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Subjective Cognitive DeclineNCT03370744

Prediction of Cognitive Decline by Neuroimaging Techniques and the Application in Diagnosis and Treatment of Preclinical AD

An observational study of Subjective Cognitive Decline and Preclinical Alzheimer's Disease, run by XuanwuH 2 at 1 site in China.

Completed

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

Official record
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Trial summary

This study is affiliated to Sino Longitudinal Study on Cognitive Decline, SILCODE. To establish models of normal and pathological cognitive aging.To collect the longitudinal data of SCD population, to study the dynamic changes of brain networks so as to explore the progressive mechanisms of AD on brain networks and to… Read more about this study

Who is it for?
Ages 60 to 80 yearsHealthy volunteers can take part
What is being tested?
Neuropsychological scale
How many people
300 participants
Where
1 siteChina
Study dates
15 Mar 2017to 31 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 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Volunteers recrewed from communities, and signed up with informed consent.

Who may be able to join

None listed.

Who cannot join

  • Claustrophobia, with metals in the body that cannot be examined by MRI, including metal dentures or other contraindications for examination;
  • Left handedness or ambidextrality.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Department of Neurolgy,Xuanwu Hospital of Capital Medical University

    Beijing, Beijing Municipality, 100053

Other trials in China

About this study

Official title: Prediction of Cognitive Decline by Neuroimaging Techniques and the Application in Diagnosis and Treatment of Preclinical AD (Sino Longitudinal Study on Cognitive Decline, SILCODE)

This study is affiliated to Sino Longitudinal Study on Cognitive Decline, SILCODE. To establish models of normal and pathological cognitive aging.To collect the longitudinal data of SCD population, to study the dynamic changes of brain networks so as to explore the progressive mechanisms of AD on brain networks and to construct a high-precision multi-modal model for early diagnosis.

Read the detailed description

This study is affiliated to Sino Longitudinal Study on Cognitive Decline, SILCODE. Alzheimer's disease (AD) is the most common cause of dementia, which severely injures multiple domains of cognitive functions in the aging people, bringing heavy burden to the society and families. Studying the cognitive brain damage mechanism of subjective cognitive decline (SCD), the preclinical stage of AD, would provide great opportunities for understanding the pathogenesis of AD and clinical value for early diagnosis and intervention in AD. The project intends to utilize amyloid-PET and FDG-PET for screening and then employ the comprehensive neuropsychological examination combined with multi-modal MRI neuroimaging techniques to study the brain functions and structures of the normal aging and SCD. The imaging data would be analyzed from several levels, including the cognitive dimensions, brain activation patterns, and especially functional and structural networks to establish the models of normal and pathological cognitive aging, which mainly be modulated by frontal-parietal control system. We aim to establish models of normal and pathological cognitive aging. Furthermore, the longitudinal data of SCD population would be collected to study the dynamic changes of brain networks so as to explore the progressive mechanisms of AD on brain networks and to construct a high-precision multi-modal model for early diagnosis

Being tested
Neuropsychological scale
Keywords
subjective cognitive decline, brain network, multi-modality, magnetic resonance imaging

What participants receive

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

  • Neuropsychological scaleDiagnostic test

    Neuropsychological scale, including mini-mental state examination (MMSE), Montreal cognitive assessment (MoCA), clinical dementia rating scales (CDR) and so on

Study groups in NCT03370744
Study groupRoleWhat they receive
Subjective cognitive decline, SCDThe inclusion criteria for SCD are as following: (1) presence of self-perceived continuous cognitive decline compared to previous normal status and unrelated to an acute event; and (2) failure to meet the following criteria for MCI.
Receives: Diagnostic Test: Neuropsychological scale
Normal control, NCNC are individuals who have no self-report persistent decline in cognitive capacity, and with neither worry nor concern about their cognition. Without measurable cognitive impairment according to results of standard assessments.
Receives: Diagnostic Test: Neuropsychological scale
Mild cognitive impairment, MCIMCI are defined by an actuarial neuropsychological method proposed by Jak and Bondi. Participants are considered to have MCI if any one of the following three criteria are met with a total Clinical Dementia Rating (CDR) score of 0.5 as well as failure to meet the criteria for dementia: (1) having impaired scores (defined as >1 SD below the age-corrected normative mean) on both measures within at least one cognitive domain (i.e., memory, language, or speed/executive function); (2) having impaired scores in each of the three cognitive domains sampled; (3) the Functional Activities Questionnaire (FAQ) ≥9.
Receives: Diagnostic Test: Neuropsychological scale
Alzheimer's disease, ADThe diagnosis of AD syndrome is based on the diagnostic guidelines for dementia due to AD delivered by the National Institute on Aging-Alzheimer's Association workgroups (NIA-AA) with a total CDR score of 1.
Receives: Diagnostic Test: Neuropsychological scale
Subjective Cognitive Decline plus, SCD-plusThe inclusion criteria for SCD-plus are as following: (1) presence of self-perceived continuous cognitive decline compared to previous normal status and unrelated to an acute event; and (2) concerns (worries) associated with memory complaint; and (3) failure to meet the following criteria for MCI.
Receives: Diagnostic Test: Neuropsychological scale

