The ADRC Consortium for Clarity in ADRD Research Through Imaging (CLARITI)
Investigating Dementia Causes Through Imaging
Shannon Risacher
Primary Investigator
Brief description of study
Detailed description of study
You will be asked to undergo a panel of imaging and blood tests. Because there are several tests to do, they will be scheduled over 2 to 4 different days.
- The brain imaging tests include up to three types of positron emission tomography (PET) scans described below, and a magnetic resonance imaging (MRI) of your brain.
- Some of these tests are well accepted standard procedures and some will include use of an experimental drug.
- After your initial set of tests you will be asked to come back approximately two years later for follow-up tests.
- There are no treatments in this study.
- We expect that your taking part in this research study will last approximately 24 months.
Summary of procedures that may be done at each time point:
- Eligibility Review
- MRI scan (if applicable)
- Vital signs (blood pressure, pulse, weight)
- Amyloid PET scan with one of the following tracers: PiB, florbetapir, florbetaben, or NAV4694 (the radiotracers NAV469, PiB, MK6240, and PI-2620 are investigational drugs)
- Tau PET scan with one of the following tracers: MK6240, PI-2620 or flortaucipir
- FDG PET scan to assess glucose metabolism
Eligibility of study
You may be eligible for this study if you meet the following criteria:
- Conditions: Healthy, Mild cognitive impairment, MCI, Dementia
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Age: 55 years - 100 years
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Gender: All
- An ADRC Clinical Core participant.
- Age at Enrollment: Participant age is 55 years or greater.
- Brain donor: Participant is enrolled in the site’s ADRC brain donation program (waived as needed for participants from under-represented populations—URP)
- Cognition: Cognitive stage is unimpaired, MCI or dementia (mild to moderate at the discretion of the site).
- If cognitively unimpaired, the participant must meet at least one high priority characteristic
Exclusion criteria
- Medications: There are no specific medications that are excluded. Persons currently undergoing FDA approved amyloid immunotherapy may enroll; persons who previously completed immunotherapy may enroll. Persons who enroll and subsequently begin FDA approved immunotherapy may continue.
- Current experimental therapy: Persons receiving or scheduled to receive experimental amyloid or tau immunotherapy should not receive PI-2620. There are no clinical trial restrictions for the other radioligands in the study.
- Significant Medical or Neurologic Illness: Participants are excluded if, in the judgement of the site clinicians, they currently have severe and significant systemic, neurological or psychiatric illness or unstable medical condition which could impact ability to tolerate procedures or interpret the findings. Examples of excluded medical conditions include significant non-ADRD neurologic disease such as but not limited to Huntington’s disease, certain major cancer involving the CNS, current poorly controlled epilepsy, active Axis I DSM-V major psychotic disorder such as Schizophrenia.
- Pregnancy is excluded.
- MRI Contraindications: Participants with incompatible pacemakers, aneurysm clips, artificial heart valves, ear implants, metal fragments or foreign objects in the eyes, skin or body, or other contraindication are excluded from MRI exams unless screened and determined safe at the site. Participants with self reported claustrophobia, anxiety and/or discomfort to the confines of the MRI will be excluded. Contraindications for MRI do not necessarily apply to PET.
This study investigates the different causes of dementia, including Alzheimer's disease, vascular disease, and Lewy Body Disease. Dementia is a condition that affects memory and thinking, and it can have many causes. The study will look at these causes using special tests called biomarkers. Biomarkers are things in the body that can show if a disease is present. This study will include people who are middle-aged and older, from those who have no symptoms to those with mild to moderate dementia.
Participants will undergo different tests, including brain scans and blood tests. These tests will be done over 2 to 4 days. Some tests use special machines called PET and MRI scanners to take pictures of the brain. PET scans use a small amount of a safe substance to help see the brain better. Some of these tests will use an investigational drug, which means it is still being studied. Participants will come back for follow-up tests about two years later. There are no treatments given in this study.
- Who can participate: Participants must be 55 years or older and part of the ADRC Clinical Core. They can be cognitively normal, have mild cognitive impairment, or mild to moderate dementia.
- Study details: Participants will have brain scans and blood tests over several days. Some scans use investigational drugs. A placebo is not used in this study.
- Study timelines: The study will last 24 months.