ClinicalTrials.gg
RecruitingNCT07640542PIOSAUpdated Jul 31, 2026

Test-retest Trial With [11C]MODAG-005 in PD or MSA and AMHC - Pilot Phase

An Early Phase 1 interventional study of [11C]MODAG-005 in Parkinson Disease (PD), MSA - Multiple System Atrophy and Healthy Adult Participants, sponsored by MODAG GmbH. Recruiting at 1 site in Germany. Open to participants aged 50 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-31.

Sponsored by MODAG GmbH · Early Phase 1, Interventional, and Diagnostic

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.

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Phase
Early Phase 1
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
50 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 263 studies in Parkinson Disease with a site in Germany — 41 open to participants now, 53 under way, 2 of them phase 3. Parkinson Disease · Germany.

Planned enrollment
190th of 198
9 · median 106
Started
2026
with 7 others
Phase 1
13 of 263
3 open now
Primary completion
2027-07
later than 25 of 52 live
Registered
263rd of 263
by date

Among the 263 studies in Parkinson Disease with a site in Germany, this one is the 190th largest by planned enrollment of the 198 interventional ones that give a count, is one of 8 that started in 2026, is one of 13 in phase 1, reaches primary completion later than 25 of the 52 other live ones, and was the 263rd registered.

Parkinson Disease

4,576 studies on the registry are indexed under Parkinson Disease; 1,087 are open to participants now.

Browse Parkinson Disease studies →

Open to participants now

41 of the 263 studies in Parkinson Disease with a site in Germany are open now. Recruiting first, the newest first:

35 more — sign in →

All 41 open studies →

A study can be open while its sites in Germany have not opened yet or have stopped. Only those recruiting at a site in Germany →

Who these studies take

Of the 750 Parkinson Disease studies recruiting now, 312 (42%) set no upper age limit and 127 (17%) stop at 75 or younger; 64 take children under 18; 190 take healthy volunteers.

This study: 50 Years to 75 Years · all sexes · healthy volunteers too.

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02

Study summary

This is an open-label, single-center Phase 1 study evaluating the safety, tolerability, and test-retest characteristics of [11C]MODAG-005, an investigational positron emission tomography/computed tomography (PET/CT) radioligand intended to image pathological alpha-synuclein deposition in the brain. The study will enroll participants with Parkinson's disease (PD), participants with multiple system atrophy (MSA), and age-matched healthy controls (AMHC).

Participants with PD or MSA will undergo two [11C]MODAG-005 PET/CT imaging sessions: one baseline scan and one follow-up scan 7 to 48 days later. Age-matched healthy controls will undergo one baseline scan. A subset of PD and MSA participants will receive a single oral dose of anle138b (Emrusolmin) before the second scan to evaluate tracer uptake under blocking conditions. The primary objective is to assess the safety and tolerability of [11C]MODAG-005. Secondary objectives include evaluating whether [11C]MODAG-005 PET imaging can distinguish participants with MSA or PD from age-matched healthy controls, distinguish PD from MSA, and determine test-retest variability of PET outcome measures.

Read the detailed description

This is an open-label, single-center Phase 1 study evaluating [11C]MODAG-005, an investigational Positron Emission Tomography (PET) radioligand for imaging pathological alpha-synuclein deposition in the brain. The study will enroll participants with Parkinson's disease (PD), participants with multiple system atrophy (MSA), and age-matched healthy controls (AMHC).

Participants with PD or MSA will undergo two [11C]MODAG-005 PET/CT scans: a baseline scan and a follow-up scan 7 to 48 days later. Age-matched healthy controls will undergo one baseline PET/CT scan. A subset of PD and MSA participants will receive a single oral dose of 300 mg anle138b (Emrusolmin) before the second scan to evaluate tracer uptake under blocking conditions.

The primary objective is to assess the safety and tolerability of [11C]MODAG-005 based on adverse events, vital signs, physical examinations, laboratory tests, and electrocardiograms. Secondary objectives include evaluating whether [11C]MODAG-005 PET imaging can distinguish MSA from healthy controls, PD from healthy controls, and PD from MSA, and assessing test-retest variability of PET imaging measures.

