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Development of an Imaging Biomarker for Hepatic Fibrosis Using Gadoxetate Disodium

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified January 2013 by Weill Medical College of Cornell University.
Recruitment status was:  Recruiting
Information provided by (Responsible Party):
Weill Medical College of Cornell University Identifier:
First received: November 18, 2011
Last updated: January 31, 2013
Last verified: January 2013
When someone has hepatitis C or some other condition that causes liver injury, he or she can develop a condition called liver fibrosis that over time, can cause the liver to stop working normally. Currently, the best way to determine the degree of fibrosis is to do a liver biopsy. The investigators hope to show that measuring the degree of liver fibrosis using an MRI with gadoxetate disodium is as good as or better than obtaining this information by performing a liver biopsy. Gadoxetate disodium is a contrast solution given through the veins that is considered safe, is approved for use by the Food and Drug Administration, and is already routinely given to patients with various forms of liver disease, including fibrosis.

Condition Intervention Phase
Hepatic Fibrosis
Procedure: MRI of liver
Phase 4

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Diagnostic
Official Title: Development of an Imaging Biomarker for Hepatic Fibrosis Using Gadoxetate Disodium

Resource links provided by NLM:

Further study details as provided by Weill Medical College of Cornell University:

Primary Outcome Measures:
  • The transfer constant, Ktrans, between intravascular and interstitial compartments. [ Time Frame: up to 3 years ]
    Ktrans is a transfer constant obtained following analysis of all images in the MRI exam, and is a measure of the permeability of tissue.

Estimated Enrollment: 40
Study Start Date: December 2010
Estimated Study Completion Date: December 2014
Estimated Primary Completion Date: December 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Normal liver function
Control group. Subjects will obtain MRI of liver.
Procedure: MRI of liver
MRI of liver with intravenous gadoxetate disodium
Experimental: Hepatitis C
Subjects with hepatitis C. Subjects will obtain both MRI of liver and limited CT of liver.
Procedure: MRI of liver
MRI of liver with intravenous gadoxetate disodium

Detailed Description:

Liver damage, from a variety of causes, leads to a condition called liver fibrosis. Common causes are chronic alcohol use and hepatitis C infection. The condition can progress to cirrhosis and liver failure, and is the seventh leading cause of death in the United States. Presently, biopsy remains the only reliable way to test whether the various treatments that have been proposed are working, but the risks of biopsy preclude frequent re-assessment. Hence, truly personalized treatments are hampered by the lack of a non-invasive, low-risk, but appropriately qualified test by which periodic assessments may be made.

In July of 2008, the FDA approved a new drug called Eovist that is absorbed by liver cells and can be seen in the liver when performing an MRI. The amount and time course of Eovist absorption will be different between health and fibrotic liver tissue. We believe that these parameters, in combination with hematological and immunological blood tests, can predict the degree of liver fibrosis without the need for biopsy. This would allow improved assessment of potentially important interventions that might alter the course of the underlying disease. Thus development of this non-invasive biomarker might not only obviate the need for biopsy, but might in addition allow more intensive periodic assessments that are not possible currently.


Ages Eligible for Study:   21 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion criteria:

  • subjects with Hepatitis C who are scheduled to obtain a liver biopsy in the future or have obtained a liver biopsy in the 6 months prior to planned MR imaging or
  • subjects who are healthy, without liver disease (used for normal controls)

All subpopulations regarding gender, race and ethnicity will have equal opportunity for inclusion in the study protocol. The study protocol only includes adult population consistent with the age (>21 years old) at presentation.

Exclusion criteria:

  • subjects with any contraindication to obtaining an MRI with intravenous contrast including: metal in body, severe renal impairment, pregnancy, or breast feeding. Contraindications will be identified using the same screening questionnaire as is provided for routine clinical examinations.
  • Subjects with history of allergy to MRI contrast dye

Severe renal impairment is defined as a glomerular filtration rate (GFR) < 30 mL/min/1.73 m2. All subjects will be screened with a questionnaire. The GFR will be calculated in any subject who reports kidney problems or a history of kidney problems using blood chemistries performed within 6 weeks of the planned date of the MRI examination. These blood chemistries would need to have been performed as part of routine clinical care. A potential subject who reports kidney problems or a history of kidney problems who does not have blood chemistries available within 6 weeks of the MRI examination will be excluded from participation in this study.

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Please refer to this study by its identifier: NCT01783314

Contact: Ame Ng, BSN, CCRP 212-746-2194

United States, New York
Weill Cornell Medical College Recruiting
New York, New York, United States, 10065
Contact: Ame Ng    212-746-2194   
Principal Investigator: Krishna Juluru, MD         
Sponsors and Collaborators
Weill Medical College of Cornell University
Principal Investigator: Krishna Juluru, MD Weill Medical College of Cornell University
  More Information


Responsible Party: Weill Medical College of Cornell University Identifier: NCT01783314     History of Changes
Other Study ID Numbers: 1009011259
DI-2010-18 ( Other Grant/Funding Number: Bayer Healthcare Pharmaceuticals Inc. )
Study First Received: November 18, 2011
Last Updated: January 31, 2013

Keywords provided by Weill Medical College of Cornell University:
hepatic fibrosis
gadoxetate disodium
liver biopsy
liver function
Hepatitis C

Additional relevant MeSH terms:
Liver Cirrhosis
Pathologic Processes
Liver Diseases
Digestive System Diseases
Liver Extracts
Hematinics processed this record on May 24, 2017