Alzheimer Disease
Conditions
Keywords
Amyloid imaging, Positron Emission Tomography, 18F-AV-45, florbetapir F 18, Diagnostic imaging
Brief summary
This study will test two different doses of florbetapir F 18 to determine which dose is best to image amyloid plaques in the brains of Alzheimer's Disease (AD) patients using a positron emission tomography (PET) scanner.
Interventions
single dose IV injection
Sponsors
Study design
Eligibility
Inclusion criteria
(AD group): * Greater than 50 years of age * Probable AD according to the National Institute of Neurological and Communication Disorders and Stroke-Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) criteria * Mild/moderate dementia as evidenced by a Mini-Mental State Examination (MMSE) score ranging from 10 to 24, boundaries included, at screening * History of cognitive decline gradual in onset and progressive over a period of at least 6 months Inclusion Criteria (healthy volunteer group): * 35 to 55 years of age, inclusive * MMSE of 29 or greater
Exclusion criteria
(both groups): * Neurodegenerative disorders other than AD, including, but not limited to Parkinson's disease, Pick's disease, fronto-temporal dementia, Huntington's chorea, Down syndrome, Creutzfeldt-Jacob disease, normal pressure hydrocephalus, and progressive supranuclear palsy * Diagnosis of other dementing / neurodegenerative disease * Diagnosis of mixed dementia * Cognitive impairment resulting from trauma, hypoxic damage, vitamin deficiency, brain infection, brain cancer, endocrine disease, or mental retardation * Clinically significant infarct or possible multi-infarct dementia as defined by the NINCDS criteria * Evidence on screening MRI or other biomarker that suggests alternate etiology for cognitive deficit (for healthy controls, evidence suggesting the presence of AD pathology) * Clinically significant psychiatric disease * History of epilepsy or convulsions * Clinically significant hepatic, renal, pulmonary, metabolic, or endocrine disturbances * Current clinically significant cardiovascular disease * Received investigational medication within the last 30 days
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Florbetapir-PET Scan Quality | 0-90 min after injection | Visual evaluation of image quality by nuclear medicine specialist blinded to dose and clinical information; reported on a 5-point scale (5=excellent and 1=poor). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Cortical to Cerebellum SUVR | 0-90 min after injection | Standardized Uptake Value ratio (SUVR) is the ratio of tracer uptake in predefined cortical regions, relative to uptake in the whole cerebellum. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 111 MBq (3 mCi) AD Group Subjects with AD who received 111MBq (3 mCi) of florbetapir F 18; MBq=megabecquerel | 5 |
| 111 MBq (3 mCi) Control Group Healthy controls who received 111MBq (3 mCi) of florbetapir F 18 | 4 |
| 370 MBq (10 mCi) AD Group Subjects with AD who received 370MBq (10 mCi) of florbetapir F 18 | 4 |
| 370 MBq (10 mCi) Control Group Healthy controls who received 370MBq (10 mCi) of florbetapir F 18 | 7 |
| Total | 20 |
Baseline characteristics
| Characteristic | 111 MBq (3 mCi) AD Group | 111 MBq (3 mCi) Control Group | 370 MBq (10 mCi) AD Group | 370 MBq (10 mCi) Control Group | Total |
|---|---|---|---|---|---|
| Age Continuous | 74.8 years STANDARD_DEVIATION 11.01 | 48.0 years STANDARD_DEVIATION 6.73 | 76.8 years STANDARD_DEVIATION 10.24 | 45.0 years STANDARD_DEVIATION 6.88 | 59.4 years STANDARD_DEVIATION 17.14 |
| Region of Enrollment United States | 5 participants | 4 participants | 4 participants | 7 participants | 20 participants |
| Sex: Female, Male Female | 2 Participants | 1 Participants | 2 Participants | 1 Participants | 6 Participants |
| Sex: Female, Male Male | 3 Participants | 3 Participants | 2 Participants | 6 Participants | 14 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 0 / 5 | 0 / 4 | 0 / 4 | 2 / 7 |
| serious Total, serious adverse events | 0 / 5 | 0 / 4 | 0 / 4 | 0 / 7 |
Outcome results
Florbetapir-PET Scan Quality
Visual evaluation of image quality by nuclear medicine specialist blinded to dose and clinical information; reported on a 5-point scale (5=excellent and 1=poor).
