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HypertensionEYEBRAINNCT02701855

Retina Microvascular Remodeling and Cognitive Function In Hypertension

An observational study of Hypertension and Mild Cognitive Impairment, run by Institute of Cardiometabolism and Nutrition, France at 1 site in France.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study aims to determine the relationships between retina micro-vascular remodeling and cognitive function in hypertensive patients. The study plans to enrol 160 patients (100 patients with mild cognitive impairment -MCI- and 60 without MCI). Read more about this study

Who is it for?
Ages 65 years and older
Conditions the study is for
Hypertension, Mild Cognitive Impairment
What is being tested?
Cognitive tests, Blood test and Brain and aorta RMI
How many people
160 participants
Where
1 siteFrance
Study dates
Oct 2014to Dec 2017
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 65 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Study population: Patients' recruitment will be carried out in two centers to ensure inclusion of both patients: 1) with hypertension and without cognitive impairment, 2) with hypertension and with mild cognitive impairment (without dementia) including patients with stable MCI and converters. Population size: 160 patients: * 60 patients with hypertension and no MCI, * 50 patients with hypertension and stable MCI, without dementia * 50 patients with hypertension and progressive MCI, without dementia

Who may be able to join

  • Aged 65 or more
  • hypertension (BP ≥140/90 mmHg and/or antihypertensive treatment)
  • Signed informed consent by the patient
  • Sufficient mastery of the French language to perform neuropsychological tests

Who cannot join

  • Impossibility to visualize the retinal : severe cataract
  • Dementia (defined by MMSE<20)
  • Clinical stroke
  • Severe or resistant Hypertension
  • Hypertension treated with more than 3 different pharmacological classes
  • any other disease that may interfere with the assessment of cognitive disorders (epilepsy, Parkinson's disease, major depression, schizophrenia, manic-depressive)
Show all 14Show fewer
  • Enrolment in a therapeutic trial that could interfere with the main objective
  • Less than 4 years of formal education
  • Illiterate, unable to read, write or count
  • major physical problems that may interfere with the tests (sight, hearing, ...)
  • Short term life threatening disease
  • Non-affiliation to a healthcare system
  • Consent refusal
  • Contraindication to MRI including claustrophobia, metallic devices, pacemaker, mechanical valve implanted before 1985, and nursing, as well as technical contra-indication: patient diameter > 70 cm or/and weight > 250 kg

Trial locations and contacts

1 site in 1 country.

France1 site, 1 recruiting
  • Unité de prévention des maladies cardiovasculaires Pôle Cardiologie/Métabolisme Hôpital Pitié-Salpétriêre, APHP, 83 bd de l'hôpital,

    Paris, 75013

    David Rosenbaum, Dr

    Recruiting

Other trials in France

About this study

Official title: Retina Microvascular Remodeling and Cognitive Function In Hypertension : Eyebrain

This study aims to determine the relationships between retina micro-vascular remodeling and cognitive function in hypertensive patients.

The study plans to enrol 160 patients (100 patients with mild cognitive impairment -MCI- and 60 without MCI).

Read the detailed description

Our project stands on physiopathological and cognitive angles, and is mainly based on the major role of large and small arteries elasticity on cognitive aging. It will benefit from the recent innovative accurate and non invasive techniques such as MRI for central large arteries and adaptative optics for retina arterioles imaging.

Study population is the following:

  • 60 patients with hypertension and no MCI,
  • 50 patients with hypertension and stable MCI, without dementia
  • 50 patients with hypertension and progressive MCI, without dementia

Every patients will perform a medical interview and examination, an MRI (brain + aorta), adaptative optics imaging, a cognitive tests and a blood test.

Primary outcome is to determine the relationships between retina micro-vascular remodeling and cognitive function in this population.

Being tested
Cognitive tests, Blood test, Brain and aorta RMI, Adaptative optics
Medical subject headings
Hypertension, Cognitive Dysfunction

What participants receive

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

  • Cognitive testsBehavioural

    Cognitive tests include:

    • The MMSE (Mini Mental State Examination)
    • Free and Cued Selective Recall Reminding Test (FCSRT).
    • Executive functions (fluencies, TMT A and B, span).
    • Tests of verbal fluency (literal and category)
    • Digit symbol substitution test or Wechsler adult intelligence scale (W.A.I.S)
    • The Clinical Dementia Rating Scale
    • The IADL scale evaluates autonomy.
    • Geriatric Depression screening Scale (GDS)
  • Blood testBiological

    A blood test will be performed in order to collect following parameters: Urea, BUN, Creatinine, Potassium, Sodium, hematocrit, hsCRP, NFS, Pq, LDL-C, HDL-C, Triglycerides, Lp(a), Lp-PLA2 as well as fasting glucose, HbA1C and microalbuminuria

  • Brain and aorta RMIRadiation

    A magnetic resonance imaging exam will be performed at the Neuroimaging Research Center of the Pitié-Salpêtrière Hospital. This exam will be optimized to fit in 30 minutes. Indeed brain 3D T1 and T2 FLAIR imaging lasts 15 minutes while cine and velocity encoded imaging of the aorta lasts 15 minutes.

