Clinical trial • Phase IV • Neurology|Other

FLORQUINITAU (18F) for Cognitive impairment|Mild cognitive impairment|Alzheimer's disease|Frontotemporal dementia|Primary progressive aphasia|Progressive supranuclear palsy|Corticobasal degeneration|Dementia with Lewy bodies|Down syndrome

Phase IV trial of FLORQUINITAU (18F) for Cognitive impairment|Mild cognitive impairment|Alzheimer's disease|Frontotemporal dementia|Primary progressive ap…

Overview

Trial Therapeutic Area
Neurology|Other
Trial Disease
Cognitive impairment|Mild cognitive impairment|Alzheimer's disease|Frontotemporal dementia|Primary progressive aphasia|Progressive supranuclear palsy|Corticobasal degeneration|Dementia with Lewy bodies|Down syndrome
Trial Stage
Phase IV
Drug Modality
Radiopharmaceutical

Key dates

Initial CTIS Submission Date
08-03-2024
First CTIS Authorization Date
19-06-2024

Trial design

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

Comparator
None/Not specified
Target Sample Size
150
Trial Duration For Participant
540-720

Eligibility

Recruits 150 Vulnerable population selected: Down's Syndrome participants. Specific subject information and informed consent forms for Down's Syndrome are provided (documents listed: '2 HIP CI HEAD - DS_v1_CLEAN_FOR PUBLICATION', 'L1_ SIS and ICF DS Public', 'L1_ SIS DS adapted Public')..

Vulnerable Population
Vulnerable population selected: Down's Syndrome participants. Specific subject information and informed consent forms for Down's Syndrome are provided (documents listed: '2 HIP CI HEAD - DS_v1_CLEAN_FOR PUBLICATION', 'L1_ SIS and ICF DS Public', 'L1_ SIS DS adapted Public').

Inclusion criteria

  • {"criterion_text":"- For Healthy Cognitive Controls: Age: > 18 years (minimum N=5 young individuals aged between 18 and 28) Clinical Criterion: CDR = 0\n- Mild Cognitive Impairment (MCI): Age: 50-90 years (inclusive) Clinical Criteria: NIA-AA 2018, MMSE (22-28)\n- Alzheimer's Disease (AD): Age: 50-90 years (inclusive) Clinical Criteria: NIA-AA 2018, MMSE (11-24)\n- Frontotemporal Dementia: Age: 50-90 years (inclusive) Clinical Criteria: Rascovsky et al., 2011\n- Primary Progressive Aphasia: Age: 50-90 years (inclusive) Clinical Criteria: Gorno-Tempini et al., 2011\n- Progressive Supranuclear Palsy: Age: 50-90 years (inclusive) Clinical Criteria: Hoglinger et al., 2017\n- Corticobasal Degeneration: Age: 50-90 years (inclusive) Clinical Criteria: Armstrong et al., 2013\n- Dementia with Lewy Bodies: Age: 50-90 years (inclusive) Clinical Criteria: McKeith et al., 2017\n- Down's Syndrome (SD): Age: > 18 years"}

Exclusion criteria

  • {"criterion_text":"- Patient with out inclusion criteria"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The main outcome variable derived from the administration of the radiopharmaceutical will be the Standardized Uptake Value Ratio (SUVR) from different PET tau images, which will be co-registered with the structural MRI image. The lower cerebellar cortex will be used as a reference region","definition_or_measurement_approach":"SUVR measured from tau PET images co-registered with structural MRI using the lower cerebellar cortex as reference region"}

Secondary endpoints

  • {"endpoint_text":"- SUVR values obtained for different tracers.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Voxel-wise and regional correlation analysis.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Transformed values to standardize tau PET tracers to a common scale.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Diagnostic performance among different groups.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Associations of tau tracers with amyloid.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Associations of tau tracers with brain atrophy.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Associations of tau tracers with cognition.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Associations of tau tracers with plasma tau biomarkers (p-tau181, p-tau-217, and p-tau231).","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Longitudinal tau accumulation rates among tracers.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Associations between longitudinal changes in tau and amyloid deposition.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Associations between longitudinal changes in tau and brain atrophy.","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Associations between longitudinal changes in tau and progression in cognition.","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
150
Recruitment Window Months
34
Consent Approach
Informed consent obtained using subject information and informed consent forms for patients and controls (multiple versions listed). Specific adapted information and consent forms are provided for Down's Syndrome participants (documents: '2 HIP CI HEAD - DS_v1_CLEAN_FOR PUBLICATION', 'L1_ SIS and ICF DS Public', 'L1_ SIS DS adapted Public'). English summaries of the protocol are available. Consent is provided by participants; adapted forms are provided for vulnerable participants.

Geography

Total Number Of Sites
1
Total Number Of Participants
150

Spain

Earliest CTIS Part Ii Submission Date
24-05-2024
Latest Decision Or Authorization Date
03-12-2024
Processing Time Days
193
Number Of Sites
1
Number Of Participants
150

Sites

Site Name
Hospital De La Santa Creu I Sant Pau
Department Name
Neurology
Principal Investigator Name
Juan Fortea Ormaechea
Principal Investigator Email
jfortea@santpau.cat
Contact Person Name
Juan Fortea Ormaechea
Contact Person Email
jfortea@santpau.cat

Sponsor

Primary sponsor

Full Name
Fundacio Institut De Recerca De L Hospital De La Santa Creu I Sant Pau
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
florquinitau F-18
Active Substance
FLORQUINITAU (18F)
Modality
Radiopharmaceutical
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Authorisation Status
Investigational (no marketing authorisation recorded)
Dose Levels
Max daily dose: 185 MBq; Max total dose: 185 MBq
Frequency
Single administration (maxTreatmentPeriod=1)
Maximum Dose
185 MBq
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
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Authorisation Status
Investigational (no marketing authorisation recorded)
Dose Levels
Max daily dose: 370 MBq; Max total dose: 370 MBq
Frequency
Single administration (maxTreatmentPeriod=1)
Maximum Dose
370 MBq
Investigational Product Name
VIZAMYL 400 MBq/mL solution for injection
Active Substance
FLUTEMETAMOL (18F)
Modality
Radiopharmaceutical
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Authorisation Status
Authorised (EU/1/14/941/001)
Dose Levels
Max daily dose: 150 MBq; Max total dose: 150 MBq
Frequency
Single administration (maxTreatmentPeriod=1)
Maximum Dose
150 MBq
Investigational Product Name
[18F]PI-2620
Active Substance
IZAFLORTAUCIPIR (18F)
Modality
Radiopharmaceutical
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Authorisation Status
Investigational (no marketing authorisation recorded)
Dose Levels
Max daily dose: 185 MBq; Max total dose: 185 MBq
Frequency
Single administration (maxTreatmentPeriod=1)
Maximum Dose
185 MBq

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