Assessment of the Brain Deposit of Tau 4R Detected by Brain PET with 18F-PI2620 in Progressive Supranuclear Palsy Compared to Controls without Neurodegenerative Tauopathy 4R: a Clinical Trial

2023-503538-37-00 Protocol CUN-PETNeuroTau Therapeutic exploratory (Phase II) Ongoing, recruitment ended

Start 13 Nov 2023 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 2 sites · Protocol CUN-PETNeuroTau

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruitment ended
Participants planned 51
Countries 1
Sites 2

Progressive supranuclear palsy

To compare the brain deposit of tau 4R protein by means of the PET-Tau imaging study using the 18F-PI2620 radiotracer in patients with PSP compared to controls.

Key facts

Sponsor
University Clinic Of Navarra
Participant type
Healthy volunteers, Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
13 Nov 2023 → ongoing
Decision date (initial)
2023-08-07
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Proyectos de investigacion en salud (AES 2020). Instituto de Salud Carlos III.

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis

To compare the brain deposit of tau 4R protein by means of the PET-Tau imaging study using the 18F-PI2620 radiotracer in patients with PSP compared to controls.

Secondary objectives 4

  1. Evaluate the localization and load of tau in controls (PD patients and healthy subjects).
  2. Evaluate the localization and load of tau in different subtypes of PSP (SR, non-SR).
  3. Compare the topographic distribution of PET-Tau with the pattern of glucose metabolism by PET-FDG at the individual and group level according to PSP subtypes.
  4. To explore the correlation between PET-Tau (18F-PI2620) and PET-FDG (18F-FDG) uptake with the severity of motor (rigidity, bradykinesia, falls, dysarthria, etc.) and non-motor (depression, apathy, cognitive impairment) symptoms.

Conditions and MedDRA coding

Progressive supranuclear palsy

VersionLevelCodeTermSystem organ class
21.1 PT 10036813 Progressive supranuclear palsy 100000004852

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Subjects from one of the following two groups: a) Patients aged between 40 and 79 years, with a clinical diagnosis of different variants of PSP. Clinical diagnosis will be based on the MDS-PSP criteria for PSP subtypes (Höglinger et al., 2017). In addition, we will apply the recently proposed Multiple Allocations eXtinction (MAX) rules to approach ambiguous multiple allocations (Grimm et al., 2019). b) Control group: b.1.. Patients aged 40 to 79 years, with a clinical diagnosis of PD according to the UK Parkinson's Disease Society Brain Bank Diagnostic Criteria (Hughes et al., 1992) and normal cognitive status (MoCA>24). b.2.. Healthy subjects (male or female) aged 40 to 79 years, with normal neurological examination and normal cognitive status (MoCA>24).
  2. The subject, or their representative, has given their consent to participate in the study.
  3. The subject must, in the opinion of the investigator, be able to meet all the requirements of the clinical trial.

Exclusion criteria 3

  1. Patients with evidence of relevant structural brain abnormalities or significant leukoencephalopathy on magnetic resonance imaging (MRI) (Fazekas score ≥3 or a score of ≥3 on the age-related white matter changes Rating Scale) (Wahlund et al., 2001).
  2. Patients with PD with cognitive impairment (MoCA<24).
  3. Pregnant, breastfeeding or childbearing women who are not going to use contraception.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Brain deposit of tau 4R protein by means of the PET-Tau imaging study using the 18F-PI2620 radiotracer

Secondary endpoints 2

  1. Pattern of glucose metabolism by PET-FDG
  2. Motor (rigidity, bradykinesia, falls, dysarthria, etc.) and non-motor (depression, apathy, cognitive impairment) symptoms

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

[18F]PI-2620

PRD8361304 · Product

Active substance
Izaflortaucipir (18F)
Substance synonyms
[18F]PI-2620, 2-(2-(18F)fluoropyridin-4-yl)-9H-pyrrolo[2,3-b:4,5-c']dipyridine, [18F]MNI-960
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS SLOW BOLUS INJECTION
Max daily dose
5 mCi millicurie(s)
Max total dose
5 mCi millicurie(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
LIFE MOLECULAR IMAGING GMBH
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

University Clinic Of Navarra

Sponsor organisation
University Clinic Of Navarra
Address
Pio XII Etorbidea 36
City
Pamplona
Postcode
31008
Country
Spain

Scientific contact point

Organisation
University Clinic Of Navarra
Contact name
UCEC

Public contact point

Organisation
University Clinic Of Navarra
Contact name
UCEC

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruitment ended 51 2
Rest of world 0

Investigational sites

Spain

2 sites · Ongoing, recruitment ended
Hospital Universitario De Navarra
Neurología, Irunlarrea Kalea 3, 31008, Pamplona
Clinica Universidad De Navarra
Medicina nuclear, Avenue Pio XII 36, 31008, Pamplona

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2023-11-13 2023-12-11 2025-06-30

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-05-16 Spain Acceptable
2023-08-07
2023-08-07