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Beta-Amyloid Imaging With [18F]NAV4694 Positron Emission Tomography (PET) in Predicting Progression to Alzheimer's Disease (AD) in Subjects With Mild Cognitive Impairment (MCI) (NAV4-04)

Primary Purpose

Mild Cognitive Impairment

Status
Unknown status
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
[18F]NAV4694
Sponsored by
Navidea Biopharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Mild Cognitive Impairment focused on measuring Mild Cognitive Impairment

Eligibility Criteria

55 Years - 99 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject has signed informed consent to participate in the study and continues to give willing consent for participation
  • Age ≥ 55 years with a diagnosis of MCI
  • Educational level of at least 6 years
  • Female subjects will not be of child-bearing potential (> 1 year post-menopausal or surgically sterile)
  • Availability of a "study partner" who can assist in completing rating scales for the duration of the study
  • Cognitive complaints reported by the subject and confirmed by the "study partner"
  • Clinical Dementia Rating (CDR) global score = 0.5
  • Mini-mental state examination (MMSE) score of 24-30
  • Diagnostic and Statistical Manual of Mental Disorders, Version 4, Text Revised (DSM-IV-TR) criteria of dementia not fulfilled

Exclusion Criteria:

  • Has been previously enrolled in this study and received the investigational product
  • Has received an investigational product within 30 days prior to screening
  • Has received disease-modifying therapy that could have changed amyloid brain deposition
  • Has exceeded yearly radioactive dose of 30 mSv
  • Has a known allergy to the study drug or any of its constituents
  • Has a history of alcohol abuse or alcohol dependency in the 3 years prior to study entry, or is an alcoholic or drug addict, as determined by the investigator
  • Has ongoing clinically significant (as judged by the investigator), metabolic or any other disease that could currently cause impaired memory (e.g., untreated thyroid disease, vitamin or other nutritional deficiencies, chronic kidney, or liver disease)
  • Memory impairment that can be attributed to a disease or condition other than an early phase neurodegenerative syndrome
  • Has a parkinsonian movement disorder
  • Use of psychoactive medications that would affect the subject's ability to reliably perform neurocognitive testing or create uncertainty in distinguishing between the effects of the psychoactive medication and the subject's underlying cognitive impairment (e.g., benzodiazepines, sedatives, antipsychotics)
  • Has received any contrast material (X-ray, MRI) or radiopharmaceutical within 48 hours prior to, or a therapeutic radiopharmaceutical (e.g., 131I) within 10 days prior to, or any radiopharmaceutical administration within 10 radioactive half-lives prior to the administration of the investigational product or for whom administration of such substances is planned within 7 days after investigational product administration
  • History of major recurrent depressive disorder (per DSM-IV-TR) within the last 5 years prior to screening
  • Has a brain tumor or other intracranial lesion, a disturbance of cerebral spinal fluid circulation (e.g., normal pressure hydrocephalus), and/or a significant history of head trauma or brain surgery
  • Has signs of major cerebrovascular disease, as verified by medical history and/or brain MRI
  • Is scheduled for surgery and/or another invasive procedure within the 7 days following investigational product administration
  • Has any contraindication to MRI examination, e.g., metal implants, phobia, or cannot undergo an MRI for other reasons such as the inability to lie flat

Sites / Locations

  • Banner Sun Health Research Institute
  • Galiz Research
  • Mt. Sinai Wien Center for Alzheimer's Disease
  • Compass Research
  • Rush University Medical Center
  • SIU School of Medicine
  • McLean Hospital
  • Qunicy Medical Center, Alzheimer's Disease Center
  • Neurological Associates of Albany
  • Albert Einstein College of Medicine
  • Wake Forest School of Medicine

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

[18F]NAV4694

Arm Description

Intravenous [18F]NAV4694 (8.1 mCi) administered once every 18 months

Outcomes

Primary Outcome Measures

Incidence of Mild Cognitive Impairment Progression to Alzheimer's Disease
Incidence of Mild Cognitive Impairment Progression to Alzheimer's Disease

