Gadobutrol for Healthy Subjects
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests the safety and effectiveness of a special dye called gadobutrol, injected into the fluid around the brain and spinal cord. Researchers aim to determine if this dye enhances MRI images of fluid flow and drainage. A suitable participant is a healthy adult who can stay in a clinic for 3 days and has undergone pre-screening under a specific NIH protocol. Participants will undergo MRIs and provide blood and urine samples to help scientists better understand the brain's fluid dynamics. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this innovative approach.
Will I have to stop taking my current medications?
The trial does not specify if you need to stop taking your current medications, but if you are on anti-coagulation therapy, you cannot participate.
Is there any evidence suggesting that gadobutrol is likely to be safe for humans?
In a previous study, researchers administered gadobutrol to over 23,000 patients. Side effects related to the drug appeared in 2.5% of patients, with serious side effects in only 0.02%. The most common complaints included nausea and a metallic taste. Another study involved 79 patients who received a specific dose, and no side effects were reported.
However, injecting gadobutrol into the area around the spinal cord (known as intrathecal use) poses serious risks, including seizures or even coma. While gadobutrol is generally safe in other applications, this study tests its safety with a new method. Participants should carefully weigh the potential benefits and risks before deciding to join.12345Why are researchers excited about this trial?
Gadobutrol is unique because it is a contrast agent used in imaging, specifically for enhancing MRI scans, and it is being explored for its safety and effectiveness in healthy volunteers. Unlike other MRI contrast agents, Gadobutrol has a high concentration, which allows for a smaller volume to be used while still providing clear images. Researchers are excited about this treatment because its potential for reducing dosage without compromising image quality could lead to safer and more efficient diagnostic procedures.
What evidence suggests that gadobutrol is effective for improving MRI scans of cerebrospinal fluid?
Research has shown that gadobutrol enhances the clarity of MRI images. It has been used successfully to examine conditions such as multiple sclerosis and brain tumors. Studies indicate that gadobutrol provides sharp and detailed images, aiding doctors in understanding internal conditions. It is considered safe and well-tolerated by many patients, even those with various health issues. Specifically, studies involving over 23,000 people have confirmed its safety. This makes gadobutrol a reliable choice for improving MRI scans by providing better contrast and clarity. Participants in this trial will receive gadobutrol to further evaluate its effects in healthy volunteers.678910
Who Is on the Research Team?
Daniel S Reich, M.D.
Principal Investigator
National Institute of Neurological Disorders and Stroke (NINDS)
Are You a Good Fit for This Trial?
This trial is for healthy adults aged 18 and older who pass a screening process. Participants must not have any health conditions that would make the procedure unsafe, as determined by the study team.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive a lumbar puncture and gadobutrol injection, followed by multiple MRI scans
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Gadobutrol
Trial Overview
Researchers are testing if injecting a small amount of gadobutrol (a contrast dye) into the fluid around the spinal cord helps get clearer MRI images of brain fluid flow in healthy people. The study involves several MRIs over about one week.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
0.25 mmol IT gadobutrol or 0.5 mmol
Find a Clinic Near You
Who Is Running the Clinical Trial?
National Institute of Neurological Disorders and Stroke (NINDS)
Lead Sponsor
Citations
Safety and Efficacy of Gadobutrol 1.0 Molar (Gadavist) in ...
The purpose of this study is to look at the safety (what are the side effects) and efficacy (how well does it work) of gadobutrol when used for ...
Safety of gadobutrol in over 23000 patients: the GARDIAN ...
Gadobutrol possessed a similar safety and tolerability profile in adults, patients with renal impairment or cardiac disease and children.
Gadobutrol: A Review in Contrast-Enhanced MRI and MRA
Gadobutrol-enhanced MRI was effective for imaging acute inflammatory multiple sclerosis (MS) lesions in a randomized, intra-individual crossover ...
Efficacy and Safety of Half-Dose Gadopiclenol versus Full- ...
For most participants (75%–83% [206–228 of 276]), readers reported no preference between gadopiclenol- and gadobutrol-enhanced images.
Gadobutrol – Application in Therapy and Current Clinical ...
This article explores the use of Gadobutrol in clinical trials for imaging breast cancer, brain tumors, gynecologic cancers, and other conditions.
Clinical Safety of Gadobutrol: Review of Over 25 Years ...
Drug-related adverse events (AEs) were reported in 3.4% and serious AEs in <0.1% of patients. Nausea (0.7%) and dysgeusia (0.4%) were the most ...
Gadobutrol Injection: Package Insert / Prescribing Info / MOA
Intrathecal administration of GBCAs can cause serious adverse reactions including death, coma, encephalopathy, and seizures. The safety and ...
Safety of gadobutrol in over 23000 patients - PMC
Patients at risk for contrast media reaction had an ADR incidence of 2.5 %. Five patients (0.02 %) experienced serious adverse events, four were drug-related.
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mayoclinic.org
mayoclinic.org/drugs-supplements/gadobutrol-intravenous-route/description/drg-20074828Gadobutrol (intravenous route) - Side effects & uses
This medicine may increase your risk of having acute kidney injury (AKI). This has occurred in patients with severe kidney problems, and the ...
10.
goodrx.com
goodrx.com/gadobutrol/what-is?srsltid=AfmBOooqyVpyIZ1ZlV-Y4t6xWeOSLCd6F0TJbW8lfW5x1KDTK_esAcF0Gadobutrol (Gadavist): Uses, Side Effects, Dosage & ...
The most common side effects include headache and nausea. Rarely, gadobutrol (Gadavist) can cause severe thickening of your skin and other organs. The risk is ...
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