REAl World Dementia OUTcomes: Observational Study

NCT ID: NCT07238049

Last Updated: 2025-11-20

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

ENROLLING_BY_INVITATION

Total Enrollment

3165 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-11-01

Study Completion Date

2029-10-31

Brief Summary

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READ-OUT observational study will investigate blood-based biomarkers for dementia in real-world clinical settings. This 3-year observational study will include 3165 people, males or females aged 45 years or older, with cognitive impairment of any severity.

Participants provide blood samples and complete questionnaires about quality of life and healthcare use, with some having additional follow-ups at 2 weeks and 1 year. The study will assess reliability and accuracy of blood tests in diagnosing dementia.

Detailed Description

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Dementia affects a growing number of people in the UK, with significant costs for individuals, families, and society. There is an urgent need for accurate diagnosis of dementia to allow early intervention and support when people can still make decisions about their care.

Current dementia diagnosis in memory clinics relies on clinical assessment, cognitive testing, and brain scans (MRI or CT). Only a small proportion of UK patients have access to more specific tests like PET brain scans or spinal fluid analysis, which are expensive and not widely available.

Recent developments have shown that blood tests can accurately detect the underlying brain changes of dementia, particularly Alzheimer's disease. In research studies, these blood-based biomarkers (ptau217, AB42/40 ratio, GFAP, NFL etc) have successfully identified people with Alzheimer's disease when compared to clinical diagnoses, gold standard brain scans, and post-mortem brain examination. These blood tests also show promise for predicting people with future dementia risk.

However, most research has been conducted in younger, less diverse populations than those seen in real-world memory services. Blood-based biomarkers are not yet used in routine NHS practice, and more work is needed to test how well they perform in representative UK populations. We also need to understand whether people want to know their blood test results, what information they want, and how this is best communicated.

The READ-OUT study will test blood-based biomarkers in people attending memory clinics across the UK (30 NHS sites), ensuring participants represent the full diversity of people with dementia or memory concerns (30% from underrepresented groups). Participants will provide a 40ml blood sample and complete questionnaires about quality of life, healthcare use, and attitudes toward blood testing for dementia. The accuracy of blood biomarkers will be compared against established diagnostic methods including expert clinical review, brain scans, spinal fluid tests, and long-term health record follow-up.

The study includes three optional sub-studies: test-retest reliability of blood biomarkers (10% of participants returning after 1-2 weeks), investigating disease progression over one year (20% of participants), and evaluating whether people can collect blood samples at home using finger-prick cards (75 participants).

The study will determine which blood biomarkers are most accurate for diagnosing different types of dementia, predict disease progression, and assess their cost-effectiveness in the healthcare system. Results will inform whether these tests should be integrated into NHS clinical pathways and will guide the design of READ-OUT Phase 2, a randomized trial testing whether providing blood biomarker results to patients and doctors improves clinical care and outcomes.

Conditions

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Alzheimer Disease (AD) Mild Cognitive Impairment (MCI) Dementia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

The participant may enter the study if ALL of the following apply:

* Willing and able to give informed consent for participation in the study (translation needs for study information and forms for non-English speakers will be defined locally) OR Adults who otherwise lack the capacity to consent but for whom advice regarding participation has been obtained via a consultee using the personal or nominated consultee process
* Male or Female, aged 45 years and above
* Referred or referable with cognitive or behavioural symptoms and/or diagnosed with a cognition related disorder; including those with subjective cognitive impairment and functional disorders.

Exclusion Criteria

The participant may not enter the study if ANY of the following apply:

* Lack of venous access
* Unwilling to consent to NHS data linkage or in Northern Ireland, unwilling to allow long term follow up by access to electronic NHS records.
Minimum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Cambridge

OTHER

Sponsor Role collaborator

University of Edinburgh

OTHER

Sponsor Role collaborator

Greater Manchester Mental Health NHS Foundation Trust

OTHER

Sponsor Role collaborator

University of Bristol

OTHER

Sponsor Role collaborator

Queen Mary University of London

OTHER

Sponsor Role collaborator

West London NHS Trust

OTHER

Sponsor Role collaborator

University College, London

OTHER

Sponsor Role collaborator

Imperial College London

OTHER

Sponsor Role collaborator

Aneurin Bevan University Health Board

OTHER

Sponsor Role collaborator

Queen's University, Belfast

OTHER

Sponsor Role collaborator

University of Oxford

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vanessa Raymont

Role: PRINCIPAL_INVESTIGATOR

University of Oxford

Locations

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Betsi Cadwaladr University Health Board

Bangor, , United Kingdom

Site Status

ReMind UK

Bath, , United Kingdom

Site Status

Belfast Health & Social Care Trust

Belfast, , United Kingdom

Site Status

Dorset HealthCare University NHS Foundation Trust

Bournemouth, , United Kingdom

Site Status

Berkshire Healthcare NHS Foundation Trust

Bracknell, , United Kingdom

Site Status

Bradford District Care NHS Foundation Trust

Bradford, , United Kingdom

Site Status

North Bristol NHS Trust

Bristol, , United Kingdom

Site Status

Cambridgeshire and Peterborough NHS Foundation Trust

Cambridge, , United Kingdom

Site Status

Devon Partnership NHS Trust

Exeter, , United Kingdom

Site Status

Barts Health NHS Trust

London, , United Kingdom

Site Status

East London NHS Foundation Trust

London, , United Kingdom

Site Status

South London and Maudsley (SLaM)

London, , United Kingdom

Site Status

St George's Hospital

London, , United Kingdom

Site Status

West London NHS Trust

London, , United Kingdom

Site Status

Greater Manchester Mental Health Foundation Trust

Manchester, , United Kingdom

Site Status

Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust

Newcastle upon Tyne, , United Kingdom

Site Status

Aneurin Bevan University Health Board

Newport, , United Kingdom

Site Status

Nottingham University Hospitals NHS Trust

Nottingham, , United Kingdom

Site Status

Oxford Health NHS Trust

Oxford, , United Kingdom

Site Status

Lancashire & South Cumbria NHS Foundation Trust

Preston, , United Kingdom

Site Status

Surrey and Borders Partnership NHS Foundation Trust

Redhill, , United Kingdom

Site Status

Sheffield Health and Social Care NHS Foundation Trust

Sheffield, , United Kingdom

Site Status

Sheffield Teaching Hospital

Sheffield, , United Kingdom

Site Status

Hampshire and Isle of Wight NHS Foundation Trust

Southampton, , United Kingdom

Site Status

University Hospital Southampton

Southampton, , United Kingdom

Site Status

Midlands Partnership University NHS Foundation Trust

Stafford, , United Kingdom

Site Status

Sussex Partnership NHS Foundation Trust

Worthing, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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ARUK-BBC2023-001

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

24/WA/0330

Identifier Type: -

Identifier Source: org_study_id

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