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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT00659776
Other study ID # OHSU-1562
Secondary ID 5R01NS034608
Status Terminated
Phase Phase 2
First received
Last updated
Start date July 2004
Est. completion date December 2021

Study information

Verified date January 2024
Source Oregon Health and Science University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This exploratory study utilizes ferumoxytol, an iron oxide nanoparticle MR contrast agent for imaging various inflammatory processes in the head and neck region, spine, including the central nervous system. The protocol enrolls subjects with radiological or histological diagnosis of unknown, dural, or parenchymal CNS lesions, multiple sclerosis, TIA or stroke, vasculitis, or other vascular lesions; arterial vasculopathy and venous thrombosis; or enlarged cervical lymph nodes. The main purpose of this study is to better understand the underlying cellular mechanisms, contrast agent extravasation, uptake into macrophages and to assess its value in clinical MR imaging.


Recruitment information / eligibility

Status Terminated
Enrollment 255
Est. completion date December 2021
Est. primary completion date December 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years to 80 Years
Eligibility Inclusion Criteria: - Subjects must have a clinical, radiological or established histological diagnosis of dural or central nervous system (CNS) parenchymal based inflammatory, vascular or demyelinating lesions, radiological suspected diagnosis of vascular CNS lesions such as ischemic stroke, TIA with suspected carotid embolic origin, or vasculopathy involving the carotids (including diagnosed carotid stenosis >50%), the aorta, the arteries of the extremities, or diagnosed thrombosis of the intraabdominal, pelvic or extremity veins, or clinical or radiological diagnosis of enlarged cervical lymph nodes in which inflammatory processes (reactive lymph nodes) is part of the differentials. - Subjects must be 18 years or older - Subjects will be followed for at least 1 month after the infusion of ferumoxytol. - All subjects or their authorized representative must sign a written informed consent and give HIPAA authorization in accordance with institutional guidelines. - Female subjects of child-bearing potential must be postmenopausal, surgically sterile, or using a reliable form of contraception for at least a month. These criteria can be waved at the discretion of the investigator if the one-month wait required is not in the best interest of the patient. - Karnofsky must be 30% or greater Exclusion Criteria: - Subjects with clinically significant signs of uncal herniation - Subjects who have a contraindication for MRI: metal in their bodies (a cardiac pacemaker or other incompatible device), are severely agitated, or have an allergy to Gd contrast material. - Subjects with known allergic or hypersensitivity reactions to parenteral iron, parenteral dextran, parenteral iron-dextran, or parenteral iron-polysaccharide preparations - Subjects with known hepatic insufficiency or cirrhosis - Subjects with known or suspected iron overload - HIV-positive subjects on combination anti-retroviral therapy are ineligible because of the potential for pharmacokinetic interactions with ferumoxytol - Pregnant or lactating women are excluded from this study because of possible risk to the fetus or infant.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Ferumoxytol
Ferumoxytol will be injected as i.v. bolus(es) at 3ml/s followed by a saline flush. The maximum total dose over 30 to 60 minutes will be 510mg Fe. Separate boluses will be used for perfusion MR and MRA. Ferumoxytol may be diluted up to 28 fold in normal saline to reduce T2* effects in the MR angiography. Rate of administration can be varied based on the subject's iv site, but will never exceed 510mg Fe /17s (as was done in phaseIII trials)

Locations

Country Name City State
United States Oregon Health & Science University Portland Oregon

Sponsors (2)

Lead Sponsor Collaborator
Oregon Health and Science University National Institute of Neurological Disorders and Stroke (NINDS)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Lesions 72 hours
Primary Degree of Contrast Enhancement Scoring system for parameters: Degree of contrast enhancement (1=none, 2=moderate, 3=good, 4=excellent) 72 hours
Primary Assessment of Border Delineation The scoring parameters were: (1=none, 2=moderate, 3=good, 4=excellent). 72hrs
Primary Internal Morphology of Lesions The scoring parameters were: (1=poor, 2=moderate, 3=good). 72hrs
Secondary Ferumoxytol Particles With Histology and Electron Microscopy in Biopsy Samples 72 hours
Secondary Side Effects/Safety of Ferumoxytol When Given During MRI. Number of serious adverse events attributable to ferumoxytol. 30 days
Secondary Iron Uptake and Clearance in Abdominal Organs, Such as the Liver, Spleen, Pancreas and Bone Marrow by Applying Usual Abdominal MR Sequences at Multiple Time Points 6 months
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