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Clinical Evaluation of [18F]APN-1607 PET Uptake in Alzheimer's Disease Patients

Primary Purpose

Alzheimer Disease

Status
Recruiting
Phase
Early Phase 1
Locations
China
Study Type
Interventional
Intervention
[18F]APN-1607
Sponsored by
Nanjing First Hospital, Nanjing Medical University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Alzheimer Disease

Eligibility Criteria

45 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female aged 45 to 80 years, inclusive.
  • Has a diagnosis of AD dementia according to NIA-AA criteria, including significant impairment of activities of daily living.
  • Has a CDR score ≥ 0.5 at screening.
  • Has a MMSE score ≤ 25.
  • Brain MRI supports the diagnosis of AD and there is no evidence of other nervous system diseases.
  • Medications taken for symptomatic treatment of AD must have been stable for 30 days prior to screening and through completion of the neuropsychological battery.
  • If necessary, the subject can be accompanied by nursing staff.
  • Written informed consent must be obtained before any assessment is performed.
  • Female subjects must be documented by medical records or physician's note to be either surgically sterile (by means of hysterectomy, bilateral oophorectomy, or tubal ligation) or post-menopausal for at least 1 year (ie, 12 consecutive months with no menses without an alternative medical cause) or, if they are of childbearing potential, must commit to use a barrier contraception method or to abstinence for the duration of the study and must have negative serum and urine pregnancy tests.
  • Male subjects and their partners of childbearing potential must commit to the use of two methods of contraception, one of which is a barrier method (ie, condom), or to abstinence for the study duration.
  • Male subjects must not donate sperm for the study duration.
  • Willing and able to participate in all study procedures.

Exclusion Criteria:

  • Evidence of clinically significant gastrointestinal, cardiovascular, hepatic, renal, hematological, neoplastic, endocrine, alternative neurological, immunodeficiency, pulmonary, or other disorder or disease.
  • Implants, such as implanted cardiac pacemakers or defibrillators, insulin pumps, cochlear implants, metallic ocular foreign body, implanted neural stimulators, CNS aneurysm clips and other medical implants that have not been certified for MRI, or history of claustrophobia in MRI.
  • Intolerance to MRI noise or hermetic phobia.
  • Prior participation in other research protocols or clinical care in the last year in addition to the radiation exposure expected from participation in this clinical study, such that radiation exposure exceeds local guidelines, eg, above an effective dose of 50 mSv.
  • Current or prior history (within the last 10 years) of alcohol or drug abuse.
  • Pregnant, lactating or breastfeeding.
  • Unsuitable veins for repeated venipuncture
  • Has received any investigational drug or device for any purpose within 30 days of screening (or 5 half-lives of the drug, whichever is longer).
  • Known hypersensitivity to [18F]APN-1607 or its excipients
  • Has received a non-vaccine investigational treatment for Aβ within the last 3 months.
  • Has received a non-vaccine investigational treatment for tau within the last 3 months.
  • Any situation that the presiding officer of this study believes may cause harm or potential harm to any link related to this test.

Sites / Locations

  • Nanjing First HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

[18F]APN-1607

Arm Description

For the injection, subjects will receive a target dose of 0.1~0.15mCi/Kg [18F]APN-1607 as a bolus injection.

Outcomes

Primary Outcome Measures

Assessment of [18F]APN-1607 Uptake Patterns by Regional SUV Values
[18F]APN-1607 uptake patterns will be assessed in regions of interest (ROIs) which relevant to AD pathology. Standard uptake value (SUV) will be calculated for each ROI, and standardized uptake value ratios (SUVRs) will be calculated by normalizing SUV of ROIs to the SUV of relevant reference region.

Secondary Outcome Measures

Safety and Tolerability Profile Measured by Adverse Events (AEs)
Safety and tolerability profile for the administration of [18F]APN-1607 and positron emission tomography (PET) scanning are measured by number of participants with adverse events (AEs).

Full Information

First Posted
September 13, 2021
Last Updated
September 12, 2023
Sponsor
Nanjing First Hospital, Nanjing Medical University
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1. Study Identification

Unique Protocol Identification Number
NCT05043675
Brief Title
Clinical Evaluation of [18F]APN-1607 PET Uptake in Alzheimer's Disease Patients
Official Title
Director of Nuclear Medicine Department
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 10, 2021 (Actual)
Primary Completion Date
September 10, 2024 (Anticipated)
Study Completion Date
September 10, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Nanjing First Hospital, Nanjing Medical University

4. Oversight

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

5. Study Description

Brief Summary
The overall objective of this study is to evaluate the overall pattern of [18F]APN-1607 uptake in subjects with AD dementia
Detailed Description
To expand the safety and tolerability profile for the administration of [18F]APN-1607 and PET scanning. To assess regional patterns of [18F]APN-1607 uptake. To evaluate the relationship between regional measures of [18F]APN-1607 uptake and measurements of AD disease severity, such as National Institute on Aging and Alzheimer's Association (NIA-AA) diagnosis, Mini-mental Status Exam (MMSE) score, and Alzheimer's Disease Assessment Scale-cognitive subscale (ADAScog).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer Disease

