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Completed

NCT Number: NCT04564092

A Study to Evaluate the Safety, Biodistribution, Internal Radiation Dosimetry, and Effective Dose of DaTSCAN™ Ioflupane (123I) Injection in Chinese Healthy Volunteers.

This is a phase 1, single-centre, single-group, nonrandomized, noncomparative, open-label, single-dose study to evaluate the safety, biodistribution, internal radiation dosimetry, and effective dose of DaTSCAN™ ioflupane (123I) injection in Chinese Healthy Volunteers.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Rujin hospital, affiliated to Shanghai Jiaotong University, School of Medicine

Huangpu, Shanghai Municipality, 200025, China

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Chinese male or female who has agreed to sign and date the written informed consent form
  • Age 18-70 years
  • Body mass index (BMI) of 18-30 kg/m^2
  • General good state of health as judged by a qualified physician after completing physical examination
  • Fit, co-operative, and able to provide consent

Exclusion criteria

  • Sensitivity to DaTSCAN™ ioflupane (123I) injection or any of its ingredients
  • A history of motor disturbances
  • A history of pulmonary, cardiovascular, neurological, renal or hepatic, hormonal or coagulation disorders or hyperthyroidism
  • A history of drug, alcohol, or solvent abuse
  • The subject has been previously enrolled in this study or participated in a clinical study involving an investigational pharmaceutical product within 30 days prior to screening
  • Radionuclide injection within a minimum of 5 radioactive half-lives prior to screening
  • Use of any medication (except paracetamol [acetaminophen] or oral contraceptive), including traditional Chinese medicine, within 2 weeks prior to the imaging visit
  • Classification as a radiation worker
  • Women of child-bearing potential not accepting a highly effective method of birth control (A woman is considered of child-bearing potential, i.e., fertile, following menarche and until becoming postmenopausal unless permanently sterile. Permanent sterilisation methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. Postmenopausal is defined as 12 months with no menses without an alternative medical cause, in International Council on Harmonisation (ICH) M3 (R2); A highly effective method of birth control is defined as one which results in a low failure rate (i.e., less than 1 % per year) when used consistently and correctly, such as implants, injectables, combined oral contraceptives, some intrauterine devices, sexual abstinence or vasectomised partner, in ICH M3 (R2).
  • Pregnant or lactating women

Treatment and study plan

DaTSCAN™ Ioflupane (123I) Injection

Drug

Each participant will receive a single administration of DaTSCAN™ ioflupane (123I) injection by bolus IV injection with a nominal iodine (123I) activity of 111 MBq ±10%, in a maximum volume of 5 mL.

Other names: Ioflupane (123I)

Primary outcomes

  1. Number of Participants With Adverse Events (AEs)

    Time frame: Baseline up to 2 weeks after IMP administration (i.e., up to 16 days)

    An AE was defined as any untoward medical occurrence in participants or clinical investigation participant which did not necessarily have to have been related to the investigational medical product (IMP). AEs were recorded from time of informed consent through the follow-up visit at 2 weeks (±2 days) after IMP administration.

  2. Change From Baseline in Tolerability Questionnaire Score at Approximately 15 Minutes, 1, 4, 24, 48 Hours After DaTSCAN™ Ioflupane (123I) Injection as Measured by VAS (Visual Analogue Scale)

    Time frame: 1 hour before injection (baseline), and at approximately 15 minutes, 1, 4, 24, 48 hours after DaTSCAN™ ioflupane (123I) injection

    Tolerability questionnaire evaluated participants mood, pain at injection site, itchiness of injection site, loss of function at injection site and quality of sleep using 100 millimeter (mm) VAS. VAS is a continuous scale comprised of a horizontal line, usually 100 mm in length, where "0" stands for bad, and 100 mm stands for good. Higher score indicated better health outcomes.

  3. Number of Participants With Clinically Significant Change From Baseline in Physical Examination Findings Pre-specified Timepoints

    Time frame: Baseline, 4 hours after injection and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Physical examination included recording an assessment for the presence of abnormalities of the following: general appearance, skin, lungs, cardiovascular system, back and spine, abdomen, extremities, lymph nodes, and neurological exam. Clinical significance was determined by investigator.

  4. Change From Baseline in Hematology Parameters at Pre-specified Timepoints

    Time frame: Baseline, and at approximately 3 hours, 48 hours, and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in activated partial thromboplastin time, prothrombin time, thrombin time were reported.

  5. Change From Baseline in Hematology Parameter-C Reactive Protein at Pre-specified Timepoints

    Time frame: Baseline, and at approximately 3 hours, 48 hours, and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in C reactive protein were reported.

  6. Change From Baseline in Hematology Parameter-Hematocrit at Pre-specified Timepoints

    Time frame: Baseline, and at approximately 3 hours, 48 hours, and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in hematocrit were reported.

  7. Change From Baseline in Hematology Parameter-Erythrocytes at Pre-specified Timepoints

    Time frame: Baseline, and at approximately 3 hours, 48 hours, and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in erythrocytes were reported.

  8. Change From Baseline in Hematology Parameters- Leukocytes, Platelets at Pre-specified Timepoints

    Time frame: Baseline, and at approximately 3 hours, 48 hours, and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in leukocytes, platelets timepoints were reported.

  9. Change From Baseline in Hematology Parameters- Fibrinogen, Hemoglobin at Pre-specified Timepoints

    Time frame: Baseline, and at approximately 3 hours, 48 hours, and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in fibrinogen, hemoglobin were reported.

  10. Change From Baseline in Serum Chemistry Parameters- Albumin, Protein at Pre-specified Timepoints

    Time frame: Baseline, and at approximately 3 hours, 48 hours, and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in albumin, protein were reported.

  11. Change From Baseline in Serum Chemistry Parameters- Thyroxine, Free and Triiodothyronine, Free at Pre-specified Timepoints

    Time frame: Baseline, and at 48 hours after DaTSCAN™ ioflupane (123I) injection

    Change from baseline in thyroxine, free and triiodothyronine, free were reported.

  12. Change From Baseline in Serum Chemistry Parameters at Pre-specified Timepoints

    Time frame: Baseline, and at approximately 3 hours, 48 hours, and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, creatine kinase, gamma glutamyl transferase, lactate dehydrogenase were reported.

  13. Change From Baseline in Serum Chemistry Parameters- Thyroxine and Triiodothyronine at Pre-specified Timepoints

    Time frame: Baseline, and at 48 hours after DaTSCAN™ ioflupane (123I) injection

    Change from baseline in thyroxine and triiodothyronine were reported.

  14. Change From Baseline in Serum Chemistry Parameters- Bilirubin, Creatinine, Direct Bilirubin, and Urate at Pre-specified Timepoints

    Time frame: Baseline, and at approximately 3 hours, 48 hours, and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in bilirubin, creatinine, direct bilirubin, and urate were reported.

  15. Change From Baseline in Serum Chemistry Parameters- Bicarbonate, Calcium, Chloride, Glucose, Phosphate, Potassium, Sodium, Urea Nitrogen at Pre-specified Timepoints

    Time frame: Baseline, and at approximately 3 hours, 48 hours, and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in bicarbonate, calcium, chloride, glucose, phosphate, potassium, sodium, urea nitrogen were reported.

  16. Change From Baseline in Serum Chemistry Parameters- Thyrotropin at Pre-specified Timepoints

    Time frame: Baseline, and at 48 hours after DaTSCAN™ ioflupane (123I) injection

    Change from baseline in thyrotropin were reported.

  17. Change From Baseline in Serum Chemistry Parameters- Amylase at Pre-specified Timepoints

    Time frame: Baseline, and at approximately 3 hours, 48 hours, and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in amylase were reported.

  18. Number of Participants With Clinically Significant Abnormal Urinalysis Parameters - pH and Specific Gravity at Pre-specified Timepoints

    Time frame: Baseline, and at approximately 3 hours, 48 hours, and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Number of participants with clinically significant abnormal pH and specific gravity were reported. Clinical significance was determined by investigator.

  19. Number of Participants Who Reported Abnormal Injection Site Monitoring Findings at Pre-specified Timepoints

    Time frame: Baseline, up to 4 hours after DaTSCAN™ ioflupane (123I) injection

    Any radiopharmaceutical extravasation, bleeding, hematoma, redness, infection, or other findings were considered as abnormal findings.

  20. Change From Baseline in Vital Sign-Systolic Blood Pressure at Pre-specified Timepoints

    Time frame: Baseline, 10, 20, 30 minutes and 1, 2, 4, 24, 48 hours and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in systolic blood pressure were reported.

