NCT05357612

Brief Summary

It is hypothesize that patients with clinically diagnosed neurodegenerative diseases will have significantly different receptor occupancy of 5HT2A receptors compared to a healthy age/sex-matched control group. This will be tested by measuring 5HT2A receptor density using the PET radioligand (R)-\[18F\]MH.MZ in both populations.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
75

participants targeted

Target at P25-P50 for phase_4

Timeline
3mo left

Started Jan 2023

Longer than P75 for phase_4

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress93%
Jan 2023Aug 2026

First Submitted

Initial submission to the registry

April 20, 2022

Completed
13 days until next milestone

First Posted

Study publicly available on registry

May 3, 2022

Completed
9 months until next milestone

Study Start

First participant enrolled

January 23, 2023

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2026

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2026

Last Updated

August 12, 2025

Status Verified

August 1, 2025

Enrollment Period

3.4 years

First QC Date

April 20, 2022

Last Update Submit

August 6, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Change in 5HT2A receptor density measured using the PET radioligand MH.MZ

    Receptor density (Bmax) of 5HT2A receptors measured using the PET radioligand MH.MZ uptake in regions of interest.

    Baseline and 6 weeks after intervention of Pimavanserin

  • Change in 5HT2A receptor binding occupancy measured using the PET radioligand MH.MZ

    Receptor binding occupancy (RO) of 5HT2A receptors measured using the PET radioligand MH.MZ uptake in regions of interest.

    Baseline and 6 weeks after intervention of Pimavanserin

Secondary Outcomes (3)

  • Change in psychosis severity

    Baseline and 6 weeks after intervention of Pimavanserin

  • Change in psychosis severity

    Baseline and 6 weeks after intervention of Pimavanserin

  • Changes to functional connectivity and ASL bloodflow

    Baseline and 6 weeks after intervention of Pimavanserin

Study Arms (1)

Pimavanserin

EXPERIMENTAL
Drug: Pimavanserin

Interventions

PD related Psychosis

Pimavanserin

Eligibility Criteria

Age50 Years - 85 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patient arm - clinical diagnosis of Parkinson disease, diffuse Lewy body disease, multiple systems atrophy, Huntington's Disease, Frontotemporal Dementia, and other variants
  • Healthy arm - age and gender matched to patient arm
  • Psychosis (presence of hallucinations or delusions) starting after the diagnosis of Parkinson's disease, occurring at least weekly for 4 weeks, severe enough to warrant treatment.
  • Study partner available for study visits

You may not qualify if:

  • Prior stroke or other uncontrolled serious neurological or medical illness
  • Contra-indication or inability to tolerate MRI scan
  • Use of serotonergic medications in the last 6 weeks
  • Incapable of providing independent consent.
  • Pregnant or breastfeeding women
  • psychosis due to a metabolic, toxic, or primary psychiatric disease
  • Deemed unable to complete neurocognitive testing
  • For PD Participants: current or prior use of pimavanserin
  • Use of antipsychotics in the last 2 weeks

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Vanderbilt University Medical Center

Nashville, Tennessee, 37212, United States

RECRUITING

MeSH Terms

Conditions

Neurodegenerative DiseasesParkinson Disease

Interventions

pimavanserin

Condition Hierarchy (Ancestors)

Nervous System DiseasesParkinsonian DisordersBasal Ganglia DiseasesBrain DiseasesCentral Nervous System DiseasesMovement DisordersSynucleinopathies

Study Officials

  • Ciaran Considine, PhD

    Vanderbilt University Medical Center

    PRINCIPAL INVESTIGATOR
  • Richard Darby, MD

    Vanderbilt University Medical Center

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Levi Pettit, BA

CONTACT

Katie Hay, MS

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assoc Professor

Study Record Dates

First Submitted

April 20, 2022

First Posted

May 3, 2022

Study Start

January 23, 2023

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

August 1, 2026

Last Updated

August 12, 2025

Record last verified: 2025-08

Locations