Analysis of 18F-AV-1451 PET Imaging in Cognitively Health... | NCT02016560 | Trialant
NCT02016560
Sponsor
Avid Radiopharmaceuticals
Status
Completed
Last Update Posted
Sep 22, 2020Actual
Enrollment
383Actual
Phase
Phase 2Phase 3
Conditions
Alzheimer's Disease
Interventions
florbetapir F 18
Flortaucipir F18
Brain PET Scan
Countries
United States
Protocol Section
Identification Module
NCT ID
NCT02016560
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
18F-AV-1451-A05
Secondary IDs
Not provided
Brief Title
Analysis of 18F-AV-1451 PET Imaging in Cognitively Healthy, MCI, and AD Subjects
Official Title
An Open Label, Multicenter Study, Evaluating the Safety and Imaging Characteristics of 18F-AV-1451 in Cognitively Healthy Volunteers, Subjects With Mild Cognitive Impairment, and Subjects With Alzheimer's Disease
Acronym
MCI
Organization
Avid RadiopharmaceuticalsINDUSTRY
Status Module
Record Verification Date
Sep 2020
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Dec 2013Actual
Primary Completion Date
Jul 28, 2017Actual
Completion Date
Jul 28, 2017Actual
First Submitted Date
Dec 16, 2013
First Submission Date that Met QC Criteria
Dec 16, 2013
First Posted Date
Dec 20, 2013Estimated
Results Waived
Not provided
Results First Submitted Date
Jun 27, 2020
Results First Submitted that Met QC Criteria
Aug 7, 2020
Results First Posted Date
Aug 24, 2020Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Jul 20, 2018
Certification/Extension First Submitted that Passed QC Review
Jul 20, 2018
Certification/Extension First Posted Date
Jul 24, 2018Actual
Last Update Submitted Date
Sep 3, 2020
Last Update Posted Date
Sep 22, 2020Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Avid RadiopharmaceuticalsINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
A Phase 2/3 cross-sectional and longitudinal observational study evaluating imaging characteristics of flortaucipir in control subjects and patients with clinically defined MCI and AD dementia (AD).
Detailed Description
This study was conducted in 2 phases: a Phase 2 Exploratory Phase and a Phase 3 Confirmatory Phase. An overarching goal of the Exploratory Phase of this protocol was to further investigate the pattern of flortaucipir PET imaging across the disease course, in cognitively healthy subjects through patients with cognitive decline. To accomplish this goal, the protocol investigated flortaucipir results in younger and older cognitively healthy normal volunteers and patients with clinical diagnoses for cognitive complaints, ranging from MCI to mild and moderate AD dementia. Additionally, the Exploratory Phase of this protocol investigated relationships between flortaucipir PET signal and cognitive decline over the 18-month study period.
The second, Confirmatory Phase of the study was designed to provide independent validation of the relationships observed in the exploratory analyses of the first phase. In particular, the goal of the second phase was to confirm the relationship between flortaucipir uptake in the brain as measured by PET signals at baseline and the subsequent rate of cognitive decline observed over the 18-month longitudinal follow up.
Conditions Module
Conditions
Alzheimer's Disease
Keywords
Not provided
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 2Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
383Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Exploratory Cognitively Healthy Subjects
Experimental
Subjects will receive an IV injection, 370 megabecquerel (MBq) (10 millicurie [mCi]), single dose of florbetapir F 18 at baseline. Subjects will receive an IV injection, 370 MBq (10 mCi), single dose of flortaucipir at baseline.
Drug: florbetapir F 18
Drug: Flortaucipir F18
Procedure: Brain PET Scan
Exploratory MCI Subjects
Experimental
Subjects will receive an IV injection, 370 MBq (10 mCi), single dose of florbetapir F 18 at baseline. Subjects will receive an IV injection, 370 MBq (10 mCi), single dose of flortaucipir at baseline, 9 months and 18 months.