Secondary Outcome Measures

Incidence of [18F]NAV4694 PET Positive scans at 18 months compared to baseline
Incidence of [18F]NAV4694 PET Positive scans at 18 months compared to baseline
Change in Neuro-cognitive Test Battery Scores at 6 months compared to baseline
Change in Neuro-cognitive Test Battery Scores at 6 months compared to baseline
Change in Neuro-cognitive Test Battery Scores at 12 months compared to baseline
Change in Neuro-cognitive Test Battery Scores at 12 months compared to baseline
Change in Neuro-cognitive Test Battery Scores at 18 months compared to baseline
Change in Neuro-cognitive Test Battery Scores at 18 months compared to baseline
Change in Neuro-cognitive Test Battery Scores at 24 months compared to baseline
Change in Neuro-cognitive Test Battery Scores at 24 months compared to baseline
Change in Neuro-cognitive Test Battery Scores at 30 months compared to baseline
Change in Neuro-cognitive Test Battery Scores at 30 months compared to baseline
Change in Neuro-cognitive Test Battery Scores at 36 months compared to baseline
Change in Neuro-cognitive Test Battery Scores at 36 months compared to baseline
Change in SUVR scores at 18 months compared to baseline
Change in SUVR scores at 18 months compared to baseline
Incidence of Adverse Events post baseline
Incidence of Adverse Events post baseline

Full Information

First Posted
March 12, 2013
Last Updated
July 25, 2017
Sponsor
Navidea Biopharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01812213
Brief Title
Beta-Amyloid Imaging With [18F]NAV4694 Positron Emission Tomography (PET) in Predicting Progression to Alzheimer's Disease (AD) in Subjects With Mild Cognitive Impairment (MCI)
Acronym
NAV4-04
Official Title
Beta-Amyloid Imaging With [18F]NAV4694 Positron Emission Tomography (PET) in Predicting Progression to Alzheimer's Disease (AD) in Subjects With Mild Cognitive Impairment (MCI)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2017
Overall Recruitment Status
Unknown status
Study Start Date
March 2013 (Actual)
Primary Completion Date
June 2018 (Anticipated)
Study Completion Date
August 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Navidea Biopharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To investigate whether [18F]NAV4694 positron emission tomography (PET) scan findings have the ability to distinguish subjects with mild cognitive impairment (MCI) who progress to Alzheimer's disease (AD) from those who do not.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mild Cognitive Impairment
Keywords
Mild Cognitive Impairment

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
120 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
[18F]NAV4694
Arm Type
Experimental
Arm Description
Intravenous [18F]NAV4694 (8.1 mCi) administered once every 18 months
Intervention Type
Drug
Intervention Name(s)
[18F]NAV4694
Primary Outcome Measure Information:
Title
Incidence of Mild Cognitive Impairment Progression to Alzheimer's Disease
Description
Incidence of Mild Cognitive Impairment Progression to Alzheimer's Disease
Time Frame
3 Years
Secondary Outcome Measure Information:
Title
Incidence of [18F]NAV4694 PET Positive scans at 18 months compared to baseline
Description
Incidence of [18F]NAV4694 PET Positive scans at 18 months compared to baseline
Time Frame
18 months
Title
Change in Neuro-cognitive Test Battery Scores at 6 months compared to baseline
Description
Change in Neuro-cognitive Test Battery Scores at 6 months compared to baseline
Time Frame
6 months
Title
Change in Neuro-cognitive Test Battery Scores at 12 months compared to baseline
Description
Change in Neuro-cognitive Test Battery Scores at 12 months compared to baseline
Time Frame
12 months
Title
Change in Neuro-cognitive Test Battery Scores at 18 months compared to baseline
Description
Change in Neuro-cognitive Test Battery Scores at 18 months compared to baseline
Time Frame
18 months
Title
Change in Neuro-cognitive Test Battery Scores at 24 months compared to baseline
Description
Change in Neuro-cognitive Test Battery Scores at 24 months compared to baseline
Time Frame
24 months
Title
Change in Neuro-cognitive Test Battery Scores at 30 months compared to baseline
Description
Change in Neuro-cognitive Test Battery Scores at 30 months compared to baseline
Time Frame
30 months
Title
Change in Neuro-cognitive Test Battery Scores at 36 months compared to baseline
Description
Change in Neuro-cognitive Test Battery Scores at 36 months compared to baseline
Time Frame
36 months
Title
Change in SUVR scores at 18 months compared to baseline
Description
Change in SUVR scores at 18 months compared to baseline
Time Frame
36 months
Title
Incidence of Adverse Events post baseline
Description
Incidence of Adverse Events post baseline
Time Frame
3 Years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject has signed informed consent to participate in the study and continues to give willing consent for participation Age ≥ 55 years with a diagnosis of MCI Educational level of at least 6 years Female subjects will not be of child-bearing potential (> 1 year post-menopausal or surgically sterile) Availability of a "study partner" who can assist in completing rating scales for the duration of the study Cognitive complaints reported by the subject and confirmed by the "study partner" Clinical Dementia Rating (CDR) global score = 0.5 Mini-mental state examination (MMSE) score of 24-30 Diagnostic and Statistical Manual of Mental Disorders, Version 4, Text Revised (DSM-IV-TR) criteria of dementia not fulfilled Exclusion Criteria: Has been previously enrolled in this study and received the investigational product Has received an investigational product within 30 days prior to screening Has received disease-modifying therapy that could have changed amyloid brain deposition Has exceeded yearly radioactive dose of 30 mSv Has a known allergy to the study drug or any of its constituents Has a history of alcohol abuse or alcohol dependency in the 3 years prior to study entry, or is an alcoholic or drug addict, as determined by the investigator Has ongoing clinically significant (as judged by the investigator), metabolic or any other disease that could currently cause impaired memory (e.g., untreated thyroid disease, vitamin or other nutritional deficiencies, chronic kidney, or liver disease) Memory impairment that can be attributed to a disease or condition other than an early phase neurodegenerative syndrome Has a parkinsonian movement disorder Use of psychoactive medications that would affect the subject's ability to reliably perform neurocognitive testing or create uncertainty in distinguishing between the effects of the psychoactive medication and the subject's underlying cognitive impairment (e.g., benzodiazepines, sedatives, antipsychotics) Has received any contrast material (X-ray, MRI) or radiopharmaceutical within 48 hours prior to, or a therapeutic radiopharmaceutical (e.g., 131I) within 10 days prior to, or any radiopharmaceutical administration within 10 radioactive half-lives prior to the administration of the investigational product or for whom administration of such substances is planned within 7 days after investigational product administration History of major recurrent depressive disorder (per DSM-IV-TR) within the last 5 years prior to screening Has a brain tumor or other intracranial lesion, a disturbance of cerebral spinal fluid circulation (e.g., normal pressure hydrocephalus), and/or a significant history of head trauma or brain surgery Has signs of major cerebrovascular disease, as verified by medical history and/or brain MRI Is scheduled for surgery and/or another invasive procedure within the 7 days following investigational product administration Has any contraindication to MRI examination, e.g., metal implants, phobia, or cannot undergo an MRI for other reasons such as the inability to lie flat
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Cornelia Reininger, MD, PhD
Organizational Affiliation
Navidea Biopharmaceuticals Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Banner Sun Health Research Institute
City
Sun City
State/Province
Arizona
ZIP/Postal Code
85351
Country
United States
Facility Name
Galiz Research
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33016
Country
United States
Facility Name
Mt. Sinai Wien Center for Alzheimer's Disease
City
Miami Beach
State/Province
Florida
ZIP/Postal Code
33140
Country
United States
Facility Name
Compass Research
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Rush University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
SIU School of Medicine
City
Springfield
State/Province
Illinois
ZIP/Postal Code
62702
Country
United States
Facility Name
McLean Hospital
City
Belmont
State/Province
Massachusetts
ZIP/Postal Code
02478
Country
United States
Facility Name
Qunicy Medical Center, Alzheimer's Disease Center
City
Quincy
State/Province
Massachusetts
ZIP/Postal Code
02169
Country
United States
Facility Name
Neurological Associates of Albany
City
Albany
State/Province
New York
ZIP/Postal Code
12208
Country
United States
Facility Name
Albert Einstein College of Medicine
City
The Bronx
State/Province
New York
ZIP/Postal Code
10461
Country
United States
Facility Name
Wake Forest School of Medicine
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
21157
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Beta-Amyloid Imaging With [18F]NAV4694 Positron Emission Tomography (PET) in Predicting Progression to Alzheimer's Disease (AD) in Subjects With Mild Cognitive Impairment (MCI)

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