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出境医 / 临床实验 / Human Aging and in Vivo Noradrenergic System (NA_PET_MRI)

Human Aging and in Vivo Noradrenergic System (NA_PET_MRI)

Study Description
Brief Summary:
The main goal of this research proposal is to provide, for the first time in humans, a wider understanding of the role of the noradrenergic system both in health and illness (Parkinson's disease) through the use of a newly developed radiotracer (11Carbon [11C]Yohimbine) visualizing alpha-2 (α2) adrenergic receptors (AR) combined with cutting-edge technology, the hybrid positron emission tomography (PET)/magnetic resonance imaging (MRI) scanner. The secondary aim of this study will be to determine whether the expected age- and Parkinson's disease (PD)-related changes in the noradrenergic system are paralleled by changes in neuropsychological performances (such as cognitive, motor and/or olfactory abilities).

Condition or disease Intervention/treatment Phase
Parkinson Disease Other: The role of the noradrenergic system across the life span (Healthy Subjects) Other: The role of the noradrenergic system across the life span (Parkinson's Disease Subjects) Not Applicable

Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 135 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Basic Science
Official Title: Investigating the Noradrenergic System in the Living Human Brain With Hybrid Molecular Functional Imaging
Actual Study Start Date : April 29, 2019
Estimated Primary Completion Date : June 29, 2021
Estimated Study Completion Date : June 29, 2021
Arms and Interventions
Arm Intervention/treatment
Experimental: Healthy controls Other: The role of the noradrenergic system across the life span (Healthy Subjects)
A sample (n=90) of balanced distribution of healthy males and females within a continuous segment of the adult life span from 20 to 80 years old will be recruited, with approximately 7 males and 7 females subjects for each decade of age. Each participant will undergo 1) a neuropsychological examination, 2) an olfactory screening and 3) a 90 min 11C-Yohimbine positron emission tomography (PET)/magnetic resonance imaging (MRI) scan in a resting state.

Experimental: Parkinson disease Other: The role of the noradrenergic system across the life span (Parkinson's Disease Subjects)
Three groups of Parkinson Disease (PD) patients (each of them n=15) will be studied according to the duration and stage of the disease: early stage (the same group in Task 2); mid stage (5-7 years of disease duration; Hoehn and Yahr in Off 2-3); late stage (7-10 years of disease duration; Hoehn and Yahr in Off 3-4).

Outcome Measures
Primary Outcome Measures :
  1. Positron Emission Tomography (PET) and Magnetic Resonance Imaging (MRI) measures [ Time Frame: Day 1 -180 minutes ]
    Derived from the Positron Emission Tomography (PET) data, the binding potentials will be calculated using compartmental modelling techniques. Derived from the Magnetic Resonance Imaging (MRI) data.


Secondary Outcome Measures :
  1. Global Cognitive Assessment [ Time Frame: Day 2 - 10 minutes ]
    Measured with Montreal Cognitive Assessment. Outcome measure is between 0 and 30. A score of 26 or over is considered to be normal.

  2. Memory Assessment [ Time Frame: Day 2 - 20 minutes ]
    Measured with the 16-item Free and Cued Recall test. Outcome measure is the total immediate recall which is the sum of free and cued recall.

  3. Working Memory Assessment [ Time Frame: Day 2 - 20 minutes ]
    Measured with the Digit Span Memory test. Outcome measure is the total number of items correctly repeated.

  4. Executive Functioning [ Time Frame: Day 2 - 20 minutes ]
    Measured with the Trail Making test. Unit of measure is first seconds to perform the test, which will be converted in a percentile score and then number of errors made during the test.

  5. Planning Functioning [ Time Frame: Day 2 - 20 minutes ]
    Measured with the Tower of London test. Outcome measure is the total correct and total moves score.

  6. Visuo-spatial Assessment [ Time Frame: Day 2 - 20 minutes ]
    Measured by the Visual Object and Space Perception Battery. The study will use a selection of theses tests : incomplete letters (outcome measure is between 0 and 20; cut-off score = 16) and position discrimination (outcome measure is between 0 and 10; cut-off score = 7)

  7. Depression Evaluation [ Time Frame: Day 2 - 10 minutes ]
    Measured by the Beck Depression Inventory-II Questionnaire. Outcome measure is between 0 and 20 with a cut-off score = 13. A score higher than 14 indicates the presence of depression.