  • Adaptative opticsOther

    The retina adaptative optic imaging will be performed at the "Unité de prevention des maladies cardiovasculaires" Pitié Salpetrière Hospital. This exam lasts 10 minutes including patient positioning and imaging.

Study groups in NCT02701855
Study groupRoleWhat they receive
Hypertension and progressive MCI50 subjects will perform brain and aorta RMI, blood test, cognitive tests and adaptative optics.
Receives: Behavioral: Cognitive tests; Biological: Blood test; Radiation: Brain and aorta RMI; Other: Adaptative optics
Hypertension and stable MCI50 subjects will perform brain and aorta RMI, blood test, cognitive tests and adaptative optics.
Receives: Behavioral: Cognitive tests; Biological: Blood test; Radiation: Brain and aorta RMI; Other: Adaptative optics
Hypertension, without MCI60 subjects will perform brain and aorta RMI, blood test, cognitive tests and adaptative optics.
Receives: Behavioral: Cognitive tests; Biological: Blood test; Radiation: Brain and aorta RMI; Other: Adaptative optics

What is being measured

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

  1. Relationships between retina micro-vascular remodeling and cognitive function in hypertensive patients.

    Measured: September 2017

Secondary outcomes (6)
  1. • Associations between cognitive function and proximal aortic stiffness indices estimated from MRI images.

    Measured: September 2017

  2. • Associations between retina arteriolar remodelling and cerebrovascular lesions (infarcts, lacuna, and white matter lesions) quantified from MRI images.

    Measured: September 2017

  3. • Associations between retina arteriolar remodelling and neurodegenerative lesions (hippocampus atrophy) quantified from MRI images.

    Measured: September 2017

  4. • Associations between proximal aortic stiffness and cerebrovascular lesions (infarcts, lacuna, and white matter lesions) quantified from MRI images.

    Measured: September 2017

  5. • Associations between proximal aortic stiffness and neurodegenerative lesions (hippocampus atrophy) quantified from MRI images.

    Measured: September 2017

  6. • Associations between retina arteriolar remodelling and proximal aortic stiffness indices.

    Measured: September 2017

Timeline

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

  1. First posted8 Mar 2016 (estimated)
  2. Study startOct 2014
  3. Primary completionSep 2017 (estimated)
  4. Study completionDec 2017 (estimated)

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 only
Time perspective
Prospective
Enrolment
160 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02701855
Sponsor's protocol ID
14DRM_EYEBRAIN
Acronym
EYEBRAIN
Status last verified
Mar 2016
First submitted
4 Aug 2015
Last updated
8 Mar 2016
Results posted
No
Data monitoring committee
No

Publications

  • Ferri CP, Prince M, Brayne C, Brodaty H, Fratiglioni L, Ganguli M, Hall K, Hasegawa K, Hendrie H, Huang Y, Jorm A, Mathers C, Menezes PR, Rimmer E, Scazufca M; Alzheimer's Disease International. Global prevalence of dementia: a Delphi consensus study. Lancet. 2005 Dec 17;366(9503):2112-7. doi: 10.1016/S0140-6736(05)67889-0.

    PubMed 16360788
  • Luchsinger JA, Reitz C, Honig LS, Tang MX, Shea S, Mayeux R. Aggregation of vascular risk factors and risk of incident Alzheimer disease. Neurology. 2005 Aug 23;65(4):545-51. doi: 10.1212/01.wnl.0000172914.08967.dc.

    PubMed 16116114
  • Launer LJ, Ross GW, Petrovitch H, Masaki K, Foley D, White LR, Havlik RJ. Midlife blood pressure and dementia: the Honolulu-Asia aging study. Neurobiol Aging. 2000 Jan-Feb;21(1):49-55. doi: 10.1016/s0197-4580(00)00096-8.

