Normative Values for Cognitive Testing and Alzheimer's Imaging Biomarkers in Young Adults
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Purpose
Biomarkers of Alzheimer's disease (AD) occupy an essential place in recently formulated diagnostic criteria for AD where their role is to identify the pathophysiological processes underlying cognitive impairment or to predict time to dementia. Three of these biomarkers are brain imaging tests (amyloid PET, FDG PET, and structural MRI). In order to effectively use AD biomarkers for diagnostic and prognostic purposes, continuous values much be divided into normal and abnormal ranges. This requires that a cut point(s) be established in the continuous distribution of values for each biomarker.
The investigators objective in this proposal is to obtain imaging biomarker data in a group of individuals who are appropriate for establishing normative values for AD biomarkers. The investigators believe the most valid approach to establishing biomarker cut points is to base them on the upper bound of the range observed in young to early-middle-age subjects in whom the presence of occult AD pathology is extremely unlikely. Based on a large volume of community-based autopsy data, that upper age limit would be about 50 years old. The lower age bound for a group of subjects used to establish normative AD biomarker values would have to be based on considerations of brain maturation, which may continue into the middle- to late-20s. Thus, taking the above into consideration, the ideal age range for establishing normative AD imaging biomarker data (amyloid PET, FDG PET, and structural MRI) may be ages 30-49 years old.
| Condition | Intervention |
|---|---|
|
Alzheimer's Disease |
Drug: F-18 FDG Drug: C-11 PiB |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | Normative Values for Cognitive Testing and Alzheimer's Imaging Biomarkers in Young Adults (30-49yo) |
- Normal values for amyloid PET, FDG and MR Imaging [ Time Frame: 2 days ] [ Designated as safety issue: No ]Biomarkers of Alzheimer's disease (AD) occupy an essential place in recently formulated diagnostic criteria for AD where their role is to identify the pathophsyiological processes underlying cognitive impairment or to predict time to dementia. Three of these biomarkers are brain imaging tests (amyloid PET, FDG PET, and structural MRI). In order to effectively use AD biomarkers for diagnostic and prognostic purposes, continuous values much be divided into normal and abnormal ranges. This requires that a cut point(s) be established in the continuous distribution of values for each biomarker.
| Estimated Enrollment: | 40 |
| Study Start Date: | July 2012 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| No Intervention: Cognitively Normal Males and Females aged 30 to 49 years old |
Drug: F-18 FDG
One time intravenous administration of 17 mCI +/- 10%
Drug: C-11 PiB
One time intravenous administration of 10-20 mCi
|
Eligibility| Ages Eligible for Study: | 30 Years to 49 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Cognitively normal males or females aged 30 to 49 years old.
Exclusion Criteria:
- Subjects unable to lie down without moving for up to 45 minutes.
- Women who are pregnant or cannot stop breast feeding for 24 hours.
- Claustrophobic patients unable to tolerate the scans (no sedation can be offered).
- Standard safety exclusionary criteria for MRI such as metallic foreign bodies, pacemaker, etc.
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More Information
No publications provided
| Responsible Party: | Val Lowe, Consultant - Diagnostic Radiology, Mayo Clinic |
| ClinicalTrials.gov Identifier: | NCT01609335 History of Changes |
| Other Study ID Numbers: | 11-006972 |
| Study First Received: | May 23, 2012 |
| Last Updated: | January 21, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Alzheimer Disease Dementia Brain Diseases Central Nervous System Diseases Nervous System Diseases |
Tauopathies Neurodegenerative Diseases Delirium, Dementia, Amnestic, Cognitive Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 22, 2013