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Healthy Test PersonsNCT03290040

Identification of Predictors for Early Cognitive Decline in Men

An observational study of Healthy Test Persons and Mild Cognitive Impairment, run by Copenhagen University Hospital, Rigshospitalet at 1 site in Denmark.

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 research program explores how aging influences brain function in test-persons from a Danish birth cohort of men born in 1953. Read more about this study

Who is it for?
Ages 60 years and older, men only
How many people
564 participants
Where
1 siteDenmark
Study dates
Jan 2015to Dec 2022
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 60 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Study population: Danish birth cohort of 11.532 men born in 1953 in the Metropolitan area of Copenhagen. Only men who have participated in the Copenhagen Aging and Midlife Biobank project are considered. Persons from the Memory Clinic at Herlev Hospital will be included in the period 2020-2021. These individuals are diagnosed with either MCI or AD.

Who may be able to join

  • Participants who have participated in the Metropolit study and the Copenhagen Aging and Midlife Biobank project
  • Participants who have been informed about the project and who have signed the informed consent form

Who cannot join

  • Persons who have been asked to participate in the past and have rejected
  • Reduced ability to understand project information
  • Reduced ability to complete the examinations
  • Abuse of alcohol, psychedelic drugs or habit-forming drugs
  • Certain neurological disorders
  • Certain neurological, mental or psychiatric diagnoses
Show all 11Show fewer
  • Certain depressive diseases
  • Former traumatic brain injury
  • Contraindication for MR scanning
  • Pathological MR result
  • Persons that do not like to be informed about a possible pathological result

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Dept. of Clinical Neurophysiology, Department of Clinical Biochemistry and Department of Clinical Physiology, Nuclear Medicine and PET, Rigshospitalet - Glostrup

    Glostrup Municipality, 2600

Other trials in Denmark

About this study

Official title: Identification of Predictors for Early Cognitive Decline: a Longitudinal Cohort Study in Men Born in 1953

The research program explores how aging influences brain function in test-persons from a Danish birth cohort of men born in 1953.

Read the detailed description

The research program explores how ageing influences brain function in healthy test-persons from a Danish birth cohort of men born in 1953 in the Metropolitan area of Copenhagen. These test-persons are divided into two groups based on performance in cognitive tests at late midlife compared to young adulthood; Positive expected performance and negative expected performance and sampled from a birth cohort of 11.532 men.

Additionally, persons diagnosed with either MCI or AD will be included from the Memory Clinic at Herlev Hospital.

Researchers aim to identify factors earlier in life that affects or predict changes in cognitive function, specifically of cognitive decline in order to predict healthy vs unhealthy cognitive ageing, including progression to possible dementia. The objective is to be able to predict cognitive decline in ageing.

During the years of data collection, approximately 550 participants will be included and examined.

The examinations include:

  • Cognitive test including Cambridge Neuropsychological test automated Battery (CANTAB);
  • Sleep
  • Life events
  • Depression questionnaire
  • Blood sample analysis including functional analyses of mitochondria and gene analyses such as genome scanning, SNP analysis
  • ApoE ε-type
  • Structural and functional changes in the brain measured with magnetic resonance (fMRI)
  • Electroencephalography (EEG) recordings of electrical activity and visual attention
  • PET-scan (Amyloid and FDG)

The results from these studies will hopefully point to new avenues for intervention in order to change the course of brain ageing

Medical subject headings
Cognitive Dysfunction, Alzheimer Disease

What participants receive

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

Study groups in NCT03290040
Study groupRoleWhat they receive
Metropolit CohortDanish birth cohort of men born in 1953 in the Metropolitan area of Copenhagen. These test-persons are divided into two groups based on performance in cognitive tests at late midlife compared to young adulthood; Positive expected performance and negative expected performance and sampled from a birth cohort of 11.532 men.
Herlev Hospital, Memory ClinicPersons from the Memory Clinic at Herlev Hospital. These subjects are diagnosed with either MCI or AD.

