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FluoroAv45 Imaging Research-in Alzheimer's Disease (FAIR-AD)
Molecular Imaging of Cerebral Amyloid Plaques Using PET With Fluoro Tracker for Early Diagnosis of Alzheimer's Disease
Rationale: improving the early detection of AD at prodromal pre-dementia stages has become a major matter of concern. There is now an important body of literature stating that early isolated cognitive deficits (Mild Cognitive Impairment-MCI-) predict the risk of developing AD. Several biomarkers are now available : specific and sensitive neuropsychological assessments, morphometric evaluation of hippocampal volume and white matter changes by MRI, cerebrospinal fluid or plasma dosage of Ab fragments and tau proteins, assessment of brain glucose hypometabolism in temporo-parietal regions with PET [F18]FDG. However, PET imaging using labelled compounds specifically binding to APs has been suggested to improve the diagnostic reliability and to potentially help in shortening the delay until formal clinical diagnosis of AD. F18 AV45 is a new radiotracer which kinetics characteristics allows 10 to 15 minutes acquisition 50 to 60 minutes post injection.
Objectives: The primary objective of the study is to compare F18 AV45 cortical uptake in AD, MCI patients and Healthy Controls.
Secondary objectives will be to compare cortical uptake of F18 AV45 in MCI subject who will have convert toward dementia versus those who will not, at two year follow-up period, to compare level of 18F-AV45 cortical uptake with neuropsychological testing, PET FDG hypometabolism, ApoE genotype.
Method: Prospective multicentric study. 65 patients expected to enter the study.
Primary outcome measure: Standard Uptake Volume ratios.
Studie Overzicht
Toestand
Interventie / Behandeling
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 2
Contacten en locaties
Studie Locaties
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Caen, Frankrijk, 14000
- University Hospital of Caen
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Lille, Frankrijk, 59000
- University Hospital of Lille
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Toulouse, Frankrijk, 31000
- University Hospital of Toulouse
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Tours, Frankrijk, 37000
- University Hospital of Tours
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- Patients suffering from Alzheimer's Disease (NINCDS-ADRDA) or from amnesic MCI
- 18 < MMS <= 28 for patients
- 28 <= MMS for healthy volunteers
- study period > 7 years
- native language : french
- signed informed consent
- affiliated to a social security system
Exclusion Criteria:
- alcoholism in medical history
- diabetes
- arterial hypertension (180/100 and more)
- chronical pulmonary disease with hypoxis
- cranial traumatism with loss of consciousness > 15 minutes
- severe depressive syndrome or anxiety
- psychiatric disease in medical history (excepted simple episodes of depression)
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Diagnostisch
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Alzheimer's disease
30 patients suffering from Alzheimer's disease
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Magnetische resonantie beeldvorming
Mini Mental Status Examination, Mattis dementia rating scale, Geriatric Depression Scale, Edinburgh Inventory, DO 80, 12 irregular words dictation, RL-RI16, DMS 48, Rey complex figure, Stroop test, span right and reverse, praxis, ESR words, ESR drawings, Trail Making Test A and B, code test from WAIS III, Hayling inhibition test, fluences, NPI
intravenous injection of 4 MBq/kg of [18F]AV-45
intravenous injection of 100 to 120 MBq of FDG
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Experimenteel: Mild Cognitive Impairment
20 patients suffering from Mild Cognitive Impairment
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Magnetische resonantie beeldvorming
Mini Mental Status Examination, Mattis dementia rating scale, Geriatric Depression Scale, Edinburgh Inventory, DO 80, 12 irregular words dictation, RL-RI16, DMS 48, Rey complex figure, Stroop test, span right and reverse, praxis, ESR words, ESR drawings, Trail Making Test A and B, code test from WAIS III, Hayling inhibition test, fluences, NPI
intravenous injection of 4 MBq/kg of [18F]AV-45
intravenous injection of 100 to 120 MBq of FDG
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Experimenteel: Control
15 subjects with no cognitive impairment
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Magnetische resonantie beeldvorming
Mini Mental Status Examination, Mattis dementia rating scale, Geriatric Depression Scale, Edinburgh Inventory, DO 80, 12 irregular words dictation, RL-RI16, DMS 48, Rey complex figure, Stroop test, span right and reverse, praxis, ESR words, ESR drawings, Trail Making Test A and B, code test from WAIS III, Hayling inhibition test, fluences, NPI
intravenous injection of 4 MBq/kg of [18F]AV-45
intravenous injection of 100 to 120 MBq of FDG
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Standard Uptake Value Ratios (SUVr)
Tijdsspanne: inclusion
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Standard Uptake Value Ratios (SUVr) in specific regions of interest (ROI) defined by the use of the cerebellum as reference region.
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inclusion
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Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Hoofdonderzoeker: Vincent CAMUS, University Hospital of Tours
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Psychische aandoening
- Hersenziekten
- Ziekten van het centrale zenuwstelsel
- Ziekten van het zenuwstelsel
- Neurocognitieve stoornissen
- Neurodegeneratieve ziekten
- Dementie
- Tauopathieën
- Cognitieve stoornissen
- Ziekte van Alzheimer
- Cognitieve disfunctie
- Moleculaire mechanismen van farmacologische werking
- Radiofarmaca
- Fluorodeoxyglucose F18
Andere studie-ID-nummers
- PHRN08-VC / FAIR AD
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