Actively Recruiting

Phase 4
Age: 18Years - 64Years
All Genders
ID04373564

Evaluation of Effects of Repeated Gadolinium-based Contrast Agent Use on Motor and Cognitive Functions in Neurologically Normal Adults Compared to Non-Exposed Controls

Led by Guerbet · Updated on 2026-01-22

2076

Participants Needed

51

Research Sites

N/A

Total Duration

On this page

Sponsors

G

Guerbet

Lead Sponsor

B

Bayer AG (Sponsor)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the potential effects of repeated use of gadolinium-based contrast agents (GBCAs) on body movement and mental skills in adults aged 18 to 65 who are neurologically normal. This study is a postmarketing requirement conducted by several pharmaceutical companies and a contract research organization. It aims to compare motor and cognitive functions over five years between participants exposed to GBCAs during their routine medical imaging and those who are not exposed to these contrast agents. Participants fall into three groups: those receiving linear GBCAs, those receiving macrocyclic GBCAs, and a control group not exposed to any GBCAs. Each participant in the GBCA groups is scheduled for at least five enhanced MRI scans using the same agent annually over five years. The control group undergoes clinically indicated imaging without GBCA exposure. All participants will have motor and cognitive tests yearly, blood and urine samples collected for gadolinium levels, and unenhanced brain MRI scans at the start and end of the study. During the study, participants will visit their doctor at least seven times over five years for physical exams, laboratory tests, and assessments of motor and cognitive functions. Researchers will measure changes in motor and cognitive abilities from baseline to year five, along with yearly evaluations. Safety will be monitored through adverse event reporting and gadolinium concentration measurements. The total study duration for each participant is five years, including annual imaging and clinical assessments.

CONDITIONS

Brief Title

Effect on Body Movement and Mental Skills in Patients Who Received Gadolinium-based Contrast Media for Magnetic Resonance Examination Multiple Times Within 5 Years

Who Can Participate

Age: 18Years - 64Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 to 64 years
  • Neurologically normal with no unstable neurological or psychiatric diseases confirmed by screening exam
  • Willing to undergo unenhanced MRI of the brain at enrollment and at 5 years
  • Have at least one of these conditions: medium to high breast cancer risk or dense breasts with MRI screening, elevated PSA under prostate cancer surveillance, chronic liver disease under surveillance, low-grade colorectal or neuroendocrine tumors monitored for liver metastases, or small branch-duct IPMN of the pancreas under imaging surveillance
  • For GBCA groups: scheduled for at least five GBCA-enhanced MRIs using the same GBCA annually over 5 years
  • Up to three documented prior exposures to the same GBCA allowed
  • For control group: no prior GBCA exposure and unlikely to receive GBCA during study
  • Control participants must undergo unenhanced brain MRI at baseline and year 5; may have clinically indicated imaging in years 1 to 4
Not Eligible

You will not qualify if you...

  • History or current neurological or psychiatric diseases affecting motor or cognitive tests, including cerebrovascular disease, multiple sclerosis, neurodegenerative diseases, malignancies other than specified, epilepsy, prior neurosurgery, psychotic disorders, schizophrenia, major depressive or bipolar disorder with recent episodes, neurodevelopmental disorders, uncontrolled severe migraine, or recent anxiety or depression
  • Prior, planned, or ongoing chemotherapy or brain irradiation
  • Use of medications affecting neurocognitive or motor function
  • Substance or alcohol abuse
  • Alcoholic cirrhosis
  • Kidney disease with eGFR less than 60 mL/min/1.73 m2
  • Exposure to chemicals affecting cognitive or motor function, such as heavy metals or pesticides
  • Need for more than one contrast-enhanced MRI every 6 months
  • Pregnant or nursing women
  • Presence of any metal-containing joint implants or prostheses
  • For GBCA groups: prior exposure to a different GBCA than the one used in study
  • For control group: any prior GBCA exposure or contraindications to unenhanced brain MRI

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Baseline Assessments

Duration - 1 day

Participants undergo unenhanced MRI of the brain, motor and cognitive tests, and blood and urine sampling to measure gadolinium concentration at the start of the study.

1 baseline visit (in-person)

Annual Assessments

Duration - 5 years

Participants complete motor and cognitive tests and provide blood and urine samples yearly to monitor changes in motor and cognitive function and gadolinium levels.

Annual visits for up to 5 years (in-person)

Year 5 Follow-up

Duration - 1 day

At the final year, participants undergo unenhanced MRI of the brain, motor and cognitive tests, and blood and urine sampling to assess long-term effects.

1 visit (in-person)

Trial Site Locations

Total: 51 locations

1

Scottsdale Medical Imaging, LLC

Scottsdale, Arizona, United States, 85260

Actively Recruiting

2

Yale University School of Medicine

New Haven, Connecticut, United States, 06520

Withdrawn

3

University of Chicago Medical Center

Chicago, Illinois, United States, 60637

Actively Recruiting

4

Methodist Medical Center of Illinois

Peoria, Illinois, United States, 61637

Actively Recruiting

5

Massachussets General Hospital

Boston, Massachusetts, United States, 02114

Actively Recruiting

6

Boston University Medical Center

Boston, Massachusetts, United States, 02118

Terminated

7

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States, 02215

Withdrawn

8

ActivMed Practices & Research, Inc.

