Alzheimer's Disease
Conditions
Brief summary
This study will determine how florbetapir (18F) (18F-AV-45) radioactivity is distributed throughout the body of Japanese subjects.
Interventions
IV injection, 370 MBq (10mCi), single dose
Sponsors
Study design
Eligibility
Inclusion criteria
1. Are Japanese cognitively normal healthy males or females at least 45 years of age; 2. Give informed consent; and 3. Are able to lie still on the imaging table for periods up to one hour.
Exclusion criteria
1. Have had radiation exposure (PET, SPECT or CT scans) for experimental purposes within the last year; 2. Are claustrophobic or otherwise unable to tolerate the imaging procedure; 3. Have medical conditions or surgical history that would confound evaluation of dosimetry (e.g., liver disease, colectomy etc.); 4. Have current clinically significant cardiovascular disease. Clinically significant cardiovascular disease usually includes one or more of the following: 1. cardiac surgery or myocardial infarction within the last 6 months; 2. unstable angina; 3. coronary artery disease that required a change in medication within the last 3 months; 4. decompensated congestive heart failure; 5. significant cardiac arrhythmia or conduction disturbance, particularly those resulting in atrial or ventricular fibrillation, or causing syncope, near syncope, or other alterations in mental status; 6. severe mitral or aortic valvular disease; 7. uncontrolled high blood pressure; 8. congenital heart disease; 9. clinically significant abnormal result on ECG, including but not limited to QTc\>450 msec; Before enrolling a patient with any evidence of the above conditions, the investigator must contact the sponsor; 5. Have current clinically significant medical comorbidities, as indicated by history, physical exam, or laboratory evaluations that might pose a potential safety risk, interfere with the absorption or metabolism of the study medication or limit interpretation of the trial results. These include but are not limited to clinically significant hepatic, renal, pulmonary, metabolic or endocrine disease, cancer; 6. Have a history of drug or alcohol abuse within the last year, or prior prolonged history of abuse; 7. Have a history of epilepsy or convulsions, except for febrile convulsions during childhood; 8. Have clinically significant infectious disease, including AIDS or HIV infection or previous positive test for hepatitis B, hepatitis C, HIV-1, or HIV-2; 9. Have had a radiopharmaceutical imaging or treatment procedure within 7 days prior to the study imaging session; 10. Are females of childbearing potential who are not surgically sterile, not refraining from sexual activity or not using reliable methods of contraception. Females of childbearing potential must not be pregnant (negative serum β-HCG at the time of screening) or breastfeeding at screening. Females must agree to avoid becoming pregnant, and must agree to refrain from sexual activity or to use reliable methods of contraception such as prescribed birth control or IUD for 24 hours following administration of florbetapir (18F); 11. Have a history of severe drug allergy or hypersensitivity; 12. Received an investigational medication within the last 30 days or who have participated in a clinical trial with any experimental medication in the last 30 days. Additionally, the time between the last dose of the previous experimental medication and enrollment (completion of screening assessments) must be at least equal to 5 times the terminal half-life of the previous experimental medication; 13. Have known hypersensitivity to alcohol; and 14. In the opinion of the investigator, are otherwise unsuitable for a study of this type.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Whole Body Radiation Dosimetry | 0-360 minutes | Radiation dose values (millisieverts/megabecquerel \[mSv/MBq\]) were calculated for target organs, including the adrenals, brain, breasts, gall bladder wall, heart wall, kidneys, lower large intestine wall, liver, lungs, muscle, ovaries, osteogenic cells, pancreas, red marrow, skin, small intestine, spleen, stomach wall, testes, thymus, thyroid, total body, upper large intestine wall, urinary bladder wall, and uterus. |
Countries
Japan
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Healthy Volunteers Cognitively normal, healthy volunteers at least 45 years of age.
florbetapir (18F) : IV injection, 370 MBq (10mCi), single dose | 7 |
| Total | 7 |
Baseline characteristics
| Characteristic | Healthy Volunteers |
|---|---|
| Age Continuous | 54.4 years STANDARD_DEVIATION 5.71 |
| Region of Enrollment Japan | 7 participants |
| Sex: Female, Male Female | 1 Participants |
| Sex: Female, Male Male | 6 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 1 / 7 |
| serious Total, serious adverse events | 0 / 7 |
Outcome results
Whole Body Radiation Dosimetry
Radiation dose values (millisieverts/megabecquerel \[mSv/MBq\]) were calculated for target organs, including the adrenals, brain, breasts, gall bladder wall, heart wall, kidneys, lower large intestine wall, liver, lungs, muscle, ovaries, osteogenic cells, pancreas, red marrow, skin, small intestine, spleen, stomach wall, testes, thymus, thyroid, total body, upper large intestine wall, urinary bladder wall, and uterus.
Time frame: 0-360 minutes
Population: Analysis population includes the 6 subjects who completed the study and had valid imaging data for quantitative analysis.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| 50-kg Model | Whole Body Radiation Dosimetry | Kidneys | 0.0237 mSv/MBq | Standard Deviation 0.00393 |
| 50-kg Model | Whole Body Radiation Dosimetry | Pancreas | 0.0205 mSv/MBq | Standard Deviation 0.00188 |
| 50-kg Model | Whole Body Radiation Dosimetry | Breasts | 0.0108 mSv/MBq | Standard Deviation 0.00123 |
| 50-kg Model | Whole Body Radiation Dosimetry | Red marrow | 0.0221 mSv/MBq | Standard Deviation 0.00182 |
| 50-kg Model | Whole Body Radiation Dosimetry | Lower large intestine wall | 0.0210 mSv/MBq | Standard Deviation 0.00245 |
| 50-kg Model | Whole Body Radiation Dosimetry | Skin | 0.00993 mSv/MBq | Standard Deviation 0.00113 |
| 50-kg Model | Whole Body Radiation Dosimetry | Thymus | 0.0133 mSv/MBq | Standard Deviation 0.00176 |
| 50-kg Model | Whole Body Radiation Dosimetry | Small intestine | 0.0364 mSv/MBq | Standard Deviation 0.00668 |
| 50-kg Model | Whole Body Radiation Dosimetry | Liver | 0.0456 mSv/MBq | Standard Deviation 0.0249 |
| 50-kg Model | Whole Body Radiation Dosimetry | Spleen | 0.0151 mSv/MBq | Standard Deviation 0.00134 |
| 50-kg Model | Whole Body Radiation Dosimetry | Gallbladder wall | 0.310 mSv/MBq | Standard Deviation 0.192 |
| 50-kg Model | Whole Body Radiation Dosimetry | Stomach wall | 0.0165 mSv/MBq | Standard Deviation 0.000991 |
| 50-kg Model | Whole Body Radiation Dosimetry | Lungs | 0.0127 mSv/MBq | Standard Deviation 0.000885 |
| 50-kg Model | Whole Body Radiation Dosimetry | Testes | 0.0128 mSv/MBq | Standard Deviation 0.00118 |
| 50-kg Model | Whole Body Radiation Dosimetry | Thyroid | 0.0130 mSv/MBq | Standard Deviation 0.00203 |
| 50-kg Model | Whole Body Radiation Dosimetry | Brain | 0.0179 mSv/MBq | Standard Deviation 0.00234 |
| 50-kg Model | Whole Body Radiation Dosimetry | Total body | 0.0161 mSv/MBq | Standard Deviation 0.000468 |
| 50-kg Model | Whole Body Radiation Dosimetry | Muscle | 0.0136 mSv/MBq | Standard Deviation 0.000989 |
| 50-kg Model | Whole Body Radiation Dosimetry | Upper large intestine wall | 0.0397 mSv/MBq | Standard Deviation 0.00805 |
| 50-kg Model | Whole Body Radiation Dosimetry | Heart wall | 0.0247 mSv/MBq | Standard Deviation 0.00453 |
| 50-kg Model | Whole Body Radiation Dosimetry | Urinary bladder wall | 0.0578 mSv/MBq | Standard Deviation 0.0364 |
| 50-kg Model | Whole Body Radiation Dosimetry | Osteogenic cells | 0.0493 mSv/MBq | Standard Deviation 0.00575 |
| 50-kg Model | Whole Body Radiation Dosimetry | Uterus | 0.0199 mSv/MBq | Standard Deviation 0.00157 |
| 50-kg Model | Whole Body Radiation Dosimetry | Adrenals | 0.0186 mSv/MBq | Standard Deviation 0.00099 |
| 50-kg Model | Whole Body Radiation Dosimetry | Effective dose | 0.0207 mSv/MBq | Standard Deviation 0.00266 |
| 50-kg Model | Whole Body Radiation Dosimetry | Ovaries | 0.0194 mSv/MBq | Standard Deviation 0.00088 |
| 70-kg Model | Whole Body Radiation Dosimetry | Effective dose | 0.0149 mSv/MBq | Standard Deviation 0.00198 |
| 70-kg Model | Whole Body Radiation Dosimetry | Thymus | 0.00931 mSv/MBq | Standard Deviation 0.00125 |
| 70-kg Model | Whole Body Radiation Dosimetry | Adrenals | 0.0132 mSv/MBq | Standard Deviation 0.000685 |
| 70-kg Model | Whole Body Radiation Dosimetry | Brain | 0.0157 mSv/MBq | Standard Deviation 0.00207 |
| 70-kg Model | Whole Body Radiation Dosimetry | Breasts | 0.00759 mSv/MBq | Standard Deviation 0.000843 |
| 70-kg Model | Whole Body Radiation Dosimetry | Gallbladder wall | 0.268 mSv/MBq | Standard Deviation 0.167 |
| 70-kg Model | Whole Body Radiation Dosimetry | Heart wall | 0.0171 mSv/MBq | Standard Deviation 0.00316 |
| 70-kg Model | Whole Body Radiation Dosimetry | Kidneys | 0.0177 mSv/MBq | Standard Deviation 0.00291 |
| 70-kg Model | Whole Body Radiation Dosimetry | Lower large intestine wall | 0.0161 mSv/MBq | Standard Deviation 0.00178 |
| 70-kg Model | Whole Body Radiation Dosimetry | Liver | 0.0313 mSv/MBq | Standard Deviation 0.0169 |
| 70-kg Model | Whole Body Radiation Dosimetry | Lungs | 0.00844 mSv/MBq | Standard Deviation 0.000516 |
| 70-kg Model | Whole Body Radiation Dosimetry | Muscle | 0.00987 mSv/MBq | Standard Deviation 0.000723 |
| 70-kg Model | Whole Body Radiation Dosimetry | Osteogenic cells | 0.0327 mSv/MBq | Standard Deviation 0.00377 |
| 70-kg Model | Whole Body Radiation Dosimetry | Ovaries | 0.0139 mSv/MBq | Standard Deviation 0.000727 |
| 70-kg Model | Whole Body Radiation Dosimetry | Pancreas | 0.0150 mSv/MBq | Standard Deviation 0.00151 |
| 70-kg Model | Whole Body Radiation Dosimetry | Red marrow | 0.0155 mSv/MBq | Standard Deviation 0.00118 |
| 70-kg Model | Whole Body Radiation Dosimetry | Skin | 0.00730 mSv/MBq | Standard Deviation 0.000823 |
| 70-kg Model | Whole Body Radiation Dosimetry | Small intestine | 0.0269 mSv/MBq | Standard Deviation 0.00506 |
| 70-kg Model | Whole Body Radiation Dosimetry | Spleen | 0.0105 mSv/MBq | Standard Deviation 0.00105 |
| 70-kg Model | Whole Body Radiation Dosimetry | Stomach wall | 0.0120 mSv/MBq | Standard Deviation 0.000689 |
| 70-kg Model | Whole Body Radiation Dosimetry | Thyroid | 0.00922 mSv/MBq | Standard Deviation 0.00143 |
| 70-kg Model | Whole Body Radiation Dosimetry | Total body | 0.0117 mSv/MBq | Standard Deviation 0.00032 |
| 70-kg Model | Whole Body Radiation Dosimetry | Upper large intestine wall | 0.0299 mSv/MBq | Standard Deviation 0.00611 |
| 70-kg Model | Whole Body Radiation Dosimetry | Urinary bladder wall | 0.0442 mSv/MBq | Standard Deviation 0.0276 |
| 70-kg Model | Whole Body Radiation Dosimetry | Uterus | 0.0146 mSv/MBq | Standard Deviation 0.00123 |
| 70-kg Model | Whole Body Radiation Dosimetry | Testes | 0.00913 mSv/MBq | Standard Deviation 0.00091 |