Clinical trial • Phase IV • Other

Gadopiclenol for Perianal fistula associated with Crohn's disease

Phase IV trial of Gadopiclenol for Perianal fistula associated with Crohn's disease.

Overview

Trial Therapeutic Area
Other
Trial Disease
Perianal fistula associated with Crohn's disease
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
03-09-2025
First CTIS Authorization Date
18-12-2025

Trial design

Randomised, gadovist (gadobutrol) 1.0 mmol/ml solution for injection in prefilled cartridge; dose/schedule not specified in available data.-controlled, crossover Phase IV trial in Spain.

Randomised
Yes
Comparator
Gadovist (gadobutrol) 1.0 mmol/ml solution for injection in prefilled cartridge; dose/schedule not specified in available data.
Crossover
Yes
Target Sample Size
30

Eligibility

Recruits 30 Participants must be adults (patients of legal age); vulnerable population not selected. Informed consent required from participants; adult ICF documents provided (adult ICF and translations). No assent procedures for minors described..

Pregnancy Exclusion
Pregnancy and/or breastfeeding
Vulnerable Population
Participants must be adults (patients of legal age); vulnerable population not selected. Informed consent required from participants; adult ICF documents provided (adult ICF and translations). No assent procedures for minors described.

Inclusion criteria

  • {"criterion_text":"-Patients of legal age with Crohn's disease and perianal disease attributable to their condition"}
  • {"criterion_text":"-Subjects with onset of Crohn's disease with perianal disease"}
  • {"criterion_text":"-Sign informed consent"}

Exclusion criteria

  • {"criterion_text":"-Age ˂18 years"}
  • {"criterion_text":"-Pregnancy and/or breastfeeding"}
  • {"criterion_text":"-Renal failure (GFR ˂30 ml/min in recent laboratory values up to 6 months old)"}
  • {"criterion_text":"-History of hypersensitivity reaction to gadolinium-containing contrast media"}
  • {"criterion_text":"-Patients with Crohn's disease without perianal disease"}

Endpoints

Primary endpoints

  • {"endpoint_text":"-The main variable to be analyzed is qualitative in nature and corresponds to the correct, verified detection of the perianal fistula tract in the magnetic resonance imaging study. This will be done by direct observation of the MRI studies generated at Visit 2 and Visit 4 by the investigator team.","definition_or_measurement_approach":"Correct detection of the perianal fistula tract on MRI by direct observation of the MRI studies generated at Visit 2 and Visit 4 by the investigator team."}

Secondary endpoints

  • {"endpoint_text":"-The secondary variables to be analyzed will enable a more exhaustive study of the use of contrast media in this type of pathology, in order to refine its use. The secondary variables are quantitative in nature and are as follows:","definition_or_measurement_approach":"General descriptor that secondary variables are quantitative measures to study contrast media use; specific measurement approaches listed in subsequent endpoints."}
  • {"endpoint_text":"-CNR (contrast-to-noise ratio) between different regions of interest in the fistulous tract and adjacent healthy tissue.","definition_or_measurement_approach":"Measurement of contrast-to-noise ratio between regions of interest in the fistulous tract and adjacent healthy tissue on MRI images."}
  • {"endpoint_text":"-Enhancement contrast percentage in different regions of interest of the fistulous tract before and after contrast medium administration.","definition_or_measurement_approach":"Calculation of enhancement contrast percentage in specified regions of interest of the fistulous tract comparing pre- and post-contrast MRI images."}

Recruitment

Planned Sample Size
30
Recruitment Window Months
22
Consent Approach
Participants must sign informed consent. Study enrols adults only (patients of legal age). Subject information and informed consent form (Adults) documents available; Spanish translations present (document titles include Spanish). Consent is provided by the participant themselves; no assent procedures described.

Geography

Total Number Of Sites
1
Total Number Of Participants
30

Spain

Earliest CTIS Part Ii Submission Date
19-11-2025
Latest Decision Or Authorization Date
18-12-2025
Processing Time Days
29
Number Of Sites
1
Number Of Participants
30

Sites

Site Name
Hospital Universitari Vall D Hebron
Department Name
RADIOLOGY
Contact Person Name
David Armario Bel
Contact Person Email
david.armario.idi@gencat.cat
Number Of Participants
30

Sponsor

Primary sponsor

Full Name
Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
Organisation Type
Laboratory/Research/Testing facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
Elucirem 0.5 mmol/mL solution for injection
Active Substance
Gadopiclenol
Modality
Small molecule
Routes Of Administration
INTRAVENOUS
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation EU/1/23/1772/020)
Starting Dose
0.05 mmol/kg
Maximum Dose
0.1 millilitre(s)/kilogram
Investigational Product Name
Gadovist 1.0 mmol/ml solution for injection in prefilled cartridge
Active Substance
Gadobutrol
Modality
Small molecule
Routes Of Administration
INTRAVENOUS
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation PA1410/018/004)
Maximum Dose
0.1 millilitre(s)/kilogram

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