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Phase 3 N=172 Diagnostic

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

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

OutcomeResultp-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.
View full record on ClinicalTrials.gov →

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.

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