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NCT Number: NCT06534658

Study on Multimodal Imaging and Molecular Imaging Techniques in Degenerative Dementia

This project is a multicenter observational study that establishes a longitudinal cohort of patients with Alzheimer's disease and other dementias based on neuroimaging, molecular imaging, biological and digital markers to explore new solutions such as dementia disease mechanism, diagnosis, condition evaluation, and prognosis assessment.

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Key information

Age range

50 year–85 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Chinese People's Liberation Army General Hospital, Beijing, Beijing Municipality, China

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About this study

This project will build a longitudinal database based on multimodal MRI imaging information of dementia subjects, various body fluid or digital markers, and a cohort. The convolutional neural network algorithm will be used to explore the imaging characteristics of healthy controls, AD, FTD, and DLB, develop an early prediction model for degenerative dementia, and achieve early differential diagnosis of different dementia subtypes. This study further performed GE180, ASEM, and exendin-4 radionuclide imaging on some subjects who completed conventional PET (AV45, Tauvir, and FDG) imaging to explore the diagnostic efficacy of these three probes as new diagnostic probes for early AD. In addition, through longitudinal follow-up of Aβ-positive MCI patients, multimodal MRI and PET image fusion technology were used to explore the changes in fused images during their conversion to AD in order to obtain early and accurate diagnostic markers.

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients aged ≥50 and ≤85 years old, male or female;
  • Meet the diagnostic criteria for dementia or MCI;
  • Neuropsychological score: MMSE 15-28 points, CDR ≤ 1 point; ④ Patients and their families are informed and sign the informed consent form

Exclusion criteria

  • The presence of other neurological diseases that may cause brain dysfunction (such as depression, brain tumors, Parkinson's disease, metabolic encephalopathy, encephalitis, multiple sclerosis, epilepsy, brain trauma, normal intracranial pressure hydrocephalus, etc.);
  • The presence of other systemic diseases that may cause cognitive impairment (such as liver dysfunction, renal dysfunction, thyroid dysfunction, severe anemia, folic acid or vitamin B12 deficiency, syphilis, HIV infection, alcohol and drug abuse, etc.);
  • Suffering from a disease that makes it impossible to cooperate with cognitive examinations;
  • The presence of contraindications to MRI;
  • The presence of mental and neurological retardation;
  • Refusing to draw blood;
  • Refusing to sign the informed consent form.

Treatment and study plan

Primary outcomes

  1. The change of incidence of cognitive impairment

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    Number of participants who covert to AD or mild cognitive impairment (MCI) will be recorded to calculate the incidence.

Secondary outcomes

  1. The change of Mini-Mental State Examination (MMSE)

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    MMSE is a brief screening instrument used to assess cognitive function (orientation, memory, attention, ability to name objects, follow verbal/written commands, write a sentence, and copy figures) in elderly participants. Total score ranges from 0 to 30; lower score indicates greater disease severity.

  2. The change of Montreal cognitive assessment-Basic (MoCA)

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    MoCA is a brief screening instrument used to assess cognitive function (orientation, memory, attention, ability to name objects, follow verbal/written commands, write a sentence, and copy figures) in elderly participants. Total score ranges from 0 to 30; lower score indicates greater disease severity.

  3. The change of Auditory verbal learning test (AVLT)

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    AVLT is a screening instrument used to assess the function of memory. The score in long-term memory (N5) ranges from 0 to 12, with lower scores indicating greater disease severity.

  4. The change of structural MRI

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    Structural MRI data will be acquired and analyzed through high-resolution T1-weighted MRI and diffusion tensor imaging (DTI).

  5. The change of functional MRI

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    Functional MRI data will be acquired and analyzed through blood oxygenation level dependent (BOLD) imaging.

  6. The change of magnetic susceptibility

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    Magnetic susceptibility data will be acquired and analyzed through quantitative susceptibility mapping (QSM)

  7. The change of perfusion MR imaging

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    Perfusion imaging data will be acquired and analyzed through arterial spin labeling (ASL).

  8. Positron emission tomography (PET)-MRI

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    Including AV45-PET, FDG-PET, Tau-PET, GLP-1R PET, Cholinergic receptor probe (ASEM) PET will be used to detect the amyloid, Tau burden and AD related GLP-1R as well as Cholinergic receptor change

  9. The change of blood biomarker

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    Blood serum p-tau 181, p-tau 217, Aβ40, pEAβ3-42 and Aβ42 , GFAP, NFL at baseline will be tested. The higher blood p-tau is a strong predictor for AD.

  10. The change of speech information

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    Voice data collection, use a voice recorder to collect the patient's description of "stealing biscuit map" language, and save it in SWV format. And use self-developed ASR speech analysis software (China software copyright number: 2016RS164680) for speech analysis.

  11. The change of Activities of daily living (ADL)

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    ADL is a scale used in healthcare to refer to people's daily self-care activities. Eight factors are rated to produce an overall score on a point scale of 0 to 100. The lower the score the more independence in living.

  12. The change of Geriatric Depression Scale (GDS)

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    GDS is a neuropsychological scale used to assess the level of depression. The total score ranges from 0 to 30, with higher scores indicating greater disease severity.

  13. The change of electroencephalogram (EEG)

    Time frame: baseline, 1 year, 2 year, 3 year, 4 year

    Electroencephalogram (EEG) is used to measure electrical activity in the brain using small, metal discs (electrodes) attached to the scalp. Recorded frequencies include alpha, beta, delta and theta band power. The EEG signatures of people with cognitive impairment will be further analyzed, and its longitudinal changes will be observed.

Study contacts

Contact information is provided by the study sponsor or research team.

Jintao Wang

CONTACT

[email protected]

18221457023 ext. 86

Sponsors and collaborators

Lead sponsor

Ruijin Hospital

Other

Registry information

Acronym: MIMI

Important dates

Study start
2020
Primary completion
2029
Study completion
2029
First posted
Aug 2, 2024
Registry last updated
Aug 2, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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