UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000038947
Receipt number R000044411
Scientific Title The relationship between central glial activation and peripheral proinflammatory material of Alzheimer's disease mesured by PET-TSPO imaging
Date of disclosure of the study information 2020/01/06
Last modified on 2026/06/26 10:02:06

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Basic information

Public title

The relationship between central glial activation and peripheral proinflammatory material of Alzheimer's disease mesured by PET-TSPO imaging

Acronym

PET-TSPO imaging :central glial activation and peripheral proinflammatory material of Alzheimer's disease

Scientific Title

The relationship between central glial activation and peripheral proinflammatory material of Alzheimer's disease mesured by PET-TSPO imaging

Scientific Title:Acronym

PET-TSPO imaging :central glial activation and peripheral proinflammatory material of Alzheimer's disease

Region

Japan


Condition

Condition

Dementia of Alzheimer's disease

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

By using PET imaging with [11C]DPA-713, we will measure the central glial activation in the patients with AD. We will investigate the relationship between central glial activation and the peripheral material related to the infllamation and glial acivation

Basic objectives2

Bio-availability

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The relationship between the central glial activation measured by PET with [11C]DPA-713 and the peripheral material related to the infllamation and glial acivation

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

50 years-old <=

Age-upper limit

84 years-old >=

Gender

Male and Female

Key inclusion criteria

Alzheimer`s disase patient whose symptoms fulfilled the clinical diagnostic criteria

Key exclusion criteria

The AD patients with medical history of
neurological and psychiatrical disease

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Fumihiko
Middle name
Last name Yasuno

Organization

National Center for Geriatrics and Gerontology

Division name

Department of Psychiatry

Zip code

474-8511

Address

7-430 Morioka-cho Obu, Aichi

TEL

0562-46-2311

Email

yasunof@ncgg.go.jp


Public contact

Name of contact person

1st name Fumihiko
Middle name
Last name Yasuno

Organization

National Center for Geriatrics and Gerontology

Division name

Department of Psychiatry

Zip code

474-8511

Address

7-430 Morioka-cho Obu, Aichi

TEL

0562-46-2311

Homepage URL


Email

yasunof@ncgg.go.jp


Sponsor or person

Institute

National Center for Geriatrics and Gerontology

Institute

Department

Personal name



Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Center for Geriatrics and Gerontology

Address

7-430 Morioka-cho

Tel

0562462311

Email

yaday@ncgg.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2020 Year 01 Month 06 Day


Related information

URL releasing protocol

ttps://www.ncgg.go.jp/ri/biobank/cooperation/kenkyu/1276-5.html

Publication of results

Partially published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/37648003/

Number of participants that the trial has enrolled

17

Results

Translocator protein-PET imaging of glial activation is a stronger predictor of AD clinical progression than the amount of amyloid/tau pathology measured using CSF concentrations. Glial activation is the primary cause of tau-induced neuronal toxicity and cognitive deterioration, thereby highlighting the potential of blocking maladaptive microglial responses as a therapeutic strategy for AD treatment.

Results date posted

2026 Year 06 Month 26 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Patients with Alzheimer's disease (AD) who meet the eligibility criteria based on clinical diagnosis and whose blood samples and clinical information are registered and stored in our center's biobank

Participant flow

In a cohort of patients with Alzheimer disease whose blood samples and clinical data are registered and stored in our center's biobank, we used [11C]DPA-713 PET to quantitatively assess in vivo the inflammatory responses occurring in the brain during the degenerative process. Concurrently, we conducted a quantitative analysis of the relationship between the dynamic changes in proteins, cytokines, and inflammation-associated cells in cerebrospinal fluid and peripheral blood induced by inflammation, and clinical symptoms--primarily those related to cognition and psychobehavioral aspects of dementia.

Adverse events

PET scans involve radiation exposure, but the amount is not significant enough to affect the human body.
Regarding arterial blood sampling during a PET scan, there is a risk of arterial occlusion or nerve damage, but the likelihood is extremely low.
There is a possibility of side effects such as allergic reactions to local anesthetics or anticoagulants, a decrease in platelet count, or bleeding; however, these are all extremely rare.
With a cerebrospinal fluid (CSF) test, there is a risk of infection when the needle is inserted, as well as the risk of nerve damage leading to persistent numbness or bleeding that compresses the spinal nerves; however, these are all rare.

Regarding the use of samples and information collected by the National Center for Geriatrics and Gerontology Biobank, sufficient consideration is given to the protection of privacy; therefore, no new adverse effects or risks are anticipated.

Outcome measures

Using [11C]DPA-713-based PET, we will quantitatively assess in vivo the inflammatory response in the brain that occurs during the degenerative process. At the same time, we will conduct a quantitative analysis of the relationship between the dynamic changes in cerebrospinal fluid and peripheral blood--including proteins, cytokines, and inflammatory cells--induced by inflammation, and clinical symptoms of dementia, with a focus on cognitive and psychobehavioral aspects.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2019 Year 07 Month 01 Day

Date of IRB

2019 Year 09 Month 13 Day

Anticipated trial start date

2019 Year 11 Month 01 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Now the research is progressing according to the research protocol.


Management information

Registered date

2019 Year 12 Month 21 Day

Last modified on

2026 Year 06 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044411