Safety and Efficacy of Gadobutrol 1.0 Molar (Gadavist) in Patients for Central Nervous System (CNS) Imaging

This study has been completed.
Sponsor:
Information provided by:
Bayer
ClinicalTrials.gov Identifier:
NCT00709852
First received: July 1, 2008
Last updated: February 6, 2013
Last verified: February 2013
Results First Received: August 19, 2011  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Safety/Efficacy Study;   Intervention Model: Crossover Assignment;   Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor);   Primary Purpose: Diagnostic
Conditions: Diagnostic Imaging
Central Nervous System Diseases
Interventions: Drug: Gadobutrol (Gadavist, Gadovist, BAY86-4875)
Drug: Gadoteridol (ProHance)

  Participant Flow


  Baseline Characteristics
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Reporting Groups
  Description
Entire Study Population Includes participants who received either treatment

Baseline Measures
    Entire Study Population  
Number of Participants  
[units: participants]
  402  
Age, Customized  
[units: participants]
 
< 45 years     144  
45-64 years     164  
≥ 65 years     94  
Gender  
[units: participants]
 
Female     227  
Male     175  
Race/Ethnicity, Customized  
[units: participants]
 
Caucasian     235  
Black     23  
Hispanic     31  
Asian     112  
Other     1  



  Outcome Measures
  Show All Outcome Measures

1.  Primary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Combined Unenhanced/Gadobutrol-enhanced Magnetic Resonance Imaging (MRI) Compared to Unenhanced MRI by Blinded Reader 1 (BR1)   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

2.  Primary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Combined Unenhanced/Gadobutrol-enhanced Magnetic Resonance Imaging (MRI) Compared to Unenhanced MRI by Blinded Reader 2 (BR2)   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

3.  Primary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Combined Unenhanced/Gadobutrol-enhanced Magnetic Resonance Imaging (MRI) Compared to Unenhanced MRI by Blinded Reader 3 (BR3)   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

4.  Primary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Combined Unenhanced/Gadobutrol-enhanced Magnetic Resonance Imaging (MRI) Compared to Unenhanced MRI by Average Reader (AR)   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

5.  Primary:   Number of Lesions for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Blinded Readers   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

6.  Primary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Normal Structures for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Blinded Reader 1 (BR1)   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

7.  Primary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Normal Structures for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Blinded Reader 2 (BR2)   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

8.  Primary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Normal Structures for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Blinded Reader 3 (BR3)   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

9.  Primary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Normal Structures for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Average Reader (AR)   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

10.  Primary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Lesions for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Blinded Reader 1 (BR1)   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

11.  Primary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Lesions for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Blinded Reader 2 (BR2)   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

12.  Primary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Lesions for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Blinded Reader 3 (BR3)   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

13.  Primary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Lesions for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Average Reader (AR)   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

14.  Secondary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Average Reader   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

15.  Secondary:   Number of Lesions for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Average Reader   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

16.  Secondary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Average Reader   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

17.  Secondary:   Number of Lesions for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Average Reader   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

18.  Secondary:   Percentage of Participants With More Lesions Detected for Combined Unenhanced/Gadobutrol-enhanced MRI or for Unenhanced MRI by Blinded Readers   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

19.  Secondary:   Percentage of Participants With More Lesions Detected for Combined Unenhanced/Gadoteridol-enhanced MRI or for Unenhanced MRI by Average Reader   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

20.  Secondary:   Percentage of Participants With More Lesions Detected for Combined Unenhanced/Gadobutrol-enhanced MRI or for Combined Unenhanced/Gadoteridol-enhanced MRI by Average Reader   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

21.  Secondary:   Scores for Two Visualization Parameters (Border Delineation and Internal Morphology) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

22.  Secondary:   Number of Lesions for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

23.  Secondary:   Scores for Two Visualization Parameters (Border Delineation and Internal Morphology) for Normal Structures for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

24.  Secondary:   Scores for Two Visualization Parameters (Border Delineation and Internal Morphology) for Lesions for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

25.  Secondary:   Scores for Two Visualization Parameters (Border Delineation and Internal Morphology) for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

26.  Secondary:   Number of Lesions for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

27.  Secondary:   Scores for Two Visualization Parameters (Border Delineation and Internal Morphology) for Normal Structures for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

28.  Secondary:   Scores for Two Visualization Parameters (Border Delineation and Internal Morphology) for Lesions for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

29.  Secondary:   Scores for Three Visualization Parameters (Contrast Enhancement, Border Delineation and Internal Morphology) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

30.  Secondary:   Number of Lesions for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

31.  Secondary:   Scores for Contrast Enhancement, Border Delineation and Internal Morphology for Normal Structures for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

32.  Secondary:   Scores for Contrast Enhancement, Border Delineation and Internal Morphology for Lesions for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

33.  Secondary:   Percentage (Per.) of the Exact Diagnostic Matches (Accuracy of Diagnosis) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Majority Reader   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