What is being measured

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

  1. Gamma band EEG power during evoked potentials correlates to cognitive decline

    Visual and auditory evoked potentials are elicited in the brain using flickering visual stimuli and amplitude-modulated tones, respectively. The potentials are recorded through scalp electroencephalography (EEG), using a 64-channel EEG cap. A measure of cognitive decline is approximated using intelligence test scores collected at three distinct times in the lifespan of the subject, as well as other clinical cognitive tests sensitive to aging effects

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  2. Alpha band EEG-power during evoked potentials correlates to cognitive decline

    Visual evoked potentials are elicited in the brain using flickering visual stimulus. The potentials are recorded through scalp electroencephalography (EEG), using a 64-channel EEG cap. A measure of cognitive decline is approximated using intelligence test scores collected at three distinct times in the lifespan of the subject, as well as other clinical cognitive tests sensitive to aging effects

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  3. Examination of how visual attention effects cognitive deterioration.

    The accuracy of reporting shown isoluminant letters of the patient is compared to speed of processing (ms), IQ and short term memory function.

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  4. Clarification of how processing speed (ms), short term memory and visual perceptive threshold effect cognitive capacity.

    Relating brain states to attentional functions by linking visual event-related potentials measured with EEG to specific attentional functions derived from behavioural testing

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  5. Changes in mitochondrial respiration as predictor of cognitive impairment

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  6. Microstructural parameters, derived from diffusion tensor imaging as predictor of cognitive impairment

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  7. Correlation between basal ganglia volumes and structure and cognitive functions

    Cognitive composite scores are based on CANTAB as well as paper and pencil tests. Basal ganglia volumes are based on automatic segmentation procedures. Basal ganglia microstructure and iron content will be estimated using quantitative susceptibility imaging

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  8. Correlation between patterns of brain perfusion and patterns of cognitive function

    Cognitive composite scores are based on CANTAB as well as paper and pencil tests. Brain perfusion will be measured with arterial spin labeling, and the analysis performed using multivariate techniques

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  9. Correlation between Subjective sleep quality and patterns of cognitive function

    Cognitive functions are based on CANTAB as well as paper and pencil tests. Sleep quality is measured using the self-report questionnaire Pittsburgh Sleep quality Index (PSQI).

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  10. Objective sleep measures: Sleep stages as determined by standard international scoring and quantitated measures using - spectral analysis from sleep EEG in relation to cognitive impairment

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  11. Effects of demographic, social and health predictors on change in cognitive function from young adulthood to late midlife

    Cognitive composite score (based on CANTAB, paper- and pencil tests)

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  12. Correlation between daytime sleepiness and patterns of cognitive function

    Cognitive functions are based on CANTAB as well as paper and pencil tests. Daytime sleepiness is measured using the Epworh Sleepiness Scale (ESS) questionnaire.

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  13. FDG - PET

    FDG - PET scan uses a special radioactive glucose-analogue tracer which the body uptake similarly to normal glucose. This allows us to investigate how well an individual can uptake glucose in relevant brain areas and thereby how well they increase the metabolism and activity in these brain areas when stimulated.

    With this method, we can see how the brain is working and detect any abnormalities.

    Measured: This examination will be performed in 2020-2021.

  14. PIB - PET

    PIB - PET scan uses special radioactive tracers that highlight amyloid protein plaques in the brain, which are a hallmark of Alzheimer's disease. This scanning will allow us to see the distribution of Amyloid plaques in the cohort and to test for correlation with cognitive decline.

    Measured: This examination will be performed in 2020-2021.

Secondary outcomes (20)
  1. Gamma band EEG power distribution across the scalp during simultaneous auditory and visual stimulation correlates to cognitive decline

    Visual and auditory evoked potentials are elicited in the brain using a paradigm that presents a visual stimulus and an auditory stimulus simultaneously. The potentials are recorded through scalp electroencephalography (EEG), using a 64-channel EEG cap. A measure of cognitive decline is approximated using intelligence test scores collected at three distinct times in the lifespan of the subject

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  2. Change of source location of gamma band EEG power of visual evoked potentials correlates to cognitive decline

    Visual evoked potentials are elicited in the brain using flickering visual stimulus. The potentials are recorded through scalp electroencephalography (EEG), using a 64-channel EEG cap. A measure of cognitive decline is approximated using intelligence test scores collected at three distinct times in the lifespan of the subject, as well as other clinical cognitive tests sensitive to aging effects

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  3. The investigators would like to describe how visual attention correlates with the background EEG recorded before the examination.

