ClinicalTrials.gg
RecruitingNCT07509125Updated Apr 3, 2026

Ultra-High Resolution PET in Aging, Neurodegeneration and Psychotic Disorders

An interventional study of UHR PET/CT scan of the brain with ¹⁸F-FDG and UHR PET/CT scan of the brain with ¹⁸F-PE2I in Alzheimer Dementia (AD), ALS - Amyotrophic Lateral Sclerosis and Parkinson s Disease, sponsored by Universitaire Ziekenhuizen KU Leuven. Recruiting at 1 site in Belgium. Open to participants aged 18 Years to 90 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-03.

Sponsored by Universitaire Ziekenhuizen KU Leuven · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Started Feb 2026; still recruiting 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Non-randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

The goal of this study is to use ultra-high-resolution (UHR) PET imaging to better understand how the brain and spinal cord change in healthy aging and in neurological and psychiatric disorders such as Alzheimer's disease (AD), Parkinson's disease and related movement disorders, amyotrophic lateral sclerosis (ALS), and psychotic disorders. Researchers will use the NeuroExplorer PET/CT system, a new scanner that can show very small structures in the brain and spinal cord in much more detail than regular PET.

The main questions this study aims to answer are:

  • How do small but important brain regions (like the locus coeruleus, substantia nigra, and thalamic nuclei) change in healthy aging?
  • What early brain changes occur in neurodegenerative and psychotic disorders, and can they help improve early diagnosis?

Participants will:

  • Undergo PET and MRI brain scans using different tracers that measure brain metabolism (18F-FDG), synaptic density (¹⁸F-SynVesT-1), dopamine transporters (¹⁸F-PE2I), and tau protein buildup (¹⁸F-MK6240).
  • Complete cognitive and clinical assessments related to memory, mood, and motor or psychiatric symptoms, depending on their group.

This study will include healthy volunteers and patients with mild cognitive impairment due to Alzheimer´s disease, ALS, Parkinson's disease and related disorders, or psychotic disorders.

The results will help create detailed brain imaging maps for healthy aging and identify early biomarkers for different diseases to support better diagnosis and treatment in the future.

02

Conditions studied

  • Alzheimer Dementia (AD)
  • ALS - Amyotrophic Lateral Sclerosis
  • Parkinson s Disease
  • REM Sleep Behavior Disorder (iRBD)
  • PSP - Progressive Supranuclear Palsy
  • MSA - Multiple System Atrophy
  • Dementia With Lewy Bodies (DLB)
  • ALS With Frontotemporal Dementia (ALS/FTD)
  • Adult Onset Psychotic Disorder
  • Very Late Onset Psychotic Disorder

Keywords

  • PET/CT scan
  • Alzheimer´s disease
  • Dementia
  • Amyotrophic Lateral Sclerosis
  • Parkinson´s disease
  • REM sleep behavior disorders
  • Progressive supranuclear palsy
  • Multiple System Atrophy
  • Dementia with Lewy Bodies
  • Psychotic disorders
  • Schizophrenia
  • ALS with frontotemporal dementia
  • UHR PET
  • Locus coeruleus
  • Papez circuit
  • Thalamic subnuclei
03

In context

Alzheimer Disease

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

This study's planned enrollment of 300 is above the median of 70 across 3,019 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Universitaire Ziekenhuizen KU Leuven is the lead sponsor of 963 studies on the registry; 267 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