7. Study Design

Primary Purpose
Other
Study Phase
Early Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
6 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
[18F]APN-1607
Arm Type
Experimental
Arm Description
For the injection, subjects will receive a target dose of 0.1~0.15mCi/Kg [18F]APN-1607 as a bolus injection.
Intervention Type
Drug
Intervention Name(s)
[18F]APN-1607
Other Intervention Name(s)
[18F]PBB3
Intervention Description
Subjects will receive one injection of [18F]APN-1607 (0.1~0.15mCi/Kg), a PET radiopharmaceutical selective for fibrillar tau. [18F]APN-1607 injection will be followed by a 10 ml saline flush.
Primary Outcome Measure Information:
Title
Assessment of [18F]APN-1607 Uptake Patterns by Regional SUV Values
Description
[18F]APN-1607 uptake patterns will be assessed in regions of interest (ROIs) which relevant to AD pathology. Standard uptake value (SUV) will be calculated for each ROI, and standardized uptake value ratios (SUVRs) will be calculated by normalizing SUV of ROIs to the SUV of relevant reference region.
Time Frame
36 months
Secondary Outcome Measure Information:
Title
Safety and Tolerability Profile Measured by Adverse Events (AEs)
Description
Safety and tolerability profile for the administration of [18F]APN-1607 and positron emission tomography (PET) scanning are measured by number of participants with adverse events (AEs).
Time Frame
36 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female aged 45 to 80 years, inclusive. Has a diagnosis of AD dementia according to NIA-AA criteria, including significant impairment of activities of daily living. Has a CDR score ≥ 0.5 at screening. Has a MMSE score ≤ 25. Brain MRI supports the diagnosis of AD and there is no evidence of other nervous system diseases. Medications taken for symptomatic treatment of AD must have been stable for 30 days prior to screening and through completion of the neuropsychological battery. If necessary, the subject can be accompanied by nursing staff. Written informed consent must be obtained before any assessment is performed. Female subjects must be documented by medical records or physician's note to be either surgically sterile (by means of hysterectomy, bilateral oophorectomy, or tubal ligation) or post-menopausal for at least 1 year (ie, 12 consecutive months with no menses without an alternative medical cause) or, if they are of childbearing potential, must commit to use a barrier contraception method or to abstinence for the duration of the study and must have negative serum and urine pregnancy tests. Male subjects and their partners of childbearing potential must commit to the use of two methods of contraception, one of which is a barrier method (ie, condom), or to abstinence for the study duration. Male subjects must not donate sperm for the study duration. Willing and able to participate in all study procedures. Exclusion Criteria: Evidence of clinically significant gastrointestinal, cardiovascular, hepatic, renal, hematological, neoplastic, endocrine, alternative neurological, immunodeficiency, pulmonary, or other disorder or disease. Implants, such as implanted cardiac pacemakers or defibrillators, insulin pumps, cochlear implants, metallic ocular foreign body, implanted neural stimulators, CNS aneurysm clips and other medical implants that have not been certified for MRI, or history of claustrophobia in MRI. Intolerance to MRI noise or hermetic phobia. Prior participation in other research protocols or clinical care in the last year in addition to the radiation exposure expected from participation in this clinical study, such that radiation exposure exceeds local guidelines, eg, above an effective dose of 50 mSv. Current or prior history (within the last 10 years) of alcohol or drug abuse. Pregnant, lactating or breastfeeding. Unsuitable veins for repeated venipuncture Has received any investigational drug or device for any purpose within 30 days of screening (or 5 half-lives of the drug, whichever is longer). Known hypersensitivity to [18F]APN-1607 or its excipients Has received a non-vaccine investigational treatment for Aβ within the last 3 months. Has received a non-vaccine investigational treatment for tau within the last 3 months. Any situation that the presiding officer of this study believes may cause harm or potential harm to any link related to this test.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Feng Wang
Phone
02552271491
Email
fengwangcn@hotmail.com
First Name & Middle Initial & Last Name or Official Title & Degree
Wenyu Wu
Phone
02552271491
Email
15150513147@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Feng Wang
Organizational Affiliation
Nanjing First Hospital, Nanjing Medical University
Official's Role
Study Director
Facility Information:
Facility Name
Nanjing First Hospital
City
Nanjing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Feng Wang, Ph.D
Phone
+8602552271491
Email
fengwangcn@njmu.edu.cn
First Name & Middle Initial & Last Name & Degree
Wenyu Wu, M.D
Phone
+8602552271456
Email
15150513147@163.com
First Name & Middle Initial & Last Name & Degree
Feng Wang, Ph.D

12. IPD Sharing Statement

Plan to Share IPD
No

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Clinical Evaluation of [18F]APN-1607 PET Uptake in Alzheimer's Disease Patients

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