Longitudinal multicenter head-to-head harmonization of tau PET tracers (HEAD Study)

2023-510508-31-01 Protocol IIBSP-HEA-2022-145 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 1 Jul 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol IIBSP-HEA-2022-145

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 150
Countries 1
Sites 1

cognitive impairment

Compare cross-sectional and longitudinal measures of tau obtained with these three second-generation PET tau tracers ([18F]RO948, [18F]PI2620, and [18F]MK-6240) directly in the same volunteers to elucidate the advantages and limitations of their use in research cohorts, clinical trials, and clinical practice.

Key facts

Sponsor
Fundacio Institut De Recerca De L Hospital De La Santa Creu I Sant Pau
Participant type
Patients, Healthy volunteers
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Diagnosis [E01], Diseases [C] - Nervous System Diseases [C10]
Trial duration
1 Jul 2024 → ongoing
Decision date (initial)
2024-06-19
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis

Compare cross-sectional and longitudinal measures of tau obtained with these three second-generation PET tau tracers ([18F]RO948, [18F]PI2620, and [18F]MK-6240) directly in the same volunteers to elucidate the advantages and limitations of their use in research cohorts, clinical trials, and clinical practice.

Secondary objectives 3

  1. Compare the cross-sectional features of tau PET tracers.
  2. Compare the longitudinal progression of tau PET tracers over 18-24 months
  3. Test the associations between tau PET tracers and plasma biomarker values

Conditions and MedDRA coding

cognitive impairment

VersionLevelCodeTermSystem organ class
21.1 LLT 10009846 Cognitive impairment 10029205

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2023-510508-31-00 Longitudinal multicenter head-to-head harmonization of tau PET tracers (HEAD Study) Fundacio Institut De Recerca De L Hospital De La Santa Creu I Sant Pau

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 9

  1. For Healthy Cognitive Controls: Age: > 18 years (minimum N=5 young individuals aged between 18 and 28) Clinical Criterion: CDR = 0
  2. Mild Cognitive Impairment (MCI): Age: 50-90 years (inclusive) Clinical Criteria: NIA-AA 2018, MMSE (22-28)
  3. Alzheimer's Disease (AD): Age: 50-90 years (inclusive) Clinical Criteria: NIA-AA 2018, MMSE (11-24)
  4. Frontotemporal Dementia: Age: 50-90 years (inclusive) Clinical Criteria: Rascovsky et al., 2011
  5. Primary Progressive Aphasia: Age: 50-90 years (inclusive) Clinical Criteria: Gorno-Tempini et al., 2011
  6. Progressive Supranuclear Palsy: Age: 50-90 years (inclusive) Clinical Criteria: Hoglinger et al., 2017
  7. Corticobasal Degeneration: Age: 50-90 years (inclusive) Clinical Criteria: Armstrong et al., 2013
  8. Dementia with Lewy Bodies: Age: 50-90 years (inclusive) Clinical Criteria: McKeith et al., 2017
  9. Down's Syndrome (SD): Age: > 18 years

Exclusion criteria 1

  1. Patient with out inclusion criteria

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The main outcome variable derived from the administration of the radiopharmaceutical will be the Standardized Uptake Value Ratio (SUVR) from different PET tau images, which will be co-registered with the structural MRI image. The lower cerebellar cortex will be used as a reference region

Secondary endpoints 12

  1. SUVR values obtained for different tracers.
  2. Voxel-wise and regional correlation analysis.
  3. Transformed values to standardize tau PET tracers to a common scale.
  4. Diagnostic performance among different groups.
  5. Associations of tau tracers with amyloid.
  6. Associations of tau tracers with brain atrophy.
  7. Associations of tau tracers with cognition.
  8. Associations of tau tracers with plasma tau biomarkers (p-tau181, p-tau-217, and p-tau231).
  9. Longitudinal tau accumulation rates among tracers.
  10. Associations between longitudinal changes in tau and amyloid deposition.
  11. Associations between longitudinal changes in tau and brain atrophy.
  12. Asociaciones entre los cambios longitudinales en tau y progresión en cognición.

Investigational products

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

Test 3

2-6-18FFLUORO-PYRIDIN-3-YL-9H-DIPYRIDO23-B34-DPYRROLE

PRD11158263 · Product

Active substance
2-6-18FFLUORO-PYRIDIN-3-YL-9H-DIPYRIDO23-B34-DPYRROLE
Substance synonyms
[18F]RO6958948, [18F]RO-948
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INJECTION
Max daily dose
370 MBq megabecquerel(s)
Max total dose
370 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
FUNDACIO INSTITUT DE RECERCA DE L HOSPITAL DE LA SANTA CREU I SANT PAU
Paediatric formulation
No
Orphan designation
No

florquinitau F-18

PRD11158273 · Product

Active substance
Florquinitau (18F)
Substance synonyms
Florquinitau F18, [18F] MK-6240
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INJECTION
Max daily dose
185 MBq megabecquerel(s)
Max total dose
185 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
INSTITUT DE RECERCA DE L HOSPITAL DE LA SANTA CREU I SANT PAU
Paediatric formulation
No
Orphan designation
No

