A Study to Evaluate the Diagnostic Efficacy of DaTSCAN™ Ioflupane (123I) Injection in Single Photon Emission Computed Tomography (SPECT) for the Diagnosis of Parkinsonian Syndrome (PS) in Chinese Patients
Condition: Parkinsonian Syndrome; Parkinson Disease(PD); Multiple System Atrophy (MSA); Progressive Supranuclear Palsy (PSP); Essential Tremor
MeSH terms: Parkinson Disease; Tremor; Essential Tremor; Multiple System Atrophy; Shy-Drager Syndrome; Supranuclear Palsy, Progressive; Parkinsonian Disorders; Syndrome; Atrophy
Intervention: DaTSCAN™ Ioflupane (123I) Injection
Intervention description: All participants (Participants with PS, ET, and HV) received a single dose of DaTSCAN™ ioflupane (123I) injection within the range of 111 to 185 megabecquerel (MBq) (3 to 5 millicurie [mCi]) per participant at a maximum volume of 5 milliliter [mL]) intravenously on Day 1.
Phase: Phase 3
Study type: Interventional
Primary purpose: Diagnostic
Intervention model: Single Group Assignment
Masking: None (Open Label)
Enrollment: 172.0
Sex: All
Minimum age: 40 Years
Maximum age: 80 Years
Healthy volunteers: Accepts Healthy Volunteers

Summary:

      This is a multicenter, open-label, non-controlled, non-randomized, phase 3 clinical study to
      compare the SPECT findings after a single IV administration of DaTSCAN™ ioflupane (123I)
      injection for patients with a clinical diagnosis of Parkinsonian syndrome (PS) involving
      striatal dopaminergic deficit (SDD; specifically, Parkinson's disease [PD] [SDD], multiple
      system atrophy [MSA] [SDD] or or progressive supranuclear palsy [PSP] [SDD]) as compared with
      patients with a clinical diagnosis of essential tremor (ET) (no SDD) and age-matched healthy
      controls.
    

Eligibility criteria:

        Inclusion Criteria:

        For all participants:

          1. Chinese male or female, aged 40 to 80 years, has agreed to sign and date the written
             informed consent form.

             For Healthy Volunteers:

          2. Non-patient volunteers with good age-appropriate health as established by clinical
             examination during screening and no evidence of movement disorder by complete
             neurological evaluation.

             For participants with Parkinson's disease:

          3. A diagnosis of clinically established or clinically probable PD in accordance with the
             Movement Disorder Society (MDS) Clinical Diagnostic Criteria for Parkinson's Disease.

             For participants with MSA (SDD):

          4. A diagnosis of probable or possible MSA in accordance with the Second Consensus
             Statement on the Diagnosis of MSA.

             For participants with PSP (SDD):

          5. A diagnosis of probable or possible PSP in accordance with the Clinical Criteria for
             the Diagnosis of Progressive Supranuclear Palsy National Institute for Neurological
             Disorders and Society for PSP (NINDS-SPSP)

             For participants with ET (no SDD):

          6. A diagnosis of definite or probable ET in accordance with the Washington
             Heights-Inwood Genetic Study of Essential Tremor (WHIGET) diagnostic criteria for ET
             (no SDD) .

        Exclusion Criteria:

          1. The participant is lactating.

          2. The participant is pregnant as detected by a β-human chorionic gonadotropin (β-hCG)
             pregnancy test.

          3. A cerebral structural vascular abnormality indicative of at least 1 infarction in the
             region of the basal ganglia (including the internal capsule) ≥5 mm has been confirmed,
             preferably by magnetic resonance imaging (MRI) performed within 6 months of screening.
             If an MRI is not clinically feasible, cerebral CT imaging within 6 months is also
             acceptable.

          4. The participant is diagnosed with major neurocognitive disorder by the Diagnostic and
             Statistical Manual of Mental Disorders (DSM) 5 criteria, or Mini-Mental State
             Examination total score is <24.

          5. Participant is being investigated for or has been diagnosed and/or is being treated
             for repeated stroke with stepwise progression of Parkinson features.

          6. History of repeated head injury (≥3 concussions, or history of professional sports
             with repeated head trauma [e.g., boxing]).

          7. History of definite encephalitis (≥1 episode of confirmed encephalitis with objective
             residual neurologic deficit).

          8. The participant is using or has insufficient washout from medication known or
             suspected to interact with striatal uptake through direct competition with binding of
             DaTSCAN™ to the dopamine transporters (i.e., amphetamine, benztropine, bupropion,
             cocaine, mazindol, methylphenidate, phentermine, sertraline, selective serotonin
             reuptake inhibitors) before the imaging visit.

          9. The participant is using Chinese traditional medicine for PD treatment, which cannot
             be safely withdrawn for at least 1 week (7 days) before the imaging visit.

         10. The participant has a moderate to severe renal impairment (e.g., serum creatinine
             >1.5x upper limit of normal [ULN], blood urea nitrogen [BUN] >30 mg/dL).

         11. The participant has a moderate to severe hepatic impairment (bilirubin >2x ULN and
             alanine aminotransferase (ALT) or aspartate aminotransferase (AST)>3x ULN).

         12. The participant has a history of current abuse of drugs and/or alcohol (for the
             previous 12 months before trial enrolment).

         13. The participant has a history of occupational exposure to any radiation >50
             millisievert/year (mSv/year).

         14. The participant has been previously enrolled in this study or participated in a
             clinical study involving an investigational pharmaceutical product within 30 days
             prior to screening and/or any radiopharmaceutical within a minimum of 5 radioactive
             half-lives prior to screening.

         15. The participant presents with symptoms suggestive of corticobasal degeneration or
             Huntington's disease.

         16. The participant has known allergies to the investigational medicinal product (IMP).

         17. The participant presents with any clinically active, serious, life-threatening disease
             with a life expectancy of less than 12 months.

         18. Any laboratory value(s) exceeding the limits of normality if deemed to be clinically
             relevant by the investigator.

         19. The participant complains of claustrophobia.

         20. The participant has a moderate to severe thyroid disease (thyroid stimulating hormone
             [TSH] exceeding the limits of normality by more than 10%), if deemed to be clinically
             relevant by the investigator.

             For participants with ET:

         21. The participant has at least 1 first-degree relative diagnosed with PD.

             For Healthy Volunteers:

         22. History of psychiatric illness.

             For all participants:

         23. It is the physician's best judgment not to include the participant in the trial.