ClinicalTrials.gg
CompletedNCT02831283Updated Mar 5, 2025Results posted

Imaging Inflammation in Alzheimer's Disease

A Phase 2 interventional study of 11C-PBR28 and 18F-Florbetaben in Alzheimer's Disease, sponsored by Patrick Lao. Completed at 1 site in United States. Open to participants aged 60 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-03-05.

Sponsored by Patrick Lao · Phase 2, Interventional, and Diagnostic

Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Non-randomized
Ages
60 Years and older
Sex
All
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Study summary

This study is being done to learn about inflammation and amyloid in Alzheimer's disease. A type of brain scan called a PET scan is used measure 1) inflammation and 2) abnormal accumulation of a the amount of a certain protein fragment called beta-amyloid (plaques) in the brain. These are thought to be involved in Alzheimer's disease. The investigators will also perform brain MRI and do tests to measure the participants' memory and thinking.

Read the detailed description

This study is being done to determine the relationship between inflammation, cognitive impairment, and amyloid burden in elderly subjects with different clinical and biomarker profiles of Alzheimer's disease (AD). Participants will undergo amyloid PET imaging with 18F-Florbetaben with target number of completers being 15 amyloid-positive elders with impairment, 15 amyloid-positive elders with normal cognition, 15 amyloid-negative elders with impairment, and 15 amyloid-negative elders with normal cognition. Subjects will undergo screen that includes neuropsychological testing, brain MRI, and PET imaging with 18F-florbetaben to define the above 4 groups. Subjects will have 11C-PBR28 PET imaging to measure the 18 kDa translocator protein (a marker of inflammation). Subjects will have the option to have lumbar puncture performed to measure CSF concentrations of amyloid,tau, phospho-tau, and inflammatory markers.

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Conditions studied

  • Alzheimer's Disease

Keywords

  • inflammation
  • aging
  • mild cognitive impairment
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In context

Alzheimer Disease

3,965 studies on the registry are indexed under Alzheimer Disease; 926 are open to participants now.

This study's enrollment of 60 is below the median of 70 across 3,019 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Patrick Lao is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

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

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Who can participate

Ages eligible
60 Years and older
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

  1. Age 60 and older.
  2. Meet criteria for either a) amnestic mild cognitive impairment (single or mixed domain) or mild Alzheimer's disease, or b) have no cognitive impairment based on history, exam, neuropsychological testing, and consensus diagnosis. MCI and mild AD patients must have Clinical Dementia Rating scale score of 0.5 or 1. Unimpaired subjects must have Clinical Dementia Rating scale score of 0.
  3. Subjects unable to provide must have a surrogate decision maker
  4. Written and oral fluency in English or Spanish.
  5. Able to participate in all scheduled evaluations and to complete all required tests and procedures.
  6. In the opinion of the investigator, the subject must be considered likely to comply with the study protocol and to have a high probability of completing the study.

Exclusion criteria

Exclusion Criteria:

  1. Past or present history of certain brain disorders other than MCI or AD.
  2. Certain significant medical conditions, which make study procedures of the current study unsafe.
  3. to MRI scanning.
  4. Conditions precluding entry into the scanners (e.g., morbid obesity, claustrophobia, etc.).
  5. Exposure to research related radiation in the past year that, when combined with this study, would place subjects above the allowable limits.
  6. Low affinity binding on TSPO genetic screen.
  7. Participation in the last year in a clinical trial for a disease modifying drug for AD.
  8. Inability to have a catheter in subject's vein for the injection of radioligand.
  9. Inability to have blood drawn from subject's veins.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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Study design

Phase
Phase 2
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Amyloid-positive with cognitive impairment (AD)

    Amyloid-positive patients who already have cognitive impairment at the time of enrollment.