What is being measured

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

  1. The altered volume pattern in SCD/SCD-plus with progression.

    1. Global grey matter volume change of brain in µm3
    2. Regional gray matter volume change of brain in µm3
    3. Cerebral cortex thickness change of brain in µm

    Measured: 5 years

  2. The altered DTI pattern in SCD/SCD-plus with progression.

    1. Regional fractional anisotropy (FA), measured by diffusion tensor imaging (DTI).
    2. Regional mean diffusivity (MD), measured by DTI.
    3. Regional radial diffusivity (RD), measured by DTI.
    4. Regional axial diffusivity (AxD), measured by DTI.

    Measured: 5 years

  3. The altered functional MRI pattern in SCD/SCD-plus with progression.

    Resting state functional MRI blood-oxygen-level-dependent (fMRI BOLD) signal.

    Measured: 5 years

  4. The altered FDG-PET pattern in SCD/SCD-plus with progression.

    Global SUVR change of brain of FDG-PET in kBq/ml/MBq/kg.

    Measured: 5 years

  5. The altered AV45-PET pattern in SCD/SCD-plus with progression.

    Global SUVR change of brain of AV45-PET in kBq/ml/MBq/kg.

    Measured: 5 years

  6. Genotype of SCD/SCD-plus with progression.

    ApoE genotype by blood test.

    Measured: 5 years

  7. AD7c-NTP level of SCD/SCD-plus with progression.

    AD7c-NTP level by urine tests.

    Measured: 5 years

  8. Gut microbiota of SCD/SCD-plus with progression.

    Gut microbiota level by 16s rDNA sequencing

    Measured: 5 years

Timeline

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

  1. First posted12 Dec 2017
  2. Study start15 Mar 2017
  3. Primary completion30 Jun 2020
  4. Study completion31 Dec 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
Case-control
Time perspective
Prospective
Enrolment
300 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03370744
Sponsor's protocol ID
hanying4
Status last verified
Sep 2023
First submitted
15 Nov 2017
Last updated
8 Sep 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Jiang X, Zhang M, Yan C, Daamen M, Boecker H, Yue F, Jessen F, Hu X, Han Y. Brain Topological Changes in Subjective Cognitive Decline and Associations with Amyloid Stages. J Neurosci. 2025 Jun 18;45(25):e2310242025. doi: 10.1523/JNEUROSCI.2310-24.2025.

    PubMed 40404356
  • Chen HJ, Zhang M, Wei M, Yu X, Wang Y, Yang J, Li R, Zhao W, Wang X, Zhang S, Wang K, Bai T, Huo Y, Huang W, Dai Z, Ma G, Han Y, Chen G, Shu N. Amyloid pathology related to aberrant structure-function coupling of brain networks in Alzheimer's disease: insights from [18F]-florbetapir PET imaging. Eur J Nucl Med Mol Imaging. 2025 Jul;52(8):2929-2940. doi: 10.1007/s00259-025-07172-8. Epub 2025 Mar 7.

    PubMed 40053120
  • Zhao C, Li T, Hao S, Zhao L, Han Y, Cai Y. Dysregulation of the molecular clock by blood-borne factors in Alzheimer's disease patients. J Neurol. 2025 Jan 15;272(2):121. doi: 10.1007/s00415-024-12824-0.

