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NCT04193527

A Study to Evaluate the Diagnostic Efficacy of DaTSCAN™ Ioflupane (123I) Injection in Single Photon Emission Computed Tomography (SPECT) for the Diagnosis of Parkinsonian Syndrome (PS) in Chinese Patients

Completed Phase 3 Results posted Last updated 16 October 2023
What this trial tests

Phase 3 trial testing DaTSCAN™ Ioflupane (123I) Injection in Parkinsonian Syndrome in 172 participants. Completed in 20 December 2021.

Timeline
28 June 2020
Primary endpoint
20 December 2021
20 December 2021

Quick facts

Lead sponsorGE Healthcare
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposediagnostic
Enrollment172
Start date28 June 2020
Primary completion20 December 2021
Estimated completion20 December 2021
Sites10 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

GE Healthcare — full company profile →

Who can join

Adults 40 to 80, any sex, with Parkinsonian Syndrome or Parkinson Disease(PD). Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Sensitivity Analysis of the Blinded Independent Read of DaTSCAN™ SPECT Images Primary · At Day 1

Sensitivity was defined as positive percentage agreement and calculated as the number of true positives (TP) / (number of TP + number of false negatives \[FN\]): TP/(TP + FN), and a 2-sided 95% binomial confidence interval constructed around it. Only the participants with a clinical diagnosis of PS were included in the sensitivity analysis. The sensitivity of the blinded independent read of DaTSCAN™ SPECT images in detecting or excluding striatal dopaminergic deficit (SDD), when the clinical diagnosis as established by the investigator was used as the standard of truth, were summarized with by

Reader 1-Sensitivity
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)0.8510.750 – 0.923
Reader 2-Sensitivity
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)0.8650.765 – 0.933
Reader 3-Sensitivity
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)0.9190.832 – 0.970
Normalized DaTSCAN™ Uptake Based on Region Of Interest (ROI) With Central Read (by Semi-quantitative Assessment by Use of DaTQUANT™) of DaTSCAN™ SPECT Images Secondary · At Day 1

A semi-quantitative analysis of the striatal uptake ratios in specific regions of interest (ROIs, i.e., left and right striatum, caudate, and putamen) of DaTSCAN™ SPECT images was performed with DaTQUANT™.

Anterior putamen right ratio
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)1.29315± 0.577528
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)2.70530± 0.577359
DaTSCAN™ Ioflupane: Healthy Volunteers (HV)2.94013± 0.835608
Anterior putamen left ratio
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)1.30474± 0.635803
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)2.67536± 0.585852
DaTSCAN™ Ioflupane: Healthy Volunteers (HV)2.92746± 0.784174
Caudatus asymmetry ratio
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)0.10454± 0.083195
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)0.03906± 0.029737
DaTSCAN™ Ioflupane: Healthy Volunteers (HV)0.04212± 0.023939
Caudatus left ratio
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)1.70232± 0.758242
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)2.87229± 0.648102
DaTSCAN™ Ioflupane: Healthy Volunteers (HV)3.05874± 0.866446
Caudatus right ratio
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)1.71398± 0.660892
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)2.86571± 0.616034
DaTSCAN™ Ioflupane: Healthy Volunteers (HV)2.99258± 0.885231
Putamen to caudatus left ratio
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)0.81527± 0.113790
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)0.91598± 0.071819
DaTSCAN™ Ioflupane: Healthy Volunteers (HV)0.94217± 0.075958
Putamen to caudatus right ratio
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)0.80208± 0.094132
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)0.92631± 0.076093
DaTSCAN™ Ioflupane: Healthy Volunteers (HV)0.95685± 0.060599
Putamen asymmetry ratio
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)0.08884± 0.070714
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)0.03472± 0.026388
DaTSCAN™ Ioflupane: Healthy Volunteers (HV)0.03066± 0.022587
Number of Participants With Treatment-emergent Adverse Events (TEAEs), and Serious TEAEs Secondary · From start of study drug administration up to Day 4