Exploratory analyses will assess tracer uptake with and without anle138b blocking, blood radioactivity and metabolite profiles, image-derived input functions, visual PET reads, and relationships between PET signal and clinical measures. Total study participation will last up to 12 weeks from screening to final follow-up.

03

Conditions studied

  • Parkinson Disease (PD)
  • MSA - Multiple System Atrophy
  • Healthy Adult Participants

Keywords

  • MODAG
  • MODAG GmbH
  • Synuclein
  • Neurodegeneration
  • Lewy Body
04

Who can participate

Ages eligible
50 Years to 75 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

  • Key inclusion criteria: Patients with MSA fulfilling both the criteria for probable MSA (Gilman et al., 2008) and clinically established MSA (Wenning et al., 2022), patients with PD fulfilling the criteria for clinically established PD (Postuma et al., 2015) or age-matched healthy controls (AMHC).

Exclusion criteria

Exclusion Criteria:

  1. Laboratory tests with abnormalities and/or clinically significant unstable medical illness equivalent to CTC v5.0 (common toxicity criteria) toxicities greater than grade 2.
  2. Evidence of clinically significant disease that is expected to interfere with cognitive assessments or the ability to complete the trial procedures as judged by the investigator.
  3. Clinically significant renal and hepatic dysfunction as judged by the investigator.
  4. Known to the active substance or to any of the of [11C]MODAG-005 solution for injection.
  5. Known hypersensitivity to the active substance or to any of the excipients in anle138b (Emrusolmin) capsules.
  6. Participant has received an drug within 3 months of screening.
  7. Blood donations within 7 days before enrolment.
  8. Pregnant (see 9.1.5) or breast-feeding or having the intention of getting pregnant. Female participants of and male participants with female partners of childbearing potential not willing to practice effective during the trial period and for 90 days following each PET/CT scan.
  9. Unsuitable veins for repeated venipuncture.
  10. to blood sampling and/or arterial cannulation, including but not limited to allergy to local anesthetics, peripheral vascular disease, Raynaud's phenomenon as determined by abnormal Allen's test on both arms or abnormal coagulation profile at screening. If Allen's test should be "abnormal" on both arms, the participant will not be eligible for arterial sampling, but will participate in the remaining assessments.
  11. MRI exclusion criteria include but not limited to: findings of cerebrovascular disease (more than two lacunar infarcts, any territorial infarct >1 cm\^3, or deep white matter abnormality corresponding to an overall Fazekas scale of 3 with at least one confluent hyperintense lesion on the Fluid-Attenuated Inversion Recov ery (FLAIR) sequence that is >20 mm in any dimension), infectious disease, space-occupying lesions normal pressure hydrocephalus or any other abnormalities associated with central nervous system (CNS) disease. Findings that are expected to be present in the PD and MSA participants (e.g. absence of swallow tail sign, presence of regional atrophy or hot cross bun sign) do not lead to exclusion of these participants.
  12. Implants such as implanted cardiac pacemakers or defibrillators, insulin pumps, cochlear implants, metallic ocular foreign body, implanted neural stimulators, CNS aneurysm clips and other medical implants that have not been certified for MRI, or history of claustrophobia in MRI.
  13. Unwilling and/or unable to cooperate with trial procedures.

    Exclusion criteria for age-matched healthy controls:

  14. Relevant hepatic parameters above (ULN), i.e., glutamic pyruvic transaminase (GPT), glutamic oxaloacetic transaminase (GOT),
  15. Relevant renal parameters outside normal limits, i.e., serum creatinine and blood urea nitrogen (BUN) above ULN; urinary albumin-creatinine ratio (uACR) below lower limit of normal (LLN)
  16. Systolic blood pressure \<90 or >140 mmHg; diastolic blood pressure \<45 or >90 mmHg; heart rate \<50 or >95 beats per minute (BPM)
Terms in these criteria, in plain language(9)

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

05

Study design

Phase
Early Phase 1
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (estimated)

Study arms

  • Experimental
    Parkinson´s Disease (PD), Multiple System Atrophy (MSA), Healthy controls (HC)

    Each participant with PD and each participant with MSA will receive two injections of up to 18 mL of \[11C\]MODAG-005 solution for injection with 40 - 400 MBq within 12 weeks. Each HC will receive one injection of up to 18 mL of \[11C\]MODAG-005 solution for injection with 40 - 400 MBq.