Time frame: 0-90 min after injection
Population: One subject in the 370 MBq (10 mCi) AD Group did not complete all imaging time periods
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 111 MBq (3 mCi) AD Group | Florbetapir-PET Scan Quality | 4 | 3 florbetapir scans |
| 111 MBq (3 mCi) AD Group | Florbetapir-PET Scan Quality | 2 | 1 florbetapir scans |
| 111 MBq (3 mCi) AD Group | Florbetapir-PET Scan Quality | 5 - Excellent | 0 florbetapir scans |
| 111 MBq (3 mCi) AD Group | Florbetapir-PET Scan Quality | 3 | 1 florbetapir scans |
| 111 MBq (3 mCi) AD Group | Florbetapir-PET Scan Quality | 1 - Poor | 0 florbetapir scans |
| 111 MBq (3 mCi) Control Group | Florbetapir-PET Scan Quality | 3 | 3 florbetapir scans |
| 111 MBq (3 mCi) Control Group | Florbetapir-PET Scan Quality | 4 | 0 florbetapir scans |
| 111 MBq (3 mCi) Control Group | Florbetapir-PET Scan Quality | 5 - Excellent | 0 florbetapir scans |
| 111 MBq (3 mCi) Control Group | Florbetapir-PET Scan Quality | 2 | 1 florbetapir scans |
| 111 MBq (3 mCi) Control Group | Florbetapir-PET Scan Quality | 1 - Poor | 0 florbetapir scans |
| 370 MBq (10 mCi) AD Group | Florbetapir-PET Scan Quality | 3 | 2 florbetapir scans |
| 370 MBq (10 mCi) AD Group | Florbetapir-PET Scan Quality | 1 - Poor | 0 florbetapir scans |
| 370 MBq (10 mCi) AD Group | Florbetapir-PET Scan Quality | 2 | 0 florbetapir scans |
| 370 MBq (10 mCi) AD Group | Florbetapir-PET Scan Quality | 4 | 2 florbetapir scans |
| 370 MBq (10 mCi) AD Group | Florbetapir-PET Scan Quality | 5 - Excellent | 0 florbetapir scans |
| 370 MBq (10 mCi) Control Group | Florbetapir-PET Scan Quality | 4 | 3 florbetapir scans |
| 370 MBq (10 mCi) Control Group | Florbetapir-PET Scan Quality | 2 | 0 florbetapir scans |
| 370 MBq (10 mCi) Control Group | Florbetapir-PET Scan Quality | 1 - Poor | 0 florbetapir scans |
| 370 MBq (10 mCi) Control Group | Florbetapir-PET Scan Quality | 3 | 4 florbetapir scans |
| 370 MBq (10 mCi) Control Group | Florbetapir-PET Scan Quality | 5 - Excellent | 0 florbetapir scans |
Mean Cortical to Cerebellum SUVR
Standardized Uptake Value ratio (SUVR) is the ratio of tracer uptake in predefined cortical regions, relative to uptake in the whole cerebellum.
Time frame: 0-90 min after injection
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 111 MBq (3 mCi) AD Group | Mean Cortical to Cerebellum SUVR | 1.781 SUVR | Standard Deviation 0.217 |
| 111 MBq (3 mCi) Control Group | Mean Cortical to Cerebellum SUVR | 0.968 SUVR | Standard Deviation 0.05 |
| 370 MBq (10 mCi) AD Group | Mean Cortical to Cerebellum SUVR | 1.658 SUVR | Standard Deviation 0.288 |
| 370 MBq (10 mCi) Control Group | Mean Cortical to Cerebellum SUVR | 0.988 SUVR | Standard Deviation 0.093 |