FluoroAv45 Imaging Research-in Alzheimer's Disease
- Conditions
- Mild Cognitive ImpairmentAlzheimer's Disease
- Interventions
- Other: neuropsychologic assessmentRadiation: [18F]AV-45 PETRadiation: 18-FDG PETOther: MRI
- Registration Number
- NCT01325259
- Lead Sponsor
- University Hospital, Tours
- Brief Summary
Rationale: improving the early detection of AD at prodromal pre-dementia stages has become a major matter of concern. There is now an important body of literature stating that early isolated cognitive deficits (Mild Cognitive Impairment-MCI-) predict the risk of developing AD. Several biomarkers are now available : specific and sensitive neuropsychological assessments, morphometric evaluation of hippocampal volume and white matter changes by MRI, cerebrospinal fluid or plasma dosage of Ab fragments and tau proteins, assessment of brain glucose hypometabolism in temporo-parietal regions with PET \[F18\]FDG. However, PET imaging using labelled compounds specifically binding to APs has been suggested to improve the diagnostic reliability and to potentially help in shortening the delay until formal clinical diagnosis of AD. F18 AV45 is a new radiotracer which kinetics characteristics allows 10 to 15 minutes acquisition 50 to 60 minutes post injection.
Objectives: The primary objective of the study is to compare F18 AV45 cortical uptake in AD, MCI patients and Healthy Controls.
Secondary objectives will be to compare cortical uptake of F18 AV45 in MCI subject who will have convert toward dementia versus those who will not, at two year follow-up period, to compare level of 18F-AV45 cortical uptake with neuropsychological testing, PET FDG hypometabolism, ApoE genotype.
Method: Prospective multicentric study. 65 patients expected to enter the study.
Primary outcome measure: Standard Uptake Volume ratios.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 54
- Patients suffering from Alzheimer's Disease (NINCDS-ADRDA) or from amnesic MCI
- 18 < MMS <= 28 for patients
- 28 <= MMS for healthy volunteers
- study period > 7 years
- native language : french
- signed informed consent
- affiliated to a social security system
- alcoholism in medical history
- diabetes
- arterial hypertension (180/100 and more)
- chronical pulmonary disease with hypoxis
- cranial traumatism with loss of consciousness > 15 minutes
- severe depressive syndrome or anxiety
- psychiatric disease in medical history (excepted simple episodes of depression)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Mild Cognitive Impairment 18-FDG PET 20 patients suffering from Mild Cognitive Impairment Control [18F]AV-45 PET 15 subjects with no cognitive impairment Alzheimer's disease neuropsychologic assessment 30 patients suffering from Alzheimer's disease Mild Cognitive Impairment [18F]AV-45 PET 20 patients suffering from Mild Cognitive Impairment Control neuropsychologic assessment 15 subjects with no cognitive impairment Alzheimer's disease [18F]AV-45 PET 30 patients suffering from Alzheimer's disease Mild Cognitive Impairment neuropsychologic assessment 20 patients suffering from Mild Cognitive Impairment Mild Cognitive Impairment MRI 20 patients suffering from Mild Cognitive Impairment Control 18-FDG PET 15 subjects with no cognitive impairment Control MRI 15 subjects with no cognitive impairment Alzheimer's disease 18-FDG PET 30 patients suffering from Alzheimer's disease Alzheimer's disease MRI 30 patients suffering from Alzheimer's disease
- Primary Outcome Measures
Name Time Method Standard Uptake Value Ratios (SUVr) inclusion Standard Uptake Value Ratios (SUVr) in specific regions of interest (ROI) defined by the use of the cerebellum as reference region.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (4)
university hospital of CAEN
🇫🇷Caen, France
University Hospital of Lille
🇫🇷Lille, France
University Hospital of Toulouse
🇫🇷Toulouse, France
University Hospital of Tours
🇫🇷Tours, France