NCT07047963

Brief Summary

The goal of this observational study is to evaluate the acceptability ofpatients with trisomy 21 (T21) to perform the full battery of ENDI neurospychological tests and each of the subsets. In this study, three types of population will be recruted : normotypic volunteers, patients with Intellectual Disability and patients T21carriers. This study is separated into 2 phases :

  • A the preliminary phase : this phase will be used to evaluate subtest design, ergonomics and understanding of instructions, and to identify any malfunctions. The observations gathered will enable the principal investigator to refine the digital design of the battery in collaboration with the publishing company. In this phase, normotypical volunteers and patients with intellectual disabilities will be recruted to perform ENDI test battery.
  • A main phase : this phase will enable to answer to the main objective. in this phase, patients with Trisomy 21 aged between 25 and 65 will be recruted to perform ENDI test battery.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
40

participants targeted

Target at P25-P50 for all trials

Timeline
4mo left

Started Jul 2025

Geographic Reach
1 country

1 active site

Status
not yet 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 Progress72%
Jul 2025Nov 2026

First Submitted

Initial submission to the registry

May 22, 2025

Completed
1 month until next milestone

Study Start

First participant enrolled

July 1, 2025

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 2, 2025

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2026

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2026

Last Updated

July 2, 2025

Status Verified

June 1, 2025

Enrollment Period

1.2 years

First QC Date

May 22, 2025

Last Update Submit

June 24, 2025

Conditions

Keywords

Down Syndrome (Trisomy 21)ENDITrisomy 21neuropsychologyENDI tests battery

Outcome Measures

Primary Outcomes (4)

  • Acceptability of individual subtests and the complete test battery

    Acceptability will be estimated by The average completion time for the complete ENDI battery

    Through the study (completion of the full test battery), an average of 45 min

  • Acceptability of individual subtests and the complete test battery

    Acceptability will be estimated by the Average completion time for each subtest of the ENDI battery

    Through the study (completion of the full test battery), an average of 45 min

  • Acceptability of individual subtests and the complete test battery

    Acceptability will be estimated by the Percentage of complete completion of each ENDI subtest

    Through the study (completion of the full test battery), an average of 45 min

  • Acceptability of individual subtests and the complete test battery

    Acceptability will be estimated by the Percentage of subjects having completed all ENDI battery subtests

    Through the study (completion of the full test battery), an average of 45 min

Secondary Outcomes (4)

  • The convergent validity of ENDI tests

    Through the study, an average of 16 months

  • The convergent validity of ENDI tests

    Through the study, an average of 16 months

  • The convergent validity of ENDI tests

    Through the study, an average of 16 months

  • The convergent validity of ENDI tests

    Through the study, an average of 16 months

Study Arms (3)

Trisomy 21 patients

Trisomy 21 patients recruted on Main Phase will perform the ENDI tests in order to assess the acceptability of the subtests (individually) and the full neuropsychological battery

Diagnostic Test: ENDI (Neuropsychological Evaluation in Intellectual Disability)

Patients with Intellectual Disabilities

Patients with Intellectual Disabilities recruted on Preliminary Phase will be will carry out the ENDI tests in order to evaluate subtest design, ergonomics, understanding of instructions and identify any malfunctions. The observations gathered will enable the principal investigator to refine the digital design of the battery in collaboration with the publishing company.

Diagnostic Test: ENDI (Neuropsychological Evaluation in Intellectual Disability)

Normotypical volunteers

Normotypical volunteers recruted on Preliminary Phase will be will carry out the ENDI tests in order to evaluate subtest design, ergonomics, understanding of instructions and identify any malfunctions. The observations gathered will enable the principal investigator to refine the digital design of the battery in collaboration with the publishing company.

Diagnostic Test: ENDI (Neuropsychological Evaluation in Intellectual Disability)

Interventions

This neuropsychological battery comprises 15 subtests designed to assess language, memory, attention and executive skills. By analyzing changes in Trisomy 21 patients performance over time, the neuropsychologist can detect early signs of Alzheimer's disease.

