Molecular Cerebral Imaging in Incipient Dementia (MCI-ID) II
NCT02317250 · Status: WITHDRAWN · Phase: PHASE3 · Type: INTERVENTIONAL
Last updated 2018-10-15
Summary
A substantial portion of people covered by Medicare will develop Alzheimer's disease and other forms of dementia that together devastate the lives of millions of people in the United States, and cost us a total of over $200 billion every year. Getting a brain scan with a PET scanner to look for abnormal brain metabolism patterns is recognized as "reasonable and necessary" for some patients with "a recently established diagnosis of dementia" (Centers for Medicare and Medicaid Services (CMS), Decision Memo CAG-00088R), but the evidence is considered less clear for patients having less severe cognitive problems, and/or for patients getting a brain scan with a PET scanner to look for abnormal proteins in the brain (CMS Decision Memo CAG-00431N). This project employs a scientifically rigorous design (prospective, multi-centered, randomized controlled trial) to determine whether such PET scanning can help distinguish more accurately than is being done in current clinical practice those patients with early molecular changes in their brains who will benefit from Alzheimer related treatments from those patients who will not, as proven by measuring to what extent the PET scans actually lead to earlier appropriate therapy, and in fact result in improved outcomes for Medicare beneficiaries and for the health care system in which they obtain care.
Conditions
Interventions
- PROCEDURE
-
Amyloid imaging
Amyloid imaging brain scans are administered once to all arms.
- PROCEDURE
-
FDG-PET
\[F-18\] FDG-PET brain scans are administered once to all arms.
Sponsors & Collaborators
-
Centers for Medicare and Medicaid Services
collaborator FED -
University of California, Los Angeles
lead OTHER
Principal Investigators
-
Daniel Silverman, MD, Ph.D. · University of California, Los Angeles
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- TRIPLE
- Model
- FACTORIAL
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-06-30
- Primary Completion
- 2022-10-31
- Completion
- 2022-12-31
- FDA Drug
- Yes
- FDA Device
- Yes
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