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Flutemetamol

Phase 3

Alzheimer's Disease | Small molecule | Neurology |GE HealthCare Technologies Inc.|Trials Updated: Jun 5, 2017

Flutemetamol development status

Highest phase Phase 3
Registered trials 7 across 1 sponsor since Dec 2009

Flutemetamol target and mechanism

ModalitySmall molecule

Also known as [18F] Flutemetamol, Flutemetamol (18F) Injection, 18F, AH110690

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials6
Total Enrollment999

FDA Designations

No designations recorded

Flutemetamol clinical trials

Flutemetamol · 6 trials · 6 indications

Phase 3 4Phase 2 2
NCT01672827Effectiveness of an Electronic Training Program for Orienting and Interpreting [18F]Flutemetamol Positron Emission Tomography (PET) ImagesAlzheimer's Disease
COMPLETED276 Analytics
NCT01165554Positron Emission Tomography (PET) Imaging of Brain Amyloid Compared to Post-Mortem LevelsBrain Fibrillarab Levels
COMPLETED203 Analytics
NCT01028053Assess the Prognostic Usefulness of Flutemetamol (18F) Injection for Identifying Subjects With Amnestic Mild Cognitive Impairment Who Will Convert to Clinically Probable Alzheimer's DiseaseMild Cognitive Impairment
COMPLETED365 Analytics
NCT01053312PET Imaging of Brain Amyloid in Normal Pressure HydrocephalusNormal Pressure Hydrocephalus
COMPLETED7 Analytics
PHASE3COMPLETED
Effectiveness of an Electronic Training Program for Orienting and Interpreting [18F]Flutemetamol Positron Emission Tomography (PET) Images
Alzheimer's DiseaseUnlock trial analytics
PHASE3COMPLETED
Positron Emission Tomography (PET) Imaging of Brain Amyloid Compared to Post-Mortem Levels
Brain Fibrillarab LevelsUnlock trial analytics
PHASE3COMPLETED
Assess the Prognostic Usefulness of Flutemetamol (18F) Injection for Identifying Subjects With Amnestic Mild Cognitive Impairment Who Will Convert to Clinically Probable Alzheimer's Disease
Mild Cognitive ImpairmentUnlock trial analytics
PHASE3COMPLETED
PET Imaging of Brain Amyloid in Normal Pressure Hydrocephalus
Normal Pressure HydrocephalusUnlock trial analytics

Study Endpoints

Primary Endpoints

Summary of Sensitivity of the Blinded Visual PET Image Interpretations Without Anatomic Images.
Post flutemetamol administration

Statistical analysis of summary of the blinded visual PET Image Interpretations without Anatomic Images. This data consists of image interpretations by 5 Readers and No subjects were dosed in this study. These Readers examined the PET images for evidence of amyloid plaque.

Summary of Specificity of Blinded Visual PET Image Interpretations Without Anatomic Images.
Post flutemetamol administration

Statistical analysis of summary of sensitivity of blinded visual PET image interpretations without anatomic images. This data consists of image interpretations by 5 Readers and No subjects were dosed in this study.These Readers examined the PET images for evidence of amyloid plaque.

The Sensitivity of Blinded Visual Interpretations of [18F]Flutemetamol Positron Emission Tomography (PET) Images Without Anatomic Brain Images for Detecting Brain Fibrillar Amyloid β.
Post flutemetamol administration.

A calculation used to assess Sensitivity was (Number of Blinded Reads determined abnormal by Reader "N") divided by the (Total number of abnormal participants). Blinded visual interpretations of \[18F\]flutemetamol Positron Emission Tomography (PET) images without anatomic brain images for detecting brain fibrillar amyloid β.

Hazard Ratio (HR) by PET Scan Readers for Conversion to Probable Alzheimer's Disease Based on Visual Image Interpretation.
Up to 36 months post flutemetamol administration

Visual Interpretation of the PET scan by independent readers. Note: The statistic Hazard ratio (HR) is the ratio of the hazard rates in the 2 groups (1 group being normal (negative for amyloid B) and 1 group being abnormal (positive for amyloid B). Under the null hypothesis of equal rates, the HR would be equal to 1. As the HR increases above 1, the chances of being probable Alzheimer's Disease (pAD) also increases. Note: Eight Subjects who withdrew prior to the first Clinical Adjudication Committee (CAC) evaluation are not included in the analysis. (232 - 8 = 224 Subjects included).

Quantitative Estimates of Brain Uptake [18F]Flutemetamol and the Quantitative Immunohistochemical (IHC) Estimates of Amyloid Levels in Biopsy Samples Previously Obtained.
Post-contrast administration

Radiotracers have enabled the in-vivo imaging of amyloid-beta plaques in the brain, one of the histopathologic hallmarks of Alzheimer's disease (AD). Standardized uptake value ratio SUVR)is the quantitive measure of specific tracer uptake, normalized for the non-specific mean uptake in a reference region. SUVR is calculated as SUV\_voi/SUV\_ref with SUV being the integrated activity over a given time period for the volume of interest (SUV\_voi) or reference region (SUV\_ref). VOI means volume of interest and REF means reference region.

