Title

Safety Study of GE-145 320 mg I/mL Injection vs. Iopamidol 370 mg I/mL in Elderly Subjects Undergoing Coronary Procedure
A Phase 2, Double-Blind, Randomized, Safety Study of GE-145 320 mg I/mL Injection Versus Iopamidol 370 mg I/mL in Elderly Subjects Undergoing Coronary Artery Catheterization Procedure
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Study Participants

    284
To evaluate cardio-renal and overall safety profile of GE 145 320 mg I/ml Injection when compared to iopamidol 370 mg I/mL. The study will focus on elderly subjects with either chronic renal insufficiency, or diabetes mellitus (DM) requiring drug therapy, or congestive heart failure (CHF) NYHA Class III or greater, who are referred for a coronary catheterization procedure with or without PCI.
Study Started
Nov 30
2010
Primary Completion
Dec 31
2012
Study Completion
Dec 31
2012
Results Posted
May 02
2014
Estimate
Last Update
Aug 29
2018

Drug GE-145

GE-145-320 mg I/mL as a single iv. administration. Comparator agent Isovue (iopamidol) 370 mg I/mL as a single iv. administration.

  • Other names: Ioforminol

GE 145 320mg I/ml injection Experimental

Iopamidol 370mg I/ml injection Active Comparator

Criteria

Inclusion Criteria:

Males and females 65 years of age with cardiovascular disease who are referred for a coronary catheterization procedure with or without PCI.
The subject has at least one of the following comorbidities:
1) Chronic renal insufficiency, (eGFR <60 but 15 mL/min/1.73 m2 according to the MDRD equation) as measured within 2 weeks or at the screening visit;
2) DM diagnosed greater than 6 months prior to study entry and which requires either insulin or anti-hyperglycemic drug therapy;
3) CHF (NYHA) class III or greater measured within 2 weeks of enrollment or at the screening visit.

Exclusion Criteria:

The subject has known allergies to either iodine or any ICM.
The subject has severe renal insufficiency (eGFR <15 mL/min/1.73 m2 according to the MDRD equation) or is on dialysis.
The subject has acute coronary syndrome requiring emergency coronary angiography and/or intervention.
The subject is not willing or unable to discontinue metformin (e.g., Glucophage) at the time of the study procedure.

Summary

Ioforminol 320mg I/ml Injection

Iopamidol 370mg I/ml Injection

All Events

Event Type Organ System Event Term Ioforminol 320mg I/ml Injection Iopamidol 370mg I/ml Injection

Comparison of Overall Image Quality Between Ioforminol and Iopamidol-enhanced Images as Determined by an Independent Reader.

Overall image quality (excellent, adequate or poor) and diagnostic usefulness (diagnostic or non-diagnostic) were assessed using qualitative scales.

Ioforminol 320mg I/ml Injection

Diagnostic Usefulness-Diagnostic

123.0
Number of subjects

Diagnostic Usefulness-Non-Diagnostic

14.0
Number of subjects

Overal Image Quality-Poor

15.0
Number of subjects

Overall Image Quality-Adequate

57.0
Number of subjects

Overall Image Quality-Excellent

65.0
Number of subjects

Iopamidol 370mg I/ml Injection

Diagnostic Usefulness-Diagnostic

134.0
Number of subjects

Diagnostic Usefulness-Non-Diagnostic

7.0
Number of subjects

Overal Image Quality-Poor

11.0
Number of subjects

Overall Image Quality-Adequate

59.0
Number of subjects

Overall Image Quality-Excellent

71.0
Number of subjects

To Determine Incidence Rates of the Overall AEs, Organ-specific AEs (i.e., Delayed Skin Reactions, General Subject Comfort, and Allergic/Immunologic Reactions, Etc.) and SAEs Following Administration

To determine incidence rates of the overall AEs, organ-specific AEs (i.e., delayed skin reactions, general subject comfort, and allergic/immunologic reactions, etc.) and SAEs following administration of GE-145 or iopamidol. To determine incidence rates and onset time of biomarker-based and SCr-based CI-AKI following administration of GE-145 or iopamidol. Summary of Treatment-Emergent Adverse Events (TEAE) in greater than of equal to 2% of Subjects.

Ioforminol 320mg I/ml Injection

Angina Pectoris

3.0
Number of events

Blood Creatinine Increased

2.0
Number of events

Catheter-Site Hematoma

9.0
Number of events

Catheter-Site Hemorrhage

4.0
Number of events

Catheter-Site Pain

4.0
Number of events

Chest Pain

3.0
Number of events

Coronary Artery Disease

3.0
Number of events

Diarrhea

3.0
Number of events

Dizziness

Headache

11.0
Number of events

Nausea

3.0
Number of events

Pain In Extremity

2.0
Number of events

Urinary Tract Infection

3.0
Number of events

Iopamidol 370mg I/ml Injection

Angina Pectoris

2.0
Number of events

Blood Creatinine Increased

4.0
Number of events

Catheter-Site Hematoma

8.0
Number of events

Catheter-Site Hemorrhage

6.0
Number of events

Catheter-Site Pain

3.0
Number of events

Chest Pain

2.0
Number of events

Coronary Artery Disease

3.0
Number of events

Diarrhea

1.0
Number of events

Dizziness

3.0
Number of events

Headache

1.0
Number of events

Nausea

3.0
Number of events

Pain In Extremity

5.0
Number of events

Urinary Tract Infection

4.0
Number of events

Assessing the Incidence of Renal Biomarker-based Contrast-induced Acute Kidney Injury (CI-AKI) in Subjects Post Administration of Ioforminol or Iopamidol Injections

Analyzing the number of subjects with renal biomarker-based contrast-induced acute kidney injury (CI-AKI).

Ioforminol 320mg I/ml Injection

Time- Post Contrast, 24 hourss

61.0
Subjects

Time- Post Contrast, 2 hours

24.0
Subjects

Time- Post Contrast, 6 hours

48.0
Subjects

Iopamidol 370mg I/ml Injection

Time- Post Contrast, 24 hourss

49.0
Subjects

Time- Post Contrast, 2 hours

21.0
Subjects

Time- Post Contrast, 6 hours

33.0
Subjects

Total

278
Participants

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

Ioforminol 320mg I/ml Injection

Iopamidol 370mg I/ml Injection

Drop/Withdrawal Reasons

Ioforminol 320mg I/ml Injection

Iopamidol 370mg I/ml Injection