Clinical trial • Phase IV • Neurology

2-(6-[18F]FLUORO-PYRIDIN-3-YL)-9H-DIPYRIDO[2,3-B:3',4'-D]PYRROLE for Alzheimer's disease

Phase IV trial of 2-(6-[18F]FLUORO-PYRIDIN-3-YL)-9H-DIPYRIDO[2,3-B:3',4'-D]PYRROLE for Alzheimer's disease. open-label, none/not specified-controlled.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Alzheimer's disease
Trial Stage
Phase IV
Drug Modality
Radiopharmaceutical | Diagnostic agent

Key dates

Initial CTIS Submission Date
13-11-2024
First CTIS Authorization Date
29-11-2024

Trial design

open-label, none/not specified-controlled Phase IV trial across 3 sites in France.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
90
Trial Duration For Participant
730

Eligibility

Recruits 90 Persons placed under the protection of justice, patients under guardianship or curatorship are explicitly excluded. The study enrols adults only and requires signed informed consent. Multiple informed consent forms are listed (patient, family/relative, healthy volunteers, specific ICFs for lumbar puncture), and no paediatric/assent process is described..

Pregnancy Exclusion
No health insurance, pregnant, breast-feeding woman or planning a pregnancy in two years of follow-up.
Vulnerable Population
Persons placed under the protection of justice, patients under guardianship or curatorship are explicitly excluded. The study enrols adults only and requires signed informed consent. Multiple informed consent forms are listed (patient, family/relative, healthy volunteers, specific ICFs for lumbar puncture), and no paediatric/assent process is described.

Inclusion criteria

  • {"criterion_text":"- General inclusion criteria: Adult (men or women), Women old enough to procreate under effective contraception, signed consent, for the patients absence of general or systemic disorders that may interfere with cognition."}
  • {"criterion_text":"- IFor the controls: absence of subjective problems with memory and normal scores on the MMSE (MMSE > 27) with no more than one word missing, older than 50 years old, scores on the Free and Cued Selective Reminding Test (FCSRT) of >25 for free recall and >44 for total recall, absence of general or systemic disorders that may interfere with cognition at follow-up."}
  • {"criterion_text":"- For patients with Alzheimer’s Disease at the early stage: AD patients will be defined as EOAD or LOAD according to the age of the onset of the disease as EOAD: onset of the disease ≤ 65 years and LOAD: onset of the disease > 65 years."}
  • {"criterion_text":"- Progressive amnestic syndrome, associated or not with other cognitive impairments or predominant parietal cognitive, CDR = 0.5 or 1 syndrome (parietal phenotype of AD) for EOAD,"}
  • {"criterion_text":"- Absence of general or systemic disorders that may interfere with cognition or PET imaging analysis,"}
  • {"criterion_text":"- Absence of brain lesions as determined by MRI carried out within the framework of usual care."}
  • {"criterion_text":"- Presence of CSF biomarkers profile suggestive of AD"}

Exclusion criteria

  • {"criterion_text":"- Subject with a psychiatric evolutionary and/or badly checked pathology (left to the judgement of the investigator)."}
  • {"criterion_text":"- Subject with a grave, severe or unstable pathology (left to the judgement of the investigator) the nature of which can interfere with the variables of evaluation."}
  • {"criterion_text":"- Current auto-immune disease, subject presenting contraindications to the 3T MRI"}
  • {"criterion_text":"- Known or supposed histories (≤5 years) of severe alcoholism or misuse of drugs"}
  • {"criterion_text":"- Vascular, inflammatory or expansive, visible lesion in the MRI which can interfere on the criteria of diagnosis."}
  • {"criterion_text":"- No health insurance, pregnant, breast-feeding woman or planning a pregnancy in two years of follow-up."}
  • {"criterion_text":"- Diagnosis or history of other possible etiology of dementia, including but not limited to other neurodegenerative disorders."}
  • {"criterion_text":"- Person placed under the protection of justice, patient under guardianship or curatorship"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The degree of correlation at baseline between [18F]-DPA-714, [18F]-Ro948, and [11C]-UCB-J expressed in SUVr will be assessed with Kendall's Tau test","definition_or_measurement_approach":"Correlation at baseline between PET tracers expressed in SUVr; association assessed using Kendall's Tau test."}

