Biomarkers of Sleep-wake Cycle in Prodromal Alzheimer's Disease: Role in Cognitive Decline?

NCT ID: NCT05629871

Last Updated: 2025-10-07

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

RECRUITING

Clinical Phase

NA

Total Enrollment

132 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-17

Study Completion Date

2027-07-01

Brief Summary

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Alzheimer's disease (AD) is characterised by a progressive loss of memory and cognitive function. In the early stages of AD, there is a progressive accumulation of molecules: β-amyloid peptides (Aβ) in the brain. There is a link between the accumulation of Aβ peptides and the deterioration of sleep, but current knowledge does not confirmed this link. The objective of this study is to define whether there is a link between cognitive decline and sleep disorders. If a correlation is found, this could allow earlier treatment of sleep disorders in the longer term in order to slow the development of AD.

Detailed Description

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Conditions

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Neuropathology

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Single arm

Alzheimer

Group Type EXPERIMENTAL

Polysomnography

Intervention Type PROCEDURE

Polysomnography will be performed for 24 hours at inclusion and 24 months

Neuropsychological assessment

Intervention Type BEHAVIORAL

A full neuropsychological assessment will be performed at inclusion, 12 and 24 months

Questionnaires on sleep and behavioural problems

Intervention Type BEHAVIORAL

Questionnaires on sleep and behavioural problems

Actimetry

Intervention Type PROCEDURE

Measurement of actimetrics for 14 days at inclusion and at 24 months

Fractional diuresis

Intervention Type DIAGNOSTIC_TEST

Split diuresis from 7pm-7am, 7am-12am and 12pm-19pm during polysomnography at inclusion inclusion and 24 months to measure melatonin concentration

Internal temperature measurement

Intervention Type PROCEDURE

eCelsius capsule to measure internal temperature at inclusion and 24 months

Biomarker assay

Intervention Type OTHER

Determination of the biomarkers Aβ42, Aβ40, Tau and P-Tau in blood and in the cerebrospinal fluid

Interventions

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Polysomnography

Polysomnography will be performed for 24 hours at inclusion and 24 months

Intervention Type PROCEDURE

Neuropsychological assessment

A full neuropsychological assessment will be performed at inclusion, 12 and 24 months

Intervention Type BEHAVIORAL

Questionnaires on sleep and behavioural problems

Questionnaires on sleep and behavioural problems

Intervention Type BEHAVIORAL

Actimetry

Measurement of actimetrics for 14 days at inclusion and at 24 months

Intervention Type PROCEDURE

Fractional diuresis

Split diuresis from 7pm-7am, 7am-12am and 12pm-19pm during polysomnography at inclusion inclusion and 24 months to measure melatonin concentration

Intervention Type DIAGNOSTIC_TEST

Internal temperature measurement

eCelsius capsule to measure internal temperature at inclusion and 24 months

Intervention Type PROCEDURE

Biomarker assay

Determination of the biomarkers Aβ42, Aβ40, Tau and P-Tau in blood and in the cerebrospinal fluid

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of mild Alzheimer's disease with a Mini Mental State (MMS) between 21-30
* The presence of a family carer to complete neuropsychological scales, questionnaires and sleep diaries
* Having a neurological assessment and/or follow-up requiring blood and cerebrospinal fluid (CSF) sampling with biomarkers for diagnostic purposes
* Patient who had a lumbar puncture less than one year ago or patient with a scheduled lumbar puncture as part of care
* Signed informed consent
* Able to carry out all visits and follow study procedures
* Affiliation to the French social security system

Exclusion Criteria

* Genetic form of alzheimer's disease
* Insufficient clinical and paraclinical information for the diagnosis of AD
* Anticholinesterase and/or memantine treatment or on stable doses for at least 3 months
* Use of antidepressants, anxiolytics, hypnotics, neuroleptics, 15 days before inclusion
* Patient living in a nursing home
* Illiteracy or inability to perform psycho-behavioural tests
* Major physical or neurosensory problems that may interfere with the tests
* Initial contraindication to diagnostic lumbar puncture (LP) (spinal surgery, skin infection, haemostasis abnormality, intracranial hypertension, severe coagulation disorders, curative anticoagulant therapy, severe liver failure)
* Refusal to perform a diagnostic lumbar puncture
* Contraindication to the use of E-Celsius: people weighing less than 40 kg, with intestinal disorders, with known swallowing disorders
* Patient deprived of liberty, by judicial or administrative decision;
* Major protected by law;
* Patient in a period of relative exclusion from another protocol or for whom the maximum annual compensation of €4500 has been reached;
* Refusal to participate in the protocol.
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut National de la Santé Et de la Recherche Médicale, France

OTHER_GOV

Sponsor Role collaborator

University Hospital, Montpellier

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Karim BENNYS, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Montpellier

Locations

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University Hospital, Montpellier

Montpellier, , France

Site Status RECRUITING

University Hospital of Poitiers

Poitiers, , France

Site Status NOT_YET_RECRUITING

University Hospital of Toulouse

Toulouse, , France

Site Status NOT_YET_RECRUITING

Countries

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France

Central Contacts

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Claire Denis

Role: CONTACT

+33467333162

Yves Dauvilliers, MD

Role: CONTACT

+33467335219

Facility Contacts

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Karim BENNYS, MD

Role: primary

Marc PACCALIN, MD

Role: primary

Rachel DEBS, MD

Role: primary

Other Identifiers

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RECHMPL18_0061

Identifier Type: -

Identifier Source: org_study_id

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