MRI dye safety under scrutiny: landmark study tracks brain effects over 5 years
NCT ID NCT04373564
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether repeated doses of a gadolinium-based contrast agent (a dye used in MRI scans) affect motor and cognitive functions in healthy adults. About 2076 participants will receive annual imaging and undergo tests over 5 years. The goal is to compare changes in movement and thinking between those who get the dye and those who do not.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 2,076 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2021
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 64 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participant must be neurologically normal, defined as free of unstable neurologic and psychiatric disease as confirmed by a normal neurologic examination at screening * Participant (GBCA-exposed or controls) agrees to undergo unenhanced magnetic resonance imaging (UE-MRI) of the brain at enrollment and at the end of the observation period (5 years) * Participants should have at least 1 of the following indications: a) Medium to high risk for breast cancer or dense breasts undergoing breast cancer screening with MRI, b) Elevated prostate-specific antigen (PSA) and under active diagnostic surveillance for prostate cancer, c) Chronic liver disease (eg, liver cirrhosis limited to Child class A, post-hepatitis chronic hepatopathy, or primary sclerosing cholangitis) for surveillance of hepatocellular carcinoma development, d) Low-grade colorectal cancer or neuroendocrine tumor undergoing screening for liver metastases or e) Branch-duct intraductal papillary mucinous neoplasm (IPMN) of the pancreas (maximum size ≤2 cm) undergoing imaging surveillance. In addition, for participants in the GBCA Arms only: * Each participant should be likely to undergo ≥5 GBCA-enhanced MR examinations with the same GBCA at least annually throughout the 5-year study duration * Prospective participants with up to 3 well documented GBCA administrations prior to study screening are acceptable, provided that the imaging was performed with the same GBCA as the one to be prospectively used in the study. If the GBCA used cannot be identified, he/she cannot be enrolled. For the Control Arm: * Participants who never had and are not likely to receive any GBCA injection during the course of the study * Each control participant must be willing to undergo UE-MRI of the brain at baseline and at Year 5. In Years 1 to 4, the control participants will undergo their clinically indicated UE-MRIs, computed tomography (CT), ultrasound, or X-ray procedures Exclusion Criteria: * As evidenced by history or determined in the neurologic exam at screening, concurrent neurological and/or psychiatric disease (or treatments) that could influence the results of the study's motor and cognitive tests (e.g. Cerebrovascular disease, Multiple sclerosis, Neurodegenerative disease, Malignant disease other than listed in indications, Carcinoid tumors, Epilepsy, Prior neurosurgery, Psychotic disorders or any prior psychotic episode not otherwise specified - any documented prior history of chronic schizophrenia, Remittent or current medically confirmed major depressive disorder or bipolar disorder, History of long-term major depression or bipolar affective disorder with an active episode in the past 2 to 5 years, Neurodevelopmental disorders (eg, trisomy 21), Uncontrolled severe migraine, Uncontrolled or controlled anxiety or depression within 6 months before enrollment, Screening scores of ≤24 on the MMSE and/or ≥11 on the Hospital Anxiety and Depression Scale (HADS)). * Prior, planned, or ongoing chemotherapy or brain irradiation * Use of concomitant medication(s) affecting neuro-cognitive or motor function * Substance or alcohol abuse as determined by the investigator * Alcoholic cirrhosis * Renal disease, defined as estimated glomerular filtration rate (eGFR) \< 60 mL/min/1.73 m2 * History of environmental/occupational/other exposure to one or more chemicals that may affect cognitive and/or motor function, including, but not limited to, heavy metals (arsenic \[As\], cadmium \[Cd\], lead \[Pb\], manganese \[Mn\], and mercury \[Hg\]), pesticides, solvents, or carbon monoxide. * Clinical indications requiring \>1 contrast enhanced magnetic resonance imaging (CE-MRI) every 6 months * Pregnant or nursing (lactating) women * Presence of any metal-containing joint implants/prostheses In addition, for participants in either of the GBCA Arms only: \- Receipt of a GBCA or generic prior to study entry other than the specific GBCA to be administered during the course of the study. For participants in the Control Arm only: * Participants with any previous exposure to a GBCA. * Participants with any contraindication to UE-MRI examinations.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
32 sites in 7 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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A.O.U. Senese Policlinico Santa Maria alle Scotte
RECRUITINGSiena, Siena, 53100, Italy
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ActivMed Practices & Research, Inc.
WITHDRAWNMethuen, Massachusetts, 01844, United States
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Albert Einstein Healthcare Network
RECRUITINGPhiladelphia, Pennsylvania, 19141, United States
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Albert Einstein Sociedade Beneficente Israelita Brasileira
RECRUITINGSão Paulo, São Paulo, 05652000, Brazil
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Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Roma)
RECRUITINGVerona, 37134, Italy
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Azienda Ospedaliera Universitaria di Trieste
RECRUITINGTrieste, Trieste, 34125, Italy
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BHI of Omsk region "Clinical Oncology Dispensary"
SUSPENDEDOmsk, 644013, Russia
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Beth Israel Deaconess Medical Center
WITHDRAWNBoston, Massachusetts, 02215, United States
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Boston University Medical Center
TERMINATEDBoston, Massachusetts, 02118, United States
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CEMEC - Oncológica
WITHDRAWNSão Bernardo do Campo, São Paulo, 09715-090, Brazil
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CEMEC - Oncológica
WITHDRAWNSão Bernardo do Campo, Brazil
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CHU Strasbourg - Hôpital Hautepierre
RECRUITINGStrasbourg, 67200, France
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CPCLIN - Centro de Pesquisas Clínicas Ltda.
