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Clinical Trials/NCT03958630
NCT03958630TerminatedPhase 1

PET Imaging of Neuroinflammation in Neurodegenerative Diseases Via a Novel TSPO Radioligand

National Institute of Mental Health (NIMH)1 site in 1 country13 target enrollmentStarted: July 3, 2019Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Terminated
Enrollment
13
Locations
1
Primary Endpoint
Standard Uptake Value Ratio Compared to the Cerebellum (SUVR) Area Under the Curve (AUC) (60-90min)

Study Overview

Brief Summary

Background:

Aging-related progressive neurological disorders include frontotemporal dementia, Lou Gehrig s disease, and Alzheimer s disease. Little is known about what causes these disorders. Brain inflammation may be involved. Researchers want to see if scans using radioactive drugs can show brain inflammation.

Objective:

To see if the drug [11C]ER176 can show inflammation in the brain in people with certain progressive neurological disorders compared to healthy adults. Also to find genes that might be associated with or cause these disorders.

Eligibility:

People ages 18 and older with an aging-related neurological disorder, and healthy adults

Design:

Participants will be screened with a medical history, physical exam, neurological exam, psychiatric history, and blood tests.

Participants will have 2-5 visits for the first session. They will have 2 PET scans and 1 MRI scan. They may have 3 more sessions: 6 months to about 18 months later, 1 year after that, and about 30 months to 5 years after the first visit. There may be up to 20 total visits.

For the scans, participants will lie on a bed that slides into the scanners. For the PET scans, a strap will fix their head in place. A radioactive drug will be injected through a catheter. A needle will guide a thin plastic tube into an arm vein. Additional catheters may be put in place to draw blood. Each PET will take 2 hours. The MRI will take 30 60 minutes.

At each session, participants will have a brief interview, medical history, physical exam, blood and urine tests, heart tests, and memory and thinking tests. They may donate blood for DNA tests.

Detailed Description

Objectives

The primary objective is to explore if human subjects with neurodegenerative diseases exhibit different level of neuroinflammation, as measured by brain uptake of a 3rd generation [11C]ER176 TSPO ligand, compared to control subjects. The secondary objectives are to determine, 1) if [11C]ER176 TSPO brain uptake shows disease-specific patterns across different neurodegenerative diseases and/or genetic mutations, and 2) if longitudinal imaging of individual patients shows a correlation between interval change of tracer uptake and disease progression.

Study population

Adults referred with a clinical diagnosis or with an increased risk of frontotemporal dementia, amyotrophic lateral sclerosis, Alzheimer s disease, other related adult-onset neurodegenerative disorders, or healthy control subjects.

Design

Study Design

Study Type
Interventional
Allocation
Non Randomized
Intervention Model
Parallel
Primary Purpose
Diagnostic
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Not provided

Exclusion Criteria

  • Not provided

Arms & Interventions

Healthy volunteers

Experimental

Participants underwent brain positron emission tomography (PET) scan with [11C]ER176 and/or [11C]PIB followed by brain magnetic resonance imaging (MRI)

Intervention: 11C-ER176 (Drug)

Healthy volunteers

Experimental

Participants underwent brain positron emission tomography (PET) scan with [11C]ER176 and/or [11C]PIB followed by brain magnetic resonance imaging (MRI)

Intervention: 11C-PIB (Drug)

Healthy volunteers

Experimental

Participants underwent brain positron emission tomography (PET) scan with [11C]ER176 and/or [11C]PIB followed by brain magnetic resonance imaging (MRI)

Intervention: Positron Emission Tomography (PET) Scan (Diagnostic Test)

Subjects with chromosome 9 open reading frame 72 (C9ORF72)

Experimental

Participants underwent brain positron emission tomography (PET) scan with [11C]ER176 and/or [11C]PIB followed by brain magnetic resonance imaging (MRI)

Intervention: 11C-ER176 (Drug)

Subjects with chromosome 9 open reading frame 72 (C9ORF72)

Experimental

Participants underwent brain positron emission tomography (PET) scan with [11C]ER176 and/or [11C]PIB followed by brain magnetic resonance imaging (MRI)

Intervention: 11C-PIB (Drug)

Subjects with chromosome 9 open reading frame 72 (C9ORF72)

Experimental

Participants underwent brain positron emission tomography (PET) scan with [11C]ER176 and/or [11C]PIB followed by brain magnetic resonance imaging (MRI)

Intervention: Positron Emission Tomography (PET) Scan (Diagnostic Test)

Subjects with Frontotemporal dementia (FTD)

Experimental

Participants underwent brain positron emission tomography (PET) scan with [11C]ER176 and/or [11C]PiB followed by brain magnetic resonance imaging (MRI)

Intervention: 11C-ER176 (Drug)

Subjects with Frontotemporal dementia (FTD)

Experimental

Participants underwent brain positron emission tomography (PET) scan with [11C]ER176 and/or [11C]PiB followed by brain magnetic resonance imaging (MRI)

Intervention: 11C-PIB (Drug)

Subjects with Frontotemporal dementia (FTD)

Experimental

Participants underwent brain positron emission tomography (PET) scan with [11C]ER176 and/or [11C]PiB followed by brain magnetic resonance imaging (MRI)

Intervention: Positron Emission Tomography (PET) Scan (Diagnostic Test)

Outcomes

Primary Outcomes

Standard Uptake Value Ratio Compared to the Cerebellum (SUVR) Area Under the Curve (AUC) (60-90min)

Time Frame: Up to 90 minutes during scan

Participants underwent brain positron emission tomography (PET) scan with \[11C\]ER176 and standard uptake value (SUV) was measured over 90 minutes and divided by SUV of the cerebellum to determine difference of \[11C\]ER176 brain uptake

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Nih
Responsible Party
Sponsor

Study Sites (1)

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