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

  • WP1: Healthy controls
  • Age between 18 and 90 years old (15 aged 18-50 years and 25 aged 50 90 years);
  • Subject is judged to be in good health by the investigator on the basis of medical history, physical examination including vital signs and clinical laboratory tests;
  • No history or evidence of current major neurological, internal or psychiatric disorder, based on the medical assessment as described hereabove and neuropsychological assessment;
  • No evidence of cognitive impairment as assessed by a (MoCA) score of 26 or higher at baseline;
  • In subjects \< 60 years of age, a normal structural MRI scan as assessed by expert radiologist.
  • In subjects >= 60 years of age white matter hyperintensities corresponding to a WML (white matter lesion) score \<= 2 (of 3) on the Age-Related White Matter changes scale are acceptable;
  • When older than 50 years of age, the volunteer is willing to undergo a p- tau217 blood sample.
  • WP2: Dementia
  • Patient has a clinical diagnosis of biomarker-proven prodromal AD
  • WP3: ALS spectrum
  • Subject must meet El Escorial Criteria (30) and Awaji-Shima criteria (31) for at least possible ALS;
  • WP4: Movement disorders
  • (all): Patient (or legal representative, when applicable) is able to understand the patient information form and give written .
  • Parkinson´s disease (PD):
  • Patient has clinically established PD based on the Movement Disorder Society (MDS) diagnostic criteria (32);
  • Patient has an abnormal 18F-PE2I PET;
  • No evidence of cognitive impairment as assessed by a Montreal Cognitive Assessment (MoCA) score of 26 or higher at baseline.
  • Multiple system atrophy (MSA)
  • Patient has clinically established or clinically probable MSA-P based on the
  • Movement Disorder Society (MDS) diagnostic criteria (33);
  • Patient has an abnormal 18F-PE2I PET.
  • Progressive supranuclear palsy (PSP)
  • Patient has an abnormal 18F-PE2I PET;
  • Patient has clinically established probable PSP according to the latest MDS criteria
  • Dementia with Lewy bodies (DLB)
  • Patient has probable DLB by consensus criteria (cognitive impairment MoCA \< 26 + visual hallucinations and/or fluctuating alertness);
  • Patient has an abnormal 18F-PE2I PET.
  • Idiopathic REM sleep behavior disorder (iRBD)
  • Patient has Polysomnography-confirmed iRBD;
  • No evidence of cognitive impairment as assessed by a Montreal Cognitive Assessment (MoCA) score of 26 or higher at baseline;
  • No clinical evidence of parkinsonism at baseline.
  • WP5: Psychosis
  • DSM 5 criteria for a non-affective schizophrenia spectrum psychotic disorder;
  • Age between 18 and 55 years old for adult-onset psychosis, onset of psychosis (and age) above 60 years old for very late onset psychosis.

Exclusion criteria

Exclusion Criteria:

  • Subject has a history of any major (other) internal, psychiatric or neurological disease that may interfere with the investigations (especially liver and kidney disease, uncontrolled diabetes, cancer, severe depression, stroke, severe TBI);
  • Subject is currently a user (including recreational use) of any illicit drugs, including cannabis, or has a history of drug or alcohol abuse;
  • Subject chronically uses medication that has central nervous system effects (e.g. strong painkillers such as opioids, neuroleptics,..; ) (other than prescribed for the illness in case of patients);
  • Subject has had exposure to ionizing radiation (> 1 mSv) in other research studies within the last 12 months;
  • Subject has a for MRI scanning;
  • Subject suffers from claustrophobia or cannot tolerate confinement during PET-MRI scanning procedures; subject cannot lie still for (at least) 60 minutes inside the scanner;
  • (For subjects with arterial sampling): The subject is hypersensitive to lidocaine (used for local anaesthesia during the placement of the arterial catheter), has an abnormal Allen test (a test to check blood flow in the arteries of the forearm) or is on anti-coagulant therapy;
  • Subject (or his/her legal representative) does not understand the study procedures;
  • Subject is unwilling or unable to perform all of the study procedures, or is considered unsuitable in any way by the principal investigator;
  • Subject is potentially pregnant (hCG test can be done if doubt exists).
Terms in these criteria, in plain language(3)

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.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

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.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Other
    Healthy controls

    Participants in this arm are healthy controls undergoing ultra-high-resolution (UHR) PET imaging on the NeuroEXPLORER system using multiple radiotracers (¹⁸F-FDG, ¹⁸F-PE2I, ¹⁸F-SynVesT-1 and ¹⁸F-MK6240), in combination with 3T MRI. No therapeutic intervention is administered.