    PubMed 39812690
  • Yu X, Zhang Y, Cai Y, Rong N, Li R, Shi R, Wei M, Jiang J, Han Y. Asymmetrical patterns of beta-amyloid deposition and cognitive changes in Alzheimer's disease: the SILCODE study. Cereb Cortex. 2024 Dec 3;34(12):bhae485. doi: 10.1093/cercor/bhae485.

    PubMed 39710611
  • Wang L, Xu H, Wang M, Brendel M, Rominger A, Shi K, Han Y, Jiang J. A metabolism-functional connectome sparse coupling method to reveal imaging markers for Alzheimer's disease based on simultaneous PET/MRI scans. Hum Brain Mapp. 2023 Dec 1;44(17):6020-6030. doi: 10.1002/hbm.26493. Epub 2023 Sep 23.

    PubMed 37740923
  • Wang T, Yao Y, Han C, Li T, Du W, Xue J, Han Y, Cai Y. MCP-1 levels in astrocyte-derived exosomes are changed in preclinical stage of Alzheimer's disease. Front Neurol. 2023 Mar 20;14:1119298. doi: 10.3389/fneur.2023.1119298. eCollection 2023.

    PubMed 37021284
  • Wang T, Wang X, Yao Y, Zhao C, Yang C, Han Y, Cai Y. Association of plasma apolipoproteins and levels of inflammation-related factors with different stages of Alzheimer's disease: a cross-sectional study. BMJ Open. 2022 Apr 6;12(4):e054347. doi: 10.1136/bmjopen-2021-054347.

    PubMed 35387811
  • Sheng C, Yang K, He B, Du W, Cai Y, Han Y. Combination of gut microbiota and plasma amyloid-beta as a potential index for identifying preclinical Alzheimer's disease: a cross-sectional analysis from the SILCODE study. Alzheimers Res Ther. 2022 Feb 14;14(1):35. doi: 10.1186/s13195-022-00977-x.

    PubMed 35164860
  • Ding C, Du W, Zhang Q, Wang L, Han Y, Jiang J. Coupling relationship between glucose and oxygen metabolisms to differentiate preclinical Alzheimer's disease and normal individuals. Hum Brain Mapp. 2021 Oct 15;42(15):5051-5062. doi: 10.1002/hbm.25599. Epub 2021 Jul 22.

    PubMed 34291850
  • Dong QY, Li TR, Jiang XY, Wang XN, Han Y, Jiang JH. Glucose metabolism in the right middle temporal gyrus could be a potential biomarker for subjective cognitive decline: a study of a Han population. Alzheimers Res Ther. 2021 Apr 7;13(1):74. doi: 10.1186/s13195-021-00811-w.

    PubMed 33827675
  • Sheng C, Sun Y, Wang M, Wang X, Liu Y, Pang D, Liu J, Bi X, Du W, Zhao M, Li Y, Li X, Jiang J, Han Y. Combining Visual Rating Scales for Medial Temporal Lobe Atrophy and Posterior Atrophy to Identify Amnestic Mild Cognitive Impairment from Cognitively Normal Older Adults: Evidence Based on Two Cohorts. J Alzheimers Dis. 2020;77(1):323-337. doi: 10.3233/JAD-200016.

    PubMed 32716355
  • Li X, Wang X, Su L, Hu X, Han Y. Sino Longitudinal Study on Cognitive Decline (SILCODE): protocol for a Chinese longitudinal observational study to develop risk prediction models of conversion to mild cognitive impairment in individuals with subjective cognitive decline. BMJ Open. 2019 Jul 26;9(7):e028188. doi: 10.1136/bmjopen-2018-028188.

    PubMed 31350244
  • Sun Y, Wang X, Wang Y, Dong H, Lu J, Scheininger T, Ewers M, Jessen F, Zuo XN, Han Y. Anxiety correlates with cortical surface area in subjective cognitive decline: APOE epsilon4 carriers versus APOE epsilon4 non-carriers. Alzheimers Res Ther. 2019 Jun 3;11(1):50. doi: 10.1186/s13195-019-0505-0.

    PubMed 31159873

Questions about this trial

What is this clinical trial studying?

An observational study of Subjective Cognitive Decline and Preclinical Alzheimer's Disease, run by XuanwuH 2 at 1 site in China.

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 2 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 8 Sep 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 China. 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?

The altered volume pattern in SCD/SCD-plus with progression. (time frame: 5 years). The study lists 8 primary outcomes in all. 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 NCT03370744, which also lists 13 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 Sep 2023.

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