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[PETDE10] Imaging of PDE10A Enzyme Levels in Huntington's Disease Gene Expansion Carriers and Healthy Controls With PET. (PEARL-HD)

Primary Purpose

Huntington's Disease

Status
Completed
Phase
Early Phase 1
Locations
International
Study Type
Interventional
Intervention
PET Imaging with [18F]MNI-659
Sponsored by
CHDI Foundation, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Huntington's Disease

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Capacity to give full informed consent in writing, and have read and signed the informed consent
  • Age 18 to 70 years, inclusive
  • HCs: Healthy according to medical history, physical examination, ECG, vital signs, laboratory assessment and MRI, with a body mass index between 19 and 27 (both inclusive)
  • HDGECs: Otherwise healthy according to medical history, no co-morbidity of psychotic disorders, physical examination, vital signs and laboratory assessments
  • HDGECs:

(A) HD Stage 1 or HD Stage 2: Patients with a clinical diagnosis of HD, defined by the presence of noticeable motor disorder and 40 CAG repeats (HD stage 1: Total Functional Capacity (TFC) 11-13, HD stage 2: TFC 7-10); (B) Pre-manifest: Subjects that are carriers of the mutant Huntingtin gene with ≥40 CAG repeats, a disease burden score ≥ 275 (calculated by the equation ((CAGn-35.5) X age)), and a Total Motor Score (TMS) ≤ 5.

  • Able and willing to travel to Stockholm
  • Willing to comply with use of adequate contraceptive measures:

Exclusion Criteria:

  • Any disease, condition or concomitant medications that significantly compromises the function of the body systems and that, in the opinion of the Investigator might interfere with the conduct of the study or the interpretation
  • Regular use of any medication prohibited by this protocol with the exception for Viagra, Levitra and Cialis, which may be temporarily discontinued prior to the PET measurements
  • HDGECs: History of other neurological condition (including brain surgery, intracranial haematoma, stroke/cerebrovascular disorders, epilepsy), co-morbidity of psychotic disorders
  • HCs: Anamnesis/medical history of neurological conditions (Alzheimer´s disease, dementia, Parkinson´s disease, brain surgery, intracranial haematoma, stroke/cerebrovascular disorders, epilepsy) or psychiatric conditions schizophrenia, depression, bipolar disorder, attention-deficit hyperactivity disorder)
  • HCs: Family history of HD
  • History of or current alcohol or drug abuse or dependence
  • History of anaphylactoid or anaphylactic reactions to any allergen including drugs and contrast media
  • Haematological or biochemical parameters that are outside the normal range and are considered clinically significant by the Investigator
  • Clinical relevant findings in the 12-lead ECG as determined by the evaluating physician
  • Donation of blood (450 mL) within three months prior to Visit 3
  • Contraindication to MRI, such as known claustrophobia, presence of metal devises or implants (e.g. pacemaker, vascular- or heart- valves, stents, clips), metal deposited in the body (e.g. bullets or shells), or metal grains in the eyes
  • Participating in a clinical trial within the past 3 months
  • HCs: previous participation in another PET study
  • Positive viral test result for Hepatitis B or C or HIV 1 or 2
  • Female subjects: breast-feeding or positive pregnancy test at screening or at Visit 3
  • Contraindication for arterial cannulation (by assessment of Allen's test)

Sites / Locations

  • The Memory Clinic, Rigshopitalet
  • Leiden University Medical Center, Department of Neurology
  • University of Oslo, Nevrologisk poliklinikk
  • Skane Universitetssjukhus Lund, Neurologiska kliniken
  • Karolinska Universitetssjukhus, Huddinge
  • Karolinska University Hospital
  • KTA Karolinska Trial Alliance
  • Neurologkliniken Akademiska sjukhuset, ing 85

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

PET Imaging with [18F]MNI-659

Arm Description

All subjects (both HDGECs and HCs) will receive single intravenous doses of the radioligands [11C]raclopride (non-investigational medicinal product [NIMP]) and [18F]MNI-659 (investigational medicinal product [IMP]). The radioligands [11C]raclopride and [18F]MNI-659 will be administered at doses less than 10 micrograms, i.e. within the micro dosing concept, and no pharmacological effects are expected. The injected radioactivity of [11C]raclopride will be 300 MBq/70 kg of body weight ± 10%. The injected radioactivity of [18F]MNI-659 will be 185 MBq/70 kg of body weight ± 10%.

