Imaging with [18F]F-DOPA in patients with autonomic failure

[18F]F-DOPA Imaging in Patients With Autonomic Failure

Phase 1 Interventional Vanderbilt University Medical Center · NCT04246437

This study is testing a special imaging technique to see if it can help identify early signs of neurodegenerative diseases in people with autonomic failure.

Quick facts

PhasePhase 1
Study typeInterventional
Enrollment40 (estimated)
Ages18 Years and up
SexAll
SponsorVanderbilt University Medical Center Academic / other
Locations1 site (Nashville, Tennessee)
Trial IDNCT04246437 on ClinicalTrials.gov

What this trial studies

This clinical trial investigates the use of [18F]F-DOPA imaging to assess biomarkers in patients with autonomic failure, particularly focusing on those who may develop neurodegenerative disorders such as Parkinson's disease, Multiple System Atrophy, or Dementia with Lewy Bodies. The study aims to identify the anatomical locations of alpha-synuclein inclusions and the patterns of neuronal death, which could help in predicting the progression of these conditions. Participants will receive [18F]FDOPA along with carbidopa and entacapone to facilitate imaging and analysis.

Who should consider this trial

Good fit: Ideal candidates include adults diagnosed with pure autonomic failure or those with autonomic failure who may have Parkinson's disease, Multiple System Atrophy, or Dementia with Lewy Bodies.

Not a fit: Patients with bioimplants, ferromagnetic materials in their bodies, or those who are pregnant will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved diagnostic tools and treatment strategies for patients at risk of developing neurodegenerative diseases.

How similar studies have performed: While this approach is novel in the context of autonomic failure, similar imaging techniques have shown promise in other neurodegenerative disorders.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Patients with a diagnosis if pure autonomic failure
2. Patients with autonomic failure and possible PD, MSA, or DLB
3. Healthy adults aged 18 and above
4. Clinical exam confirming clinical designation

Exclusion Criteria:

* Subjects who have any type of bioimplant activated by mechanical, electronic, or magnetic means (e.g., cochlear implants, pacemakers, neurostimulators, biostimulators, electronic infusion pumps, etc.), because such devices may be displaced or malfunction.
* Subjects who have any type of ferromagnetic bioimplant that could potentially be displaced.
* Subjects who have cerebral aneurysm clips.
* Subjects who may have shrapnel imbedded in their bodies (such as from war wounds), metal workers and machinists (potential for metallic fragments in or near the eyes).
* Subjects who are pregnant, because the effects of high field MRI on fetuses are not yet known.
* Minors (younger than 18 years)

Also excluded are subjects incapable of giving informed written consent:

* Subjects who cannot adhere to the experimental protocols for any reason, or have an inability to communicate with the researcher.
* Subjects who have limited mental ability to give informed consent, mentally retarded, altered mental status, mental disability, confusion, or psychiatric disorders.
* Prisoners

Where this trial is running

Nashville, Tennessee

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Autonomic FailurePure Autonomic FailureParkinson DiseaseMultiple System AtrophyDementia With Lewy BodiesFDOPAPET
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.