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Fangfang Yin, Rebecca Banerjee, Bobby Thomas...
https://pubmed.ncbi.nlm.nih.gov/20026663/Actively Recruiting
Led by David Wilson · Updated on 2025-04-17
102
Participants Needed
1
Research Sites
8 weeks
Total Duration
Researchers are evaluating a new brain imaging agent called 18FRP-115, a PET tracer targeting the astrocytic glutamate transporter EAAT2, to detect early changes in the brains of people with Alzheimers disease AD and frontotemporal dementia FTD. Both AD and FTD are leading causes of dementia and early diagnosis is important for improving quality of life and treatment development. This study aims to assess the safety and diagnostic performance of this tracer in humans for the first time. Participants will receive an intravenous injection of up to 10 millicurie of 18FRP-115, followed by brain imaging using PET combined with MRI or PETCT and MRI. The study includes several groups healthy volunteers, patients with AD, patients with FTD, and age-matched cognitively normal controls. The goal is to measure how the tracer distributes in the body and binds in the brain regions affected by these dementias. During the study, participants undergo PET scans along with MRI or PETCT imaging to evaluate the tracers biodistribution and safety. Cognitive assessments and clinical evaluations are collected for dementia patients. The main outcomes include safety of the dose, dosimetry, biodistribution, and diagnostic accuracy of 18FRP-115 over up to one year, with secondary evaluations extending to three years. Participants may be followed and monitored throughout this period to help researchers understand how well the tracer works in detecting early brain changes.
CONDITIONS
First-in-Human Evaluation of an Astrocytic Glutamate Transporter (EAAT2) PET Tracer in Dementia
D
David Wilson, MD, PhD
H
Henry Vanbrocklin, PhD
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David Wilson
Lead Sponsor
Rio pharmaceuticals Inc.
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Investigational EAAT2 PET/MRI Imaging | Current PET Imaging for Dementia (FDG and Amyloid PET) |
|---|---|---|
| What is it? | A new PET imaging test using [18F]RP-115, developed to track the activity of the EAAT2 glutamate transporter in the brain. The tracer is injected intravenously, then the brain is scanned using PET/CT or PET/MRI to assess areas involved in dementia. | Established PET imaging modalities, including FDG PET (to assess brain metabolism) and amyloid PET (to detect amyloid plaques), which help identify characteristic patterns and pathologies in Alzheimer’s disease and frontotemporal dementia. |
| Role in the trial or clinical pathway | Investigational—this scan is being tested to study its ability to detect and measure changes in EAAT2 activity among healthy people and those with Alzheimer’s disease or frontotemporal dementia. | Current clinical standard—these scans are used for diagnosis, differentiation of dementia types, and disease staging in routine practice and research. |
| Primary use or purpose | The main goal is to evaluate whether [18F]RP-115 can safely visualize and quantify changes in the glutamate transporter (EAAT2), which may offer new insights into the biology of dementia in research. | Used to detect metabolic activity (FDG PET) or presence of amyloid plaques (amyloid PET) to support the clinical diagnosis and management of Alzheimer’s disease and related disorders. |
| How is it performed? | [18F]RP-115 is injected into a vein. Participants undergo a PET/MRI or PET/CT brain scan to track the tracer’s location and distribution. Arterial catheterization is performed if suitable. | A radiotracer (FDG or amyloid ligand) is injected intravenously. This is followed by a brain PET scan to measure either glucose metabolism or amyloid deposition, usually without need for arterial catheterization. |
| Evidence status | First-in-human evaluation; evidence on accuracy and clinical value is not yet established. Diagnostic performance and outcomes are to be determined. | Extensive published evidence shows FDG and amyloid PET provide valuable diagnostic information for distinguishing Alzheimer’s disease from other dementias, with established diagnostic accuracy. |
| Important limitations | This tracer is investigational, and no published data yet exist to show its ability to improve clinical diagnosis or impact patient care. The need for arterial access and research-specific protocols may limit general clinical use. | FDG and amyloid PET scans may have limited specificity for disease subtypes, may be costly, and are not accessible in all clinical settings. Interpretation can vary with disease stage and co-existing changes. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 1 day
Participants receive an intravenous injection of the PET tracer [18F]RP-115, followed by PET/MRI or PET/CT and MRI scans to evaluate brain changes related to dementia.
1 imaging visit (in-person)
Duration - Up to 3 years
Participants are monitored for safety and to measure tracer biodistribution and diagnostic performance over time.
Follow-up visits as needed
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
DIAGNOSTIC
Number of Arms
4
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https://pubmed.ncbi.nlm.nih.gov/29405337/David Wilson
Lead Sponsor
Rio pharmaceuticals Inc.
Collaborating Sponsor