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NCT03372317RecruitingAccepts Healthy Volunteers

Tau PET in Imaging and Cognition: Healthy Adults From 55-90

Yaakov Stern

Start Date

6/1/2018

Completion Date

12/1/2027

Summary

The investigators aim to use the new PET radioligand, 18F-MK-6240, to detect tau pathology in cognitive healthy and mild cognitive impairment (MCI) elders. The investigators will then examine the interactions between differential tau burden and performance on cognitive tasks, functional magnetic resonance imaging (fMRI) neural activation patterns, and other cognitive and behavioral measures. By investigating these relationships, the investigators hope to understand the cognitive and behavioral outcomes of tau deposition found in specific brain regions in cognitively normal/mildly cognitively impaired adults. Furthermore, the study aims to examine how the presence of tau may contribute to the risk of subsequent cognitive decline, neurodegeneration, and dementia.

Detailed Description

Many cognitively healthy older adults have, upon post mortem evaluations, been found to have varying amounts of neurofibrillary tangles (tau) and beta-amyloid plaque deposits, which are the hallmark brain pathologies known to be associated with Alzheimer's disease and various other dementias. While some with these pathologies may not clinically express cognitive decline or dementia in their lifetime, human post-mortem studies suggest that increasing neurofibrillary tangle density correlates with neurodegeneration and cognitive impairment. Imaging tauopathy in-vivo provides an opportunity to examine neurocognitive correlates of differential levels of tauopathy in the brain, allowing to further qualify pre-clinical states of cognitive impairment. The investigators aim to investigate possible protective mechanisms, such as cognitive reserve, that may modulate the relationship between tauopathy and cognitive decline.

Eligibility Criteria

Age Range: 55 years to 90 years

Inclusion Criteria: * Aged 55-90 * Previously received an amyloid PET scan * Residing near Columbia University Medical Center * Must be willing and able to participate Exclusion Criteria: * Have a contraindication to PET (e.g, metallic implants, pacemaker, claustrophobia, or cannot lie flat for one hour) * Pregnancy * Lactating Women * Current, past, or anticipated exposure to radiation * Significant active physical illness

Interventions

DRUG

18F-MK-6240

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Conditions

Mild Cognitive ImpairmentAging

Locations

Columbia University Medical Center

New York, New York 10032

United States