Drug: florbetapir F 18
Drug: Flortaucipir F18
Procedure: Brain PET Scan
Exploratory AD Subjects
Experimental
Subjects will receive an IV injection, 370 MBq (10 mCi), single dose of florbetapir F 18 at baseline. Subjects will receive an IV injection, 370 MBq (10 mCi), single dose of flortaucipir at baseline, 9 months and 18 months.
Drug: florbetapir F 18
Drug: Flortaucipir F18
Procedure: Brain PET Scan
Confirmatory Subjects
Experimental
Subjects will receive an IV injection, 370 MBq (10 mCi), single dose of florbetapir F 18 and flortaucipir at baseline.
Drug: florbetapir F 18
Drug: Flortaucipir F18
Interventions
Name
Type
Description
Arm Group Labels
Other Names
florbetapir F 18
Drug
Confirmatory Subjects
Exploratory AD Subjects
Exploratory Cognitively Healthy Subjects
Exploratory MCI Subjects
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Confirmatory Phase: Relationship Between Neocortical Flortaucipir Uptake and the Subsequent Rate of Cognitive Decline
Confirm the relationship between neocortical flortaucipir uptake and the subsequent rate of cognitive decline at longitudinal follow up that was observed in the Exploratory Phase of the study. Patients were assigned to groups by majority classification of the flortaucipir positron emission tomography (PET) scan by five independent imaging physicians. Clinically meaningful cognitive and functional deterioration was defined as a 1 point or greater worsening on clinical dementia rating - sum of boxes (CDR-SB) score over the follow-up period.
Flortaucipir standardized uptake value ratio (SUVr). A value of 1 signifies no flortaucipir activity above background, values greater than 1 signify increasing flortaucipir activity in the brain.
baseline scan
Exploratory Phase: Longitudinal Change in Tau Deposition Over Time, by Amyloid Status
Assess the rate of change of tau deposition as measured by flortaucipir uptake (SUVr) over time. Change = 18 months SUVr - baseline SUVr.
baseline and 18 months
Secondary Outcomes
Measure
Description
Time Frame
Confirmatory Phase: Diagnostic Performance of Flortaucipir Visual Read
This analysis used dichotomized CDR-SB change as a truth standard (1 point or more worsening = true positive vs. less than 1 point worsening = true negative) to assess the diagnostic performance of baseline Advanced AD tau status (τAD++) as determined by flortaucipir scan interpretation. Sensitivity and Specificity were calculated for each of the 5 independent imaging readers. Sensitivity is the percentage of true positive cases correctly identified by an Advanced AD pattern scan. Specificity is the percentage of true negative cases correctly identified by scans that were not classified as Advanced AD pattern.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Exploratory Cognitively Healthy Subjects
≥ 20 to ≤ 40 years of age OR ≥ 50 years of age
Mini-mental state examination (MMSE) ≥ 29
No significant history of cognitive impairment
Exploratory MCI Subjects
≥ 50 years of age
MMSE ≥ 24
Have MCI consistent with National Institute on Aging-Alzheimer's Association (NIA-AA) working group's diagnostic guidelines for AD
Have a study partner that can report on subject's activities of daily living
Exploratory AD Subjects
≥ 50 years of age
MMSE > 10
Have possible or probable AD based on the NIA-AA working group's diagnostic guidelines for AD
Have a study partner that can report on subject's activities of daily living
Confirmatory Subjects
≥ 50 years of age
MMSE ≥ 20 and ≤ 27
Cognitively impaired subjects with either MCI or dementia with a suspected neurodegenerative cause
Have a study partner that can report on subject's activities of daily living
Exclusion Criteria:
Current clinically significant psychiatric disease
Evidence of structural brain abnormalities
History of moderate or severe traumatic brain injury
Current clinically significant cardiovascular disease or ECG abnormalities, or additional risk factors for Torsades de Pointes
Current clinically significant infectious disease, endocrine or metabolic disease, pulmonary, renal or hepatic impairment, or cancer
History of alcohol or substance abuse or dependence
Females of childbearing potential who are not surgically sterile, not refraining from sexual activity or not using reliable methods of contraception
Have received or participated in a trial with investigational medications in the past 30 days
Have had a non-study related radiopharmaceutical imaging or treatment procedure within 7 days prior to the study imaging session.
