Skip to content

Efficacy and Safety Study to Evaluate Gadavist (Gadobutrol) as Contrast Agent in Magnetic Resonance Imaging (MRI) of Vascular Diseases in Chinese Patients

A Single-blind, Intra-individual, Crossover, Multicenter Study of the Efficacy, Safety and Tolerability of Gadavist (1.0 M) in Comparison With Magnevist (0.5 M) as Contrast Agent in the Enhanced Magnetic Resonance Angiography (MRA) in Chinese Patients

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00395733
Enrollment
83
Registered
2006-11-03
Start date
2006-10-31
Completion date
2007-10-31
Last updated
2013-12-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Vascular Diseases

Keywords

Gadovist, Gadavist, MRI Imaging, vascular diseases, Chinese

Brief summary

The purpose of this study is to determine if the contrast agent is effective and safe in the Magnetic Resonance Imaging (MRI) of vascular diseases in patients of Chinese origin.

Detailed description

The study has previously been posted by Schering AG, Germany. Schering AG, Germany has been renamed to Bayer HealthCare AG, Germany. Bayer HealthCare AG, Germany is the sponsor of the trial.

Interventions

DRUGGadopentate dimeglumine (Magnevist, BAY86-4882)

Participant received a single intravenous injection with Gadopentate (0.5 M) at a volume of 0.4 mL/kg BW (dose = 0.2 mmol/kg BW) or up to 0.6 mL/kg BW when 3 Fields of View were imaged (up to dose = 0.3 mmol/kg BW)

Participant received a single intravenous injection with Gadobutrol (1.0 M) at a volume of 0.2 mL/kg BW (dose = 0.2 mmol/kg BW) or up to 0.3 mL/kg BW when 3 Fields of View were imaged (up to dose = 0.3 mmol/kg BW)

Sponsors

Bayer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Chinese origin * Known or suspected blood vessel diseases

Exclusion criteria

* Pregnancy * Lactation * Conditions interfering with MRI * Allergy to any contrast agent or any drugs * Participation in other trial * Require emergency treatment * Severely impaired liver and kidney functions

Design outcomes

Primary

MeasureTime frameDescription
Number of Vessel Segments Visualized With Diagnostic Quality20-30 seconds after injectionEach arterial segment visualized in magnetic resonance angiography (MRA) enhanced by Gadavist and Magnevist was characterized by the on-site investigators and by three independent blinded readers (reader 1, 2 and 3) according to a five-point scale (none/not assessable, poor, moderate, good, excellent), which takes into consideration intravascular contrast quality as well as vessel border delineation. The number of vessel segments with adequate diagnostic quality, i.e. good or excellent scores, was determined for each MRA image.

Secondary

MeasureTime frameDescription
Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 1immediately before and 20-30 seconds after injection (precontrast and postcontrast)Independent blinded reader 1 assessed the change in diagnostic confidence in the assessment of MRA scans before and after injection with Gadavist and Magnevist for each participant on a three-point scale as improved, unchanged or worsened.
Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 2immediately before and 20-30 seconds after injection (precontrast and postcontrast)Independent blinded reader 2 assessed the change in diagnostic confidence in the assessment of MRA scans before and after injection with Gadavist and Magnevist for each participant on a three-point scale as improved, unchanged or worsened.
Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 3immediately before and 20-30 seconds after injection (precontrast and postcontrast)Independent blinded reader 3 assessed the change in diagnostic confidence in the assessment of MRA scans before and after injection with Gadavist and Magnevist for each participant on a three-point scale as improved, unchanged or worsened.
Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Investigatorimmediately before and 20-30 seconds after injection (precontrast and postcontrast)The on-site investigators assessed the change in diagnostic confidence in the assessment of MRA scans before and after injection with Gadavist and Magnevist for each participant on a three-point scale as improved, unchanged or worsened.
MRA Diagnosis by Blinded Reader 120-30 seconds after injectionThe MRA diagnosis describes the pathology with regard to the extent of a stenosis, i.e., normal (no relevant disease), advanced arteriosclerosis but stenosis \<= 50% (exemption: internal carotid artery: stenosis \<= 70%), advanced arteriosclerosis, stenosis \>50% but \<99% (stenosis 50-99%) (exemption: internal carotid artery \>70%), occlusion, and not assessable.
MRA Diagnosis by Blinded Reader 220-30 seconds after injectionThe MRA diagnosis describes the pathology with regard to the extent of a stenosis, i.e., normal (no relevant disease), advanced arteriosclerosis but stenosis \<= 50% (exemption: internal carotid artery: stenosis \<= 70%), advanced arteriosclerosis, stenosis \>50% but \<99% (stenosis 50-99%) (exemption: internal carotid artery \>70%), occlusion, and not assessable.
MRA Diagnosis by Blinded Reader 320-30 seconds after injectionThe MRA diagnosis describes the pathology with regard to the extent of a stenosis, i.e., normal (no relevant disease), advanced arteriosclerosis but stenosis \<= 50% (exemption: internal carotid artery: stenosis \<= 70%), advanced arteriosclerosis, stenosis \>50% but \<99% (stenosis 50-99%) (exemption: internal carotid artery \>70%), occlusion, and not assessable.
MRA Diagnosis by Investigators20-30 seconds after injectionThe MRA diagnosis describes the pathology with regard to the extent of a stenosis, i.e., normal (no relevant disease), advanced arteriosclerosis but stenosis \<= 50% (exemption: internal carotid artery: stenosis \<= 70%), advanced arteriosclerosis, stenosis \>50% but \<99% (stenosis 50-99%) (exemption: internal carotid artery \>70%), occlusion, and not assessable.

