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Trial registered on ANZCTR
Registration number
ACTRN12624001273572p
Ethics application status
Submitted, not yet approved
Date submitted
24/09/2024
Date registered
18/10/2024
Date last updated
18/10/2024
Date data sharing statement initially provided
18/10/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Clinical Evaluation of Amyloid Positron Emission Tomography (PET) for Alzheimer’s Disease Assessment
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Scientific title
Clinical Evaluation of the Added Benefits of Amyloid Positron Emission Tomography (Amyloid-PET) Scans in Cases with Equivocal Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) Results for Alzheimer’s Disease Assessment
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Secondary ID [1]
313039
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Alzheimer’s disease
335262
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Condition category
Condition code
Neurological
331833
331833
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0
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Alzheimer's disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This study is a prospective, non-randomised, non-blinded feasibility assessment aimed at determining whether a new type of brain scan called an Amyloid (18F-Florbetaben) Positron Emission Tomography/Computed Tomography (Amyloid PET/CT) scan can provide additional benefits in diagnosing Alzheimer’s disease. This scan may be particularly useful in cases where other tests, including clinical assessments and the commonly used Fluorodeoxyglucose (FDG) PET/CT scan, have not provided clear diagnostic results. Participation in this study involves one imaging scan outside of standard care: the Amyloid PET/CT scan.
The Amyloid PET/CT scan will be performed at I-MED Radiology, The Wesley Hospital (Brisbane), and interpreted by a nuclear medicine radiologist involved in this study. The total time required for the scan process is approximately 3 hours. Each patient will receive 300 MBq (+/-10%) of the Florbetaben tracer via intravenous cannulation, administered 90 minutes before the PET/CT scan. The scan itself will take approximately 20 minutes to complete.
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Intervention code [1]
329592
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Diagnosis / Prognosis
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Comparator / control treatment
Participant's own most recent FDG PET/CT scan
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Control group
Active
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Outcomes
Primary outcome [1]
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Proportion of patients for whom the Amyloid PET/CT scan provides additional diagnostic information, leading to a more definitive diagnosis or exclusion of Alzheimer’s disease.
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Assessment method [1]
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This will be assessed through the interpretation of the Amyloid PET/CT scan results by a nuclear medicine radiologist, followed by review from a multidisciplinary team to determine whether the scan provides new diagnostic information.
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Timepoint [1]
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Typically within 2 weeks of the Amyloid PET/CT scan and multidisciplinary review.
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Secondary outcome [1]
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Correlation between the visual interpretation of Amyloid PET/CT scans (positive or negative) and the semi-quantitative analysis (tracer uptake value) using syngo.via software.
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Assessment method [1]
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The correlation will be measured using statistical analysis (e.g., Pearson or Spearman correlation coefficient) between the visual scan interpretations and the results from the semi-quantitative software.
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Timepoint [1]
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At the end of the study, once all participants have undergone the scans.
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Eligibility
Key inclusion criteria
Inclusion criteria:
• Aged 18 years or older
• Have undergone FDG PET/CT brain imaging as part of routine Alzheimer's disease evaluation and received equivocal results
• Deemed eligible by the Wesley NeuroPET Multidisciplinary team (MDT) for study participation
• Willing and physically able to undergo an additional Amyloid PET/CT scan as per study protocol
• Has adequate renal function (eGFR >30 mL/min/1.73 m²)
• Willing and able to provide informed consent (or consent may be provided through a surrogate) to participate in the study
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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
Exclusion criteria:
• Aged younger than 18 years
• Have undergone FDG PET/CT brain imaging as part of routine Alzheimer's disease evaluation and received conclusive results
• Known allergies or contraindications to the components used in PET imaging.
• Significant medical conditions or comorbidities that could interfere with study participation or pose a risk during PET scanning
• History of other neurological disorders or conditions that may confound the interpretation of amyloid PET/CT results
• Current participation in other clinical trials involving investigational drugs or interventions that could affect study outcomes
• Inability to comply with study procedures due to logistical or other reasons
• Pregnant or breastfeeding
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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
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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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
21/10/2024
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Actual
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Date of last participant enrolment
Anticipated
21/10/2026
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Actual
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Date of last data collection
Anticipated
31/10/2026
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
317481
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Charities/Societies/Foundations
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Name [1]
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Wesley Research Institute
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Address [1]
317481
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
I-MED Radiology Network
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Address
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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]
319773
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Country [1]
319773
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
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UnitingCare Health Human Research Ethics Committee
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Ethics committee address [1]
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http://unitingcarehealth.com.au/research-and-education/unitingcare-health-human-research-ethics-committee
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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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07/05/2024
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Approval date [1]
316195
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Ethics approval number [1]
316195
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Summary
Brief summary
This study aims to evaluate whether a new type of brain imaging called an Amyloid PET/CT scan can improve the diagnosis of Alzheimer’s disease in patients where previous tests have been inconclusive. The hypothesis is that this scan will provide additional diagnostic information, helping doctors make a clearer diagnosis or exclude Alzheimer’s disease. Fifty patients with unclear results from an earlier scan (FDG PET/CT) will undergo the Amyloid PET/CT scan. The results will be reviewed by a team of specialists to determine if the new imaging adds value to the diagnosis.
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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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Dr David Wong
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Address
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I-MED Radiology Network, The Wesley Hospital, 30 Chasely St, Auchenflower, Brisbane QLD 4066
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Country
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Australia
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Phone
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+61419701900
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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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Sepinoud Firouzmand
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Address
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Wesley Specialist Centre, Level 1 (I-MED Radiology Network), 87 Lang Pde, Auchenflower QLD 4066
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Country
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Australia
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Phone
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+61 7 3371 9588
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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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Sepinoud Firouzmand
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Address
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Wesley Specialist Centre, Level 1 (I-MED Radiology Network), 87 Lang Pde, Auchenflower QLD 4066
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Country
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Australia
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Phone
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+61 7 3371 9588
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Fax
137100
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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
Any data that is published will be fully anonymised to ensure the privacy and confidentiality of participants is maintained.
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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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