Also known as: ENDI
Normotypical volunteersPatients with Intellectual DisabilitiesTrisomy 21 patients

Eligibility Criteria

Age25 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Normotypical volunteers, patients with intellectual disability, and Trisomie 21 patients (T21) will be recruited by psychologists during a consultation in the Geriatrics Department of the University Hospital of Nancy, either through the Memory Resource and Research Center outpatient clinic or the day hospital. Volunteers and patients are generally referred by their general practitioner or another hospital department.

You may qualify if:

  • Preliminary phase:
  • Participant who has received full information on the organization of the research and has not objected to his or her participation and to the use of his or her data.
  • Legal guardian of the participant, if applicable, who has received full information on the organization of the research and has not objected to participation and use of his/her data.
  • Notion of intellectual disability in medical records
  • Access to the oral language of the participant with an intellectual disability: the subject's speech must be comprehensible to the evaluator and the subject must be able to understand simple statements. It is not possible to use an oral comprehension test (e.g. Token test by Renzi \& Vignolo, 1962), as the norms achieved in healthy subjects would exclude almost all patients with intellectual disabilities, who have more limited language skills.
  • Enrolled in or benefiting from a social security scheme.
  • Participant having received full information on the organization of the research and not having objected to his or her participation and to the use of his or her data.
  • Affiliation with a social security scheme or beneficiary of such a scheme
  • Main phase:
  • Participant with T21 who has received full information on the organization of the research and has not objected to participation and use of his/her data
  • Legal guardian of the participant with T21, where applicable, who has received full information on the organization of the research and has not objected to his or her participation and the use of his or her data.
  • Person with trisomy 21
  • Access to the oral language of the participant with T21: the subject's speech must be comprehensible to the evaluator and the subject must be able to understand simple statements. It is not possible to use an oral comprehension test (e.g. Token test by Renzi \& Vignolo, 1962), as the norms achieved in healthy subjects would exclude almost all patients with intellectual disabilities, who have more limited language skills.
  • Membership of a social security scheme or beneficiary of such a scheme

You may not qualify if:

  • Disabling motor and/or sensory impairments preventing completion of the tests
  • Insufficient command of the French language to complete the tests
  • Severe general medical condition or alcoholism (habitual consumption of 3 drinks/day or history of alcohol withdrawal)
  • History of stroke, severe head trauma, or cancer
  • Change in long-term medication within 8 weeks prior to evaluation
  • Refusal to participate by the subject and/or legal representative
  • Individuals referred to in Articles L.1121-5 to L.1121-7 of the French Public Health Code:
  • Pregnant women, women in labor, or breastfeeding mothers
  • Individuals deprived of liberty by judicial or administrative decision
  • Individuals undergoing psychiatric treatment under Article L.3213-1 of the French Public Health Code

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

CHRU de Nancy

VandÅ“uvre-lès-Nancy, Grand Est, 54511, France

Location

Related Publications (21)

  • Hithersay R, Startin CM, Hamburg S, Mok KY, Hardy J, Fisher EMC, Tybulewicz VLJ, Nizetic D, Strydom A. Association of Dementia With Mortality Among Adults With Down Syndrome Older Than 35 Years. JAMA Neurol. 2019 Feb 1;76(2):152-160. doi: 10.1001/jamaneurol.2018.3616.

    PMID: 30452522BACKGROUND
  • Coquelet A, Besozzi A, Roussel M, Lemetayer F. Evaluation neuropsychologique des adultes porteurs d'une trisomie 21 en Consultation memoire : quels outils ? Une revue de la litterature. Geriatr Psychol Neuropsychiatr Vieil. 2022 Mar 1;20(1):79-95. doi: 10.1684/pnv.2022.1025. French.