Countries

China

Participant flow

Recruitment details

Participants were recruited at specialized study centers if they satisfied the inclusion and exclusion criteria. All had known or suspected stenosis of arterial vessels in different vascular body regions with an indication for contrast-enhanced magnetic resonance angiography for diagnosis and further treatment.

Pre-assignment details

Of 87 screened participants, 4 were not randomized (2 due to withdrawal of consent, 1 due to entering another clinical study and 1 was lost to follow-up). Thus, 83 participants were randomized to either the sequence Gadobutrol/Gadopentate dimeglumine (41 participants) or Gadopentate dimeglumine/Gadobutrol (42 participants).

Participants by arm

ArmCount
Period 1: Gadobutrol, Period 2: Gadopentate Dimeglumine
Period 1: Participant received a single intravenous injection with Gadobutrol (1.0 M) at a volume of 0.2 mL/kg BW (dose = 0.2 mmol/kg BW) or up to 0.3 mL/kg BW when 3 Fields of View were imaged (up to dose = 0.3 mmol/kg BW). Period 2: Participant received a single intravenous injection with Gadopentate (0.5 M) at a volume of 0.4 mL/kg BW (dose = 0.2 mmol/kg BW) or up to 0.6 mL/kg BW when 3 Fields of View were imaged (up to dose = 0.3 mmol/kg BW).
41
Period 1: Gadopentate Dimeglumine, Period 2: Gadobutrol
Period 1: Participant received a single intravenous injection with Gadopentate (0.5 M) at a volume of 0.4 mL/kg BW (dose = 0.2 mmol/kg BW) or up to 0.6 mL/kg BW when 3 Fields of View were imaged (up to dose = 0.3 mmol/kg BW). Period 2: Participant received a single intravenous injection with Gadobutrol (1.0 M) at a volume of 0.2 mL/kg BW (dose = 0.2 mmol/kg BW) or up to 0.3 mL/kg BW when 3 Fields of View were imaged (up to dose = 0.3 mmol/kg BW).
42
Total83

Withdrawals & dropouts

PeriodReasonFG000FG001
Period 2Adverse Event02
Period 2Protocol Violation01
Period 2Technical problems10
Period 2Withdrawal by Subject12

Baseline characteristics

CharacteristicPeriod 1: Gadobutrol, Period 2: Gadopentate DimegluminePeriod 1: Gadopentate Dimeglumine, Period 2: GadobutrolTotal
Age, Continuous50.8 Years
STANDARD_DEVIATION 14.26
55.3 Years
STANDARD_DEVIATION 11.21
53.1 Years
STANDARD_DEVIATION 12.93
Sex: Female, Male
Female
14 Participants15 Participants29 Participants
Sex: Female, Male
Male
27 Participants27 Participants54 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
7 / 787 / 81
serious
Total, serious adverse events
0 / 780 / 81

Outcome results

Primary

Number of Vessel Segments Visualized With Diagnostic Quality

Each arterial segment visualized in magnetic resonance angiography (MRA) enhanced by Gadavist and Magnevist was characterized by the on-site investigators and by three independent blinded readers (reader 1, 2 and 3) according to a five-point scale (none/not assessable, poor, moderate, good, excellent), which takes into consideration intravascular contrast quality as well as vessel border delineation. The number of vessel segments with adequate diagnostic quality, i.e. good or excellent scores, was determined for each MRA image.