  8. Anxiety Evaluation [ Time Frame: Day 2 - 10 minutes ]
    Measured by the State-Trait Anxiety Inventory (STAI) form Y questionnaire. Outcome measure is between 20 and 80, with higher scores correlating with greater anxiety.

  9. Praxic Abilities [ Time Frame: Day 2 - 10 minutes ]
    Measured by the Mahieux Praxic test. Outcome measure is between 0 and 23.

  10. Day time sleepiness evaluation [ Time Frame: Day 2 - 5 minutes ]
    Measured by the Epworth Sleepiness Scale Questionnaire. Outcome measure is between 0 and 24 with a score between 0-8 indicating normal Daytime sleepiness, a score between 9-14 indicating mild sleep deficiency and a score above 15 an excessive daytime sleepiness.

  11. Sleep Quality [ Time Frame: Day 2 - 5 minutes ]
    Measured by the Pittsburgh Sleep Quality Index (PSQI). Outcome measure is between 0 and 21 with 0 indicating no sleep problem and 21 major sleep disorder.

  12. Olfactory assessment : odor detection [ Time Frame: Day 2 - 30 minutes ]
    The odor detection capability will be evaluated using a phenyl-ethyl alcohol (PEA) test. In this experiment, the detection threshold is obtained using a "staircase" procedure. Outcome measure is between 0 and 16 with higher score indicating better performance.

  13. Olfactory assessment: odor discrimination [ Time Frame: Day 2 - 30 minutes ]
    Odor discrimination capacity will be assessed by asking the participant to smell three bottles (two bottles contain the same odor, and the third contains a different smell). The test includes 16 triplets of odorous substances. Outcome measure is between 0 and 16 with higher score indicating better performance.

  14. Olfactory assessment : odor identification [ Time Frame: Day 2 - 30 minutes ]
    The odor identification capacity will be estimated by the European test of olfactory capacities (ETOC), a test based on 16 identifications. Outcome measure is between 0 and 16 with higher score indicating better performance.


Eligibility Criteria
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Ages Eligible for Study:   20 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria for the healthy controls:

  • Age between 20 years and 80 years
  • Weight between 40 kilograms (kg) and 95kg
  • Without neurologic or psychiatric history
  • Without head trauma history including loss of consciousness superior to 30 minutes.
  • Affiliated to a social security or similar scheme
  • Not subject to any legal protection measures
  • Participant must have signed an informed consent document indicating that they understand the purpose of, and procedures required for, the study and are willing to participate in the study and comply with the study procedures and restrictions

Inclusion Criteria for the patients with Parkinson's disease:

  • Age between 40 and 80 years old
  • Weight between 40 kilograms (kg) and 95kg
  • With an idiopathic Parkinson's disease (Dopa-sensitive)
  • Without head trauma history including loss of consciousness superior to 30 minutes.
  • Affiliated to a social security or similar scheme
  • Not subject to any legal protection measures
  • Participant must have signed an informed consent document indicating that they understand the purpose of, and procedures required for, the study and are willing to participate in the study and comply with the study procedures and restrictions

Exclusion Criteria:

  • Subject with alcohol or substance abuse history
  • Subject with somatic drug therapies
  • Magnetic Resonance Imaging (MRI) contraindications (implanted or embedded metal objects in the head or body)
  • Positron Emission Tomography (PET) contraindications
  • Exposed to 1 millisievert or more of ionizing radiation in the year before the start of this study
  • Subject unable to sign written consent for participation in the study
Contacts and Locations

Contacts
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Contact: Chloé Laurencin, MD 4.72.11.80.22 ext 33 chloe.laurencin@chu-lyon.fr
Contact: Bénédicte BALLANGER 06.87.90.11.01 benedicte.ballanger@cnrs.fr

