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Assessment of Neuroinflammation in Central Inflammatory Disorders Using [F-18]DPA-714. (DPA-714)

Primary Purpose

Fibromyalgia, Chronic Fatigue Syndrome, Multiple Sclerosis

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
DPA-714 PET/MRI
Sponsored by
University of Alabama at Birmingham
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Fibromyalgia

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. 18 to 65 years of age
  2. Healthy volunteer OR Clinical diagnosis of Multiple Sclerosis (MS) OR Meets 2016 American College of Rheumatology (ACR) case definition criteria for fibromyalgia OR Meets 1994 Fukuda case definition criteria for Chronic Fatigue Syndrome

Exclusion Criteria:

  1. Contraindication to MRI
  2. Pregnancy
  3. Lactation
  4. Individuals who are unable to participate in the imaging portion due to severity of their medical condition
  5. Chronic infectious disease (e.g. HIV, HCV)
  6. Viral or bacterial illness requiring medical attention and/or antibiotics within 1 month of study participation
  7. Diagnosis of cancer, including leukemia
  8. Blood or blood clotting disorder
  9. Except for individuals with MS, a diagnosis of autoimmune disease is exclusionary
  10. Positive urine β-hCG test day of procedure or a serum -hCG test within 48 hours prior to the administration of [18F]DPA-714
  11. Currently enrolled in a clinical trial utilizing experimental therapies

Sites / Locations

  • University of Alabama at Birmingham Medical CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Healthy Controls

Fibromyalgia Subjects

Chronic Fatigue Syndrome Subjets

Multiple Sclerosis Subjects

Arm Description

Outcomes

Primary Outcome Measures

Neuroinflammation will be measured in healthy volunteers and compared to neuroinflammation in individuals with pain and fatigue, as measured with [F-18]DPA-714-PET/MRI.
Quantitative PET measures of TSPO binding in brain regions including cerebral cortex, thalami, and brainstem will be compared between healthy volunteers and symptomatic study participants with pain and/or fatigue.

Secondary Outcome Measures

Full Information

First Posted
November 6, 2018
Last Updated
November 9, 2022
Sponsor
University of Alabama at Birmingham
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1. Study Identification

Unique Protocol Identification Number
NCT03759522
Brief Title
Assessment of Neuroinflammation in Central Inflammatory Disorders Using [F-18]DPA-714.
Acronym
DPA-714
Official Title
Assessment of Neuroinflammation in Central Inflammatory Disorders Using [F-18]DPA-714.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Recruiting
Study Start Date
February 3, 2019 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Alabama at Birmingham

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The primary objective of this study is to measure the concentration and the regional brain distribution of activated brain microglia/macrophages using the PET radiopharmaceutical [F-18]DPA-714 in individuals with chronic pain and fatigue suspected to be associated with neuroinflammation. The PET tracer [F-18]DPA-714 binds to the 18 kDa translocator protein (TSPO, also known as the peripheral benzodiazepine receptor) in the mitochondria of activated microglia/macrophages and provides a non-invasive measure of neuroinflammation. The primary objective of this study is to determine if pain and fatigue patients have higher levels of neuroinflammation than HC individuals as measured with [F-18]DPA-714-PET/MRI.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Fibromyalgia, Chronic Fatigue Syndrome, Multiple Sclerosis, Healthy

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
120 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Healthy Controls
Arm Type
Experimental
Arm Title
Fibromyalgia Subjects
Arm Type
Experimental
Arm Title
Chronic Fatigue Syndrome Subjets
Arm Type
Experimental
Arm Title
Multiple Sclerosis Subjects
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
DPA-714 PET/MRI
Intervention Description
DPA-714 PET/MRI
Primary Outcome Measure Information:
Title
Neuroinflammation will be measured in healthy volunteers and compared to neuroinflammation in individuals with pain and fatigue, as measured with [F-18]DPA-714-PET/MRI.
Description
Quantitative PET measures of TSPO binding in brain regions including cerebral cortex, thalami, and brainstem will be compared between healthy volunteers and symptomatic study participants with pain and/or fatigue.
Time Frame
3 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: 18 to 65 years of age Healthy volunteer OR Clinical diagnosis of Multiple Sclerosis (MS) OR Meets 2016 American College of Rheumatology (ACR) case definition criteria for fibromyalgia OR Meets 1994 Fukuda case definition criteria for Chronic Fatigue Syndrome Exclusion Criteria: Contraindication to MRI Pregnancy Lactation Individuals who are unable to participate in the imaging portion due to severity of their medical condition Chronic infectious disease (e.g. HIV, HCV) Viral or bacterial illness requiring medical attention and/or antibiotics within 1 month of study participation Diagnosis of cancer, including leukemia Blood or blood clotting disorder Except for individuals with MS, a diagnosis of autoimmune disease is exclusionary Positive urine β-hCG test day of procedure or a serum -hCG test within 48 hours prior to the administration of [18F]DPA-714 Currently enrolled in a clinical trial utilizing experimental therapies
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jared Younger, PhD
Phone
205-975-5907
Email
youngerlab@uab.edu
Facility Information:
Facility Name
University of Alabama at Birmingham Medical Center
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jonathan McConathy, MD
Phone
205-996-7115
Email
jmcconathy@uabmc.edu
First Name & Middle Initial & Last Name & Degree
Jonathan McConathy, MD, PhD
First Name & Middle Initial & Last Name & Degree
Bag Asim, MD
First Name & Middle Initial & Last Name & Degree
Bhambhvani Pradeep, MD
First Name & Middle Initial & Last Name & Degree
Choudhary Gagandeep, MD
First Name & Middle Initial & Last Name & Degree
Geldmacher David, MD
First Name & Middle Initial & Last Name & Degree
Lapi Suzanne, PhD
First Name & Middle Initial & Last Name & Degree
Jeffers Charlotte Denise, RPh
First Name & Middle Initial & Last Name & Degree
Natelson Marissa, MD
First Name & Middle Initial & Last Name & Degree
Roberson Erik, MD, PhD

12. IPD Sharing Statement

Learn more about this trial

Assessment of Neuroinflammation in Central Inflammatory Disorders Using [F-18]DPA-714.

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