Characterization of cerebral amyloid deposition with 18F-Flutemetamol PET and of glucose metabolism with 18F-FDG PET in individuals enrolled in the ALFA project

2024-519961-23-00 Therapeutic use (Phase IV) Authorised, recruiting

Start 25 Jan 2025 · Status Authorised, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Authorised, recruiting
Participants planned 400
Countries 1
Sites 1

Alzheimer's Disease

To determine the prevalence and progression of positive 18F-Flutemetamol scans in individuals recruited in the ALFA project

Key facts

Sponsor
Barcelonabeta Brain Research Center
Participant type
Healthy volunteers, Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Health Care [N] - Population Characteristics [N01]
Trial duration
25 Jan 2025 → ongoing
Decision date (initial)
2025-01-20
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
General Electric (GE Healthcare Bio-Sciences, SAU)

External identifiers

EU CT number
2024-519961-23-00
EudraCT number
2015-004474-15

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others

To determine the prevalence and progression of positive 18F-Flutemetamol scans in individuals recruited in the ALFA project

Secondary objectives 1

  1. To determine the prevalence of the different stages of preclinical AD according to the NIA-AA criteria

Conditions and MedDRA coding

Alzheimer's Disease

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. To sign the study informed consent form approved by the corresponding authorities
  2. Men and women enrolled in the STUDY 45-65 FPM/2012
  3. Participants with a cerebral MRI (magnetic resonance imaging) not suggestive of radiological incidental findings constituting an exclusion criterion
  4. Cognition within psychometric normal ranges: MMSE (Mini Mental State Examination ≥26 and Verbal Semantic Fluency (animals) ≥12) at baseline
  5. Score of 0 in the CDR scale (Clinical Dementia Rating) at baseline
  6. Good knowledge of Spanish or Catalan and being literate
  7. Female participants should be post-menopausal or present a negative pregnancy test at the moment of PET realization

Exclusion criteria 13

  1. To present cognitive impairment at baseline
  2. Presence of clinically relevant psychiatric disorder according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V) criteria: major depressive disorder, generalized anxiety disorder, schizophrenia and bipolar disorder
  3. Individuals with visual and/or hearing impairment
  4. History of encephalitis, ictus, or seizures excluding feverish convulsions during childhood
  5. Severe cerebral macrovascular (i.e., multi-stroke) disease or brain tumour (metastasis/brain cancer) as verified by magnetic resonance imaging (MRI)
  6. Any contraindication to MRI acquisition, (i.e., metal implants) or phobia to performing the scan as determined by the onsite physician
  7. Previous participation in a clinical study involving an investigational pharmaceutical product within 30 days prior to screening and/or administration of a radiopharmaceutical within 10 radioactive half-lives prior to study drug administration in this study
  8. Clinically relevant renal or hepatic insufficiency
  9. Any other clinically significant condition that may jeopardize the study or be dangerous for the participant
  10. Active drug or alcohol abuse
  11. Presence of a pacemaker, aneurysm graft, artificial heart valves, auditory implants, cerebral shunts, metal fragments, or strange objects in the eyes, skin, or body that may contraindicate magnetic resonance imaging
  12. Previous intolerance to PET studies or known hypersensitivity to 18F-Flutemetamol or 18F-FDG
  13. Being pregnant or breast-feeding

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Participants with a mean cortex activity SUVr (cerebellar cortex) over 1.56 in 18F-Flutemetamol PET will be classified as positive and, otherwise, as negative for cerebral amyloid deposition. Prevalence of positive 18F-Flutemetamol PET will be determined by age, sex, APOE genotype, and familiar history of AD.

Investigational products

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

Test 2

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 ADMINISTRATION
Max daily dose
185 MBq megabecquerel(s)
Max total dose
185 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

BARNASCAN 3000 MBq/ml solución inyectable

PRD11853652 · Product

Active substance
Fludeoxyglucose (18F)
Substance synonyms
FLUDEOXYGLUCOSE F 18, FLUORODEOXYGLUCOSE F18, ALPHA-D-GLUCOPYRANOSE, 2-DEOXY-2-(FLUORO-18F), 18F-FLUDEOXYGLUCOSE
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INJECTION
Max daily dose
400 MBq megabecquerel(s)
Max total dose
400 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V09IX04 — -
Marketing authorisation
68016
MA holder
ADVANCED ACCELERATOR APPLICATIONS IBÉRICA, S.L.U
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Barcelonabeta Brain Research Center

3 Total trials 2 Recruiting
Academic / Non-commercial
Sponsor organisation
Barcelonabeta Brain Research Center
Address
Calle Wellington 30
City
Barcelona
Postcode
08005
Country
Spain

Scientific contact point

Organisation
Barcelonabeta Brain Research Center
Contact name
Oriol Grau

Public contact point

Organisation
Barcelonabeta Brain Research Center
Contact name
Oriol Grau

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Authorised, recruiting 400 1
Rest of world 0

Investigational sites

Spain

1 site · Authorised, recruiting
Barcelonabeta Brain Research Center
Neurology, Calle Wellington 30, 08005, 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 2025-01-25

Results and documents

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

Documents 9 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_2015-004474-15 8
Recruitment arrangements (for publication) Blank doc for CTIS placeholders_Doc assessed under EUCTD 1
Subject information and informed consent form (for publication) L1_SIS and ICF description_v5_CAT 5
Subject information and informed consent form (for publication) L1_SIS and ICF description_v5_ESP 5
Subject information and informed consent form (for publication) L1_SIS and ICF_Cesion de Datos_CAT_BBRC_SM1_V1_24mar2026_PET18F_CLEAN 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Cesion de Datos_ESP_BBRC_SM1_V1_24mar2026_PET18F_CLEAN 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Barnascan 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Vizamyl 1
Synopsis of the protocol (for publication) D1_Protocol synopsis _2015-004474-15_ 8

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-10 Spain Acceptable
2025-01-20
2025-01-20
2 NON SUBSTANTIAL MODIFICATION NSM-2 2025-01-30 Spain Acceptable
2025-01-20
2025-01-30
3 SUBSTANTIAL MODIFICATION SM-1 2026-04-09 Spain Acceptable 2026-05-13