This research will look at how the brain may change in people with Alzheimer disease (AD). The purpose of this research is to find out whether changes in the brain in people with Alzheimer disease can be detected using a brain imaging test. Most people with Alzheimer disease have changes in the brain that result in deposits of a protein called beta-amyloid. In this study, the investigators will be using a radioactive drug, \[18F\]MNI-558 that binds to beta-amyloid. This drug is experimental and has not been approved by the FDA. Brain imaging using PET (positron emission tomography) will be done to see if the investigators can evaluate the areas of beta-amyloid in the subjects with Alzheimer disease. The investigators will compare these scans with those done in healthy normal volunteers. PET is a brain-scanning test used in medicine and scientific research to see how the brain is working. The PET imaging test used in this study is not being done for diagnostic purposes.
This is a phase 0, open-label, single-center, non-randomized single dose study to assess the safety and efficacy of MNI-558 PET imaging in detecting amyloid beta plaque in the brain in patients with probable AD compared to HVs. All aspects related to image acquisition, processing and visual as well as quantitative evaluation will be developed, optimized and validated (where required). Each subject will be required to visit the study center during the screening phase, on the MNI-558 PET imaging day (baseline), and for 1 follow-up visit on the next day. A telephone follow-up visit will be performed 7 days after MNI-558 PET administration. At the screening visit, each subject and the caregiver will be asked to provide written informed consent or assent. During the screening phase (maximum duration - 28 days) subject medical, neurological and surgical history, clinical assessments and a neuro-psychiatric evaluation will be performed on all eligible subjects. Subjects will be allowed to leave the center after all evaluations have been completed. During this period an MRI of the brain must be performed. During the MNI-558 PET imaging day, all subjects will receive a single IV injection of IMP and scanning will be performed from 0-60 min, 75-135 min, and 150-210 min (p.i). Each subject will be asked to return to the site for a follow-up visit (20 to 28 hours after IMP administration) and a telephone follow-up will occur 7 days thereafter. Safety will be assessed during both follow-up visits.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
10
Subjects will be injected with 5mCi, not to exceed \>10% of 5mCI, of \[18F\]MNI-558, followed by PET imaging.
Institute for Neurodegenerative Disorders
New Haven, Connecticut, United States
To evaluate the efficacy safety of MNI-558 positron emission tomography (PET) for detection/exclusion of cerebral amyloid beta in patients with Alzheimer disease (AD) compared to healthy volunteers (HV)
To determine diagnostic efficacy of the MNI-558 PET scans in differentiating between patients with probable AD and HVs on the basis of neocortical tracer binding pattern, the PET scans will be visually assessed by a nuclear physician experienced in the field of neuro-imaging. Safety will be assessed from the rates of adverse events (AEs), changes in vital signs, changes in ECG parameters, changes in physical examination findings, changes in clinical laboratory findings, changes in injection site monitoring at pre-specified time points before and after IMP administration
Time frame: 1 year
To assess the dynamic uptake of MNI-558, a potential imaging biomarker for B-amyloid burden in brain, using positron emission tomography (PET) in similarly aged Alzheimer (AD) subjects and healthy volunteers (HV
Images will be regionally analyzed by applying VOIs to the brain regions indicated above based on PET images coregistered with MRI images; SUV ratios and % injected dose concentrations will be determined using standardized image processing algorithms and commercial algorithms. Standard uptake values (SUV) are calculated for the areas of interest by using the established methods for normalizing to subject weight and injected dose.
Time frame: 1 year
To determine pharmacokinetics pattern of MNI-558 in venous plasma of healthy and AD subjects.
The concentration-time profile of total \[F18\]-radioactivity in plasma will be determined. The PK parameters Cmax, tmax and the AUC(0-tlast) (expressed in %ID\*h/mL) of F-18-radioactivity will be derived from the concentration -time profile. The fraction of unchanged tracer in venous plasma at given time points will be determined by HPLC. The metabolite pattern will be described for each sampling time point. Blood sampling, radioactivity measurements of biological samples, generation of plasma samples, sample preparation and subsequent HPLC analyses will be done at the clinical study site.
Time frame: 1 year
To determine metabolite pattern of MNI-558 in venous plasma of healthy and AD subjects.
The concentration-time profile of total \[F18\]-radioactivity in plasma will be determined. The PK parameters Cmax, tmax and the AUC(0-tlast) (expressed in %ID\*h/mL) of F-18-radioactivity will be derived from the concentration -time profile. The fraction of unchanged tracer in venous plasma at given time points will be determined by HPLC. The metabolite pattern will be described for each sampling time point. Blood sampling, radioactivity measurements of biological samples, generation of plasma samples, sample preparation and subsequent HPLC analyses will be done at the clinical study site.
Time frame: 1 year
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