PET Study in Multiple Sclerosis

University of British Columbia

Status

Unknown

Conditions

Multiple Sclerosis

Study type

Observational

Funder types

Other

Industry

Identifiers

NCT03787446

H18-02393

Details and patient eligibility

About

While both conventional and advanced MRI techniques offer important insights into MS pathophysiology, important aspects of this inflammatory disorder are undetectable with existing MRI technology. In Multiple Sclerosis (MS), there is growing interest in PET as an imaging modality that can increase the investigator's understanding of the disease processes and may add to an understanding of MS phenotype, particularly when combined with advanced MRI techniques such as myelin water imaging.

Full description

This is an exploratory study. PBR28 PET scan is new, promising and exploratory endpoints in MS clinical trials, making sample size estimation difficult.

A separate pre-screening consent form will be issued for the TSPO rs6971 polymorphism and eGFR blood samples, a separate pre-screening step. Eligible participants, according to their TSPO rs6971 polymorphism will be presented a separate study consent form to continue into the clinical trial.

Study Assessments include 1 PET scan, 1 MRI scan, OCT, EDSS exam, physical exam, cognitive questionnaires, etc.

Enrollment

9 estimated patients

Sex

All

Ages

18 to 60 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Subjects diagnosed with Multiple Sclerosis according to the 2010 McDonald criteria or otherwise in the opinion of the investigator (including relapsing-remitting and primary-progressive).
Aged 18 to 60 years.
Mixed affinity binder according to rs6971 TSPO polymorphism1.
Creatinine clearance over 60 mL/min*). * Blood result valid up to 3 months prior to the MRI scan.

Exclusion criteria

Low and high affinity binders according to rs6971 TSPO polymorphism
Subject pregnant or breastfeeding.
Subjects with a Body Mass Index (BMI) >35kg/m³.
Hospitalization within 1 month of screening visit.
Medical history or current heart failure
Medical history or current pulmonary failure
Current or Historical Drug or alcohol abuse in the opinion of the investigator.
Regular use of anti-inflammatory agents (more than once a week use of aspirin, NSAIDS, Steroids, immunomodulating drugs), unless patient is able to washout from anti-inflammatory drugs 2 weeks prior to PBR PET scan.
Neurological disorder other than MS, including Brain Trauma, stroke, Parkinson disease, Alzheimer disease, encephalitis.
Subjects with a history of radiation treatment or other high amounts of radiation exposure in the opinion of the investigator.
Subjects with a history of metastatic cancer including solid tumors and hematological malignancies, except basal cell, in situ squamous cell carcinoma of the skin, and in situ carcinoma of the cervix or the uterus that have been excised with clear margins.
Inability to tolerate lying supine for the duration of the MRI and PET scan.
Claustrophobia.
Current use of MS drugs as described by the list of prohibited medications.

Exclusion specific to MRI (All MRI specific criteria is subject to conditions posed by the MRI technologist or radiologist):

Known or suspected piece of metal in eye(s)
Irremovable piercing or recent tattoos in the last 6 weeks
Cardiac pacemakers, wires or defibrillator
Artificial heart valve
Brain aneurysm clip
Electrical stimulator for nerves or bones
Deep brain stimulator
Implanted drug infusion pump
Coil, catheter, or filter in any blood vessel
Orthopedic hardware (artificial joint, plate, screws) inserted within the last 6 weeks
Surgery within the last 6 weeks
Harrington rod for scoliosis
Other metallic prosthesis
Any metal fragments, Shrapnel, bullets, or metal prosthesis
Irremovable dentures, braces or retainer(s)
IUDs containing metal
Previous surgery of the brain, eyes, ears, breast, chest, heart, or spine in the opinion of the investigator and MRI technician(s)