Actively Recruiting

Phase 1
Phase 2
Age: 18Years - 80Years
All Genders
Healthy Volunteers
NCT05586581

SV2A & TSPO PET Imaging Measures to Reveal Mechanisms of HIV Neuropathogenesis During Antiretroviral Therapy

Led by Yale University · Updated on 2025-09-09

70

Participants Needed

1

Research Sites

393 weeks

Total Duration

On this page

Sponsors

Y

Yale University

Lead Sponsor

N

National Institutes of Health (NIH)

Collaborating Sponsor

AI-Summary

What this Trial Is About

The purpose of this study is to longitudinally characterize and evaluate changes in synaptic density in the brain using novel positron-emission tomography (PET) scans; magnetic resonance imaging (MRI), and clinical laboratory markers associated with HIV-related injury in the central nervous system. This study will test hypotheses relating to the presence and mechanisms of aberrant brain structure at the synaptic level in living humans with virologically controlled HIV on antiretroviral therapy. To evaluate associations between PET imaging radiotracers \[11C\]UCB-J, a ligand for presynaptic vesicle protein 2A (SV2A), a vesicle membrane protein expressed in synapses, and PET \[11C\]PBR28 a measure of microglia function in the brain, the Yale PET center has developed an advanced approach of combining multiple distinct ligands in coordinated same-day PET imaging. Additionally, the study will evaluate the associations of this novel synaptic density marker with well-established clinical measures of neurocognitive performance and laboratory measures of blood and cerebrospinal fluid (CSF).

CONDITIONS

Official Title

SV2A & TSPO PET Imaging Measures to Reveal Mechanisms of HIV Neuropathogenesis During Antiretroviral Therapy

Who Can Participate

Age: 18Years - 80Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 to 80 years
  • Voluntary, written, informed consent
  • For females, negative pregnancy test at screening and before each scan day
  • For PLWH: HIV infection on ART with documented viral suppression for at least one year
  • Willingness to participate in MRI, PET, blood draws, and neuropsychological testing
  • For HIV-negative: confirmed negative HIV test within last three months or willing to test
  • Physically healthy as judged by medical history and examinations
Not Eligible

You will not qualify if you...

  • Active substance dependence (e.g., heroin, alcohol, cocaine, sedatives, methamphetamine)
  • History of significant non-HIV neurological illness (e.g., stroke, seizures, traumatic brain injury)
  • Medical contraindications to radioactivity exposure exceeding FDA limits
  • Medical contraindications to MRI (e.g., ferromagnetic implants, claustrophobia, pacemaker)
  • History of bleeding disorders or current use of anticoagulant medications such as Coumadin, Heparin, Pradaxa, or Xarelto

AI-Screening

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Trial Site Locations

Total: 1 location

1

Yale School of Medicne, Neuro ID Research Program

New Haven, Connecticut, United States, 06510

Actively Recruiting

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Research Team

A

Allison Nelson, RN

CONTACT

P

Paige Ryall

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

BASIC_SCIENCE

Number of Arms

2

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SV2A & TSPO PET Imaging Measures to Reveal Mechanisms of HIV Neuropathogenesis During Antiretroviral Therapy | DecenTrialz