Novel Diagnostic and Disease Stage Biomarkers in AD

NCT ID: NCT05175664

Last Updated: 2025-05-13

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

Total Enrollment

350 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-01-01

Study Completion Date

2024-12-01

Brief Summary

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This study will investigate the efficacy of novel biomarkers, namely blood-based biomarkers, pupillometry and actigraphy to track and predict progression of Alzheimer's disease (AD). Furthermore, the study will investigate the diagnostic value of pupillometry and actigraphy for AD.

Detailed Description

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This study consist of three sub-studies.

In study 1, participants diagnosed with mild cognitive impairment due to AD or mild to moderate AD will be followed for up to 24 months with repeated blood samples, pupillometry, actigraphy, cognitive tests and a control brain scan.

In study 2, patients under investigation of a neurodegenerative disease who have a planned lumbar puncture in the Memory clinic will be invited to this study. Participants will undergo pupillometry and blood samples two times approximately one and four weeks after the lumbar puncture.

In study 3, participants with a dementia diagnosis will undergo pupillometry and actigraphy at a single visit.

Conditions

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Alzheimer Disease Mild Cognitive Impairment Neuro-Degenerative Diseases Vascular Dementia Dementia With Lewy Bodies Healthy Controls

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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MCI

Patients suffering from mild cognitive impairment (MCI) due to Alzheimer's disease.

Long-term study

Intervention Type OTHER

No intervention. Investigations: cognitive tests, blood samples, pupillometry, actigraphy, and FDG-PET/MR brain scan.

AD

Patients diagnosed with mild to moderate Alzheimer's disease (AD)

Long-term study

Intervention Type OTHER

No intervention. Investigations: cognitive tests, blood samples, pupillometry, actigraphy, and FDG-PET/MR brain scan.

Cross-sectional study

Intervention Type OTHER

No intervention. Investigations: cognitive tests, pupillometry and actigraphy.

NDD

Patients under investigation of a neurodegenerative disease (NDD)

Short-term study

Intervention Type OTHER

No intervention. Investigations: blood samples and pupillometry.

DLB

Patients diagnosed with Dementia with Lewy Bodies (DLB)

Cross-sectional study

Intervention Type OTHER

No intervention. Investigations: cognitive tests, pupillometry and actigraphy.

VaD

Patients with vascular dementia (VaD)

Cross-sectional study

Intervention Type OTHER

No intervention. Investigations: cognitive tests, pupillometry and actigraphy.

FTD

Frontotemporal dementia (FTD)

Cross-sectional study

Intervention Type OTHER

No intervention. Investigations: cognitive tests, pupillometry and actigraphy.

NPH

Normal pressure hydrocephalus (NPH)

Cross-sectional study

Intervention Type OTHER

No intervention. Investigations: cognitive tests, pupillometry and actigraphy.

Healthy Controls

Healthy Controls without brain disease

Cross-sectional study

Intervention Type OTHER

No intervention. Investigations: cognitive tests, pupillometry and actigraphy.

Interventions

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Long-term study

No intervention. Investigations: cognitive tests, blood samples, pupillometry, actigraphy, and FDG-PET/MR brain scan.

Intervention Type OTHER

Short-term study

No intervention. Investigations: blood samples and pupillometry.

Intervention Type OTHER

Cross-sectional study

No intervention. Investigations: cognitive tests, pupillometry and actigraphy.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* MCI due to AD, or mild or moderate AD dementia according to the National Institute on Aging and Alzheimer's Association (NIA-AA) diagnostic criteria
* Caregiver willing to participate as an informant
* MMSE \>19 at inclusion
* Brain FDG-PET/MRI or FDG/PET-CT
* Able to cooperate to the investigations and give informed consent

* Patients under investigation of a neurodegenerative disease
* MMSE \>19
* Scheduled lumbar puncture/lumbar puncture performed within the last week prior to inclusion
* Written consent form to the Danish Dementia Biobank
* Able to cooperate to the investigations


* A diagnosis of a dementia disorder
* Caregiver willing to participate as an informant
* MMSE \>15 at inclusion
* Able to cooperate to the investigations
* Able to give informed consent


* Able to cooperate to the investigations
* Normal cognition
* Age 50-90 year

Exclusion Criteria

* Other neurological or psychiatric illness that may affect neurofilament light (NfL) levels (severe neuropathy, multiple sclerosis (MS), stroke within the last 3 months, Wernicke encephalopathy)
* Diagnosis of previous or current major psychiatric disorder (schizophrenia, bipolar disorder, psychosis) within last 2 years
* Excessive alcohol intake or substance abuse within the last 2 years
* Ophthalmological disorders that may affect pupillometry
* Participating in drug trials or other intervention trials
2. Short-term study:

* Other neurological or psychiatric illness that may affect NfL levels (severe neuropathy, MS, stroke within the last 3 months, Wernicke encephalopathy)
* Excessive alcohol intake or substance abuse within the last 2 years
* Ophthalmological disorders that may affect pupillometry
* Participating in drug trials or other intervention trials
3. Cross-sectional study:


* Diagnosis of previous or current major psychiatric disorder (schizophrenia, bipolar disorder, psychosis) within last 2 years
* Excessive alcohol intake or substance abuse within the last 2 years
* Other known brain disorder
* Ophthalmological disorders that may affect pupillometry
* Participating in drug trials or other intervention trials


* Diagnosis of previous or current major psychiatric disorder (schizophrenia, bipolar disorder, psychosis) within last 2 years
* Excessive alcohol intake or substance abuse within the last 2 years
* Other known brain disorder
* Ophthalmological disorders that may affect pupillometry
Minimum Eligible Age

30 Years

Maximum Eligible Age

110 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Danish Dementia Research Centre

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Frederikke Kragh Clemmensen, MD

Role: PRINCIPAL_INVESTIGATOR

Danish Dementia Research Centre, Rigshospitalet, Copenhagen, Denmark

Mathias Holsey Gramkow, MD

Role: PRINCIPAL_INVESTIGATOR

Danish Dementia Research Centre, Rigshospitalet, Copenhagen, Denmark

Kristian Steen Frederiksen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Danish Dementia Research Centre, Rigshospitalet, Copenhagen, Denmark

Steen Gregers Hasselbalch, DMSc

Role: PRINCIPAL_INVESTIGATOR

Danish Dementia Research Centre, Rigshospitalet, Copenhagen, Denmark

Anja Hviid Simonsen, MSc Pharm PhD

Role: PRINCIPAL_INVESTIGATOR

Danish Dementia Research Centre, Rigshospitalet, Copenhagen, Denmark

Locations

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Danish Dementia Research Centre

Copenhagen, , Denmark

Site Status

Countries

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Denmark

References

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Clemmensen FK, Gramkow MH, Simonsen AH, Ashton NJ, Huber H, Blennow K, Zetterberg H, Waldemar G, Hasselbalch SG, Frederiksen KS. Short-term variability of Alzheimer's disease plasma biomarkers in a mixed memory clinic cohort. Alzheimers Res Ther. 2025 Jan 21;17(1):26. doi: 10.1186/s13195-024-01658-7.

Reference Type DERIVED
PMID: 39838483 (View on PubMed)

Other Identifiers

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H-21040317

Identifier Type: -

Identifier Source: org_study_id

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