Alzheimer's DiseasePhase 2NCT02831283
Imaging Inflammation in Alzheimer's Disease
A Phase 2 study testing 11C-PBR28, 18F-Florbetaben and Lumbar puncture (optional) in people with Alzheimer's Disease, run by Patrick Lao at 1 site in United States.
Trial summary
This study is being done to learn about inflammation and amyloid in Alzheimer's disease. A type of brain scan called a PET scan is used measure 1) inflammation and 2) abnormal accumulation of a the amount of a certain protein fragment called beta-amyloid (plaques) in the brain. Read more about this study
- Who is it for?
- Ages 60 years and olderHealthy volunteers can take part
- Conditions the study is for
- Alzheimer's Disease
- What is being tested?
- 11C-PBR28, 18F-Florbetaben and Lumbar puncture (optional)
- Type of treatment
- Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteUnited States
- Study dates
- Jun 2016to Dec 2022
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 60 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Age 60 and older.
- Meet criteria for either a) amnestic mild cognitive impairment (single or mixed domain) or mild Alzheimer's disease, or b) have no cognitive impairment based on history, exam, neuropsychological testing, and consensus diagnosis. MCI and mild AD patients must have Clinical Dementia Rating scale score of 0.5 or 1. Unimpaired subjects must have Clinical Dementia Rating scale score of 0.
- Subjects unable to provide informed consent must have a surrogate decision maker
- Written and oral fluency in English or Spanish.
- Able to participate in all scheduled evaluations and to complete all required tests and procedures.
- In the opinion of the investigator, the subject must be considered likely to comply with the study protocol and to have a high probability of completing the study.
Who cannot join
- Past or present history of certain brain disorders other than MCI or AD.
- Certain significant medical conditions, which make study procedures of the current study unsafe.
- Contraindication to MRI scanning.
- Conditions precluding entry into the scanners (e.g., morbid obesity, claustrophobia, etc.).
- Exposure to research related radiation in the past year that, when combined with this study, would place subjects above the allowable limits.
- Low affinity binding on TSPO genetic screen.
Show all 9Show fewer
- Participation in the last year in a clinical trial for a disease modifying drug for AD.
- Inability to have a catheter in subject's vein for the injection of radioligand.
- Inability to have blood drawn from subject's veins.
Trial locations and contacts
1 site in 1 country.
United States1 site
Columbia University irving Medical Center
New York, New York, 10032
About this study
Official title: Imaging Inflammation in Elders With Different Clinical and Biomarker Profiles of Alzheimer's Disease
This study is being done to learn about inflammation and amyloid in Alzheimer's disease. A type of brain scan called a PET scan is used measure 1) inflammation and 2) abnormal accumulation of a the amount of a certain protein fragment called beta-amyloid (plaques) in the brain. These are thought to be involved in Alzheimer's disease. The investigators will also perform brain MRI and do tests to measure the participants' memory and thinking.
Read the detailed description
This study is being done to determine the relationship between inflammation, cognitive impairment, and amyloid burden in elderly subjects with different clinical and biomarker profiles of Alzheimer's disease (AD). Participants will undergo amyloid PET imaging with 18F-Florbetaben with target number of completers being 15 amyloid-positive elders with impairment, 15 amyloid-positive elders with normal cognition, 15 amyloid-negative elders with impairment, and 15 amyloid-negative elders with normal cognition. Subjects will undergo screen that includes neuropsychological testing, brain MRI, and PET imaging with 18F-florbetaben to define the above 4 groups. Subjects will have 11C-PBR28 PET imaging to measure the 18 kDa translocator protein (a marker of inflammation). Subjects will have the option to have lumbar puncture performed to measure CSF concentrations of amyloid,tau, phospho-tau, and inflammatory markers.
- Conditions
- Alzheimer's Disease
- Being tested
- 11C-PBR28, 18F-Florbetaben, Lumbar puncture (optional)
- Keywords
- inflammation, aging, mild cognitive impairment
- Medical subject headings
- Alzheimer Disease, Inflammation, Cognitive Dysfunction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
11C-PBR28Drug
Also called 11C-[O-methyl-11C]N-acetyl-N-(2-methoxybenzyl)-2-phenoxy-5-pyridinamine
11C-PBR28 is a PET radioligand that binds to the 18 kDa translocator protein (TSPO), a marker of inflammation. 11C-PBR28 has previously been administered in humans. 11C-PBR28 will be administered at activity of up to 20 mCi per injection.
18F-FlorbetabenDrug
Also called Neuraceq
18F-Florbetaben (Neuraceq) has FDA approval for human use in evaluation of Alzheimer's disease. 18F-Florbetaben will be administered at activity up to 8.1 mCi per injection.
