Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's Disease, is a rare neurodegenerative disease resulting in loss, primarily, of the motor neurons in the motor cortex, brainstem and spinal cord. It currently affects 3 of every 100,000 people in the US. Currently, there is no diagnostic tool for ALS, resulting in misdiagnosis and significant disease progression before formal diagnosis. An imaging test for early detection of ALS and for monitoring disease progression would have significant diagnostic and prognostic value. PET imaging with an appropriate radiotracer has great potential as a biomarker for ALS given that it would permit visualization of central nervous system (CNS) pathology in individuals living with the disease. To that extent, the primary goal of this phase I study is evaluating the safety and biodistribution of the new tracer \[89Zr\]Zr-DFO-AP-101 in healthy volunteers and ALS patients.
Background: Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's Disease, is a rare neurodegenerative disease resulting in loss, primarily, of the motor neurons in the motor cortex, brainstem and spinal cord. It currently affects 3 of every 100,000 people in the US. Currently, there is no diagnostic tool for ALS, resulting in misdiagnosis and significant disease progression before formal diagnosis. Design: This is a phase I clinical trial and a 2-part, single center, open label study in healthy volunteers (Part A) and confirmed ALS patients (Part B). The primary goal is evaluating the safety and biodistribution of the radiotracer \[89Zr\]Zr-DFO-AP-101 in healthy volunteers and ALS patients via PET/CT imaging. Objectives: The primary objectives of this study are: (Part A) To evaluate, by PET imaging, the safety, biodistribution and dosimetry of \[89Zr\]Zr-DFO-AP-101 in healthy men and women and in ALS patients Intervention and Follow-up: Following a screening visit, eligible participants will come to the research center for all study assessments. * On Day 0, a single intravenous dose of \[89Zr\]Zr-DFO-AP-101 40 MBq will be administrated and a 45 min whole body PET/CT acquisition will be performed at two hours post injection. Physical exam, ECG, vital signs and blood/urine samples will be collected. * Further PET acquisitions and same data/samples collection will be repeated at days 1, 3, 7 and 10 post-injection. * Participants will be contacted for a final follow-up visit approximately 14 days after injection.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
12
At Day 0, patients will receive one dose of the radiotracer. A PET/CT scan will be done 2h post-dose. At 1, 3, 7 and 10 days post-dose, a PET/CT scan will be repeated.
CIUSSS de l'Estrie-CHUS Hospital
Sherbrooke, Quebec, Canada
Incidence of adverse events (AEs) and serious adverse events (SAEs)
Number of adverse events (AEs) and serious adverse events following administration of \[89Zr\]Zr-DFO-AP-101 that are new or worsened (compared to baseline/pre-dose)
Time frame: day 0 (post-injection) to day 14 (end of study)
Biodistribution of [89Zr]Zr-DFO-AP-101
Assessed by whole-body PET imaging
Time frame: Pre-dose and at 2 hours, 1, 3, 7, 10 days post-dose
Dosimetry of [89Zr]Zr-DFO-AP-101 in human
Organ activity concentration (in liver, kidneys, blood, spleen, ...) measured by drawing region of interests on the PET images.
Time frame: Pre-Dose and at 2 hours, 1, 3, 7, 10 days post-dose
Cmax
Maximal concentration of \[89Zr\]Zr-DFO-AP-101 in plasma over time after injection
Time frame: Pre-dose and at 2 hours, 1, 3, 7, 10 days post-dose
Area under the curve (AUC)
AUC of \[89Zr\]Zr-DFO-AP-101 in plasma over time after injection
Time frame: Pre-dose and at 2 hours, 1, 3, 7, 10 days post-dose
residence time
Time (1/2) of residence of \[89Zr\]Zr-DFO-AP-101 in plasma
Time frame: Pre-dose and at 2 hours, 1, 3, 7, 10 days post-dose
Excretion
Concentration of \[89Zr\]Zr-DFO-AP-101 urine over time
Time frame: Pre-dose and at 2 hours, 1, 3, 7, 10 days post-dose
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