Alzheimer's Disease
Conditions
Brief summary
This study will evaluate longitudinal change of tau deposition as measured by flortaucipir F 18 uptake over time.
Interventions
370 megabecquerel (MBq) IV single-dose
positron emission tomography (PET) scan
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmatory cohort subjects who completed the 18F-AV-1451-A05 (NCT02016560) study
Exclusion criteria
* Current clinically significant cardiovascular disease, ECG abnormalities, risk factors for Torsades de Pointes (TdP), or are taking drugs known to cause QT prolongation * Current clinically significant infectious disease, endocrine or metabolic disease, pulmonary, renal or hepatic impairment, or cancer * Females of childbearing potential who are not surgically sterile, not refraining from sexual activity or not using reliable methods of contraception * Have had a non-study related radiopharmaceutical imaging or treatment procedure within 7 days prior to the study imaging session * Have received or participated in a trial with investigational medications in the past 30 days
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Tau Deposition Over Time by Diagnostic Group and Amyloid Status | 18 months | Change in flortaucipir standardized uptake value ratio (SUVr) over 18 months. For SUVr, a value of 1 signifies no flortaucipir activity above background, values greater than 1 signify increasing flortaucipir activity in the brain. A positive change in SUVr represents an increase in tau deposition in the brain. Change = 18 month SUVr - baseline SUVr obtained in Study A05. |
Countries
United States
Participant flow
Recruitment details
Enrolled between Aug 2016 and Aug 2017. The only subjects eligible were those who completed the Confirmatory Phase of Study A05 (NCT02016560).
Participants by arm
| Arm | Count |
|---|---|
| AD Subjects Clinically diagnosed dementia with a suspected neurodegenerative cause with an MMSE score ≥20 and ≤27 from the flortaucipir PET scan arm | 25 |
| MCI Subjects Clinically diagnosed mild cognitive impairment with a suspected neurodegenerative cause with an MMSE score ≥20 and ≤27 from the flortaucipir PET scan arm | 54 |
| Total | 79 |
Baseline characteristics
| Characteristic | Total | AD Subjects | MCI Subjects |
|---|---|---|---|
| Age, Continuous | 73.4 years STANDARD_DEVIATION 9.54 | 73.8 years STANDARD_DEVIATION 10.63 | 73.2 years STANDARD_DEVIATION 9.1 |
| Amyloid status Amyloid Negative | 34 Participants | 6 Participants | 28 Participants |
| Amyloid status Amyloid positive | 45 Participants | 19 Participants | 26 Participants |
| CDR-SB | 3.3 units on a scale STANDARD_DEVIATION 2.05 | 4.8 units on a scale STANDARD_DEVIATION 1.53 | 2.6 units on a scale STANDARD_DEVIATION 1.91 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 4 Participants | 1 Participants | 3 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 75 Participants | 24 Participants | 51 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| MMSE | 25.2 units on a scale STANDARD_DEVIATION 2.06 | 23.7 units on a scale STANDARD_DEVIATION 2.39 | 25.9 units on a scale STANDARD_DEVIATION 1.48 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 3 Participants | 0 Participants | 3 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 76 Participants | 25 Participants | 51 Participants |
| Region of Enrollment United States | 79 participants | 25 participants | 54 participants |
| Sex: Female, Male Female | 31 Participants | 9 Participants | 22 Participants |
| Sex: Female, Male Male | 48 Participants | 16 Participants | 32 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 54 | 0 / 25 |
| other Total, other adverse events | 2 / 54 | 0 / 25 |
| serious Total, serious adverse events | 0 / 54 | 0 / 25 |
Outcome results
Change in Tau Deposition Over Time by Diagnostic Group and Amyloid Status
Change in flortaucipir standardized uptake value ratio (SUVr) over 18 months. For SUVr, a value of 1 signifies no flortaucipir activity above background, values greater than 1 signify increasing flortaucipir activity in the brain. A positive change in SUVr represents an increase in tau deposition in the brain. Change = 18 month SUVr - baseline SUVr obtained in Study A05.
Time frame: 18 months
Population: Excluded 1 MCI Aβ+ and 1 MCI Aβ- subject for whom 18 month follow-up clinical was not available
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| AD Aβ+ Subjects | Change in Tau Deposition Over Time by Diagnostic Group and Amyloid Status | 0.0205 standardized uptake value ratio (SUVr) | Standard Deviation 0.01871 |
| AD Aβ- Subjects | Change in Tau Deposition Over Time by Diagnostic Group and Amyloid Status | -0.0912 standardized uptake value ratio (SUVr) | Standard Deviation 0.03619 |
| MCI Aβ+ Subjects | Change in Tau Deposition Over Time by Diagnostic Group and Amyloid Status | 0.0352 standardized uptake value ratio (SUVr) | Standard Deviation 0.01185 |
| MCI Aβ- Subjects | Change in Tau Deposition Over Time by Diagnostic Group and Amyloid Status | -0.0124 standardized uptake value ratio (SUVr) | Standard Deviation 0.01185 |