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Amyloid-beta PET Imaging With 18F-92 in Alzheimer's Disease

Phase 2
Conditions
Alzheimer's Disease
Interventions
Registration Number
NCT04926272
Lead Sponsor
First Affiliated Hospital of Fujian Medical University
Brief Summary

Alzheimer's disease is a neurodegenerative disease. Numerous studies have reported that β-amyloid (Aβ) is an important marker for the diagnosis of AD. 18F-92 molecular probe is a novel molecularly targeted imaging agent, which can rapidly penetrate the blood-brain barrier and has high affinity and selectivity for Aβ protein. In this study, 18F-92 PET/CT was used to monitor the regional distribution and the degree of deposition in patients with Alzheimer's disease, and compared with clinical symptoms (neuropsychometry) to evaluate its application value in the diagnosis of AD.

Detailed Description

Healthy volunteers as well as patients meeting Alzheimer's criteria will be recruited for this study.

We will use PET/CT imaging technology to scan each participant's whole body or head and collect image data for analysis to evaluate the distribution and metabolism of 18F-92 in the subject's body. Time from drug injection to scan completion is approximately 1 hour.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Patients or their families complain of significant memory impairment;
  • Objective memory impairment (e.g., tests of article identification, recall, delayed memory);
  • Meets Alzheimer's criteria for DSMIV and NINCDS-ADRDA;
  • Be able to obtain complete diagnosis and treatment records and be able to carry out long-term follow-up;
  • Signed written consent.
Exclusion Criteria
  • Nervous system diseases: including brain tumors, craniocerebral trauma, multiple sclerosis, epilepsy, etc.;
  • Psychiatric disorders: including anxiety disorder, affective disorder, severe psychosis, or drug-induced psychosis;
  • Pregnancy or lactation.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
18F-92, PET/CT18F-92PET/CT perform after injecting 18F-92
Primary Outcome Measures
NameTimeMethod
t-tau in CSFWithin 2 hours prior to tracer injection

t-tau (total tau) is significantly increased in the cerebrospinal fluid of patients with Alzheimer's disease and is one of the biomarkers used clinically to diagnose Alzheimer's disease

p-tau in CSFWithin 2 hours prior to tracer injection

p-tau (tau phosphorylated at Thr-181) is significantly increased in the cerebrospinal fluid of patients with Alzheimer's disease and is one of the biomarkers used clinically to diagnose Alzheimer's disease

standardized uptake value ratio (SUVR)From right after tracer injection to 2-hours post-injection

the ratio of radioactivity in a cerebral region to that in the cerebellum as a reference

MMSE (Mini-mental State Examination)Within 2 hours prior to tracer injection

The commonly used neuropsychological evaluation scale in clinical practice can comprehensively reflect the intellectual status and the degree of cognitive decline of the subjects. 30 points total, lower scores represent worse cognitive function, normal: 27-30 points; cognitive dysfunction: \< 27; mild: 21-26; moderate: 10-20; severe: 0-9

Aβ42 in CSFWithin 2 hours prior to tracer injection

Aβ42 (amyloid beta isoform 42) is significantly lower in the cerebrospinal fluid of patients with Alzheimer's disease and is one of the biomarkers used clinically to diagnose Alzheimer's disease

MoCA (Montreal Cognitive Assessment)Within 2 hours prior to tracer injection

A scale used clinically for cognitive function screening, with a full score of 30, ≥ 27 being normal, 18-26 being mild cognitive impairment, 10-17 being moderate, and less than 10 being severe

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Department of Nuclear Medicine, First Affiliated Hospital of Fujian Medical University

🇨🇳

Fuzhou, Fujian, China

Department of Nuclear Medicine, First Affiliated Hospital of Fujian Medical University
🇨🇳Fuzhou, Fujian, China
Shaobo Yao, PhD
Contact
059187981618
yaoshaobo008@163.com

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