Outcomes

Primary Outcome Measures

The primary outcome measure will be the distribution volume (VT) in the striatum (caudate and putamen), globus pallidus, and ventral striatum estimated using kinetic and graphical analysis. Thalamus, cortex and cerebellum will also be examined.

Secondary Outcome Measures

Full Information

First Posted
February 3, 2014
Last Updated
May 31, 2016
Sponsor
CHDI Foundation, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02061722
Brief Title
[PETDE10] Imaging of PDE10A Enzyme Levels in Huntington's Disease Gene Expansion Carriers and Healthy Controls With PET.
Acronym
PEARL-HD
Official Title
[PETDE10] Imaging of Phosphodiesterase 10 A (PDE10A) Enzyme Levels in the Living Human Brain of Huntington´s Disease Gene Expansion Carriers and Healthy Controls With Positron Emission Tomography
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
January 2013 (undefined)
Primary Completion Date
May 2016 (Actual)
Study Completion Date
May 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CHDI Foundation, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The aim of this study is to measure the availability of the PDE10A enzyme in Huntington disease gene expansion carriers (HDGECs) using the recently developed radioligand [18F]MNI-659. The study will be cross-sectional, examining HDGECs at different stages of the disease (pre-manifest, stage 1 and stage 2), in comparison with Healthy Controls (HCs). The HDGECs included in this study will be recruited from the large database of the REGISTRY (NCT01590589) or ENROLL-HD (NCT01574053) studies.
Detailed Description
The study will be organized in an "adaptive-like" mode. Initially a cohort of 5 HDGECs and 5 HCs will be studied. The data obtained in the first cohort will be analysed and depending on the variability of the data, there will be approximately 10 HDGECs and an equal number of HCs in the second cohort and the size of the third cohort may be altered to in total include approximately 45 HDGECs and an equal number of HCs.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Huntington's Disease