  21. Change From Baseline in Vital Sign-Diastolic Blood Pressure at Pre-specified Timepoints

    Time frame: Baseline, 10, 20, 30 minutes and 1, 2, 4, 24, 48 hours and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in diastolic blood pressure were reported.

  22. Change From Baseline in Vital Sign-Heart Rate at Pre-specified Timepoints

    Time frame: Baseline, 10, 20, 30 minutes and 1, 2, 4, 24, 48 hours and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in heart rate were reported.

  23. Change From Baseline in Vital Sign-Temperature at Pre-specified Timepoints

    Time frame: Baseline, 10, 20, 30 minutes and 1, 2, 4, 24, 48 hours and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in temperature were reported.

  24. Change From Baseline in Vital Sign-Respiratory Rate at Pre-specified Timepoints

    Time frame: Baseline, 10, 20, 30 minutes and 1, 2, 4, 24, 48 hours and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in respiratory rate were reported.

  25. Change From Baseline in Oxygen Saturation at Pre-specified Timepoints

    Time frame: Baseline, 10, 20, 30 minutes and 1, 2, 4, 24, 48 hours and 2 weeks after DaTSCAN™ ioflupane (123I) injection (i.e., up to 16 days)

    Change from baseline in oxygen saturation were reported.

  26. Change From Baseline in Electrocardiogram (ECG) Findings at Pre-specified Timepoints

    Time frame: Baseline, 2 and 5 hours after DaTSCAN™ ioflupane (123I) injection

    Change from baseline in PR interval, QRS interval, QT interval, QTC interval, RR interval, QTCF interval, QTCB interval were reported.

Secondary outcomes

  1. Biodistribution Measured by Decay Corrected Percentage Injected Activity (%IA) in Blood (Plasma and Whole Blood)

    Time frame: Pre-dose, 5, 15, 30 minutes and 1, 2, 3, 4, 5, 24, and 48 hours after DaTSCAN™ ioflupane (123I) injection

    The decay-corrected %IA was measured by planar scintigraphy. The biodistribution as measured by the decay-corrected %IA in the plasma and whole blood at specified timepoints were reported.

  2. Biodistribution Measured by Decay Corrected Percentage Injected Activity (%IA) in Whole Body Image

    Time frame: 10 minutes and 1, 2, 4, 5, 24, and 48 hours after DaTSCAN™ ioflupane (123I) injection

    The decay-corrected %IA was measured by planar scintigraphy. The biodistribution as measured by the decay-corrected %IA in the whole-body image which included background, heart, intestines, liver, lungs, salivary glands, stomach, striatum, thyroid, whole body, whole brain) at specified timepoints were reported.

  3. Biodistribution by Source Regions Measured by Decay Corrected Normalized Cumulative Activity

    Time frame: Up to 48 hours after DaTSCAN™ ioflupane (123I) injection

    Biodistribution measured by decay corrected normalized cumulative activity in bladder content, brain, gallbladder, liver, lower large intestine, lungs, remainder, small intestine, upper large intestine was reported.

  4. Biodistribution as Measured by Decay-corrected Cumulative 123I Activity Concentration in Excreted Urine

    Time frame: 10 minutes and 1, 2, 3, 4, 5, 5 to 24, and 24 to 48 hours after DaTSCAN™ ioflupane (123I) injection

    Excretion of 123I following the IV administration of ioflupane (123I) Injection was determined by measuring the 123I activity within the intestinal contents and the sum of the 123I activities in the voided urine up to 48 hours post-injection.

  5. Normalized Organ Absorbed Doses as Measured by Radiation Dosimetry

    Time frame: Up to 48 hours after DaTSCAN™ ioflupane (123I) injection

    Sex-averaged normalized organ absorbed doses calculated according to Medical Internal Radiation Dose (MIRD) method.

  6. Effective Dose (ED) of Ioflupane (123I) Injection After IV Administration

    Time frame: Up to 48 hours after DaTSCAN™ ioflupane (123I) injection

    The ED per unit of administered activity was evaluated from the ensemble of absorbed dose data.

Sponsors and collaborators

Lead sponsor

GE Healthcare

Industry

Collaborators

  • PPD Development, LP

Registry information

Official study title

A Phase 1, Non-randomised, Noncomparative, Open-label Study to Assess the Safety, Biodistribution, and Internal Radiation Dosimetry of a Single Dose of DaTSCAN™ Ioflupane (123I) Injection in Chinese Healthy Volunteers

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Sep 25, 2020
Registry last updated
Aug 2, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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