Trial Outcomes & Findings for The Feasibility of Florbetapir Quantitation in Europe (NCT NCT02107599)

NCT ID: NCT02107599

Last Updated: 2015-07-09

Results Overview

Evaluate whether the use of quantitation software improves florbetapir (18F) scan interpretation by using the net reclassification index (NRI). The NRI is a prospective measure that quantifies the correctness of upward and downward reclassification or movement of predicted probabilities as a result of adding a new marker. NRI Values \>0 indicate an improvement in scan interpretation accuracy and values \<0 indicate a decline in scan interpretation accuracy after application of quantitation software. NRI = \[P(up,event)-P(down,event)\]-\[P(up,nonevent)-P(down,nonevent)\] Where P(up,event) = # events up/# events P(down,event) = # events down/# events P(up,nonevent) = # nonevents up/# nonevents P(down,nonevent) = # nonevents down/# nonevents and events: true positive case nonevents: true negative case up: scan change from negative to positive down: scan change from positive to negative Only the 46 scans with autopsy from A16 are used for this outcome measure.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

96 participants

Primary outcome timeframe

Scan acquired 50-60 minutes post injection

Results posted on

2015-07-09

Participant Flow

Participant milestones

Participant milestones
Measure
Florbetapir PET Scans
No subjects were enrolled in this study. Readers interpreted 96 Florbetapir scans from subjects enrolled in previous studies (A16\[NCT01447719\] and A17\[NCT01400425\]). Scans used in the study included 46 scans with autopsy (A16) and 50 randomly selected non-autopsy scans (A17).
Overall Study
STARTED
96
Overall Study
COMPLETED
96
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Feasibility of Florbetapir Quantitation in Europe

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Florbetapir PET Scans
n=96 Participants
No subjects were enrolled in this study. Readers interpreted 96 Florbetapir scans from subjects enrolled in previous studies (A16\[NCT01447719\] and A17\[NCT01400425\]). Scans used in the study included 46 scans with autopsy (A16) and 50 randomly selected non-autopsy scans (A17).
Age, Continuous
76.9 years
STANDARD_DEVIATION 10.23 • n=5 Participants
Sex: Female, Male
Female
48 Participants
n=5 Participants
Sex: Female, Male
Male
48 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
92 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
5 participants
n=5 Participants
Race/Ethnicity, Customized
White
89 participants
n=5 Participants
Race/Ethnicity, Customized
Other
1 participants
n=5 Participants
Region of Enrollment
United States
96 participants
n=5 Participants

PRIMARY outcome

Timeframe: Scan acquired 50-60 minutes post injection

Evaluate whether the use of quantitation software improves florbetapir (18F) scan interpretation by using the net reclassification index (NRI). The NRI is a prospective measure that quantifies the correctness of upward and downward reclassification or movement of predicted probabilities as a result of adding a new marker. NRI Values \>0 indicate an improvement in scan interpretation accuracy and values \<0 indicate a decline in scan interpretation accuracy after application of quantitation software. NRI = \[P(up,event)-P(down,event)\]-\[P(up,nonevent)-P(down,nonevent)\] Where P(up,event) = # events up/# events P(down,event) = # events down/# events P(up,nonevent) = # nonevents up/# nonevents P(down,nonevent) = # nonevents down/# nonevents and events: true positive case nonevents: true negative case up: scan change from negative to positive down: scan change from positive to negative Only the 46 scans with autopsy from A16 are used for this outcome measure.

Outcome measures

Outcome measures
Measure
Physician Readers
n=46 Participants
All 21 physician readers.
Autopsy Cases
Only 46 autopsy scans from A16.
Non-autopsy Cases
Only 50 non-autopsy scans from A17.
Change in Reader Accuracy After Application of Quantitation Software
0.0746 Net Reclassification Index

SECONDARY outcome

Timeframe: Scan acquired 50-60 minutes post injection

Evaluate whether the use of quantitation software improves florbetapir (18F) scan interpretation by using the net reclassification index (NRI). The NRI is a prospective measure that quantifies the correctness of upward and downward reclassification or movement of predicted probabilities as a result of adding a new marker. NRI Values \>0 indicate an improvement in scan interpretation accuracy and values \<0 indicate a decline in scan interpretation accuracy after application of quantitation software. NRI = \[P(up,event)-P(down,event)\]-\[P(up,nonevent)-P(down,nonevent)\] Where P(up,event) = # events up/# events P(down,event) = # events down/# events P(up,nonevent) = # nonevents up/# nonevents P(down,nonevent) = # nonevents down/# nonevents and events: true positive case nonevents: true negative case up: scan change from negative to positive down: scan change from positive to negative Only the 46 scans with autopsy from A16 are used for this outcome measure.

Outcome measures

Outcome measures
Measure
Physician Readers
n=96 Participants
All 21 physician readers.
Autopsy Cases
n=46 Participants
Only 46 autopsy scans from A16.
Non-autopsy Cases
n=50 Participants
Only 50 non-autopsy scans from A17.
Change in Scan Interpretation Reliability After Application of Quantitation Software
Kappa VisQ
0.73 Fleiss Kappa
Interval 0.712 to 0.74
0.72 Fleiss Kappa
Interval 0.703 to 0.743
0.73 Fleiss Kappa
Interval 0.709 to 0.747
Change in Scan Interpretation Reliability After Application of Quantitation Software
Kappa Qualitative
0.66 Fleiss Kappa
Interval 0.647 to 0.675
0.66 Fleiss Kappa
Interval 0.644 to 0.684
0.66 Fleiss Kappa
Interval 0.638 to 0.676
Change in Scan Interpretation Reliability After Application of Quantitation Software
Change in Kappa
0.06 Fleiss Kappa
Interval 0.017 to 0.112
0.06 Fleiss Kappa
Interval -0.015 to 0.132
0.07 Fleiss Kappa
Interval 0.008 to 0.133

Adverse Events

Florbetapir PET Scans

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Chief Medical Officer

Avid Radiopharmaceuticals

Phone: 215-298-0700

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place