ClinicalTrials.gg
RecruitingNCT06999434Updated Sep 9, 2026

Exploring the Utility of [18F]3F4AP for Demyelination Imaging

A Phase 1 interventional study of [ 18F]3F4AP and [18F]MK6240 in Demyelinating Disorders, MCI and Alzheimer's Disease (AD), sponsored by Yale University. Recruiting at 1 site in United States. Open to participants aged 18 Years to 90 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-09.

Primary conditionMultiple SclerosisRegistry: Demyelinating DiseasesReclassifiedWhy we changed it
Registry
Demyelinating Diseases — the first condition term the registry derived for this study.
ClinicalTrials.gg
Multiple Sclerosis
Why
  1. The study's listed conditions name Multiple Sclerosis, a narrower term within Demyelinating Diseases.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Yale University · Phase 1, Interventional, and Diagnostic

From the registry’s dates

  • Started May 2025; still recruiting 1 year 6 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
105
Allocation
Non-randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

The overall objective is to obtain an assessment of the pharmacokinetics of [18F]3F4AP in healthy volunteers and subjects with demyelinating diseases such as mild cognitive impairment (MCI), Alzheimer's Disease (AD), Multiple Sclerosis (MS), Spinal Cord Injury (SCI) and Spinal radiculopathy (SR).

02

Conditions studied

  • Demyelinating Disorders
  • MCI
  • Alzheimer's Disease (AD)
  • MS (Multiple Sclerosis)
  • SCI - Spinal Cord Injury
  • Spinal Radiculopathy

Keywords

  • 3F4AP
  • Demyelinating Disorders
  • MS
  • SCI
  • AD
03

In context

Multiple Sclerosis Reclassified

3,264 studies on the registry are indexed under Multiple Sclerosis; 659 are open to participants now.

This study's planned enrollment of 105 is above the median of 50 across 2,201 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

Yale University is the lead sponsor of 1,770 studies on the registry; 294 are open to participants now.

Of its 221 completed or terminated interventional studies of FDA-regulated products, 129 (58%) have results posted.

Compared within Multiple Sclerosis, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Demyelinating Diseases. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 90 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

  1. Male and Female subjects must be ≥18 and \<90 years of age;
  2. Able to understand and provide prior to study procedures
  3. Must be in good health

Exclusion criteria

Exclusion:

  1. Less than 18 years of age;
  2. Pregnant or breastfeeding;
  3. Any significant systemic illness or unstable medical condition;
  4. Pre-existing medical conditions or claustrophobic reactions;
  5. Research-related radiation exposure exceeds current PET Center guidelines (i.e. 50 mSv in the prior 12 months);
  6. History of a bleeding disorder or are currently taking anticoagulants.
Terms in these criteria, in plain language(1)

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.

05

Study design

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

Study arms

  • Active comparator
    Healthy Control

    n = 30 - up to three PET scanning sessions.

    Drug: [ 18F]3F4AP · Drug: [18F]MK6240 · Drug: [11C]PIB

  • Experimental
    Alzheimer's Disease (AD)

    n = 15 - up to three PET scanning sessions.

    Drug: [ 18F]3F4AP · Drug: [18F]MK6240 · Drug: [11C]PIB

  • Experimental
    Mild Cognitive Impairment (MCI)

    n = 15 - up to three PET scanning sessions.

    Drug: [ 18F]3F4AP · Drug: [18F]MK6240 · Drug: [11C]PIB

  • Experimental
    Multiple Sclerosis (MS)

    n = 15 - up to three PET scanning sessions.

    Drug: [ 18F]3F4AP · Drug: [18F]MK6240 · Drug: [11C]PIB

  • Experimental
    Spinal Cord Injury (SCI)

    n = 15 - up to three PET scanning sessions.

    Drug: [ 18F]3F4AP · Drug: [18F]MK6240 · Drug: [11C]PIB

  • Experimental
    Spinal radiculopathy (SR)

    n = 15 - up to three PET scanning sessions.