    Drug: [11C]MODAG-005

Interventions

  • Drug[11C]MODAG-005

    Injection of \[11C\]MODAG-005 followed by PET imaging.

06

What researchers measure

Primary outcomes

  1. Safety and Tolerability

    AEs related to the medication

    Time frame: Inclusion to 4 days (± 2 days) post injection.

  2. Safety and tolerability

    AEs leading to discontinuation/drop-out rates

    Time frame: Inclusion to 4 days (± 2 days) post injection.

  3. Safety and tolerability

    SAEs related to the study medication.

    Time frame: Inclusion to 4 days (± 2 days) post injection.

  4. Safety and tolerability

    Change in vital signs (heart rate \[Hz\], blood pressure \[mmHg\], body temperature\[°C\]) secondary to injection with \[11C\]MODAG-005.

    Time frame: Inclusion to 4 days (± 2 days) post injection.

  5. Safety and tolerability

    Change in physical examination findings secondary to injection with \[11C\]MODAG-005.

    Time frame: Inclusion to 4 days (± 2 days) post injection.

  6. Safety and tolerability

    Change in clinical laboratory results including hematology and clinical chemistry including renal function tests, hepatic enzymes, electrolytes and creatine kinase secondary to injection with \[11C\]MODAG-005.

    Time frame: Inclusion to 4 days (± 2 days) post injection.

  7. Safety and tolerability

    Cahnge in 12-lead ECG parameters including QT interval corrected for heart rate using Fridericia's formula (QTcF) secondary to injection with \[11C\]MODAG-005

    Time frame: Inclusion to 4 days (± 2 days) post injection.

Secondary outcomes

  1. To assess the ability of [11C]MODAG-005 to discriminate between MSA and HC.

    Standardized uptake value ratio (SUVR) for different imaging time windows, volume of distribution (VT) and distribution volume ratio (DVR) in different brain regions between participants with MSA and AMHC from PET acquisitions after administration of \[11C\]MODAG-005.

    Time frame: Slots between 0 and 90 minutes after tracer injection.

  2. To assess the ability of [11C]MODAG-005 to discriminate between PD and HC

    SUVR for different imaging time windows, VT, and DVRin different brain regions between patients with PD and AMHC from PET acquisitions after administration of \[11C\]MODAG-005.

    Time frame: Slots between 0 and 90 minutes after tracer injection.

  3. To assess the ability of [11C]MODAG-005 to discriminate between PD and MSA

    SUVR for different imaging time windows, VT, and DVR in different brain regions between participants with PD and participants with MSA from PET acquisitions after administration of \[11C\]MODAG-005.

    Time frame: Slots between 0 and 90 minutes after tracer injection.

  4. To determine test-retest variability in PD and MSA under blocking conditions.

    Test-retest variability of SUVR for different time imaging time windows and DVR after administration of \[11C\]MODAG-005 in PD and MSA under blocking with a single dose of Emrusolmin 300 mg.

    Time frame: 8-49 days after first tracer injection.

07

Study locations

1 of 1 sites recruiting
  • Radiologische Klinik, Universitätsklinikum Tübingen, Abt. Nuklearmedizin & Klinische Molekulare Bildgebung
    Tübingen, Baden-Wurttemberg, Germany
    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 Jul 2026 (actual). Primary completion is estimated for Jul 2027, 12 months after the start.

Of 127 industry-sponsored phase 1 interventional studies under Parkinson Disease, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 24. This study's planned 12 months is above that.

Counting every sponsor, half of 204 studies reached it within 19 months; a quarter within 5 and three quarters within 40.

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

Registered
May 24, 2026
First posted
Jun 10, 2026
StartActual
Jul 29, 2026
Primary completionEst.
Jul 2027
CompletionEst.
Jul 2027
Last update
Jul 31, 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 Jul 31, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07640542
Lead sponsor
MODAG GmbH
Collaborators
Universität Tübingen, ABX CRO
Responsible party
Sponsor
First posted
Jun 10, 2026
Start date
Jul 29, 2026
Primary completion
Jul 2027 (estimated)
Completion
Jul 2027 (estimated)
Last update
Jul 31, 2026

Study contacts

Johannes Levin, MD
Contact
levin@modag.net
+49-6734-9622-8000

Oversight

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

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