Time frame: 20-30 seconds after injection

Population: Per Protocol Set (PPS): All participants who have received contrast injection and are not invalid cases. Note: The contrast enhanced MR image from one participant was lost after assessment by the investigator, i.e. the PPS analysis for the blinded readers is based on the images of 66 participants only.

ArmMeasureGroupValue (MEAN)Dispersion
Gadobutrol (Gadavist, BAY86-4875)Number of Vessel Segments Visualized With Diagnostic QualityInvestigators8.10 vessel segmentsStandard Deviation 3.685
Gadobutrol (Gadavist, BAY86-4875)Number of Vessel Segments Visualized With Diagnostic QualityReader 18.03 vessel segmentsStandard Deviation 3.815
Gadobutrol (Gadavist, BAY86-4875)Number of Vessel Segments Visualized With Diagnostic QualityReader 27.55 vessel segmentsStandard Deviation 4.622
Gadobutrol (Gadavist, BAY86-4875)Number of Vessel Segments Visualized With Diagnostic QualityReader 35.27 vessel segmentsStandard Deviation 3.921
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Number of Vessel Segments Visualized With Diagnostic QualityReader 35.91 vessel segmentsStandard Deviation 3.666
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Number of Vessel Segments Visualized With Diagnostic QualityInvestigators8.33 vessel segmentsStandard Deviation 3.755
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Number of Vessel Segments Visualized With Diagnostic QualityReader 27.88 vessel segmentsStandard Deviation 3.665
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Number of Vessel Segments Visualized With Diagnostic QualityReader 18.33 vessel segmentsStandard Deviation 3.852
Comparison: Non-inferiority analysis: The aim was to show that Gadavist is not inferior (i.e. similar or better) to Magnevist in visualizing different vascular regions of the body with diagnostic quality in contrast enhanced MRA. Gadavist was to be considered to be non-inferior to Magnevist if the mean number of vessel segments visualized with diagnostic quality of Gadavist enhanced-MRA images was higher than 85% of that of Magnevist enhanced-MRA images in a cross-over design.90% CI: [0.9315, 1.0168]Fieller-type confidence interval
Comparison: Non-inferiority analysis: The aim was to show that Gadavist is not inferior (i.e. similar or better) to Magnevist in visualizing different vascular regions of the body with diagnostic quality in contrast enhanced MRA. Gadavist was to be considered to be non-inferior to Magnevist if the mean number of vessel segments visualized with diagnostic quality of Gadavist enhanced-MRA images was higher than 85% of that of Magnevist enhanced-MRA images in a cross-over design.90% CI: [0.9122, 0.9965]Fieller-type confidence interval
Comparison: Non-inferiority analysis: The aim was to show that Gadavist is not inferior (i.e. similar or better) to Magnevist in visualizing different vascular regions of the body with diagnostic quality in contrast enhanced MRA. Gadavist was to be considered to be non-inferior to Magnevist if the mean number of vessel segments visualized with diagnostic quality of Gadavist enhanced-MRA images was higher than 85% of that of Magnevist enhanced-MRA images in a cross-over design.90% CI: [0.8776, 1.024]Fieller-type confidence interval
Comparison: Non-inferiority analysis: The aim was to show that Gadavist is not inferior (i.e. similar or better) to Magnevist in visualizing different vascular regions of the body with diagnostic quality in contrast enhanced MRA. Gadavist was to be considered to be non-inferior to Magnevist if the mean number of vessel segments visualized with diagnostic quality of Gadavist enhanced-MRA images was higher than 85% of that of Magnevist enhanced-MRA images in a cross-over design.90% CI: [0.78, 0.9657]Fieller-type confidence interval
Secondary

Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 1

Independent blinded reader 1 assessed the change in diagnostic confidence in the assessment of MRA scans before and after injection with Gadavist and Magnevist for each participant on a three-point scale as improved, unchanged or worsened.