[18F]PI-2620

PRD8361304 · Product

Active substance
Izaflortaucipir (18F)
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INJECTION
Max daily dose
185 MBq megabecquerel(s)
Max total dose
185 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
LIFE MOLECULAR IMAGING GMBH
Paediatric formulation
No
Orphan designation
No

Auxiliary 1

VIZAMYL 400 MBq/mL solution for injection

PRD10888598 · Product

Active substance
Flutemetamol (18F)
Substance synonyms
Flutemetamol F 18, FLUTEMETAMOL F-18
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INJECTION
Max daily dose
150 MBq megabecquerel(s)
Max total dose
150 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V09AX04 — -
Marketing authorisation
EU/1/14/941/001
MA holder
GE HEALTHCARE AS
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fundacio Institut De Recerca De L Hospital De La Santa Creu I Sant Pau

10 Total trials 9 Recruiting
Academic / Non-commercial
Sponsor organisation
Fundacio Institut De Recerca De L Hospital De La Santa Creu I Sant Pau
Address
Calle De San Quintin 77-79
City
Barcelona
Postcode
08041
Country
Spain

Scientific contact point

Organisation
Fundacio Institut De Recerca De L Hospital De La Santa Creu I Sant Pau
Contact name
Alejandra Espinosa

Public contact point

Organisation
Fundacio Institut De Recerca De L Hospital De La Santa Creu I Sant Pau
Contact name
Alejandra Espinosa

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruiting 150 1
Rest of world 0

Investigational sites

Spain

1 site · Ongoing, recruiting
Hospital De La Santa Creu I Sant Pau
Neurology, Calle De San Antonio Maria Claret 167, 08025, Barcelona

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 2024-07-01 2024-07-29

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 29 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-510508-31-01 8
Protocol (for publication) D1_Protocolo ECM HEAD V3 for pub 3
Protocol (for publication) IIBSP-HEA-2022-145_Protocolo_V1_ for publication 1
Protocol (for publication) Protocolo ECM HEAD Vs 2 1
Protocol (for publication) Protocolo ECM HEAD Vs 2 for publication 1
Protocol (for publication) Protocolo ECM HEAD_V4_CLEAN_for publication 4
Protocol (for publication) Protocolo ECM HEAD_V5_CLEAN_FINAL 5
Protocol (for publication) Protocolo ECM HEAD_V5_TRACKED_FINAL 5
Protocol (for publication) Protocolo ECM HEAD_V6_for pub 6
Protocol (for publication) Protocolo ECM HEAD_V7_CLEAN_FOR PUBLICATION 7
Protocol (for publication) Protocolo ECM HEAD_V7_TRACKED_FOR PUBLICATION 7
Recruitment arrangements (for publication) Procedimientos y material para reclutamiento HEAD FOR PUBLICATION 1
Subject information and informed consent form (for publication) 2 HIP CI HEAD - CONTROLES_v3_for publication 3
Subject information and informed consent form (for publication) 2 HIP CI HEAD - CONTROLES_v4_CLEAN_for publication 4
Subject information and informed consent form (for publication) 2 HIP CI HEAD - DS_v1_CLEAN_FOR PUBLICATION 1
Subject information and informed consent form (for publication) 2 HIP CI HEAD - PACIENTES_v3_for publication 3
Subject information and informed consent form (for publication) 2 HIP CI HEAD - PACIENTES_v4_CLEAN_for publication 4
Subject information and informed consent form (for publication) HIP CI HEAD - CONTROLES FOR PUBLICATION 1
Subject information and informed consent form (for publication) HIP CI HEAD - PACIENTES FOR PUBLICATION 1
Subject information and informed consent form (for publication) L1_ SIS and ICF DS Public 4
Subject information and informed consent form (for publication) L1_ SIS DS adapted Public 2
Subject information and informed consent form (for publication) L1_HIP CI HEAD CONTROLES v2 PUBL 2
Subject information and informed consent form (for publication) L1_HIP CI HEAD PACIENTES v2 PUBL 2
Synopsis of the protocol (for publication) D1_Protocol synopsis HEADV3 for pub 3
Synopsis of the protocol (for publication) English summary Protocolo ECM HEAD_V4_for publication 4
Synopsis of the protocol (for publication) English summary Protocolo ECM HEAD_V5_FINAL 5
Synopsis of the protocol (for publication) English summary Protocolo ECM HEAD_V6_for pub 6
Synopsis of the protocol (for publication) IIBSP-HEA-2022-145_ProtocoloSynopsis_V1_ for publication 1
Synopsis of the protocol (for publication) resumen_ Protocolo ECM HEAD_V6_for pub 6

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-03-08 Spain Acceptable
2024-06-19
2024-06-19
2 SUBSTANTIAL MODIFICATION SM-1 2024-09-16 Spain Acceptable with conditions
2024-12-03
2024-12-03