Secondary endpoints

  • {"endpoint_text":"- The multivariate approach of the Mixed Model Repeated Measures (MMRM) will be used to evaluate the longitudinal evolution of clinical and instrumental parameters collected. Analyses will be adjusted for clinical and demographic characteristics at baseline.","definition_or_measurement_approach":"Longitudinal evolution assessed using a Mixed Model Repeated Measures (MMRM) multivariate approach, with analyses adjusted for baseline clinical and demographic characteristics."}

Recruitment

Planned Sample Size
90
Recruitment Window Months
54
Consent Approach
Signed informed consent is required from participants (adults). Multiple informed consent documents are listed for patients, relatives/family, healthy volunteers and procedures (e.g., lumbar puncture). No paediatric assent process is described; consent is provided by participants themselves. Specific languages are not stated in the record.

Geography

Total Number Of Sites
3
Total Number Of Participants
90

France

Earliest CTIS Part Ii Submission Date
15-10-2024
Latest Decision Or Authorization Date
15-10-2025
Processing Time Days
365
Number Of Sites
3
Number Of Participants
90

Sites

Site Name
Centre Hospitalier Universitaire Rouen
Department Name
Neurologie
Principal Investigator Name
David WALLON
Principal Investigator Email
David.Wallon@chu-rouen.fr
Contact Person Name
David WALLON
Contact Person Email
David.Wallon@chu-rouen.fr
Site Name
Groupe Hospitalier Universitaire Paris Psychiatrie Et Neuroscience
Department Name
Service de Neurologie, de la Mémoire et du Langage
Principal Investigator Name
Marie SARAZIN
Principal Investigator Email
m.sarazin@ghu-paris.fr
Contact Person Name
Marie SARAZIN
Contact Person Email
m.sarazin@ghu-paris.fr
Site Name
Centre Hospitalier Universitaire De Lille
Department Name
Neurologie
Principal Investigator Name
Thibaud LEBOUVIER
Principal Investigator Email
Thibaud.LEBOUVIER@chru-lille.fr
Contact Person Name
Thibaud LEBOUVIER

Sponsor

Primary sponsor

Full Name
Groupe Hospitalier Universitaire Paris Psychiatrie Et Neuroscience
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Third parties

  • {"country":"","full_name":"Cofinancement institut Roche et ANR (Agence Nationale pour la Recherche)","duties_or_roles":"Monetary support / co-funder","organisation_type":""}

Investigational products

Investigational Product Name
[18F]RO6958948
Active Substance
2-(6-[18F]FLUORO-PYRIDIN-3-YL)-9H-DIPYRIDO[2,3-B:3',4'-D]PYRROLE
Modality
Radiopharmaceutical | Diagnostic agent
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Authorisation Status
Authorised
Maximum Dose
Max daily dose: 90 MBq; Max total dose: 180 MBq
Investigational Product Name
11C-UCB-J
Active Substance
(4R)-1-[(3-(11C)METHYLPYRIDIN-4-YL)METHYL]-4-(3,4,5-TRIFLUOROPHENYL)PYRROLIDIN-2-ONE
Modality
Radiopharmaceutical | Diagnostic agent
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Authorisation Status
Authorised
Maximum Dose
Max daily dose: 150 MBq; Max total dose: 300 MBq
Investigational Product Name
18F-DPA-714
Active Substance
N,N-DIETHYL-2-(2-(4-(2[(18)F]-FLUOROETHOXY)PHENYL)5,7DIMETHYLPYRAZOLO[1,5A]PYRIMIDIN-3-YL)ACETAMIDE
Modality
Radiopharmaceutical | Diagnostic agent
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Authorisation Status
Authorised
Maximum Dose
Max daily dose: 60 MBq; Max total dose: 180 MBq
Investigational Product Name
[11C]PiB
Active Substance
(N-METHYL-(11C))2-(4'-METHYLAMINOPHENYL)-6-HYDROXYBENZOTHIAZOLE
Modality
Radiopharmaceutical | Diagnostic agent
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Authorisation Status
Authorised
Maximum Dose
Max daily dose: 300 MBq; Max total dose: 300 MBq

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