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Gadolinium Deposition DiseaseEarly Phase 1NCT05359835

DTPA (Diethylenetriaminepenta-acetate) Chelation for Symptoms After Gadolinium-assisted MRI Exposure

A Early Phase 1 study testing Calcium DTPA and Zinc DTPA in people with Gadolinium Deposition Disease, run by Stanford University at 1 site in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The study aims at gathering additional data on the safety and effectiveness of using intravenous administration of the drugs Ca-DTPA/Zn-DTPA to remove the heavy metal gadolinium from the bodies of patients who have retained it and developed symptoms of Gadolinium Deposition Disease following an MRI in which a… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Gadolinium Deposition Disease
What is being tested?
Calcium DTPA and Zinc DTPA
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteUnited States
Study dates
11 Apr 2023to 13 Sep 2024
Phase
Early Phase 1
Are there results?
None posted in the registry

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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged 18 - 65 and able to give informed consent.
  • Have had an MRI with contrast at least 3 months and less than 3 years before study enrollment.
  • Have a 24-hour urine analysis 30 days or more post-MRI that documents abnormally high levels of gadolinium excretion.
  • Exhibit within 30 days of the contrast-assisted MRI new onset of 3 or more of the following symptoms:
  • cognitive disturbance,
  • extremity pain,
Show all 14Show fewer
  • frequent headaches,
  • chest wall pain,
  • skin induration,
  • skin hyper-pigmentation,
  • skin pain,
  • arthralgia.
  • Have met these Gadolinium Deposition Disease (GDD) diagnostic criteria for at least 3 months.
  • Received the MRI contrast agent Gadobutrol (Gadovist) and no other MRI contrast agents.

Who cannot join

  • Diagnosed by the patient's treating MD with an autoimmune or rheumatological disorder such as systemic lupus, rheumatoid arthritis or scleroderma;
  • diagnosed by the patient's treating MD with a condition or conditions that could cause 3 or more of the 8 diagnostic symptoms of GDD;
  • taking a medication or medications that could cause 3 or more of the 8 diagnostic symptoms of GDD;
  • having a condition or conditions and taking a medication or medications that together might account for the presence of 3 or more of the diagnostic symptoms of GDD.
  • Having Wilson's Disease, hemochromatosis, cancer (other than non-melanoma skin cancer), impaired kidney function, or heart disease compromising cardiac function or causing arrhythmia;
  • Participating in another protocol involving a pharmacological or other treatment of GDD.
Show all 10Show fewer
  • Suffering from a disorder that could raise particular cytokine levels. In addition to autoimmune and rheumatological conditions, these disorders include diabetes mellitus requiring insulin, chronic fatigue syndrome, active infectious disease, covid infection in the past four months, receipt of blood products in the previous 6 months, major depression, and irritable bowel syndrome.
  • Unable for medical reasons or unwilling to discontinue medications known to lower cytokine levels of interest including: lithium, n-acetylcysteine, aspirin, NSAIDs, sertraline and other Selective Serotonin Reuptake Inhibitor antidepressants, and the over-the-counter supplements ashwagandha, astaxanthin, and milk thistle.
  • Prior chelation treatment for GDD.
  • Pregnant, nursing, intending to become pregnant in the next 6 months, unwilling to utilized an approved, effective contraception method during the study's duration.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Stanford University Medical Center

    Stanford, California, 94305

Other trials in United States

About this study

Official title: DTPA Chelation for Symptoms After Gadolinium-assisted MRI

The study aims at gathering additional data on the safety and effectiveness of using intravenous administration of the drugs Ca-DTPA/Zn-DTPA to remove the heavy metal gadolinium from the bodies of patients who have retained it and developed symptoms of Gadolinium Deposition Disease following an MRI in which a gadolinium-containing contrast agent was utilized. The outcome data will include measures of symptom relief after as many as six paired Calcium-DTPA/Zinc-DTPA chelation treatments. The study also aims at gathering additional data before and after DTPA treatment regarding levels of certain cytokines in the patients' blood that have been reported to be abnormally elevated in patients with retained gadolinium.

Read the detailed description

This study aims at gathering additional data on the safety and effectiveness of using intravenous administration of the drug DTPA to remove the heavy metal gadolinium from the bodies of patients who have retained it and developed symptoms of Gadolinium Deposition Disease following an MRI in which a gadolinium-containing contrast agent was utilized. The outcome data will include measures of symptom relief, including chronic pain, skin changes, and cognitive complaints, after as many as six paired Calcium-DTPA/Zinc-DTPA chelation treatments. The study also aims at gathering additional data before and after DTPA treatment regarding levels of certain cytokines (chemical messengers) in the patients' blood that have been reported to be abnormally elevated in patients with retained gadolinium.

DTPA is approved as safe and effective by the federal Food and Drug Administration for the removal of certain radioactive heavy metals, has been in use for more than 60 years, is well tolerated, and has been safely used in three studies, that enrolled 25, 21 and 4 patients respectively who were diagnosed with Gadolinium Deposition Disease.Only the first study reported on symptom improvement, and noted that almost all patients experienced benefit after three paired Calcium-DTPA/Zinc-DTPA chelation treatments.

Being tested
Calcium DTPA and Zinc DTPA

What participants receive

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

  • Calcium DTPA and Zinc DTPADrug

    Also called Diethylenetriaminepenta-acetate

    Intravenous administration of 2.5 mL (500 mg) of Ca-DTPA over one minute, followed by 900 mL of normal saline infusion over about 90 minutes, followed by 2.5 mL (500 mg) of Ca-DTPA over one minute, followed by infusion of the remaining 100 mL of normal saline over about 10 minutes. Procedure repeated with Zn-DTPA the following day. Two-day procedure repeated at an interval of one week or more for a total of six 2-day treatment sessions.

Study groups in NCT05359835
Study groupRoleWhat they receive
Chelation with open-label Ca-DTPA and Zn-DTPAExperimentalSix chelation treatments utilizing Ca-DTPA on day 1 and Zn-DTPA on day 2. Paired, 2-chelation day treatments will take place at intervals of one week or more.
Receives: Drug: Calcium DTPA and Zinc DTPA

What is being measured

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

  1. 0-10 Scale of Pain Severity (Higher is more severe pain)

    Rating scale of pain severity

    Measured: 2 days before first DTPA treatment

  2. 0-10 Scale of Pain Severity

    Rating scale of pain severity

    Measured: 5-6 days after first 2-day DTPA treatment

  3. 0-10 Scale of Pain Severity

    Rating scale of pain severity

    Measured: 5-6 days after second 2-day DTPA treatment

  4. 0-10 Scale of Pain Severity

    Rating scale of pain severity

    Measured: 5-6 days after third 2-day DTPA treatment

  5. 0-10 Scale of Pain Severity

    Rating scale of pain severity

    Measured: 5-6 days after fourth 2-day DTPA treatment

  6. 0-10 Scale of Pain Severity

    Rating scale of pain severity

    Measured: 5-6 days after fifth 2-day DTPA treatment

  7. 0-10 Scale of Pain Severity

    Rating scale of pain severity

    Measured: 5-6 days after sixth 2-day DTPA treatment

  8. 0-10 Scale of Pain Severity

    Rating scale of pain severity

    Measured: One month after sixth 2-day DTPA treatment

Secondary outcomes (15)
  1. Gadolinium Deposition Disease Symptom rating scale (higher number = symptom is more troubling0

    Scale rating common symptoms seen in Gadolinium Deposition Disease

    Measured: 2 days before first DTPA treatment treatment

  2. Gadolinium Deposition Disease Symptom rating scale

    Scale rating common symptoms seen in Gadolinium Deposition Disease

    Measured: 5 to 6 days after first DTPA treatment treatment

  3. Gadolinium Deposition Disease Symptom rating scale

    Scale rating common symptoms seen in Gadolinium Deposition Disease

    Measured: 5 to 6 days after third DTPA treatment treatment

  4. Gadolinium Deposition Disease Symptom rating scale

    Scale rating common symptoms seen in Gadolinium Deposition Disease

    Measured: 5 to 6 days after fourth DTPA treatment treatment

  5. Gadolinium Deposition Disease Symptom rating scale

    Scale rating common symptoms seen in Gadolinium Deposition Disease

    Measured: 5 to 6 days after fifth DTPA treatment treatment

  6. Gadolinium Deposition Disease Symptom rating scale

    Scale rating common symptoms seen in Gadolinium Deposition Disease

    Measured: 5 to 6 days after sixth DTPA treatment treatment

  7. Gadolinium Deposition Disease Symptom rating scale

    Scale rating common symptoms seen in Gadolinium Deposition Disease

    Measured: one month after sixth DTPA treatment treatment

  8. Cognitive Function - Short Form 8a (Promis Item Bank v2.0) (Higher score = more cognitive complaint)

    Measure of cognitive function

    Measured: 2 days before first 2-day DTPA chelation

  9. Cognitive Function - Short Form 8a (Promis Item Bank v2.0)

    Measure of cognitive function

    Measured: 5 to 6 after first 2-day DTPA chelation

  10. Cognitive Function - Short Form 8a (Promis Item Bank v2.0)

    Measure of cognitive function

    Measured: 5 to 6 after second 2-day DTPA chelation

  11. Cognitive Function - Short Form 8a (Promis Item Bank v2.0)

    Measure of cognitive function

    Measured: 5 to 6 after third 2-day DTPA chelation

  12. Cognitive Function - Short Form 8a (Promis Item Bank v2.0)

    Measure of cognitive function

    Measured: 5 to 6 after fourth 2-day DTPA chelation

  13. Cognitive Function - Short Form 8a (Promis Item Bank v2.0)

    Measure of cognitive function

    Measured: 5 to 6 after fifth 2-day DTPA chelation

  14. Cognitive Function - Short Form 8a (Promis Item Bank v2.0)

    Measure of cognitive function

    Measured: 5 to 6 after sixth 2-day DTPA chelation

  15. Cognitive Function - Short Form 8a (Promis Item Bank v2.0)

    Measure of cognitive function

    Measured: one month after sixth 2-day DTPA chelation

Timeline

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

  1. First posted4 May 2022
  2. Study start11 Apr 2023 (estimated)
  3. Primary completion12 Sep 2024
  4. Study completion13 Sep 2024

Why it stopped: Could not recruit subjects quickly enough

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
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Six adult patients aged 18 to 65 who meet diagnostic criteria for Gadolinium Deposition Disease and study inclusion criteria, and are free of exclusion criteria will be enrolled.
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05359835
Sponsor's protocol ID
65231
Status last verified
May 2025
First submitted
26 Apr 2022
Last updated
16 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Semelka RC, Ramalho M, Jay M, Hickey L, Hickey J. Intravenous Calcium-/Zinc-Diethylene Triamine Penta-Acetic Acid in Patients With Presumed Gadolinium Deposition Disease: A Preliminary Report on 25 Patients. Invest Radiol. 2018 Jun;53(6):373-379. doi: 10.1097/RLI.0000000000000453.

    PubMed 29419708
  • Maecker HT, Wang W, Rosenberg-Hasson Y, Semelka RC, Hickey J, Koran LM. An initial investigation of serum cytokine levels in patients with gadolinium retention. Radiol Bras. 2020 Sep-Oct;53(5):306-313. doi: 10.1590/0100-3984.2019.0075.

    PubMed 33071374
  • Maecker HT, Siebert JC, Rosenberg-Hasson Y, Koran LM, Ramalho M, Semelka RC. Dynamic Serial Cytokine Measurements During Intravenous Ca-DTPA Chelation in Gadolinium Deposition Disease and Gadolinium Storage Condition: A Pilot Study. Invest Radiol. 2022 Jan 1;57(1):71-76. doi: 10.1097/RLI.0000000000000803.

    PubMed 34120127
  • Goetzl EJ, Maecker HT, Rosenberg-Hasson Y, Koran LM. Altered Functional Mitochondrial Protein Levels in Plasma Neuron-Derived Extracellular Vesicles of Patients With Gadolinium Deposition. Front Toxicol. 2022 Jan 12;3:797496. doi: 10.3389/ftox.2021.797496. eCollection 2021.

    PubMed 35295151
  • Denmark D, Ruhoy I, Wittmann B, Ashki H, Koran LM. Altered Plasma Mitochondrial Metabolites in Persistently Symptomatic Individuals after a GBCA-Assisted MRI. Toxics. 2022 Jan 26;10(2):56. doi: 10.3390/toxics10020056.

    PubMed 35202243

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Calcium DTPA and Zinc DTPA in people with Gadolinium Deposition Disease, run by Stanford University at 1 site in United States.

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 14 inclusion and 10 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: withdrawn, as of the sponsor's last update on 16 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

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

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

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?

0-10 Scale of Pain Severity (Higher is more severe pain) (time frame: 2 days before first DTPA treatment). 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 NCT05359835, which also lists 5 linked publications.

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 16 May 2025.

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