Trial Outcomes & Findings for Florbetapir F 18 PET Imaging of Beta-amyloid in Parkinson's Disease Patients (NCT NCT00857532)

NCT ID: NCT00857532

Last Updated: 2013-03-11

Results Overview

Standardized uptake value ratios (SUVR) were calculated and compared between subjects with PD and controls. Subjects with Parkinson's Disease (PD) were stratified into one of three groups based on performance on the age and education adjusted Mattis Dementia Rating Scale (DRS-2). The age and education adjusted DRS-2 ranges from 0 (lowest cognitive function) to 20 (highest cognitive function). SUVR is the ratio of tracer uptake in predefined cortical regions, relative to uptake in the whole cerebellum. SUVR values higher than 1 indicate greater amyloid burden in the predefined cortical regions as compared to cerebellum whereas scores less than 1 indicate the opposite. This outcome measure only reports data from the subjects analyzed in this study, the data from normal controls was obtained from a pre-existing database and is not reported here.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

31 participants

Primary outcome timeframe

50-60 min after injection

Results posted on

2013-03-11

Participant Flow

Participant milestones

Participant milestones
Measure
Subjects With Parkinson's Disease
Subjects with diagnosed Parkinson's Disease received a 370 megabecquerel (MBq) injection of florbetapir F 18 followed by a 10 minute PET scan 50 minutes post-injection.
Overall Study
STARTED
31
Overall Study
COMPLETED
31
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Florbetapir F 18 PET Imaging of Beta-amyloid in Parkinson's Disease Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Subjects With Parkinson's Disease
n=31 Participants
Subjects with diagnosed Parkinson's Disease received a 370 MBq injection of florbetapir F 18 followed by a 10 minute PET scan 50 minutes post-injection.
Age Continuous
71.3 years
STANDARD_DEVIATION 6.72 • n=99 Participants
Sex: Female, Male
Female
6 Participants
n=99 Participants
Sex: Female, Male
Male
25 Participants
n=99 Participants
Region of Enrollment
United States
31 participants
n=99 Participants

PRIMARY outcome

Timeframe: 50-60 min after injection

Population: All subjects who were enrolled in the study and received florbetapir scans.

Standardized uptake value ratios (SUVR) were calculated and compared between subjects with PD and controls. Subjects with Parkinson's Disease (PD) were stratified into one of three groups based on performance on the age and education adjusted Mattis Dementia Rating Scale (DRS-2). The age and education adjusted DRS-2 ranges from 0 (lowest cognitive function) to 20 (highest cognitive function). SUVR is the ratio of tracer uptake in predefined cortical regions, relative to uptake in the whole cerebellum. SUVR values higher than 1 indicate greater amyloid burden in the predefined cortical regions as compared to cerebellum whereas scores less than 1 indicate the opposite. This outcome measure only reports data from the subjects analyzed in this study, the data from normal controls was obtained from a pre-existing database and is not reported here.

Outcome measures

Outcome measures
Measure
Subjects With Normal Cognitive Performance
n=12 Participants
Subjects have an age-and education-adjusted standardized Mattis DRS-2 score greater than or equal to 9.
Subjects With Mild Cognitive Deficits
n=9 Participants
Subjects have an age-and education-adjusted standardized Mattis DRS-2 score between 6 and 8 inclusive.
Subjects With Moderate to Severe Cognitive Impairment
n=10 Participants
Subjects have an age-and education-adjusted standardized Mattis DRS-2 score 5 and below.
Mean Cortical Amyloid Burden
0.990 SUVR
Standard Deviation 0.141
1.051 SUVR
Standard Deviation 0.194
1.146 SUVR
Standard Deviation 0.237

SECONDARY outcome

Timeframe: 50-60 min after injection

Population: All subjects who were enrolled in the study and received florbetapir scans.

Correlation between amyloid burden (global florbetapir SUVR) and cognitive decline (DRS-2 score) was determined using Spearman's rank order correlation method where SUVR was the dependent variable and the DRS-2 score was the independent variable. This analysis was performed for total DRS-2 score and the five DRS-2 subscale scores. The subscales (score range) are: Attention (0-37), Initiation/Perseveration (0-37), Construction (0-6), Conceptualization (0-39) and Memory (0-25). The total DRS-2 score is the sum of the subscale scores and ranges from 0-144. Higher DRS-2 scores indicate greater cognitive function.

Outcome measures

Outcome measures
Measure
Subjects With Normal Cognitive Performance
n=31 Participants
Subjects have an age-and education-adjusted standardized Mattis DRS-2 score greater than or equal to 9.
Subjects With Mild Cognitive Deficits
Subjects have an age-and education-adjusted standardized Mattis DRS-2 score between 6 and 8 inclusive.
Subjects With Moderate to Severe Cognitive Impairment
Subjects have an age-and education-adjusted standardized Mattis DRS-2 score 5 and below.
Correlation Between Global Amyloid Burden and Clinical Measures of Cognitive Decline.
Attention
-0.413 Correlation Coefficient
Correlation Between Global Amyloid Burden and Clinical Measures of Cognitive Decline.
Initiation/Perseveration
-0.332 Correlation Coefficient
Correlation Between Global Amyloid Burden and Clinical Measures of Cognitive Decline.
Construction
-0.169 Correlation Coefficient
Correlation Between Global Amyloid Burden and Clinical Measures of Cognitive Decline.
Conceptualization
-0.206 Correlation Coefficient
Correlation Between Global Amyloid Burden and Clinical Measures of Cognitive Decline.
Memory
-0.263 Correlation Coefficient
Correlation Between Global Amyloid Burden and Clinical Measures of Cognitive Decline.
DRS-2 Total Score
-0.369 Correlation Coefficient

SECONDARY outcome

Timeframe: 50-60 min after injection

Population: Participants were a subset of all subjects enrolled in this study who were also part of an ongoing study looking at the usefulness of CSF biomarkers.

Correlation between amyloid burden (florbetapir SUVR) and cerebrospinal fluid (CSF) biomarker values (amyloid beta, tau and phospho-tau) was determined using Spearman's rank order correlation in a subset of subjects undergoing CSF analysis where SUVR was the dependent variable and CSF biomarker values were the independent variables.

Outcome measures

Outcome measures
Measure
Subjects With Normal Cognitive Performance
n=22 Participants
Subjects have an age-and education-adjusted standardized Mattis DRS-2 score greater than or equal to 9.
Subjects With Mild Cognitive Deficits
Subjects have an age-and education-adjusted standardized Mattis DRS-2 score between 6 and 8 inclusive.
Subjects With Moderate to Severe Cognitive Impairment
Subjects have an age-and education-adjusted standardized Mattis DRS-2 score 5 and below.
Correlation of Florbetapir SUVR With CSF Biomarker Values
Amyloid beta
-0.4387 Correlation Coefficient
Correlation of Florbetapir SUVR With CSF Biomarker Values
Tau
-0.1248 Correlation Coefficient
Correlation of Florbetapir SUVR With CSF Biomarker Values
Phospho-tau
-0.0525 Correlation Coefficient

Adverse Events

Subjects With Parkinson's Disease

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Subjects With Parkinson's Disease
n=31 participants at risk
Subjects with diagnosed Parkinson's Disease received a 370 MBq injection of florbetapir F 18 followed by a 10 minute PET scan 50 minutes post-injection.
Vascular disorders
Hypertension
6.5%
2/31 • Number of events 2
Infections and infestations
Urinary tract infection
3.2%
1/31 • Number of events 1
Nervous system disorders
Dizziness
3.2%
1/31 • Number of events 1

Additional Information

Chief Medical Officer

Avid Radiopharmaceuticals, Inc.

Phone: 215-298-0700

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60