Sleep Impairment in Subjects at Risk of Developing Alzheimer's Disease

NCT ID: NCT05649514

Last Updated: 2025-06-27

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

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-05

Study Completion Date

2027-12-01

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.

Treatment protocols in the field of Alzheimer's disease (AD) are directed towards participants at risk of developing the disease, such as those who carry at least one ε4 allele on apolipoprotein E (APOE ε4). An individual with 2 ε4 copies has a 30-55% risk of developing AD with an age of onset around 68 years and a dose effect of the allele on risk and age of onset of symptoms.

Detailed Description

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Conditions

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Neuropathology Cognitive Decline Sleep Disorder

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

Prodromal Alzheimer's patients

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

Actimetrics

Intervention Type PROCEDURE

Measurement of actimetrics for 14 days at inclusion and at 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

Actimetrics

Measurement of actimetrics for 14 days at inclusion and at 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 MMS between 21-30
* Without anticholinesterase and/or memantine treatment or on stable doses for at least 3 months
* No antidepressant or anxiolytic treatment or stopped for at least 15 days
* The presence of a family carer to complete neuropsychological scales, questionnaires and sleep diaries
* 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
* 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
* Patient deprived of liberty, by judicial or administrative decision;
* Major depression according to Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
* Major protected by law;
* Short-term life-threatening conditions
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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CHU de Montpellier

Montpellier, Hérault, France

Site Status RECRUITING

Countries

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France

Central Contacts

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Yves Dauvilliers, MD

Role: CONTACT

+33467335219

Facility Contacts

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Yves DAUVILLIERS

Role: primary

Other Identifiers

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RECHMPL22_0392

Identifier Type: -

Identifier Source: org_study_id

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