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OptiMARK~0.1 mmol/kg BW

Phase 2

Brain Diseases | Small molecule | Neurology |Bayer AG|Last Updated: Jan 13, 2014

Success Probability

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment237

FDA Designations

No designations recorded

Clinical trial landscape

OptiMARK~0.1 mmol/kg BW · 1 trial · 2 indications

Phase 2 1
NCT00862459Dose Finding Study of Gadavist in Central Nervous System (CNS) Magnetic Resonance Imaging (MRI)Brain Diseases
COMPLETED237 Analytics
PHASE2COMPLETED
Dose Finding Study of Gadavist in Central Nervous System (CNS) Magnetic Resonance Imaging (MRI)
Brain DiseasesUnlock trial analytics

Study Endpoints

Primary Endpoints

Categorical Visualization Score (CVS)
up to 2 hours after the injection of study medication

The primary visualization variables (number \[no.\] of lesions detected, border delineation, contrast enhancement, internal morphology) were condensed to a composite score (CVS). Each variable was considered a category; the CVS was calculated as: CVS=(No. of categories with increase over precontrast)-(No. of categories with decrease over precontrast). The possible outcomes of the CVS for a participant and each reader were in the range of - 3 to +4. The CVS was averaged across the 3 blinded readers, producing 1 mean CVS per participant. The higher the CVS, the more effective the treatment.

Difference in Number of Lesions Detected in Pre-contrast and Combined Pre-/Post-contrast MRI.
up to 2 hours after the injection of study medication

Three blinded readers evaluated the unenhanced MRI sets and the combined unenhanced/gadobutrol-enhanced MRI sets to evaluate the number of lesions, which was then averaged to produce an average reader value.

Assessment of Lesion Contrast Enhancement
up to 2 hours after the injection of study medication

The blinded readers assessed the degree of contrast enhancement for each lesion on a 4-point scale where 1 = no enhancement and 4 = excellent enhancement, which was then averaged to produce an average reader score.

Assessment of Border Delineation
up to 2 hours after the injection of study medication

The blinded readers assessed the delineation for each lesion on a 4-point scale where 1 = none and 4 = excellent, which was then averaged to produce an average reader score.

Assessment of Internal Morphology
up to 2 hours after the injection of study medication

The blinded readers assessed the degree of information available about internal morphology and structure for each lesion on a 3-point scale where 1 = poor and 3 = good, which was then averaged to produce an average reader score.

Contrast to Noise Ratio (CNR) Between White and Gray Matter With Gadobutrol Perfusion MRI
up to 2 hours after the injection of study medication

CNR between white and gray matter in the perfusion imaging was defined as the signal intensity (SI) difference between white and gray matter divided by the standard deviation of the SI of white matter. An independent radiologist evaluated the gadobutrol-enhanced perfusion MRI for signal intensity.

Secondary Endpoints

Accuracy Comparison of Gadobutrol Doses - Detection of Matched Lesions: Blinded Reader 1
up to 2 hours after the injection of study medication
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Lesions: Blinded Reader 2
up to 2 hours after the injection of study medication
Accuracy Comparison of Gadobutrol Doses - Detection of Matched Lesions: Blinded Reader 3
up to 2 hours after the injection of study medication
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeDIAGNOSTIC

Treatment Arms

ArmTypeDescription
Gadobutrol~0.03 mmol/kg BW (Gadavist, BAY86-4875)EXPERIMENTALParticipant received one dose of 0.03 mmol/kg BW of Gadobutrol and one dose of 0.1 mmol/kg body weight (BW) of OptiMARK. The order in which the participants received Gadobutrol and OptiMARK was randomized. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate.
Gadobutrol~0.1 mmol/kg BW (Gadavist, BAY86-4875)EXPERIMENTALParticipant received one dose of 0.1 mmol/kg BW of Gadobutrol and one dose of 0.1 mmol/kg BW of OptiMARK. The order in which the participants received Gadobutrol and OptiMARK was randomized. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate.
Gadobutrol~0.3 mmol/kg BW (Gadavist, BAY86-4875)EXPERIMENTALParticipant received one dose of 0.3 mmol/kg BW of Gadobutrol and one dose of 0.1 mmol/kg BW of OptiMARK. The order in which the participants received Gadobutrol and OptiMARK was randomized. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate.

Interventions

NameTypeDescription
Gadobutrol~0.03 mmol/kg BW (Gadavist, Gadovist, BAY86-4875)DRUGParticipant received one dose of 0.03 mmol/kg BW of Gadobutrol. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate.
Gadobutrol~0.1 mmol/kg BW (Gadavist, Gadovist, BAY86-4875)DRUGParticipant received one dose of 0.1 mmol/kg BW of Gadobutrol. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate.
Gadobutrol~0.3 mmol/kg BW (Gadavist, Gadovist, BAY86-4875)DRUGParticipant received one dose of 0.3 mmol/kg BW of Gadobutrol. Gadobutrol was administered via a power injector at a rate of 5 mL/s followed by a 20 mL 0.9% saline flush at the same rate.
OptiMARK~0.1 mmol/kg BWDRUGParticipant received one dose of 0.1 mmol/kg BW of OptiMARK. OptiMARK was administered via a power injector at a rate of 2 mL/s followed by a 20 mL 0.9% saline flush at the same rate.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites27

Inclusion Criteria: * Patients with either known or highly suspected focal areas of disruption of the blood brain barrier (BBB) (eg, primary and secondary tumors, focal inflammatory or demyelinating disorders) and/or abnormal vascularity in the CNS, who are scheduled to undergo a routine contrast-e...

Countries:United StatesArgentinaBrazilColombia
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Frequently asked questions about OptiMARK~0.1 mmol/kg BW

What is OptiMARK~0.1 mmol/kg BW used for?

OptiMARK~0.1 mmol/kg BW is a small molecule being developed for use in brain diseases, specifically for imaging in central nervous system conditions. It is an investigational agent studied in the context of magnetic resonance imaging (MRI) for brain and spinal cord diseases. The drug is in Phase 2 clinical development.

Who makes OptiMARK~0.1 mmol/kg BW?

OptiMARK~0.1 mmol/kg BW is being developed by Bayer AG, a pharmaceutical company. Bayer AG is publicly traded under the ticker symbol BAYRY. The company is conducting clinical research on this investigational agent for use in brain and spinal cord imaging.

What phase is OptiMARK~0.1 mmol/kg BW in?

OptiMARK~0.1 mmol/kg BW is in Phase 2 clinical development. It is an investigational agent, meaning it has not been approved by regulatory authorities. The drug is being studied for use in brain diseases, particularly for magnetic resonance imaging of the central nervous system.

What clinical trials is OptiMARK~0.1 mmol/kg BW in?

OptiMARK~0.1 mmol/kg BW was studied in a completed Phase 2 clinical trial with the identifier NCT00862459. This trial was a dose-finding study of Gadavist in central nervous system (CNS) magnetic resonance imaging (MRI). The study enrolled 237 participants and was conducted in the United States, Argentina, Brazil, and Colombia.

Is OptiMARK~0.1 mmol/kg BW the same as Gadavist?

OptiMARK~0.1 mmol/kg BW is associated with the clinical trial NCT00862459, which is titled "Dose Finding Study of Gadavist in Central Nervous System (CNS) Magnetic Resonance Imaging (MRI)." The trial investigates Gadavist, and OptiMARK~0.1 mmol/kg BW appears to be a formulation or dosage of this agent.