E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Alzheimer disease |
ziekte van Alzheimer |
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E.1.1.1 | Medical condition in easily understood language |
Alzheimer disease |
Ziekte van Alzheimer |
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E.1.1.2 | Therapeutic area | Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Diagnosis [E01] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
to determine how changes in the functional brain network for language relate to the hierarchical spread of tau aggregates |
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E.2.2 | Secondary objectives of the trial |
To determine the topographical spread of tau across different stages (preclinical, prodromal, early dementia stage) of Alzheimer's disease |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
The study population consists of four cohorts, of 40 subjects each. The lower age limit will be 50 years of age and the upper limit 85. The study groups will consist of: 1. 40 patients with mild to moderate clinically probable AD according to the National Institute of Aging (NIA)-Alzheimer's Association (AA) diagnostic criteria [29], and an MMSE of 16 or higher and a Clinical Dementia Rating scale total score of 0.5 or 1. Patients will be recruited via the memory clinic of the University Hospitals Leuven (UZ Leuven). 2. 40 patients with amnestic MCI due to AD according to the NIA-AA diagnostic criteria [5], an MMSE 25 or higher, and a Clinical Dementia Rating scale total score of 0.5, recruited via the memory clinic UZ Leuven (total number of amnestic MCI patients currently in follow-up = 64). 3. 40 amyloid-positive cognitively intact healthy controls, recruited via a longitudinal community-recruited cohort that is followed at the Laboratory for Cognitive Neurology (see below) (mean age = 68.4 6.4, range 55-80 years). One of the key inclusion criteria is neuropsychological test scores within the published norms at baseline. 4. 40 matched amyloid-negative cognitively intact healthy controls, recruited from the community following the same procedures as for our earlier cohort. These subjects will be matched in age, education and gender to the three first cohorts.
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E.4 | Principal exclusion criteria |
Participants with significant medical, neurological or psychiatric comorbidity will be excluded. Structural lesions on MRI, such as large-vessel strokes, sequellae of macrohemorrhages, arachnoidal cysts, and posttraumatic lesions, will be an exclusion criterion. White matter lesions will be allowed.
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E.5 End points |
E.5.1 | Primary end point(s) |
Nodal activity levels (response amplitude) and connectivity (path length, clustering coefficient, degree and betweenness centrality) of the posterior superior temporal sulcus, posterior middle temporal gyrus and the anterior supramarginal gyrus in relation to the presence of aggregated tau. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
within 3 months after study inclusion |
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E.5.2 | Secondary end point(s) |
Number of subject clusters that can be reliably defined based on hierarchical clustering analysis of the scans and the corresponding topography of the spread of tau
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Within 3 months after study inclusion |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Yes |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 4 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |