Clinical trial • Phase IV • Neurology

(4R)-4-(3-(18F)FLUORANYL-5-FLUOROPHENYL)-1-[(3-METHYLPYRIDIN-4-YL)METHYL]PYRROLIDIN-2-ONE for Alzheimer's disease

Phase IV trial of (4R)-4-(3-(18F)FLUORANYL-5-FLUOROPHENYL)-1-[(3-METHYLPYRIDIN-4-YL)METHYL]PYRROLIDIN-2-ONE for Alzheimer's disease.

Overview

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

Key dates

Initial CTIS Submission Date
14-11-2024
First CTIS Authorization Date
10-12-2024

Trial design

None/Not specified-controlled Phase IV trial across 1 site in Netherlands.

Comparator
None/Not specified
Target Sample Size
30

Eligibility

Recruits 30 Vulnerable population not selected (isVulnerablePopulationSelected: false). Participants must, in the opinion of the attending neurologist, be competent to make a well-informed decision to participate and must provide signed informed consent for the Amsterdam Dementia Cohort..

Pregnancy Exclusion
Is a woman of childbearing potential who is not surgically sterile, not refraining from sexual activity or not using reliable methods for contraception. Women of childbearing potential must orally confirm not to be pregnant or breast feeding at screening;
Vulnerable Population
Vulnerable population not selected (isVulnerablePopulationSelected: false). Participants must, in the opinion of the attending neurologist, be competent to make a well-informed decision to participate and must provide signed informed consent for the Amsterdam Dementia Cohort.

Inclusion criteria

  • {"criterion_text":"- At least 50 years of age\n- Biomarker evidence (CSF or PET) for the presence of Aβ pathology.\n- Subjects must, in the opinion of the attending neurologist be able to tolerate study procedures and be competent to make a well-informed decision to participate in this study;\n- Signed informed consent for Amsterdam Dementia Cohort 2016.061);"}

Exclusion criteria

  • {"criterion_text":"- Has contra indications for MRI scanning and therefore has and cannot receive brain MRI;\n- Has evidence of structural abnormalities such as major stroke or mass on MRI that is likely to interfere with the clinical presentation and/or interpretation of PET scan;\n- Is a woman of childbearing potential who is not surgically sterile, not refraining from sexual activity or not using reliable methods for contraception. Women of childbearing potential must orally confirm not to be pregnant or breast feeding at screening;\n- Has a relevant history of severe drug allergy or hypersensitivity. Relevant severe drug allergies should be determined by the Principal Investigator;\n- Has ever participated in an experimental study with a tau, amyloid or synapse targeting agent, unless it can be documented that the subject received only placebo during the course of the trial;\n- History of any clinically significant cardiovascular, endocrinology, hematologic, hepatobiliary, immunologic, metabolic, urologic, pulmonary, neurologic (with the exception of AD), psychiatric, renal or other major disease, as determined by the principal investigator;\n- Has been injected with a previously administered radiopharmaceutical within 6 terminal half-lives or when total yearly radiation exposure exceeds 11.3 mSv for females and 15.3 mSv for males.\n- Is a member of the study team, an employee of the department of Radiology and Nuclear medicine or the department of Neurology of the Amsterdam UMC, or is related to an employee of department of Radiology and Nuclear medicine or the department of Neurology of the Amsterdam UMC. The following medications during the study and 4 weeks prior to [18F]SynVesT-1 PET: o Use of anticonvulsant medications; o Other medications that, in the opinion of the Investigator, may interfere with the study"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Quantification of brain regional [18F]SynVesT-1 uptake (synaptic density) and regional [ 18F]flortaucipir uptake (tau)","definition_or_measurement_approach":"Quantification of regional tracer uptake as described (measurement of [18F]SynVesT-1 and [18F]flortaucipir uptake), i.e. regional uptake quantification as stated in the main objective."}

Secondary endpoints

  • {"endpoint_text":"- association between [18F]Flortaucipir (tau) binding and [18F]SynVesT-1 (synaptic density) binding","definition_or_measurement_approach":"Assessment of the association between tracer binding measures (binding/uprake of [18F]Flortaucipir and [18F]SynVesT-1) as stated in the secondary objective."}

Recruitment

Registry Or Advocacy Recruitment
True, Amsterdam Dementia Cohort
Planned Sample Size
30
Recruitment Window Months
23
Consent Approach
Participants must provide signed informed consent for the Amsterdam Dementia Cohort; competence to consent is assessed by the attending neurologist. A subject information sheet and informed consent form are documented (L1_SIS and ICF).

Geography

Total Number Of Sites
1
Total Number Of Participants
30

Netherlands

Earliest CTIS Part Ii Submission Date
29-11-2024
Latest Decision Or Authorization Date
10-12-2024
Processing Time Days
11
Number Of Sites
1
Number Of Participants
30

Sites

Site Name
Amsterdam UMC Stichting
Department Name
radiology & nuclear medicine
Contact Person Name
Roos Rikken
Contact Person Email
ctis@amsterdamumc.nl
Number Of Participants
30

Sponsor

Primary sponsor

Full Name
Amsterdam UMC Stichting
Organisation Type
Patient organisation/association
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
18F-Synvest-1
Active Substance
(4R)-4-(3-(18F)FLUORANYL-5-FLUOROPHENYL)-1-[(3-METHYLPYRIDIN-4-YL)METHYL]PYRROLIDIN-2-ONE
Modality
Radiopharmaceutical
Routes Of Administration
INTRAVENOUS BOLUS INJECTION/IV INFUSION
Route
INTRAVENOUS BOLUS INJECTION/IV INFUSION
Maximum Dose
140 MBq
Investigational Product Name
Flortaucipir
Active Substance
FLORTAUCIPIR (18F)
Modality
Radiopharmaceutical
Routes Of Administration
INTRAVENOUS BOLUS INJECTION/IV INFUSION
Route
INTRAVENOUS BOLUS INJECTION/IV INFUSION
Maximum Dose
140 MBq

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