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Trial registered on ANZCTR
Registration number
ACTRN12623000067673
Ethics application status
Approved
Date submitted
4/12/2022
Date registered
20/01/2023
Date last updated
20/01/2023
Date data sharing statement initially provided
20/01/2023
Type of registration
Prospectively registered
Titles & IDs
Public title
64CuATSM Positron Emission Tomography with Quantitative Susceptibility Mapping Magnetic Resonance Imaging as a Biomarker of Motor Neurone Disease
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Scientific title
64CuATSM Positron Emission Tomography with Quantitative Susceptibility Mapping Magnetic Resonance Imaging as a Biomarker of Motor Neurone Disease in Adults with Limb Onset Variant
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Secondary ID [1]
308543
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none
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Universal Trial Number (UTN)
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Trial acronym
CuATSM with QSM in MND
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
motor neurone disease
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Condition category
Condition code
Neurological
325418
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0
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Neurodegenerative diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a cross-sectional exploratory neuroimaging biomarker study. Following informed consent, clinical data (diagnosis, disease parameters, cognitive data) will be obtained. Participants will have one brain PET/MRI scan which will be acquired at Monash Biomedical Imaging in Clayton, VIC. PET imaging will consist of a an intravenous bolus of up to 200 MBq of 64Cu(ATSM) over 60s followed by up to 90min dynamic acquisition of the PET image. MRI imaging will comprise both a volumetric image and a quantitative susceptibility mapping (QSM) image acquired during the same session. Blood will be collected for measurement of other markers of neurodegeneration and oxidative stress, including neurofilament light chain, isoprostanes, and acute phase proteins. Imaging will be conducted by trained staff at Monash Biomedical Imaging. Clinical data will be collected by study physicians.
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Intervention code [1]
324989
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Diagnosis / Prognosis
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Comparator / control treatment
Imaging parameters from this study will be compared to 64CuATSM PET uptake and MRI QSM signal in a health control cohort using data obtained from studies in 2020-2 at Monash Biomedical Imaging.
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Control group
Historical
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Outcomes
Primary outcome [1]
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Region of interest 64CuATSM PET signal / control region uptake value in subjects will be compared to region of interest 64CuATSM PET signal / control region uptake value in an existing control group.
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Assessment method [1]
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Timepoint [1]
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This is a cross-sectional study. PET/MRI scans and clinical data will be collected once only on the day of enrollment.
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Secondary outcome [1]
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MRI quantitative susceptibility mapping (QSM) signal
QSM signal will be determined using validated automated methods, e.g. the JHU/KKI QSM Toolbox V3.0.
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Assessment method [1]
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Timepoint [1]
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This is a cross-sectional study. Scanning will take place once only on the on the day of enrolment.
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Eligibility
Key inclusion criteria
limb onset variant of motor neurone disease / amyotrophic lateral sclerosis
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1) presence of other known neurological or psychiatric diseases which may cause MRI changes
2) history of learning disability / intellectual disability
3) unable to tolerate PET or MRI scanning
4) diagnosis of dementia
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Pharmacodynamics
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
6/02/2023
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
15
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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NHMRC (Investigator Grant)
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Address [1]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Florey Institute of Neuroscience and Mental Health
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Address
30 Royal Parade
Parkville VIC 3052
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Barwon Health
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Ethics committee address [1]
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Research Ethics, Governance and Integrity Unit PO Box 281 Geelong VIC 3220
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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23/02/2021
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Approval date [1]
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03/03/2021
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Ethics approval number [1]
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19/100
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Summary
Brief summary
Motor neuron disease (MND) is a rapidly-progressive and fatal neurological condition. There is no cure. Riluzole, the only available treatment, has a very modest benefit at best. Diagnosis is often delayed. CuATSM (‘copper ATSM’) is a compound that has been shown to protect against a type of newly-described cell death known as ferroptosis in animal models of MND. The results of a recent phase 1 trial of CuATSM in humans with MND were promising. Additionally, radiolabelled CuATSM was detected via PET imaging in parts of the brain involved in MND in a pilot study. CuATSM may therefore be disease modifying as well as localising to areas of active disease, showing promise both as a treatment and diagnostic agent. This project is an imaging study which aims to further explore the role of CuATSM in diagnostic imaging. We aim to use radiolabelled 64CuATSM PET in conjunction with a type of MRI scanning called quantitative state mapping, which detects iron in the brain, another potential marker of ferroptosis. Participants will have these scans at baseline. Clinical data, including neurological examination and cognitive testing results, will be collected. We aim to explore whether both types of imaging demonstrate involvement of the same brain regions. Positive results would 1) provide evidence that the type of cell death known as ferroptosis is occurring in humans with MND, 2) support ongoing clinical trials of anti-ferroptotic agents such as CuATSM, and 3) support future exploration of these imaging techniques in diagnosis and monitoring of disease progression.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Paul Talman
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Address
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Neurosciences
Health Wing, Level 2
University Hospital Geelong
Bellerine St
Geelong VIC 3220
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Country
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Australia
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Phone
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+61 3 4215 2274
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Andrew Gleason
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Address
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Florey Institute of Neuroscience and Mental Health
30 Royal Parade
Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 9035 6532
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Andrew Gleason
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Address
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Florey Institute of Neuroscience and Mental Health
30 Royal Parade
Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 9035 6532
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Raw data will not be made publicly available. Outcomes will be submitted to a peer-reviewed journal.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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