Subjects With Subjective Cognitive Decline: 18F-Florbetaben Positron Emission Tomography Study

Fundacion Clinic per a la Recerca Biomédica

Overview

Phase II, open-label clinical trial with a medicinal product. A total of 30 subjects will be included in the study. All participants will receive a single intravenous dose of 300 MBq of FBB. A 20-minute PET image should be acquired starting at approximately 90 minutes after intravenous injection of FBB. The present proposal aims are: to assess safety of a single dose of FBB followed by PET scan in individuals with subjective cognitive decline (SCD), to determine the number of SCD subjects with positive visual FBB-PET scan, to determine the number of SCD subjects with positive standardized uptake value ratios (SUVRs) of FBB-PET scan and to explore the cortical pattern of amyloid deposition in SCD subjects.

statistical methods: Primary outcomes For the analysis of the primary outcomes, a descriptive statistical approach will be implemented, calculating the proportion of adverse events and the proportion of SCD subjects that are positive for FBB-PET at visual assessment 9.2 Data Management Demographical and neuropsychological data will be entered in a data base. Statistical analyses will be performed with the SPSS software for Windows (v.22.0). Sample size A sample size of 30 subjects has been estimated. Since this is a proof-of-concept study, this assumption has been based on previously published data. Statistical significance and adjustments for multiplicity The analysis will be carried out according to the principles of the ICHE9 Guide and in accordance with the recommendations of CPM/EWP/908/99 Points to Consider on Multiplicity issues in Clinical Trials. The contrast will be carried out with an Error of Type 5 bilateral I. In any case, since this is a exploratory study, there will be no adjustments for multiplicity. Criteria for discontinuation The study will be completed when these two premises are met: * Inclusion of the number of patients needed for the sample size * End of clinical monitoring No interim analyses are planned.

Study Type

INTERVENTIONAL

Allocation

Purpose

PREVENTION

Masking

NONE

Conditions

Subjective Cognitive Decline

Interventions

18F-Florbetaben (FBB)DRUG

All participants will receive a single intravenous dose of 300 MBq of FBB followed by PET scan.

Eligibility

Sex: ALLMin age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Participants must be committed to participate and complete all study procedures. * The patient must report a memory problem (in isolation or in combination with complaints in other domains) with concern. * Age ≥ 60 * Mini-Mental State Examination cutoff for inclusion will be ≥ 26. * Clinical Dementia Rating \<0,5. * Subjects must have signed the Informed Consent Form voluntarily to participate in the study. Exclusion Criteria: * Subjects those are not able to complete the study. * Any major disease or history of a major disease, especially hepatobilliar disease (AST /ALT ≥ 5 x ULN) or advanced renal insufficiency (creatinine ≥ 2 x ULN). * Current or previous history of alcohol abuse or epilepsy. * Allergic to Florbetaben or any of its constituents. * Multiple drug allergies and/or previous history of contrast allergy. * Any disease or history of disease which, in the opinion of the investigator, can cause disturbance of brain function (e.g. vitamin B12 or folic acid deficiency, disturbed thyroid function). * Evidence for any other neurological or psychiatric disease, eg. parkinsonism, history of stroke or seizure. * Pregnancy or breast feeding or planned pregnancy during the study period.

Outcomes

Primary Outcomes

Incidence of Adverse Events

Incidence of Adverse events of a single dose of FBB followed by PET scan in individuals with Subjective Cognitive Decline

Time frame: 24 months

Positive visual FBB-PET scan

Proportion of Subjective Cognitive Decline subjects that present positive uptake after FBB-PET through visual examination.

Time frame: 24 months

Secondary Outcomes

Positive standardized uptake value ratios

Proportion of SCD subjects presenting standardized uptake value ratios (SUVRs) of FBB-PET higher than 1,4.

Time frame: 24 months

Cortical pattern of amyloid deposition

To explore the cortical pattern of amyloid deposition in SCD subjects at visual and semi-quantitative examination.

Time frame: 24 months

Data from ClinicalTrials.gov

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