TERMINATEDSão Paulo, São Paulo, 01228-200, Brazil
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Chonnam National University Hospital
WITHDRAWNGwangju, Gyeonggi-do, 61469, South Korea
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Chosun University Hospital
RECRUITINGGwangju, 61453, South Korea
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Chung-Ang University Hospital
RECRUITINGSeoul, 06973, South Korea
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Department of Radiology
WITHDRAWNSt Louis, Missouri, 63110, United States
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FSBI "National medical scientific center of psychiatry and neurology n.a. V.M. Bekhterev" Adolescent
SUSPENDEDSaint Petersburg, 192019, Russia
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FSBI North-West Federal Medical Research Center n.a. V.A. Almazov of MoH RF
SUSPENDEDSaint Petersburg, 197341, Russia
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Federal State Budgetary Scientific Institution "Tomsk National Research Medical Centre of the Russia
SUSPENDEDTomsk, 634009, Russia
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Fundação Faculdade Regional de Medicina de São José do Rio Preto
RECRUITINGSão José do Rio Preto, São Paulo, 15090-000, Brazil
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G. Kenneth Jansz Medical Professional Corporation
WITHDRAWNBurlington, Ontario, L7N 3V2, Canada
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Gangnam Severance Hospital, Yonsei University Health System
RECRUITINGSeoul, 06273, South Korea
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Groupe Hospitalier Pitie-Salpetriere
WITHDRAWNParis, 75013, France
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Hallym University Chuncheon Sacred Heart Hospital
WITHDRAWNChuncheon, Gangwon-do, 24253, South Korea
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Hospital Moinhos de Vento
RECRUITINGPorto Alegre, Rio Grande do Sul, 90035-001, Brazil
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Hospital Santa Marta
TERMINATEDTaguatinga, Federal District, 72025-110, Brazil
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Inje University Busan Paik Hospital
RECRUITINGBusan, 47392, South Korea
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Instituto Baía Sul de Ensino e Pesquisa (IEP)
WITHDRAWNFlorianópolis, Santa Catarina, 88020-210, Brazil
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Instituto Mederi de Pesquisa e Saude
RECRUITINGPasso Fundo, Rio Grande do Sul, 99010-120, Brazil
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LLC Medical Center Mart
SUSPENDEDSaint Petersburg, 199178, Russia
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Liga Norte-Rio-Grandense Contra o Câncer
WITHDRAWNNatal, Rio Grande do Norte, 59075-740, Brazil
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MD Anderson Cancer Center
WITHDRAWNHouston, Texas, 77030, United States
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Massachussets General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Methodist Medical Center of Illinois
RECRUITINGPeoria, Illinois, 61637, United States
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Ospedale San Raffaele
RECRUITINGMilan, 20123, Italy
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Penn State Hershey Medical Center
RECRUITINGHershey, Pennsylvania, 17033, United States
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Pusan National University Hospital
RECRUITINGBusan, 49241, South Korea
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RSBIH "Smolensk Regional Clinical Hospital"
SUSPENDEDSmolensk, 214019, Russia
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SBIH Republican Clinical Oncological Dispensary of the MoH of Republic Bashkortostan
SUSPENDEDUfa, 450054, Russia
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Scottsdale Medical Imaging, LLC
RECRUITINGScottsdale, Arizona, 85260, United States
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Seoul National University Bundang Hospital
RECRUITINGSeongnam-si, Gyeonggi-do, 13620, South Korea
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UNC School of Medicine
WITHDRAWNChapel Hill, North Carolina, 27599, United States
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UT Southwestern Medical Center
RECRUITINGDallas, Texas, 75390, United States
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Universitaetsklinikum Tuebingen
ACTIVE_NOT_RECRUITINGTübingen, Baden-Wurttemberg, 72076, Germany
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University of Chicago Medical Center
RECRUITINGChicago, Illinois, 60637, United States
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University of Massachusetts Memorial Medical Center
TERMINATEDWorcester, Massachusetts, 01655, United States
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University of Wisconsin
RECRUITINGMadison, Wisconsin, 53792, United States
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Università Campus Bio-Medico di Roma
RECRUITINGRoma, 00128, Italy
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Vivantes Klinikum Neukoelln
RECRUITINGBerlin, 12351, Germany
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Yale University School of Medicine
WITHDRAWNNew Haven, Connecticut, 06520, United States
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Other studies related to the condition(s) this trial covers.
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