Lu M, Pontecorvo MJ, Devous MD Sr, Arora AK, Galante N, McGeehan A, Devadanam C, Salloway SP, Doraiswamy PM, Curtis C, Truocchio SP, Flitter M, Locascio T, Devine M, Zimmer JA, Fleisher AS, Mintun MA; AVID Collaborators. Aggregated Tau Measured by Visual Interpretation of Flortaucipir Positron Emission Tomography and the Associated Risk of Clinical Progression of Mild Cognitive Impairment and Alzheimer Disease: Results From 2 Phase III Clinical Trials. JAMA Neurol. 2021 Apr 1;78(4):445-453. doi: 10.1001/jamaneurol.2020.5505.
See Also Links
Not provided
Available IPD Information
Not provided
IPD Sharing Statement Module
No data available
No data is available for this block.
Results Section
Participant Flow Module
Pre-assignment Details
To ensure a distribution of disease severity in the confirmatory phase, a target was set to recruit at least one-third of the enrolled subjects with dementia
Recruitment Details
Exploratory cohort subjects were enrolled starting in Dec 2013. Confirmatory cohort subjects were enrolled Dec 2014-July 2017. Exploratory cohort subjects were not eligible for the confirmatory phase.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Exploratory Young Cognitively Healthy Subjects
Male or female subjects ≥20 to ≤40 years of age with mini-mental status exam (MMSE) score ≥29
FG001
Exploratory Older Cognitively Healthy Subjects
Periods
Title
Milestones
Reasons Not Completed
Exploratory Phase
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Not provided
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
0.5
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot
Yes
No
No
Study Protocol
Aug 7, 2015
Jun 27, 2020
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Non-Randomized
Intervention Model
Sequential Assignment
Intervention Model Description
All subjects in both the exploratory and confirmatory phases of the study, receive both florbetapir and florbetapir scans, regardless of subgroup assignment.
Primary Purpose
Diagnostic
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Single
Masking Description
Applies only to confirmatory phase: the independent readers are blinded to all clinical information.
Who Masked
Outcomes Assessor
Procedure: Brain PET Scan
Amyvid
18F-AV-45
Flortaucipir F18
Drug
Confirmatory Subjects
Exploratory AD Subjects
Exploratory Cognitively Healthy Subjects
Exploratory MCI Subjects
T807
18F-AV-1451
Brain PET Scan
Procedure
positron emission tomography (PET) scan of the brain
Confirmatory Subjects
Exploratory AD Subjects
Exploratory Cognitively Healthy Subjects
Exploratory MCI Subjects
baseline and 18 months
Exploratory Phase: Correlation Between Flortaucipir SUVr and Age
Flortaucipir standardized uptake value ratio (SUVr). A value of 1 signifies no flortaucipir activity above background, values greater than 1 signify increasing flortaucipir activity in the brain.