Methuen, Massachusetts, United States, 01844

Withdrawn

9

University of Massachusetts Memorial Medical Center

Worcester, Massachusetts, United States, 01655

Terminated

10

Department of Radiology

St Louis, Missouri, United States, 63110

Withdrawn

11

UNC School of Medicine

Chapel Hill, North Carolina, United States, 27599

Withdrawn

12

Penn State Hershey Medical Center

Hershey, Pennsylvania, United States, 17033

Actively Recruiting

13

Albert Einstein Healthcare Network

Philadelphia, Pennsylvania, United States, 19141

Actively Recruiting

14

UT Southwestern Medical Center

Dallas, Texas, United States, 75390

Actively Recruiting

15

MD Anderson Cancer Center

Houston, Texas, United States, 77030

Withdrawn

16

University of Wisconsin

Madison, Wisconsin, United States, 53792

Actively Recruiting

17

Hospital Santa Marta

Taguatinga, Federal District, Brazil, 72025-110

Terminated

18

Liga Norte-Rio-Grandense Contra o Câncer

Natal, Rio Grande do Norte, Brazil, 59075-740

Withdrawn

19

Instituto Mederi de Pesquisa e Saude

Passo Fundo, Rio Grande do Sul, Brazil, 99010-120

Actively Recruiting

20

Hospital Moinhos de Vento

Porto Alegre, Rio Grande do Sul, Brazil, 90035-001

Actively Recruiting

21

Instituto Baía Sul de Ensino e Pesquisa (IEP)

Florianópolis, Santa Catarina, Brazil, 88020-210

Withdrawn

22

CEMEC - Oncológica

São Bernardo do Campo, São Paulo, Brazil, 09715-090

Withdrawn

23

Fundação Faculdade Regional de Medicina de São José do Rio Preto

São José do Rio Preto, São Paulo, Brazil, 15090-000

Actively Recruiting

24

CPCLIN - Centro de Pesquisas Clínicas Ltda.

São Paulo, São Paulo, Brazil, 01228-200

Terminated

25

Albert Einstein Sociedade Beneficente Israelita Brasileira

São Paulo, São Paulo, Brazil, 05652000

Actively Recruiting

26

CEMEC - Oncológica

São Bernardo do Campo, Brazil

Withdrawn

27

G. Kenneth Jansz Medical Professional Corporation

Burlington, Ontario, Canada, L7N 3V2

Withdrawn

28

Groupe Hospitalier Pitie-Salpetriere

Paris, France, 75013

Withdrawn

29

CHU Strasbourg - Hôpital Hautepierre

Strasbourg, France, 67200

Actively Recruiting

30

Universitaetsklinikum Tuebingen

Tübingen, Baden-Wurttemberg, Germany, 72076

Active, Not Recruiting

31

Vivantes Klinikum Neukoelln

Berlin, Germany, 12351

Actively Recruiting

32

A.O.U. Senese Policlinico Santa Maria alle Scotte

Siena, Siena, Italy, 53100

Actively Recruiting

33

Azienda Ospedaliera Universitaria di Trieste

Trieste, Trieste, Italy, 34125

Actively Recruiting

34

Ospedale San Raffaele

Milan, Italy, 20123

Actively Recruiting

35

Università Campus Bio-Medico di Roma

Roma, Italy, 00128

Actively Recruiting

36

Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Roma)

Verona, Italy, 37134

Actively Recruiting

37

BHI of Omsk region "Clinical Oncology Dispensary"

Omsk, Russia, 644013

Suspended

38

FSBI "National medical scientific center of psychiatry and neurology n.a. V.M. Bekhterev" Adolescent

Saint Petersburg, Russia, 192019

Suspended

39

FSBI North-West Federal Medical Research Center n.a. V.A. Almazov of MoH RF

Saint Petersburg, Russia, 197341

Suspended

40

LLC Medical Center Mart

Saint Petersburg, Russia, 199178

Suspended

41

RSBIH "Smolensk Regional Clinical Hospital"

Smolensk, Russia, 214019

Suspended

42

Federal State Budgetary Scientific Institution "Tomsk National Research Medical Centre of the Russia

Tomsk, Russia, 634009

Suspended

43

SBIH Republican Clinical Oncological Dispensary of the MoH of Republic Bashkortostan

Ufa, Russia, 450054

Suspended

44

Hallym University Chuncheon Sacred Heart Hospital

Chuncheon, Gangwon-do, South Korea, 24253

Withdrawn

45

Chonnam National University Hospital

Gwangju, Gyeonggi-do, South Korea, 61469

Withdrawn

46

Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea, 13620

Actively Recruiting

47

Inje University Busan Paik Hospital

Busan, South Korea, 47392

Actively Recruiting

48

Pusan National University Hospital

Busan, South Korea, 49241

Actively Recruiting

49

Chosun University Hospital

Gwangju, South Korea, 61453

Actively Recruiting

50

Gangnam Severance Hospital, Yonsei University Health System

Seoul, South Korea, 06273

Actively Recruiting

51

Chung-Ang University Hospital

Seoul, South Korea, 06973

Actively Recruiting

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Research Team

N

Nathalie LE FUR, PhD

F

Frantz HEBERT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

3

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