Longitudinal Evaluation of [18F]GTP1 as a PET Radioligand for Imaging Tau in the Brain of Participants With Alzheimer's Disease Compared to Healthy Participants

NCT ID: NCT02640092

Last Updated: 2019-12-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-23

Study Completion Date

2019-06-11

Brief Summary

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This is an open-label, longitudinal observational study evaluating the imaging characteristics of the tau positron-emission tomography (PET) radioligand \[18F\] Genentech Tau Probe 1 (GTP1) in the brain of participants with prodromal, mild, and moderate Alzheimer's disease (AD) compared to healthy participants. The overall goal of this protocol is to evaluate the longitudinal change in tau burden using \[18F\]GTP1, a tau targeted radiopharmaceutical.

Detailed Description

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Conditions

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Alzheimer's Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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[18F]GTP1

Participants will complete \[18F\]GTP1 PET imaging at four time points: Baseline, 6 months, 12 months and 18 months. For each \[18F\]GTP1 imaging session, the following procedure will be performed: a catheter will be placed for intravenous (IV) administration of \[18F\]GTP1. Participants will receive an IV bolus injection of up to 370 megabecquerel (MBq) (10 millicurie \[mCi\]) of \[18F\]GTP1.

Group Type EXPERIMENTAL

[18F]GTP1

Intervention Type DRUG

Participants will receive \[18F\]GTP1 as per the schedule specified in the arm description.

Interventions

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[18F]GTP1

Participants will receive \[18F\]GTP1 as per the schedule specified in the arm description.

Intervention Type DRUG

Other Intervention Names

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[18F]G02941054 [18F]MNI-798 [18F]RO6880276

Eligibility Criteria

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Inclusion Criteria

For All Participants:

\- Availability of a study partner who, in the investigator's judgment, has frequent and sufficient contact with the participant and is able to provide accurate information regarding the participant's cognitive and functional abilities, agrees to accompany the participant and provide information at visits

For Healthy Participants:

* Healthy with no clinically relevant finding on physical examination at screening and upon reporting for the Baseline \[18F\]GTP1 imaging visit
* Have no cognitive complaint
* Have a Clinical Dementia Rating Scale (CDR) global score = 0
* Have a Mini-Mental State Examination (MMSE) score of 28-30

For Participants With a Diagnosis of AD:

* Participants with mild or moderate AD must meet National Institute on Aging - Alzheimer's Association (NIA-AA) core clinical criteria for probable AD dementia, with an amnestic presentation
* Participants with prodromal AD must meet NIA-AA core clinical criteria for mild cognitive impairment (MCI)
* Have screening \[18F\]florbetapir PET imaging demonstrating amyloid binding based on qualitative visual read

Exclusion Criteria

* Medications taken for symptomatic treatment of AD must remain stable for at least 30 days prior to screening visit
* Satisfy one of the following subgroups: Approximately 20 prodromal AD (MMSE 24-30, CDR = 0.5); Approximately 20 mild AD (MMSE 22-30, CDR = 0.5 or 1); Approximately 20 moderate AD (MMSE 16-21, CDR = 0.5 or 1 or 2)


* Current or prior history of any drug or alcohol abuse
* Participants with any significant psychiatric, neurological, or unstable medical disorder expected to interfere with the study
* Participants unable to undergo MRI and PET scan
* For participants contributing CSF samples, any contraindication to lumbar puncture
* Prior participation in other research protocols or clinical care in the last year such a radiation exposure combined with that from the present study exceeds an effective dose of 50 millisievert (mSV), the allowable annual limit for research participants as stipulated by the Food and Drug Administration (FDA)
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Molecular NeuroImaging

New Haven, Connecticut, United States

Site Status

KI Health Partners, LLC; New England Institute for Clinical Research

Stamford, Connecticut, United States

Site Status

Neuropsychiatric Research; Center of Southwest Florida

Fort Myers, Florida, United States

Site Status

Miami Jewish Health Systems

Miami, Florida, United States

Site Status

Bioclinica Research

Orlando, Florida, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

NeuroStudies.net, LLC

Decatur, Georgia, United States

Site Status

Acadia Clinical Research; Dr. Henderson's Office

Bangor, Maine, United States

Site Status

Donald S. Marks, M.D., P.C.; Medical Center

Plymouth, Massachusetts, United States

Site Status

Alzheimers Disease Center

Quincy, Massachusetts, United States

Site Status

NeuroCognitive Institute

Mount Arlington, New Jersey, United States

Site Status

Bio Behavioral Health

Toms River, New Jersey, United States

Site Status

Advanced Medical Research

Maumee, Ohio, United States

Site Status

Lehigh Center Clinical Research

Allentown, Pennsylvania, United States

Site Status

Rhode Island Mood & Memory Research Institute

East Providence, Rhode Island, United States

Site Status

Butler Hospital

Providence, Rhode Island, United States

Site Status

Countries

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United States

References

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Sanabria Bohorquez SM, Baker S, Manser PT, Tonietto M, Galli C, Wildsmith KR, Zou Y, Kerchner GA, Weimer R, Teng E. Evaluation of partial volume correction and analysis of longitudinal [18F]GTP1 tau PET imaging in Alzheimer's disease using linear mixed-effects models. Front Neuroimaging. 2024 Mar 28;3:1355402. doi: 10.3389/fnimg.2024.1355402. eCollection 2024.

Reference Type DERIVED
PMID: 38606196 (View on PubMed)

Teng E, Manser PT, Sanabria Bohorquez S, Wildsmith KR, Pickthorn K, Baker SL, Ward M, Kerchner GA, Weimer RM. Baseline [18F]GTP1 tau PET imaging is associated with subsequent cognitive decline in Alzheimer's disease. Alzheimers Res Ther. 2021 Dec 1;13(1):196. doi: 10.1186/s13195-021-00937-x.

Reference Type DERIVED
PMID: 34852837 (View on PubMed)

Blennow K, Chen C, Cicognola C, Wildsmith KR, Manser PT, Bohorquez SMS, Zhang Z, Xie B, Peng J, Hansson O, Kvartsberg H, Portelius E, Zetterberg H, Lashley T, Brinkmalm G, Kerchner GA, Weimer RM, Ye K, Hoglund K. Cerebrospinal fluid tau fragment correlates with tau PET: a candidate biomarker for tangle pathology. Brain. 2020 Feb 1;143(2):650-660. doi: 10.1093/brain/awz346.

Reference Type DERIVED
PMID: 31834365 (View on PubMed)

Other Identifiers

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G0097

Identifier Type: OTHER

Identifier Source: secondary_id

GN30009

Identifier Type: -

Identifier Source: org_study_id