Status:
COMPLETED
Safety and Efficacy of Positron Emission Tomography (PET) Imaging With MNI-558
Lead Sponsor:
Institute for Neurodegenerative Disorders
Collaborating Sponsors:
Molecular NeuroImaging
Conditions:
Alzheimer Disease
Eligibility:
All Genders
55+ years
Phase:
EARLY_PHASE1
Brief Summary
This research will look at how the brain may change in people with Alzheimer disease (AD). The purpose of this research is to find out whether changes in the brain in people with Alzheimer disease ca...
Detailed Description
This is a phase 0, open-label, single-center, non-randomized single dose study to assess the safety and efficacy of MNI-558 PET imaging in detecting amyloid beta plaque in the brain in patients with p...
Eligibility Criteria
Inclusion
- ALL PARTICIPANTS
- is a man or woman and is ≥ 55 of age, whereby females must be without childbearing potential (confirmed by either: age ≥ 60; or history of surgical sterilization or of hysterectomy, or last spontaneous bleeding at least 2 years prior to the study start)
- has at least 6 years of education
- is able to provide informed consent or assent, and exhibits adequate visual, auditory and communication capabilities to enable compliance with study procedures. This includes performing the psychometric testing and being able to lie down flat in the PET scanner
- possesses a general health that permits adequate compliance with all study procedures as ascertained by a detailed review of the medical history, laboratory and physical examination findings, which must be performed within 28 days prior to administration of IMP
- the subject, or the subject and caregiver (for probable AD patients) will be compliant and have a high probability of completing the study in the opinion of the investigator
- informed consent has been signed and dated (with time) by the subject and/or the subject's caregiver (for probable AD patients)
Exclusion
- ALL PARTICIPANTS
- has any contraindication to MRI examination, e.g. metal implants or phobia as determined by the onsite radiologist performing the scan
- is scheduled for surgery and/or another invasive procedure within the time period of up to 24 hours following IMP application
- is allergic to the IMP or any of its constituents and/or has a history of severe allergic reactions to drugs or allergens (e.g. patients / volunteers with allergic asthma)
- is critically ill and/or medically unstable and whose clinical course during the observation period is unpredictable, e.g. patients / volunteers within 14 days of myocardial infarction or stroke, unstable patients / volunteers with previous surgery (within 7 days), patients with advanced heart insufficiency (NYHA stage IV), or with acute renal failure
- has a history of exposure to any radiation \>15 mSv/year (e.g. occupational or radiation therapy)
- is receiving drug therapy or other treatment that is known to lead to greatly fluctuating values of the hematological or chemical laboratory parameters or to severe side effects (e.g. chemotherapy)
- has received anti-amyloid drug therapy.
- has received any contrast material (X-ray, MRI) or radiopharmaceuticals within 48 hours prior to the application of the IMP or for whom application of such a substance is planned for the 24 hours following IMP administration
- has been previously enrolled in this study or participated in a clinical study involving an investigational pharmaceutical product within 30 days prior to screening, and/or any radiopharmaceutical within 10 radioactive half-lives prior to IMP administration
- has a brain tumor or other intracranial lesion, a disturbance of CSF circulation (e.g., normal pressure hydrocephalus) and/or a history of head trauma or brain surgery
- has an inflammatory or infectious CNS disease, e.g. multiple sclerosis, HIV, syphilis, or Creutzfeld-Jacob disease
- has a history, physical, laboratory or imaging findings indicative of a significant neurological or psychiatric illness (for patients - other than AD)
- has another disease that can cause disturbance of brain function (e.g. vitamin B12 or folic acid deficiency, disturbed thyroid function)
- has a history of alcohol or drug abuse
- has history of severe persistent depression
- Inclusion Criteria: HEALTHY VOLUNTEERS
- has no evidence of cognitive impairment as indicated by a clinical dementia rating (CDR, \[Hughes et al. 1993\]) score of 0 (zero) and a score of ≥ 28 in the Mini-Mental Status Examination (MMSE, \[Folstein et al. 1975\])
- has in the CERAD neuropsychological test battery \[Welsh et al. 1994\] a z- score of ≥ (-1.00) for each subtest (except for the MMSE which is covered by criterion 1 above)
- has MRI brain scan that has been judged as "normal (age- appropriate)" including ARWMC scale \[Wahlund et al. 2001\] scores supporting the lack of cerebrovascular disease (e.g., a white matter lesion score of 0 or 1 or 2 and a basal ganglia score of 0 or 1) and a Scheltens scale \[Scheltens et al. 1992\] verifying the lack of cerebral atrophy (e.g. bilateral temporal lobe atrophy visual score of 0 or 1)
- Inclusion Criteria: ALZHEIMER DISEASE
- presents with positive assessment for dementia of Alzheimer's type in accordance with the DSM-IV-TR and probable AD according to the NINCDS-ADRDA criteria and fulfils none of the exclusion criteria of either (see Appendix 1,2)
- does not fulfill the ICC criteria for probable DLB (Appendix 3), the NINDS-AIREN for probable Vascular dementia (Appendix 5), or the Neary \[Neary et al. 1998\] criteria for FTD (Appendix 4)
- has a CDR \[Hughes et al. 1993\] score of 0.5, 1 or 2
- MRI brain scan findings that do not reveal changes indicative of stroke and/or generalized cerebrovascular disease (e.g., the ARWMC scale) changes limited to: a white matter lesion score of 0 or 1 or 2 and a basal ganglia score of 0 or 1)
- has a caregiver who is willing and able to attend all study visits and perform the psychometric tests requiring the presence of a caregiver
Key Trial Info
Start Date :
September 1 2010
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 1 2011
Estimated Enrollment :
10 Patients enrolled
Trial Details
Trial ID
NCT01217021
Start Date
September 1 2010
End Date
March 1 2011
Last Update
July 25 2011
Active Locations (1)
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1
Institute for Neurodegenerative Disorders
New Haven, Connecticut, United States, 06510