    Drug: 11C-PBR28 · Drug: 18F-Florbetaben · Procedure: Lumbar puncture (optional)

  • Active comparator
    Amyloid-positive without impairment (preclinical AD)

    Cognitively normal subjects who are amyloid-positive

    Drug: 11C-PBR28 · Drug: 18F-Florbetaben · Procedure: Lumbar puncture (optional)

  • Active comparator
    Amyloid-negative with cognitive impairment

    Participants with cognitive impairment due to suspected non-AD pathophysiology

    Drug: 11C-PBR28 · Drug: 18F-Florbetaben · Procedure: Lumbar puncture (optional)

  • Active comparator
    Amyloid-negative without impairment (normal aging)

    Cognitively normal subjects who are amyloid-negative on PET, and lack signs of neurodegeneration from other biomarkers

    Drug: 11C-PBR28 · Drug: 18F-Florbetaben · Procedure: Lumbar puncture (optional)

Interventions

  • 11C-PBR28 is a PET radioligand that binds to the 18 kDa translocator protein (TSPO), a marker of inflammation. 11C-PBR28 has previously been administered in humans. 11C-PBR28 will be administered at activity of up to 20 mCi per injection.

    Also known as: 11C-[O-methyl-11C]N-acetyl-N-(2-methoxybenzyl)-2-phenoxy-5-pyridinamine

  • Drug18F-Florbetaben

    18F-Florbetaben (Neuraceq) has FDA approval for human use in evaluation of Alzheimer's disease. 18F-Florbetaben will be administered at activity up to 8.1 mCi per injection.

    Also known as: Neuraceq

  • ProcedureLumbar puncture (optional)

    Subjects have the option to have lumbar puncture performed for the measurement of inflammatory markers in cerebrospinal fluid.

    Also known as: LP

06

What researchers measure

Primary outcomes

  1. 11C-PBR28 Binding

    In vivo quantification radioligand binding to TSPO expression on microglia in the brain, reported as standardized uptake value ratio (SUVR).

    Time frame: Up to 1 year from screening

Secondary outcomes

  1. 18F-Florbetaben Binding

    In vivo quantification of radioligand binding to Amyloid-Beta protein in the brain, reported as standardized uptake value ratio (SUVR).

    Time frame: Up to 1 year from screening

  2. Cerebral Spinal Fluid (CSF) Biomarkers

    Protein analysis of cerebral spinal fluid.

    Time frame: Up to 1 year from screening

07

Results

Posted Mar 5, 2025

Participant flow

Participant flow — Overall Study
MilestoneAmyloid-positive With Cognitive Impairment (AD)Amyloid-positive Without Impairment (Preclinical AD)Amyloid-negative With Cognitive ImpairmentAmyloid-negative Without Impairment (Normal Aging)
Started2481117
Completed2481117
Not completed0000

Outcome measures

Primary11C-PBR28 Binding

In vivo quantification radioligand binding to TSPO expression on microglia in the brain, reported as standardized uptake value ratio (SUVR).

Time frame:
Up to 1 year from screening
Reported as:
Mean · SUVR
11C-PBR28 Binding
SUVRAmyloid-positive With Cognitive Impairment (AD)Amyloid-positive Without Impairment (Preclinical AD)Amyloid-negative With Cognitive ImpairmentAmyloid-negative Without Impairment (Normal Aging)
11C-PBR28 Binding1.25 ± 0.181.15 ± 0.161.16 ± 0.161.02 ± 0.13
Secondary18F-Florbetaben Binding

In vivo quantification of radioligand binding to Amyloid-Beta protein in the brain, reported as standardized uptake value ratio (SUVR).

Time frame:
Up to 1 year from screening
Reported as:
Mean · SUVR
18F-Florbetaben Binding
SUVRAmyloid-positive With Cognitive Impairment (AD)Amyloid-positive Without Impairment (Preclinical AD)Amyloid-negative With Cognitive ImpairmentAmyloid-negative Without Impairment (Normal Aging)
18F-Florbetaben Binding1.64 ± 0.181.51 ± 0.141.17 ± 0.141.12 ± 0.06
SecondaryCerebral Spinal Fluid (CSF) Biomarkers

Protein analysis of cerebral spinal fluid.

