A Study to Measure CSF Proteins in Elderly Healthy Volunteers and Volunteers With Mild Cognitive Impairment or Alzheimer's Disease

NCT ID: NCT01436188

Last Updated: 2014-03-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

EARLY_PHASE1

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-30

Study Completion Date

2013-06-30

Brief Summary

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The purpose of this study is to investigate changes of cerebral spinal fluid (CSF) proteins over time using continuous CSF sampling for 36 hours in elderly healthy volunteers and volunteers with mild cognitive impairment or Alzheimer's Disease.

Detailed Description

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This is a study to measure specific proteins in the cerebral spinal fluid (CSF) of healthy elderly volunteers and volunteers with mild cognitive impairment (MCI) or Alzheimer's Disease (AD). No investigational medical drug will be given to volunteers during their participation in this study. Healthy elderly volunteers will be enrolled in Part A of the study and will be randomized (assigned by chance) to 1 of 4 cohorts (groups); each cohort of volunteers will undergo a different type of CSF sampling procedure (a standard frequent CSF sampling procedure, an alternative frequency of CSF sampling procedure, or the standard frequent CSF sampling procedure with 800 mg ibuprofen administered to volunteers on Day 1, or an alternative lower frequency of CSF sampling in comparison to Cohort 1) and will have blood samples collected. Volunteers with MCI or AD will be enrolled in Part B of the study and will undergo 1 CSF sampling procedure (ie, the standard frequent CSF sampling procedure). In addition, all volunteers enrolled who consent (agree) to the pharmacogenomic component of the study, will have a blood sample collected that will allow for genetic research to help understand the link between Alzheimer's Disease biomarker profiles and specific genotypes and to have their DNA samples stored for future genetic research related to CSF proteins and Alzheimer's Disease. Participation in the pharmacogenomic research is optional for volunteers enrolled in Part A Cohort 1 to 3 but required for volunteers enrolled in Part A Cohort 5 and Part B. Participation in the DNA storage component is optional and refusal to participate will not result in ineligibility for the main part of the study. There will be no blinding in this study (ie, volunteers will know the CSF sampling procedure being performed on them). CSF and blood samples will be collected over a period of 36 hours and the maximum duration of the study will be no more than 6 weeks. During the study, volunteers will be monitored to evaluate the safety and tolerability of the CSF sampling procedures.

Conditions

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Healthy Alzheimer Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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001 (Healthy Elderly Cohort 1)

standard frequent CSF sampling procedure for 36 hours

Group Type OTHER

Standard CSR sampling procedure

Intervention Type PROCEDURE

standard frequent CSF sampling procedure for 36 hours

002 (Healthy Elderly Cohort 2)

an alternative frequency of CSF sampling procedure for 36 hours

Group Type OTHER

Alternate frequency CSR sampling procedure

Intervention Type PROCEDURE

an alternative frequency of CSF sampling procedure for 36 hours

003 (Healthy Elderly Cohort 3)

standard frequent CSF sampling procedure on Day 1 for 36 hours with 800 mg Ibuprofen administered on Day 1

Group Type OTHER

Standard frequent CSR sampling procedure with 800 mg ibuprofen

Intervention Type PROCEDURE

standard frequent CSF sampling procedure on Day 1 for 36 hours with 800 mg Ibuprofen administered on Day 1

004 (Elderly Volunteers with MCI or AD)

standard CSF sampling procedure for 36 hours

Group Type OTHER

Standard CSR sampling procedure

Intervention Type PROCEDURE

standard frequent CSF sampling procedure for 36 hours.

005 (Healthy Eldely Cohort 5)

an alternative lower frequency of CSF sampling in comparison to Cohort 1

Group Type OTHER

Alternative lower frequency CSR sampling procedure

Intervention Type PROCEDURE

an alternative lower frequency of CSF sampling procedure in comparison to Cohort 1 for 36 hours

Interventions

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Standard CSR sampling procedure

standard frequent CSF sampling procedure for 36 hours

Intervention Type PROCEDURE

Alternate frequency CSR sampling procedure

an alternative frequency of CSF sampling procedure for 36 hours

Intervention Type PROCEDURE

Standard frequent CSR sampling procedure with 800 mg ibuprofen

standard frequent CSF sampling procedure on Day 1 for 36 hours with 800 mg Ibuprofen administered on Day 1

Intervention Type PROCEDURE

Standard CSR sampling procedure

standard frequent CSF sampling procedure for 36 hours.

Intervention Type PROCEDURE

Alternative lower frequency CSR sampling procedure

an alternative lower frequency of CSF sampling procedure in comparison to Cohort 1 for 36 hours

Intervention Type PROCEDURE

Eligibility Criteria

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Exclusion Criteria

* Has a clinically significant abnormal physical or neurological examination (including fundoscopy), vital signs or 12-lead electrocardiogram (ECG) at screening
* Has a relevant history of lower back pain or scoliosis and/or major (lumbar) back surgery (microdiscectomy is allowed)
* Has a history of spontaneous, prolonged or severe bleeding with unclear origin
* Has a history of epilepsy or fits or unexplained black-out
Minimum Eligible Age

50 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC C. Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Antwerp, , Belgium

Site Status

Groningen, , Netherlands

Site Status

Leiden, , Netherlands

Site Status

Countries

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Belgium Netherlands

References

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Van Broeck B, Timmers M, Ramael S, Bogert J, Shaw LM, Mercken M, Slemmon J, Van Nueten L, Engelborghs S, Streffer JR. Impact of frequent cerebrospinal fluid sampling on Abeta levels: systematic approach to elucidate influencing factors. Alzheimers Res Ther. 2016 May 19;8(1):21. doi: 10.1186/s13195-016-0184-z.

Reference Type DERIVED
PMID: 27206648 (View on PubMed)

Other Identifiers

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NOCOMPOUNDEDI0001

Identifier Type: OTHER

Identifier Source: secondary_id

2011-003525-94

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CR100658

Identifier Type: -

Identifier Source: org_study_id

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