Clinical trial NCT04575727: Exploratory Evaluation of [11C]MPC6827
Official title: Exploratory Evaluation of [11C]MPC6827 Pharmacokinetics With Positron Emission Tomography (PET)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: EARLY_PHASE1
Conditions: Neurodegenerative Diseases
Alzheimer Disease
Amyotrophic Lateral Sclerosis
Keywords: [11C]MPC6827
Lead sponsor: Columbia University
Sponsor class: OTHER
First posted: 2020-10-05
Enrollment: 17
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: BASIC_SCIENCE

Brief summary: This is a phase 0 study that will enable an assessment of biodistribution and estimation of absorbed dose in humans based on data collected from five healthy volunteers, which is typically the minimum number required by the FDA for first-in-human studies to assess dosimetry of a new tracer. The evaluation of the brain imaging of thirty additional subjects in the 2nd part of the study will lead to a descriptive assessment of the targeting and pharmacokinetics of MPC6827 in the brain and between normal and diseased brain.

Detailed description: Neurodegenerative diseases are conditions where the brain cells break down, causing mental and/or physical impairment. Alzheimer's Disease is a neurodegenerative disorder that affects millions of individuals and causes irreversible memory loss and cognitive impairment. Amyotrophic lateral sclerosis is also and incurable disorder that causes patients irreversible paralysis, which results in death due to inability to breath and suffocation. These disease have been shown to be associated with abnormalities in an important scaffolding called microtubules, a cellular structure that help support the shape of the cells. This study will explore an experimental imaging test to see if it can be used to help doctors identify early microtubule changes. The test involves the injection of a radioactive compound that has been shown to go to cells and bind to microtubules. Special cameras called Positron Emission Tomography (PET)/CT cameras will be used to allow doctors to view where the radioactive compound goes in the body, as this is the first time this radiolabeled agent is being used in humans. In this study, doctors will give the new compound to up to five healthy volunteers to see where it goes in the body of people who presumable have normal microtubule function. Then doctors will give \[11C\]MPC6827 to up to 30 additional subjects (healthy controls and patients with Alzheimers Disease or ALS) to focus on imaging the brain for extended times. The research-imaging drug in this study is \[11C\]MPC6827. The radioactive drug in this study is experimental, meaning it is not approved by the FDA and can only be used in research studies.

Eligibility criteria: Inclusion Criteria (Healthy Volunteers)

1. All volunteers must be 18 years of age or older, able to read, understand and voluntarily sign and informed consent document.
2. Volunteers must have no current medical history of brain disease
3. Negative pregnancy test if female of childbearing potential.
4. Women of childbearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry for the duration of study participation.

Inclusion Criteria (Alzheimer's Disease or ALS)

1. All volunteers must be 18 years of age or older, able to read, understand and voluntarily sign and informed consent document.
2. Subjects must have a diagnosis of Alzheimer's Disease or ALS for which they are under a physician's care.
3. Subjects must have a negative pregnancy test if female of childbearing potential
4. Women of childbearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry for the duration of the study participation.

Exclusion Criteria:

1. Participants with evidence of brain disease other than ALS or Alzheimer's Disease at the time of enrolment up to agent administration are to be excluded from the study.
2. Concomitant medication use that, in the judgement of the investigator, would make the participant inappropriate for enrolment.
3. Severe concurrent disease, infection, or medical co-morbidity that, in the judgement of the investigator, would make the participant inappropriate for enrolment.
4. Participants who are receiving other investigational radiation drugs.
5. Women who are pregnant or breast feeding.
6. Subjects who are unable to tolerate PET/CT imaging

Primary outcomes:
measure: Biodistribution of [11C]MPC6827
timeFrame: up to 48 hours from injection
measure: Estimation of clearance of [11C]MPC6827
timeFrame: Up to 48 hours from injection
Secondary outcomes:
Other outcomes:
Locations:
city: New York
country: United States
facility: Cuimc / Nyp
state: New York
Study officials:
affiliation: Columbia University
name: Akiva Mintz, MD
role: PRINCIPAL_INVESTIGATOR
References: