ClinicalTrials.gg
CompletedNCT01222351Updated May 6, 2024Results posted

Measuring Brain Amyloid Plaque Load in Older Adults Using BAY 94-9172

An interventional study of BAY 94-9172 (Florbetaben) in Late Onset Alzheimer Disease, sponsored by New York State Psychiatric Institute. Completed at 1 site in United States. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2024-05-06.

Sponsored by New York State Psychiatric Institute · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
161
Allocation
Not applicable
Ages
65 Years and older
Sex
All
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Study summary

The overall goal of this project is to establish and validate biomarkers associated with the risk and progression of late onset Alzheimer's disease, mild cognitive impairment and cognitive decline. The investigators will use baseline and longitudinal measurements of plasma amyloid beta-40 and amyloid beta-42 to investigate the risk of developing mild cognitive impairment and late onset Alzheimer's disease, as well as the rates of cognitive decline and Alzheimer's disease progression. The driving hypothesis of the study is that amyloid beta in the brain as measured by positron emission tomography positivity is associated with the onset of cognitive decline associated with late onset Alzheimer's disease.

Read the detailed description

This project is a sub-study of the Washington Heights-Inwood Community Aging Project, which is a multidisciplinary, epidemiological study of Alzheimer's disease and related neurodegenerative disorders. We will obtain positron emission tomography scans and simultaneous x-ray computed tomography scans using Florbetaben from Bayer on a selection of ongoing participants who will be selected on the basis of change in plasma levels of amyloid beta over time. Approximately 200 participants will receive scans beginning in 2009 and in the 2010-2012 assessment wave and then again in a 2014-2015 assessment wave. Our intention is to examine whether uptake of Florbetaben in the brain is associated with decline in cognition over the 10 years prior to the PET scan.

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Conditions studied

  • Late Onset Alzheimer Disease

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Keywords

  • Alzheimer's disease
  • Positron emission tomography
  • Biomarker
  • Brain amyloid plaque load
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In context

Alzheimer Disease

3,765 studies on the registry are indexed under Alzheimer Disease; 881 are open to participants now.

This study's enrollment of 161 is above the median of 68 across 2,861 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

New York State Psychiatric Institute is the lead sponsor of 433 studies on the registry; 25 are open to participants now.

Of its 50 completed or terminated interventional studies of FDA-regulated products, 45 (90%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Current Washington Heights-Inwood Community Aging Project (WHICAP) participant Age 65 or older Residing in the community of Washington-Heights/Inwood/Hamilton Heights
  • Is able to provide informed consent, understand the information provided on the purpose and conduct of the trial and exhibits adequate visual, auditory and communication capabilities to enable compliance with study procedures. This includes performing the psychometric testing and being able to lie down flat in the Positron Emission Tomography (PET) scanner
  • Possesses a general health that permits adequate compliance with all study procedures.
  • Informed consent has been signed and dated (with time) by the subject and/or the subject's caregiver (for probable Alzheimer's Disease (AD) patients)

Exclusion criteria

Exclusion Criteria:

  • Has any contraindication to PET, such as claustrophobia, or inability to lie flat for half an hour as determined by the onsite radiologist performing the scan
  • Current, past, or anticipated exposure to radiation, which may include being badged for radiation exposure in the workplace or participation in nuclear medicine procedures, including research protocols in the last year
  • Significant active physical illness particularly those that may affect the brain including blood dyscrasias, lymphomas, hypersplenism, endocrinopathies, renal failure or chronic obstructive lung disease, autonomic neuropathies, peripheral vascular disease, low hemoglobin and malignancy
  • Scheduled for surgery and/or another invasive procedure within the time period of up to 24 hours following scan
  • Allergic to the tracer or any of its constituents and/or has a history of severe allergic reactions to drugs or allergens (e.g. patients with allergic asthma)
  • Critically ill and/or medically unstable and whose clinical course within the observation period is unpredictable, e.g. participants with 14 days of myocardial infarction or stroke, unstable participants with previous surgery (within 7 days), participants with advanced heart insufficiency (New York Heart Association (NYHA) stage IV), or participants with acute renal failure.
  • Has received any contrast material (X-ray, Magnetic Resonance Imaging (MRI)), or radiopharmaceuticals within 48 hours prior to the application of the Investigational Medicinal Product (IMP) or for whom application of such a substance is planned for 24 hours following IMP administration
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
161 participants (actual)

Study arms

  • Experimental
    BAY 94-9172

    BAY 94-9172 PET/CT

    Drug: BAY 94-9172 (Florbetaben)

Interventions

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What researchers measure

Primary outcomes

  1. Relationship Between Cognitive Change Over Time and Amyloid (Aβ) Deposition

    We used PET imaging to measure presence of amyloid. The outcomes are cognitive z-scores, which had mean of zero and SD of 1, with no units. There are four cognitive domains (language, memory, processing speed, and visuospatial ability). Individual neuropsychological test Z-scores within each domain were averaged to get the mean domain z-scores. Finally, the four cognitive domain-specific Z-scores were then averaged into a global cognitive Z-score. A larger Z-score represents better cognitive performance. Latent growth curve model was used to test for the association between Aβ and cognitive change over time. The Beta weight is a coefficient from the model that indicates the difference in cognitive change between people with and without amyloid. A positive Beta weight indicates that Aβ deposition is associated with less decline in cognitive scores, a negative Beta weight indicates greater decline. The Beta weight is unitless, and it does not have a range.

