Gadopiclenol Pharmacokinetics, Safety and Efficacy in Children < 2 Years of Age

Last updated: March 25, 2025
Sponsor: Guerbet
Overall Status: Completed

Phase

2

Condition

Neurologic Disorders

Treatment

Gadopiclenol

Clinical Study ID

NCT05590884
GDX-44-015
  • Ages < 23
  • All Genders

Study Summary

This Phase II open-label, uncontrolled, multicenter trial is designed to investigate the pharmacokinetic (PK) profile of gadopiclenol in plasma, in pediatric patients aged up to 23 months inclusive (term neonates or preterm infants after the neonatal period), using a population PK approach.

Primary objective is to evaluate the PK profile of gadopiclenol in plasma following single intravenous injection of 0.05 mmol/kg body weight (BW) in pediatric population aged up to 23 months (inclusive) scheduled for a contrast-enhanced MRI examination of any body region including central nervous system (CNS).

Eligibility Criteria

Inclusion

Main Inclusion Criteria:

  1. Female or male pediatric patient aged from birth to 23 months of age inclusive (termneonates for all age groups or preterm infants after the neonatal period for groups 1 or 2). The neonatal period for preterm newborns is defined as the day of birththrough the expected date of delivery plus 27 days. Term is defined as ≥37 completedweeks of amenorrhea,

  2. Patient with known or highly suspected abnormalities/ lesion(s), scheduled toundergo contrast-enhanced MRI of any body region including CNS [...]

Exclusion

Main Exclusion Criteria:

  1. Patient planned for treatment or procedure (e.g. surgery) that would prevent fromobtaining the required blood samples or performing other trial procedures betweenthe screening visit and up to one day after gadopiclenol administration,

  2. Patient undergoing treatment or procedure (e.g., diuretics, clinically significantblood loss or blood transfusion) preceding or subsequent to gadopiclenoladministration that would alter gadopiclenol pharmacokinetic parameters,

  3. Patient with acute or chronic renal insufficiency defined as estimated GlomerularFiltration Rate (eGFR) out of age-adjusted normal value calculated based on bedsideSchwartz equation, [...]

  4. Patient undergoing a change in chemotherapy (product or dosage) within one day priorto or one day after gadopiclenol administration, 10. Patient who received or willreceive any other contrast agent for CT and/or MRI within one week prior to or oneweek after gadopiclenol administration, 11. Patient with contraindication for MRIsuch as iron metal implants (e.g., aneurysm clips, pacemaker), 12. Patient withhistory of anaphylactoid or anaphylactic reaction to any allergen including drugsand contrast agents [...]

Study Design

Total Participants: 36
Treatment Group(s): 1
Primary Treatment: Gadopiclenol
Phase: 2
Study Start date:
September 21, 2022
Estimated Completion Date:
September 30, 2024

Study Description

Three age groups are defined:

  • Group 1: patients aged 3 to 23 months (inclusive)

  • Group 2: patients aged 28 days to less than 3 months;

  • Group 3: patients aged from birth to 27 days (term newborns).

At study set-up, the inclusions started with the oldest patients in group 1 and using an age-down staggered approach.

The decision to start the inclusions in group 2 was taken by the Trial Safety Review Board based on safety assessment over one-day period after injection of the first 13 patients in group 1.

According to the protocol version 4 (amendments 2 & 3), the age-down staggered approach was discontinued to allow the inclusions in Group 3 (patients aged from birth to 27 days), simultaneously to inclusions in group 1 and group 2.

The inclusions in the three age groups will be completed in parallel. A total of 3 blood samples per patient will be taken post-injection for PK analysis.

Connect with a study center

  • Multiprofile Hospital for Active Treatment Central Onco Hospital

    Plovdiv,
    Bulgaria

    Site Not Available

  • Acibadem City Clinic Tokuda Hospital

    Sofia,
    Bulgaria

    Site Not Available

  • Országos Idegtudományi Intézet

    Budapest,
    Hungary

    Site Not Available

  • Semmelweis Egyetem

    Budapest, 1094
    Hungary

    Site Not Available

  • University of Debrecen Clinical Center Pediatric Department

    Debrecen,
    Hungary

    Site Not Available

  • Szpital Uniwersytecki nr 1 im. dr Antoniego Jurasza

    Bydgoszcz,
    Poland

    Site Not Available

  • Instytut Centrum Zdrowia Matki Polki

    Lodz,
    Poland

    Site Not Available

  • Uniwersytecki Szpital Dzieciecy

    Lublin,
    Poland

    Site Not Available

  • Kliniczny Szpital Wojewodzki Nr 2 im. Sw. Jadwigi Krolowej

    Rzeszów,
    Poland

    Site Not Available

  • Instytut "Pomnik - Centrum Zdrowia Dziecka"

    Warszawa,
    Poland

    Site Not Available

  • Uniwersyteckie Centrum Kliniczne Warszawskiego

    Warszawa, 02-091
    Poland

    Site Not Available

  • Cincinnatti Childrens Hospital

    Cincinnati, Ohio 45229
    United States

    Site Not Available

  • Medical University of South Carolina

    Charleston, South Carolina 29425-8908
    United States

    Site Not Available

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