Impact of FBB PET Amyloid Imaging in Change of Diagnosis in Patients With AD
Multicenter Study to Explore the Impact of Florbetaben (FBB) in Change of Diagnosis in Patients Who Are Evaluated for AD and in Whom Lumbar Puncture is Contraindicated or CSF Results Are Ambiguous
2 other identifiers
interventional
218
1 country
1
Brief Summary
This phase 4 study will explore, in the context of the present French clinical practice, the impact of florbetaben 18F (FBB) in patients evaluated for AD who require a biomarker for etiologic determination of the cognitive and functional impairment, but in whom:
- 1.lumbar puncture was not feasible for medical conditions
- 2.results of cerebrospinal fluid (CSF) analysis were considered ambiguous by treating physicians
- 3.lumbar puncture (LP) was refused by the patient
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Oct 2015
Shorter than P25 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2015
CompletedFirst Submitted
Initial submission to the registry
February 4, 2016
CompletedFirst Posted
Study publicly available on registry
February 12, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2016
CompletedResults Posted
Study results publicly available
November 2, 2018
CompletedNovember 2, 2018
March 1, 2018
11 months
February 4, 2016
August 16, 2017
March 15, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of Participants With a Change of Diagnosis Comparing Pre- and Post-scan Outcomes
The Physician's diagnosis was assessed before and after FBB PET scan. The initial Physician's diagnosis was collected before the PET scan, at Visit 1, based on key diagnostic results of current or previous workup. After the PET scan, the final Physician's diagnosis was collected at Visit 3, based on the amyloid PET scan results.
Visit 1 (baseline evaluation) and Visit 3 (up to 6 months later)
Secondary Outcomes (7)
Number of Subjects With Improved Level of Physician Confidence in Diagnosis at Visit 3
Visit 1 (baseline evaluation) and Visit 3 (up to 6 months later)
Number of Participants With a Change of Management Plan Comparing Pre- and Post-scan Outcomes
Visit 1 (baseline evaluation) and Visit 3 (up to 3 months later)
Number of Subjects With Positive FBB PET Scan
Visit 3 (up to 6 months after baseline evaluation)
Number of Subjects With Negative FBB PET Scans
Visit 3 (up to 6 months after baseline evaluation)
Number of Subjects With Contraindicated or Failed Lumbar Puncture
Visit 1 (baseline evaluation)
- +2 more secondary outcomes
Study Arms (1)
Neuraceq (florbetaben 18F) PET scan
EXPERIMENTALA single dose of 300 Megabecquerels (8.1 millicuries) Neuraceq will be administered per subject. The applied florbetaben radioactive dose will be ± 20%.
Interventions
Florbetaben 18F is given as an i.v. injection followed by a flush of sodium chloride solution to ensure full delivery of the dose.
A brain PET scan is usually taken 90 minutes after the i.v. injection of florbetaben 18F.
Eligibility Criteria
You may qualify if:
- Patients being evaluated for Alzheimer disease and related dementias according to the HAS recommendations (atypical dementia, early onset and rapid progressive dementia)
- Patients who have previously been evaluated for AD and related dementias to whom a CSF examination was recommended in the last 12 months, but lumbar puncture was contraindicated or refused or CSF results were ambiguous, or
- Patients currently being evaluated for AD and related dementias to whom a CSF examination is recommended but lumbar puncture is contraindicated or refused
- Patients have a study partner who is willing and able to accompany him/her to all clinic visits for the duration of the protocol
- Patients able to complete all clinical visits according to the protocol
- Patients able to tolerate a 20-minute FBB PET scan
- Patient or legal representative to provide informed consent for study participation, visits and data source verification.
You may not qualify if:
- The subject had a previous beta amyloid imaging scan
- Any significant systemic illness or unstable medical condition which could lead to difficulty complying with the protocol
- Is currently receiving any investigational pharmaceutical product or has participated in a clinical trial with an investigational pharmaceutical product within 30 days prior to screening and/or was administered a radiopharmaceutical within 10 radioactive half-lives prior to study drug administration in this study
- For females of childbearing age, a positive pregnancy test
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Coordinating center (Hôpital de La Timone) and 18 associated centers in France
Marseille, 13385, France
Related Publications (1)
Ceccaldi M, Jonveaux T, Verger A, Krolak-Salmon P, Houzard C, Godefroy O, Shields T, Perrotin A, Gismondi R, Bullich S, Jovalekic A, Raffa N, Pasquier F, Semah F, Dubois B, Habert MO, Wallon D, Chastan M, Payoux P; NEUUS in AD study group; Stephens A, Guedj E. Added value of 18F-florbetaben amyloid PET in the diagnostic workup of most complex patients with dementia in France: A naturalistic study. Alzheimers Dement. 2018 Mar;14(3):293-305. doi: 10.1016/j.jalz.2017.09.009. Epub 2017 Nov 4.
PMID: 29107051DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Juergen Hirschfeld, Head of GRA & PV
- Organization
- Piramal Imaging
Study Officials
- PRINCIPAL INVESTIGATOR
Mathieu Ceccaldi, Prof. MD.
Hôpital de La Timone, Marseille, France
- PRINCIPAL INVESTIGATOR
Eric Guedj, Prof.
Hôpital de la Timone, Marseille, France
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 4, 2016
First Posted
February 12, 2016
Study Start
October 1, 2015
Primary Completion
September 1, 2016
Study Completion
November 1, 2016
Last Updated
November 2, 2018
Results First Posted
November 2, 2018
Record last verified: 2018-03
Data Sharing
- IPD Sharing
- Will not share