Development and Clinical Application of [11C]Verapamil-PET
1 other identifier
interventional
30
1 country
1
Brief Summary
The major hypothesis explaining drug resistance is overexpression of p-glycoprotein at the target lesion. Based on several studies, p-glycoprotein (P-gp) has an important role in neurologic diseases, especially in drug resistant epilepsy. But there is no surrogate marker that can quantify the expression of P-gp because of the difficulty in measuring substances in the neurologic system and the lack of clinical trials. Here, the investigators use a novel non-invasive \[11C\] -verapamil Brain PET and SPAM analytic method as a surrogate marker for quantifying the expression of p-glycoprotein.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started May 2013
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2013
CompletedFirst Submitted
Initial submission to the registry
April 22, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2014
CompletedFirst Posted
Study publicly available on registry
May 22, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedMay 22, 2014
May 1, 2014
1 year
April 22, 2014
May 19, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Measured Asymmetric index[(SUV in Right regions - SUV in Left regions)/(SUV in Right regions+ SUV in left regions)] in all three groups
Comparing with Asymmetry index in each groups
first visit day
Secondary Outcomes (1)
Number of patients with side effect of cyclosporine and [11C]-verapamil PET
During and after the drug injection, During and after the PET Scan [first visit day]
Study Arms (3)
Control group (healthy persons)
ACTIVE COMPARATORNormal controls take a \[11C\] -verapamil PET scan. While P-gp inhibitor (Cyclosporin A, 2.5mg/kg/hr during 2hours, intravenous) is infused, PET scans were done using \[11C\] -verapamil, a substrate of P-gp.
Patients with drug-resistant epilesy
ACTIVE COMPARATORPatients with drug-resistant epilepsy take a \[11C\] -verapamil PET scan. While P-gp inhibitor (Cyclosporin A, 2.5mg/kg/hr during 2hours, intravenous) is infused, PET scans were done using \[11C\] -verapamil, a substrate of P-gp.
Patients with drug-sensitive epilepsy
ACTIVE COMPARATORPatients with drug-sensitive epilepsy take a \[11C\] -verapamil PET scan. While P-gp inhibitor (Cyclosporin A, 2.5mg/kg/hr during 2hours, intravenous) is infused, PET scans were done using \[11C\] -verapamil, a substrate of P-gp.
Interventions
While P-gp inhibitor (Cyclosporin A, 2.5mg/kg/hr during 2hours, intravenous) is infused, PET scans were done using \[11C\] -verapamil, a substrate of P-gp.
Eligibility Criteria
You may qualify if:
- Healthy controls ( age range 20-45 years)
- Patient age (\> 15), diagnose as epilepsy
You may not qualify if:
- Subjects who take medicines that affect on the function of p-glycoproteins
- Pregnancy or subject who feed the breast milk
- Subjects who had severe renal disease or liver disease
- Subjects who need treated by immunosuppressant or take immunosuppressant
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Seoul National University Hospital
Seoul, South Korea
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sang Kun Lee, MD, PhD
Seoul National University Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Seoul National University Hospital
Study Record Dates
First Submitted
April 22, 2014
First Posted
May 22, 2014
Study Start
May 1, 2013
Primary Completion
May 1, 2014
Study Completion
December 1, 2014
Last Updated
May 22, 2014
Record last verified: 2014-05