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.
COMPLETED
PHASE4
96 participants
Scan acquired 50-60 minutes post injection
2015-07-09
Participant Flow
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).
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|---|---|
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Overall Study
STARTED
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96
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Overall Study
COMPLETED
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96
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Overall Study
NOT COMPLETED
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0
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Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
The Feasibility of Florbetapir Quantitation in Europe
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).
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|---|---|
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Age, Continuous
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76.9 years
STANDARD_DEVIATION 10.23 • n=5 Participants
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Sex: Female, Male
Female
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48 Participants
n=5 Participants
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Sex: Female, Male
Male
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48 Participants
n=5 Participants
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Ethnicity (NIH/OMB)
Hispanic or Latino
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4 Participants
n=5 Participants
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Ethnicity (NIH/OMB)
Not Hispanic or Latino
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92 Participants
n=5 Participants
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Ethnicity (NIH/OMB)
Unknown or Not Reported
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0 Participants
n=5 Participants
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Race/Ethnicity, Customized
Asian
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1 participants
n=5 Participants
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Race/Ethnicity, Customized
Black or African American
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5 participants
n=5 Participants
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Race/Ethnicity, Customized
White
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89 participants
n=5 Participants
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Race/Ethnicity, Customized
Other
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1 participants
n=5 Participants
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Region of Enrollment
United States
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96 participants
n=5 Participants
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PRIMARY outcome
Timeframe: Scan acquired 50-60 minutes post injectionEvaluate 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
| Measure |
Physician Readers
n=46 Participants
All 21 physician readers.
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Autopsy Cases
Only 46 autopsy scans from A16.
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Non-autopsy Cases
Only 50 non-autopsy scans from A17.
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|---|---|---|---|
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Change in Reader Accuracy After Application of Quantitation Software
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0.0746 Net Reclassification Index
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—
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—
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SECONDARY outcome
Timeframe: Scan acquired 50-60 minutes post injectionEvaluate 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
| Measure |
Physician Readers
n=96 Participants
All 21 physician readers.
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Autopsy Cases
n=46 Participants
Only 46 autopsy scans from A16.
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Non-autopsy Cases
n=50 Participants
Only 50 non-autopsy scans from A17.
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|---|---|---|---|
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Change in Scan Interpretation Reliability After Application of Quantitation Software
Kappa VisQ
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0.73 Fleiss Kappa
Interval 0.712 to 0.74
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0.72 Fleiss Kappa
Interval 0.703 to 0.743
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0.73 Fleiss Kappa
Interval 0.709 to 0.747
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Change in Scan Interpretation Reliability After Application of Quantitation Software
Kappa Qualitative
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0.66 Fleiss Kappa
Interval 0.647 to 0.675
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0.66 Fleiss Kappa
Interval 0.644 to 0.684
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0.66 Fleiss Kappa
Interval 0.638 to 0.676
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Change in Scan Interpretation Reliability After Application of Quantitation Software
Change in Kappa
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0.06 Fleiss Kappa
Interval 0.017 to 0.112
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0.06 Fleiss Kappa
Interval -0.015 to 0.132
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0.07 Fleiss Kappa
Interval 0.008 to 0.133
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Adverse Events
Florbetapir PET Scans
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place