    PubMed 10794848
  • Qiu C, Winblad B, Fratiglioni L. The age-dependent relation of blood pressure to cognitive function and dementia. Lancet Neurol. 2005 Aug;4(8):487-99. doi: 10.1016/S1474-4422(05)70141-1.

    PubMed 16033691
  • Perlmutter LS, Barron E, Saperia D, Chui HC. Association between vascular basement membrane components and the lesions of Alzheimer's disease. J Neurosci Res. 1991 Dec;30(4):673-81. doi: 10.1002/jnr.490300411.

    PubMed 1787541
  • Hardy JA, Mann DM, Wester P, Winblad B. An integrative hypothesis concerning the pathogenesis and progression of Alzheimer's disease. Neurobiol Aging. 1986 Nov-Dec;7(6):489-502. doi: 10.1016/0197-4580(86)90086-2.

    PubMed 2882432
  • Vagnucci AH Jr, Li WW. Alzheimer's disease and angiogenesis. Lancet. 2003 Feb 15;361(9357):605-8. doi: 10.1016/S0140-6736(03)12521-4.

    PubMed 12598159
  • Hanon O, Haulon S, Lenoir H, Seux ML, Rigaud AS, Safar M, Girerd X, Forette F. Relationship between arterial stiffness and cognitive function in elderly subjects with complaints of memory loss. Stroke. 2005 Oct;36(10):2193-7. doi: 10.1161/01.STR.0000181771.82518.1c. Epub 2005 Sep 8.

    PubMed 16151027
  • Redheuil A, Yu WC, Wu CO, Mousseaux E, de Cesare A, Yan R, Kachenoura N, Bluemke D, Lima JA. Reduced ascending aortic strain and distensibility: earliest manifestations of vascular aging in humans. Hypertension. 2010 Feb;55(2):319-26. doi: 10.1161/HYPERTENSIONAHA.109.141275. Epub 2010 Jan 11.

    PubMed 20065154
  • Redheuil A, Yu WC, Mousseaux E, Harouni AA, Kachenoura N, Wu CO, Bluemke D, Lima JA. Age-related changes in aortic arch geometry: relationship with proximal aortic function and left ventricular mass and remodeling. J Am Coll Cardiol. 2011 Sep 13;58(12):1262-70. doi: 10.1016/j.jacc.2011.06.012.

    PubMed 21903061
  • Rosenbaum D, Koch E, Girerd X, Rossant F, Paques M. [Imaging of retinal arteries with adaptative optics, feasibility and reproducibility]. Ann Cardiol Angeiol (Paris). 2013 Jun;62(3):184-8. doi: 10.1016/j.ancard.2013.04.017. Epub 2013 May 29. French.

    PubMed 23773704
  • Herment A, Kachenoura N, Lefort M, Bensalah M, Dogui A, Frouin F, Mousseaux E, De Cesare A. Automated segmentation of the aorta from phase contrast MR images: validation against expert tracing in healthy volunteers and in patients with a dilated aorta. J Magn Reson Imaging. 2010 Apr;31(4):881-8. doi: 10.1002/jmri.22124.

    PubMed 20373432
  • Bollache E, Kachenoura N, Redheuil A, Frouin F, Mousseaux E, Recho P, Lucor D. Descending aorta subject-specific one-dimensional model validated against in vivo data. J Biomech. 2014 Jan 22;47(2):424-31. doi: 10.1016/j.jbiomech.2013.11.009. Epub 2013 Nov 15.

    PubMed 24290136
  • Dogui A, Kachenoura N, Frouin F, Lefort M, De Cesare A, Mousseaux E, Herment A. Consistency of aortic distensibility and pulse wave velocity estimates with respect to the Bramwell-Hill theoretical model: a cardiovascular magnetic resonance study. J Cardiovasc Magn Reson. 2011 Jan 27;13(1):11. doi: 10.1186/1532-429X-13-11.

    PubMed 21272312

Questions about this trial

What is this clinical trial studying?

An observational study of Hypertension and Mild Cognitive Impairment, run by Institute of Cardiometabolism and Nutrition, France at 1 site in France.

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 4 inclusion and 14 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: status not confirmed, as of the sponsor's last update on 8 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. 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?

Results are not available in the source record.

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

Contact David Rosenbaum, Dr (01 42 17 57 74 ext. +33, david.rosenbaum@psl.aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Relationships between retina micro-vascular remodeling and cognitive function in hypertensive patients. (time frame: September 2017). 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 NCT02701855, which also lists 14 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 8 Mar 2016.

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