Time frame:
Up to 1 year from screening
Reported as:
Mean · ng/mL
Cerebral Spinal Fluid (CSF) Biomarkers
ng/mLAmyloid-positive With Cognitive Impairment (AD)Amyloid-positive Without Impairment (Preclinical AD)Amyloid-negative With Cognitive ImpairmentAmyloid-negative Without Impairment (Normal Aging)
Cerebral Spinal Fluid (CSF) Biomarkers3.14 ± 1.694.21 ± 1.743.26 ± 2.992.05 ± 0.57

Adverse events

Collected over Up to 1 year. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Amyloid-positive With Cognitive Impairment (AD)0/24 (0%)0/24 (0%)0/24 (0%)
Amyloid-positive Without Impairment (Preclinical AD)0/8 (0%)0/8 (0%)0/8 (0%)
Amyloid-negative With Cognitive Impairment0/11 (0%)0/11 (0%)0/11 (0%)
Amyloid-negative Without Impairment (Normal Aging)0/17 (0%)0/17 (0%)2/17 (11.8%)
Most frequent other events
Most frequent other events
EventAmyloid-positive With Cognitive Impairment (AD)Amyloid-positive Without Impairment (Preclinical AD)Amyloid-negative With Cognitive ImpairmentAmyloid-negative Without Impairment (Normal Aging)
Soreness at IV injection siteGeneral disorders0/240/80/111/17
HeadacheGeneral disorders0/240/80/111/17

Baseline characteristics

Age, Continuous
Age, Continuous(years)Amyloid-positive With Cognitive Impairment (AD)Amyloid-positive Without Impairment (Preclinical AD)Amyloid-negative With Cognitive ImpairmentAmyloid-negative Without Impairment (Normal Aging)Total
Mean65.2 ± 8.773.8 ± 3.175.8 ± 9.867.6 ± 3.868.8 ± 8.3
Sex: Female, Male
Sex: Female, Male(Participants)Amyloid-positive With Cognitive Impairment (AD)Amyloid-positive Without Impairment (Preclinical AD)Amyloid-negative With Cognitive ImpairmentAmyloid-negative Without Impairment (Normal Aging)Total
Female447520
Male20441240
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Amyloid-positive With Cognitive Impairment (AD)Amyloid-positive Without Impairment (Preclinical AD)Amyloid-negative With Cognitive ImpairmentAmyloid-negative Without Impairment (Normal Aging)Total
Hispanic or Latino30126
Not Hispanic or Latino218101554
Unknown or Not Reported00000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Amyloid-positive With Cognitive Impairment (AD)Amyloid-positive Without Impairment (Preclinical AD)Amyloid-negative With Cognitive ImpairmentAmyloid-negative Without Impairment (Normal Aging)Total
American Indian or Alaska Native00000
Asian00000
Native Hawaiian or Other Pacific Islander00000
Black or African American02169
White246101151
More than one race00000
Unknown or Not Reported00000
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Study locations

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

References and documents

Publications

  • Klein J, Yan X, Johnson A, Tomljanovic Z, Zou J, Polly K, Honig LS, Brickman AM, Stern Y, Devanand DP, Lee S, Kreisl WC. Olfactory Impairment Is Related to Tau Pathology and Neuroinflammation in Alzheimer's Disease. J Alzheimers Dis. 2021;80(3):1051-1065. doi: 10.3233/JAD-201149. PubMed 33646153 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2025, 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
NCT02831283
Lead sponsor
Patrick Lao
Responsible party
Patrick Lao (Assistant Professor of Neurology, Columbia University) — Sponsor-investigator
First posted
Jul 13, 2016
Start date
Jun 2016
Primary completion
Dec 2022
Completion
Dec 2022
Results posted
Mar 5, 2025
Last update
Mar 5, 2025

Study contacts

Patrick J Lao
principal investigator · Columbia University

Oversight

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

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Studies of the drug tested here: (methyl-(11)C)N-acetyl-N-(2-methoxybenzyl)-2-phenoxy-5-pyridinamine

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