MedPath

Eovist vs. Dotarem Healthy Volunteer MRI

Phase 4
Completed
Conditions
Transient Severe Arterial Phase Motion
Interventions
Registration Number
NCT02431598
Lead Sponsor
Duke University
Brief Summary

The purpose of this study is to evaluate changes in volunteer breath-holding capacity in response to gadoxetate disodium (Eovist) administration, compared with saline, and gadoterate dimeglumine (Dotarem). Healthy volunteers will be recruited from three study sites. These subjects will be given three, blinded, randomized injections while undergoing an MRI of their liver and holding their breath. During the scan, the subjects' oxygen saturation and heart rate will be closely monitored. Following the scan, the subjects will complete a questionnaire regarding the breath hold.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
44
Inclusion Criteria
  • normal renal function (serum eGFR >60)
Exclusion Criteria
  • renal impairment
  • allergy to gadolinium-based contrast
  • metallic implanted devices
  • claustrophobia
  • pregnant and lactating females

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
SalineSalineWhile in the MRI scanner, the subject will receive a clinical dose of Eovist, Dotarem, or normal saline. Each subject will receive all three, in random order, blinded to which agent is received in a given instance.
Eovist (gadoxetate disodium)gadoxetate disodiumWhile in the MRI scanner, the subject will receive a clinical dose of Eovist, Dotarem, or normal saline. Each subject will receive all three, in random order, blinded to which agent is received in a given instance.
Dotarem (gadoterate dimeglumine)gadoterate dimeglumineWhile in the MRI scanner, the subject will receive a clinical dose of Eovist, Dotarem, or normal saline. Each subject will receive all three, in random order, blinded to which agent is received in a given instance.
Primary Outcome Measures
NameTimeMethod
Subject Breath Hold Capacity, as Measured by Number of Seconds a Subject Can Hold His/Her Breathfollowing contrast administration, up to 5 minutes
Subject-reported Dyspnea, as Measured by Questionnaire Responsesfollowing contrast administration, up to 5 minutes

After each breath-hold, the MRI technologist asked the volunteer through the scanner microphone the following two questions, with responses based on a 5-point scale: A) How difficult was it to hold your breath? (1-Not at all; 5-Very difficult); B) Do you feel short of breath now? (1-Not at all; 5-Very short of breath). Responses were recorded for each breath-hold.

Secondary Outcome Measures
NameTimeMethod
O2 Saturation Following Contrast Administrationfollowing contrast administration, up to 5 minutes
Heart Rate Following Contrast Injectionfollowing contrast administration, up to 5 minutes

Heart rate following contrast injection

Severity of Motion Artifacts at Arterial Phase Imaging, Measured on a 1-5 Scalefollowing contrast administration, up to 5 minutes

1. no motion artifact

2. minimal motion artifact

3. moderate motion artifact

4. severe motion artifact

5. extensive motion artifact

Percentage of Participants With Transient Severe Motion (TSM) Based on Presence of Motion Artifacts at Arterial Phase Imagingfollowing contrast administration, up to 5 minutes

Arterial-phase breath-holding duration and motion artifacts after each agent were compared using the Mann-Whitney-U test and the McNemar test.

Trial Locations

Locations (1)

Duke Medical Center

🇺🇸

Durham, North Carolina, United States

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