NCT02572648

Brief Summary

The purpose of this study is to examine the relation between the structural brain changes associated with heart failure, neurocognitive performance, and how these changes impact self-care behaviors.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Oct 2015

Geographic Reach
1 country

3 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2015

Completed
6 days until next milestone

First Submitted

Initial submission to the registry

October 7, 2015

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 9, 2015

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2017

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2017

Completed
Last Updated

September 21, 2017

Status Verified

September 1, 2017

Enrollment Period

1.7 years

First QC Date

October 7, 2015

Last Update Submit

September 20, 2017

Conditions

Keywords

CardiomyopathyMagnetic Resonance Imaging (MRI)

Outcome Measures

Primary Outcomes (1)

  • Structural White Matter

    Diffusion tensor imaging (DTI) and myelin water imaging (MWI) will be used to compare brain structural white matter between participants with heart failure and healthy controls. This will be obtained via magnetic resonance imaging (MRI) techniques.

    Visit 1 (Up to 2 hours)

Secondary Outcomes (14)

  • Functional Connectivity

    Visit 1 (Up to 2 hours)

  • Global Cerebral Blood Flow (CBF)

    Visit 1 (Up to 2 hours)

  • Regional Cerebral Blood Flow (CBF)

    Visit 1 (Up to 2 hours)

  • Structural Grey Matter

    Visit 1 (Up to 2 hours)

  • Cognitive Function assessed by the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)

    Visit 2 (Up to 2 hours)

  • +9 more secondary outcomes

Study Arms (2)

Participants with Heart Failure

Participants with heart failure will complete neurocognitive tests and undergo magnetic resonance imaging (MRI).

Other: Brain Imaging (Neuroimaging)Other: Cognitive Function Assessment

Healthy Controls

Healthy controls will complete neurocognitive tests and undergo magnetic resonance imaging (MRI).

Other: Brain Imaging (Neuroimaging)Other: Cognitive Function Assessment

Interventions

Magnetic Resonance Imaging (MR) will be acquired on a research dedicated Siemens 3Tesla TIM TRIO MRI scanner with a 32-channel head coil.The MRI scanning protocol will have scans to measure voxelwise and whole-brain measures of grey matter (GM) volumes through a high resolution T1-weighted (T1W) multi-echo magnetization prepared gradient echo (MEMPRAGE) anatomic scan. Total time in scanner will be approximately 53 minutes.

Healthy ControlsParticipants with Heart Failure

Cognitive function will be assessed using several batteries; the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), the Controlled Oral Word Association Test (COWA), the Color Trails 1 \& 2, the WAIS-III Digit Span and Letter Number Sequence test, the Stroop Test, and the California Computerized Assessment Package Reaction Time test (CALCAP).

Healthy ControlsParticipants with Heart Failure

Eligibility Criteria

Age40 Years - 75 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Men and women with heart failure and men and women without heart failure to serve as healthy age-matched controls.

You may qualify if:

  • Participants with heart failure:
  • Speak and understand English
  • Live independently within a 60 mile radius of Atlanta
  • Montreal Cognitive Assessment (MOCA) score of less than or equal to 24
  • Documented medical diagnosis of New York Heart Association (NYHA) class II or III systolic
  • Left ventricular ejection fraction (LVEF) greater than or equal to 10% that is documented within the last year by echocardiogram, cardiac catheterization ventriculography, or radionuclide ventriculography
  • Receiving medication therapy for heart failure (HF) according to American College of Cardiology (ACC) American Heart recommendation guidelines for at least 8 weeks prior to study enrollment
  • Healthy Controls
  • Speak and understand English
  • Live independently within a 60 mile radius of Atlanta

You may not qualify if:

  • Participants with heart failure:
  • New York Heart Association (NYHA) class I or IV
  • Change in heart failure (HF) therapy within 6 months
  • Worsening of heart failure (HF) symptoms within last 5 days
  • Unstable angina
  • Renal insufficiency (serum creatinine greater than 3.o mg/dL)
  • Hospitalized within the last 30-days
  • Diagnosed with any neurological disorder that may interfere with cognitive function
  • Beck Depression Inventory II (BDI-II) score greater than 25
  • Claustrophobia
  • Implanted devices such as internal cardiac defibrillator or pacemaker
  • Carrying non-removable objects
  • Stents
  • Body weight more than 120 kg
  • Healthy Controls
  • +7 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Emory University Hospital Midtown

Atlanta, Georgia, 30308, United States

Location

The Emory Clinic

Atlanta, Georgia, 30322, United States

Location

Emory St. Joseph's Hospital

Atlanta, Georgia, 30342, United States

Location

MeSH Terms

Conditions

Heart FailureCardiomyopathies

Interventions

Neuroimaging

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

Diagnostic ImagingDiagnostic Techniques and ProceduresDiagnosisDiagnostic Techniques, NeurologicalInvestigative Techniques

Study Officials

  • Rebecca Gary

    Emory University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

October 7, 2015

First Posted

October 9, 2015

Study Start

October 1, 2015

Primary Completion

June 1, 2017

Study Completion

August 1, 2017

Last Updated

September 21, 2017

Record last verified: 2017-09

Locations