Evaluation of the diagnostic quality of manganese chloride tetrahydrate (CMC-001©) in liver magnetic resonance imaging in patients with liver metastases in comparison to gadolinium benzyloxypropionictetraacetate (BOPTA): a randomised cross-over phase III trial

ISRCTN ISRCTN88423868
DOI https://doi.org/10.1186/ISRCTN88423868
Secondary identifying numbers CMC-P 004
Submission date
25/04/2007
Registration date
01/06/2007
Last edited
21/09/2007
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Lars Vedin
Scientific

Lars Vedin AB
Floragatan 13
Stockholm
SE-114 75
Sweden

Phone +46 (0)8 5064 5751
Email lv@cmc-contrast.se

Study information

Study designThe study will be of a single centre, randomised and open cross-over design.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeDiagnostic
Scientific title
Study objectivesThe primary objective is to assess the feasibility of manganese chloride tetrahydrate (CMC-001©) as a contrast medium in liver Magnetic Resonance Imaging (MRI) scanning in patients with liver metastases in comparison with gadolinium Benzyloxypropionictetraacetate (BOPTA) (MultiHance©) MRI.
Ethics approval(s)Approval received from the Regional Ethics Board in Stockholm on the 30th March 2005 (ref: 2005/305-31/1).
Health condition(s) or problem(s) studiedColorectal cancer
InterventionEach patient will have two MRI sessions, one with each product. This means that each patient will be his/her own control. The evaluation of MR images will be performed by two independent observers. The final evaluation will however be made in consensus.

When a suitable patient arrives at the clinic he/she will be informed about the trial both orally and in writing and is offered a to take part in the trial with two different MRI sessions, one with Gadolinium BOPTA and a second MRI with CMC-001© as contrast. After that he/she will sign the informed consent form.

The patients will visit the clinic three times:
1. For screening and eligibility test
2. For MR imaging of the first contrast
3. For MR imaging of the second contrast

After this, they will be called by phone 24 and 48 hours and asked about Adverse Events (AEs).

The order of administration of the two contrast agents is randomised. MRI after CMC-001© is performed three hours after contrast and MRI after MultiHance©, the comparator, is performed two hours after contrast.

Electrocardiogram (ECG), vital signs, blood for laboratory analyses and urine is drawn at screening and after MRI.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Manganese chloride tetrahydrate (CMC-001©) and gadolinium BOPTA (MultiHance©).
Primary outcome measureThe primary objective is to assess the feasibility of CMC-001© as a contrast medium in liver MRI scanning in patients with liver metastases in comparison with gadolinium BOPTA (MultiHance©) MRI.
Secondary outcome measuresThe secondary objectives are to further evaluate the safety and tolerability of CMC-001© in patients:
1. ECG, vital signs, blood for laboratory analyses and urine is drawn at screening and after MRI
2. AEs are asked for during the whole trial as well as at the phone calls 24 and 48 hours after contrast
Overall study start date01/04/2005
Completion date30/06/2007

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants20
Key inclusion criteria1. Signed written informed consent after oral and written information about the study has been given by the investigator
2. Patients with one to six liver metastases from colorectal cancer verified with other methods
3. Men or women over 18 years old
4. The patient is conscious and co-operative
Key exclusion criteria1. Clinically relevant medical history or abnormal physical findings which could interfere with the safety or objectives of the study as judged by the investigator
2. Clinically relevant Electrocardiogram (ECG), haematology, clinical chemistry, serology and urine chemistry abnormalities. This is based on the judgement of the treatment physicians
3. Allergy to any of the study product compounds
4. Drug or alcohol abuse by asking the patient at screening
5. Patients who are deemed to be unsuitable for any other reason in the opinion of the investigator
6. Participation in another clinical study concerning another contrast preparation within the last three months or seven days after this study
7. Previous inclusion in this study
8. Pregnancy after randomisation at the day of MRI before contrast
9. The patient is scheduled to receive intravascular iodinated contrast medium within 24 hours after this study
10. The patient is being investigated on an emergency basis
11. The patient has newly discovered unstable diabetes or undergoes haemodialysis or peritoneal dialysis
12. The patient has a known or suspected clinically severe concurrent illness that may influence the renal function or has undergone kidney, liver or bone marrow transplantation
13. The patient has a concurrent severe illness in the Gastrointestinal (GI) tract like paralysis or malabsorption or clinically manifest icterus
14. Known Human Immunodeficiency Virus (HIV) infection or Acquired Immune Deficiency Syndrome (AIDS)
15. Known hepatitis
16. Known cirrhosis
17. The patient has uncompensated cardiac failure (cardiac failure New York Heart Association [NYHA] grade IV)
18. A patient may be excluded during the trial based on the clinical judgement of the clinician or the radiologist
Date of first enrolment01/04/2005
Date of final enrolment30/06/2007

Locations

Countries of recruitment

  • Sweden

Study participating centre

Lars Vedin AB
Stockholm
SE-114 75
Sweden

Sponsor information

Copenhagen Malmö Contrast AB (CMC Contrast AB) (Sweden)
Industry

c/o Lars Vedin AB
Floragatan 13
Stockholm
SE-11475
Sweden

Phone +46 (0)8 5064 5751
Email lv@cmc-contrast.se
Website http://www.cmc-contrast.se
ROR logo "ROR" https://ror.org/015x46y72

Funders

Funder type

Industry

Copenhagen Malmö Contrast AB (CMC Contrast AB) (Sweden)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan