Study Evaluating the Safety of Myeliviz Myelin-Targeting PET Agent

Sponsor
Robert Fox (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT04333290
Collaborator
Case Western Reserve University (Other)
20
1
1
11
1.8

Study Details

Study Description

Brief Summary

This study evaluates the safety of [11C]MeDAS, a PET radiotracer.

Condition or Disease Intervention/Treatment Phase
Early Phase 1

Detailed Description

Myelin PET imaging provides a new type of information regarding the integrity of the central nervous system based on molecular imaging of myelin. Preclinical studies have shown [11C] MeDAS uptake in the brain and spinal cord to be an indicator of the microstructural integrity of the tissue.

[11C]MeDAS PET (Positron Emission Tomography) scans will be performed on healthy subjects at 2 timepoints to assess for safety of the radiotracer and to assess its performance in humans. Following measurement of [11C]MeDAS pharmacokinetics and biodistribution, an optimal protocol for dosing and imaging will be established.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
20 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Diagnostic
Official Title:
Phase 1 Study Evaluating the Safety of [11C]MeDAS Myelin-Targeting PET Agent in Humans
Anticipated Study Start Date :
Jan 1, 2023
Anticipated Primary Completion Date :
Dec 1, 2023
Anticipated Study Completion Date :
Dec 1, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: Single Arm: Healthy subjects

The PET radiotracer Myeliviz ([11C]MeDAS) will be administered to healthy subjects twice and PET scans will be obtained each time. This will allow assessment of the PET image quality, PET scan reproducibility and radiotracer distribution.

Drug: [11C]MeDAS
PET radiotracer
Other Names:
  • Myeliviz
  • Outcome Measures

    Primary Outcome Measures

    1. Radiation dosimetry [Less than or equal to 2 hours]

      Whole body radiotracer uptake, as measured using PET scan image data. Radiotracer uptake will be measured in absolute counts and using distribution volume ratios.

    2. Biodistribution analysis [Less than or equal to 2 hours]

      Organ-specific radiotracer uptake, as measured using PET scan image data. Radiotracer uptake will be measured in absolute counts and using distribution volume ratios.

    3. Metabolism analysis [Less than or equal to 2 hours]

      Analysis of in vivo radiotracer metabolism using liquid chromatography, with quantification of relative peak areas under the curve.

    4. Pharmacokinetic analysis based on PET scan data [Less than or equal to 2 hours]

      Determination of time-dependent radiotracer distribution using PET scan image data, with time measurement in minutes, PET data measured in absolute counts, and position in the body determined by organ segmentation.

    5. Analysis of time-dependent radiotracer distribution based on arterial blood sampling [Less than or equal to 2 hours]

      Determination of time-dependent radiotracer distribution as assessed by arterial blood sampling, using scintillation counting for determination of radiotracer activity. Time is measured in minutes and radiotracer quantity is assayed by scintillation counting with units in absolute counts.

    Secondary Outcome Measures

    1. Brain imaging characterization [Less than or equal to 2 hours]

      Analyze patterns of radiotracer distribution in the brain using PET scan image data. This is an intrinsically qualitative analysis and image data will be assessed by visual inspection. Based on findings of this first-in-human study, preliminary quantitative assessment using coregistration with structural imaging, anatomic segmentation and partial volume correction will be performed to calculate distribution volume ratios for areas of interest.

    2. Spinal cord imaging characterization [Less than or equal to 2 hours]

      Analyze patterns of radiotracer distribution in the spinal cord using PET scan image data. This is an intrinsically qualitative analysis and image data will be assessed by visual inspection. Based on findings of this first-in-human study, preliminary quantitative assessment using coregistration with structural imaging, anatomic segmentation and partial volume correction will be performed to calculate distribution volume ratios for areas of interest.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 65 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Subject reports no known physical diseases of the central nervous system including no history of mental health disorders.

    • Capable of giving informed consent

    • Efforts will be made to include approximately equal numbers of women and men. Efforts will be made to include individuals of diverse ethnicities, as reflected in the local clinic population.

    Exclusion Criteria:
    • Age <18 or >65

    • History of malignant hypertension or hypertensive crisis

    • Known infectious disease requiring treatment during the course of the study

    • Subject reported history of substance abuse

    • inability to undergo an MRI or PET scan

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Cleveland Clinic Cleveland Ohio United States 44195

    Sponsors and Collaborators

    • Robert Fox
    • Case Western Reserve University

    Investigators

    • Principal Investigator: Robert Fox, MD, The Cleveland Clinic

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Robert Fox, Vice Chair, Research, The Cleveland Clinic
    ClinicalTrials.gov Identifier:
    NCT04333290
    Other Study ID Numbers:
    • MeDAS-001
    First Posted:
    Apr 3, 2020
    Last Update Posted:
    Feb 4, 2022
    Last Verified:
    Feb 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Robert Fox, Vice Chair, Research, The Cleveland Clinic

    Study Results

    No Results Posted as of Feb 4, 2022