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Early Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
90 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PET Imaging with [18F]MNI-659
Arm Type
Experimental
Arm Description
All subjects (both HDGECs and HCs) will receive single intravenous doses of the radioligands [11C]raclopride (non-investigational medicinal product [NIMP]) and [18F]MNI-659 (investigational medicinal product [IMP]). The radioligands [11C]raclopride and [18F]MNI-659 will be administered at doses less than 10 micrograms, i.e. within the micro dosing concept, and no pharmacological effects are expected. The injected radioactivity of [11C]raclopride will be 300 MBq/70 kg of body weight ± 10%. The injected radioactivity of [18F]MNI-659 will be 185 MBq/70 kg of body weight ± 10%.
Intervention Type
Radiation
Intervention Name(s)
PET Imaging with [18F]MNI-659
Intervention Description
The radioligands [11C]raclopride and [18F]MNI-659 will be administered at doses less than 10 micrograms, i.e. within the micro dosing concept, and no pharmacological effects are expected. The injected radioactivity of [11C]raclopride will be 300 MBq/70 kg of body weight ± 10%. The injected radioactivity of [18F]MNI-659 will be 185 MBq/70 kg of body weight ± 10%.
Primary Outcome Measure Information:
Title
The primary outcome measure will be the distribution volume (VT) in the striatum (caudate and putamen), globus pallidus, and ventral striatum estimated using kinetic and graphical analysis. Thalamus, cortex and cerebellum will also be examined.
Time Frame
Visit 3: For HD subjects, this will occur within 90 days from the Screening Visit. For Healthy Controls, this will occur within 28 days of Screening visit.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Capacity to give full informed consent in writing, and have read and signed the informed consent Age 18 to 70 years, inclusive HCs: Healthy according to medical history, physical examination, ECG, vital signs, laboratory assessment and MRI, with a body mass index between 19 and 27 (both inclusive) HDGECs: Otherwise healthy according to medical history, no co-morbidity of psychotic disorders, physical examination, vital signs and laboratory assessments HDGECs: (A) HD Stage 1 or HD Stage 2: Patients with a clinical diagnosis of HD, defined by the presence of noticeable motor disorder and 40 CAG repeats (HD stage 1: Total Functional Capacity (TFC) 11-13, HD stage 2: TFC 7-10); (B) Pre-manifest: Subjects that are carriers of the mutant Huntingtin gene with ≥40 CAG repeats, a disease burden score ≥ 275 (calculated by the equation ((CAGn-35.5) X age)), and a Total Motor Score (TMS) ≤ 5. Able and willing to travel to Stockholm Willing to comply with use of adequate contraceptive measures: Exclusion Criteria: Any disease, condition or concomitant medications that significantly compromises the function of the body systems and that, in the opinion of the Investigator might interfere with the conduct of the study or the interpretation Regular use of any medication prohibited by this protocol with the exception for Viagra, Levitra and Cialis, which may be temporarily discontinued prior to the PET measurements HDGECs: History of other neurological condition (including brain surgery, intracranial haematoma, stroke/cerebrovascular disorders, epilepsy), co-morbidity of psychotic disorders HCs: Anamnesis/medical history of neurological conditions (Alzheimer´s disease, dementia, Parkinson´s disease, brain surgery, intracranial haematoma, stroke/cerebrovascular disorders, epilepsy) or psychiatric conditions schizophrenia, depression, bipolar disorder, attention-deficit hyperactivity disorder) HCs: Family history of HD History of or current alcohol or drug abuse or dependence History of anaphylactoid or anaphylactic reactions to any allergen including drugs and contrast media Haematological or biochemical parameters that are outside the normal range and are considered clinically significant by the Investigator Clinical relevant findings in the 12-lead ECG as determined by the evaluating physician Donation of blood (450 mL) within three months prior to Visit 3 Contraindication to MRI, such as known claustrophobia, presence of metal devises or implants (e.g. pacemaker, vascular- or heart- valves, stents, clips), metal deposited in the body (e.g. bullets or shells), or metal grains in the eyes Participating in a clinical trial within the past 3 months HCs: previous participation in another PET study Positive viral test result for Hepatitis B or C or HIV 1 or 2 Female subjects: breast-feeding or positive pregnancy test at screening or at Visit 3 Contraindication for arterial cannulation (by assessment of Allen's test)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bernhard Landwehrmeyer, MD, PhD
Organizational Affiliation
Ulm University Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Cristina Sampaio, MD, PhD
Organizational Affiliation
CHDI Foundation, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
The Memory Clinic, Rigshopitalet
City
Copenhagen
Country
Denmark
Facility Name
Leiden University Medical Center, Department of Neurology
City
Leiden
ZIP/Postal Code
K5Q112
Country
Netherlands
Facility Name
University of Oslo, Nevrologisk poliklinikk
City
Oslo
ZIP/Postal Code
0372 Oslo
Country
Norway
Facility Name
Skane Universitetssjukhus Lund, Neurologiska kliniken
City
Lund
ZIP/Postal Code
SE-221 85
Country
Sweden
Facility Name
Karolinska Universitetssjukhus, Huddinge
City
Stockholm
ZIP/Postal Code
SE-141 86
Country
Sweden
Facility Name
Karolinska University Hospital
City
Stockholm
ZIP/Postal Code
SE-171 76
Country
Sweden
Facility Name
KTA Karolinska Trial Alliance
City
Stockholm
ZIP/Postal Code
SE-171 76
Country
Sweden
Facility Name
Neurologkliniken Akademiska sjukhuset, ing 85
City
Uppsala
ZIP/Postal Code
SE-751 85
Country
Sweden

12. IPD Sharing Statement

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[PETDE10] Imaging of PDE10A Enzyme Levels in Huntington's Disease Gene Expansion Carriers and Healthy Controls With PET.

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