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Positron Emission Tomography Imaging of Brain Amyloid in Normal Pressure Hydrocephalus

Primary Purpose

Normal Pressure Hydrocephalus

Status
Terminated
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
[18F]Flutemetamol
Sponsored by
GE Healthcare
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Normal Pressure Hydrocephalus focused on measuring Amyloid, Normal pressure hydrocephalus (NPH), Positron Emission Tomography (PET), Standard uptake value ratios (SUVR)

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The subject is at least 50 years of age.
  • The subjects' general health is adequate to comply with study procedures.
  • The subject has been scheduled for a shunt placement procedure for the treatment of NPH.

Exclusion Criteria:

  • The subject has a contraindication for MRI or PET.
  • The subject is pregnant or lactating.
  • The subject has a known or suspected hypersensitivity/allergy to [18F]flutemetamol or to any of the excipients.
  • The subject has participated in any clinical study using an investigational agent within 30 days of dosing.

Sites / Locations

  • GE Healthcare

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Arm 1

Arm Description

Outcomes

Primary Outcome Measures

Standard Uptake Value Ratio (SUVR) at the Site of the Biopsy Based on the "Cerebellum" (CER) as the Reference Region.
The level of association between the quantitative estimates of brain uptake of [18F]flutemetamol and the quantitative immunohistochemical estimates of amyloid levels in biopsy samples obtained during shunt placement in patients who have Normal Pressure Hydrocephalus (NPH). The quantitative estimates of brain uptake of [18F]flutemetamol (SUVR) will be made from the analysis of PET images.

Secondary Outcome Measures

Standard Uptake Value Ratio (SUVR) at the Site of the Biopsy Based on the "Pons" as the Reference Region.
The level of association between SUVR and the quantitative estimates (area percents) of amyloid levels for the following regions: Biopsy site and Contralateral and Composite Regions.

Full Information

First Posted
March 23, 2010
Last Updated
November 20, 2013
Sponsor
GE Healthcare
Collaborators
i3 Statprobe
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1. Study Identification

Unique Protocol Identification Number
NCT01092546
Brief Title
Positron Emission Tomography Imaging of Brain Amyloid in Normal Pressure Hydrocephalus
Official Title
A Principal, Prospective, Open-label Biopsy Study to Validate Detection of Cerebral Cortical Amyloid With Flutemetamol (18F) Injection in Normal Pressure Hydrocephalus (NPH) Subjects.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2013
Overall Recruitment Status
Terminated
Why Stopped
Changed focus of the program
Study Start Date
March 2010 (undefined)
Primary Completion Date
April 2011 (Actual)
Study Completion Date
April 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GE Healthcare
Collaborators
i3 Statprobe

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To determine the level of association between the quantitative estimates of brain uptake of [18F]flutemetamol and the quantitative immunohistochemical and histochemistry estimates of amyloid levels in frontal lobe biopsy samples obtained from subjects during shunt placement for NPH.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Normal Pressure Hydrocephalus
Keywords
Amyloid, Normal pressure hydrocephalus (NPH), Positron Emission Tomography (PET), Standard uptake value ratios (SUVR)

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm 1
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
[18F]Flutemetamol
Other Intervention Name(s)
Flutemetamol, AH110690
Intervention Description
All subjects will receive an IV dose of [18F]flutemetamol (less than 10 mg flutemetamol). The nominal activity of a single administration of [18F]flutemetamol will be 185 MBq.
Primary Outcome Measure Information:
Title
Standard Uptake Value Ratio (SUVR) at the Site of the Biopsy Based on the "Cerebellum" (CER) as the Reference Region.
Description
The level of association between the quantitative estimates of brain uptake of [18F]flutemetamol and the quantitative immunohistochemical estimates of amyloid levels in biopsy samples obtained during shunt placement in patients who have Normal Pressure Hydrocephalus (NPH). The quantitative estimates of brain uptake of [18F]flutemetamol (SUVR) will be made from the analysis of PET images.
Time Frame
Post flutemetamol Injection
Secondary Outcome Measure Information:
Title
Standard Uptake Value Ratio (SUVR) at the Site of the Biopsy Based on the "Pons" as the Reference Region.
Description
The level of association between SUVR and the quantitative estimates (area percents) of amyloid levels for the following regions: Biopsy site and Contralateral and Composite Regions.
Time Frame
Post flutemetamol administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The subject is at least 50 years of age. The subjects' general health is adequate to comply with study procedures. The subject has been scheduled for a shunt placement procedure for the treatment of NPH. Exclusion Criteria: The subject has a contraindication for MRI or PET. The subject is pregnant or lactating. The subject has a known or suspected hypersensitivity/allergy to [18F]flutemetamol or to any of the excipients. The subject has participated in any clinical study using an investigational agent within 30 days of dosing.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kim A Mansfield, MS
Organizational Affiliation
GE Healthcare
Official's Role
Study Director
Facility Information:
Facility Name
GE Healthcare
City
Princeton
State/Province
New Jersey
ZIP/Postal Code
08540
Country
United States

12. IPD Sharing Statement

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Positron Emission Tomography Imaging of Brain Amyloid in Normal Pressure Hydrocephalus

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