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CompletedNCT03287765ADRCproj1Updated May 8, 2023

Evaluating the Relationship Between Tau PET Imaging and CSF Biomarkers of AD (Alzheimer Disease) in Humans

An observational study in Alzheimer Disease, sponsored by Tammie L. S. Benzinger, MD, PhD. Completed at 1 site in United States. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2023-05-08.

Sponsored by Tammie L. S. Benzinger, MD, PhD · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
54
Ages
65 Years and older
Sex
All
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Study summary

The purpose of this research study is to evaluate a new radioactive compound used in positron emission tomography (PET) scans in identifying tau tangles (a certain protein that might be associated with Alzheimer's disease) in the brain, and if the amount of tau tangles in the brain has a relationship to cerebrospinal fluid (CSF) biomarkers and cognitive status.

This study involves a PET scans using the radioactive compound, F 18 T807 for measurement of tau deposition. This radioactive compound is not approved by the United States Food and Drug Administration (FDA). An MRI will be conducted if one has not been completed completed within the past 12 months under a related research study. Participants will be asked about their medical history, family history, surgical history, and current medications. We will evaluate history of traumatic brain injury (TBI) using the Ohio State University Traumatic Brain Injury Identification (OSU TBI-ID) Method. This will take approximately 10 minutes. Participants will be asked to undergo a Mini Mental State Examination (MMSE), which will last approximately 5-10 minutes.

Additionally, participants may be invited to undergo optional brain PET imaging with 2-deoxy-2-[18F]fluoro-D-glucose fludeoxyglucose (18F-FDG), for measurement of the cerebral metabolic rate of glucose consumption. At the time of the initial T807-PET study, participants will be asked if they are willing to undergo repeat T807-PET imaging at least 2 years after the initial study. This follow up study is optional, and participation in the study and initial T807-PET imaging will not be contingent on agreeing to the 2-year follow up study.

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Conditions studied

  • Alzheimer Disease

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Keywords

  • Dementia
  • Tauopathies
  • cognitive impairment
  • CNS Diseases
  • neurodegenerative disease
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Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Under this study protocol, collaborating physicians and the Knight Alzheimer's Disease Research Center (ADRC) Clinical Core will refer participants to the Knight ADRC Research Imaging (KARI) Program for MR and PET imaging to evaluate tau distribution in the brains of cognitively normal and cognitively impaired individuals.

Inclusion criteria

  1. Male or female participants, at least 65 years of age.
  2. Participant is willing to undergo a lumbar puncture (LP) or has previously undergone LP. LP will be conducted under IRB ID 201109100 (PI: Anne Fagan).
  3. Participant is able and willing to undergo positron emission tomography (PET) and magnetic resonance imaging (MRI) of the brain.
  4. Pre-menopausal women must have a negative urine pregnancy test within 24 hours preceding T807 drug administration.

Exclusion criteria

Exclusion Criteria:

  1. Has any condition that, in the Investigator's opinion, could increase risk to the participant, limit the participant's ability to tolerate the experimental procedures, or interfere with the collection/analysis of the data (for example, participants with severe chronic back pain might not be able to lie still during the scanning procedures).
  2. Is deemed likely unable to perform the imaging procedures for any reason.
  3. Has a history of Torsades de Pointes or is taking medications known to prolong or may prolong QT interval (refer to study's list of restricted medications).
  4. Has known hypersensitivity to T807 or any of its excipients.
  5. Contraindications to PET, PET-CT or MR (e.g. electronic medical devices, inability to lie still for long periods) that make it unsafe for the individual to participate.
  6. Severe claustrophobia.
  7. Currently pregnant or breast-feeding. -
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Study design

Observational model
Other
Time perspective
Prospective
Enrollment
54 participants (actual)
Patient registry
No

Groups and cohorts

  • Experimental 18F-AV-1451

    Drug: 18F-AV-1451

Interventions

  • Drug18F-AV-1451

    Participants will receive a single intravenous bolus injection of approximately 6.5-10mCi (240-370MBq) of F 18 T807. For those who cannot tolerate the full exam, participants will receive single intravenous bolus injection of approximately 6.5-10mCi (240-370MBq) of F 18 T807.

    Also known as: Flortauapir

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What researchers measure

Primary outcomes

  1. Examine the association among T807-PET measures of PHF-tau.

    Time frame: 5 years

  2. Characterize the amount and spatial distribution of T807-PET measures in healthy aging. preclinical AD, and early symptomatic AD.

    Time frame: 5 years

  3. Characterize the amount and spatial distribution of T807-PET measures in preclinical AD.

    Time frame: 5 years

  4. Characterize the amount and spatial distribution of T807-PET measures in early symptomatic AD.

    Time frame: 5 years

  5. Examine the association among T807-PET measures of concentrations of CSF biomarkers. and cognitive performance.

    Time frame: 5 years

  6. Examine the association among T807-PET measures of cognitive performance.

    Time frame: 5 years

Secondary outcomes

  1. Evaluate the change in T807-PET measures over time in asymptomatic amyloid-positive individuals and its association with changes in concentrations of CSF biomarkers.

    Time frame: 5 years

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Study locations

1 site
  • Washington University School of Medicine
    Saint Louis, Missouri 63110, United States
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References and documents

Individual participant data

Plan to share: Yes — The Investigators may share the participant's data with other researchers that may be doing research in areas similar to this research or in other unrelated areas. These researchers may be at Washington University, at other research centers and institutions, or industry sponsors of research. The Investigators may also share the research data with large data repositories (a repository is a database of information) for broad sharing with the research community. If the individual research data is placed in one of these repositories only qualified researchers will be able to look at the information.

No publications or documents are linked to this record.

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Registry details

Key details

Study ID
NCT03287765
Lead sponsor
Tammie L. S. Benzinger, MD, PhD
Responsible party
Tammie L. S. Benzinger, MD, PhD (Professor of Radiology & Neurological Surgery, Washington University School of Medicine) — Sponsor-investigator
First posted
Sep 19, 2017
Start date
May 2016
Primary completion
May 2021
Completion
Jul 19, 2021
Last update
May 8, 2023

Study contacts

Tammie Benzinger, MD, PhD
principal investigator · Washington University School of Medicine

Oversight

Data monitoring committee
No
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