baseline scan
Scottsdale
Arizona
85258
United States
Mayo Clinic
Scottsdale
Arizona
85259
United States
Banner Sun Health Research Institute
Sun City
Arizona
85351
United States
UC Irvine
Irvine
California
92697
United States
Hoag Memorial
Newport Beach
California
92663
United States
Norther California PET Imaging Center
Sacramento
California
95816
United States
UC Davis
Sacramento
California
95817
United States
UC San Francisco
San Francisco
California
94158
United States
Neurological Research Institute
Santa Monica
California
90404
United States
Molecular NeuroImaging
New Haven
Connecticut
06510
United States
Quantum Laboratories
Deerfield Beach
Florida
33064
United States
21st Century Oncology
Fort Myers
Florida
33912
United States
Sandlake Imaging
Orlando
Florida
32806
United States
Meridien Research
St. Petersburg
Florida
33709
United States
USF Health Byrd Alzheimer's Center
Tampa
Florida
33613
United States
Independent Imaging
West Palm Beach
Florida
33407
United States
Massachusetts General Hospital
Boston
Massachusetts
02114
United States
Boston University
Boston
Massachusetts
02118
United States
Alzheimer's Disease Center
Quincy
Massachusetts
02169
United States
Center for Clinical Imaging Research
St Louis
Missouri
63110
United States
Las Vegas Radiology
Las Vegas
Nevada
89147
United States
Center for Brain Health - NYU Langone Medical Center
New York
New York
10016
United States
Duke University Medical Center
Durham
North Carolina
27710
United States
University of Pennsylvania
Philadelphia
Pennsylvania
19104
United States
Rhode Island Hospital
Providence
Rhode Island
02903
United States
Butler Hospital
Providence
Rhode Island
02906
United States
Male or female subjects ≥50 years of age with MMSE Score ≥29
FG002
Exploratory MCI Subjects
Subjects with mild cognitive impairment consistent with National Institute of Aging (NIA)-Alzheimer's Association working group's diagnostic guidelines for AD (Albert et al. 2011) and MMSE Score ≥24
FG003
Exploratory AD Subjects
Subjects with possible or probable AD dementia based on the NIA-Alzheimer's Association working group's diagnostic guidelines for AD (McKhann et al. 2011) and MMSE Score >10
FG004
Confirmatory Subjects MCI
Clinically diagnosed mild cognitive impairment with a suspected neurodegenerative cause with an MMSE score ≥20 and ≤27
FG005
Confirmatory Subjects AD
Clinically diagnosed dementia with a suspected neurodegenerative cause with an MMSE score ≥20 and ≤27
FG00016 subjects
FG00158 subjects
FG00298 subjects
FG00351 subjects
FG0040 subjects
FG0050 subjects
COMPLETED
FG00016 subjects
FG00154 subjects
FG00262 subjects
FG00335 subjects
FG0040 subjects
FG0050 subjects
NOT COMPLETED
FG0000 subjects
FG0014 subjects
FG00236 subjects
FG00316 subjects
FG0040 subjects
FG0050 subjects
Confirmatory Phase
Type
Comment
Milestone Data
STARTED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG00498 subjects
FG00562 subjects
COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Exploratory Young Cognitively Healthy Subjects
Male or female subjects ≥20 to ≤40 years of age with MMSE ≥29
BG001
Exploratory Older Cognitively Healthy Subjects
Male or female subjects ≥50 years of age with MMSE ≥29
BG002
Exploratory MCI Subjects
Subjects with mild cognitive impairment consistent with National Institute of Aging (NIA)-Alzheimer's Association working group's diagnostic guidelines for AD (Albert et al. 2011) and MMSE ≥24
BG003
Exploratory AD Subjects
Subjects with possible or probable AD dementia based on the NIA-Alzheimer's Association working group's diagnostic guidelines for AD (McKhann et al. 2011) and MMSE >10
BG004
Confirmatory Subjects MCI
Clinically diagnosed mild cognitive impairment with a suspected neurodegenerative cause with an MMSE score ≥20 and ≤27
BG005
Confirmatory Subjects AD
Clinically diagnosed dementia with a suspected neurodegenerative cause with an MMSE score ≥20 and ≤27
BG006
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00016
BG00158
BG00298
BG00351
BG00498
BG00562
BG006383
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Age, Continuous for Exploratory Cohort only
Mean
Standard Deviation
years
Title
Denominators
Categories
ParticipantsBG00016
ParticipantsBG00158
ParticipantsBG00298
ParticipantsBG003
Age, Continuous
Age, Continuous for Confirmatory Cohort only
Mean
Standard Deviation
years
Title
Denominators
Categories
ParticipantsBG0000
ParticipantsBG0010
ParticipantsBG002
Sex: Female, Male
Exploratory Cohort - Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
ParticipantsBG00016
ParticipantsBG00158
ParticipantsBG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
ParticipantsBG00016
ParticipantsBG00158
ParticipantsBG002
Race/Ethnicity, Customized
Count of Participants
Participants
Title
Denominators
Categories
Asian
ParticipantsBG00016
ParticipantsBG00158
ParticipantsBG002
Clinical Dementia Rating - Sum of Boxes (CDR-SB)
The CDR scale (Berg 1988) examines 6 cognitive functioning domains individually on a scale of 0 to 3. CDR Sum of Boxes is generated by summing the total score across domains. Scores range from 0 to 18, with higher scores indicating higher levels of cognitive impairment.
