Patients with moderate (eGFR 30 – 59 mL/min/1.73 m2) to severe renal impairment (eGFR < 30 mL/min/1.73 m2) scheduled to undergo contrast-enhanced MRI with Primovist/Eovist. MedDRA version: 15.1 Level: LLT Classification code 10038469 Term: Renal impairment NOS System Organ Class: 100000004857
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: •Patient must be scheduled for CE-MRI OF THE LIVER with Primovist/Eovist based on careful risk/benefit evaluation at the recommended dose in one of the approved indications •Patient must fulfill criteria for moderate (eGFR 30 – 59 mL/min/1.73 m2) to severe (eGFR =65 years) yes F.1.3.1 Number of subjects for this age range 1000
Exclusion criteria
Exclusion criteria: •GBCA-enhanced MRI (or administration of a GBCA for any other CE imaging procedure) other than Primovist/Eovist within 12 months prior to administration of Primovist/Eovist -Rationale for selected time window: to minimize level of confounding from prior administration of GBCA for the estimation of risk of NSF for Primovist/Eovist while at the same time avoiding the elimination of too many potential participants from the study. -Exposure to GBCA within 12 months prior to administration of Primovist/Eovist will be determined at the time of the initial evaluation via history (elicited from patient) and review of patient’s medical records, if available at that time. Subsequently, a more thorough analysis of the patient’s medical records will be carried out to ascertain the accuracy of the GBCA exposure information obtained at the time of the ÌNITIAL EVALUATION
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective is to assess the magnitude of potential risk of developing NSF with the administration of Primovist/Eovist in patients with moderate to severe renal impairment for the development of NSF, based on diagnostically specific clinical and histopathological information.;Secondary Objective: •to assess the magnitude of the potential risk of developing cutaneous symptoms consistent with NSF with the administration of Primovist/Eovist in patients with moderate to severe renal impairment for the development of cutaneous symptoms consistent with NSF, based on specific clinical information for patients in whom biopsy is not available •to evaluate the confidence of the investigator to make a diagnosis based on the Primovist/Eovist enhanced MRI •to determine imaging efficacy by qualitatively evaluating the parameters “lesion detection”, “lesion delineation” and “lesion characterization”. •to evaluate the number and characteristics of adverse events reported in association with the administration of Primovist/Eovist. ;Primary end point(s): The primary end point of the study is the number of patients with moderate to severe renal impairment who develop NSF, based on diagnostically specific clinical and histopathological information, following the administration of Primovist/Eovist injection within the 2-year follow-up period.;Timepoint(s) of evaluation of this end point: LPLV - 31 december 2014 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • Number of patients with moderate to severe renal impairment in whom no biopsy was obtained who develop NSF based on diagnostically specific clinical information. The clinical findings related to NSF will be summarized by clinical score. • Confidence of the investigator to make a diagnosis based on the Primovist/Eovist enhanced MRI. • Number and characteristics of adverse events reported in association with the administration of Primovist/Eovist. • Number of patients with “Excellent / Good / Adequate / Insufficient” scores for “lesion detection”, “lesion delineation” and “lesion characterization. ;Timepoint(s) of evaluation of this end point: After 2 years follow-up | — |
Countries
Australia, Austria, Germany, Italy, Korea, Republic of, Spain, Thailand, United Kingdom, United States
Contacts
Bayer HealthCare AG