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Evaluation of [18F]MK-9470 as a Brain Tracer of Cannabinoid-1 Receptor in Parkinson's Disease and Healthy Subjects (MK9470)

Primary Purpose

Parkinson Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
[18F]MK-9470
Sponsored by
Institute for Neurodegenerative Disorders
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Parkinson Disease focused on measuring Parkinson Disease, Molecular NeuroImaging

Eligibility Criteria

18 Years - 90 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Early PD Subjects

Inclusion criteria:

  • The participant is 30 years or older.
  • Written informed consent is obtained.
  • Participants have a diagnosis of PD (based on UK Brain Bank Criteria) within the past 2 years.
  • Modified Hoehn and Yahr stages 1-2.
  • No evidence of dyskinesia by history or clinical examination
  • For females, non-child bearing potential or a negative urine or blood pregnancy test on day of [18F]-MK-9470 injection.

Advanced PD subjects

Inclusion criteria:

  • The participant is 30 years or older.
  • Written informed consent is obtained.
  • Participants have a diagnosis of PD (based on UK Brain Bank Criteria) of at least 5 years duration.
  • Modified Hoehn and Yahr stages 1-4.
  • No evidence of dyskinesia by history or clinical examination
  • For females, non-child bearing potential or a negative urine or blood pregnancy test on day of [18F]-MK-9470 injection.

Subjects who have a clinical diagnosis of advanced PD with dyskinesia will be recruited for this study.

ePD subjects

Inclusion criteria:

  • The participant is 30 years or older.
  • Written informed consent is obtained.
  • Participants have a diagnosis of PD (based on UK Brain Bank Criteria) of at least 5 years.
  • Modified Hoehn and Yahr stages 1-4.
  • Evidence of dyskinesia either by history or clinical examination
  • For females, non-child bearing potential or a negative urine or blood pregnancy test on day of [18F]-MK-9470 injection.

PD (all stages- e-PD, aPD, aPD-dys)Subject Selection. Subjects who have a clinical diagnosis of ePD, aPD, aPD-dys will be recruited for this study.

All PD subjects

Exclusion criteria:

  • The subject has a clinically significant abnormal laboratory value and/or clinically significant unstable medical or psychiatric illness
  • The subject has any disorder that may interfere with drug absorption, distribution, metabolism, or excretion.
  • The patient has evidence of unstable gastrointestinal, cardiovascular, hepatic, renal, hematological, neoplastic, endocrine, neurological, pulmonary, or other disorder or disease.
  • Evidence of a stroke or mass lesion in a clinically relevant area that may interfere with the imaging outcome measure
  • Subjects with radiation exposure above acceptable levels
  • Pregnancy

Healthy Control Subject Selection: subjects who have no neurological disease will be recruited for this study.

Healthy control subjects

Inclusion criteria:

  • The participant is 18 years or older.
  • Written informed consent is obtained.
  • Negative history of neurological or psychiatric illness based on evaluation by a research physician.
  • For females, non-child bearing potential a negative urine or blood pregnancy test on day of [18F]-MK9470 injection.

Exclusion criteria:

  • The subject has a clinically significant abnormal laboratory value and/or clinically significant unstable medical or psychiatric illness.
  • The subject has evidence of clinically significant gastrointestinal, cardiovascular, hepatic, renal, hematological, neoplastic, endocrine, neurological, immunodeficiency, pulmonary, or other disorder or disease.
  • The subject has any disorder that may interfere with drug absorption, distribution, metabolism, or excretion.
  • Subjects with radiation exposure above acceptable levels
  • Pregnancy

Sites / Locations

  • Institute for Neurodegenerative Disorders

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Assess [18F]MK-9470 and PET imaging

Arm Description

To Assess [18F]MK-9470 and PET imaging

Outcomes

Primary Outcome Measures

Dynamic uptake and washout of [18F]MK-9470
To assess the dynamic uptake and washout of [18F]-MK-9470 in brain using positron emission tomography (PET) in early Parkinson disease and advanced Parkinson disease with and without dyskinesia and similarly aged healthy control subjects as a potential imaging biomarker of the cannabionoid-1 (CB-1) receptor in brain.

Secondary Outcome Measures

To acquire safety data
Safety will be assessed by the number of adverse events experienced by subjects and any clinically significant changes in laboratory tests or vital signs.

