Synaptic density and tau pathology in Alzheimer’s disease

2024-517636-22-00 Therapeutic exploratory (Phase II) Authorised, recruiting

Start 10 Dec 2024 · Status Authorised, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruiting
Participants planned 30
Countries 1
Sites 1

Alzheimer's disease

Aim to quantify brain regional [18F]SynVesT-1 uptake (synaptic density) and [18F]flortaucipir uptake and their association

Key facts

Sponsor
Amsterdam UMC Stichting
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
10 Dec 2024 → ongoing
Decision date (initial)
2024-12-10
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
ZonMw

External identifiers

EU CT number
2024-517636-22-00
EudraCT number
2020-002511-22

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others

Aim to quantify brain regional [18F]SynVesT-1 uptake (synaptic density) and [18F]flortaucipir uptake and their association

Secondary objectives 1

  1. To investigate the associations between [18F]Flortaucipir (tau) binding and [18F]SynVesT-1 (synaptic density) binding

Conditions and MedDRA coding

Alzheimer's disease

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. - At least 50 years of age; - Biomarker evidence (CSF or PET) for the presence of Aβ pathology. - Subjects must, in the opinion of the attending neurologist be able to tolerate study procedures and be competent to make a well-informed decision to participate in this study; - Signed informed consent for Amsterdam Dementia Cohort 2016.061);

Exclusion criteria 1

  1. - Has contra indications for MRI scanning and therefore has and cannot receive brain MRI; - Has evidence of structural abnormalities such as major stroke or mass on MRI that is likely to interfere with the clinical presentation and/or interpretation of PET scan; - Is a woman of childbearing potential who is not surgically sterile, not refraining from sexual activity or not using reliable methods for contraception. Women of childbearing potential must orally confirm not to be pregnant or breast feeding at screening; - Has a relevant history of severe drug allergy or hypersensitivity. Relevant severe drug allergies should be determined by the Principal Investigator; - Has ever participated in an experimental study with a tau, amyloid or synapse targeting agent, unless it can be documented that the subject received only placebo during the course of the trial; - History of any clinically significant cardiovascular, endocrinology, hematologic, hepatobiliary, immunologic, metabolic, urologic, pulmonary, neurologic (with the exception of AD), psychiatric, renal or other major disease, as determined by the principal investigator; - Has been injected with a previously administered radiopharmaceutical within 6 terminal half-lives or when total yearly radiation exposure exceeds 11.3 mSv for females and 15.3 mSv for males. - Is a member of the study team, an employee of the department of Radiology and Nuclear medicine or the department of Neurology of the Amsterdam UMC, or is related to an employee of department of Radiology and Nuclear medicine or the department of Neurology of the Amsterdam UMC. The following medications during the study and 4 weeks prior to [18F]SynVesT-1 PET: o Use of anticonvulsant medications; o Other medications that, in the opinion of the Investigator, may interfere with the study

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Quantification of brain regional [18F]SynVesT-1 uptake (synaptic density) and regional [ 18F]flortaucipir uptake (tau)

Secondary endpoints 1

  1. association between [18F]Flortaucipir (tau) binding and [18F]SynVesT-1 (synaptic density) binding

Investigational products

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

Test 2

Flortaucipir

PRD10008562 · Product

Active substance
Flortaucipir (18F)
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS BOLUS INJECTION/IV INFUSION
Max daily dose
140 MBq megabecquerel(s)
Max total dose
140 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

18F-Synvest-1

PRD11735086 · Product

Active substance
(4R-4-3-18FFLUORANYL-5-FLUOROPHENYL-1-3-METHYLPYRIDIN-4-YLMETHYLPYRROLIDIN-2-ONE
Substance synonyms
18F-SYNVEST-1, 18F-SDM-8, (18F)Mni-1126
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS BOLUS INJECTION/IV INFUSION
Max daily dose
140 MBq megabecquerel(s)
Max total dose
140 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
AMSTERDAM UMC
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Amsterdam UMC Stichting

Sponsor organisation
Amsterdam UMC Stichting
Address
De Boelelaan 1117
City
Amsterdam
Postcode
1081 HV
Country
Netherlands

Scientific contact point

Organisation
Amsterdam UMC Stichting
Contact name
Roos Rikken

Public contact point

Organisation
Amsterdam UMC Stichting
Contact name
Roos Rikken

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Authorised, recruiting 30 1
Rest of world 0

Investigational sites

Netherlands

1 site · Authorised, recruiting
Amsterdam UMC Stichting
radiology & nuclear medicine, De Boelelaan 1117, 1081 HV, Amsterdam

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2024-12-10

Results and documents

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

Documents 5 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-517636-22-00 8
Recruitment arrangements (for publication) Blank document 1
Subject information and informed consent form (for publication) L1_SIS and ICF 7
Summary of Product Characteristics (SmPC) (for publication) Blank SmPC 1
Summary of Product Characteristics (SmPC) (for publication) Blank SmPC 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-11-14 Netherlands Acceptable
2024-12-10
2024-12-10