AzTrials
AzTrials

Mild Cognitive ImpairmentADNI-GONCT01078636

Alzheimer's Disease Neuroimaging Initiative Grand Opportunity

An observational study of Mild Cognitive Impairment and Alzheimer's Disease, run by Alzheimer's Disease Cooperative Study (ADCS) at 55 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to build upon the information obtained in the original Alzheimer's Disease Neuroimaging Initiative (ADNI1), to examine how brain imaging technology can be used with other tests to measure the progression of mild cognitive impairment (MCI) and early Alzheimer's disease (AD). Read more about this study

Who is it for?
Ages 55 to 90 yearsHealthy volunteers can take part
How many people
342 participants
Where
55 sitesin 2 countries
Study dates
Apr 2010to Oct 2012
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 55 to 90 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: community sample

Who may be able to join

None listed.

Who cannot join

  • Any significant neurologic disease other than suspected incipient Alzheimer's disease, such as Parkinson's disease, multi-infarct dementia, Huntington's disease, normal pressure hydrocephalus, brain tumor, progressive supranuclear palsy, seizure disorder, subdural hematoma, multiple sclerosis, or history of significant head trauma followed by persistent neurologic defaults or known structural brain abnormalities
  • Screening/baseline MRI scans with evidence of infection, infarction, or other focal lesions; multiple lacunes or lacunes in a critical memory structure
  • Presence of pacemakers, aneurysm clips, artificial heart valves, ear implants, metal fragments or foreign objects in the eyes, skin or body
  • Major depression, bipolar disorder as described in DSM-IV within the past 1 year
  • Psychotic features, agitation or behavioral problems within the last 3 months which could lead to difficulty complying with the protocol
  • History of schizophrenia
Show all 15Show fewer
  • History of alcohol or substance abuse or dependence within the past 2 years
  • Any significant systemic illness or unstable medical condition which could lead to difficulty complying with the protocol
  • Clinically significant abnormalities in B12, or TFTs that might interfere with the study
  • Residence in skilled nursing facility
  • Current use of specific psychoactive medications (e.g.,certain antidepressants, neuroleptics, chronic anxiolytics or sedative hypnotics, etc.); current use of warfarin (exclusionary for lumbar puncture)
  • Use of investigational agents one month prior to entry and for the duration of the trial
  • Participation in clinical studies involving neuropsychological measures being collected more than one time per year
  • Exclusion for amyloid imaging with 18F -AV-45: Current or recent participation in any procedures involving radioactive agents such that the total radiation dose exposure to the participant in any given year would exceed the limits of annual and total dose commitment set forth in the US Code of Federal Regulations (CFR) Title 21 Section 361.1
  • Exceptions to these guidelines may be considered on a case-by-case basis at the discretion of the protocol director

Trial locations and contacts

55 sites in 2 countries.

55 sites in 2 countries

United States50 sites
  • Albany Medical College

    Albany, New York, 12208

  • Dent Neurological Group

    Amherst, New York, 14226

  • University of Michigan

    Ann Arbor, Michigan, 48109

  • Emory University

    Atlanta, Georgia, 30329

  • Johns Hopkins University

    Baltimore, Maryland, 21205

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35294

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Boston University School of Medicine

    Boston, Massachusetts, 02118

  • Medical University of South Carolina

    Charleston, South Carolina, 29406

  • Northwestern University

    Chicago, Illinois, 60611

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • Case Western Reserve University

    Cleveland, Ohio, 44122

  • Ohio State University

    Columbus, Ohio, 43210

  • University of Texas SWMC

    Dallas, Texas, 75390

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • Baylor College of Medicine

    Houston, Texas, 77030

  • Indiana University

    Indianapolis, Indiana, 46202

  • University of California, Irvine

    Irvine, California, 92697

  • University of California, Irvine - BIC

    Irvine, California, 92868

  • Mayo Clinic, Jacksonville

    Jacksonville, Florida, 32224

  • University of Kansas

    Kansas City, Kansas, 66160

  • Cleveland Clinic Lou Ruvo Center for Brain Health (CCLRBC)

    Las Vegas, Nevada, 89106

  • Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire, 03756

  • University of Kentucky

    Lexington, Kentucky, 40536

  • University of Southern California

    Los Angeles, California, 90033

  • University of California, Los Angeles

    Los Angeles, California, 90095

  • University of Wisconsin

    Madison, Wisconsin, 53705

  • University of California, Davis

    Martinez, California, 94553

  • Wien Center

    Miami Beach, Florida, 33140

  • Yale University School of Medicine

    New Haven, Connecticut, 06510

  • New York University

    New York, New York, 10016

  • Mount Sinai School of Medicine

    New York, New York, 10029

  • Columbia University

    New York, New York, 10032

  • Stanford University

    Palo Alto, California, 94304

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Banner Alzheimer's Institute

