Trial Outcomes & Findings for 18F-AV-1451 High Resolution Autopsy Study (NCT NCT02350634)

NCT ID: NCT02350634

Last Updated: 2025-06-10

Results Overview

Correlation between flortaucipir standard uptake value ratio (SUVr) and neuropathology at autopsy. SUVr measurements for the analysis consisted of whole cortical global quantitation of the PET scan from 82 FreeSurfer-defined regions of interest (ROIs). Values were normalized to the brainstem to obtain the SUVr. Neuropathology was measured by immunohistology using AT8 antibody. Spearman correlation coefficient was calculated. Spearman correlation coefficients range from -1 to +1. A value of -1 indicates perfect negative correlation, and a value of +1 indicates a perfect positive correlation.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

3 participants

Primary outcome timeframe

autopsy within 6 months of scan

Results posted on

2025-06-10

Participant Flow

Enrollment was opened in June 2015 and closed in May 2018. First patient enrolled in November 2016 and last enrolled patient completed the study procedures in June 2017. Study enrolled end-of-life subjects (life expectancy less than 6 months) at medical centers in the US who consented to a flortaucipir PET scan and to brain donation at autopsy.

To be considered eligible for the primary analysis, death had to occur within 6 months of flortaucipir scan and valid autopsy was required.

Participant milestones

Participant milestones
Measure
All Enrolled Cohort
End-of-life subjects (life expectancy \< 6 months) consenting to brain donation at autopsy. Subjects will receive a single IV bolus injection of 370 MBq (10 mCi) of flortaucipir.
Overall Study
STARTED
3
Overall Study
COMPLETED
2
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
All Enrolled Cohort
End-of-life subjects (life expectancy \< 6 months) consenting to brain donation at autopsy. Subjects will receive a single IV bolus injection of 370 MBq (10 mCi) of flortaucipir.
Overall Study
subject survived greater than 6 months following dosing
1

Baseline Characteristics

n=2 for cognitively impaired subjects. Cognitively normal subject mental status was not measured.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Enrolled Cohort
n=3 Participants
End-of-life subjects (life expectancy \< 6 months) consenting to brain donation at autopsy. Subjects received a single IV bolus injection of 370 MBq (10 mCi) of flortaucipir.
Age, Continuous
76.00 years
STANDARD_DEVIATION 11.533 • n=3 Participants
Sex: Female, Male
Female
1 Participants
n=3 Participants
Sex: Female, Male
Male
2 Participants
n=3 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=3 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=3 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=3 Participants
Race (NIH/OMB)
Asian
0 Participants
n=3 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=3 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=3 Participants
Race (NIH/OMB)
White
3 Participants
n=3 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=3 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=3 Participants
Mini Mental Status Exam (MMSE) Score
14.50 units on a scale
STANDARD_DEVIATION 20.5061 • n=2 Participants • n=2 for cognitively impaired subjects. Cognitively normal subject mental status was not measured.
Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) Score
4.75 units on a scale
STANDARD_DEVIATION 0.4330 • n=3 Participants

PRIMARY outcome

Timeframe: autopsy within 6 months of scan

Population: One subject did not come to autopsy within 6 months of the flortaucipir scan.

Correlation between flortaucipir standard uptake value ratio (SUVr) and neuropathology at autopsy. SUVr measurements for the analysis consisted of whole cortical global quantitation of the PET scan from 82 FreeSurfer-defined regions of interest (ROIs). Values were normalized to the brainstem to obtain the SUVr. Neuropathology was measured by immunohistology using AT8 antibody. Spearman correlation coefficient was calculated. Spearman correlation coefficients range from -1 to +1. A value of -1 indicates perfect negative correlation, and a value of +1 indicates a perfect positive correlation.

Outcome measures

Outcome measures
Measure
Autopsy Cohort
n=2 Participants
End-of-life subjects (life expectancy \< 6 months) consenting to brain donation at autopsy. Subjects received a single IV bolus injection of 370 MBq(10 mCi) of flortaucipir and came to autopsy within 6 months of flortaucipir scan.
Relationship of Flortaucipir Scan and Pathology - Whole Cortical Composite Region
0.429 Correlation coefficient

PRIMARY outcome

Timeframe: autopsy within 6 months of scan

Population: One subject did not come to autopsy within 6 months of the flortaucipir scan.

Correlation between flortaucipir standard uptake value ratio (SUVr) and neuropathology at autopsy. SUVr measurements for the analysis consisted of frontal composite region quantitation of the PET scan regions of interest (ROIs). Values were normalized to the brainstem to obtain the SUVr. Neuropathology was measured by immunohistology using AT8 antibody. Spearman correlation coefficient was calculated. Spearman correlation coefficients range from -1 to +1. A value of -1 indicates perfect negative correlation, and a value of +1 indicates a perfect positive correlation.

Outcome measures

Outcome measures
Measure
Autopsy Cohort
n=2 Participants
End-of-life subjects (life expectancy \< 6 months) consenting to brain donation at autopsy. Subjects received a single IV bolus injection of 370 MBq(10 mCi) of flortaucipir and came to autopsy within 6 months of flortaucipir scan.
Relationship of Flortaucipir Scan and Pathology - Frontal Composite Region
0.681 Correlation coefficient

PRIMARY outcome

Timeframe: autopsy within 6 months of scan

Population: One subject did not come to autopsy within 6 months of the flortaucipir scan.

