Evidence map›Paper›PMID 28181118›Full record

ArticleAnnals of nuclear medicine2017

Brain uptake and safety of Flutemetamol F 18 injection in Japanese subjects with probable Alzheimer's disease, subjects with amnestic mild cognitive impairment and healthy volunteers.

Takami Miki, Hiroyuki Shimada, Jae-Seung Kim, Yasuji Yamamoto, Masakazu Sugino, Hisatomo Kowa, Kerstin Heurling, Michelle Zanette, Paul F Sherwin, Michio Senda

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Annals of nuclear medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02813070 (An Open-label Study to Assess Brain Uptake and Safety of Flutemetamol F 18 Injection in Japanese Subjects With Probable Alzheimer's Disease, Subjects With Amnestic Mild Cognitive Impairment and Healthy Volunteers), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02813070 phase2completednot on this map

An Open-label Study to Assess Brain Uptake and Safety of Flutemetamol F 18 Injection in Japanese Subjects With Probable Alzheimer's Disease, Subjects With Amnestic Mild Cognitive Impairment and Healthy Volunteers

TypeinterventionalSponsorGE HealthcareRan2012 to 2013Enrolled70ConditionsMild Cognitive Impairment, Alzheimer's Disease, HealthyArms[18F] Flutemetamol
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Comparability of Centiloid values from [Neuroimage. Reports · 2026
    Article
  3. Review
  4. Considerations in the clinical use of amyloid PET and CSF biomarkers for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  5. Article
  6. Initial Physician Experience with [Journal of Alzheimer's disease reports · 2020
    Article
  7. Temporal and anatomical distribution ofBMC veterinary research · 2020
    Article
  8. Review
  9. Article
  10. Article
  11. Performance of [Alzheimer's & dementia (Amsterdam, Netherlands) · 2017
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Takami MikiDepartment of Geriatrics, Osaka City University Hospital, 5-7, Asahi-machi 1-chome, Abeno-ku, Osaka City, Japan. m1359432@med.osaka-cu.ac.jp.
Hiroyuki ShimadaDepartment of Geriatrics, Osaka City University Hospital, 5-7, Asahi-machi 1-chome, Abeno-ku, Osaka City, Japan.
Jae-Seung KimNuclear Medicine Department, Asan Medical Center, 388-1 Pungnap-2 Dong, Songpa-Gu, Seoul, South Korea.
Yasuji YamamotoNeuropsychiatry Department, Kobe University Hospital, 5-2, Kusunoki-cho 7-chome, Chuo-ku, Kobe City, Hyogo Prefecture, Japan.
Masakazu SuginoAino Hospital, Center of Geriatric Somato-Psychological Care, 11-18, Takada-cho, Ibaraki City, Osaka, Japan.
Hisatomo KowaNeurology Department, Kobe University Hospital, 5-2, Kusunoki-cho 7-chome, Chuo-ku, Kobe City, Hyogo Prefecture, Japan.
Kerstin HeurlingGE Healthcare, Uppsala, Sweden.
Michelle ZanetteGE Healthcare, Marlborough, MA, USA.
Paul F SherwinGE Healthcare, Marlborough, MA, USA.
Michio SendaPositron Medical Department, Institute of Biomedical Research and Innovation Hospital, 2, Minatojima Minami-machi 2-chome, Chuo-ku, Kobe City, Hyogo Prefecture, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis Phase 2 study assessed the performance of positron emission tomography (PET) brain images made with Flutemetamol F 18 Injection in detecting β-amyloid neuritic plaques in Japanese subjects.

methodsSeventy subjects (25 with probable Alzheimer's disease (pAD), 20 with amnestic mild cognitive impairment (aMCI), and 25 cognitively normal healthy volunteers[HVs]) underwent PET brain imaging after intravenous Flutemetamol F 18 Injection (185 MBq). Images were interpreted as normal or abnormal for neuritic plaque density by each of five non-Japanese and five Japanese readers who were blinded to clinical data. The primary efficacy analysis (based on HV and pAD data) was the agreement of the non-Japanese readers' image interpretations with the clinical diagnosis, resulting in estimates of positive percent agreement (PPA; based on AD subjects; similar to sensitivity) and negative percent agreement (NPA; based on HVs; similar to specificity). Secondary analyses included PPA and NPA for the Japanese readers; inter-reader agreement (IRA); intra-reader reproducibility (IRR); quantitative image interpretations (standardized uptake value ratios [SUVRs]) by diagnostic subgroup; test-retest variability in five pAD subjects; and safety.

resultsPPA was 92% for all non-Japanese readers and ranged from 88 to 92% for the Japanese readers. NPA ranged from 96 to 100% for both the non-Japanese readers and the Japanese readers. The majority image interpretations (the interpretations made independently by ≥3 of 5 readers) resulted in PPA values of 92 and 92% and NPA values of 100 and 96% for the non-Japanese and Japanese readers, respectively. IRA and IRR were strong. Composite SUVR values (mean of multiple regional values) allowed clear differentiation between pAD subjects and HVs. Test-retest variability ranged from 1.14 to 2.27%, and test-retest agreement of the blinded visual interpretations was 100% for all readers. Flutemetamol F 18 Injection was generally well tolerated.

conclusionsThe detection of brain neuritic plaques in Japanese subjects using [

trial registrationClinicaltrials.gov registration number NCT02813070.

Indexed as

Positron-Emission TomographyAgedAged, 80 and overAlzheimer DiseaseAmnesiaAniline CompoundsBenzothiazolesBrainCognitive DysfunctionFemaleHealthy VolunteersHumansJapanMaleMiddle AgedPredictive Value of TestsAniline CompoundsBenzothiazolesflutemetamol[18F]FlutemetamolAlzheimer’s diseaseRadiotracerβ-Amyloid

Identifiers

PMID28181118
PMCPMC5352784

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.