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RecruitingNCT07640555MODAG-009-P1-0Updated Jun 10, 2026

Evaluation of [¹⁸F]MODAG-009 PET Imaging in Synucleinopathies

An Early Phase 1 interventional study of [¹⁸F]MODAG-009 PET imaging in Multiple System Atrophy (MSA), Healthy Adult and Parkinson Disease, sponsored by MODAG GmbH. Recruiting at 1 site in United States. Open to participants aged 50 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-10.

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

From the registry’s dates

  • Started May 2026; still recruiting 5 months later.
Phase
Early Phase 1
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
50 Years to 80 Years
Sex
All
01

Study summary

This is a single-center, open-label clinical study designed to evaluate the imaging characteristics and safety of [¹⁸F]MODAG-009 in participants with Parkinson's disease (PD), Multiple system atrophy (MSA), and Healthy controls (HC). Approximately 13 participants will be enrolled in this study. Each participant will receive a single intravenous injection of [¹⁸F]MODAG-009, followed by PET imaging using the investigational United Imaging NeuroEXPLORER (NX) camera.

Read the detailed description

This is a single-center, open-label clinical study designed to evaluate the imaging characteristics and safety of [¹⁸F]MODAG-009 in participants with PD, MSA, and HC.

All eligible participants receive a single IV injection of [¹⁸F]MODAG-009 followed by dynamic PET imaging using the United Imaging NeuroEXPLORER (NX) brain PET scanner for up to 3 hours post-injection, according to an Image Acquisition Plan (IAP). Structural MRI (obtained under PPMI-002 or as part of routine care/screening) is used for anatomical localization and region-of-interest definition. Safety assessments include physical examination, vital signs, ECG, safety laboratory tests, and AE monitoring on the imaging day and at a follow-up contact 2-3 business days after tracer injection. Blood sampling is performed for radiometabolite analysis and to support quantitative interpretation of PET data, as specified in the IAP.

Approximately 13 participants will be enrolled in this study. All PD and HC participants will be enrolled from the ongoing PPMI 002 Clinical study at the INDD site. Leveraging the existing PPMI cohort allows use of previously collected clinical and biomarker data, thereby minimizing participant burden and ensuring alignment with established study assessments. The MSA cohort will be enrolled from the general population.

02

Conditions studied

  • Multiple System Atrophy (MSA)
  • Healthy Adult
  • Parkinson Disease

Keywords

  • MODAG
  • MODAG GmbH
  • MODAG-009
  • PET Tracer
  • Synuclein
03

In context

Multiple System Atrophy

207 studies on the registry are indexed under Multiple System Atrophy; 73 are open to participants now.

This study's planned enrollment of 13 is below the median of 41 across 134 interventional studies indexed under Multiple System Atrophy.

Browse Multiple System Atrophy studies →

Lead sponsor

MODAG GmbH is the lead sponsor of 6 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
50 Years to 80 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

  • Healthy Controls inclusion criteria:

    1. Enrolled in the PPMI 002 Clinical study as a healthy control participant
    2. Any gender aged 50 to 75 years of age
    3. Negative CSF α-synuclein seed amplification assay (SAA)
    4. Previously acquired (since inclusion in PPMI) brain MRI without evidence of significant neurological pathology.
    5. Movement Disorders Society- Unified Parkinson's Disease Rating Scale Part III (MDS-UPDRS III) score of \<6 at the last PPMI annual visit which is within the past 18 months.
    6. Cognitively intact with (MoCA) greater than or equal to 26 at the last PPMI annual visit which was within the past 18 months.
  • Parkinson's Disease and Prodromal PD inclusion criteria:

    1. Enrolled in the PPMI 002 Clinical study as a Parkinson's Disease (PD) or Prodromal participant
    2. Any gender aged 50 to 80 years of age
    3. Positive CSF SAA
    4. A current or previously acquired brain MRI (since the onset of motor symptoms for PD or since enrolled in PPMI for the prodromal PD) without evidence of significant neurological pathology other than changes expected for PD.
    5. Montreal Cognitive Assessment (MoCA) greater than or equal to 24 at the last PPMI annual visit which was within the past 18 months.
  • Multiple System Atrophy (MSA) inclusion criteria:

    1. Any gender aged 50 to 75 years of age
    2. Clinically established MSA or Clinically Probable MSA according to the Movement Disorder Society Criteria for the Diagnosis of Multiple System Atrophy (Wenning et al., 2022)
    3. Positive CSF SAA
    4. A current or previously acquired brain MRI (since the onset of motor symptoms attributed to MSA) without evidence of significant neurological pathology other than the pathology expected for MSA.
    5. Evidence of nigrostriatal degeneration on DaTscan obtained at screening or on previously acquired imaging since the onset of the motor symptoms attributed to MSA.

Exclusion criteria

Exclusion Criteria:

  • All Cohorts:

    1. Clinical evidence of other neurodegenerative diseases, such as Alzheimer's disease
    2. Any other medical or psychiatric condition or lab abnormality, which in the opinion of the investigator might preclude participation.
    3. Received any of the following drugs: dopamine receptor blockers (neuroleptics), metoclopramide, lithium and reserpine, within 6 months of Baseline Visit.
    4. Any other reason that in the opinion of the investigator, including abnormal labs, that could interfere with the safety with radiotracer injection, would render the participant unsuitable for the study enrollment.
    5. Participation in an drug trial targeting α-synuclein within the past 6 months prior to enrollment.
    6. Currently being treated with and unable to safely hold antiplatelets (other than low dose aspirin up to 100mg/day) or anticoagulants prior to the procedure that might preclude safe attempt of Lumbar puncture, if applicable.
    7. Condition that precludes the safe performance of routine lumbar puncture, if applicable, such as prohibitive lumbar spinal disease, bleeding diathesis, or and uncorrected coagulopathy or thrombocytopenia.
    8. Conditions or medications that preclude safe performance of imaging procedures (MRI or DaTscan), including but not limited to severe claustrophobia, MRI-incompatible metal implants, or known to imaging agents.
    9. Known hypersensitivity to DaTscan or iodine-containing compounds used as premedication for DaTscan. Participants with iodine sensitivity may still complete the imaging without iodine premedication at the investigator's discretion.
    10. Use of medications known to interfere with DaTscan imaging (e.g., bupropion, amphetamines, methylphenidate, modafinil, alpha-methyldopa), unless the participant is willing and medically able to hold the medication for at least 5 half-lives or specified duration per investigators judgement prior to imaging.
Terms in these criteria, in plain language(4)

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    Parkinson's disease (PD); Multiple system atrophy (MSA); Healthy controls (HC)

    Participants enrolled in the study will receive a single IV injection of up to up to 8 mCi of \[¹⁸F\]MODAG-009.

    Drug: [¹⁸F]MODAG-009 PET imaging

Interventions

  • Drug[¹⁸F]MODAG-009 PET imaging

    Participants enrolled in the study will receive a single IV injection of \[¹⁸F\]MODAG-009 followed by dynamic PET imaging using the United Imaging NeuroEXPLORER (NX) brain PET scanner.

06

What researchers measure

Primary outcomes

  1. Standard Uptake Value Ratios (SUVR)

    To evaluate Standard Uptake Value Ratios (SUVR) in brain regions from \[18F\]MODAG-009 in participants with PD.

    Time frame: Up to 3 hours after tracer injection.

  2. Standard Uptake Value Ratios (SUVR)

    To evaluate Standard Uptake Value Ratios (SUVR) in brain regions from \[18F\]MODAG-009 in participants with MSA.

    Time frame: Up to 3 hours after tracer injection.

  3. Standard Uptake Value Ratios (SUVR)

    To evaluate Standard Uptake Value Ratios (SUVR) in brain regions from \[18F\]MODAG-009 in HC participants.

    Time frame: Up to 3 hours after tracer injection.

Secondary outcomes

  1. Safety, tolerability, and feasibility

    To assess the number and severity of adverse events following administration of \[18F\]MODAG-009 tracer in human participants.

    Time frame: From baseline to follow-up 2-3 business days after tracer injection.

  2. Safety, tolerability, and feasibility

    To assess blood pressure \[mmHg\] following administration of \[18F\]MODAG-009 tracer in human participants.

    Time frame: From baseline to follow-up 2-3 business days after tracer injection.

  3. Safety, tolerability, and feasibility

    To assess heart rate \[Hz\] following administration of \[18F\]MODAG-009 tracer in human participants.

    Time frame: From baseline to follow-up 2-3 business days after tracer injection.

  4. Safety, tolerability, and feasibility

    To assess body temperature \[°C\] following administration of \[18F\]MODAG-009 tracer in human participants.

    Time frame: From baseline to follow-up 2-3 business days after tracer injection.

  5. Safety, tolerability, and feasibility

    To assess the treatment-emergent changes in physical examination following administration of \[18F\]MODAG-009 tracer in human participants.

    Time frame: From baseline to follow-up 2-3 business days after tracer injection.

  6. Safety, tolerability, and feasibility

    To assess changes the clinical laboratory tests including hematology and clinical chemistry including renal function tests, hepatic enzymes, electrolytes and creatine kinase following administration of \[18F\]MODAG-009 tracer in human participants.

    Time frame: From baseline to follow-up 2-3 business days after tracer injection.

  7. Safety, tolerability, and feasibility

    To assess drop-out/early discontinuation following administration of \[18F\]MODAG-009 tracer in human participants.

    Time frame: From baseline to follow-up 2-3 business days after tracer injection.

  8. Safety, tolerability, and feasibility

    To assess 12-lead ECG parameters including QT interval corrected for heart rate using Fridericia's formula (QTcF) following administration of \[18F\]MODAG-009 tracer in human participants.

    Time frame: From baseline to follow-up 2-3 business days after tracer injection.

  9. Regional brain uptake

    To determine regional brain uptake of \[¹⁸F\]MODAG-009 and binding patterns associated with α-synuclein pathology.

    Time frame: Up to 3 hours after tracer injection.

07

Study locations

1 of 1 sites recruiting
  • Institute for Neurodegenerative Disorders and XingImaging, LLC
    New Haven, Connecticut 06510, United States
    Recruiting
    • Mackenzee George · Contactmgeorge@xingimaging.com · 475-318-8250 (24 hours)
    • Neha Prakash, MBBS · Principal investigator
08

References and documents

Individual participant data

Plan to share: Undecided

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 2026 (actual). Primary completion is estimated for May 2027, 12 months after the start.

Of 25 phase 1 interventional studies under Multiple System Atrophy, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 55. This study's planned 12 months is below that.

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

Registered
May 7, 2026
First posted
Jun 10, 2026
StartActual
May 13, 2026
Primary completionEst.
May 2027
CompletionEst.
May 2027
Last update
Jun 10, 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 Jun 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07640555
Lead sponsor
MODAG GmbH
Collaborators
XingImaging, LLC, Institute for Neurodegenerative Disorders
Responsible party
Sponsor
First posted
Jun 10, 2026
Start date
May 13, 2026
Primary completion
May 2027 (estimated)
Completion
May 2027 (estimated)
Last update
Jun 10, 2026

Study contacts

Johannes Levin, MD
Contact
Levin@modag.net
475-318-8250 (24 hours)

Oversight

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

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