    Other: UHR PET/CT scan of the brain with ¹⁸F-FDG · Other: UHR PET/CT scan of the brain with ¹⁸F-PE2I · Other: UHR PET/CT scan of the brain with ¹⁸F-SynVesT-1 · Other: UHR PET/CT scan of the brain with ¹⁸F-MK6240 · Other: 3T MRI imaging of the brain

  • Other
    Patient with aMCI

    Participants in this arm are patients with biomarker-confirmed amnestic mild cognitive impairment due to Alzheimer's disease undergoing UHR PET imaging using ¹⁸F-FDG and ¹⁸F-MK6240, in combination with 3T MRI. No therapeutic intervention is administered.

    Other: UHR PET/CT scan of the brain with ¹⁸F-FDG · Other: UHR PET/CT scan of the brain with ¹⁸F-MK6240 · Other: 3T MRI imaging of the brain

  • Other
    Patients with ALS/ALS-FTD

    Participants in this arm are patients within the ALS and ALS-FTD spectrum undergoing UHR PET imaging using ¹⁸F-FDG, with a subgroup additionally undergoing ¹⁸F-SynVesT-1 PET, in combination with 3T MRI. No therapeutic intervention is administered.

    Other: UHR PET/CT scan of the brain with ¹⁸F-FDG · Other: UHR PET/CT scan of the brain with ¹⁸F-SynVesT-1 · Other: 3T MRI imaging of the brain

  • Other
    Patients with movement disorders

    Participants in this arm include patients with Parkinson's disease, atypical parkinsonism, dementia with Lewy bodies or idiopathic REM sleep behavior disorder undergoing UHR PET imaging using ¹⁸F-FDG, ¹⁸F-PE2I and ¹⁸F-SynVesT-1, in combination with 3T MRI. No therapeutic intervention is administered.

    Other: UHR PET/CT scan of the brain with ¹⁸F-FDG · Other: UHR PET/CT scan of the brain with ¹⁸F-SynVesT-1 · Other: 3T MRI imaging of the brain

  • Other
    Patients with psychotic disorders

    Participants in this arm are patients with adult-onset or very late-onset psychotic disorders undergoing UHR PET imaging using ¹⁸F-FDG, in combination with 3T MRI. No therapeutic intervention is administered.

    Other: UHR PET/CT scan of the brain with ¹⁸F-FDG · Other: 3T MRI imaging of the brain

Interventions

  • OtherUHR PET/CT scan of the brain with ¹⁸F-FDG

    Ultra-high-resolution PET/CT imaging of the brain on the NeuroEXPLORER system using ¹⁸F-FDG radiotracer to assess glucose metabolism

  • OtherUHR PET/CT scan of the brain with ¹⁸F-PE2I

    Ultra-high-resolution PET/CT imaging of the brain on the NeuroEXPLORER system using ¹⁸F-PE2I radiotracer to assess dopaminergic activity

  • OtherUHR PET/CT scan of the brain with ¹⁸F-SynVesT-1

    Ultra-high-resolution PET/CT imaging of the brain on the NeuroEXPLORER system using ¹⁸F-SynVesT-1 radiotracer to assess synaptic density

  • OtherUHR PET/CT scan of the brain with ¹⁸F-MK6240

    Ultra-high-resolution PET/CT imaging of the brain on the NeuroEXPLORER system using ¹⁸F-MK6240 radiotracer to assess neurofibrillary tangles

  • Other3T MRI imaging of the brain

    All participants will undergo 3T MRI, including T1- and FLAIR-weighted sequences for anatomical reference and white matter pathology, neuromelanin-sensitive imaging to assess SN and LC integrity, and multi-shell diffusion-weighted imaging (DWI) for white matter tractography.

