This study is designed to assess the repeatability of organ-specific quantitation of radiotracer uptake following Positron Emission Tomography/Computed Tomography (PET/CT) imaging of AT- 01 in subjects with amyloid light chain (AL) or amyloid transthyretin (ATTR) systemic amyloidosis.
This is a multicenter, open label, single arm study in subjects with amyloid light chain (AL) or amyloid transthyretin (ATTR) systemic amyloidosis with visceral amyloid deposits. This study consists of a screening period of up to 30 days; two one-day treatment periods (Day 1 and Week 6); a safety follow-up 24-48 hours after the second administration of 124I AT-01, and a safety follow-up visit 28 days after the second administration of 124I-AT-01.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
33
All participants received 1 mCi 124I-AT-01 on Day 1 and at Week 6 via IV infusion over 2-5 minutes or slow IV bolus at 1 mL/5 seconds.
PET/CT Imaging of Berkeley
Berkeley, California, United States
Northern California PET Imaging Center
Sacramento, California, United States
PET/CT Imaging of San Jose
San Jose, California, United States
Within-Participant Coefficient of Variation [wCV] Associated With the Quantification (SUVmax) of Radioactivity Associated With Organ-Level Radiotracer Uptake
Between-visit repeatability of organ-specific (heart, kidney, liver, spleen) quantitation (SUVmax) of radiotracer uptake following PET/CT imaging of 124I-AT-01 in participants with AL or ATTR systemic amyloidosis was assessed. wCV with its associated 95% RC provides guidance on the level of change in organ-specific quantitation of radiotracer uptake that needs to be observed to be confident that a true change in uptake has occurred. Smaller values of wCV represent better agreement. Computation of wCV and associated RCs in addition to the two-sided 95% CI is described in the SAP. Only images from participants/organs with positive uptake were included. RCs between visits were calculated using the difference of the log of the average of the 2 reads for a reader at Day 1 and the log of the average of the 2 reads for the same reader at Week 6. The 95% RCs were calculated on the log-transformed data and exponentiated to determine the limits in percentages.
Time frame: Day 1 and Week 6
Within-Participant Coefficient of Variation [wCV] Associated With the Quantification (SUVpeak) of Radioactivity Associated With Organ-Level Radiotracer Uptake
Between-visit repeatability of organ-specific (heart, kidney, liver, spleen) quantification (SUVpeak) of radiotracer uptake following PET/CT imaging of 124I-AT-01 in participants with AL or ATTR systemic amyloidosis was assessed. wCV with its associated 95% RC provides guidance on the level of change in organ-specific quantitation of radiotracer uptake that needs to be observed to be confident that a true change in uptake has occurred. Computation of wCV and associated RCs in addition to the two-sided 95% CI is described in the SAP. Only images from participants/organs with positive uptake were included. RCs between visits were calculated using the difference of the log of the average of the 2 reads for a reader at Day 1 and the log of the average of the 2 reads for the same reader at Week 6. The 95% RCs were calculated on the log-transformed data and exponentiated to determine the limits in percentages.
Time frame: Day 1 and Week 6
Intraclass Correlation Coefficient (ICC) Associated With the Quantification (SUVmax) of Radioactivity Associated With Organ-Level Radiotracer Uptake
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Repeatability of organ-specific (heart, kidney, liver, spleen) quantification (SUVmax) of radiotracer uptake following PET/CT imaging of 124I-AT-01 in participants with AL or ATTR systemic amyloidosis was assessed. ICC assesses the consistency or reproducibility of measurements made by the 3 readers measuring the same participant images. Reader results are the average of the reader's 2 reads for the specific visit. A two-way mixed effects model with absolute agreement type for a single rater/measurement was used to calculate the ICC. The ICC coefficient is the ratio of the between-cluster variance to the total variance (denoted as r in the SAP). Fisher's z-transformation was used to calculate the 95% confidence intervals. A two-sided 95% CI is computed based upon the formulary provided in the SAP.