Recorded at baseline only for confirmatory phase subjects
Mean
Standard Deviation
units on a scale
Title
Denominators
Categories
ParticipantsBG0000
ParticipantsBG0010
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Confirmatory Phase: Relationship Between Neocortical Flortaucipir Uptake and the Subsequent Rate of Cognitive Decline
Confirm the relationship between neocortical flortaucipir uptake and the subsequent rate of cognitive decline at longitudinal follow up that was observed in the Exploratory Phase of the study. Patients were assigned to groups by majority classification of the flortaucipir positron emission tomography (PET) scan by five independent imaging physicians. Clinically meaningful cognitive and functional deterioration was defined as a 1 point or greater worsening on clinical dementia rating - sum of boxes (CDR-SB) score over the follow-up period.
Subjects from the confirmatory phase with valid flortaucipir visual read and 9 or 18 month clinical follow-up.
Posted
Count of Participants
Participants
between baseline and 18 months
ID
Title
Description
OG000
Predicted to Progress
Subjects with an Advanced AD Scan Pattern (τAD++). In either hemisphere, increased neocortical activity in the parietal/precuneus region(s), or frontal region(s) with increased uptake in the PLT, parietal, or occipital region(s).
OG001
Not Predicted to Progress
Subjects with a Moderate AD Scan Pattern (τAD+) or Not AD Scan Pattern (τAD-). Moderate scans were defined as in either hemisphere, increased neocortical activity limited to the posterolateral temporal (PLT) or occipital region(s). Not AD scans were defined as no increased neocortical activity, or increased neocortical activity isolated to the mesial temporal, anterolateral temporal, and/or frontal regions.
Units
Counts
Participants
OG00063
OG00168
Title
Denominators
Categories
Title
Measurements
Clinically meaningful progression
OG00036
OG00131
Did Not Progress
OG000
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
The specific hypothesis tested was that the hazard of progressing to the clinically meaningful event (defined as CDR-SB value change of at least 1 within 18 months) will be significantly greater for subjects with flortaucipir scans rated by majority interpretation as predicted to progress (Advanced AD scan pattern), as compared to subjects with scans rated as not predicted to progress (Moderate or Not AD scan pattern).
Cox proportional hazards
The Cox proportional hazard model was adjusted for baseline age, American National Adult Reading Test (ANART) score, and baseline CDR-SB score.
0.067
A p-value of <0.05 was the a priori threshold for statistical significance.
Flortaucipir standardized uptake value ratio (SUVr). A value of 1 signifies no flortaucipir activity above background, values greater than 1 signify increasing flortaucipir activity in the brain.
Analysis included all subjects who received an injection of flortaucipir, had valid quantifiable flortaucipir imaging data available, and valid quantifiable florbetapir PET data.
