About this trial
1. Establish the safety and tolerability of the 5-cyano-N-(4-(4-\[11C\]Methylpiperazin-1-yl)-2-(Piperidin-1-yl)Phenyl)Furan-2-carboxamide (\[11C\]CPPC) PET radioligand in ALS patients and controls 2. Examine whether \[11C\]CPPC PET uptake is elevated in brains of ALS patients and whether there is a correlation with clinical phenotype. 3. Correlate \[11C\]CPPC PET imaging with other ALS outcome measures and biofluid biomarkers 4. Examine longitudinal changes in \[11C\]CPPC PET imaging during disease course.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Have the ability to understand the requirements of the study, provide written informed consent, understand and provide written authorization for the use and disclosure of Protected Health Information (PHI) [per Health Insurance Portability and Accountability Act (HIPAA) Privacy Ruling] and comply with the study procedures.
Men and women at least 18 years old.
use a condom during sexual intercourse with female partners who are of reproductive potential AND to have female partners use an additional effective means of contraception (e.g., diaphragm plus spermicide, or oral contraceptives) OR
male patient must agree to abstain from sexual intercourse during the study
Disqualifiers
Weakness due to causes other than ALS.
Receipt of any investigational drug, device or biologic within 10 days of administration of study compound.
Use of anti-inflammatory medications, immunosuppressants, or benzodiazepines within 7 days of administration of study compound.
Coagulopathy
Trial design
Single group
Treatments tested in this trial
[11C]CPPC PET ligand
DrugRadioactive PET ligand to determine microglia expression of colony stimulating factor 1 receptor (CSF1R).
Treatment groups
Trial outcomes
Primary outcomes
Safety of use of [11C]CPPC in patients with ALS as assessed by adverse events
Safety of use of \[11C\]CPPC in positron emission tomography (PET) neuroimaging of patients with a diagnosis of ALS. Safety will be assessed by number of adverse events during and up to 180 days after the injection
Safety of use of [11C]CPPC in patients with ALS as assessed by a change in neurological status
Safety of use of \[11C\]CPPC in positron emission tomography (PET) neuroimaging of patients with a diagnosis of ALS. Safety will be assessed by neurological physical exam to determine if there is a change in the findings from baseline.
Safety of use of [11C]CPPC in patients with ALS as assessed by a change in complete blood count (CBC) test
Safety of use of \[11C\]CPPC in positron emission tomography (PET) neuroimaging of patients with a diagnosis of ALS. Safety will be assessed by monitoring of the complete blood count (CBC) for a change from baseline that is outside of the normal range.
Safety of use of [11C]CPPC in patients with ALS as assessed by a change in complete metabolic panel (CMP) test
Safety of use of \[11C\]CPPC in positron emission tomography (PET) neuroimaging of patients with a diagnosis of ALS. Safety will be assessed by a change in the CMP from baseline that is outside of the normal range.
Secondary outcomes
Sensitivity of use of [11C]CPPC as assessed by a radiologist
Sensitivity of use of \[11C\]CPPC in PET neuroimaging to detect ALS will be determined by comparing the PET images from patients with ALS with those from healthy controls.
Locations
Sponsors and contacts
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Johns Hopkins University
Lead sponsor
United States Department of Defense
Collaborator
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