Full Information

First Posted
June 8, 2011
Last Updated
November 8, 2013
Sponsor
Institute for Neurodegenerative Disorders
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1. Study Identification

Unique Protocol Identification Number
NCT01462708
Brief Title
Evaluation of [18F]MK-9470 as a Brain Tracer of Cannabinoid-1 Receptor in Parkinson's Disease and Healthy Subjects
Acronym
MK9470
Official Title
Evaluation of [18F] MK-9470 and PET as a Marker of Cannabinoid-1 Receptor Activity in Subjects With Parkinson Disease Compared With Healthy Controls
Study Type
Interventional

2. Study Status

Record Verification Date
November 2013
Overall Recruitment Status
Completed
Study Start Date
May 2011 (undefined)
Primary Completion Date
May 2013 (Actual)
Study Completion Date
May 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Institute for Neurodegenerative Disorders

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess MK-9470 Positron Emission Tomography (PET) imaging as a tool to evaluate the activity of the CB-1 receptor in the brain.
Detailed Description
The underlying goal of this study is to assess MK-9470 PET imaging as a tool to evaluate the activity of the CB-1 receptor in the brain of Parkinson's Disease (PD) research participants.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Parkinson Disease
Keywords
Parkinson Disease, Molecular NeuroImaging

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Assess [18F]MK-9470 and PET imaging
Arm Type
Experimental
Arm Description
To Assess [18F]MK-9470 and PET imaging
Intervention Type
Drug
Intervention Name(s)
[18F]MK-9470
Other Intervention Name(s)
Parkinson Disease, Cannabinoid-1
Intervention Description
Subjects will be injected with 10 mCi, and not to exceed 11 mCi (not >10% of 10 mCi limit)of [18F]MK-9470, followed by PET imaging.
Primary Outcome Measure Information:
Title
Dynamic uptake and washout of [18F]MK-9470
Description
To assess the dynamic uptake and washout of [18F]-MK-9470 in brain using positron emission tomography (PET) in early Parkinson disease and advanced Parkinson disease with and without dyskinesia and similarly aged healthy control subjects as a potential imaging biomarker of the cannabionoid-1 (CB-1) receptor in brain.
Time Frame
Approximately 2 years
Secondary Outcome Measure Information:
Title
To acquire safety data
Description
Safety will be assessed by the number of adverse events experienced by subjects and any clinically significant changes in laboratory tests or vital signs.
Time Frame
Approximately 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Early PD Subjects Inclusion criteria: The participant is 30 years or older. Written informed consent is obtained. Participants have a diagnosis of PD (based on UK Brain Bank Criteria) within the past 2 years. Modified Hoehn and Yahr stages 1-2. No evidence of dyskinesia by history or clinical examination For females, non-child bearing potential or a negative urine or blood pregnancy test on day of [18F]-MK-9470 injection. Advanced PD subjects Inclusion criteria: The participant is 30 years or older. Written informed consent is obtained. Participants have a diagnosis of PD (based on UK Brain Bank Criteria) of at least 5 years duration. Modified Hoehn and Yahr stages 1-4. No evidence of dyskinesia by history or clinical examination For females, non-child bearing potential or a negative urine or blood pregnancy test on day of [18F]-MK-9470 injection. Subjects who have a clinical diagnosis of advanced PD with dyskinesia will be recruited for this study. ePD subjects Inclusion criteria: The participant is 30 years or older. Written informed consent is obtained. Participants have a diagnosis of PD (based on UK Brain Bank Criteria) of at least 5 years. Modified Hoehn and Yahr stages 1-4. Evidence of dyskinesia either by history or clinical examination For females, non-child bearing potential or a negative urine or blood pregnancy test on day of [18F]-MK-9470 injection. PD (all stages- e-PD, aPD, aPD-dys)Subject Selection. Subjects who have a clinical diagnosis of ePD, aPD, aPD-dys will be recruited for this study. All PD subjects Exclusion criteria: The subject has a clinically significant abnormal laboratory value and/or clinically significant unstable medical or psychiatric illness The subject has any disorder that may interfere with drug absorption, distribution, metabolism, or excretion. The patient has evidence of unstable gastrointestinal, cardiovascular, hepatic, renal, hematological, neoplastic, endocrine, neurological, pulmonary, or other disorder or disease. Evidence of a stroke or mass lesion in a clinically relevant area that may interfere with the imaging outcome measure Subjects with radiation exposure above acceptable levels Pregnancy Healthy Control Subject Selection: subjects who have no neurological disease will be recruited for this study. Healthy control subjects Inclusion criteria: The participant is 18 years or older. Written informed consent is obtained. Negative history of neurological or psychiatric illness based on evaluation by a research physician. For females, non-child bearing potential a negative urine or blood pregnancy test on day of [18F]-MK9470 injection. Exclusion criteria: The subject has a clinically significant abnormal laboratory value and/or clinically significant unstable medical or psychiatric illness. The subject has evidence of clinically significant gastrointestinal, cardiovascular, hepatic, renal, hematological, neoplastic, endocrine, neurological, immunodeficiency, pulmonary, or other disorder or disease. The subject has any disorder that may interfere with drug absorption, distribution, metabolism, or excretion. Subjects with radiation exposure above acceptable levels Pregnancy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Danna Jennings, MD
Organizational Affiliation
Institute for Neurodegenerative Disorders
Official's Role
Principal Investigator
Facility Information:
Facility Name
Institute for Neurodegenerative Disorders
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06510
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.indd.org
Description
Institute for Neurodegenerative Disorders

Learn more about this trial

Evaluation of [18F]MK-9470 as a Brain Tracer of Cannabinoid-1 Receptor in Parkinson's Disease and Healthy Subjects

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