Phase 3
N=172
A Study to Evaluate the Diagnostic Efficacy of DaTSCAN™ Ioflupane (123I) Injection in Single Photon Emission Computed Tomography (SPECT) for the Diagnosis of Parkinsonian Syndrome (PS) in Chinese Patients
Parkinsonian Syndrome · Parkinson Disease(PD) · Multiple System Atrophy (MSA) · Progressive Supranuclear Palsy (PSP) · Essential Tremor
Bottom Line
View on ClinicalTrials.gov: NCT04193527 ↗Enrolled (actual)
172
Serious AEs
0.0%
Results posted
Oct 2023
Primary outcome: Primary: Sensitivity Analysis of the Blinded Independent Read of DaTSCAN™ SPECT Images — 0.851; 0.865; 0.919 ratio
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- DaTSCAN™ Ioflupane (123I) Injection (Drug)
- Age
- Adult, Older Adult · 40+ yrs
- Sex
- All
- Sponsor
- GE Healthcare
- Primary completion
- Dec 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Sensitivity Analysis of the Blinded Independent Read of DaTSCAN™ SPECT Images |
0.851; 0.865; 0.919 | — |
| PRIMARY Specificity Analysis of the Blinded Independent Read of DaTSCAN™ SPECT Images |
0.933; 0.960; 0.813 | — |
| SECONDARY Normalized DaTSCAN™ Uptake Based on Region Of Interest (ROI) With Central Read (by Semi-quantitative Assessment by Use of DaTQUANT™) of DaTSCAN™ SPECT Images |
1.29315; 2.70530; 2.94013; 1.30474; 2.67536; 2.92746 | — |
| SECONDARY Number of Participants With Treatment-emergent Adverse Events (TEAEs), and Serious TEAEs |
12; 13; 8; 0; 0; 0 | — |
Summary
This is a multicenter, open-label, non-controlled, non-randomized, phase 3 clinical study to compare the SPECT findings after a single IV administration of DaTSCAN™ ioflupane (123I) injection for patients with a clinical diagnosis of Parkinsonian syndrome (PS) involving striatal dopaminergic deficit (SDD; specifically, Parkinson's disease [PD] [SDD], multiple system atrophy [MSA] [SDD] or or progressive supranuclear palsy [PSP] [SDD]) as compared with patients with a clinical diagnosis of essential tremor (ET) (no SDD) and age-matched healthy controls.
Eligibility Criteria
Inclusion Criteria
For all participants:
- Chinese male or female, aged 40 to 80 years, has agreed to sign and date the written informed consent form.
For Healthy Volunteers:
- Non-patient volunteers with good age-appropriate health as established by clinical examination during screening and no evidence of movement disorder by complete neurological evaluation.
For participants with Parkinson's disease:
- A diagnosis of clinically established or clinically probable PD in accordance with the Movement Disorder Society (MDS) Clinical Diagnostic Criteria for Parkinson's Disease.
For participants with MSA (SDD):
- A diagnosis of probable or possible MSA in accordance with the Second Consensus Statement on the Diagnosis of MSA.
For participants with PSP (SDD):
- A diagnosis of probable or possible PSP in accordance with the Clinical Criteria for the Diagnosis of Progressive Supranuclear Palsy National Institute for Neurological Disorders and Society for PSP (NINDS-SPSP)
For participants with ET (no SDD):
- A diagnosis of definite or probable ET in accordance with the Washington Heights-Inwood Genetic Study of Essential Tremor (WHIGET) diagnostic criteria for ET (no SDD) .
Exclusion Criteria
- The participant is lactating.
- The participant is pregnant as detected by a β-human chorionic gonadotropin (β-hCG) pregnancy test.
- A cerebral structural vascular abnormality indicative of at least 1 infarction in the region of the basal ganglia (including the internal capsule) ≥5 mm has been confirmed, preferably by magnetic resonance imaging (MRI) performed within 6 months of screening. If an MRI is not clinically feasible, cerebral CT imaging within 6 months is also acceptable.
- The participant is diagnosed with major neurocognitive disorder by the Diagnostic and Statistical Manual of Mental Disorders (DSM) 5 criteria, or Mini-Mental State Examination total score is 1.5x upper limit of normal [ULN], blood urea nitrogen [BUN] >30 mg/dL).
- The participant has a moderate to severe hepatic impairment (bilirubin >2x ULN and alanine aminotransferase (ALT) or aspartate aminotransferase (AST)>3x ULN).
- The participant has a history of current abuse of drugs and/or alcohol (for the previous 12 months before trial enrolment).
- The participant has a history of occupational exposure to any radiation >50 millisievert/year (mSv/year).
- The participant has been previously enrolled in this study or participated in a clinical study involving an investigational pharmaceutical product within 30 days prior to screening and/or any radiopharmaceutical within a minimum of 5 radioactive half-lives prior to screening.
- The participant presents with symptoms suggestive of corticobasal degeneration or Huntington's disease.
- The participant has known allergies to the investigational medicinal product (IMP).
- The participant presents with any clinically active, serious, life-threatening disease with a life expectancy of less than 12 months.
- Any laboratory value(s) exceeding the limits of normality if deemed to be clinically relevant by the investigator.
- The participant complains of claustrophobia.
- The participant has a moderate to severe thyroid disease (thyroid stimulating hormone [TSH] exceeding the limits of normality by more than 10%), if deemed to be clinically relevant by the investigator.
For participants with ET:
- The participant has at least 1 first-degree relative diagnosed with PD.
For Healthy Volunteers:
- History of psychiatric illness.
For all participants:
- It is the physician's best judgment not to include the participant in the trial.
Data sourced from ClinicalTrials.gov (NCT04193527). 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.