Clinical trial • Phase IV | Phase II • Neurology

IZAFLORTAUCIPIR (18F) for Progressive supranuclear palsy | Parkinson's disease

Phase IV | Phase II trial of IZAFLORTAUCIPIR (18F) for Progressive supranuclear palsy | Parkinson's disease. Randomised, none/not specified-controlled.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Progressive supranuclear palsy | Parkinson's disease
Trial Stage
Phase IV | Phase II
Drug Modality
Radiopharmaceutical
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
31-10-2023
First CTIS Authorization Date
05-03-2024

Trial design

Randomised, none/not specified-controlled Phase IV | Phase II trial across 1 site in Spain.

Randomised
Yes
Comparator
None/Not specified
Target Sample Size
66

Eligibility

Recruits 66 Vulnerable populations are not selected for this trial (isVulnerablePopulationSelected: false). Consent must be provided by the subject or his/her legal representative: "Consent of the subject or his/her legal representative to voluntarily participate in the study by signing the informed consent." Exclusion criteria disallow participation of those with legal incapacity or who cannot understand/comply and lack responsible companions..

Pregnancy Exclusion
Pregnancy.
Vulnerable Population
Vulnerable populations are not selected for this trial (isVulnerablePopulationSelected: false). Consent must be provided by the subject or his/her legal representative: "Consent of the subject or his/her legal representative to voluntarily participate in the study by signing the informed consent." Exclusion criteria disallow participation of those with legal incapacity or who cannot understand/comply and lack responsible companions.

Inclusion criteria

  • {"criterion_text":"- Patients of both sexes aged between 40 and 80 years."}
  • {"criterion_text":"- The subject must be able to comply with the protocols and procedures necessary for the development of the clinical trial."}
  • {"criterion_text":"- Consent of the subject or his/her legal representative to voluntarily participate in the study by signing the informed consent."}
  • {"criterion_text":"- In women, postmenopausal status (one year without menstruation without other medical causes) or negative pregnancy test. Subjects (women and male partners of participants) of childbearing age must agree to a commitment to practice sexual abstinence or use highly effective contraceptive methods (hormonal contraceptives that inhibit ovulation, IUDs, surgical sterilization) from their inclusion in the study until one month after the PET scan."}
  • {"criterion_text":"- Magnetic resonance imaging (MRI) study of the brain to rule out any other type of relevant neurological pathology."}
  • {"criterion_text":"- PSP population: Have a clinical diagnosis of soPSP or probable PSP according to current diagnostic criteria (Höglinger et al. 2017)"}
  • {"criterion_text":"- Parkinson population: Have a clinical diagnosis of soPSP or probable PSP according to current diagnostic criteria (Postuma et .a, 2015)"}
  • {"criterion_text":"- Control population: Absence of clinical history of neuropsychiatric diseases."}

Exclusion criteria

  • {"criterion_text":"- Diagnosis of relevant central nervous system disease such as Huntington's disease, normotensive hydrocephalus, cerebrovascular disease, frontotemporal dementia, Alzheimer's disease, history of major or recurrent head trauma, history of epilepsy or seizures (except febrile seizures in childhood without antiepileptic medication at present)."}
  • {"criterion_text":"- Legal incapacity and/or circumstances that prevent the subject or his/her legal representatives from understanding the nature, objectives and possible consequences of the trial."}
  • {"criterion_text":"- Treatment with any other investigational medicinal products within 30 days prior to inclusion."}
  • {"criterion_text":"- PSP population: Diagnosis or suspicion of any Parkinsonian syndrome other than PSP such as idiopathic Parkinson's disease, pharmacological parkinsonism, essential tremor, primary dystonias, or any other cause that may produce symptoms similar to those of Parkinson's disease."}
  • {"criterion_text":"- Presence of terminal illnesses or illnesses that may put the patient's health at risk from participating in the study or influencing the results of the study or the patient's ability to participate in the study."}
  • {"criterion_text":"- Abuse of alcohol or other legal or illegal drugs (except nicotine)."}
  • {"criterion_text":"- Pregnancy."}
  • {"criterion_text":"- Known allergy to PI-2620 or any of the other components of the radiopharmaceutical."}
  • {"criterion_text":"- Any contraindication or impediment to the performance of the PET/CT study with PI-2620."}
  • {"criterion_text":"- Subjects who are not able to understand and/or comply with the necessary guidelines for the conduct of the trial (e.g.: interrogation, physical examination, lumbar puncture, attending visits, etc.) and that they do not have responsible companions who understand and commit to comply with these guidelines."}
  • {"criterion_text":"- Subjects who do not cooperate or are unable to comply with the procedures required for this clinical trial, such as (but not limited to): social disorders that anticipate an obvious lack of cooperation, psychopathy, drug or alcohol abuse."}
  • {"criterion_text":"- Subjects or their legal representatives who do not sign the informed consent."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- PI-2620 uptake determined by standard uptake value ratio (SUVR)","definition_or_measurement_approach":"Determined by standard uptake value ratio (SUVR) as stated in endpoint description."}

Secondary endpoints

  • {"endpoint_text":"- SUVR of the base nuclei divided a reference region such as the brain stem.","definition_or_measurement_approach":"SUVR of basal nuclei using a reference region such as the brain stem."}
  • {"endpoint_text":"- SUVR of the cerebral cortex divided into a reference region such as the brain stem.","definition_or_measurement_approach":"SUVR of cerebral cortex using a reference region such as the brain stem."}
  • {"endpoint_text":"- Association of PI-2620 uptake values with demographics, clinical variables and CSF biomarkers","definition_or_measurement_approach":"Correlation/association analyses between PI-2620 SUVR uptake values and demographic, clinical variables and CSF biomarkers (4R-tau and NfL) as described in objectives."}

Recruitment

Planned Sample Size
66
Recruitment Window Months
30
Consent Approach
Consent must be provided by the subject or his/her legal representative by signing the informed consent. No specific age‑stratified consent/assent documents or languages are specified in the record.

Geography

Total Number Of Sites
1
Total Number Of Participants
66

Spain

Earliest CTIS Part Ii Submission Date
15-01-2024
Latest Decision Or Authorization Date
05-03-2024
Processing Time Days
50
Number Of Sites
1
Number Of Participants
66

Sites

Site Name
Hospital Clinic De Barcelona
Department Name
Neurology
Principal Investigator Name
Yaroslau Compta
Principal Investigator Email
ycompta@clinic.cat
Contact Person Name
Yaroslau Compta
Contact Person Email
ycompta@clinic.cat
Number Of Participants
66

Sponsor

Primary sponsor

Full Name
Fundacio De Recerca Clinic Barcelona-Institut D’investigacions Biomediques August Pi I Sunyer
Organisation Type
Laboratory/Research/Testing facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
[18F]PI-2620
Active Substance
IZAFLORTAUCIPIR (18F)
Modality
Radiopharmaceutical
Routes Of Administration
INJECTABLE SOLUTION
Route
INJECTABLE SOLUTION
Orphan Designation
Yes
Maximum Dose
Max daily dose 185 MBq; Max total dose 222 MBq

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