Lumbar puncture (optional)Procedure or surgery
Also called LP
Subjects have the option to have lumbar puncture performed for the measurement of inflammatory markers in cerebrospinal fluid.
| Study group | Role | What they receive |
|---|---|---|
| Amyloid-positive with cognitive impairment (AD) | Experimental | Amyloid-positive patients who already have cognitive impairment at the time of enrollment. Receives: Drug: 11C-PBR28; Drug: 18F-Florbetaben; Procedure: Lumbar puncture (optional) |
| Amyloid-positive without impairment (preclinical AD) | Active comparator | Cognitively normal subjects who are amyloid-positive Receives: Drug: 11C-PBR28; Drug: 18F-Florbetaben; Procedure: Lumbar puncture (optional) |
| Amyloid-negative with cognitive impairment | Active comparator | Participants with cognitive impairment due to suspected non-AD pathophysiology Receives: Drug: 11C-PBR28; Drug: 18F-Florbetaben; Procedure: Lumbar puncture (optional) |
| Amyloid-negative without impairment (normal aging) | Active comparator | Cognitively normal subjects who are amyloid-negative on PET, and lack signs of neurodegeneration from other biomarkers Receives: Drug: 11C-PBR28; Drug: 18F-Florbetaben; Procedure: Lumbar puncture (optional) |
What is being measured
The primary outcome is the main question the study is designed to answer.
11C-PBR28 Binding
In vivo quantification radioligand binding to TSPO expression on microglia in the brain, reported as standardized uptake value ratio (SUVR).
Measured: Up to 1 year from screening
Secondary outcomes (2)
18F-Florbetaben Binding
In vivo quantification of radioligand binding to Amyloid-Beta protein in the brain, reported as standardized uptake value ratio (SUVR).
Measured: Up to 1 year from screening
Cerebral Spinal Fluid (CSF) Biomarkers
Protein analysis of cerebral spinal fluid.
Measured: Up to 1 year from screening
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jul 2016 (estimated)
- Study startJun 2016
- Primary completionDec 2022
- Study completionDec 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Alzheimer's DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Patrick Lao
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute on Aging (NIA)
- Responsible party
- Sponsor-investigator, Patrick Lao, Columbia University
- Investigators
- Patrick J Lao, Principal investigator, Columbia University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02831283
- Sponsor's protocol ID
- AAAO1151
- Other IDs
- 1K23AG052633-01
- Status last verified
- Feb 2025
- First submitted
- 10 Jul 2016
- Last updated
- 5 Mar 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Klein J, Yan X, Johnson A, Tomljanovic Z, Zou J, Polly K, Honig LS, Brickman AM, Stern Y, Devanand DP, Lee S, Kreisl WC. Olfactory Impairment Is Related to Tau Pathology and Neuroinflammation in Alzheimer's Disease. J Alzheimers Dis. 2021;80(3):1051-1065. doi: 10.3233/JAD-201149.
PubMed 33646153
Study at a glance
From the registry record, last updated by the sponsor on 5 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Imaging Inflammation in Elders With Different Clinical and Biomarker Profiles of Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT02831283
- Acronym / sponsor ID
- AAAO1151
- Conditions
- Alzheimer's Disease
- Keywords
- inflammation, aging, mild cognitive impairment
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Patrick LaoUniversity, hospital or other
- Collaborators
- National Institute on Aging (NIA)
- Study start
- Jun 2016
- Primary completion
- Dec 2022 (actual)
- Study completion
- Dec 2022 (actual)
- First posted
- 13 Jul 2016 (estimated)
- Results
- Posted 5 Mar 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is being done to learn about inflammation and amyloid in Alzheimer's disease. A type of brain scan called a PET scan is used measure 1) inflammation and 2) abnormal accumulation of a the amount of a certain protein fragment called beta-amyloid (plaques) in the brain. These are thought to be involved in Alzheimer's disease. The investigators will also perform brain MRI and do tests to measure the participants' memory and thinking.