    PMID: 35652846BACKGROUND
  • Coppus AW, Fekkes D, Verhoeven WM, Tuinier S, Egger JI, van Duijn CM. Plasma amino acids and neopterin in healthy persons with Down's syndrome. J Neural Transm (Vienna). 2007;114(8):1041-5. doi: 10.1007/s00702-007-0656-1. Epub 2007 Mar 31.

    PMID: 17401539BACKGROUND
  • Carmeli E, Imam B, Bachar A, Merrick J. Inflammation and oxidative stress as biomarkers of premature aging in persons with intellectual disability. Res Dev Disabil. 2012 Mar-Apr;33(2):369-75. doi: 10.1016/j.ridd.2011.10.002. Epub 2011 Nov 25.

    PMID: 22119683BACKGROUND
  • Burt DB, Aylward EH. Test battery for the diagnosis of dementia in individuals with intellectual disability. Working Group for the Establishment of Criteria for the Diagnosis of Dementia in Individuals with Intellectual Disability. J Intellect Disabil Res. 2000 Apr;44 ( Pt 2):175-80. doi: 10.1046/j.1365-2788.2000.00264.x.

    PMID: 10898382BACKGROUND
  • Devenny DA, Zimmerli EJ, Kittler P, Krinsky-McHale SJ. Cued recall in early-stage dementia in adults with Down's syndrome. J Intellect Disabil Res. 2002 Sep;46(Pt 6):472-83. doi: 10.1046/j.1365-2788.2002.00417.x.

    PMID: 12354318BACKGROUND
  • Startin CM, Hamburg S, Hithersay R, Al-Janabi T, Mok KY, Hardy J; LonDownS Consortium; Strydom A. Cognitive markers of preclinical and prodromal Alzheimer's disease in Down syndrome. Alzheimers Dement. 2019 Feb;15(2):245-257. doi: 10.1016/j.jalz.2018.08.009. Epub 2018 Nov 28.

    PMID: 30503169BACKGROUND
  • Zis P, Strydom A. Clinical aspects and biomarkers of Alzheimer's disease in Down syndrome. Free Radic Biol Med. 2018 Jan;114:3-9. doi: 10.1016/j.freeradbiomed.2017.08.024. Epub 2017 Sep 1.

    PMID: 28870521BACKGROUND
  • McCarron M, McCallion P, Reilly E, Dunne P, Carroll R, Mulryan N. A prospective 20-year longitudinal follow-up of dementia in persons with Down syndrome. J Intellect Disabil Res. 2017 Sep;61(9):843-852. doi: 10.1111/jir.12390. Epub 2017 Jun 29.

    PMID: 28664561BACKGROUND
  • Lott IT, Head E. Down syndrome and Alzheimer's disease: a link between development and aging. Ment Retard Dev Disabil Res Rev. 2001;7(3):172-8. doi: 10.1002/mrdd.1025.

    PMID: 11553933BACKGROUND
  • Lautarescu BA, Holland AJ, Zaman SH. The Early Presentation of Dementia in People with Down Syndrome: a Systematic Review of Longitudinal Studies. Neuropsychol Rev. 2017 Mar;27(1):31-45. doi: 10.1007/s11065-017-9341-9. Epub 2017 Mar 13.

    PMID: 28289920BACKGROUND
  • Hartley D, Blumenthal T, Carrillo M, DiPaolo G, Esralew L, Gardiner K, Granholm AC, Iqbal K, Krams M, Lemere C, Lott I, Mobley W, Ness S, Nixon R, Potter H, Reeves R, Sabbagh M, Silverman W, Tycko B, Whitten M, Wisniewski T. Down syndrome and Alzheimer's disease: Common pathways, common goals. Alzheimers Dement. 2015 Jun;11(6):700-9. doi: 10.1016/j.jalz.2014.10.007. Epub 2014 Dec 12.

    PMID: 25510383BACKGROUND
  • Godefroy O, Martinaud O, Verny M, Mosca C, Lenoir H, Bretault E, Roussel M. The dysexecutive syndrome of Alzheimer's disease: the GREFEX study. J Alzheimers Dis. 2014;42(4):1203-8. doi: 10.3233/JAD-140585.