Time frame: immediately before and 20-30 seconds after injection (precontrast and postcontrast)

Population: Per Protocol Set (PPS): All participants who have received contrast injection and are not invalid cases. Note: The contrast enhanced MR image from one participant was lost after assessment by the investigator, i.e. the PPS analysis for the blinded readers is based on the images of 66 participants only.

ArmMeasureGroupValue (NUMBER)
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 1improved61 Participants
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 1unchanged0 Participants
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 1worsened1 Participants
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 1missing or not applicable4 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 1missing or not applicable3 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 1improved63 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 1worsened0 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 1unchanged0 Participants
Secondary

Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 2

Independent blinded reader 2 assessed the change in diagnostic confidence in the assessment of MRA scans before and after injection with Gadavist and Magnevist for each participant on a three-point scale as improved, unchanged or worsened.

Time frame: immediately before and 20-30 seconds after injection (precontrast and postcontrast)

Population: Per Protocol Set (PPS): All participants who have received contrast injection and are not invalid cases. Note: The contrast enhanced MR image from one participant was lost after assessment by the investigator, i.e. the PPS analysis for the blinded readers is based on the images of 66 participants only.

ArmMeasureGroupValue (NUMBER)
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 2improved56 Participants
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 2unchanged3 Participants
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 2worsened1 Participants
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 2missing or not applicable6 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 2missing or not applicable2 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 2improved63 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 2worsened0 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 2unchanged1 Participants
Secondary

Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 3

Independent blinded reader 3 assessed the change in diagnostic confidence in the assessment of MRA scans before and after injection with Gadavist and Magnevist for each participant on a three-point scale as improved, unchanged or worsened.

Time frame: immediately before and 20-30 seconds after injection (precontrast and postcontrast)

Population: Per Protocol Set (PPS): All participants who have received contrast injection and are not invalid cases. Note: The contrast enhanced MR image from one participant was lost after assessment by the investigator, i.e. the PPS analysis for the blinded readers is based on the images of 66 participants only.

ArmMeasureGroupValue (NUMBER)
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 3improved59 Participants
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 3unchanged0 Participants
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 3worsened2 Participants
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 3missing or not applicable5 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 3missing or not applicable3 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 3improved63 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 3worsened0 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Blinded Reader 3unchanged0 Participants
Secondary

Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Investigator

The on-site investigators assessed the change in diagnostic confidence in the assessment of MRA scans before and after injection with Gadavist and Magnevist for each participant on a three-point scale as improved, unchanged or worsened.

Time frame: immediately before and 20-30 seconds after injection (precontrast and postcontrast)

Population: Per Protocol Set (PPS): All participants who have received contrast injection and are not invalid cases.

ArmMeasureGroupValue (NUMBER)
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Investigatorimproved63 Participants
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Investigatorunchanged0 Participants
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Investigatorworsened0 Participants
Gadobutrol (Gadavist, BAY86-4875)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Investigatormissing or not applicable4 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Investigatormissing or not applicable2 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Investigatorimproved65 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Investigatorworsened0 Participants
Gadopentate Dimeglumine (Magnevist, BAY86-4882)Change in Diagnostic Confidence From Pre- to Post-contrast MRA by Investigatorunchanged0 Participants
Secondary

MRA Diagnosis by Blinded Reader 1

The MRA diagnosis describes the pathology with regard to the extent of a stenosis, i.e., normal (no relevant disease), advanced arteriosclerosis but stenosis \<= 50% (exemption: internal carotid artery: stenosis \<= 70%), advanced arteriosclerosis, stenosis \>50% but \<99% (stenosis 50-99%) (exemption: internal carotid artery \>70%), occlusion, and not assessable.

Time frame: 20-30 seconds after injection

Population: Per Protocol Set (PPS): All participants who have received contrast injection and are not invalid cases. Note: The contrast enhanced MR image from one participant was lost after assessment by the investigator, i.e. the PPS analysis for the blinded readers is based on the images of 66 participants only.

ArmMeasureGroupValue (NUMBER)
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 1normal503 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 1stenosis <= 50%33 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 1stenosis > 50%22 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 1stenosis <= 70%2 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 1stenosis > 70%1 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 1not assessable272 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 1100% diameter reduction (occlusion)5 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 1normal497 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 1stenosis > 70%1 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 1stenosis <= 50%37 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 1100% diameter reduction (occlusion)5 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 1stenosis > 50%24 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 1not assessable273 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 1stenosis <= 70%1 Vessels
Secondary

MRA Diagnosis by Blinded Reader 2

The MRA diagnosis describes the pathology with regard to the extent of a stenosis, i.e., normal (no relevant disease), advanced arteriosclerosis but stenosis \<= 50% (exemption: internal carotid artery: stenosis \<= 70%), advanced arteriosclerosis, stenosis \>50% but \<99% (stenosis 50-99%) (exemption: internal carotid artery \>70%), occlusion, and not assessable.

Time frame: 20-30 seconds after injection

Population: Per Protocol Set (PPS): All participants who have received contrast injection and are not invalid cases. Note: The contrast enhanced MR image from one participant was lost after assessment by the investigator, i.e. the PPS analysis for the blinded readers is based on the images of 66 participants only.

ArmMeasureGroupValue (NUMBER)
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 2<= 50% stenosis83 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 2stenosis <= 70%1 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 2normal503 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 2stenosis > 70%0 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 2> 50% stenosis21 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 2not assessable215 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 2100% diameter reduction (occlusion)15 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 2not assessable224 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 2100% diameter reduction (occlusion)10 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 2normal549 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 2<= 50% stenosis38 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 2> 50% stenosis16 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 2stenosis <= 70%1 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 2stenosis > 70%0 Vessels
Secondary

MRA Diagnosis by Blinded Reader 3

The MRA diagnosis describes the pathology with regard to the extent of a stenosis, i.e., normal (no relevant disease), advanced arteriosclerosis but stenosis \<= 50% (exemption: internal carotid artery: stenosis \<= 70%), advanced arteriosclerosis, stenosis \>50% but \<99% (stenosis 50-99%) (exemption: internal carotid artery \>70%), occlusion, and not assessable.

Time frame: 20-30 seconds after injection

Population: Per Protocol Set (PPS): All participants who have received contrast injection and are not invalid cases. Note: The contrast enhanced MR image from one participant was lost after assessment by the investigator, i.e. the PPS analysis for the blinded readers is based on the images of 66 participants only.

ArmMeasureGroupValue (NUMBER)
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 3<= 50% stenosis8 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 3stenosis <= 70%2 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 3normal489 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 3stenosis > 70%0 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 3> 50% stenosis15 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 3not assessable321 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Blinded Reader 3100% diameter reduction (occlusion)3 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 3not assessable308 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 3100% diameter reduction (occlusion)2 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 3normal499 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 3<= 50% stenosis11 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 3> 50% stenosis17 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 3stenosis <= 70%1 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Blinded Reader 3stenosis > 70%0 Vessels
Secondary

MRA Diagnosis by Investigators

The MRA diagnosis describes the pathology with regard to the extent of a stenosis, i.e., normal (no relevant disease), advanced arteriosclerosis but stenosis \<= 50% (exemption: internal carotid artery: stenosis \<= 70%), advanced arteriosclerosis, stenosis \>50% but \<99% (stenosis 50-99%) (exemption: internal carotid artery \>70%), occlusion, and not assessable.

Time frame: 20-30 seconds after injection

Population: Per Protocol Set (PPS): All participants who have received contrast injection and are not invalid cases.

ArmMeasureGroupValue (NUMBER)
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Investigators<= 50% stenosis47 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Investigatorsstenosis <= 70%5 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Investigatorsnormal494 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Investigatorsstenosis > 70%0 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Investigators> 50% stenosis32 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Investigatorsnot assessable271 Vessels
Gadobutrol (Gadavist, BAY86-4875)MRA Diagnosis by Investigators100% diameter reduction (occlusion)6 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Investigatorsnot assessable278 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Investigators100% diameter reduction (occlusion)8 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Investigatorsnormal504 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Investigators<= 50% stenosis30 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Investigators> 50% stenosis32 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Investigatorsstenosis <= 70%3 Vessels
Gadopentate Dimeglumine (Magnevist, BAY86-4882)MRA Diagnosis by Investigatorsstenosis > 70%0 Vessels

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026