Time frame: Day 1 and Week 6
Intraclass Correlation Coefficient (ICC) Associated With the Quantification (SUVpeak) of Radioactivity Associated With Organ-Level Radiotracer Uptake
Repeatability of organ-specific (heart, kidney, liver, spleen) quantification (SUVpeak) of radiotracer uptake following PET/CT imaging of 124I-AT-01 in participants with AL or ATTR systemic amyloidosis was assessed. ICC assesses the consistency or reproducibility of measurements made by the 3 readers measuring the same participant images. Reader results are the average of the reader's 2 reads for the specific visit. A two-way mixed effects model with absolute agreement type for a single rater/measurement was used to calculate the ICC. The ICC coefficient is the ratio of the between-cluster variance to the total variance (denoted as r in the SAP). Fisher's z-transformation was used to calculate the 95% confidence intervals. A two-sided 95% CI is computed based upon the formulary provided in the SAP.
Time frame: Day 1 and Week 6
Number of Participants With At Least 1 Treatment-Emergent Adverse Event (TEAE)
TEAEs were defined as events that were newly reported or reported to worsen in severity after the start of treatment. Adverse events (AEs) that occurred after the treatment start date, occurred on the treatment start date with a time that was equal to or after treatment start time, or that had a missing AE start date were categorized as treatment emergent.
Time frame: Day 1 through the end of the study (up to 14 weeks)
Clinical Laboratory Values - Chemistry (mmol/L)
Changes from baseline in chemistry clinical laboratory values with units of mmol/L
Time frame: At Week 6 and Safety Follow-up 1 (24 to 48 hours after Week 6)
Clinical Laboratory Values - Chemistry (Umol/L)
Changes from baseline in chemistry clinical laboratory values with units of umol/L
Time frame: At Week 6 and Safety Follow-up 1 (24 to 48 hours after Week 6)
Clinical Laboratory Values - Chemistry (g/L)
Changes from baseline in chemistry clinical laboratory values with units of g/L
Time frame: At Week 6 and Safety Follow-up 1 (24 to 48 hours after Week 6)
Clinical Laboratory Values - Chemistry (IU/L)
Changes from baseline in chemistry clinical laboratory values with units of IU/L
Time frame: At Week 6 and Safety Follow-up 1 (24 to 48 hours after Week 6)
Clinical Laboratory Values - Hematology (% of White Blood Cell [WBC] Count)
Changes from baseline in hematology clinical laboratory values with units of % of WBC count
Time frame: At Week 6 and Safety Follow-up 1 (24 to 48 hours after Week 6)
Clinical Laboratory Values - Hematology (10^9 Cells/L)
Changes from baseline in hematology clinical laboratory values with units of 10\^9 cells/L
Time frame: At Week 6 and Safety Follow-up 1 (24 to 48 hours after Week 6)
Clinical Laboratory Values - Hematology (10^12 Cells/L)
Changes from baseline in hematology clinical laboratory values with units of 10\^12 cells/L
Time frame: At Week 6 and Safety Follow-up 1 (24 to 48 hours after Week 6)
Clinical Laboratory Values - Hematology (g/L)
Change from baseline in hematology clinical laboratory values with units of g/L
Time frame: At Week 6 and Safety Follow-up 1 (24 to 48 hours after Week 6)
Clinical Laboratory Values - Hematology (% of Total Blood Cell Count)
Changes from Baseline in hematology clinical laboratory values with units of % of total blood cell count
Time frame: At Week 6 and Safety Follow-up 1 (24 to 48 hours after Week 6)
Change From Baseline in Vital Signs - Blood Pressure (mmHg)
Changes from baseline in blood pressure measurements with units of mmHg
Time frame: Day 1 post-administration and Week 6 pre-administration and post-administration
Change From Baseline in Vital Signs - Heart Rate (Beats/Min)
Changes from baseline in heart rate measurements with units of beats/min
Time frame: Day 1 post-administration and Week 6 pre-administration and post-administration
Change From Baseline in Anti-Drug Antibodies (ADA)
Changes from baseline in ADA
Time frame: Post-dose at Week 6 or Safety Follow-up 2 (28 days after Week 6)