Posted
Least Squares Mean
Standard Error
standardized uptake value ratio (SUVr)
baseline scan
ID
Title
Description
OG000
Exploratory AD Subjects
Subjects with possible or probable AD dementia based on the NIA-Alzheimer's Association working group's diagnostic guidelines for AD (McKhann et al. 2011) and MMSE >10
OG001
Exploratory MCI Subjects
Subjects with mild cognitive impairment consistent with National Institute of Aging (NIA)-Alzheimer's Association working group's diagnostic guidelines for AD (Albert et al. 2011) and MMSE ≥24
OG002
Exploratory Older Cognitively Healthy Subjects
Male or female subjects ≥50 years of age with MMSE ≥29
OG003
Primary
Exploratory Phase: Longitudinal Change in Tau Deposition Over Time, by Amyloid Status
Assess the rate of change of tau deposition as measured by flortaucipir uptake (SUVr) over time. Change = 18 months SUVr - baseline SUVr.
Analysis of flortaucipir SUVr Change Over Time by Amyloid Status, Exploratory Phase Efficacy Population (AD and MCI subjects only)
Posted
Least Squares Mean
Standard Error
standardized uptake value ratio (SUVr)
baseline and 18 months
ID
Title
Description
OG000
Exploratory AB+ (Amyloid Beta Positive)
Exploratory MCI or AD subjects with a positive florbetapir PET scan for amyloid
OG001
Exploratory AB- (Amyloid Beta Negative)
Exploratory MCI or AD subjects with a negative florbetapir PET scan for amyloid
Units
Counts
Participants
OG000
Secondary
Confirmatory Phase: Diagnostic Performance of Flortaucipir Visual Read
This analysis used dichotomized CDR-SB change as a truth standard (1 point or more worsening = true positive vs. less than 1 point worsening = true negative) to assess the diagnostic performance of baseline Advanced AD tau status (τAD++) as determined by flortaucipir scan interpretation. Sensitivity and Specificity were calculated for each of the 5 independent imaging readers. Sensitivity is the percentage of true positive cases correctly identified by an Advanced AD pattern scan. Specificity is the percentage of true negative cases correctly identified by scans that were not classified as Advanced AD pattern.
All confirmatory phase subjects who completed 18 months of follow-up for the cognitive endpoint were read by each reader
Posted
Number
95% Confidence Interval
percentage of cases correctly identified
baseline and 18 months
ID
Title
Description
OG000
Independent Readers
Scans were interpreted by 5 imaging physicians, blind to clinical data, after training by an Avid expert.
Units
Counts
Participants
OG000
Secondary
Exploratory Phase: Correlation Between Flortaucipir SUVr and Age
Flortaucipir standardized uptake value ratio (SUVr). A value of 1 signifies no flortaucipir activity above background, values greater than 1 signify increasing flortaucipir activity in the brain.
Exploratory Young and Old healthy control subjects with a valid flortaucipir PET scan
Posted
Mean
Standard Deviation
standardized uptake value ratio (SUVr)
baseline scan
ID
Title
Description
OG000
Exploratory Young Cognitively Healthy Subjects
Male or female subjects ≥20 to ≤40 years of age with MMSE ≥29
Male or female subjects 70-79 years of age with MMSE ≥29
Time Frame
Adverse events (AEs) were collected at scan visits, regardless of attribution to study drug. End of study for AE reporting was 48 hours after the last study drug administration. AEs occurring after study drug administration, but outside that window were not recorded, unless considered attributable to either drug.
Description
Not provided
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Exploratory Younger Cognitively Healthy Subjects
Male or female subjects ≥20 to ≤40 years of age with MMSE ≥29
0
16
0
16
3
16
EG001
Exploratory Older Cognitively Healthy Subjects
Male or female subjects ≥50 years of age with MMSE ≥29
0
58
0
58
17
58
EG002
Exploratory MCI Subjects
Subjects with mild cognitive impairment consistent with National Institute of Aging (NIA)-Alzheimer's Association working group's diagnostic guidelines for AD (Albert et al. 2011) and MMSE ≥24
0
98
1
98
21
98
EG003
Exploratory AD Subjects
Subjects with possible or probable AD dementia based on the NIA-Alzheimer's Association working group's diagnostic guidelines for AD (McKhann et al. 2011) and MMSE >10
0
51
0
51
13
51
EG004
Confirmatory Subjects MCI
Clinically diagnosed mild cognitive impairment with a suspected neurodegenerative cause with an MMSE score ≥20 and ≤27
0
98
0
98
13
98
EG005
Confirmatory Subjects AD
Clinically diagnosed dementia with a suspected neurodegenerative cause with an MMSE score ≥20 and ≤27
Male or female subjects ≥20 to ≤40 years of age with MMSE ≥29
Units
Counts
Participants
OG00048
OG00197
OG00257
OG00316
Title
Denominators
Categories
Aβ+ SUVr
ParticipantsOG00032
ParticipantsOG00147
ParticipantsOG0025
ParticipantsOG0030
Title
Measurements
OG0001.53± 0.037
OG0011.26± 0.030
OG0021.08± 0.093
Aβ- SUVr
ParticipantsOG00016
ParticipantsOG00150
ParticipantsOG00252
ParticipantsOG00316
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANCOVA model comparing the mean SUVr between AD and Older Cognitively Healthy within amyloid positive group.
ANCOVA
Adjusted for age
<0.0001
No adjustment for multiple comparisons. No a priori threshold was set.
Other
OG001
OG002
ANCOVA model comparing the mean SUVr between MCI and Older Cognitively Healthy within the amyloid positive group.
ANCOVA
Adjusted for age
0.0622
No adjustment for multiple comparisons. No a priori threshold was set.
Other
OG000
OG001
ANCOVA model comparing the mean SUVr between AD and MCI within the amyloid positive group.
ANCOVA
Adjusted for age
<0.0001
No adjustment for multiple comparisons. No a priori threshold was set.
Other
55
OG00190
Title
Denominators
Categories
Title
Measurements
OG0000.052359± 0.008536
OG0010.000655± 0.002394
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
SUVr change from baseline as dependent variable, baseline SUVr, age, and visit as independent variables, using an unstructured covariance structure for amyloid positive subjects only.
Mixed Models Analysis
<0.0001
Equivalence
Test of whether the least squares mean change is significantly different than zero
OG001
SUVr change from baseline as dependent variable, baseline SUVr, age, and visit as independent variables, using an unstructured covariance structure for amyloid negative subjects only.
Mixed Models Analysis
0.7851
Equivalence
Test of whether the least squares mean change is significantly different than zero
110
Title
Denominators
Categories
Reader 1 Sensitivity
ParticipantsOG00052
Title
Measurements
OG00059.6(46.1 to 71.8)
Reader 1 Specificity
ParticipantsOG00058
Title
Measurements
OG00065.5(52.7 to 76.4)
Reader 2 Sensitivity
ParticipantsOG00052
Title
Measurements
OG00053.8(40.5 to 66.7)
Reader 2 Specificity
ParticipantsOG00058
Title
Measurements
OG00065.5(52.7 to 76.4)
Reader 3 Sensitivity
ParticipantsOG00052
Title
Measurements
OG00055.8(42.3 to 68.4)
Reader 3 Specificity
ParticipantsOG00058
Title
Measurements
OG00065.5(52.7 to 76.4)
Reader 4 Sensitivity
ParticipantsOG00052
Title
Measurements
OG00059.6(46.1 to 71.8)
Reader 4 Specificity
ParticipantsOG00058
Title
Measurements
OG00065.5(52.7 to 76.4)
Reader 5 Sensitivity
ParticipantsOG00052
Title
Measurements
OG00050.0(36.9 to 63.1)
Reader 5 Specificity
ParticipantsOG00058
Title
Measurements
OG00065.5(52.7 to 76.4)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
Other
The hypothesis tested was that, of the 5 independent imaging physicians, at least 3 will have the lower bounds of 2-sided 95% confidence intervals ≥50%, for both sensitivity and specificity.