Flortaucipir PET Imaging in the Preclinical, Prodromal and Dementia Phases of Alzheimer's Disease
Primary Purpose
Alzheimer Disease, Mild Cognitive Impairment
Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Flortaucipir F18
Brain PET scan
Sponsored by
About this trial
This is an interventional diagnostic trial for Alzheimer Disease
Eligibility Criteria
Inclusion Criteria:
- Meet all inclusion criteria for the AIBL study protocol, with amyloid PET conducted or planned and MRI available
- Subjects in the MCI and AD groups required to have a reliable caregiver capable of providing information about the subjects' symptoms
Exclusion Criteria:
- lifetime history of schizophrenia, schizoaffective disorder, or bipolar disorder
- history of electroconvulsive therapy
- MRI contraindicated
- claustrophobic or, otherwise, unable to tolerate the imaging procedure
- current clinically significant cardiovascular disease or clinically significant abnormalities on screening electrocardiogram
- history of additional risk factors for Torsades de Pointes
- current clinically significant infectious disease, endocrine or metabolic disease, or pulmonary, renal, or hepatic impairment that the investigator believes would affect study participation
- history of cancer (other than skin or in situ prostate cancer) within the previous 5 years
- current drug or alcohol abuse/dependence
- history of alcohol abuse/dependence with 2 years of the onset of the symptoms of dementia
- females of childbearing potential who were not surgically sterile, not refraining from sexual activity, or not using reliable methods of contraception
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
Alzheimer's disease (AD)
Mild cognitive impairment (MCI)
Subjective memory complainers (SMC)
Cognitively normal (CN)
Arm Description
Alzheimer's disease subjects receiving a flortaucipir PET scan at baseline and 12 months
Mild cognitive impairment subjects receiving a flortaucipir PET scan at baseline and 12 months
Subjective memory complainers receiving a flortaucipir PET scan at baseline and 12 months
Cognitively normal subjects receiving a flortaucipir PET scan at baseline and 12 months
Outcomes
Primary Outcome Measures
Flortaucipir PET Imaging (Quantitative)
Flortaucipir PET cortical weighted average standardized uptake value ratio (SUVr). For SUVr, a value of 1 signifies no flortaucipir activity above background, values greater than 1 signify increasing flortaucipir activity in the brain.
Number of Participants With Advanced AD Pattern Flortaucipir PET Scan and Relationship to Cognitive Status
Scans were visually read independently by two expert readers at the sponsor, blinded to any clinical information. Subject scans were categorized as follows: Advanced AD Scan Pattern (τAD++), Moderate AD Scan Pattern (τAD+), Not AD Scan Pattern (τAD-). For this analysis, subjects with Advanced (τAD++) scans were analyzed vs. the combined Moderate and Not AD pattern groups (τAD+/τAD-). Amyloid status was obtained by florbetapir or carbon-11-labeled Pittsburgh compound B ([C-11] PiB) PET results available from the parent AIBL study.
Number of Participants With AD Pattern Flortaucipir PET Scan and Relationship to Cognitive Status
Scans were visually read independently by two expert readers at the sponsor, blinded to any clinical information. Subject scans were categorized as follows: Advanced AD Scan Pattern (τAD++), Moderate AD Scan Pattern (τAD+), Not AD Scan Pattern (τAD-). For this analysis, subjects with AD Pattern scans (Advanced [τAD++] and Moderate [τAD+] Scan Pattern) were combined vs. the Not AD pattern group (τAD-). Amyloid status was obtained by florbetapir or carbon-11-labeled Pittsburgh compound B ([C-11] PiB) PET results available from the parent AIBL study.
Secondary Outcome Measures
Full Information
NCT ID
NCT04468347
First Posted
July 8, 2020
Last Updated
September 3, 2020
Sponsor
Avid Radiopharmaceuticals
1. Study Identification
Unique Protocol Identification Number
NCT04468347
Brief Title
Flortaucipir PET Imaging in the Preclinical, Prodromal and Dementia Phases of Alzheimer's Disease
Official Title
18F-AV-1451 PET Imaging in the Preclinical, Prodromal and Dementia Phases of Alzheimer's Disease
Study Type
Interventional
2. Study Status
Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
October 2014 (Actual)
Primary Completion Date
February 2018 (Actual)
Study Completion Date
February 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Avid Radiopharmaceuticals
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
A Phase 1 study designed to evaluate imaging characteristics of flortaucipir in the preclinical, prodromal and dementia phases of Alzheimer's disease.