    Linking functional effects of prestimulus alpha power measured by EEG to perception accuracy

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  4. Change in levels of reactive oxygen species in PBMCs quantified by flow cytometry after application of dedicated fluorophores as predictor of cognitive impairment

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  5. Change in levels of mitochondrial bioenergetics in PBMCs using the Seahorse XF24 extracellular flux analyser as predictor of cognitive impairment

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  6. Change of levels of whole cell dNTP levels in PBMCs using polymerase extension assay and by quantification of tritiated nucleotides by scintillation counting as predictor of cognitive impairment

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  7. Change of mutation frequency of mitochondrial DNA using deep sequencing as predictor of cognitive impairment

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  8. Change of mtDNA copy number by qPCR as predictor of cognitive impairment

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  9. Correlation between regional cortical thickness and cognitive parameters

    Cognitive composite scores are based on CANTAB as well as paper and pencil tests. Cortical thickness will be analysed using FreeSurfer or similar software, and the analysis performed using multivariate techniques

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  10. Correlation between regional cortical surface and cognitive parameters

    Cognitive composite scores are based on CANTAB as well as paper and pencil tests. Cortical surface will be analysed using FreeSurfer or similar software, and the analysis performed using multivariate techniques

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  11. Correlation between macrostructural parameters and candidate genes

    Macrostructural parameters will be derived from segmentation of T1-weighted images. The statistical analysis will consider macrostructural parameters as a possible mediator of common genetic variants upon cognition. Candidate genes will be selected due to their relation to 1) cardiovascular function and disease 2) oxidative stress, longevity and ageing and 3) memory and intelligence.

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  12. Correlation between microstructural parameters and candidate genes

    Microstructural parameters will be derived from diffusion tensor imaging. The statistical analysis will consider microstructural parameters as a possible mediator of common genetic variants upon cognition. Candidate genes will be selected due to their relation to 1) cardiovascular function and disease 2) oxidative stress, longevity and ageing and 3) memory and intelligence.

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  13. Correlation between macrostructural parameters and cognition

    Macrostructural parameters will be derived from segmentation of T1-weighted images. Cognitive composite scores are based on CANTAB as well as paper and pencil test.

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  14. Correlation between microstructural parameters and cognition

    Microstructural parameters will be derived from diffusion tensor imaging. Cognitive composite scores are based on CANTAB as well as paper and pencil test.

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  15. Correlation between cognition and candidate genes

    Cognitive composite scores are based on CANTAB as well as paper and pencil test.Candidate genes will be selected due to their relation to 1) cardiovascular function and disease 2) oxidative stress, longevity and ageing and 3) memory and intelligence.

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  16. Correlation between sleep stages and microstructural parameters.

    Sleep stages will be determined by standard international scoring and quantitated measures using spectral analysis from sleep EEG. Microstructures will be measured with MRI.

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  17. Correlation between sleep stages and regional volumes.

    Sleep stages will be determined by standard international scoring and quantitated measures using spectral analysis from sleep EEG. Regional volumes will be measured with MRI.

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  18. Autonomic activity as measured by electrocardiography determined from the polysomnography during wakefulness and sleep in relation to cognitive impairment

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  19. Presence of REM Sleep muscle activity (REM sleep without atonia (RSWA), REM Behavior disorder(RBD)) in relation to cognitive impairment

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

  20. Cognitive correlates of cognitive change

    Cognitive composite score (based on CANTAB, paper- and pencil tests)

    Measured: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years

Timeline

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

  1. First posted21 Sep 2017
  2. Study startJan 2015
  3. Primary completionMay 2022
  4. Study completionDec 2022

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
Cohort
Time perspective
Prospective
Enrolment
564 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03290040
Sponsor's protocol ID
H-1-2014-032
Status last verified
Nov 2023
First submitted
18 Nov 2015
Last updated
28 Nov 2023
Results posted
No

Questions about this trial

What is this clinical trial studying?

An observational study of Healthy Test Persons and Mild Cognitive Impairment, run by Copenhagen University Hospital, Rigshospitalet at 1 site in Denmark.

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 2 inclusion and 11 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 28 Nov 2023. 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 Denmark. 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?

Gamma band EEG power during evoked potentials correlates to cognitive decline (time frame: Participant is recruited and measured once at the examination day and reexamined every 5 year as long as the project is running and includes the measurement, expected up to 10 years). The study lists 14 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 28 Nov 2023.

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