Neuroinflammation in FTLD

NCT ID: NCT06870838

Last Updated: 2025-09-11

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

ACTIVE_NOT_RECRUITING

Total Enrollment

110 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-07-25

Study Completion Date

2026-08-31

Brief Summary

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The goal of this observational study is to investigate the role of neuroinflammation in frontotemporal lobar degeneration (FTLD). The main aims of this study are:

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.

Detailed Description

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At baseline, the study will involve the following procedures: clinical assessment including neurological and neuropsychological investigation, blood sampling, and a voluntarily lumbar puncture on the first day at the Erasmus MC University Medical Center, (EMC) and two sessions of 7T MRI scanning on the second day at the Leiden University Medical Center (LUMC). After one year, clinical assessment and blood analyses will be repeated in the EMC to assess disease progression. The aim is to include 25 patients with probable or definite FTLD-tau, 25 patients with probable or definite FTLD-TDP, 50 healthy individuals with 50% risk to carry a mutation in MAPT or GRN, or the C9orf72 HRE. If necessary for age matching, 10 additional healthy subjects without increased risk of FTLD will be included.

Conditions

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Corticobasal Syndrome(CBS) Primary Progressive Aphasia(PPA) Progressive Supranuclear Palsy(PSP) Behavioral Variant Frontotemporal Dementia (bvFTD) Frontotemporal Lobar Degeneration (FTLD)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

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

Intervention Type DIAGNOSTIC_TEST

MRI-scanning of the brain using a 7T MRI scanner

CSF

Intervention Type DIAGNOSTIC_TEST

CSF collection via lumbar puncture

Blood withdrawal

Intervention Type DIAGNOSTIC_TEST

Blood is collected by doing a blood withdrawal

Neuropsychological assessment

Intervention Type DIAGNOSTIC_TEST

Tests for memory, language, attention, executive functions, praxis, social cognition, visuoconstructive skills

Clinical measures

Intervention Type DIAGNOSTIC_TEST

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

Intervention Type DIAGNOSTIC_TEST

MRI-scanning of the brain using a 7T MRI scanner

CSF

Intervention Type DIAGNOSTIC_TEST

CSF collection via lumbar puncture

Blood withdrawal

Intervention Type DIAGNOSTIC_TEST

Blood is collected by doing a blood withdrawal

Neuropsychological assessment

Intervention Type DIAGNOSTIC_TEST

Tests for memory, language, attention, executive functions, praxis, social cognition, visuoconstructive skills

Clinical measures

Intervention Type DIAGNOSTIC_TEST

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

Intervention Type DIAGNOSTIC_TEST

MRI-scanning of the brain using a 7T MRI scanner

CSF

Intervention Type DIAGNOSTIC_TEST

CSF collection via lumbar puncture

Blood withdrawal

Intervention Type DIAGNOSTIC_TEST

Blood is collected by doing a blood withdrawal

Neuropsychological assessment

Intervention Type DIAGNOSTIC_TEST

Tests for memory, language, attention, executive functions, praxis, social cognition, visuoconstructive skills

Clinical measures

Intervention Type DIAGNOSTIC_TEST

Medical history, neurological assessment, neuropsychiatric inventory

Healthy controls

Healthy individuals without increased risk to develop FTLD

7T MRI scan

Intervention Type DIAGNOSTIC_TEST

MRI-scanning of the brain using a 7T MRI scanner

CSF

Intervention Type DIAGNOSTIC_TEST

CSF collection via lumbar puncture

Blood withdrawal

Intervention Type DIAGNOSTIC_TEST

Blood is collected by doing a blood withdrawal

Neuropsychological assessment

Intervention Type DIAGNOSTIC_TEST

Tests for memory, language, attention, executive functions, praxis, social cognition, visuoconstructive skills

Clinical measures

Intervention Type DIAGNOSTIC_TEST

Medical history, neurological assessment, neuropsychiatric inventory

Interventions

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7T MRI scan

MRI-scanning of the brain using a 7T MRI scanner

Intervention Type DIAGNOSTIC_TEST

CSF

CSF collection via lumbar puncture

Intervention Type DIAGNOSTIC_TEST

Blood withdrawal

Blood is collected by doing a blood withdrawal

Intervention Type DIAGNOSTIC_TEST

Neuropsychological assessment

Tests for memory, language, attention, executive functions, praxis, social cognition, visuoconstructive skills

Intervention Type DIAGNOSTIC_TEST

Clinical measures

Medical history, neurological assessment, neuropsychiatric inventory

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Ability to undergo MRI scanning
* 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

* Other neurological or psychiatric disorder that may affect cognitive functions, such as a brain tumour, multiple sclerosis or drug or alcohol abuse or use of psycho-active medications
* 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Erasmus Medical Center

OTHER

Sponsor Role collaborator

Leiden University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Matthias van Osch

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Leiden University Medical Center

Leiden, , Netherlands

Site Status

Erasmus MC

Rotterdam, , Netherlands

Site Status

Countries

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Netherlands

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.

Reference Type DERIVED
PMID: 40754329 (View on PubMed)

Other Identifiers

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P21.090

Identifier Type: -

Identifier Source: org_study_id

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