NCT03890861

Brief Summary

The RAATE proposal is designed to determine the effects of physical activity on risk factors for Alzheimer's Disease in older African American adults. The study will compare a physical activity program to an active control group. There are three main objectives of the protocol: 1) to determine if a physical activity intervention tailored to older African American adults is effective in modifying cognitive function associated with Alzheimer's Disease, 2) to determine if a physical activity intervention tailored to older African American adults is effective in modifying brain function and structure associated with Alzheimer's Disease, and 3) to determine if a physical activity promotion intervention tailored to African American adults is effective at enhancing physiological parameters. The primary endpoints for the study are episodic memory and executive functioning. The secondary outcomes include anthropometry, blood pressure, brain activation, cerebral blood flow, volume of whole brain and white matter hyperintensities, cardiorespiratory fitness, objectively measured physical activity, circulating hormones, and telomere length.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
125

participants targeted

Target at P50-P75 for not_applicable

Timeline
6mo left

Started Aug 2019

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress93%
Aug 2019Nov 2026

First Submitted

Initial submission to the registry

March 18, 2019

Completed
8 days until next milestone

First Posted

Study publicly available on registry

March 26, 2019

Completed
5 months until next milestone

Study Start

First participant enrolled

August 9, 2019

Completed
6.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2025

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2026

Expected
Last Updated

November 25, 2024

Status Verified

November 1, 2024

Enrollment Period

6.2 years

First QC Date

March 18, 2019

Last Update Submit

November 20, 2024

Conditions

Keywords

African AmericanAgingPhysical activityCognitionPrevention

Outcome Measures

Primary Outcomes (2)

  • Change in episodic memory

    The Rey Auditory Verbal Learning Test (RAVLT) is a common neuropsychological tool used to evaluate episodic memory. The RAVLT involves providing participants with 15 unrelated words and asking them to recall the word list. There are 5 trials designed to determine short-term memory and then a 30 minute delay to assess long-term memory. The total words correct in both the short- and long-term trials are used as outcome measures.

    Baseline, 24 weeks, 52 weeks

  • Change in executive function

    The NIH Toolbox Executive Function subdomain consists of the Flanker Inhibitory Control and Attention Test and the Dimensional Change Card Sort Test. The Flanker test is a measure of one's ability to inhibit attention to irrelevant conditions. Participants must identify the direction of a central visual stimuli amongst flanking stimuli either congruent or incongruent with the central stimuli. There are 40 trials and scores range from 0 - 10. The Card Sort is a measure of the ability to shift attention based on rules. Participants must match a target visual stimuli to either a color or word stimuli and this matching shifts during the assessment.

    Baseline, 24 weeks, 52 weeks

Secondary Outcomes (16)

  • Change in cognitive status

    Baseline, 24 weeks, 52 weeks

  • Change in glucose

    Baseline, 24 weeks, 52 weeks

  • Change in time spent in physical activity

    Baseline, 24 weeks, 52 weeks

  • Change in cardiorespiratory fitness

    Baseline, 24 weeks, 52 weeks

  • Change in physical function-NIH Toolbox

    Baseline, 24 weeks, 52 weeks

  • +11 more secondary outcomes

Study Arms (2)

Physical activity intervention

EXPERIMENTAL

The intervention group will target 150 minutes of moderate to vigorous aerobic physical activity and two days of strength training, consistent with the current physical activity recommendations. Participants will engage in 2 days per week of supervised activity at community facilities. These participants will be requested to engage in an additional 30 minutes of moderate to vigorous aerobic physical activity two days per week at home.

Behavioral: Physical activity

Active control

ACTIVE COMPARATOR

The active control group will be based on a low-intensity activity program and a healthy aging educational component. The physical activities will include stretching, balance training, flexibility, relaxation, and practicing activities of daily living. The successful aging education component will cover topics including avoiding scams, fall prevention, living wills, and dementia awareness.

Behavioral: Successful Aging

Interventions

Promotion of physical activity to the current federal physical activity guidelines.

Physical activity intervention

Seminars of health topics related to aging in African Americans with light stretching and low intensity activites

Active control

Eligibility Criteria

Age60 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • self- identify as African American
  • years and older
  • willing to accept randomization
  • willing to attend group sessions
  • lacking plans to move during the study period
  • free of conditions that would make regular exercise unsafe (e.g. uncontrolled asthma, severe sickle cell disease, etc.)
  • not engaged in regular physical activity
  • Short Physical Performance Battery score \>/= 4
  • physically capable of exercise,

You may not qualify if:

  • cognitive impairment that would interfere with participating in group interactions
  • unwilling to give written informed consent
  • inability to attend group sessions
  • conditions that prevent regular exercise

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Pennington Biomedical Research Center

Baton Rouge, Louisiana, 70808, United States

RECRUITING

MeSH Terms

Conditions

Alzheimer DiseaseMotor Activity

Interventions

Exercise

Condition Hierarchy (Ancestors)

DementiaBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesTauopathiesNeurodegenerative DiseasesNeurocognitive DisordersMental DisordersBehavior

Intervention Hierarchy (Ancestors)

Motor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Study Officials

  • Robert L Newton, Jr., PhD

    Pennington Biomedical Research Center

    PRINCIPAL INVESTIGATOR
  • Owen L Carmichael, PhD

    Pennington Biomedical Research Center

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Melissa Harris, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

March 18, 2019

First Posted

March 26, 2019

Study Start

August 9, 2019

Primary Completion

November 1, 2025

Study Completion (Estimated)

November 1, 2026

Last Updated

November 25, 2024

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will share

For all study data, Pennington Biomedical has a well-structured internal process for data sharing and transfer. The Office of Legal and Regulatory Compliance is responsible for all data agreements which includes data subject to the protection under HIPAA. As part of the Louisiana State University System, Pennington Biomedical ensures that data agreements are in place in the following circumstances: business associate agreements when the transfer of data contains all identifiers, data use agreements when the transfer of data contains those identifiers that constitute a limited data set and a data transfer agreement in instances where data is de-identified, but still may be subject of protection in order to protect intellectual property rights. Transmission of data to ensure proper safeguards are in place on the data in motion and data at reset are carried out with assistance of the Research Computing Group or the Office of Computing Services.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
Time Frame
Data will be available after data analysis has occurred.

Locations