A Study of Imaging in Demyelinating Diseases

Sponsor
Mayo Clinic (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT05805839
Collaborator
(none)
200
1
2
24
8.3

Study Details

Study Description

Brief Summary

This purpose of this study is research the usefulness of MRI with PET/CT imaging for measuring brain inflammation and its relation to Multiple Sclerosis (MS).

Condition or Disease Intervention/Treatment Phase
  • Drug: C-11 ER176 Radiotracer
  • Drug: C11 Pittsburgh Compound B
  • Diagnostic Test: PET/CT scan
  • Diagnostic Test: MRI
Phase 2

Study Design

Study Type:
Interventional
Anticipated Enrollment :
200 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Diagnostic
Official Title:
Advanced MR and PET Imaging in Inflammatory Demyelinating Diseases of the Central Nervous System
Anticipated Study Start Date :
May 1, 2023
Anticipated Primary Completion Date :
May 1, 2025
Anticipated Study Completion Date :
May 1, 2025

Arms and Interventions

Arm Intervention/Treatment
Experimental: Healthy Control Group

Subjects without inflammatory-demyelinating diseases of the central nervous system

Drug: C-11 ER176 Radiotracer
Administered at a single time IV prior to the PET imaging. The injected dose of C-11 ER176 will be 518 MBq (14 mCi) (range 370-666 MBq; 10-18 mCi).

Drug: C11 Pittsburgh Compound B
Administered at a single time IV prior to the PET imaging. The injected dose of C-11 PiB will be 555 MBq (range 370 - 629 MBq).

Diagnostic Test: PET/CT scan
Imaging of entire brain

Diagnostic Test: MRI
Magnetic Resonance Imaging of the Brain

Experimental: Multiple Sclerosis Group

Subjects with current diagnosis of Multiple Sclerosis or an InflammatoryDemyelinating Disease of the Central Nervous System will have a PET/CT scan with radiotracer drug C-11 PIB & C-11 ER176

Drug: C-11 ER176 Radiotracer
Administered at a single time IV prior to the PET imaging. The injected dose of C-11 ER176 will be 518 MBq (14 mCi) (range 370-666 MBq; 10-18 mCi).

Drug: C11 Pittsburgh Compound B
Administered at a single time IV prior to the PET imaging. The injected dose of C-11 PiB will be 555 MBq (range 370 - 629 MBq).

Diagnostic Test: PET/CT scan
Imaging of entire brain

Diagnostic Test: MRI
Magnetic Resonance Imaging of the Brain

Outcome Measures

Primary Outcome Measures

  1. Uptake of C-11 Pittsburgh compound-B (PiB) in white matter myelin [Baseline]

    C-11 Pittsburgh compound-B (PiB) in PET imaging measured by PiB standardized uptake value ratio (SUVr)

  2. Uptake of C-11 ER176 Radiotracer [Baseline]

    C-11 ER176 Radiotracer in TSPO PET imaging measured by ER176 SUVr

Secondary Outcome Measures

  1. Number of subjects with adverse events [2 days]

    Total number of subjects to experience adverse events

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Meet the requirements for one of the case or control groups.

  • MS patients undergoing neurologic evaluation procedures as part of Understanding Sex Differences in Multiple Sclerosis Spectrum of Demyelinating Disorders (IRB# 19-002807) Study or the Mayo Clinic Neurology Multiple Sclerosis Clinic.

  • Control participants without inflammatory-demyelinating diseases of the central nervous system

  • Capacity to sign consent.

Exclusion Criteria:
  • Participants unable to lie down without moving for 20 minutes.

  • Women who are pregnant or cannot stop breast feeding for 24 hours.

  • For all patients and controls, any acute glucocorticoid (e.g., IV methylprednisolone or PO prednisolone) use within 2 weeks is an exclusion to limit medication interaction but preserve possible chronic systemic inflammation interaction with microglia activation metrics. Chronic disease modifying treatments in MS are allowed as these medications are not known to impact microglia activation.

  • Standard safety exclusionary criteria for MRI such as metallic foreign bodies, pacemaker, etc., since the quantitative PET data analysis is based on anatomic criteria that are established uniquely for each subject by registration to his/her MRI.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Mayo Clinic Minnesota Rochester Minnesota United States 55905

Sponsors and Collaborators

  • Mayo Clinic

Investigators

  • Principal Investigator: Burcu Zeydan, MD, Mayo Clinic

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Burcu Zeydan, Principal Investigator, Mayo Clinic
ClinicalTrials.gov Identifier:
NCT05805839
Other Study ID Numbers:
  • 22-009149
First Posted:
Apr 10, 2023
Last Update Posted:
Apr 10, 2023
Last Verified:
Mar 1, 2023
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Apr 10, 2023