    Time frame: up to 3 years and 10 months

07

Results

Posted May 6, 2024

Participant flow

Participant flow — Overall Study
MilestoneBAY 94-9172
Started160
Completed160
Not completed0

Outcome measures

PrimaryRelationship Between Cognitive Change Over Time and Amyloid (Aβ) Deposition

We used PET imaging to measure presence of amyloid. The outcomes are cognitive z-scores, which had mean of zero and SD of 1, with no units. There are four cognitive domains (language, memory, processing speed, and visuospatial ability). Individual neuropsychological test Z-scores within each domain were averaged to get the mean domain z-scores. Finally, the four cognitive domain-specific Z-scores were then averaged into a global cognitive Z-score. A larger Z-score represents better cognitive performance. Latent growth curve model was used to test for the association between Aβ and cognitive change over time. The Beta weight is a coefficient from the model that indicates the difference in cognitive change between people with and without amyloid. A positive Beta weight indicates that Aβ deposition is associated with less decline in cognitive scores, a negative Beta weight indicates greater decline. The Beta weight is unitless, and it does not have a range.

Time frame:
up to 3 years and 10 months
Reported as:
Count of participants · Participants
Relationship Between Cognitive Change Over Time and Amyloid (Aβ) Deposition
ParticipantsBAY 94-9172
Participant with positive amyloid reading41
Participant without positive amyloid reading75
Statistical analysis
  • BAY 94-9172 · latent growth curve model · p = 0.02 · Slope: -0.034B weights were the estimates for the association between Aβ and cognitive change.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
BAY 94-91720/160 (0%)0/160 (0%)0/160 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)BAY 94-9172
<=18 years0
Between 18 and 65 years0
>=65 years160
Sex: Female, Male
Sex: Female, Male(Participants)BAY 94-9172
Female102
Male58
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)BAY 94-9172
Hispanic or Latino37
Not Hispanic or Latino123
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)BAY 94-9172
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American67
White58
More than one race12
Unknown or Not Reported23
Region of Enrollment
Region of Enrollment(participants)BAY 94-9172
United States160
08

Study locations

1 site
  • Columbia University Medical Center
    New York, New York 10032, United States
09

References and documents

Publications

  • Cosentino SA, Stern Y, Sokolov E, Scarmeas N, Manly JJ, Tang MX, Schupf N, Mayeux RP. Plasma ss-amyloid and cognitive decline. Arch Neurol. 2010 Dec;67(12):1485-90. doi: 10.1001/archneurol.2010.189. Epub 2010 Aug 9. PubMed 20697031 ↗
  • Forsberg A, Almkvist O, Engler H, Wall A, Langstrom B, Nordberg A. High PIB retention in Alzheimer's disease is an early event with complex relationship with CSF biomarkers and functional parameters. Curr Alzheimer Res. 2010 Feb;7(1):56-66. doi: 10.2174/156720510790274446. PubMed 20205671 ↗
  • Gu Y, Razlighi QR, Zahodne LB, Janicki SC, Ichise M, Manly JJ, Devanand DP, Brickman AM, Schupf N, Mayeux R, Stern Y. Brain Amyloid Deposition and Longitudinal Cognitive Decline in Nondemented Older Subjects: Results from a Multi-Ethnic Population. PLoS One. 2015 Jul 29;10(7):e0123743. doi: 10.1371/journal.pone.0123743. eCollection 2015. PubMed 26221954 ↗
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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2010 to primary completion in Oct 2014, 46 months.

Results were first posted in May 2024, 9 years 6 months after primary completion.

Of 806 non-industry interventional studies with no phase under Alzheimer Disease, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 52. This study's 46 months is above that.

Counting every sponsor, half of 874 studies reached it within 31 months; a quarter within 15 and three quarters within 52.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 14, 2010
First posted
Oct 18, 2010
StartActual
Dec 2010
Primary completionActual
Oct 22, 2014
CompletionActual
Oct 22, 2014
Results first posted
May 6, 2024
Last update
May 6, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01222351
Responsible party
Yaakov Stern (Professor of Neuropsychology, New York State Psychiatric Institute) — Principal investigator
First posted
Oct 18, 2010
Start date
Dec 2010
Primary completion
Oct 22, 2014
Completion
Oct 22, 2014
Results posted
May 6, 2024
Last update
May 6, 2024

Study contacts

Richard Mayeux, BS, MD, MSc
principal investigator · Columbia University
Yaakov Stern, BA, PhD
study chair · Columbia University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Florbetaben f-18

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