Comparsion Between Brain Uptake of [18F] Flutemetamol Amyloid Level From Immunohistochemistry Assay and a Stained Biopsy Tissue Specimen.
Post-contrast administration

This was an amyloid level estimate measured by Immunohistochemistry assay to determine the percentage of plaque area for mAb NAB228. The Immuno-histo chemical reagent was monoclonal antibody (mAB) NAB228. This is a percentage of the area of the biopsy tissue specimen that stains positive for amyloid using NAB228.

Blinded Visual Assessment of Positron Emission Tomography (PET) Imaging and Clinical Diagnosis by Non-Japanese Readers
Up to 90 minutes after investigational medicinal product (IMP) administration

The performance of Flutemetanol F 18 injection in participants was determined by evaluation of the level of association between the blinded visual assessment of a participant's brain image and the participant's clinical diagnosis by 5 non-Japanese readers, who classified each participant's images as either normal or abnormal (raised) Flutemetanol F 18 uptake.

Blinded Visual Assessment of Positron Emission Tomography (PET) Imaging and Clinical Diagnosis by Japanese Readers
Up to 90 minutes after IMP administration

The performance of Flutemetanol F 18 injection in participants was determined by evaluation of the level of association between the blinded visual assessment of a participant's brain image and the participant's clinical diagnosis by 5 Japanese readers, who classified each participant's images as either normal or abnormal (raised) Flutemetanol F 18 uptake.

Examine the efficacy and determine visual assessment of raised [18F] brain uptake for separating subjects with probable Alzheimer's Disease from healthy volunteers and assigning amnestic mild cognitive impairment cases to an AD or HV category.
September 2008 - February 2009

Secondary Endpoints

Inter-Reader Agreement of PET Images Without Anatomic Images
Post Flutemetamol Injection
Blinded Visual Interpretation of Each Subject's Flutemetamol F 18 Injection Brain PET Images as Normal, Without Anatomic Brain Images.
Post Flutemetamol administrations
Blinded Visual Interpretation of Each Subject's Flutemetamol F 18 Injection Brain PET Images as Abnormal, With Anatomic CT Brain Images for Reference.
Post flutemetamol administration.
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Study Design & Arms

AllocationNA
MaskingSINGLE
ModelSINGLE_GROUP
PurposeDIAGNOSTIC

Treatment Arms

ArmTypeDescription
[18F]FlutemetamolEXPERIMENTAL -
[18F] FlutemetamolEXPERIMENTAL -
Flutemetamol (18F) InjectionEXPERIMENTALFlutemetamol (18F) Injection
1 flutemetamolEXPERIMENTAL -
Healthy volunteersEXPERIMENTAL185 MBq \[18F\] Flutemetamol
Mild cognitive impairmentEXPERIMENTAL185 MBq \[18F\] Flutemetamol
Alzheimer's DiseaseEXPERIMENTAL185 MBq \[18F\] Flutemetamol

Interventions

NameTypeDescription
[18F]FlutemetamolDRUGNo drug is administered in this intervention. These are scanned images being reviewed, previously acquired in various GE-067 studies.
[18F] FlutemetamolDRUGFlutemetamol (18F) Injection, 111 to 370 MBq (3 to 10 mCi), single intravenous injection.
Flutemetamol (18F) InjectionDRUGAll subjects will receive an i.v. dose of (18F) flutemetamol (less than 10 mg flutemetamol). The nominal activity of a single administration of (18F) flutemetamol will be 185 MBq.
AH110690 (18F) InjectionDRUGAll subjects will receive an I.V. dose of \[18F\]AH110690 (less than 10 mg of total AH110690). The target activity of a single administration of \[18F\]AH110690 will be 185 MBq (equivalent to a dose of approximately 6 mSv).
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersYes

Inclusion Criteria: * Subject received a dose of Flutemetamol F 18 Injection ranging from approximately 185 MBq to approximately 370 MBq. * The subject was classified as one of the following: 1. End-of-life subject who expired and underwent brain autopsy, with histochemical (HC) confirmation of ...

Countries:United StatesNorway
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Frequently asked questions about Flutemetamol

What is Flutemetamol used for?

Flutemetamol is a PET imaging agent used to evaluate beta-amyloid in the brain. It is studied in Alzheimer's disease, mild cognitive impairment, brain fibrillar amyloid levels, and normal pressure hydrocephalus. It is a small molecule radiopharmaceutical developed by GE HealthCare Technologies Inc. for neurology applications.

Who makes Flutemetamol?

Flutemetamol is developed by GE HealthCare Technologies Inc., which trades under the ticker GEHC. The company holds the asset as a PET amyloid imaging agent in its neurology portfolio.

What phase is Flutemetamol in?

Flutemetamol is in Phase 3 development. Its clinical program includes completed Phase 3 studies along with a completed Phase 2 study. It is an investigational imaging agent and remains in clinical development.

What clinical trials is Flutemetamol in?

Flutemetamol has been studied in completed trials including NCT01672827, which evaluated an electronic training program for interpreting [18F]Flutemetamol PET images, and NCT01165554, which compared PET imaging of brain amyloid with post-mortem levels. Other completed studies include NCT02813070 and NCT01053312.

Is Flutemetamol the same as [18F]Flutemetamol?

Yes. Flutemetamol is also known as [18F]Flutemetamol, Flutemetamol (18F) Injection, and [18F]Flutemetamol. These names refer to the same PET amyloid imaging agent developed by GE HealthCare Technologies Inc.