Detailed description
This study is being done to determine the relationship between inflammation, cognitive impairment, and amyloid burden in elderly subjects with different clinical and biomarker profiles of Alzheimer's disease (AD). Participants will undergo amyloid PET imaging with 18F-Florbetaben with target number of completers being 15 amyloid-positive elders with impairment, 15 amyloid-positive elders with normal cognition, 15 amyloid-negative elders with impairment, and 15 amyloid-negative elders with normal cognition. Subjects will undergo screen that includes neuropsychological testing, brain MRI, and PET imaging with 18F-florbetaben to define the above 4 groups. Subjects will have 11C-PBR28 PET imaging to measure the 18 kDa translocator protein (a marker of inflammation). Subjects will have the option to have lumbar puncture performed to measure CSF concentrations of amyloid,tau, phospho-tau, and inflammatory markers.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Amyloid-positive with cognitive impairment (AD) | Experimental | Drug: 11C-PBR28, Drug: 18F-Florbetaben, Procedure: Lumbar puncture (optional)Amyloid-positive patients who already have cognitive impairment at the time of enrollment. |
| Amyloid-positive without impairment (preclinical AD) | Active comparator | Drug: 11C-PBR28, Drug: 18F-Florbetaben, Procedure: Lumbar puncture (optional)Cognitively normal subjects who are amyloid-positive |
| Amyloid-negative with cognitive impairment | Active comparator | Drug: 11C-PBR28, Drug: 18F-Florbetaben, Procedure: Lumbar puncture (optional)Participants with cognitive impairment due to suspected non-AD pathophysiology |
| Amyloid-negative without impairment (normal aging) | Active comparator | Drug: 11C-PBR28, Drug: 18F-Florbetaben, Procedure: Lumbar puncture (optional)Cognitively normal subjects who are amyloid-negative on PET, and lack signs of neurodegeneration from other biomarkers |
Who may qualify
- Ages
- 60 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Age 60 and older.
- Meet criteria for either a) amnestic mild cognitive impairment (single or mixed domain) or mild Alzheimer's disease, or b) have no cognitive impairment based on history, exam, neuropsychological testing, and consensus diagnosis. MCI and mild AD patients must have Clinical Dementia Rating scale score of 0.5 or 1. Unimpaired subjects must have Clinical Dementia Rating scale score of 0.
- Subjects unable to provide informed consent must have a surrogate decision maker
- Written and oral fluency in English or Spanish.
- Able to participate in all scheduled evaluations and to complete all required tests and procedures.
Key exclusion criteria (9 listed)
- Past or present history of certain brain disorders other than MCI or AD.
- Certain significant medical conditions, which make study procedures of the current study unsafe.
- Contraindication to MRI scanning.
- Conditions precluding entry into the scanners (e.g., morbid obesity, claustrophobia, etc.).
- Exposure to research related radiation in the past year that, when combined with this study, would place subjects above the allowable limits.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| 11C-PBR28Also: 11C-[O-methyl-11C]N-acetyl-N-(2-methoxybenzyl)-2-phenoxy-5-pyridinamine11C-PBR28 is a PET radioligand that binds to the 18 kDa translocator protein (TSPO), a marker of inflammation. 11C-PBR28 has previously been administered in humans. 11C-PBR28 will be administered at activity of up to 20 mCi per injection. | Drug | Amyloid-negative with cognitive impairment, Amyloid-negative without impairment (normal aging), Amyloid-positive with cognitive impairment (AD), Amyloid-positive without impairment (preclinical AD) |
| 18F-FlorbetabenAlso: Neuraceq18F-Florbetaben (Neuraceq) has FDA approval for human use in evaluation of Alzheimer's disease. 18F-Florbetaben will be administered at activity up to 8.1 mCi per injection. | Drug | Amyloid-negative with cognitive impairment, Amyloid-negative without impairment (normal aging), Amyloid-positive with cognitive impairment (AD), Amyloid-positive without impairment (preclinical AD) |
| Lumbar puncture (optional)Also: LPSubjects have the option to have lumbar puncture performed for the measurement of inflammatory markers in cerebrospinal fluid. | Procedure or surgery | Amyloid-negative with cognitive impairment, Amyloid-negative without impairment (normal aging), Amyloid-positive with cognitive impairment (AD), Amyloid-positive without impairment (preclinical AD) |
Primary outcome
11C-PBR28 Binding
Time frame: Up to 1 year from screening
In vivo quantification radioligand binding to TSPO expression on microglia in the brain, reported as standardized uptake value ratio (SUVR).
2 secondary outcomes
18F-Florbetaben Binding
Time frame: Up to 1 year from screening
Cerebral Spinal Fluid (CSF) Biomarkers
Time frame: Up to 1 year from screening
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Mar 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 33646153Klein J, Yan X, Johnson A, Tomljanovic Z, Zou J, Polly K, Honig LS, Brickman AM, Stern Y, Devanand DP, Lee S, Kreisl WC. Olfactory Impairment Is Related to Tau Pathology and Neuroinflammation in Alzheimer's Disease. J Alzheimers Dis. 2021;80(3):1051-1065. doi: 10.3233/JAD-201149.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Patrick J Lao principal investigator
Columbia University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing 11C-PBR28, 18F-Florbetaben and Lumbar puncture (optional) in people with Alzheimer's Disease, run by Patrick Lao at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 5 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 5 Mar 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
11C-PBR28 Binding (time frame: Up to 1 year from screening). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02831283, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Mar 2025; AzTrials last refreshed its copy on 6 Nov 2026.