Phase III Study of the Correlation Between Florbetapir F18 PET Imaging and Amyloid Pathology in the Brain

Last updated: May 17, 2012
Sponsor: Avid Radiopharmaceuticals
Overall Status: Completed

Phase

3

Condition

Amyloidosis

Memory Loss

Alzheimer's Disease

Treatment

N/A

Clinical Study ID

NCT00857415
18F-AV-45-A07
  • Ages > 18
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The study is designed to test the relationship between measurements of brain amyloid using florbetapir F 18 PET imaging and true levels of amyloid by dissection of the brain at autopsy. Amyloid in the brain is a key feature of Alzheimer's Disease (AD).

Eligibility Criteria

Inclusion

Inclusion Criteria (autopsy cohort):

  • Have a projected life expectancy of ≤ 6 months as determined by the principalinvestigator (e.g. terminal medical condition) or are already enrolled in alongitudinal study of aging with an autopsy component;

  • Can tolerate a 10 minute PET scan; and

  • Give informed consent for study procedures and brain donation consistent with thelegal requirements of the State in which they are enrolled and the State in which theydie. Inclusion Criteria (specificity cohort):

  • Cognitively and neurologically healthy males and females 18 to 40 years of age;

  • Who had no known risk factors for AD, including:

  • Known genetic risk factors for AD, including an ApoE ε4 allele (note: ApoE genotypewas determined after enrollment and was not disclosed to healthy control subjects).Scans from subjects carrying an ApoE ε4 allele were not included in the primaryspecificity analysis, but were included in an exploratory analysis;

  • First degree relative with a known progressive dementing disorder;

  • History of cognitive decline;

  • History of neurologic, neurodegenerative, or psychiatric disease;

  • History of head trauma; or

  • Evidence of brain abnormality on a MRI scan;

  • Who performed in an age-appropriate normal range on the Wechsler Logical Memory I &II, story A;

  • Who could tolerate a 10-minute PET scan; and

  • Who provided informed consent before any study procedures were performed.

Exclusion

Exclusion Criteria:

  • Have primary brain tumor, known metastases to the brain, central nervous system (CNS)lymphoma;

  • Have any major, focal structural loss of brain matter;

  • Are aggressively being treated with life sustaining measures (e.g. currently onrespirator; receiving high dose chemotherapy);

  • Have a clinically significant infectious disease, including Acquired Immune DeficiencySyndrome (AIDS), Human Immunodeficiency Virus (HIV) infection, previous positive testfor hepatitis or HIV or Creutzfeldt-Jakob disease (CJD);

  • Are receiving any investigational medications, or have participated in a trial withinvestigational medications within the last 30 days;

  • Have ever participated in an experimental study with an amyloid targeting agent (e.g.anti-amyloid immunotherapy, secretase inhibitor);

  • Have had a radiopharmaceutical imaging or treatment procedure within 7 days prior tothe study imaging session; or

  • Are females of childbearing potential who are pregnant or not using adequatecontraception.

Study Design

Total Participants: 226
Study Start date:
December 01, 2008
Estimated Completion Date:
May 31, 2010

Study Description

There will be two primary analyses:

  • The first primary analysis will evaluate the correlation between the blinded readers' rating of amyloid plaque density on the PET scan and the cortical amyloid plaque density at autopsy.

  • The second primary analysis will evaluate the specificity of the blinded readers' rating of presence or absence of amyloid plaque density on the PET scan

For the autopsy population, subjects will be enrolled from various end-of-life (e.g. hospice / hospital / nursing home) and late-life (longitudinal studies of aging) populations. Enrollment will include subjects with various levels of cognitive status, ranging from cognitively normal through dementia. It is expected that amyloid plaque density in this elderly population will range from very low (normal aging) through moderate (e.g. cognitively normal subjects with asymptomatic amyloid deposits or mild cognitive impairment (MCI) subjects with intermediate levels of amyloid deposits) to very high (subjects with AD). The study will also enroll younger healthy subjects presumably devoid of amyloid in the specificity cohort.

Screening assessments may take place over several days and will include collection of demographic information, diagnostic interview, and safety assessments. At the time of screening, subjects or caregivers will be asked to provide consent for brain donation if they are not already enrolled in a brain donation program affiliated with this study, in addition to providing informed consent for the screening and imaging procedures in the study.

Subjects who qualify for the study will have a catheter placed for intravenous (i.v.) administration of florbetapir F 18. Subjects will receive a single i.v. bolus of 370 MBq (10 mCi) of florbetapir F 18 followed by brain PET imaging for 10 minutes duration, beginning approximately 50 minutes post-injection. Vital signs and safety labs will be obtained prior to the administration of florbetapir F 18 and at the completion of the imaging session. Adverse events will be continuously monitored during the imaging session. Subjects who experience an adverse event will not be discharged until the event has been resolved or stabilized.

Connect with a study center

  • Research Site

    Phoenix, Arizona 85006
    United States

    Site Not Available

  • Research Site

    Scottsdale, Arizona 85258
    United States

    Site Not Available

  • Research Site

    Sun City, Arizona 85351
    United States

    Site Not Available

  • Research Site

    Little Rock, Arkansas 72211
    United States

    Site Not Available

  • Research Site

    Irvine, California 92697
    United States

    Site Not Available

  • Research Site

    San Francisco, California 94109
    United States

    Site Not Available

  • Research Site

    Fort Myers, Florida 33912
    United States

    Site Not Available

  • Research Site

    Miami, Florida 33137
    United States

    Site Not Available

  • Research Site

    Miami Beach, Florida 33140
    United States

    Site Not Available

  • Research Site

    Miami Springs, Florida 33166
    United States

    Site Not Available

  • Research Site

    Orlando, Florida 32835
    United States

    Site Not Available

  • Research Site

    Sarasota, Florida 34231
    United States

    Site Not Available

  • Research Site

    St. Petersburg, Florida 33709
    United States

    Site Not Available

  • Research Site

    West Palm Beach, Florida 33407
    United States

    Site Not Available

  • Research Site

    Baltimore, Maryland 21221
    United States

    Site Not Available

  • Research Site

    Hattiesburg, Mississippi 39401
    United States

    Site Not Available

  • Research Site

    St. Louis, Missouri 63141
    United States

    Site Not Available

  • Research Site

    Albany, New York 12208
    United States

    Site Not Available

  • Research Site

    New Hyde Park, New York 11040
    United States

    Site Not Available

  • Research Site

    Durham, North Carolina 27710
    United States

    Site Not Available

  • Research Site

    Centerville, Ohio 45459
    United States

    Site Not Available

  • Kettering Medical Center

    Kettering, Ohio 45429
    United States

    Site Not Available

  • Research Site

    Oklahoma City, Oklahoma 73112
    United States

    Site Not Available

  • Research Site

    Charleston, South Carolina 29425
    United States

    Site Not Available

  • Research Site

    Johnson City, Tennessee 37614
    United States

    Site Not Available

  • Research Site

    Bennington, Vermont 05201
    United States

    Site Not Available

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