The study is a longitudinal, multi-center study to assess progression of \[18F\] AV-133 imaging in Prodromal PD participants. Participants will be followed for up to 24 months. Approximately 100 Prodromal participants will be recruited from up to 10 sites. Participants will be comprehensively assessed at baseline and follow up. Participants will undergo imaging assessments with \[18F\] AV-133 and clinical (motor, neuropsychiatric, cognitive and imaging and biomarker) assessments (conducted under the PPMI Clinical protocol).
The Parkinson's Progression Marker Initiative (PPMI) is an observational, international, multi-center study designed to identify PD progression biomarkers both to improve understanding of disease etiology and course and to provide the necessary tools to enhance the likelihood of success of therapeutics studies to slow PD progression (ClinicalTrials.gov Identifier: NCT01141023). A key focus of PPMI is to identify biomarkers during the period when PD neurodegeneration is already present, but symptoms of PD have not yet occurred. This prodromal cohort would enable us to investigate PD biomarker signatures prior to onset of typical symptoms of PD. The study is a longitudinal, multi-center study to assess progression of \[18F\]AV-133 imaging in Prodromal PD participants. The PPMI 015 study will enroll participants from the PPMI Clinical (002) study. Participants will be followed annually for up to 24 months. Approximately 100 Prodromal participants will be recruited from up to 10 sites. Participants will be comprehensively assessed at baseline and follow up. Participants will undergo \[18F\]AV-133 PET imaging targeting the vesicular monoamine transporter. All participants will undergo an initial \[18F\]AV-133 PET imaging scan at baseline with repeat imaging at 12 months and 24 months.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
100
Prodromal PD participants from the PPMI Clinical (002) study will be followed for up to 24 months. These participants will undergo imaging assessments with \[18F\]AV-133 under this protocol at baseline, 12-month and 24 months.
Institute for Neurodegenerative Disorders
New Haven, Connecticut, United States
RECRUITINGUniversity of Pennsylvania
Philadelphia, Pennsylvania, United States
RECRUITINGToronto Western Hospital
Toronto, Ontario, Canada
NOT_YET_RECRUITINGPhilipps-University of Marburg
Hessen, Germany
NOT_YET_RECRUITINGTel Aviv Sourasky Medical Center
Tel Aviv, Israel
NOT_YET_RECRUITINGRadboud University
Nijmegen, Gelderland, Netherlands
NOT_YET_RECRUITINGQueen Mary University of London
London, Britain, United Kingdom
RECRUITINGNewcastle University
Newcastle upon Tyne, Tyne and Wear, United Kingdom
RECRUITING[18F]AV-133 mean rate of change and variability
The mean rates of change and the variability around the mean of \[18F\]AV-133 PET SUVr in Prodromal PD patients, and where appropriate the comparison of these rates between patient subsets at study intervals ranging from 12 months to 24 months.
Time frame: 24 months
[18F]AV-133 prediction of clinical motor progression
Predictive value of \[18F\]AV-133 imaging Standardized Uptake Value ratio \[SUVr\] at baseline for longitudinal clinical progression, defined as change in Movement Disorder Society sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS), scale \[0-260\]
Time frame: 24 months
[18F]AV-133 prediction of clinical cognitive progression
Predictive value of \[18F\]AV-133 imaging Standardized Uptake Value ratio \[SUVr\] at baseline for longitudinal cognitive progression, defined as change in cognitive scales Montreal Cognitive Assessment (MoCA), scale \[0-30\]
Time frame: 24 months
[18F]AV133 cutoff for clinical PD
Determine \[18F\]AV-133 SUVr cutoff value for predicting development of clinical diagnosis of PD in people with Prodromal PD. Compare \[18F\]AV-133 SUVr with DaTscan SBR cutoffs for predicting the development of clinical diagnosis of PD in people with Prodromal PD.
Time frame: 24 months
[18F] AV133 correlation with DaTscan
Correlation between the longitudinal change of \[18F\]AV-133 and DaTscan.
Time frame: 24 months
Correlation of [18F]AV133 change with change in clinical and biomarker outcomes
Correlation between the longitudinal change of imaging outcomes and MDS-UPDRS, other clinical and blood biomarkers and sensor outcomes.
Time frame: 24 months
Incidence of Treatment emergent adverse events
Number of participants with treatment-related adverse events
Time frame: 24 months
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