An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this investigational product (IP) or medicinal product. A Serious Adverse Event(SAE) was any untoward medical occurrence that at any dose met one, more of the following criteria: results in death, life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent, significant disability/incapacity, a congenital abnormality/birth defect, an importa

Participants with TEAEs
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)12
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)13
DaTSCAN™ Ioflupane: Healthy Volunteers (HV)8
Participants with Serious TEAEs
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)0
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)0
DaTSCAN™ Ioflupane: Healthy Volunteers (HV)0
Specificity Analysis of the Blinded Independent Read of DaTSCAN™ SPECT Images Primary · At Day 1

Specificity was defined as negative percentage agreement and calculated as the number of true negatives (TN) / (number of TN + number of false positives \[FP\]): TN/(TN + FP), and a 2-sided 95% binomial confidence interval constructed around it. For the specificity analysis, only participants with a clinical diagnosis of ET were included; the HVs were excluded from this analysis. The specificity of the blinded independent read of DaTSCAN™ SPECT images in detecting or excluding striatal dopaminergic deficit (SDD), when the clinical diagnosis as established by the investigator was used as the st

Reader 1-Specificity
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)0.9330.851 – 0.978
Reader 2-Specificity
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)0.9600.888 – 0.992
Reader 3-Specificity
GroupValue95% CI
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)0.8130.707 – 0.894

Adverse events — posted to ClinicalTrials.gov

Time frame: From start of study drug administration up to Day 4. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

DaTSCAN™ Ioflupane: Participants With Parkinsonian Syndrome (PS)
Serious: 0/75 (0%)
Deaths: 0/75
DaTSCAN™ Ioflupane: Participants With Essential Tremor (ET)
Serious: 0/75 (0%)
Deaths: 0/75
DaTSCAN™ Ioflupane: Healthy Volunteers (HV)
Serious: 0/22 (0%)
Deaths: 0/22
Other adverse events (24 terms — click to expand)

ReactionSystemDaTSCAN™ Ioflupane: Partic…DaTSCAN™ Ioflupane: Partic…DaTSCAN™ Ioflupane: Health…
ParaesthesiaNervous system disorders
Urinary tract infectionInfections and infestations
Blood glucose increasedInvestigations
Blood creatine phosphokinase increasedInvestigations
White blood cells urine positiveInvestigations
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
LeukocytosisBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
Dry eyeEye disorders
Hypoaesthesia oralGastrointestinal disorders
NauseaGastrointestinal disorders
Injection site paraesthesiaGeneral disorders
ConjunctivitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Protein urine presentInvestigations
Blood phosphorus decreasedInvestigations
Neutrophil count increasedInvestigations
Urinary occult blood positiveInvestigations
HyperglycaemiaMetabolism and nutrition disorders
DizzinessNervous system disorders
HaematuriaRenal and urinary disorders
Dermatitis allergicSkin and subcutaneous tissue disorders
HypertensionVascular disorders

Data from ClinicalTrials.gov NCT04193527 adverse events section.

Sponsor's own description

This is a multicenter, open-label, non-controlled, non-randomized, phase 3 clinical study to compare the SPECT findings after a single IV administration of DaTSCAN™ ioflupane (123I) injection for patients with a clinical diagnosis of Parkinsonian syndrome (PS) involving striatal dopaminergic deficit (SDD; specifically, Parkinson's disease \[PD\] \[SDD\], multiple system atrophy \[MSA\] \[SDD\] or or progressive supranuclear palsy \[PSP\] \[SDD\]) as compared with patients with a clinical diagnosis of essential tremor (ET) (no SDD) and age-matched healthy controls.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. The Potential of Metabolomics to Find Proper Biomarkers for Addressing the Neuroprotective Efficacy of Drugs Aimed at Delaying Parkinson's and Alzheimer's Disease Progression.
    Franco R, Garrigós C, Lillo J, Rivas-Santisteban R. · · 2024 · cited 5× · PMID 39120318 · DOI 10.3390/cells13151288

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