Phase 0 Evaluation of [18F]MNI-958 as a Potential PET Radioligand for Imaging Tau Protein in the Brain

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Brief Title

Phase 0 Evaluation of [18F]MNI-958 as a Potential PET Radioligand for Imaging Tau Protein in the Brain

Official Title

Phase 0 Evaluation of [18F]MNI-958 as a Potential PET Radioligand for Imaging Tau Protein in the Brain of Patients With Probable Alzheimer's Disease or Progressive Supranuclear Palsy Compared With Healthy Volunteers

Brief Summary

      The overall goal of this imaging trial is to evaluate [18F]MNI-958, a tau targeted PET
      radioligand, in individuals with Alzheimer's disease (AD), Progressive Supranuclear Palsy
      (PSP), and healthy volunteers (HV).
    


Study Phase

Early Phase 1

Study Type

Interventional


Primary Outcome

Tracer uptake will be evaluated in regions of interest for analysis of regional [18F]MNI-958 binding/uptake and expressed in SUV by using established methods for normalization for 3 AD, 3 PSP, and 3 HV subjects.


Condition

Alzheimer Disease

Intervention

[18F]MNI-958

Study Arms / Comparison Groups

 [18F]MNI-958
Description:  To evaluate [18F]MNI-958, a tau targeted PET radioligand.

Publications

* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.

Recruitment Information


Recruitment Status

Drug

Estimated Enrollment

12

Start Date

November 29, 2016

Completion Date

May 11, 2018

Primary Completion Date

May 11, 2018

Eligibility Criteria

        Inclusion:

          -  Written informed consent must be obtained before any assessment is performed.

          -  Female subjects must be documented by medical records or physician's note to be either
             surgically sterile (by means of hysterectomy, bilateral oophorectomy, or tubal
             ligation) or post-menopausal for at least 1 year or, if they are of child-bearing
             potential, must commit to use a barrier contraception method for the duration of the
             study.

          -  Male subjects and their partners of childbearing potential must commit to the use of
             two methods of contraception, one of which is a barrier method for male subjects for
             the study duration.

          -  Male subjects must not donate sperm for the study duration.

          -  Willing and able to cooperate with study procedures

        Inclusion Criteria for Healthy Volunteer Subjects:

          -  Males and females aged ≥50 years. Healthy with no clinically relevant finding on
             physical examination at screening and upon reporting for the [18F]MNI-958 imaging
             visit.

          -  No cognitive impairment from neuropsychological battery as judged by the investigator

          -  Have screening [18F]florbetapir PET imaging demonstrating no significant amyloid
             binding based on qualitative analysis (visual read).

          -  No family history of Alzheimer's disease or neurological disease associated with
             dementia

          -  Have a CDR score=0

        Inclusion Criteria for subjects with a diagnosis of probable Alzheimer's disease (AD):

          -  Males and females aged 50 to 90 years.

          -  Have probable Alzheimer's disease, based on the NINCDS/ADRDA and DSM-IV criteria.

          -  Have a CDR score of 0.5 or greater at screening.

          -  Have an MMSE score ≤ 28.

          -  Have screening or prior (in the last 12 months) [18F]florbetapir PET imaging
             demonstrating amyloid binding based on qualitative (visual read)

          -  A brain MRI that supports a diagnosis of AD, with no evidence of focal disease to
             account for dementia or MRI exclusion criteria.

          -  Medications taken for symptomatic treatment of AD must be maintained on a stable
             dosage regimen for at least 30 days before the screening visit.

          -  Signed and dated written informed consent obtained from the subject and the subject's
             legally authorized representative or caregiver (if applicable).

          -  The subject has an appropriate caregiver capable of accompanying subject, if
             necessary.

        Inclusion Criteria for subjects with a diagnosis of probable Progressive Suprnuclear Palsy
        (PSP)

          -  Males and females aged 50 to 90 years.

          -  Has a clinical diagnosis of PSP based on the NINDS and Society for PSP criteria
             (Litvan, et al 1996).

          -  Have screening or prior DaTscan SPECT imaging demonstrating evidence of dopamine
             transporter deficit based on visual read.

          -  A brain MRI that supports a diagnosis of PSP, with no other evidence of significant
             neurologic pathology

          -  Medications taken for symptomatic treatment of PSP must be maintained on a stable
             dosage regimen for at least 30 days before screening visit.

          -  Signed and dated written informed consent obtained from the subject and the subject's
             legally authorized representative or caregiver (if applicable).

          -  The subject has an appropriate caregiver capable of accompanying subject, if
             necessary.

        Exclusion Criteria:

          -  Current or prior history of any alcohol or drug abuse.

          -  Laboratory tests with clinically significant abnormalities and/or clinically
             significant unstable medical illness.

          -  Subject has received an investigational drug or device within 30 days of screening

          -  Prior participation in other research protocols or clinical care in the last year in
             addition to the radiation exposure expected from participation in this clinical study,
             such that radiation exposure exceeds the effective dose of 50 mSv, which would be
             above the acceptable annual limit established by the US Federal Guidelines

          -  Pregnancy, lactating or breastfeeding.

          -  Evidence of clinically significant gastrointestinal, cardiovascular, hepatic, renal,
             hematological, neoplastic, endocrine, alternative neurological, immunodeficiency,
             pulmonary, or other disorder or disease.

          -  Unsuitable veins for repeated venipuncture.

          -  MRI exclusion criteria include: evidence of cerebrovascular disease (more than two
             lacunar infarcts, any territorial infarct >1cm3, or deep white matter abnormality
             corresponding to an overall Fazekas scale of 3 with at least one confluent
             hyperintense lesion on the FLAIR sequence that is ≥20 mm in any dimension), infectious
             disease, space-occupying lesions, normal pressure hydrocephalus or any other
             abnormalities associated with CNS disease.

          -  Implants such as implanted cardiac pacemakers or defibrillators, insulin pumps,
             cochlear implants, metallic ocular foreign body, implanted neural stimulators, CNS
             aneurysm clips and other medical implants that have not been certified for MRI, or
             history of claustrophobia in MRI.

        Exclusion Criteria for Subjects with Probable AD:

          -  Has received treatment that targeted amyloid-β or tau within the last 3 months.

        Exclusion Criteria for Subjects with Probable PSP:

          -  Ongoing treatment with methylphenidate, bupropion, modafinil, metoclopramide, alpha
             methyldopa, reserpine, or amphetamine derivative.
      

Gender

All

Ages

50 Years - 90 Years

Accepts Healthy Volunteers

Accepts Healthy Volunteers

Contacts

, , 

Location Countries

United States

Location Countries

United States

Administrative Informations


NCT ID

NCT03058965

Organization ID

[18F]MNI-958


Responsible Party

Sponsor

Study Sponsor

Molecular NeuroImaging


Study Sponsor

, , 


Verification Date

March 2019