Trial Outcomes & Findings for Dementia Risk and Dynamic Response to Exercise (NCT NCT04009629)

NCT ID: NCT04009629

Last Updated: 2022-05-03

Results Overview

Cumulative cerebral blood flow measured by Arterial Spin Labeling MRI. The standard arterial spin labeling unit of measure is average milliliters per 100 grams of tissue per minute (mL/100g tissue/minute). For the present analysis, we summed perfusion over the entire acquisition period, 23.2 minutes, rather than averaging. Therefore the units are milliliters per 100 grams of tissue

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

61 participants

Primary outcome timeframe

~24 minutes

Results posted on

2022-05-03

Participant Flow

Participant milestones

Participant milestones
Measure
APOE4 Carrier
Participants with 1 or 2 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
APOE4 Non-carrier
Participants with 0 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
Overall Study
STARTED
23
38
Overall Study
COMPLETED
21
38
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
APOE4 Carrier
Participants with 1 or 2 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
APOE4 Non-carrier
Participants with 0 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
Overall Study
Withdrawal by Subject
2
0

Baseline Characteristics

Dementia Risk and Dynamic Response to Exercise

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
APOE4 Carriers
n=23 Participants
Participants with 1 or 2 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
APOE4 Non-carriers
n=38 Participants
Participants with 0 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
Total
n=61 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
23 Participants
n=5 Participants
38 Participants
n=7 Participants
61 Participants
n=5 Participants
Age, Continuous
72.1 years
STANDARD_DEVIATION 5.1 • n=5 Participants
73.3 years
STANDARD_DEVIATION 5.2 • n=7 Participants
72.8 years
STANDARD_DEVIATION 5.2 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
28 Participants
n=7 Participants
41 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
n=5 Participants
37 Participants
n=7 Participants
59 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
White
21 Participants
n=5 Participants
33 Participants
n=7 Participants
54 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
23 participants
n=5 Participants
38 participants
n=7 Participants
61 participants
n=5 Participants

PRIMARY outcome

Timeframe: ~24 minutes

Cumulative cerebral blood flow measured by Arterial Spin Labeling MRI. The standard arterial spin labeling unit of measure is average milliliters per 100 grams of tissue per minute (mL/100g tissue/minute). For the present analysis, we summed perfusion over the entire acquisition period, 23.2 minutes, rather than averaging. Therefore the units are milliliters per 100 grams of tissue

Outcome measures

Outcome measures
Measure
APOE4 Carrier
n=21 Participants
Participants with 1 or 2 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
APOE4 Non-carrier
n=38 Participants
Participants with 0 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
Cerebral Blood Flow Area Under Curve
715 mL/100g tissue
Standard Deviation 105.0
751 mL/100g tissue
Standard Deviation 87.6

SECONDARY outcome

Timeframe: Pre-to-post intervention (~15 minutes)

Population: Blood collection failed on three individuals in the APOE4 carrier group. Outcome could not be analyzed.

Change in circulating Insulin-like Growth Factor-1 from pre-to-post exercise

Outcome measures

Outcome measures
Measure
APOE4 Carrier
n=20 Participants
Participants with 1 or 2 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
APOE4 Non-carrier
n=38 Participants
Participants with 0 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
Insulin-like Growth Factor-1 Change
2.25 picograms per milliliter
Standard Deviation 22.8
5.7 picograms per milliliter
Standard Deviation 27.8

SECONDARY outcome

Timeframe: Pre-to-post intervention (~15 minutes)

Population: Blood collection failed on three individuals in the APOE4 carrier group. Outcome could not be analyzed.

Change in circulating Vascular Endothelial Growth Factor from pre-to-post exercise

Outcome measures

Outcome measures
Measure
APOE4 Carrier
n=20 Participants
Participants with 1 or 2 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
APOE4 Non-carrier
n=38 Participants
Participants with 0 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
Vascular Endothelial Growth Factor Change
-1.01 picograms per milliliter
Standard Deviation 10.6
1.83 picograms per milliliter
Standard Deviation 11.1

SECONDARY outcome

Timeframe: Pre-to-post intervention (~15 minutes)

Population: Blood collection failed on three individuals in the APOE4 carrier group. Outcome could not be analyzed.

Change in circulating Brain Derived Neurotrophic Factor from pre-to-post exercise

Outcome measures

Outcome measures
Measure
APOE4 Carrier
n=20 Participants
Participants with 1 or 2 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
APOE4 Non-carrier
n=38 Participants
Participants with 0 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
Brain Derived Neurotrophic Factor Change
-219 picograms per milliliter
Standard Deviation 641
208 picograms per milliliter
Standard Deviation 706

Adverse Events

APOE4 Carrier

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

APOE4 Non-carrier

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
APOE4 Carrier
n=23 participants at risk
Participants with 1 or 2 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
APOE4 Non-carrier
n=38 participants at risk
Participants with 0 copies of the APOE4 allele, the leading genetic risk factor for late-onset Alzheimer's dementia.
Gastrointestinal disorders
Nausea
4.3%
1/23 • Number of events 1 • 1 day
Adverse events were defined as any untoward or unfavorable medical occurrence in a human subject participant, including any abnormal sign, symptom, or disease, temporally associated with the participants' involvement in the research, whether or not considered related to participation in the research.
0.00%
0/38 • 1 day
Adverse events were defined as any untoward or unfavorable medical occurrence in a human subject participant, including any abnormal sign, symptom, or disease, temporally associated with the participants' involvement in the research, whether or not considered related to participation in the research.

Additional Information

Dr. Eric Vidoni

University of Kansas Medical Center

Phone: 913-588-0555

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place