34.  Secondary:   Percentage (Per.) of the Exact Diagnostic Matches (Accuracy of Diagnosis) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

35.  Secondary:   Percentage (Per.) of the Exact Diagnostic Matches (Accuracy of Diagnosis) for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Majority Reader   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

36.  Secondary:   Percentage (Per.) of the Exact Diagnostic Matches (Accuracy of Diagnosis) for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

37.  Secondary:   Percentage (Per.) of the Exact Diagnostic Matches (Accuracy of Diagnosis) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Majority Reader   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

38.  Secondary:   Percentage (Per.) of the Exact Diagnostic Matches (Accuracy of Diagnosis) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

39.  Secondary:   Accuracy of Detection of Normal/Abnormal Brain Tissue for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Majority Reader Using T1-weighted (T1w) Images   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

40.  Secondary:   Sensitivity of Detection of Normal/Abnormal Brain Tissue for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Majority Reader Using T1-weighted (T1w) Images   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

41.  Secondary:   Specificity of Detection of Normal/Abnormal Brain Tissue for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Majority Reader Using T1-weighted (T1w) Images   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

42.  Secondary:   Accuracy of Detection of Normal/Abnormal Brain Tissue for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Majority Reader Using T1-weighted (T1w) Images   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

43.  Secondary:   Sensitivity of Detection of Normal/Abnormal Brain Tissue for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Majority Reader Using T1-weighted (T1w) Images   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

44.  Secondary:   Specificity of Detection of Normal/Abnormal Brain Tissue for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Majority Reader Using T1-weighted (T1w) Images   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

45.  Secondary:   Accuracy of Detection of Normal/Abnormal Brain Tissue for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Majority Reader Using T1-weighted (T1w) Images   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

46.  Secondary:   Sensitivity of Detection of Normal/Abnormal Brain Tissue for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Majority Reader Using T1-weighted (T1w) Images   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

47.  Secondary:   Specificity of Detection of Normal/Abnormal Brain Tissue for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Majority Reader Using T1-weighted (T1w) Images   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

48.  Secondary:   Accuracy of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Majority Reader   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

49.  Secondary:   Sensitivity of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Majority Reader   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

50.  Secondary:   Specificity of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Majority Reader   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

51.  Secondary:   Accuracy of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

52.  Secondary:   Sensitivity of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

53.  Secondary:   Specificity of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

54.  Secondary:   Accuracy of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Majority Reader   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

55.  Secondary:   Sensitivity of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Majority Reader   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

56.  Secondary:   Specificity of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Majority Reader   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

57.  Secondary:   Accuracy of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

58.  Secondary:   Sensitivity of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

59.  Secondary:   Specificity of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

60.  Secondary:   Accuracy of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Majority Reader   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

61.  Secondary:   Sensitivity of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Majority Reader   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

62.  Secondary:   Specificity of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Majority Reader   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

63.  Secondary:   Accuracy of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

64.  Secondary:   Sensitivity of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

65.  Secondary:   Specificity of Detection of Malignant Lesions (ML) for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

66.  Secondary:   Diagnostic Confidence for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Average Reader   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

67.  Secondary:   Diagnostic Confidence for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Average Reader   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

68.  Secondary:   Diagnostic Confidence for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Average Reader   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

69.  Secondary:   Diagnostic Confidence for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol ]

70.  Secondary:   Diagnostic Confidence for Combined Unenhanced/Gadoteridol-enhanced MRI Compared to Unenhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadoteridol ]

71.  Secondary:   Diagnostic Confidence for Combined Unenhanced/Gadobutrol-enhanced MRI Compared to Combined Unenhanced/Gadoteridol-enhanced MRI by Clinical Investigator   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

72.  Secondary:   Comparison of Image Quality Between Gadobutrol and Gadoteridol by Blinded Readers   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

73.  Secondary:   Percentage of Participants for Which Blinded Readers Said Image Quality Was Higher   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

74.  Secondary:   Assessment of the Number of Contrast-enhanced Lesions for Gadobutrol and Gadoteridol by Blinded Readers   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]

75.  Secondary:   Percentage of Lesion Enhancement From Unenhanced to Combined Unenhanced/Enhanced for Gadobutrol and Gadoteridol by Blinded Readers   [ Time Frame: Up to 2 hours after injection of gadobutrol or gadoteridol ]


  Serious Adverse Events


  Other Adverse Events


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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
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Results Point of Contact:  
Name/Title: Therapeutic Area Head
Organization: BAYER
e-mail: clinical-trials-contact@bayerhealthcare.com


No publications provided


Responsible Party: Therapeutic Area Head, Bayer HealthCare Pharmaceuticals Inc.
ClinicalTrials.gov Identifier: NCT00709852     History of Changes
Other Study ID Numbers: 91681, 2007-004746-33, 310123
Study First Received: July 1, 2008
Results First Received: August 19, 2011
Last Updated: February 6, 2013
Health Authority: United States: Food and Drug Administration