NCT05736146

Brief Summary

The investigators goals are to identify blood lipids/metabolites that correlate with cognitive decline in the presence of the APOE ε4 allele among veterans with GWI. To determine the effect of dietary, medical and biological factors that influence lipid and metabolites in blood from GW veterans. To identify blood lipid/metabolite profiles that correlate with bioenergetics deficits and glial activation in the brains of GWI. To validate blood biomarker signatures of GWI using APOE genotyping and blood lipids/metabolites that correlate with the CNS dysfunction in GWI.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Jun 2022

Typical duration for all trials

Geographic Reach
1 country

3 active sites

Status
recruiting

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

June 30, 2022

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

February 9, 2023

Completed
12 days until next milestone

First Posted

Study publicly available on registry

February 21, 2023

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2025

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2026

Completed
Last Updated

July 24, 2025

Status Verified

November 1, 2024

Enrollment Period

3.4 years

First QC Date

February 9, 2023

Last Update Submit

July 21, 2025

Conditions

Keywords

Gulf WarAPOE

Outcome Measures

Primary Outcomes (4)

  • Validate Blood Biomarkers

    To validate blood biomarker signatures of GWI using APOE genotyping and blood lipids/metabolites that correlate with the CNS dysfunction in GWI.

    2022-2024

  • Identify Blood/Lipid Profiles

    To identify blood lipid/metabolite profiles that correlate with bioenergetics deficits and glial activation in the brains of GWI.

    2022-2024

  • Effect of Dietary, Medical and Biological Factors

    To determine the effect of dietary, medical and biological factors that influence lipid and metabolites in blood from GW veterans.

    2022-2024

  • Metabolites Correlating with Cognitive Decline

    To identify blood lipids/metabolites that correlate with cognitive decline in the presence of the APOE ε4 allele among veterans with GWI.

    2022-2024

Study Arms (2)

Case: GWI

This group includes participants who served in the Gulf War during 1990 -1991 and have Gulf War Illness based on either the Kansas or CDC symptom criteria.

Control

This group includes participants who served in the Gulf War during 1990 -1991 and have no symptoms of Gulf War Illness based on both the Kansas and CDC symptom criteria.

Eligibility Criteria

Age35 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Veterans who served in the Gulf War during 1990 to 1991.

You may qualify if:

  • Age 35 years or older.
  • For GWI cases, served in the 1990-1991 Gulf War as active duty, national guard, or reserves and meet criteria for the CDC Chronic Multisymptom Illness (CMI) GWI definition or Kansas GWI definition.
  • For controls, must be a veteran in the same age range as those veterans with GWI as defined above.
  • Ability to understand written and spoken English or availability of a legal representative who can understand written or spoken English. Participants and caregiver/informants must be able to read, write and speak the language in which psychometric tests are provided with visual and auditory acuity (corrected) sufficient to allow for accurate testing.

You may not qualify if:

  • Diagnosed or being treated by a physician for any of the following (Steele et al, 2000) and deemed clinically significant per the discretion of the PI:
  • Cancer (except for non-melanoma skin cancers)
  • Chronic infectious disease
  • Problems resulting from postwar injuries.
  • Liver disease
  • Lupus
  • Multiple sclerosis
  • Stroke
  • Serious psychiatric condition (those associated with psychosis and/or for which the respondent had been hospitalized since 1991).
  • Dementia or any type of Parkinson's disease (PD).
  • Hospitalized in the last 5 years for alcohol or drug dependence, depression, or post-traumatic stress disorder (PTSD).
  • Female subject is either pregnant or nursing.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Palto Alto Veterans Institute for Research

Palo Alto, California, 94304, United States

RECRUITING

The Roskamp Institute

Sarasota, Florida, 34232, United States

RECRUITING

Boston University

Boston, Massachusetts, 02118, United States

RECRUITING

Related Links

Biospecimen

Retention: SAMPLES WITH DNA

Blood samples will be analyzed for lipids, proteins, DNA, RNA and breakdown products to identify biomarkers for GWI.

MeSH Terms

Conditions

Persian Gulf Syndrome

Condition Hierarchy (Ancestors)

Occupational DiseasesWar-Related InjuriesWounds and Injuries

Study Officials

  • Laila Abdullah, Ph.D.

    The Roskamp Institute

    PRINCIPAL INVESTIGATOR
  • Michael Hoffmann, MD

    The Roskamp Institute

    PRINCIPAL INVESTIGATOR
  • Kim Sullivan, Ph.D

    Boston University

    PRINCIPAL INVESTIGATOR
  • Maheen Adamson, Ph.D.

    Palo Alto Veterans Institute of Research

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 9, 2023

First Posted

February 21, 2023

Study Start

June 30, 2022

Primary Completion

December 1, 2025

Study Completion

March 1, 2026

Last Updated

July 24, 2025

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will not share

Locations