Detailed Description
The Australian Imaging Biomarkers and Lifestyle Study (AIBL) is a multicenter multidisciplinary study of Alzheimer's disease and aging funded by the Commonwealth Scientific and Industrial Research Organisation (CSIRO) Flagship Initiative, involving research centers in both Victoria and Western Australia. The goal of the A08 protocol was to further investigate the positron emission tomography (PET) imaging results with flortaucipir in patients across the AD spectrum from individuals with subjective memory complaints (SMC) to those with dementia, based on recruitment into the parent AIBL study.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer Disease, Mild Cognitive Impairment
7. Study Design
Primary Purpose
Diagnostic
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
89 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Alzheimer's disease (AD)
Arm Type
Experimental
Arm Description
Alzheimer's disease subjects receiving a flortaucipir PET scan at baseline and 12 months
Arm Title
Mild cognitive impairment (MCI)
Arm Type
Experimental
Arm Description
Mild cognitive impairment subjects receiving a flortaucipir PET scan at baseline and 12 months
Arm Title
Subjective memory complainers (SMC)
Arm Type
Experimental
Arm Description
Subjective memory complainers receiving a flortaucipir PET scan at baseline and 12 months
Arm Title
Cognitively normal (CN)
Arm Type
Experimental
Arm Description
Cognitively normal subjects receiving a flortaucipir PET scan at baseline and 12 months
Intervention Type
Drug
Intervention Name(s)
Flortaucipir F18
Other Intervention Name(s)
18F-AV-1451, [F-18]T807, LY3191748, Tauvid
Intervention Description
IV injection, 240 megabecquerel (MBq) (6.5 mCi)
Intervention Type
Procedure
Intervention Name(s)
Brain PET scan
Intervention Description
positron emission tomography (PET) scan of the brain
Primary Outcome Measure Information:
Title
Flortaucipir PET Imaging (Quantitative)
Description
Flortaucipir PET cortical weighted average standardized uptake value ratio (SUVr). For SUVr, a value of 1 signifies no flortaucipir activity above background, values greater than 1 signify increasing flortaucipir activity in the brain.
Time Frame
baseline scan
Title
Number of Participants With Advanced AD Pattern Flortaucipir PET Scan and Relationship to Cognitive Status
Description
Scans were visually read independently by two expert readers at the sponsor, blinded to any clinical information. Subject scans were categorized as follows: Advanced AD Scan Pattern (τAD++), Moderate AD Scan Pattern (τAD+), Not AD Scan Pattern (τAD-). For this analysis, subjects with Advanced (τAD++) scans were analyzed vs. the combined Moderate and Not AD pattern groups (τAD+/τAD-). Amyloid status was obtained by florbetapir or carbon-11-labeled Pittsburgh compound B ([C-11] PiB) PET results available from the parent AIBL study.
Time Frame
baseline scan
Title
Number of Participants With AD Pattern Flortaucipir PET Scan and Relationship to Cognitive Status
Description
Scans were visually read independently by two expert readers at the sponsor, blinded to any clinical information. Subject scans were categorized as follows: Advanced AD Scan Pattern (τAD++), Moderate AD Scan Pattern (τAD+), Not AD Scan Pattern (τAD-). For this analysis, subjects with AD Pattern scans (Advanced [τAD++] and Moderate [τAD+] Scan Pattern) were combined vs. the Not AD pattern group (τAD-). Amyloid status was obtained by florbetapir or carbon-11-labeled Pittsburgh compound B ([C-11] PiB) PET results available from the parent AIBL study.
Time Frame
baseline scan
10. Eligibility
Sex
All
Minimum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Meet all inclusion criteria for the AIBL study protocol, with amyloid PET conducted or planned and MRI available
Subjects in the MCI and AD groups required to have a reliable caregiver capable of providing information about the subjects' symptoms
Exclusion Criteria:
lifetime history of schizophrenia, schizoaffective disorder, or bipolar disorder
history of electroconvulsive therapy
MRI contraindicated
claustrophobic or, otherwise, unable to tolerate the imaging procedure
current clinically significant cardiovascular disease or clinically significant abnormalities on screening electrocardiogram
history of additional risk factors for Torsades de Pointes
current clinically significant infectious disease, endocrine or metabolic disease, or pulmonary, renal, or hepatic impairment that the investigator believes would affect study participation
history of cancer (other than skin or in situ prostate cancer) within the previous 5 years
current drug or alcohol abuse/dependence
history of alcohol abuse/dependence with 2 years of the onset of the symptoms of dementia
females of childbearing potential who were not surgically sterile, not refraining from sexual activity, or not using reliable methods of contraception
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chief Medical Officer
Organizational Affiliation
Avid Radiopharmaceuticals, Inc.
Official's Role
Study Director
12. IPD Sharing Statement
Links:
URL
http://aibl.csiro.au/
Description
Link to the Australian Imaging, Biomarker & Lifestyle Flagship Study of Ageing (AIBL) website
Learn more about this trial
Flortaucipir PET Imaging in the Preclinical, Prodromal and Dementia Phases of Alzheimer's Disease
We'll reach out to this number within 24 hrs