Clinical trial • Not applicable • Neurology

FLUOROETHOXYBENZOVESAMICOL F-18 for Apathy | Stroke

Not applicable trial of FLUOROETHOXYBENZOVESAMICOL F-18 for Apathy | Stroke.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Apathy | Stroke
Trial Stage
Not applicable
Drug Modality
Radiopharmaceutical

Key dates

Initial CTIS Submission Date
15-10-2024
First CTIS Authorization Date
14-11-2024

Trial design

open-label, comparator: dopacis 90 mbq/ml, solution injectable (active substance fluorodopa (18f)); dose information provided: maxdailydoseamount 2 mbq/kg. test product: fluoroethoxybenzovesamicol f-18 (max total dose 262.5 mbq). routes: solution for injection. (information from product listings.)-controlled Not applicable trial across 1 site in France.

Open Label
Yes
Comparator
Comparator: Dopacis 90 MBq/mL, solution injectable (active substance FLUORODOPA (18F)); dose information provided: maxDailyDoseAmount 2 MBq/kg. Test product: Fluoroethoxybenzovesamicol F-18 (max total dose 262.5 MBq). Routes: solution for injection. (Information from product listings.)
Target Sample Size
30

Eligibility

Recruits 30 Vulnerable population considerations: the protocol identifies vulnerable statuses and excludes certain vulnerable participants (e.g. "Patient deprived of liberty by judicial or administrative decision" and "Patient under legal protection or unable to express its own consent"). Informed consent must be free, written and signed by the participant and the investigator at the latest on the day of inclusion and before any examinations; participants must be of legal age (adult)..

Pregnancy Exclusion
Subjects with positive pregnancy test ((BHCG dosage and Urine dipstick), and/or currently breast-feeding
Vulnerable Population
Vulnerable population considerations: the protocol identifies vulnerable statuses and excludes certain vulnerable participants (e.g. "Patient deprived of liberty by judicial or administrative decision" and "Patient under legal protection or unable to express its own consent"). Informed consent must be free, written and signed by the participant and the investigator at the latest on the day of inclusion and before any examinations; participants must be of legal age (adult).

Inclusion criteria

  • {"criterion_text":"- Patient of legal age and younger than 75 years\n- Patient with a Rankin score less than or equal to 2 and with or without apathy, demonstrated by AI scales, 3 to 7 months after stroke (apathetic patient = AI scale score > 2)\n- Affiliate or beneficiary of a social security scheme\n- Subjects (female study subjects and female partners of male participants) using highly effective contraceptive methods (intra-uterine device, progestin or estrogen-progestin contraceptive, sterilization)\n- Free, informed and written consent signed by the participant and the investigator (at the latest on the day of inclusion and before any examination required by the research)"}

Exclusion criteria

  • {"criterion_text":"- Patients over 75 years old\n- Taking of any pharmacological treatment likely to affect cholinergic systems at the time of PET-scan: Amitriptyline, Atropine, Brompheniramine, Chlorphenamine, Chlorpromazine, Clomipramine, Clozapine, Dimenhydrinate, Diphenhydramine, Doxepine, Hyoscyamine, Imipramine, Meclozine, Nortriptyline, Oxybutynine, Promethazine, Scopolamine, Trimipramine, Hydroxyzine\n- Taking of any pharmacological treatment likely to affect and dopaminergic systems at the time of PET-scan: glucagon, haloperidol, reserpin\n- White matter T2 hyperintense lesions (Fazekas score > 4)\n- NYHA Class III to IV Heart Failure Patient\n- Patients with allergy or conter-indication to entacapone\n- Subjects with positive pregnancy test ((BHCG dosage and Urine dipstick), and/or currently breast-feeding\n- Patients unable to come back to hospital for at least 2-follow-up visit\n- Patient with a chronic neurological disorder or severe psychiatric disorder\n- Patient presenting a counter-indication for MRI\n- Patient presenting a counter-indication for TEP with [18F]-FEOBV or [18F]-FDOPA (known allergy)\n- Patient who underwent a PET examination in the previous month\n- Patient with state of health not allowing a displacement in the department of imaging of the CHU: bedridden state, state of health very deteriorated\n- Patient deprived of liberty by judicial or administrative decision\n- Patient under legal protection or unable to express its own consent\n- Subject within exclusion period from another clinical trial"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- [18F]-FEOBV and [18F]-FDOPA binding intensities","definition_or_measurement_approach":"Values of cerebral binding parameters for the cholinergic ([18F]-FEOBV) and dopaminergic ([18F]-FDOPA) tracers assessed by PET imaging; comparison of tracer binding intensity between apathetic and non-apathetic post-stroke groups."}

Secondary endpoints

  • {"endpoint_text":"- Clinical severity of apathy\n- Functional connectivity parameters measured with MRI\n- Diffusion tensor imaging parameters, such as the fractional anisotropy and mean diffusivity, measured with structural MRI\n- Cerebral blood flow","definition_or_measurement_approach":"Clinical severity of apathy: apathy scale (AI) score; Functional connectivity: maps of correlation coefficients between brain regions measured with resting-state fMRI; DTI parameters: fractional anisotropy and mean diffusivity measured on structural MRI diffusion sequences; Cerebral blood flow: perfusion maps (e.g. arterial spin labeling) measuring cerebral perfusion."}

Recruitment

Planned Sample Size
30
Recruitment Window Months
49
Consent Approach
Free, informed and written consent signed by the participant and the investigator (at the latest on the day of inclusion and before any examination required by the research). Participants must be adults (legal age); no procedures for assent of minors are described. A subject information and informed consent form document is listed among trial documents.

Geography

Total Number Of Sites
1
Total Number Of Participants
30

France

Earliest CTIS Part Ii Submission Date
08-11-2024
Latest Decision Or Authorization Date
14-11-2024
Processing Time Days
6
Number Of Sites
1
Number Of Participants
30

Sites

Site Name
Centre Hospitalier Universitaire De Bordeaux
Department Name
Médecine Nucléaire
Principal Investigator Name
Nicolas BALAMOUTOFF
Principal Investigator Email
nicolas.balamoutoff@chu-bordeaux.fr
Contact Person Name
Nicolas BALAMOUTOFF
Number Of Participants
30

Sponsor

Primary sponsor

Full Name
Centre Hospitalier Universitaire De Bordeaux
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Third parties

  • {"country":"","full_name":"LabEx BRAIN","duties_or_roles":"Monetary support","organisation_type":""}

Investigational products

Investigational Product Name
Fluoroethoxybenzovesamicol F-18
Active Substance
FLUOROETHOXYBENZOVESAMICOL F-18
Modality
Radiopharmaceutical
Routes Of Administration
SOLUTION FOR INJECTION
Route
SOLUTION FOR INJECTION
Authorisation Status
prodAuthStatus:1
Dose Levels
Max total dose 262.5 MBq
Frequency
Single administration (maxTreatmentPeriod:1)
Maximum Dose
262.5 MBq
Investigational Product Name
Dopacis 90 MBq/mL, solution injectable
Active Substance
FLUORODOPA (18F)
Modality
Radiopharmaceutical
Routes Of Administration
SOLUTION FOR INJECTION
Route
SOLUTION FOR INJECTION
Authorisation Status
prodAuthStatus:2; authorisationCountryCode:FR; mrpNumber:FR/H/0440/001
Dose Levels
Max daily dose 2 MBq/kg
Frequency
Single administration (maxTreatmentPeriod:1)
Maximum Dose
2 MBq/kg

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