749252
- Acronym / sponsor ID
- GDX-44-007
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 80 participants (actual)
- Lead sponsor
- GuerbetIndustry (pharma, biotech, devices)
- Study start
- 6 Nov 2018 (actual)
- Primary completion
- 18 Dec 2019 (actual)
- Study completion
- 10 Aug 2020 (actual)
- First posted
- 21 Nov 2018 (actual)
- Results
- Posted 1 Jun 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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).
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).
Study design
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| CNS Cohort 2-6 years | Experimental | Drug: P03277Pediatric patients aged 2-6 years undergoing CNS contrast-enhanced MRI |
| CNS Cohort 7-11 years | Experimental | Drug: P03277Pediatric patients aged 7-11 years undergoing CNS contrast-enhanced MRI |
| CNS Cohort 12-17 years | Experimental | Drug: P03277Pediatric patients aged 12-17 years undergoing CNS contrast-enhanced MRI |
| Body Cohort 2-6 years | Experimental | Drug: P03277Pediatric patients aged 2-6 years undergoing contrast-enhanced MRI of other body organs (head and neck, thorax, abdomen, pelvis or musculoskeletal system) |
| Body Cohort 7-11 years | Experimental | Drug: P03277Pediatric patients aged 7-11 years undergoing contrast-enhanced MRI of other body organs (head and neck, thorax, abdomen, pelvis or musculoskeletal system) |
| Body Cohort 12-17 years | Experimental | Drug: P03277Pediatric patients aged 12-17 years undergoing contrast-enhanced MRI of other body organs (head and neck, thorax, abdomen, pelvis or musculoskeletal system) |
Who may qualify
- Ages
- 2 to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (30 listed)
- 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.
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| P03277Also: gadopiclenolA 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. | Drug | Body Cohort 12-17 years, Body Cohort 2-6 years, Body Cohort 7-11 years, CNS Cohort 12-17 years, CNS Cohort 2-6 years, CNS Cohort 7-11 years |
Primary outcome
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
P03277 pharmacokinetic parameters in plasma were determined from the population PK model. This outcome was assessed only for the CNS cohort.
Total Clearance
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
P03277 pharmacokinetic parameters in plasma were determined from the population PK model. This outcome was assessed only for the CNS cohort.
Central Volume of Distribution
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
P03277 pharmacokinetic parameters in plasma were determined from the population PK model. This outcome was assessed only for the CNS cohort.
Peripheral Volume of Distribution
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
P03277 pharmacokinetic parameters in plasma were determined from the population PK model. This outcome was assessed only for the CNS cohort.
Area Under the Curve
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
P03277 pharmacokinetic parameters in plasma were determined from the population PK model. This outcome was assessed only for the CNS cohort.
Simulated Concentrations 10 Minutes Post-injection
Time frame: 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.
Simulated Concentrations 20 Minutes Post-injection
Time frame: 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.
Simulated Concentrations 30 Minutes Post-injection
Time frame: 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.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jun 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 35318970Jurkiewicz 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.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Elżbieta Jurkiewicz, MD principal investigator
Instytut Pomnik
16 sites in 5 countries: see every site and its status.
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.