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CompletedNCT03545126TANGLESUpdated Apr 13, 2022

Human CNS Tau Kinetics in Tauopathies

An observational study in Progressive Supranuclear Palsy (PSP), Corticobasal Degeneration (CBD) and Frontotemporal Dementia (FTD MAPT Mutation), sponsored by Washington University School of Medicine. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-04-13.

Sponsored by Washington University School of Medicine · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
27
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this study is to characterize tau kinetics and tau aggregation in the human CNS and to test the hypothesis that tau kinetics are altered (i.e. increased production, decreased clearance, and increased aggregation rate) in tauopathies.

Read the detailed description

Tauopathies are neurodegenerative diseases with tau pathology. These tauopathies are the most common pathology in neurodegenerative diseases, and they are reaching epidemic proportions. The rates of tau kinetics are central to understanding normal and abnormal processing and production and clearance of tau kinetics in humans to help understand the causes of tauopathy and evaluate tau-targeted therapeutics.

This study will utilize the Stable Isotope Labeling Kinetics (SILK) method to elucidate tau kinetics in vivo in the human central nervous system (CNS) and its alteration in tauopathies. A total of \~34 participants from 3 different neurodegenerative diseases: Frontotemporal Dementia (FTD), Corticobasal Degeneration (CBD), and Progressive Supranuclear Palsy (PSP), will be invited to enroll in the study.

Participants will be labeled with stable isotopes via 16hr intravenous infusion and CSF samples collected during subsequent lumbar puncture visits over \~120 days. CSF will be analyzed over time for the quantitation of labeled tau.

02

Conditions studied

  • Progressive Supranuclear Palsy (PSP)
  • Corticobasal Degeneration (CBD)
  • Frontotemporal Dementia (FTD MAPT Mutation)

Keywords

  • Tauopathies
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In context

Supranuclear Palsy, Progressive

171 studies on the registry are indexed under Supranuclear Palsy, Progressive; 51 are open to participants now.

This study's enrollment of 27 is below the median of 200 across 66 observational studies indexed under Supranuclear Palsy, Progressive.

Browse Supranuclear Palsy, Progressive studies →

Lead sponsor

Washington University School of Medicine is the lead sponsor of 1,803 studies on the registry; 271 are open to participants now.

Of its 329 completed or terminated interventional studies of FDA-regulated products, 216 (66%) have results posted.

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

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Who can participate

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

Study population

Progressive Supranuclear Palsy (PSP): N=12

Corticobasal Degeneration (CBD): N=8

Frontotemporal Dementia (FTD): MAPT: Family members with or at-risk of tau mutations (e.g. P301L) N=12

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

  • Diagnosed with PSP, CBD, or FTD MAPT

Exclusion criteria

Exclusion Criteria:

  • Clotting disorder
  • Active anticoagulation therapy
  • Active infection
  • Meningitis
  • Recent syncope
  • Current experimental treatment targeting Aβ or medications thought to influence Aβ production or clearance rates (benzodiazepines, muscarinic agents, or anti-epileptics)
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
27 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Progressive Supranuclear Palsy (PSP)

    N=12 Age: 18 and older Recruited participants will be given 13C6 Leucine through intravenous infusion (4mg/kg/hr for 16hrs), and CSF will be collected five times over 120 days (on approximately days 1-4, 5-10, 11-20, 21-60 and 61-120) after labeling.

    Other: 13C6 Leucine

  • Corticobasal Degeneration (CBD)

    N=8 Age: 18 and older Recruited participants will be given 13C6 Leucine through intravenous infusion (4mg/kg/hr for 16hrs), and CSF will be collected five times over 120 days (on approximately days 1-4, 5-10, 11-20, 21-60 and 61-120) after labeling.

    Other: 13C6 Leucine

  • Frontotemporal Dementia: MAPT

    N=12 Family members with or at-risk of tau mutations (e.g. P301L) Age: 18 and older Recruited participants will be given 13C6 Leucine through intravenous infusion (4mg/kg/hr for 16hrs), and CSF will be collected five times over 120 days (on approximately days 1-4, 5-10, 11-20, 21-60 and 61-120) after labeling.

    Other: 13C6 Leucine

Interventions

  • Other13C6 Leucine

    Recruited participants will be given 13C6-labeled leucine through intravenous infusion (4mg/kg/hr for 16hrs)

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What researchers measure

Primary outcomes

  1. Tau Fractional Turnover Rate (FTR)

    Calculated by using CSF tau labeling and plasma free leucine.

    Time frame: 6 months

Secondary outcomes

  1. CSF Tau Absolute Concentration

    Measured using labeled and unlabeled tau protein isoforms that will be immunoprecipitated and analyzed by mass spectrometry.

    Time frame: 6 months

  2. Tau Production Rate

    Measured by FTR multiplied by CSF tau concentration.

    Time frame: 6 months

07

Study locations

1 site
  • Washington University in St. Louis School of Medicine
    Saint Louis, Missouri 63110, United States
08

References and documents

Individual participant data

Plan to share: Undecided — Undecided at this time.

No publications or documents are linked to this record.

09

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 Aug 2017 to primary completion in Mar 2022, 54 months.

Of 37 observational studies under Supranuclear Palsy, Progressive, half reached primary completion within 81 months of starting (the median), counting those still running; a quarter within 54. This study's 54 months is below that.

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

Registered
Mar 12, 2018
First posted
Jun 4, 2018
StartActual
Aug 21, 2017
Primary completionActual
Mar 4, 2022
CompletionActual
Mar 4, 2022
Last update
Apr 13, 2022
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 Apr 13, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03545126
Collaborators
Association of Frontotemporal Degeneration, Tau Consortium
Responsible party
Sponsor
First posted
Jun 4, 2018
Start date
Aug 21, 2017
Primary completion
Mar 4, 2022
Completion
Mar 4, 2022
Last update
Apr 13, 2022

Study contacts

Randall Bateman, MD
principal investigator · Washington University in Saint Louis Medical School
Nupur Ghoshal, MD, PhD
principal investigator · Washington University in Saint Louis Medical School

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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