Retinal Neurodegenerative Signs in Alzheimer's Diseases

NCT ID: NCT01555827

Last Updated: 2017-11-13

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

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-03-12

Study Completion Date

2014-06-07

Brief Summary

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A few studies suggest that patients suffering from neurodegenerative diseases (such a multiple sclerosis or Alzheimer's disease (AD)) show decreased thickness of the retinal nerve fiber layer (RNFL), indicating axonal degeneration. High-definition spectral domain optical coherence tomography (SD-OCT), performed without radiation in a few seconds per eye, offers a precise and standardized estimation of this parameter, which could constitute a biomarker for cerebral axonal degeneration. These RNFL deficits might even be the earliest sign of AD, prior to damage of the hippocampal region that impacts memory.

Besides, some associations of AD with some degenerative diseases of the eye (glaucoma, microvascular abnormalities, age-related macular degeneration (AMD)) have also been reported.

It therefore seems interesting to determine whether RNFL thickness, and other ocular parameters, may give some indications for a better detection of AD and cognitive decline in the elderly.

Detailed Description

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Conditions

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Alzheimer's Disease

Keywords

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Retina ALzheimer's disease neurodegenerative signs

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Alzheimer Disease

Group Type EXPERIMENTAL

Ophthalmological examination & Questionnaire

Intervention Type OTHER

The following examinations will be performed, after pupil dilation:

* Examination with SD-OCT (macular scans, macular volume, peri-papillary scan, retinal autofluorescence, infer-red and red-free imaging)
* Colour photographs of the retinal, centered on the macula and on the optic nerve (digital non mydriatic retinal camera)
* Wide-field colour and autofluorescence imaging (Optomap)
* Measure of intra-ocular pressure (pneumotonometer)

The following informations will be collected through a standardized questionnaire, administered face-to-face during the inclusion visit, or at the moment of the verification of eligibility criteria:

* Age, gender
* educational level
* smoking
* cardiovascular diseases, current medications
* scores at neuropsychological tests

Control

Group Type ACTIVE_COMPARATOR

Ophthalmological examination & Questionnaire

Intervention Type OTHER

The following examinations will be performed, after pupil dilation:

* Examination with SD-OCT (macular scans, macular volume, peri-papillary scan, retinal autofluorescence, infer-red and red-free imaging)
* Colour photographs of the retinal, centered on the macula and on the optic nerve (digital non mydriatic retinal camera)
* Wide-field colour and autofluorescence imaging (Optomap)
* Measure of intra-ocular pressure (pneumotonometer)

The following informations will be collected through a standardized questionnaire, administered face-to-face during the inclusion visit, or at the moment of the verification of eligibility criteria:

* Age, gender
* educational level
* smoking
* cardiovascular diseases, current medications
* scores at neuropsychological tests

Interventions

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Ophthalmological examination & Questionnaire

The following examinations will be performed, after pupil dilation:

* Examination with SD-OCT (macular scans, macular volume, peri-papillary scan, retinal autofluorescence, infer-red and red-free imaging)
* Colour photographs of the retinal, centered on the macula and on the optic nerve (digital non mydriatic retinal camera)
* Wide-field colour and autofluorescence imaging (Optomap)
* Measure of intra-ocular pressure (pneumotonometer)

The following informations will be collected through a standardized questionnaire, administered face-to-face during the inclusion visit, or at the moment of the verification of eligibility criteria:

* Age, gender
* educational level
* smoking
* cardiovascular diseases, current medications
* scores at neuropsychological tests

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of probable AD, defined according to the NINCDS-ARDRA criteria51
* Light to moderate severity of the disease, defined by a MMSE score \>10 (global evaluation of cognition)
* Patient aged 50 years or more
* Patient benefiting from social insurance


* Absence of suspicion of dementia, based on normal performance according to age and educational level at neuropsychological testing defined as:
* Free recall ≥17 and total recall ≥40 for the Free and Cued Selective Reminding Test (Grober and Buschke test 52) MMSE ≥ norm for age and educational level (defined by mean - 1 SD)
* Isaac's set test ≥ norm for age and educational level (defined by mean - 1 SD)
* Matched to age and gender of the cases
* Patient benefiting from social insurance

Exclusion Criteria

* History of Parkinson's disease or other neurodegenerative disorder
* History of Horton's disease
* History of inflammatory neuropathies (in particular Devic's disease, multiple sclerosis)
* History of vascular ischemic neuropathies and chronic intracranial hypertension
* History of pituitary tumors
* Presence of diseases (systemic and/or ocular diseases) or behavioural or cognitive symptoms incompatible with eye examination
* Known diabetes
* Person under tutorship or curatorship, person unable to express consent


* Dementia of other cause than AD
* Severe AD, defined by MMSE score ≤ 10


* Presence of dementia, of whatever cause
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital, Bordeaux

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean-François KOROBELNIK, Pr

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Bordeaux, France

Delcourt Cécile, Dr

Role: STUDY_CHAIR

ISPED, bordeaux, France

Locations

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CHU Bordeaux - hôpital Pellegrin

Bordeaux, , France

Site Status

Countries

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France

Other Identifiers

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CHUBX2011/19

Identifier Type: -

Identifier Source: org_study_id