    Drug: [ 18F]3F4AP · Drug: [18F]MK6240 · Drug: [11C]PIB

Interventions

06

What researchers measure

Primary outcomes

  1. Tracers volume of distribution (VT)

    PET images measured with \[ 18F\]3F4AP will quantify demyelination, those obtained with \[18F\]MK6240 will quantify tau burden and those obtained with \[11C\]PiB will reflect amyloid burden. PET images acquired with \[18F\]3F4AP, \[18F\]MK6240 and \[11C\]PiB, will measure the tracers volume of distribution (VT).

    Time frame: 5 years

  2. Distribution volume ratio (DVR)

    PET images acquired with \[18F\]3F4AP, \[18F\]MK6240 and \[11C\]PiB, will measure the tracers distribution volume ratio (DVR).

    Time frame: 5 years

  3. Binding potential (BPND)

    PET images acquired with \[18F\]3F4AP, \[18F\]MK6240 and \[11C\]PiB, will measure the tracers binding potential (BPND).

    Time frame: 5 years

  4. Demyelination

    \[18F\]3F4AP will be used to measure demyelination. On the MR images, after co-registration and alignment, signal from pre- and post-contrast T1-weighted images, T2-weighted image, ratio between T1- and T2-weighted images (T1/T2) will be calculated to assess demyelination and white matter lesion (WML) on MR sequences.

    Time frame: 5 years

  5. Tau burden

    \[18F\]MK6240 will be used to measure Tau burden.

    Time frame: 5 years

  6. Amyloid burden

    \[11C\]PiB will reflect amyloid burden.

    Time frame: 5 years

  7. Tracer rate constant

    The tracer rate constant for transfer from arterial plasma to tissue K1 and relative delivery R1 will also be estimated using tracer kineticmodeling technique, to provide measures of cerebral perfusion or CBF.

    Time frame: 5 years

  8. Associations between imaging modalities and biomarkers.

    The Pearson correlation coefficient r will be used to assess the strength of the linear correlations between outcome measures. A P value of 0.05 or less will be considered statistically significant.

    Time frame: 5 years

Secondary outcomes

  1. Measure of brain atrophy

    T1 images segmented and parcellated using FreeSurfer will be used to calculate cortical volumes, including the total cortical volume but also the hippocampal volume and will serve as proxies for neocortical and allocortical atrophy.

    Time frame: 5 years

  2. Measure of cerebrovascular burden

    volume of White matter hyperintensities (WMH) on T1 images or T2 images

    Time frame: 5 years

  3. Measure of White matter lesions (WML)

    The total WML load score will be calculated as the sum of the frequency of lesions multiplied by their volume.

    Time frame: 5 years

  4. MR/MRSI images

    Evaluated to determine the effect of pulse sequence parameters and/or hardware configuration on image quality. The images acquired with different pulse sequence parameters or MR hardware configurations will be compared. Comparison of the MR images entails comparing the result of specific image quality measures such as signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) as well as the level of image artifacts

    Time frame: 5 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

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

Started May 2025 (actual). Primary completion is estimated for May 2030, 60 months after the start.

Of 53 non-industry phase 1 interventional studies under Multiple Sclerosis, half reached primary completion within 50 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 71. This study's planned 60 months is above that.

Counting every sponsor, half of 91 studies reached it within 30 months; a quarter within 9 and three quarters within 56.

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

Registered
May 15, 2025
First posted
May 31, 2025
StartActual
May 5, 2025
Primary completionEst.
May 5, 2030
CompletionEst.
May 5, 2030
Last update
Sep 9, 2026
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 Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06999434
Lead sponsor
Yale University
Responsible party
Georges El Fakhri (Professor of Radiology and Biomedical Imaging and of Biomedical Informatics & Data Science, Yale University) — Principal investigator
First posted
May 31, 2025
Start date
May 5, 2025
Primary completion
May 5, 2030 (estimated)
Completion
May 5, 2030 (estimated)
Last update
Sep 9, 2026

Study contacts

Shannan Henry
Contact
shannan.henry@yale.edu
+1 (203) 737-5278
Kayla Cottiers
Contact
kayla.cottiers@yale.edu
203-737-7496
Georges El Fakhri, PhD, DABR
principal investigator · Yale University

Oversight

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

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