Occupancy of Adenosine A2A Receptors Using the PET Radiotracer [18F]MNI-444
A Phase 1 Proof of Principle Study to Evaluate the Occupancy of A2A Receptors Using PET Radiotracer [18F]MNI-444 & Repeated Dosing of Oral Caffeine in Participants Without Parkinson's Disease Who Carry Pathogenic Mutation in the LRRK2 Gene
1 other identifier
interventional
3
1 country
1
Brief Summary
The overall goal of this protocol is to evaluate the binding of caffeine to adenosine A2A receptors in the brain of participants at risk for developing PD.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Jun 2021
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
June 24, 2021
CompletedFirst Submitted
Initial submission to the registry
July 1, 2021
CompletedFirst Posted
Study publicly available on registry
August 17, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 12, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
May 12, 2022
CompletedJuly 5, 2022
July 1, 2022
11 months
July 1, 2021
July 1, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
To evaluate the pharmacodynamics of multiple doses of oral caffeine on striatal binding of the adenosine A2A receptor ligand [18F]MNI-444.
A2A receptor occupancy will be assessed by comparing the binding potential (BPND) of \[18F\]MNI-444 in striatal regions of interest (ROIs) for each post-dose scan (ie, peak and trough scans assessed separately) with the baseline scan in the same participant.
1 year
To evaluate the pharmacokinetics of multiple doses of oral caffeine on striatal binding of the adenosine A2A receptor ligand [18F]MNI-444.
Plasma PK samples for caffeine and metabolite paraxanthine will be collected during \[18F\]MNI-444 PET imaging sessions. These concentrations will be used to help understand the A2A receptor occupancy values.
1 year
Study Arms (1)
[18F]MNI-444
EXPERIMENTALAfter a wash-out of caffeine of at least 24 hours, each participant will receive a single injection of \[18F\]MNI-444 followed by brain PET imaging of up to 90 minutes to establish baseline A2A receptor binding.
Interventions
Eligibility Criteria
You may qualify if:
- Participant is able to provide written informed consent, which must be obtained before any assessment is performed.
- Female participants must not be of childbearing potential, or if they are of childbearing potential, must agree to use contraception and not donate eggs. At the discretion of the Investigator, participants without documentation of non-childbearing potential may receive pregnancy testing.
- A woman is considered to be of childbearing potential if she is postmenarchal, has not reached a postmenopausal state (12 continuous months of amenorrhea with no identified cause other than menopause), and is not permanently infertile due to surgery (ie, removal of ovaries, fallopian tubes, and/or uterus, tubal ligation) or another cause as determined by the Investigator (eg, Müllerian agenesis).
- Women of childbearing potential must commit to remain abstinent (refrain from heterosexual intercourse) or use 2 forms of birth control, 1 of which is a barrier contraception method, for the duration of the study and 30 days after study completion. Periodic abstinence (eg, calendar, ovulation, symptothermal, or postovulation methods) and withdrawal are not adequate methods of contraception.
- Women of childbearing potential must commit to not donate ovum for the duration of the study and 30 days after study completion.
- Male participants with partners of childbearing potential must commit to the use of 2 methods of contraception, 1 of which is a barrier method for male participants for the study duration and 90 days after study completion.
- Male participants must not donate sperm for the study duration and for 90 days after study completion.
- Willing and able to cooperate with study procedures.
- Males and females aged ≥ 30 years.
- Healthy with no clinically relevant finding on physical examination at Screening.
- No personal history of clinically significant neurologic and/or psychiatric disorders, including PD.
- No history of dopamine transporter deficit on DaTscan for any previously acquired DaTscan.
- No cognitive impairment as judged by the Investigator.
- Has a sequence variation in the LRKK2 gene that is a genetic risk factor for the development of PD (based on previous genetic testing in medical history).
You may not qualify if:
- Current or prior history of any alcohol or drug abuse in the past 2 years.
- Laboratory tests with clinically significant abnormalities and/or clinically significant unstable medical illness.
- Participant has received an investigational drug within 30 days or five half-lives prior to the baseline assessments, whichever is longer.
- Prior participation in other research protocols or clinical care during the past year that would result in radiation exposure to an effective radiation dose exceeding the acceptable annual limit established by the US Federal Guidelines (effective dose of 50 mSv, including the procedures in this clinical protocol).
- Pregnant, lactating or breastfeeding.
- Evidence of clinically significant gastrointestinal, cardiovascular, hepatic, renal, hematological, neoplastic, endocrine, alternative neurological, immunodeficiency, pulmonary, or other disorder or disease.
- Unsuitable veins for repeated venipuncture.
- Brain MRI with clinically significant structural abnormalities.
- Has a medical condition or takes a medication likely to interfere with assessment of brain A2A receptor levels by PET in the opinion of the Investigator.
- Implants such as implanted cardiac pacemakers or defibrillators, insulin pumps, cochlear implants, metallic ocular foreign body, implanted neural stimulators, CNS aneurysm clips and other medical implants that have not been certified for MRI, or history of claustrophobia in MRI, unless a previous MRI is used.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Invicrolead
Study Sites (1)
Invicro
New Haven, Connecticut, 06510, United States
Related Links
MeSH Terms
Interventions
Study Officials
- PRINCIPAL INVESTIGATOR
David Russell, M.D., Ph.D
Invicro
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 1, 2021
First Posted
August 17, 2021
Study Start
June 24, 2021
Primary Completion
May 12, 2022
Study Completion
May 12, 2022
Last Updated
July 5, 2022
Record last verified: 2022-07
Data Sharing
- IPD Sharing
- Will not share