Evaluation Of 18F-Sodium Fluoride Positron Emission Tomography And Diffusion Magnetic Resonance Imaging To Assess Baseline Differences Between Autosomal Dominant Polycystic Kidney Disease And Healthy Subjects, And Disease Progression In Adults With ADPKD

Overview

About this study

The purpose of this study is to assess the ability of 18F-sodium fluoride positron emission tomography ( 18F-NaF PET)/computed tomography (CT) and Diffusion magnetic resonance imaging (MRI) to differentiate between healthy subjects and ADPKD subjects at baseline

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Subject will sign and date an informed consent form (ICF).
  • Willing and able to comply with scheduled visits, observation period, study restrictions, laboratory tests, contraceptive guidelines, and other study procedures.
  • Males and females between the ages of 18 and 60 years, inclusive.
  • Body mass index (BMI) of 18.0 to 32.0 kg/m^2 , inclusive.

The following Inclusion Criteria apply to subjects in the healthy subject cohort:

  • Healthy, as defined by no clinically relevant abnormalities identified by a detailed medical history, full physical examination (PE), including blood pressure and pulse rate measurement, standard 12 lead ECG, and clinical laboratory tests.
  • eGFR ≥ 75 to <  120 mL/min/1.73 m^2 based on the Modified Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation without the race adjustment.
  • Subjects will be matched during Screening to subjects in the ADPKD Cohort for age (± 5 years) and gender.

The following Inclusion Criteria apply to subjects in the ADPKD cohort:

  • Diagnosis of ADPKD demonstrated by evidence of polycystic kidney disease in one or both biological parents and meeting Pei-Ravine classification noted below.
    • Cysts must be > 2.5 mm in diameter and the minimum number of cysts present for each age category are as follows:
      • Subjects < 40 years of age: ≥ 3 cysts in between both kidneys;
      • Subjects ≥ 40 years of age: ≥ 2 cysts in each kidney.
  • ADPKD subjects with Mayo Imaging Classification of 1C through of 1E. 
  • eGFR ≥ 45 to < 120 mL/min/1.73 m^2 based on the Modified CKD-EPI equation without the race adjustment.

Exclusion Criteria: 

  • Subjects with metallic implants or medical conditions that are contraindicated with MRI.
  • Previous significant exposure to ionizing radiation in the investigator’s opinion.
  • History of any illness or any clinical condition that, in the opinion of the investigator, might confound the results of the study or pose an additional risk during the trial. This may include, but is not limited to, risk of compliance, mental disease, and history of cancer, except squamous cell skin cancer, basal cell skin cancer, stage 0 cervical carcinoma in situ (all 3 diagnosed ≥ 3 years ago with no recurrence in the past 3 years).
  • Participated in research studies involving ionizing radiation.
  • Subjects for whom participation in this study would lead to a yearly radiation exposure greater than the local radiation exposure recommendations.
  • Females who are pregnant, nursing, or planning to become pregnant during the study.
  • Use of substances, activities, or devices as indicated in Section 9.4 during the specified times.
  • Subject, or close (first degree) relative of the subject, is the investigator or a subinvestigator, research assistant, pharmacist, study coordinator, or other staff directly involved with the conduct of the study at that site.
  • Uncontrolled hypertension, defined as systolic blood pressure > 160 mmHg or diastolic blood pressure > 95 mmHg.
  • A diagnosis of cystic fibrosis.
  • Ongoing or history of dialysis.
  • History of solid organ or bone marrow transplant.
  • Immediate genetic relative of an enrolled subject (parent, grandparent, or child).
  • Currently enrolled in an interventional trial.
  • Has taken tolvaptan or somatostatin analogues within the 12 weeks before Screening and has plans to start taking either of the medications during study participation.
  • Previous history of renal cyst infection or ruptured cyst.
  • Has had a renal cyst aspiration or fenestration within 12 weeks of Screening.
  • Active diuretic use.

The following Exclusion Criterion applies to subjects in the healthy subject cohort:

  • History of kidney disease that in the opinion of the investigator could confound study results, including but not limited to PKD, family history of PKD, congenital or acquired (cyst) anomalies of the kidney and urinary tract , previous nephrectomy, kidney stones, and recurrent urinary tract infections.

The following Exclusion Criteria apply to subjects in the ADPKD cohort:

  • History of diabetes mellitus or history of kidney disease other than PKD;
  • eGFR <45 mL/min/1.73 m^2 based on the modified CKD-EPI equation without the race adjustment.

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 11/10/22. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Neera Dahl, M.D., Ph.D.

Closed for enrollment

Contact information:

Charles Madsen

5072669391

madsen.charles@mayo.edu

More information

Publications

Publications are currently not available
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CLS-20558652

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