    Phoenix, Arizona, 85006

  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15213

  • Oregon Health and Science University

    Portland, Oregon, 97239

  • Rhode Island Hospital

    Providence, Rhode Island, 02903

  • Butler Hospital Memory & Aging Program

    Providence, Rhode Island, 02906

  • Mayo Clinic, Rochester

    Rochester, Minnesota, 55901

  • University of Rochester Medical Center

    Rochester, New York, 14620

  • University of California, San Diego

    San Diego, California, 92037

  • University of California, San Francisco

    San Francisco, California, 94143

  • Washington University, St. Louis

    St Louis, Missouri, 63108

  • Banner Sun Health Research Institute

    Sun City, Arizona, 85351

  • Georgetown University

    Washington D.C., District of Columbia, 20057

  • Howard University

    Washington D.C., District of Columbia, 20060

  • Premiere Research Institute

    West Palm Beach, Florida, 33407

  • Wake Forest University

    Winston-Salem, North Carolina, 27157

Other trials in United States

Canada5 sites
  • Saint Joseph's Hospital

    Hamilton, Ontario, N6A 4V2

  • Parkwood Hospital

    London, Ontario, N6C 5J1

  • Jewish General Hospital / McGill University

    Montreal, Quebec, H3T 1E2

  • Sunnybrook Health Sciences Centre

    Toronto, Ontario, M4N 3M5

  • University of British Columbia

    Vancouver, British Columbia, V6T 2B5

Other trials in Canada

About this study

The purpose of this study is to build upon the information obtained in the original Alzheimer's Disease Neuroimaging Initiative (ADNI1), to examine how brain imaging technology can be used with other tests to measure the progression of mild cognitive impairment (MCI) and early Alzheimer's disease (AD). ADNI-GO seeks to define and characterize the mildest symptomatic phase of AD, referred to in this study as early amnestic MCI (EMCI). This information will aid in the early detection of AD, and in measuring the effectiveness of treatments in future clinical trials.

Read the detailed description

This project continues the work from ADNI1, the goal of which is to test whether serial magnetic resonance imaging (MRI), positron emission tomography (PET), other biological markers, and clinical and neuropsychological assessments can be combined to measure the progression of mild cognitive impairment (MCI) and early Alzheimer's disease (AD). The goal of the study is to determine relationships among the clinical, cognitive, imaging, genetic, and biochemical biomarker characteristics of the stage of the AD spectrum that precedes MCI, the mildest symptomatic phase of AD, referred to here as EMCI. The ADNI-GO model posits that AD begins with amyloid β (Aβ) deposition in the cortex, which leads to synaptic dysfunction, neurodegeneration, and cognitive/ functional decline.

Some of the leading-edge technologies under study are brain-imaging techniques, such as positron emission tomography (PET), including FDG-PET (which measures glucose metabolism in the brain); PET using a radioactive compound (F-AV-45) that measures brain beta-amyloid; and structural MRI. Brain scans are showing scientists how the brain's structure and function change as AD starts and progresses. Biomarkers in cerebrospinal fluid are revealing other changes that could identify which patients with MCI will develop Alzheimer's. Scientists are looking at levels of beta-amyloid and tau in cerebrospinal fluid. (Abnormal amounts of the amyloid and tau proteins in the brain are hallmarks of Alzheimer's disease.)

All participants from ADNI1 who are in the normal and MCI stages will continue to be followed in ADNI-GO. The next step is to scan and analyze the brains of people with EMCI; 200 EMCI participants will be enrolled to narrow the gap between cognitively normal (CN) and "late MCI (LMCI)" participants currently enrolled in ADNI.

The overall impact of this study will be increased knowledge concerning the sequence and timing of events leading to MCI and AD, development of better clinical and imaging/fluid biomarker methods for early detection and for monitoring the progression of these conditions, and facilitation of clinical trials of treatments to slow disease progression, ultimately contributing to the prevention of AD.

Keywords
amyloid, plaques, imaging, early detection, Amnestic MCI, pre-dementia
Medical subject headings
Cognitive Dysfunction, Alzheimer Disease, Plaque, Amyloid

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT01078636
Study groupRoleWhat they receive
EMCI (only cohort recruiting in this study)Newly recruited early amnestic Mild Cognitive Impairment patients; estimated enrollment 200
LMCI (not recruiting in this study)Late Mild Cognitive Impairment patients; approximately 400 LMCI participants anticipated to follow from the original ADNI study
CN (not recruiting in this study)Cognitively Normal patients; approximately 200 CN participants anticipated to follow from the original ADNI study

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rate of Decline as measured by: Cognitive tests, Activities of Daily Living, and CDR Sum of Boxes

    Measured: at screening, baseline, 6 (EMCI only) and 12 months

Secondary outcomes (8)
  1. Rate of conversion will be evaluated among all four groups

    Measured: at screening , baseline, 6 (EMCI only) and 12 months

  2. Rate of volume change of whole brain, hippocampus, and other structural MRI measures

    Measured: at screening and 3, 6, and 12 months (EMCI); at baseline and 12 months (follow-up patients)

  3. Rates of change on each specified biochemical biomarker

    Measured: at baseline, 6 (EMCI only) and 12 months

  4. Rates of change of glucose metabolism (FDG-PET)

    Measured: at baseline

  5. Extent of amyloid deposition as measured by 18F-AV-45

    Measured: at baseline

  6. Group differences for each imaging and biomarker measurement

    Measured: at screening, baseline, 6 (EMCI only) and 12 months

  7. Correlations among biomarkers and biomarker change

    Measured: at screening, baseline, 6 (EMCI only) and 12 months

  8. Subgroups analyses: APOE genotype, low CSF Aβ42, positive amyloid imaging with 18F-AV-45

    Measured: at baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Mar 2010 (estimated)
  2. Study startApr 2010
  3. Primary completionOct 2012
  4. Study completionOct 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
342 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01078636
Sponsor's protocol ID
IA0175
Other IDs
1RC2AG036535-01
Acronym
ADNI-GO
Status last verified
Sep 2014
First submitted
1 Mar 2010
Last updated
16 Sep 2014
Results posted
No
Data monitoring committee
Yes

Publications

  • Shen L, Kim S, Risacher SL, Nho K, Swaminathan S, West JD, Foroud T, Pankratz N, Moore JH, Sloan CD, Huentelman MJ, Craig DW, Dechairo BM, Potkin SG, Jack CR Jr, Weiner MW, Saykin AJ; Alzheimer's Disease Neuroimaging Initiative. Whole genome association study of brain-wide imaging phenotypes for identifying quantitative trait loci in MCI and AD: A study of the ADNI cohort. Neuroimage. 2010 Nov 15;53(3):1051-63. doi: 10.1016/j.neuroimage.2010.01.042. Epub 2010 Jan 25.

    PubMed 20100581
  • Risacher SL, Saykin AJ, West JD, Shen L, Firpi HA, McDonald BC; Alzheimer's Disease Neuroimaging Initiative (ADNI). Baseline MRI predictors of conversion from MCI to probable AD in the ADNI cohort. Curr Alzheimer Res. 2009 Aug;6(4):347-61. doi: 10.2174/156720509788929273.

    PubMed 19689234
  • Petersen RC, Aisen PS, Beckett LA, Donohue MC, Gamst AC, Harvey DJ, Jack CR Jr, Jagust WJ, Shaw LM, Toga AW, Trojanowski JQ, Weiner MW. Alzheimer's Disease Neuroimaging Initiative (ADNI): clinical characterization. Neurology. 2010 Jan 19;74(3):201-9. doi: 10.1212/WNL.0b013e3181cb3e25. Epub 2009 Dec 30.

    PubMed 20042704
  • Misra C, Fan Y, Davatzikos C. Baseline and longitudinal patterns of brain atrophy in MCI patients, and their use in prediction of short-term conversion to AD: results from ADNI. Neuroimage. 2009 Feb 15;44(4):1415-22. doi: 10.1016/j.neuroimage.2008.10.031. Epub 2008 Nov 5.

    PubMed 19027862
  • Miller AA, Sharp ES, Wang S, Zhao Y, Mecca AP, van Dyck CH, O'Dell RS; Alzheimer's Disease Neuroimaging Initiative (ADNI). Self-reported hearing loss is associated with faster cognitive and functional decline but not diagnostic conversion in the ADNI cohort. Alzheimers Dement. 2024 Nov;20(11):7847-7858. doi: 10.1002/alz.14252. Epub 2024 Sep 26.

    PubMed 39324520
  • Xu B, Ling Y, Liu L, Liu Y, Lin Y, Lyu J, Zhang Y. Potential prognostic value of CSF-targeted proteomics across the Alzheimer's disease continuum. BMC Geriatr. 2024 Jun 6;24(1):501. doi: 10.1186/s12877-024-05104-z.

    PubMed 38844858

Questions about this trial

What is this clinical trial studying?

An observational study of Mild Cognitive Impairment and Alzheimer's Disease, run by Alzheimer's Disease Cooperative Study (ADCS) at 55 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 0 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 16 Sep 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 55 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rate of Decline as measured by: Cognitive tests, Activities of Daily Living, and CDR Sum of Boxes (time frame: at screening, baseline, 6 (EMCI only) and 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01078636, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Sep 2014.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in