    PMID: 25024318BACKGROUND
  • Fortea J, Vilaplana E, Carmona-Iragui M, Benejam B, Videla L, Barroeta I, Fernandez S, Altuna M, Pegueroles J, Montal V, Valldeneu S, Gimenez S, Gonzalez-Ortiz S, Munoz L, Estelles T, Illan-Gala I, Belbin O, Camacho V, Wilson LR, Annus T, Osorio RS, Videla S, Lehmann S, Holland AJ, Alcolea D, Clarimon J, Zaman SH, Blesa R, Lleo A. Clinical and biomarker changes of Alzheimer's disease in adults with Down syndrome: a cross-sectional study. Lancet. 2020 Jun 27;395(10242):1988-1997. doi: 10.1016/S0140-6736(20)30689-9.

    PMID: 32593336BACKGROUND
  • Rebillat AS, Hiance-Delahaye A, Falquero S, Radice G, Sacco S. The French translation of the dementia screening questionnaire for individuals with intellectual disabilities is a sensitive tool for screening for dementia in people with Down Syndrome. Res Dev Disabil. 2021 Nov;118:104068. doi: 10.1016/j.ridd.2021.104068. Epub 2021 Aug 28.

    PMID: 34467872BACKGROUND
  • Dubois B, Touchon J, Portet F, Ousset PJ, Vellas B, Michel B. ["The 5 words": a simple and sensitive test for the diagnosis of Alzheimer's disease]. Presse Med. 2002 Nov 9;31(36):1696-9. French.

    PMID: 12467149BACKGROUND
  • Grober E, Buschke H, Crystal H, Bang S, Dresner R. Screening for dementia by memory testing. Neurology. 1988 Jun;38(6):900-3. doi: 10.1212/wnl.38.6.900.

    PMID: 3368071BACKGROUND
  • Krikorian R, Bartok J, Gay N. Tower of London procedure: a standard method and developmental data. J Clin Exp Neuropsychol. 1994 Dec;16(6):840-50. doi: 10.1080/01688639408402697.

    PMID: 7890819BACKGROUND
  • DE RENZI E, VIGNOLO LA. The token test: A sensitive test to detect receptive disturbances in aphasics. Brain. 1962 Dec;85:665-78. doi: 10.1093/brain/85.4.665. No abstract available.

    PMID: 14026018BACKGROUND
  • Rubenstein E, Hartley S, Bishop L. Epidemiology of Dementia and Alzheimer Disease in Individuals With Down Syndrome. JAMA Neurol. 2020 Feb 1;77(2):262-264. doi: 10.1001/jamaneurol.2019.3666.

    PMID: 31657825BACKGROUND
  • Ball SL, Holland AJ, Treppner P, Watson PC, Huppert FA. Executive dysfunction and its association with personality and behaviour changes in the development of Alzheimer's disease in adults with Down syndrome and mild to moderate learning disabilities. Br J Clin Psychol. 2008 Mar;47(Pt 1):1-29. doi: 10.1348/014466507X230967.

    PMID: 17681112BACKGROUND

MeSH Terms

Conditions

Down SyndromeAlzheimer Disease

Condition Hierarchy (Ancestors)

Intellectual DisabilityNeurobehavioral ManifestationsNeurologic ManifestationsNervous System DiseasesAbnormalities, MultipleCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesChromosome DisordersGenetic Diseases, InbornDementiaBrain DiseasesCentral Nervous System DiseasesTauopathiesNeurodegenerative DiseasesNeurocognitive DisordersMental Disorders

Central Study Contacts

Amélie COQUELET, Psychologist

CONTACT

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

May 22, 2025

First Posted

July 2, 2025

Study Start

July 1, 2025

Primary Completion (Estimated)

August 31, 2026

Study Completion (Estimated)

November 1, 2026

Last Updated

July 2, 2025

Record last verified: 2025-06

Locations