Correlation between flortaucipir standard uptake value ratio (SUVr) and neuropathology at autopsy. SUVr measurements for the analysis consisted of parietal composite region quantitation of the PET scan regions of interest (ROIs). Values were normalized to the brainstem to obtain the SUVr. Neuropathology was measured by immunohistology using AT8 antibody. Spearman correlation coefficient was calculated. Spearman correlation coefficients range from -1 to +1. A value of -1 indicates perfect negative correlation, and a value of +1 indicates a perfect positive correlation.

Outcome measures

Outcome measures
Measure
Autopsy Cohort
n=2 Participants
End-of-life subjects (life expectancy \< 6 months) consenting to brain donation at autopsy. Subjects received a single IV bolus injection of 370 MBq(10 mCi) of flortaucipir and came to autopsy within 6 months of flortaucipir scan.
Relationship of Flortaucipir Scan and Pathology - Parietal Composite Region
0.644 Correlation coefficient

PRIMARY outcome

Timeframe: autopsy within 6 months of scan

Population: One subject did not come to autopsy within 6 months of the flortaucipir scan.

Correlation between flortaucipir standard uptake value ratio (SUVr) and neuropathology at autopsy. SUVr measurements for the analysis consisted of cingulate composite region quantitation of the PET scan regions of interest (ROIs). Values were normalized to the brainstem to obtain the SUVr. Neuropathology was measured by immunohistology using AT8 antibody. Spearman correlation coefficient was calculated. Spearman correlation coefficients range from -1 to +1. A value of -1 indicates perfect negative correlation, and a value of +1 indicates a perfect positive correlation.

Outcome measures

Outcome measures
Measure
Autopsy Cohort
n=2 Participants
End-of-life subjects (life expectancy \< 6 months) consenting to brain donation at autopsy. Subjects received a single IV bolus injection of 370 MBq(10 mCi) of flortaucipir and came to autopsy within 6 months of flortaucipir scan.
Relationship of Flortaucipir Scan and Pathology - Cingulate Composite Region
0.437 Correlation coefficient

PRIMARY outcome

Timeframe: autopsy within 6 months of scan

Population: One subject did not come to autopsy within 6 months of the flortaucipir scan.

Correlation between flortaucipir standard uptake value ratio (SUVr) and neuropathology at autopsy. SUVr measurements for the analysis consisted of temporal composite region quantitation of the PET scan regions of interest (ROIs). Values were normalized to the brainstem to obtain the SUVr. Neuropathology was measured by immunohistology using AT8 antibody. Spearman correlation coefficient was calculated. Spearman correlation coefficients range from -1 to +1. A value of -1 indicates perfect negative correlation, and a value of +1 indicates a perfect positive correlation.

Outcome measures

Outcome measures
Measure
Autopsy Cohort
n=2 Participants
End-of-life subjects (life expectancy \< 6 months) consenting to brain donation at autopsy. Subjects received a single IV bolus injection of 370 MBq(10 mCi) of flortaucipir and came to autopsy within 6 months of flortaucipir scan.
Relationship of Flortaucipir Scan and Pathology - Temporal Composite Region
0.324 Correlation coefficient

PRIMARY outcome

Timeframe: autopsy within 6 months of scan

Population: One subject did not come to autopsy within 6 months of the flortaucipir scan.

Correlation between flortaucipir standard uptake value ratio (SUVr) and neuropathology at autopsy. SUVr measurements for the analysis consisted of occipital composite region quantitation of the PET scan regions of interest (ROIs). Values were normalized to the brainstem to obtain the SUVr. Neuropathology was measured by immunohistology using AT8 antibody. Spearman correlation coefficient was calculated. Spearman correlation coefficients range from -1 to +1. A value of -1 indicates perfect negative correlation, and a value of +1 indicates a perfect positive correlation.

Outcome measures

Outcome measures
Measure
Autopsy Cohort
n=2 Participants
End-of-life subjects (life expectancy \< 6 months) consenting to brain donation at autopsy. Subjects received a single IV bolus injection of 370 MBq(10 mCi) of flortaucipir and came to autopsy within 6 months of flortaucipir scan.
Relationship of Flortaucipir Scan and Pathology - Occipital Composite Region
0.564 Correlation coefficient

PRIMARY outcome

Timeframe: autopsy within 6 months of scan

Population: One subject did not come to autopsy within 6 months of the flortaucipir scan.

Correlation between flortaucipir standard uptake value ratio (SUVr) and neuropathology at autopsy. SUVr measurements for the analysis consisted of limbic composite region quantitation of the PET scan regions of interest (ROIs). Values were normalized to the brainstem to obtain the SUVr. Neuropathology was measured by immunohistology using AT8 antibody. Spearman correlation coefficient was calculated. Spearman correlation coefficients range from -1 to +1. A value of -1 indicates perfect negative correlation, and a value of +1 indicates a perfect positive correlation.

Outcome measures

Outcome measures
Measure
Autopsy Cohort
n=2 Participants
End-of-life subjects (life expectancy \< 6 months) consenting to brain donation at autopsy. Subjects received a single IV bolus injection of 370 MBq(10 mCi) of flortaucipir and came to autopsy within 6 months of flortaucipir scan.
Relationship of Flortaucipir Scan and Pathology - Limbic Composite Region
-0.189 Correlation coefficient

Adverse Events

Safety Analysis Cohort

Serious events: 0 serious events
Other events: 0 other events
Deaths: 2 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Medical Director

Avid Radiopharmaceuticals, Inc.

Phone: 215-298-0700

Results disclosure agreements

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