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CTRI Number  CTRI/2020/10/028449 [Registered on: 16/10/2020] Trial Registered Prospectively
Last Modified On: 31/08/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Diagnostic 
Study Design  Other 
Public Title of Study   A study to check the effects of drug ProHance in patients undergoing Magnetic Resonance Imaging (MRI) of brain, spine, head and neck during routine clinical practice in India. 
Scientific Title of Study   A Multicenter, Prospective, Non-Comparative, Non-Randomized, Open Label, Phase IV clinical trial to evaluate safety and efficacy of ProHance in patients undergoing Contrast Enhanced Magnetic Resonance Imaging (CE-MRI) of brain/spine and head and neck during routine clinical practice in India. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
PH-109  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ajaykumar Malle 
Designation  Chief Executive Officer 
Affiliation  CLINICA Research Solutions LLP 
Address  Office No. 103, First Floor, Raheja Arcade, Plot No 61, Sector 11, CBD Belapur, Navi Mumbai

Mumbai
MAHARASHTRA
400614
India 
Phone  02249705627  
Fax    
Email  drajay.m@clinicaresearch.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ajaykumar Malle 
Designation  Chief Executive Officer 
Affiliation  CLINICA Research Solutions LLP 
Address  Office No 103, First Floor Raheja Arcade, Plot No 61, Sector 11, CBD Belapur, Navi Mumbai

Mumbai
MAHARASHTRA
400614
India 
Phone  02249705627  
Fax    
Email  drajay.m@clinicaresearch.com  
 
Details of Contact Person
Public Query
 
Name  Sachin Pawar 
Designation  Director - Operations 
Affiliation  CLINICA Research Solutions LLP 
Address  Office No. 103, First Floor, Raheja Arcade, Plot No 61, Sector 11, CBD Belapur, Navi Mumbai

Mumbai
MAHARASHTRA
400614
India 
Phone  02249705627  
Fax    
Email  Sachin.P@clinicaresearch.com  
 
Source of Monetary or Material Support  
Bracco Diagnostics Inc 
 
Primary Sponsor  
Name  Bracco Diagnostics Inc 
Address  259 Prospect Plains Rd. Building H, Monroe Township, NJ 08831, United States of America  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
Imaging Products India Pvt Ltd  D-117, TTC Industrial Area, Village Shiravane, Nerul, Navi Mumbai – 400 706  
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 5  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Kshitij Jain  Arihant Diagnostic Centre  First Floor,23,Jagannathpuri Colony, Rathyatra-Mahmoorgani Road, Varanasi-10
Varanasi
UTTAR PRADESH 
919415624180

MishravibhutiI6@gmail.com 
Dr Deepak Patkar  Dr. Balabhai Nanavati Hospital  Department of Imaging and Radiology, S.V. Road, Vile Parle (West), Mumbai -400056
Mumbai
MAHARASHTRA 
9821136677

deepak.patkar@nanavatihospital.org 
Dr Supreethi Kohli  ESI Hospital and PGIMSR  Room No. 54, CTMRI Centre, Department of Radio- Diagnosis, Basaidarapur, New Delhi-110015
West
DELHI 
9310059122

suprkohli@gmail.com 
Dr Jayalatha Nethagani  MNJ Institute of Oncology and Regional Cancer Centre  Department of Radiology, Red hills Road, Beside Niloufer Hospital, Lakdi ka pul, Hyderabad - 500004
Hyderabad
TELANGANA 
9701544047

jayanethagani@gmail.com 
Dr Saugata Sen  Tata Medical Centre  Department of Radiology and Imaging, 14, MARE (E-W), DH Block, Action Area I, New Town Kolkata- 700160
Kolkata
WEST BENGAL 
9830448007

drsaugatasen@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 5  
Name of Committee  Approval Status 
Ethics Committee, Dr. Balabhai Nanavati Hospital  Approved 
Institutional Ethics Committee, ESI-PGIMSR  Approved 
MNJ Institute of Oncology and Regional Cancer Centre, Institutional Ethics Committe  Approved 
Samvedna Hospital Ethics Committee  Approved 
Tata Medical Centre, Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G939||Disorder of brain, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Not Applicable  Not Applicable 
Intervention  ProHance  Gadoteridol 279.3 mg/ml Intravenous injection once rapid bolus dose. 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Provides written Informed Consent and is willing to comply with protocol requirements;
2. Is male or female of at least 2 years of age;
3. Is scheduled to undergo CE-MRI:
3.1 Subjects ≥ 2 years of age: CE-MRI for Brain (intracranial), Spine and Associated tissues
3.2 Subjects ≥ 18 years of age: CE-MRI for Head and Neck
 
 
ExclusionCriteria 
Details  Exclusion Criteria:

1. Is a pregnant or lactating female. Exclude the possibility of pregnancy:
1.1 by testing on site at the institution (serum or urine βHCG) within 24 hours prior to the start of investigational product administration,
1.2 by surgical history (e.g., tubal ligation or hysterectomy),
1.3 post-menopausal with a minimum 1 year without menses;
2. Has any known allergy to one or more of the ingredients of the investigational product or has a history of hypersensitivity to any metals;
3. Has received or scheduled to receive an investigational compound within 30 days before admission into this study;
4. Has severe renal impairment, defined as GFR/eGFR < 30 ml/min/1.73m2
5. Has previously entered this study;
6. Has any contraindications to MRI such as a pace-maker, magnetic material (i.e., surgical clips) or any other conditions that would preclude proximity to a strong magnetic field;
7. Is suffering from severe claustrophobia;
8. Has any medical condition or other circumstances which would significantly decrease the chances of obtaining reliable data, achieving study objective, or completing the study.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Monitoring Adverse Events. Safety monitoring will begin at the time of signing the Informed Consent Form and ends up to 30 minutes following completion of the MRI examination  Upto 30 minutes following completion of the MRI examination 
 
Secondary Outcome  
Outcome  TimePoints 
Diagnosis: Normal’ or ‘Abnormal’ MRI scan.
Diagnostic gain due to Contrast agent:
1)Improved lesion delineation (border definition, lesion morphology)
2)Minimized differential diagnoses
3)Allowed definitive diagnosis not possible on pre-contrast scans
4)Allowed identification of lesions not seen on pre-contrast scans
5)Contributed to exclusion of disease
6)Contribution influenced patient management 
Post MRI Examination 
 
Target Sample Size   Total Sample Size="110"
Sample Size from India="110" 
Final Enrollment numbers achieved (Total)= "110"
Final Enrollment numbers achieved (India)="110" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)
Modification(s)  
14/04/2021 
Date of Study Completion (India) 31/08/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not Yet Planned 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The purpose of this Phase IV post-marketing study is to evaluate and provide information related to safety and efficacy of ProHance in patients undergoing CE-MRI for brain/spine and head and neck with ProHance in routine clinical practice to Drug Controller General-India (DCGI) to meet national regulatory requirements for therapeutic product registration.

Completion of all study related procedures will take a maximum of 1 day for each subject. Study participation will begin at the time the subject signs informed consent, which can be done up to 24 Hours prior to the MRI procedure taking place.

The MRI procedure will take approximately 40 minutes.

Safety monitoring will begin at the time of signing the Informed Consent Form and ends up to 30 minutes following completion of the MRI examination. 
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