Experimental Medicine Study to Evaluate the Kinetics of Cerebrospinal Fluid Biomarkers in Subjects With Alzheimer's Disease and Progressive Supranuclear Palsy Compared to Healthy Subjects Using a Heavy Water Labeling Method
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Alzheimer Disease
- Sponsor
- KineMed
- Enrollment
- 16
- Locations
- 3
- Primary Endpoint
- Biomarker Measures
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
This is an experimental medicine study to evaluate the kinetics of cerebrospinal fluid (CSF) biomarkers in subjects with Alzheimer's disease (AD) or progressive supranuclear palsy (PSP) compared to healthy controls using a heavy water (2H2O) labeling method. This study is exploring the time profile of appearance and disappearance of pulse deuterium-labeled cargo proteins in CSF of subjects with AD and/or PSP, which is different from healthy controls, due to deficits in fast axonal transport.
Detailed Description
Primary Objective: To compare the time profile of appearance and disappearance in CSF of pulse deuterium-labeled chromogranin B, sAPPα and β-Trace in AD and PSP subjects compared to healthy controls. Secondary Objectives: * To measure body water enrichment of deuterium in saliva and plasma (2H-enrichment (%)) * To explore the effect of age on the kinetics of deuterium labeling of CSF biomarkers * To assess intra and inter subject variability of deuterium-labeling of chromogranin B, sAPPα and β-Trace Subjects will undergo screening evaluations to determine eligibility prior to heavy water (2H20) administration. Eligible subjects will be admitted to the clinical facility on Day -1. On Day 1, subjects will ingest small doses of 2H20 during their inpatient stay. They will also drink 2H20 for 7 more days. Subjects will undergo two lumbar punctures (LPs) for CSF samples. Subjects will return to the study site approximately 7 days after the last LP (or early termination) for a follow-up assessment and discharge.
Investigators
Salena Killion
Director of Clinical Studies
KineMed
Eligibility Criteria
Inclusion Criteria
- •All subjects
- •Body Mass Index of 18-
- •Subjects can have common non-neurological age-related disorders (hypertension, diabetes) and on stable medication for the last 3 months.
- •Screening score of \< 4 on the Modified Hachinski Ischemia Scale.
- •Women not of childbearing potential and men.
- •Women with negative pregnancy test prior to starting heavy water and not breastfeeding.
- •Diagnosis of probable AD.
- •Mild to moderate disease severity according to mini-mental state examination score (MMSE) of 16-
- •Documented cognitive decline began 6 months prior to screening.
- •On stable doses of approved AD medications for 2 months prior to screening.
Exclusion Criteria
- •Diseased subjects with a medical condition (not AD or PSP) that could contribute to the subjects dementia or Parkinsonism.
- •History of pallidotomy, thalamotomy, active DBS or fetal tissue transplant.
- •Any significant acute or chronic illness.
- •Major surgery within 4 weeks of Day
- •Blood/plasma donation to a blood bank or a clinical study (except a screening visit) within 4 weeks of Day
- •Blood transfusion within 4 weeks of Day
- •Inability to be venipunctured.
- •Inability to be lumbar punctured or contraindications to lumbar puncture or epidurals.
- •\> 10 cigarettes/day.
- •Recent drug or alcohol abuse or positive urine screen for drugs of abuse.
Outcomes
Primary Outcomes
Biomarker Measures
Time Frame: Up to 32 days
o Levels of deuterium-labeled chromogranin B, sAPPα and β-Trace in CSF
Secondary Outcomes
- Biomarker Measures(Up to 32 days)