Tau Brain Imaging in Typical and Atypical Alzheimer's Disease (AD)

Study Overview
=================
Brief Summary
-----------------
Recently revised Alzheimer Disease (AD) diagnostic1described nonamnestic presentations: 1/ language presentation (logopenic progressive aphasia) 2/ visuospatial presentation (posterior cortical atrophy or PCA) and 3/ executive dysfunction. AD pathological changes may precede the clinical diagnosis of dementia of AD type for a while2. Biomarkers have been developed: biomarkers of brain amyloid-beta (Aß) (CerebroSpinal Fluid CSF concentration ßamyloid, molecular imaging with amyloid targeted PET ligands), biomarkers of neural degeneration (MRI hippocampal volume, regional metabolism as assessed by PET with [18F]-FDG) and may be used to made early detection of the neuropathology associated with AD Even if CSF biomarkers (tau, p-tau and β amyloïd are interesting to improve diagnosis of AD, they cannot provide topographic information. PET tau imaging seems to be promise to evaluate quantitative and spatial assessment of tau lesions both in AD and fronto-temporal lobar dementia. The hypothesis of the research is that it exists a different regional pattern of tracer retention across brain regions according to clinical symptoms : temporal for logopenic aphasia and occipital for posterior cortical atrophy.

Official Title
-----------------
Tau Brain Imaging in Typical and Atypical Alzheimer's Disease (AD)

Conditions
-----------------
Alzheimer Disease, Benson's Disease

Intervention / Treatment
-----------------
* Drug: [18F]T807 PET


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: 50 years old and more native langage: french study level upper (or equal) than 7 year (considering first year of grammar-school as start) correct sensory abilities (auditive device allowed) for tests affiliation to social security Informed, written consent form for Alzheimer disease group: people with Alzheimer Disease defined as National Institute of Neurological and Communicative Disorders and Stroke (NINCDS) and the Alzheimer's Disease and Related Disorders Association (ADRDA) standards: Light to mild AD defined by Mini-Mental State Examination (MMSE) score between 15 and 25 (included) for Benson disease group: Benson disease following Mendez et al (2002) and Tang Wai et al (2004) criteria for healthy volunteer group: normal MMS score (more than 26 for bachelor level) Exclusion Criteria: history of disease with consequances on cognitive functioning (tumor, stroke, head trauma, etc.), cerebral surgery use of alchohol and/or drug anormalies in neurological exam (focal deficit) not included in the classic symptoms contraindication to magnetic resonance imaging (RMI) contraindication to PET: people with prolongation of QT interval or taking medication that can lead to torsades de pointe. claustrophobia person with legal protection exclusion period because of participation to another experimental protocol and actual participation to an experimental protocol pregnant or lactating woman or able to procreate and without contraception

Ages Eligible for Study
-----------------
Minimum Age: 50 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Alzheimer disease<br>[18F]T807 PET | Drug: [18F]T807 PET<br>* Imaging with [18F]T807 PET<br>|
| Experimental: Benson disease<br>[18F]T807 PET | Drug: [18F]T807 PET<br>* Imaging with [18F]T807 PET<br>|
| Experimental: Healthy volunteer<br>[18F]T807 PET | Drug: [18F]T807 PET<br>* Imaging with [18F]T807 PET<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tau density on PET imaging | density pattern of aggregated tau using tau targeting PET imaging with [18F]-T807, in Standardized uptake value (SUV) | 3 months | 
| Tau distribution on PET imaging | distribution pattern of aggregated tau using tau targeting PET imaging with [18F]-T807, in Standardized uptake value (SUV) | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| p-tau CSF biomarkers | p-tau dosing in pg/mL | inclusion | 
| βamyloid CSF biomarkers | βamyloid dosing in pg/mL | inclusion | 
| Cognitive profile with Hamilton depression scale (MADRS) | neuropsychological score of Hamilton depression scale (MADRS) on 30 points. | inclusion | 
| Cognitive profile with Mini mental state evaluation (MMSE) | neuropsychological score of Mini mental state evaluation (MMSE) on 60 points | inclusion |