Tau Brain Imaging in Typical and Atypical Alzheimer's Disease (AD) (TEPTAU)
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.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Tours, France, 37044
- University hospital of Tours
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: DIAGNOSTIC
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Alzheimer disease
[18F]T807 PET
|
Imaging with [18F]T807 PET
|
|
EXPERIMENTAL: Benson disease
[18F]T807 PET
|
Imaging with [18F]T807 PET
|
|
EXPERIMENTAL: Healthy volunteer
[18F]T807 PET
|
Imaging with [18F]T807 PET
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Tau density on PET imaging
Time Frame: 3 months
|
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
Time Frame: 3 months
|
distribution pattern of aggregated tau using tau targeting PET imaging with [18F]-T807, in Standardized uptake value (SUV)
|
3 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
p-tau CSF biomarkers
Time Frame: inclusion
|
p-tau dosing in pg/mL
|
inclusion
|
|
βamyloid CSF biomarkers
Time Frame: inclusion
|
βamyloid dosing in pg/mL
|
inclusion
|
|
Cognitive profile with Hamilton depression scale (MADRS)
Time Frame: inclusion
|
neuropsychological score of Hamilton depression scale (MADRS) on 30 points.
|
inclusion
|
|
Cognitive profile with Mini mental state evaluation (MMSE)
Time Frame: inclusion
|
neuropsychological score of Mini mental state evaluation (MMSE) on 60 points
|
inclusion
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PHAO14-CH/TEPTAU
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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