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Gadoquatrane

Phase 3

Contrast Enhancement in Magnetic Resonance Imaging | Small molecule | Other |Bayer AG|Last Updated: Aug 20, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials3
Total Enrollment818

FDA Designations

No designations recorded

Clinical trial landscape

Gadoquatrane · 4 trials · 4 indications

Phase 3 3Phase 2 1
NCT05915026A Study to Learn How Gadoquatrane Moves Into, Through, and Out of the Body and How Safe it is in Children (From Birth to <18 Years), Who Will Undergo a Contrast Enhanced MRI (Quanti Pediatric)Contrast Enhancement in Magnetic Resonance Imaging
COMPLETED105 Analytics
NCT05915702A Study to Compare How Well Gadoquatrane Works and Its Safety With an Already Available Contrast Agent for MRI in People With Known or Suspected Brain or Spinal Cord-related ProblemsContrast Enhancement in Magnetic Resonance Imaging
COMPLETED303 Analytics
NCT05915728A Study to Compare How Well Gadoquatrane Works and Its Safety With an Already Available Contrast Agent for MRI in People With Any Known or Suspected Problems of the Body (Except Brain or Spinal Cord-related Problems)Contrast Enhancement in Magnetic Resonance Imaging
COMPLETED410 Analytics
PHASE3COMPLETED
A Study to Learn How Gadoquatrane Moves Into, Through, and Out of the Body and How Safe it is in Children (From Birth to <18 Years), Who Will Undergo a Contrast Enhanced MRI (Quanti Pediatric)
Contrast Enhancement in Magnetic Resonance ImagingUnlock trial analytics
PHASE3COMPLETED
A Study to Compare How Well Gadoquatrane Works and Its Safety With an Already Available Contrast Agent for MRI in People With Known or Suspected Brain or Spinal Cord-related Problems
Contrast Enhancement in Magnetic Resonance ImagingUnlock trial analytics
PHASE3COMPLETED
A Study to Compare How Well Gadoquatrane Works and Its Safety With an Already Available Contrast Agent for MRI in People With Any Known or Suspected Problems of the Body (Except Brain or Spinal Cord-related Problems)
Contrast Enhancement in Magnetic Resonance ImagingUnlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Curve (AUC) of Gadoquatrane After Single Administration
Up to 8 hours post injection

Median values (5th and 95th percentile)

Plasma Clearance Normalized to Body Weight (CL/BW) of Gadoquatrane After Single Administration
Up to 8 hours post injection

Median values (5th and 95th percentile)

Apparent Volume of Distribution at Steady State Normalized to Body Weight (Vss/BW) of Gadoquatrane After Single Administration
Up to 8 hours post injection

Median values (5th and 95th percentile)

Simulation of Plasma Concentration at 10, 20 and 30 Minutes Post-injection (C10, C20 and C30)
At 10, 20 and 30 minutes post injection

Median values (5th and 95th percentile)

Visualization parameter contrast Enhancement assessed by separate blinded evaluation of unenhanced and combined pre- and post-gadoquatrane MRI, by a BICR
1 day procedure

Contrast Enhancement will be assessed on a 4-point scale (1/No: not enhanced, 2/Moderate: weakly enhanced, 3/Good: clearly enhanced, 4/Excellent: clearly and brightly enhanced). BICR = blinded independent central read / blinded independent central readers; MRI = magnetic resonance imaging

Visualization parameter delineation assessed by separate blinded evaluation of unenhanced and combined pre- and post-gadoquatrane MRI, by a BICR
1 day procedure

Delineation will be assessed on a 4-point scale (1/No: no or unclear delineation, 2/Moderate: some aspects of delineation, 3/Good: almost clear but not complete, 4/Excellent: clear and complete delineation). BICR = blinded independent central read / blinded independent central readers; MRI = magnetic resonance imaging

Visualization parameter morphology assessed by separate blinded evaluation of unenhanced and combined pre- and post-gadoquatrane MRI, by a BICR
1 day procedure

Morphology will be assessed on a 3-point scale (1/Poor: no or poorly evaluable, 2/Moderate: partially evaluable, 3/Good: sufficiently evaluable). BICR = blinded independent central read / blinded independent central readers; MRI = magnetic resonance imaging

Overall Diagnostic Preference
At 5 minute post each injection

Overall diagnostic preference using a matched pairs approach was evaluated by 3 blinded readers using an ordinal 5-point scale (greatly prefer gadoquatrane, prefer gadoquatrane, no preference, prefer gadobutrol, greatly prefer gadobutrol). Percentage of participants and the respective Wald confidence intervals (CI) for image preference were reported for each of the 3 readers based on the 3-point preference scale (1=greatly prefer/prefer gadoquatrane, 0=no preference, -1=greatly prefer/prefer gadobutrol). If 2 or 3 readers reach the same conclusion on the recommended action (e.g. no dose adjustment needed), then this will be the recommended action taken.

Secondary Endpoints

Number of Participants With Treatment Emergent Adverse Events, Including Serious Adverse Events
Within 24 (± 4) hours post injection
Number of Participants With Treatment Emergent Adverse Events Per Intensity
Within 24 (± 4) hours post injection
Number of Participants With Post-treatment Adverse Events, Including Serious Adverse Events
Between 24 (± 4) hours and 7 (± 1) days after the day of study intervention
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeBASIC_SCIENCE

Treatment Arms

ArmTypeDescription
GadoquatraneEXPERIMENTALParticipants will receive one intravenous injection of gadoquatrane during MRI.
Gadoquatrane - Approved Macrocyclic GBCAEXPERIMENTALParticipants will receive one intravenous injection of gadoquatrane before or during MRI in Period 1, followed by one intravenous injection of any approved macrocyclic GBCA before or during MRI in Period 2.
Approved Macrocyclic GBCA - GadoquatraneEXPERIMENTALParticipants will receive one intravenous injection of any approved macrocyclic GBCA before or during MRI in Period 1, followed by one intravenous injection of gadoquatrane before or during MRI in Period 2.
Gadobutrol + GadoquatraneEXPERIMENTALParticipants will receive one intravenous (IV) injection of gadobutrol 0.1 millimole(s) gadolinium/kilogram body weight (mmol Gd/kg bw) and one IV injection of Gadoquatrane (BAY1747846).

Interventions

NameTypeDescription
Gadoquatrane (BAY1747846)DRUG0.04 mmol Gd/kg body weight, solution for intravenous injection, single dose
GadobutrolDRUGApproved standard of care macrocyclic GBCA, 0.1 mmol Gd/kg body weight, solution for intravenous injection, single dose
Gadoterate meglumineDRUGApproved standard of care macrocyclic GBCA, 0.1 mmol Gd/kg body weight, solution for intravenous injection, single dose
GadoteridolDRUGApproved standard of care macrocyclic GBCA, 0.1 mmol Gd/kg body weight, solution for intravenous injection, single dose
Gadobutrol (Gadovist/Gadavist)DRUGSolution for IV injection, single dose
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Eligibility Criteria

Age Range0 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites34

Inclusion Criteria: * Participants from birth to \<18 years of age at the time of signing the informed consent form. * Participants who have a clinical indication to undergo a CE-MRI for any clinical condition in any body region and who can undergo study procedures as per Investigator judgement. * ...

Countries:United StatesArgentinaBulgariaCanadaChinaCzechiaGermanyJapanPolandSwedenFranceHungaryItalySouth KoreaTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)

MEDIUMAug 17, 2026NCT05915026TRIAL_REMOVED: changed
MEDIUMAug 17, 2026NCT05915026TRIAL_REMOVED: changed
MEDIUMAug 17, 2026NCT05915026TRIAL_REMOVED: changed

Frequently asked questions about Gadoquatrane

What is Gadoquatrane used for?

Gadoquatrane is an investigational gadolinium-based contrast agent (GBCA) being developed for contrast enhancement in magnetic resonance imaging (MRI) of the central nervous system and other body regions. It is intended for use in adults and children undergoing contrast-enhanced MRI for known or suspected brain, spinal cord, or other body conditions.

Who makes Gadoquatrane?

Gadoquatrane is being developed by Bayer AG, a German pharmaceutical company traded on the OTC market under the ticker BAYRY. Bayer is conducting clinical trials to evaluate the safety and efficacy of this contrast agent for MRI procedures.

What phase is Gadoquatrane in?

Gadoquatrane is in Phase 3 clinical development. While one early dose-finding study was Phase 2, three later-stage trials are Phase 3 and have been completed. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is Gadoquatrane in?

Gadoquatrane has completed four clinical trials. NCT04307186 was a Phase 2 dose-finding study in adults with CNS pathology. NCT05915026 was a Phase 3 pediatric study. NCT05915702 and NCT05915728 were Phase 3 comparator trials in adults with CNS and non-CNS conditions, respectively.

How does Gadoquatrane work?

Gadoquatrane is a gadolinium-based contrast agent. It contains gadolinium, a paramagnetic metal that enhances MRI signal by altering the relaxation times of nearby water protons, improving the visibility of lesions and vascular structures during magnetic resonance imaging.

Is Gadoquatrane the same as other contrast agents?

Gadoquatrane is a distinct investigational contrast agent, not the same as already available GBCAs. Clinical trials compare it against an existing contrast agent to evaluate its efficacy and safety for MRI in various patient populations, including children and adults.