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CompletedNCT02385877Updated Jul 2, 2017

Clinical Translation of 18F-Labeled Hydroxyphenethylguanidines

An Early Phase 1 interventional study of [18F]4F-MHPG and [18F]3F-PHPG in Autonomic Peripheral Nervous System Diseases, sponsored by University of Michigan. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-07-02.

Sponsored by University of Michigan · Early Phase 1, Interventional, and Diagnostic

Phase
Early Phase 1
Study type
Interventional
Enrollment
16
Allocation
Non-randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The purpose of this study is to perform first-in-human PET imaging studies of two new cardiac sympathetic nerve imaging agents, 4-[18F]fluoro-meta-hydroxyphenethylguanidine ([18F]4F-MHPG) and 3-[18F]fluoro-para-hydroxyphenethylguanidine ([18F]3F-PHPG).

Read the detailed description

In this study, PET imaging studies of two structurally related 18F-hydroxyphenethylguanidines, 4-[18F]fluoro-meta-hydroxyphenethylguanidine ([18F]4F-MHPG) and 3-[18F]fluoro-para-hydroxyphenethylguanidine ([18F]3F-PHPG) will be performed. All studies will be performed in normal healthy volunteers.

PET stands for Positron Emission Tomography which is a type of imaging that uses a radioactive tracer. This is also called a radiotracer which is a compound linked to a radioactive element. Most compounds are short-lived, meaning that the radioactivity breaks down quickly or is excreted from the body.

In the first stage of the study, dynamic PET imaging for 90 min will be done with [18F]4F-MHPG (n = 4) and [18F]3F-PHPG (n = 4).

Data from these studies will assess each radiotracer's imaging properties, pharmacokinetics and metabolic breakdown in plasma. Application of tracer kinetic analysis methods to the kinetics of each tracer in heart and plasma will be studied to see if these methods can provide accurate measurements of regional nerve sympathetic nerve density in the hearts of human subjects. Results from these initial studies will be used to select the lead compound for further studies in patient populations.

In the second stage of the study, whole-body PET imaging studies (n = 4) with the selected lead radiotracer will be performed to acquire data necessary for generating more accurate human radiation absorbed dose estimates.

02

Conditions studied

  • Autonomic Peripheral Nervous System Diseases
03

In context

Autonomic Nervous System Diseases

168 studies on the registry are indexed under Autonomic Nervous System Diseases; 36 are open to participants now.

This study's enrollment of 16 is below the median of 40 across 108 interventional studies indexed under Autonomic Nervous System Diseases.

Browse Autonomic Nervous System Diseases studies →

Lead sponsor

University of Michigan is the lead sponsor of 1,503 studies on the registry; 189 are open to participants now.

Of its 167 completed or terminated interventional studies of FDA-regulated products, 132 (79%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Non-obese (BMI \< 30)
  • Normal blood pressure
  • Normal blood lipid profile
  • No history of prior cardiovascular disease
  • Not susceptible to claustrophobia
  • Ability to lay flat for 90 min

Exclusion criteria

Exclusion Criteria:

  • Obesity (BMI > 30)
  • Risk factors for heart disease (age > 55y, hypertension, smoking, high blood pressure, high cholesterol levels, diabetes, etc.)
  • History of heart disease (heart attack, atrial fibrillation, ventricular tachycardia, exertional angina)
  • Currently using certain medications that may interact with cardiac nerves (antidepressants, cold medications, nasal decongestants, monoamine oxidase inhibitors, etc.)
  • Claustrophobia
  • Inability to lie flat for 90 min
  • Pregnant or breast feeding
05

Study design

Phase
Early Phase 1
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
16 participants (actual)

Study arms

  • Experimental
    Protocol 1: [18F]4F-MHPG

    Subjects (n = 4) will be injected one time with 6.5 mCi of 4-\[18F\]fluoro-meta-hydroxyphenethylguanidine (\[18F\]4F-MHPG) and receive a 90 minute PET scan.

    Drug: [18F]4F-MHPG

  • Experimental
    Protocol 1: [18F]3F-PHPG

    Subjects (n = 4) will be injected one time with 6.5 mCi of 3-\[18F\]fluoro-para-hydroxyphenethylguanidine (\[18F\]3F-PHPG) and receive a 90 minute PET scan.

    Drug: [18F]3F-PHPG

  • Experimental
    Protocol 2: Biodistribution Studies

    Subjects (n = 4) will be injected one time with 6.5 mCi of either \[18F\]4F-MHPG or \[18F\]3F-PHPG (whichever is selected based on Protocol 1 studies) and receive four whole-body PET scans, starting at 5 min, 60 min, 150 min and 360 min after tracer injection.

    Drug: [18F]4F-MHPG · Drug: [18F]3F-PHPG

Interventions

  • Drug[18F]4F-MHPG

    IV injection of \[18F\]4F-MHPG

    Also known as: 4-[18F]fluoro-meta-hydroxyphenethylguanidine

  • Drug[18F]3F-PHPG

    IV injection of \[18F\]3F-PHPG

    Also known as: 3-[18F]fluoro-para-hydroxyphenethylguanidine

06

What researchers measure

Primary outcomes

  1. Composite measure based on radiotracer tissue uptake ratios (heart-to-lung ratio, heart-to-liver ratio, heart-to-blood ratio) and rates of metabolism in plasma (half-time, in minutes) of [18F]4F-MHPG and [18F]3F-PHPG in healthy subjects.

    These data will be used to select the lead radiotracer for further clinical development.

    Time frame: 3 months

Secondary outcomes

  1. Radiation Dose

    Human radiation absorbed dose estimates based on the kinetics of the selected lead radiotracer in various organs, as extracted from whole-body PET scans.

    Time frame: 1 year

  2. Number of Adverse Events

    Number of study participants with adverse events as a measure of safety and tolerability following intravenous administration of \[18F\]4F-MHPG or \[18F\]3F-PHPG

    Time frame: 30 days

07

Study locations

1 site
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
08

References and documents

Publications

  • Raffel DM, Jung YW, Koeppe RA, Jang KS, Gu G, Scott PJH, Murthy VL, Rothley J, Frey KA. First-in-Human Studies of [18F] Fluorohydroxyphenethylguanidines. Circ Cardiovasc Imaging. 2018 Dec;11(12):e007965. doi: 10.1161/CIRCIMAGING.118.007965. PubMed 30558502 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2015 to primary completion in Aug 2016, 17 months.

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

Registered
Feb 25, 2015
First posted
Mar 11, 2015
StartActual
Mar 2015
Primary completionActual
Aug 2016
CompletionActual
Aug 2016
Last update
Jul 2, 2017
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 Jul 2, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02385877
Responsible party
David M. Raffel, Ph.D. (Research Associate Professor, University of Michigan) — Principal investigator
First posted
Mar 11, 2015
Start date
Mar 2015
Primary completion
Aug 2016
Completion
Aug 2016
Last update
Jul 2, 2017

Study contacts

David M Raffel, PhD
principal investigator · University of Michigan

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2017. You cannot join it, but the record below documents what was studied.

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