Locations
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France
Hôpital Neurologique Pierre Wertheimer, Groupement Hospitalier Est Recruiting
Bron, France
Contact: Bénédicte BALLANGER    06.87.90.11.01    benedicte.ballanger@cnrs.fr   
Sponsors and Collaborators
Hospices Civils de Lyon
Investigators
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Principal Investigator: Chloé Laurencin, MD Hospices Civils de Lyon
Tracking Information
First Submitted Date  ICMJE April 11, 2019
First Posted Date  ICMJE May 8, 2019
Last Update Posted Date June 24, 2019
Actual Study Start Date  ICMJE April 29, 2019
Estimated Primary Completion Date June 29, 2021   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: May 6, 2019)
Positron Emission Tomography (PET) and Magnetic Resonance Imaging (MRI) measures [ Time Frame: Day 1 -180 minutes ]
Derived from the Positron Emission Tomography (PET) data, the binding potentials will be calculated using compartmental modelling techniques. Derived from the Magnetic Resonance Imaging (MRI) data.
Original Primary Outcome Measures  ICMJE Same as current
Change History Complete list of historical versions of study NCT03942289 on ClinicalTrials.gov Archive Site
Current Secondary Outcome Measures  ICMJE
 (submitted: May 6, 2019)
  • Global Cognitive Assessment [ Time Frame: Day 2 - 10 minutes ]
    Measured with Montreal Cognitive Assessment. Outcome measure is between 0 and 30. A score of 26 or over is considered to be normal.
  • Memory Assessment [ Time Frame: Day 2 - 20 minutes ]
    Measured with the 16-item Free and Cued Recall test. Outcome measure is the total immediate recall which is the sum of free and cued recall.
  • Working Memory Assessment [ Time Frame: Day 2 - 20 minutes ]
    Measured with the Digit Span Memory test. Outcome measure is the total number of items correctly repeated.
  • Executive Functioning [ Time Frame: Day 2 - 20 minutes ]
    Measured with the Trail Making test. Unit of measure is first seconds to perform the test, which will be converted in a percentile score and then number of errors made during the test.
  • Planning Functioning [ Time Frame: Day 2 - 20 minutes ]
    Measured with the Tower of London test. Outcome measure is the total correct and total moves score.
  • Visuo-spatial Assessment [ Time Frame: Day 2 - 20 minutes ]
    Measured by the Visual Object and Space Perception Battery. The study will use a selection of theses tests : incomplete letters (outcome measure is between 0 and 20; cut-off score = 16) and position discrimination (outcome measure is between 0 and 10; cut-off score = 7)
  • Depression Evaluation [ Time Frame: Day 2 - 10 minutes ]
    Measured by the Beck Depression Inventory-II Questionnaire. Outcome measure is between 0 and 20 with a cut-off score = 13. A score higher than 14 indicates the presence of depression.
  • Anxiety Evaluation [ Time Frame: Day 2 - 10 minutes ]
    Measured by the State-Trait Anxiety Inventory (STAI) form Y questionnaire. Outcome measure is between 20 and 80, with higher scores correlating with greater anxiety.
  • Praxic Abilities [ Time Frame: Day 2 - 10 minutes ]
    Measured by the Mahieux Praxic test. Outcome measure is between 0 and 23.
  • Day time sleepiness evaluation [ Time Frame: Day 2 - 5 minutes ]
    Measured by the Epworth Sleepiness Scale Questionnaire. Outcome measure is between 0 and 24 with a score between 0-8 indicating normal Daytime sleepiness, a score between 9-14 indicating mild sleep deficiency and a score above 15 an excessive daytime sleepiness.
  • Sleep Quality [ Time Frame: Day 2 - 5 minutes ]
    Measured by the Pittsburgh Sleep Quality Index (PSQI). Outcome measure is between 0 and 21 with 0 indicating no sleep problem and 21 major sleep disorder.
  • Olfactory assessment : odor detection [ Time Frame: Day 2 - 30 minutes ]
    The odor detection capability will be evaluated using a phenyl-ethyl alcohol (PEA) test. In this experiment, the detection threshold is obtained using a "staircase" procedure. Outcome measure is between 0 and 16 with higher score indicating better performance.
  • Olfactory assessment: odor discrimination [ Time Frame: Day 2 - 30 minutes ]
    Odor discrimination capacity will be assessed by asking the participant to smell three bottles (two bottles contain the same odor, and the third contains a different smell). The test includes 16 triplets of odorous substances. Outcome measure is between 0 and 16 with higher score indicating better performance.
  • Olfactory assessment : odor identification [ Time Frame: Day 2 - 30 minutes ]
    The odor identification capacity will be estimated by the European test of olfactory capacities (ETOC), a test based on 16 identifications. Outcome measure is between 0 and 16 with higher score indicating better performance.
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Human Aging and in Vivo Noradrenergic System
Official Title  ICMJE Investigating the Noradrenergic System in the Living Human Brain With Hybrid Molecular Functional Imaging
Brief Summary The main goal of this research proposal is to provide, for the first time in humans, a wider understanding of the role of the noradrenergic system both in health and illness (Parkinson's disease) through the use of a newly developed radiotracer (11Carbon [11C]Yohimbine) visualizing alpha-2 (α2) adrenergic receptors (AR) combined with cutting-edge technology, the hybrid positron emission tomography (PET)/magnetic resonance imaging (MRI) scanner. The secondary aim of this study will be to determine whether the expected age- and Parkinson's disease (PD)-related changes in the noradrenergic system are paralleled by changes in neuropsychological performances (such as cognitive, motor and/or olfactory abilities).
Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Basic Science
Condition  ICMJE Parkinson Disease
Intervention  ICMJE
  • Other: The role of the noradrenergic system across the life span (Healthy Subjects)
    A sample (n=90) of balanced distribution of healthy males and females within a continuous segment of the adult life span from 20 to 80 years old will be recruited, with approximately 7 males and 7 females subjects for each decade of age. Each participant will undergo 1) a neuropsychological examination, 2) an olfactory screening and 3) a 90 min 11C-Yohimbine positron emission tomography (PET)/magnetic resonance imaging (MRI) scan in a resting state.
  • Other: The role of the noradrenergic system across the life span (Parkinson's Disease Subjects)
    Three groups of Parkinson Disease (PD) patients (each of them n=15) will be studied according to the duration and stage of the disease: early stage (the same group in Task 2); mid stage (5-7 years of disease duration; Hoehn and Yahr in Off 2-3); late stage (7-10 years of disease duration; Hoehn and Yahr in Off 3-4).
Study Arms  ICMJE
  • Experimental: Healthy controls
    Intervention: Other: The role of the noradrenergic system across the life span (Healthy Subjects)
  • Experimental: Parkinson disease
    Intervention: Other: The role of the noradrenergic system across the life span (Parkinson's Disease Subjects)
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Recruiting
Estimated Enrollment  ICMJE
 (submitted: May 6, 2019)
135
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE June 29, 2021
Estimated Primary Completion Date June 29, 2021   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria for the healthy controls:

  • Age between 20 years and 80 years
  • Weight between 40 kilograms (kg) and 95kg
  • Without neurologic or psychiatric history
  • Without head trauma history including loss of consciousness superior to 30 minutes.
  • Affiliated to a social security or similar scheme
  • Not subject to any legal protection measures
  • Participant must have signed an informed consent document indicating that they understand the purpose of, and procedures required for, the study and are willing to participate in the study and comply with the study procedures and restrictions

Inclusion Criteria for the patients with Parkinson's disease:

  • Age between 40 and 80 years old
  • Weight between 40 kilograms (kg) and 95kg
  • With an idiopathic Parkinson's disease (Dopa-sensitive)
  • Without head trauma history including loss of consciousness superior to 30 minutes.
  • Affiliated to a social security or similar scheme
  • Not subject to any legal protection measures
  • Participant must have signed an informed consent document indicating that they understand the purpose of, and procedures required for, the study and are willing to participate in the study and comply with the study procedures and restrictions

Exclusion Criteria:

  • Subject with alcohol or substance abuse history
  • Subject with somatic drug therapies
  • Magnetic Resonance Imaging (MRI) contraindications (implanted or embedded metal objects in the head or body)
  • Positron Emission Tomography (PET) contraindications
  • Exposed to 1 millisievert or more of ionizing radiation in the year before the start of this study
  • Subject unable to sign written consent for participation in the study
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 20 Years to 80 Years   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE
Contact: Chloé Laurencin, MD 4.72.11.80.22 ext 33 chloe.laurencin@chu-lyon.fr
Contact: Bénédicte BALLANGER 06.87.90.11.01 benedicte.ballanger@cnrs.fr
Listed Location Countries  ICMJE France
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03942289
Other Study ID Numbers  ICMJE 69HCL18_0409
2018-003999-13 ( EudraCT Number )
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE Not Provided
Responsible Party Hospices Civils de Lyon
Study Sponsor  ICMJE Hospices Civils de Lyon
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Chloé Laurencin, MD Hospices Civils de Lyon
PRS Account Hospices Civils de Lyon
Verification Date June 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP