Multi-parameter Diagnostic Blood Test for the Diagnosis of Alzheimer's Disease
RH-VAL
Validation Trial for a Multi-parameter Diagnostic Blood Test for the Diagnosis of Alzheimer's Disease
1 other identifier
observational
700
3 countries
16
Brief Summary
The purpose of this study is to validate a diagnostic test that combines different blood markers to identify and correctly classify patients with Alzheimer's disease (AD) compared to individuals with behavioural variant frontotemporal dementia (bvFTD, patient control) versus cognitively healthy individuals (healthy control).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2014
Typical duration for all trials
16 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2014
CompletedFirst Submitted
Initial submission to the registry
March 17, 2015
CompletedFirst Posted
Study publicly available on registry
April 6, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
October 18, 2017
CompletedMarch 26, 2019
March 1, 2019
2.9 years
March 17, 2015
March 25, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Blood markers
Multi-parameter determination: Raman laser and infrared spectroscopic markers, Metabolite-based markers (A02, A16, A22 ST01 F20 M30), Protein markers (A, A-T, B, PRO-B, C, C1, C2, PROGRANULIN), Biochemical markers (OXIDATIVE STRESS MARKERS, CTAN, ROUTINE BIOCHEMICAL MARKERS (GLUCOSE, TRIGLYCERIDES) and Genetic markers (ApoE, ApoC).
Up to 12 months
Study Arms (3)
Cognitively Healthy controls
The neuropsychological test assessment must confirm that there is no cognitive impairment. In the case of the cognitively healthy controls, CerebroSpinal Fluid tests performed within 24 months of inclusion will be accepted.
Alzheimer Disease
Patients with AD will be classified based on currently valid and updated diagnostic algorithms in the NIA-Alzheimer's Association of America Clinical Guidelines (2011).
Frontotemporal dementia
Inclusion criterion used will be prior diagnosis based on the diagnostic guidelines published by Dr. Rackovsky (Brain, 2011) for the behavioural variant; and those published by Prof. D. Neary (Neurology, 1998) for primary aphasia. A clinical and neuropsychological assessment is required, with the optional presence of alterations to the progranulin gene (and others) and there must be a compatible, previously performed imaging test (MRI, PET or SPECT) (predominantly frontal or frontotemporal atrophy).
Eligibility Criteria
It is estimated that a sample of 500 patients (250 with AD and 250 with FTD) and 200 controls (700 individuals in total) will be sufficient to corroborate the hypothesis that permits validation of the new diagnostic test. The sample size estimate is based on a hypothesis of non inferiority between the new test and the test used in normal clinical practice, expecting a 10% delta of the 75% validity, sensitivity and specificity indices with an alpha error of 0.05 and a beta error of 0.20.
You may qualify if:
- Healthy controls:
- Aged between 50-80 years.
- Men and women.
- Assessment of the neuropsychological tests confirming the absence of cognitive impairment.
- Patients diagnosed with Alzheimer's disease (AD).
- Aged between 50-80 years.
- Men and women.
- Patients meet the clinical criteria for Alzheimer's disease:
- Patients with behavioural variant frontotemporal dementia and primary progressive aphasia: -
- Aged between 50-80 years.
- Men and women.
- Patient meets the clinical criteria of behavioural variant frontotemporal dementia (bvFTD), or syndromes associated with temporal variants that affect language (primary progressive aphasia, agrammatic and semantic subgroups):
- (Mild Cognitive Impairment) sub-study: Patients with mild cognitive impairment will be included
- Aged between 50-80 years.
- Men and women.
- +2 more criteria
You may not qualify if:
- Severe or acute systemic disease that could impede the participant's follow-up study: Advanced liver or kidney disease and disseminated neoplastic disease
- Addiction to alcohol or other drugs in the last two years based on Diagnostic and Statistical Manual of Mental Disorders IV criteria, except nicotine use, which is permitted
- Down's syndrome
- Moderate or severe head injury
- central nervous system infections (HIV, syphilis, borrelia, herpes simplex, suspected Creutzfeldt-Jakob disease)
- Endocrine alterations (thyroid alterations)
- Nutritional deficiency (vitamin B12, folic acid)
- Clinical history of stroke in the previous three months or neuroimaging evidence of clinically significant cardiovascular disease (e.g. strategic infarct or severe leukoencephalopathy).
- Neurological diseases (dysmyelinating disorders, Parkinson's disease, Huntington's disease, normal pressure hydrocephalus, subdural haematoma, brain tumours)
- Major psychiatric disorder (major depression or psychosis)
- Disease which, in the investigator's or sponsor's judgement, may have a potentially significant influence and thus generate bias in the study markers.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (16)
AZ Sint Jan
Bruges, 8000, Belgium
UCL St Luc
Brussels, B-1200, Belgium
Centre Hospitalier d'ARRAS
Arras, 62000, France
Hôpital neurologique Pierre Wertheimer
Bron, 69500, France
Clinique Neurologique CHRU
Lille, 59037, France
Centre Mémoire paris Nord Ile de France GH Saint-Louis Lariboisière Fernand Widal
Paris, 75010, France
Cognitive and Behavioral Disease Center and Alzheimer's Institute
Paris, 75013, France
Hospital Marqués de Valdecilla
Santander, Cantabria, 39011, Spain
Hospital Virgen de la Arrixaca
El Palmar, Murcia, 30120, Spain
CITA Alzheimer
Donostia / San Sebastian, San Sebastián, 20009, Spain
Hospital Sant Pau
Barcelona, 08026, Spain
Hospital Clinic
Barcelona, 08036, Spain
Hospital Gregorio Marañón
Madrid, 28007, Spain
Hospital Ramón y Cajal
Madrid, 28034, Spain
Hospital La Paz
Madrid, 28046, Spain
Hospital de Valladolid
Valladolid, 47003, Spain
Biospecimen
3 tubes of blood ( 30 mL of blood in total) for further analysis of their products (plasma, cells and DNA) in Alzheimer's research unit project CIEN Foundation would be extracted .
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Javier Cabello
Raman Health Technologies, S.L.
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 17, 2015
First Posted
April 6, 2015
Study Start
January 1, 2014
Primary Completion
November 30, 2016
Study Completion
October 18, 2017
Last Updated
March 26, 2019
Record last verified: 2019-03