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Subjects With Subjective Cognitive Decline: 18F-Florbetaben Positron Emission Tomography Study

Primary Purpose

Subjective Cognitive Decline

Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
18F-Florbetaben (FBB)
Sponsored by
Fundacion Clinic per a la Recerca Biomédica
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Subjective Cognitive Decline focused on measuring Alzheimer, Subjective Cognitive Decline, Florbetaben

Eligibility Criteria

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

Inclusion Criteria:

  • Participants must be committed to participate and complete all study procedures.
  • The patient must report a memory problem (in isolation or in combination with complaints in other domains) with concern.
  • Age ≥ 60
  • Mini-Mental State Examination cutoff for inclusion will be ≥ 26.
  • Clinical Dementia Rating <0,5.
  • Subjects must have signed the Informed Consent Form voluntarily to participate in the study.

Exclusion Criteria:

  • Subjects those are not able to complete the study.
  • Any major disease or history of a major disease, especially hepatobilliar disease (AST /ALT ≥ 5 x ULN) or advanced renal insufficiency (creatinine ≥ 2 x ULN).
  • Current or previous history of alcohol abuse or epilepsy.
  • Allergic to Florbetaben or any of its constituents.
  • Multiple drug allergies and/or previous history of contrast allergy.
  • Any disease or history of disease which, in the opinion of the investigator, can cause disturbance of brain function (e.g. vitamin B12 or folic acid deficiency, disturbed thyroid function).
  • Evidence for any other neurological or psychiatric disease, eg. parkinsonism, history of stroke or seizure.
  • Pregnancy or breast feeding or planned pregnancy during the study period.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    18F-Florbetaben (FBB)

    Arm Description

    18F-Florbetaben

    Outcomes

    Primary Outcome Measures

    Incidence of Adverse Events
    Incidence of Adverse events of a single dose of FBB followed by PET scan in individuals with Subjective Cognitive Decline
    Positive visual FBB-PET scan
    Proportion of Subjective Cognitive Decline subjects that present positive uptake after FBB-PET through visual examination.

    Secondary Outcome Measures

    Positive standardized uptake value ratios
    Proportion of SCD subjects presenting standardized uptake value ratios (SUVRs) of FBB-PET higher than 1,4.
    Cortical pattern of amyloid deposition
    To explore the cortical pattern of amyloid deposition in SCD subjects at visual and semi-quantitative examination.

    Full Information

    First Posted
    February 15, 2017
    Last Updated
    May 22, 2018
    Sponsor
    Fundacion Clinic per a la Recerca Biomédica
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03057938
    Brief Title
    Subjects With Subjective Cognitive Decline: 18F-Florbetaben Positron Emission Tomography Study
    Official Title
    Subjects With Subjective Cognitive Decline: 18F-Florbetaben Positron Emission Tomography Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2017
    Overall Recruitment Status
    Unknown status
    Study Start Date
    August 2018 (Anticipated)
    Primary Completion Date
    March 15, 2019 (Anticipated)
    Study Completion Date
    March 15, 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Fundacion Clinic per a la Recerca Biomédica

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Phase II, open-label clinical trial with a medicinal product. A total of 30 subjects will be included in the study. All participants will receive a single intravenous dose of 300 MBq of FBB. A 20-minute PET image should be acquired starting at approximately 90 minutes after intravenous injection of FBB. The present proposal aims are: to assess safety of a single dose of FBB followed by PET scan in individuals with subjective cognitive decline (SCD), to determine the number of SCD subjects with positive visual FBB-PET scan, to determine the number of SCD subjects with positive standardized uptake value ratios (SUVRs) of FBB-PET scan and to explore the cortical pattern of amyloid deposition in SCD subjects.
    Detailed Description
    statistical methods: Primary outcomes For the analysis of the primary outcomes, a descriptive statistical approach will be implemented, calculating the proportion of adverse events and the proportion of SCD subjects that are positive for FBB-PET at visual assessment 9.2 Data Management Demographical and neuropsychological data will be entered in a data base. Statistical analyses will be performed with the SPSS software for Windows (v.22.0). Sample size A sample size of 30 subjects has been estimated. Since this is a proof-of-concept study, this assumption has been based on previously published data. Statistical significance and adjustments for multiplicity The analysis will be carried out according to the principles of the ICHE9 Guide and in accordance with the recommendations of CPM/EWP/908/99 Points to Consider on Multiplicity issues in Clinical Trials. The contrast will be carried out with an Error of Type 5 bilateral I. In any case, since this is a exploratory study, there will be no adjustments for multiplicity. Criteria for discontinuation The study will be completed when these two premises are met: Inclusion of the number of patients needed for the sample size End of clinical monitoring No interim analyses are planned.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Subjective Cognitive Decline
    Keywords
    Alzheimer, Subjective Cognitive Decline, Florbetaben

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Model Description
    Phase II, open-label clinical trial with a medicinal product.
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    30 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    18F-Florbetaben (FBB)
    Arm Type
    Experimental
    Arm Description
    18F-Florbetaben
    Intervention Type
    Drug
    Intervention Name(s)
    18F-Florbetaben (FBB)
    Other Intervention Name(s)
    FBB
    Intervention Description
    All participants will receive a single intravenous dose of 300 MBq of FBB followed by PET scan.
    Primary Outcome Measure Information:
    Title
    Incidence of Adverse Events
    Description
    Incidence of Adverse events of a single dose of FBB followed by PET scan in individuals with Subjective Cognitive Decline
    Time Frame
    24 months
    Title
    Positive visual FBB-PET scan
    Description
    Proportion of Subjective Cognitive Decline subjects that present positive uptake after FBB-PET through visual examination.
    Time Frame
    24 months
    Secondary Outcome Measure Information:
    Title
    Positive standardized uptake value ratios
    Description
    Proportion of SCD subjects presenting standardized uptake value ratios (SUVRs) of FBB-PET higher than 1,4.
    Time Frame
    24 months
    Title
    Cortical pattern of amyloid deposition
    Description
    To explore the cortical pattern of amyloid deposition in SCD subjects at visual and semi-quantitative examination.
    Time Frame
    24 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    60 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Participants must be committed to participate and complete all study procedures. The patient must report a memory problem (in isolation or in combination with complaints in other domains) with concern. Age ≥ 60 Mini-Mental State Examination cutoff for inclusion will be ≥ 26. Clinical Dementia Rating <0,5. Subjects must have signed the Informed Consent Form voluntarily to participate in the study. Exclusion Criteria: Subjects those are not able to complete the study. Any major disease or history of a major disease, especially hepatobilliar disease (AST /ALT ≥ 5 x ULN) or advanced renal insufficiency (creatinine ≥ 2 x ULN). Current or previous history of alcohol abuse or epilepsy. Allergic to Florbetaben or any of its constituents. Multiple drug allergies and/or previous history of contrast allergy. Any disease or history of disease which, in the opinion of the investigator, can cause disturbance of brain function (e.g. vitamin B12 or folic acid deficiency, disturbed thyroid function). Evidence for any other neurological or psychiatric disease, eg. parkinsonism, history of stroke or seizure. Pregnancy or breast feeding or planned pregnancy during the study period.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Lorena Rami, Dr.
    Phone
    +34 932275430
    Email
    acruceta@clinic.ub.es
    First Name & Middle Initial & Last Name or Official Title & Degree
    Anna Cruceta
    Phone
    +34 932275400
    Ext
    4380
    Email
    acruceta@clinic.ub.es

    12. IPD Sharing Statement

    Learn more about this trial

    Subjects With Subjective Cognitive Decline: 18F-Florbetaben Positron Emission Tomography Study

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