Study Results
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Basic Information
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ACTIVE_NOT_RECRUITING
110 participants
OBSERVATIONAL
2023-07-25
2026-08-31
Brief Summary
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1. To elucidate the role and timing of neuroinflammation in FTLD by using a combination of clinical measures, 7T MRI, and CSF biomarkers;
2. To differentiate FTLD-TDP and FTLD-tau during life using biomarkers for neuroinflammation;
3. To identify biomarkers to predict and monitor disease progression in FTLD;
Secondary aim:
1\. To explore the role of brain clearance in the disease process of FTLD.
Participants will undergo 7T MRI scans, blood and CSF collection, clinical, neurological, and neuropsychological evaluation.
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Detailed Description
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Conditions
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Study Design
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COHORT
CROSS_SECTIONAL
Study Groups
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Patients with probable FTLD-tau
clinical diagnosis of PSP, CBS, or nfvPPA, or any clinical FTLD spectrum diagnosis with a proven MAPT mutation
7T MRI scan
MRI-scanning of the brain using a 7T MRI scanner
CSF
CSF collection via lumbar puncture
Blood withdrawal
Blood is collected by doing a blood withdrawal
Neuropsychological assessment
Tests for memory, language, attention, executive functions, praxis, social cognition, visuoconstructive skills
Clinical measures
Medical history, neurological assessment, neuropsychiatric inventory
Patients with probable FTLD-TDP
a clinical diagnosis of svPPA, FTLD-ALS or any clinical FTLD spectrum diagnosis with a proven GRN mutation or C9orf72 HRE
7T MRI scan
MRI-scanning of the brain using a 7T MRI scanner
CSF
CSF collection via lumbar puncture
Blood withdrawal
Blood is collected by doing a blood withdrawal
Neuropsychological assessment
Tests for memory, language, attention, executive functions, praxis, social cognition, visuoconstructive skills
Clinical measures
Medical history, neurological assessment, neuropsychiatric inventory
At-risk individuals
Healthy individuals with a first degree relative with a MAPT or GRN mutation or C9orf72 HRE. These subjects therefore all have a 50% risk to carry one of these genetic variants and develop FTLD later in life.
7T MRI scan
MRI-scanning of the brain using a 7T MRI scanner
CSF
CSF collection via lumbar puncture
Blood withdrawal
Blood is collected by doing a blood withdrawal
Neuropsychological assessment
Tests for memory, language, attention, executive functions, praxis, social cognition, visuoconstructive skills
Clinical measures
Medical history, neurological assessment, neuropsychiatric inventory
Healthy controls
Healthy individuals without increased risk to develop FTLD
7T MRI scan
MRI-scanning of the brain using a 7T MRI scanner
CSF
CSF collection via lumbar puncture
Blood withdrawal
Blood is collected by doing a blood withdrawal
Neuropsychological assessment
Tests for memory, language, attention, executive functions, praxis, social cognition, visuoconstructive skills
Clinical measures
Medical history, neurological assessment, neuropsychiatric inventory
Interventions
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7T MRI scan
MRI-scanning of the brain using a 7T MRI scanner
CSF
CSF collection via lumbar puncture
Blood withdrawal
Blood is collected by doing a blood withdrawal
Neuropsychological assessment
Tests for memory, language, attention, executive functions, praxis, social cognition, visuoconstructive skills
Clinical measures
Medical history, neurological assessment, neuropsychiatric inventory
Eligibility Criteria
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Inclusion Criteria
* For probable FTLD-tau: a clinical diagnosis of PSP, CBS or nfvPPA, or any clinical FTLD spectrum diagnosis with a proven MAPT mutation
* For probable FTLD-TDP: a clinical diagnosis of svPPA or any clinical FTLD spectrum diagnosis with a proven GRN mutation or C9orf72 repeat expansion
* For presymptomatic mutation carriers: a MAPT mutation, GRN mutation or a C9orf72 mutation without clinical sign of a FTLD spectrum phenotype (CDR 0) For control subjects: no known neurological or psychiatric disorder
* For controls: no known neurological or psychiatric disorder
Exclusion Criteria
* CSF profile (β-amyloid, p-tau, t-tau) suggestive of AD pathology
* Clinical dementia Rating Scale (CDR) score \>1
* Contra-indication to undergo MRI
* Contra-indication to undergo lumbar puncture
18 Years
ALL
Yes
Sponsors
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Erasmus Medical Center
OTHER
Leiden University Medical Center
OTHER
Responsible Party
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Matthias van Osch
Professor
Locations
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Leiden University Medical Center
Leiden, , Netherlands
Erasmus MC
Rotterdam, , Netherlands
Countries
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References
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Prinse FAM, van der Weerd L, van Swieten JC, Ronen I, Seelaar H, Hirschler L, Najac C, Dopper EGP. Investigating the role of neuroinflammation and brain clearance in frontotemporal lobar degeneration using 7T MRI and fluid biomarkers: protocol for a cross-sectional study in a tertiary care setting. BMJ Open. 2025 Aug 3;15(8):e102668. doi: 10.1136/bmjopen-2025-102668.
Other Identifiers
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P21.090
Identifier Type: -
Identifier Source: org_study_id
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