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Phase 3 N=226 Single-blind Diagnostic

Phase III Study of the Correlation Between Florbetapir F18 PET Imaging and Amyloid Pathology in the Brain

Alzheimer's Disease

Enrolled (actual)
226
Serious AEs
0.4%
Results posted
May 2012
Primary outcome: Primary: Correlation of Florbetapir-PET Image and Amyloid Plaque Density — 0.78 Correlation coefficient — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
florbetapir F 18 (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Avid Radiopharmaceuticals
Primary completion
Mar 2010

Outcome Measures

OutcomeResultp-value
PRIMARY
Correlation of Florbetapir-PET Image and Amyloid Plaque Density
0.78 <0.0001 sig
PRIMARY
Specificity Analysis
0; 47
SECONDARY
Regional Correlation Analysis
0.75; 0.77; 0.69; 0.68; 0.70; 0.74

Summary

The study is designed to test the relationship between measurements of brain amyloid using florbetapir F 18 PET imaging and true levels of amyloid by dissection of the brain at autopsy. Amyloid in the brain is a key feature of Alzheimer's Disease (AD).

Eligibility Criteria

Inclusion Criteria (autopsy cohort):

  • Have a projected life expectancy of ≤ 6 months as determined by the principal investigator (e.g. terminal medical condition) or are already enrolled in a longitudinal study of aging with an autopsy component;
  • Can tolerate a 10 minute PET scan; and
  • Give informed consent for study procedures and brain donation consistent with the legal requirements of the State in which they are enrolled and the State in which they die.

Inclusion Criteria (specificity cohort):

  • Cognitively and neurologically healthy males and females 18 to 40 years of age;
  • Who had no known risk factors for AD, including:
  • Known genetic risk factors for AD, including an ApoE ε4 allele (note: ApoE genotype was determined after enrollment and was not disclosed to healthy control subjects). Scans from subjects carrying an ApoE ε4 allele were not included in the primary specificity analysis, but were included in an exploratory analysis;
  • First degree relative with a known progressive dementing disorder;
  • History of cognitive decline;
  • History of neurologic, neurodegenerative, or psychiatric disease;
  • History of head trauma; or
  • Evidence of brain abnormality on a MRI scan;
  • Who performed in an age-appropriate normal range on the Wechsler Logical Memory I & II, story A;
  • Who could tolerate a 10-minute PET scan; and
  • Who provided informed consent before any study procedures were performed.

Exclusion Criteria

  • Have primary brain tumor, known metastases to the brain, central nervous system (CNS) lymphoma;
  • Have any major, focal structural loss of brain matter;
  • Are aggressively being treated with life sustaining measures (e.g. currently on respirator; receiving high dose chemotherapy);
  • Have a clinically significant infectious disease, including Acquired Immune Deficiency Syndrome (AIDS), Human Immunodeficiency Virus (HIV) infection, previous positive test for hepatitis or HIV or Creutzfeldt-Jakob disease (CJD);
  • Are receiving any investigational medications, or have participated in a trial with investigational medications within the last 30 days;
  • Have ever participated in an experimental study with an amyloid targeting agent (e.g. anti-amyloid immunotherapy, secretase inhibitor);
  • Have had a radiopharmaceutical imaging or treatment procedure within 7 days prior to the study imaging session; or
  • Are females of childbearing potential who are pregnant or not using adequate contraception.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00857415). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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