Alzheimer Disease Clinical Trial
Official title:
Evaluation of Web-based Training to Educate Physicians in the Methods of Interpreting Florbetapir-PET Scans
This study will investigate the performance of physician readers trained to read florbetapir-PET scans using electronic media training.
Avid has previously developed a florbetapir-PET scan binary read methodology and training
program, which was successfully applied in studies 18F-AV-45-A08(NCT01565369),
18F-AV-45-A09(NCT01565382) and 18F-AV-45-A16(NCT01447719). In these previous studies,
training was conducted in-person. Study 18F-AV-45-PT01 will evaluate an automated version of
this training program suitable for web-based distribution. Nuclear medicine physicians will
complete the automated training program then read the florbetapir-PET images from 151
subjects with repeat readings of 33 randomly selected images. Readers will rate each case as
either positive for significant tracer accumulation in cortical gray matter or negative for
significant tracer accumulation in cortical gray matter. The inter-rater reliability,
sensitivity and specificity of the readers will be evaluated.
The primary image set for determination of inter-reader agreement is comprised of images
from 119 subjects from two previous clinical studies (A07[NCT00857415]/A16[NCT01447719] and
A05[NCT00702143]). This included all 59 subjects who came to autopsy in Study
A07(NCT00857415) and it's follow-up study, A16(NCT01447719), and a set of 60 cases randomly
selected from Study A05(NCT00702143) subjects, including 20 cognitively-normal controls, 20
with mild cognitive impairment) MCI, 20 with AD.
Subsequently, the protocol was amended to include all remaining A05(NCT00702143) MCI
patients that were not used in the training program (n=32); 13 of these 32 scans presented
for repeat reading (to increase the number of A05 MCI cases with repeated reads to 20). This
increased the number of unique cases in the validation dataset to 151 scans with 33 scans
repeated yielding a total of 184 scans reviewed by the readers.
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Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Diagnostic
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