Efficacy of Reduced Gadolinium Dose in Contrast-Enhanced Breast MRI

2024-518549-27-00 Phase III and Phase IV (Integrated) Ongoing, recruiting

Start 14 Aug 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Ongoing, recruiting
Participants planned 100
Countries 1
Sites 1

Breast Cancer

To evaluate whether AI-enhanced low-dose gadolinium contrast-enhanced breast MRI achieves diagnostic image quality equivalent to standard-of-care-dose breast MRI

Key facts

Sponsor
Radboud universitair medisch centrum Stichting
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
14 Aug 2025 → ongoing
Decision date (initial)
2025-02-20
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
European Research Council (ERC)-SAFE-MRI Project

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Diagnosis

To evaluate whether AI-enhanced low-dose gadolinium contrast-enhanced breast MRI achieves diagnostic image quality equivalent to standard-of-care-dose breast MRI

Secondary objectives 1

  1. Diagnostic performance

Conditions and MedDRA coding

Breast Cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Adult women ( > 18 years old) that are scheduled to undergo contrast-enhanced breast MRI

Exclusion criteria 9

  1. Women under 18 years old
  2. Individuals not scheduled for contrast-enhanced breast MRI
  3. Pregnant or breastfeeding women
  4. Individuals with contraindications to MRI (e.g., pacemakers, metal implants) and claustrophobia
  5. Patients with renal insufficiency (eGFR < 30 ml/min/1.73m2)
  6. Patients on hemodialysis or peritoneal dialysis
  7. Patients with known allergic reactions to GBCAs
  8. Male subjects
  9. Women who cannot give informed consent

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Qualitative Evaluation of image quality
  2. Quantitative Evaluation of image quality

Secondary endpoints 1

  1. Diagnostic performance

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

DOTAREM 0,5 mmol/ml oplossing voor injectie in injectieflacons.

PRD6751556 · Product

Active substance
Gadoteric Acid
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
10 mmol/kg millimole(s)/kilogram
Max total dose
10 mmol/kg millimole(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V08CA02 — GADOTERIC ACID
Marketing authorisation
RVG 14203
MA holder
GUERBET
MA country
Netherlands
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Radboud universitair medisch centrum Stichting

Sponsor organisation
Radboud universitair medisch centrum Stichting
Address
Geert Grooteplein Zuid 10
City
Nijmegen
Postcode
6525 GA
Country
Netherlands

Scientific contact point

Organisation
Radboud universitair medisch centrum Stichting
Contact name
Stichting Radboud University Medical Center

Public contact point

Organisation
Radboud universitair medisch centrum Stichting
Contact name
Stichting Radboud University Medical Center

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruiting 100 1
Rest of world 0

Investigational sites

Netherlands

1 site · Ongoing, recruiting
Radboud universitair medisch centrum Stichting
Radiology and Nuclear Medicine, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2025-08-14 2025-08-14

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 6 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_EU_CT_024_518549_27_00 2
Recruitment arrangements (for publication) K1 Recruitment procedure EU CT 2024-518549-27-00 2
Subject information and informed consent form (for publication) L1_SIS_and_ICF_EU CT 2024-518549-27-00 2
Summary of Product Characteristics (SmPC) (for publication) E2 SmPC_Dotarem_NL 1
Synopsis of the protocol (for publication) D1 Protocol synopsis_EU CT 2024-518549-27-00 Dutch 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_EU_CT_2024_518549_27_00 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-21 Netherlands Acceptable
2025-02-20
2025-02-20