06

What researchers measure

Primary outcomes

  1. Volume distribution (mL/cm³) in small brain nuclei of tracers ¹⁸F-FDG, ¹⁸F-PE2I, ¹⁸F-SynVesT-1 and ¹⁸F-MK6240

    To evaluate the regional binding patterns in small brain nuclei using four PET tracers (18F-FDG, 18F-PE2I, 18F-SynVest-1, 18F-MK6240) in different subject groups (healthy controls and disease cohorts). Quantitative outcome metrics will include distribution volumes with and without partial volume correction (PVC).

    Time frame: Through study completion, an average of 4 year

  2. Standardized uptake value ratios (SUVR) in small brain nuclei of tracers ¹⁸F-FDG, ¹⁸F-PE2I, ¹⁸F-SynVesT-1 and ¹⁸F-MK6240

    To evaluate the regional binding patterns in small brain nuclei using four PET tracers (18F-FDG, 18F-PE2I, 18F-SynVest-1, 18F-MK6240) in different subject groups (healthy controls and disease cohorts). Quantitative outcome metrics will include standardized uptake value ratios (SUVR) with and without partial volume correction (PVC).

    Time frame: Through study completion, an average of 4 year

Secondary outcomes

  1. Correlation between regional PET tracer uptake and cognitive performance

    Quantitative PET measures (SUVR from ¹⁸F-FDG, ¹⁸F-PE2I, ¹⁸F-SynVest-1, and ¹⁸F-MK6240) will be correlated with cognitive performance across disease cohorts. Cognitive outcomes will be assessed using standardized neuropsychological tests covering global cognition, memory, language, executive function, and attention. Examples include the Montreal Cognitive Assessment (MoCA) (0-30, a higher score indicating a better outcome), Boston Naming Test (BNT) (0-60, a higher score indicating a better outcome) and Raven's Coloured Progressive Matrices (RCPM) (0-24, a higher score indicating a better outcome)

    Time frame: Through study completion, an average of 4 year

  2. Correlation between regional PET tracer uptake and motor and functional impairment

    Quantitative PET measures (SUVR from ¹⁸F-FDG, ¹⁸F-PE2I, ¹⁸F-SynVest-1, and ¹⁸F-MK6240) will be correlated with motor and functional outcome measures, including performance across disease cohorts. Cognitive outcomes will be assessed using standardized clinical rating scales such as the MDS-UPDRS (all items scored between 0-4, with a higher score indicative of a higher symptom severity)

    Time frame: Through study completion, an average of 4 year

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Li H, Badawi RD, Cherry SR, Fontaine K, He L, Henry S, Hillmer AT, Hu L, Khattar N, Leung EK, Li T, Li Y, Liu C, Liu P, Lu Z, Majewski S, Matuskey D, Morris ED, Mulnix T, Omidvari N, Samanta S, Selfridge A, Sun X, Toyonaga T, Volpi T, Zeng T, Jones T, Qi J, Carson RE. Performance Characteristics of the NeuroEXPLORER, a Next-Generation Human Brain PET/CT Imager. J Nucl Med. 2024 Aug 1;65(8):1320-1326. doi: 10.2967/jnumed.124.267767. PubMed 38871391 ↗
  • Omidvari N, Shanina E, Leung EK, Sun X, Li Y, Mulnix T, Gravel P, Henry S, Matuskey D, Volpi T, Jones T, Badawi RD, Li H, Carson RE, Qi J, Cherry SR. Quantitative Accuracy Assessment of the NeuroEXPLORER for Diverse Imaging Applications: Moving Beyond Standard Evaluations. J Nucl Med. 2025 Jan 3;66(1):150-157. doi: 10.2967/jnumed.124.268309. PubMed 39638433 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07509125
Responsible party
Sponsor
First posted
Apr 3, 2026
Start date
Feb 13, 2026
Primary completion
Sep 2029 (estimated)
Completion
Sep 2029 (estimated)
Last update
Apr 3, 2026

Study contacts

Koen Van Laere, Prof. Dr.
Contact
koen.vanlaere@uzleuven.be
+32 16 34 37 11
Francine Reniers
Contact
francine.reniers@uzleuven.be
+32 16 34 37 15

Oversight

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

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