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Alzheimer DiseaseDEMENTIA-MOVENCT03939286

Multimodal Imaging Study on Physical Activity in Patients With Alzheimer's Disease

A study testing Clinical-neurological and neuropsychological tests, Blood sampling and Assessment of physical activity via fitness tracker/diary in people with Alzheimer Disease, run by RWTH Aachen University at 1 site in Germany.

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 The sponsor has not verified this record for over two years, so it may be out of date.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 gain a better understanding of metabolic early changes in neurodegenerative diseases, in order to enable new diagnostic and therapeutic approaches in the future. Read more about this study

Who is it for?
Ages 50 to 80 years
Conditions the study is for
Alzheimer Disease
What is being tested?
Clinical-neurological and neuropsychological tests, Blood sampling and Assessment of physical activity via fitness tracker/diary
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteGermany
Study dates
8 Apr 2019to Oct 2021
Phase
Interventional
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 50 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • prodromal or early symptomatic Alzheimer's disease according to the S3 guidelines of the German Society of Neurology in relation to the IWG-2 criteria for the definition of probable Alzheimer's disease
  • Age between 50 and 80 years
  • Mini Mental State Examination (MMSE)> 19 (screening at least 12 weeks before baseline visit)
  • Cognitive ability to understand the task as well as regular participation in exercise program, based on assessment of the treating neurologist and / or neuropsychologist
  • For antidementive or antidepressant medication, stable medication for at least 30 days
  • No visual or auditory limitation preventing participation in cognitive and functional testing
  • Interested in regular participation for 6 months, doing domestic exercises
  • Presence of a written informed consent

Who cannot join

  • Heart attack or evidence of coronary heart disease (angina) in the last 2 years
  • Severe systemic disease, which is expected to worsen during exercise
  • Difficult to adjust diabetes mellitus II
  • Difficult to set art. Hypertension in the last 6 months
  • Severe psychiatric illness
  • Severe orthopedic disease
Show all 48Show fewer
  • Alcohol and / or drug abuse in the last 2 years
  • Chronic pain and / or musculoskeletal disease, which prevent regular physical activity
  • Acute fracture or orthopedic injury last month
  • cancer in the last 5 years (except basal cell and spinal cell carcinoma) Contraindications for MRI examination below 3 Tesla (for example, implantation of ferromagnetic parts) For study participants, the following measures must be observed due to the direct effects of the magnetic field, in particular the force exerted on para- or ferromagnetic bodies: Study participants with incorporated metallic implants are not admitted. Pregnancy or lactation, traumatic brain injury, neurological or psychiatric disorders (other than the neurological disease to be studied for patients), relevant and severe other medical conditions, e.g. metabolic, endocrinological or cardiac disorders, mental retardation, magnetic metal implants (also intrauterine spiral).
  • Furthermore, the spatial conditions in the magnet do not allow to examine persons with certain back complaints or a strong overweight. As a rule, a body mass index (BMI, weight [kg] / size2 [cm2]) of > 30 is the exclusion criterion. With regard to the participation in the exercise in advance with unclear suitability is a consultation with the attending family doctor regarding possible contraindications, which are a regular participation in a sports program in the way.
  • Specifically, as exclusion criteria count:
  • Diseases:
  • epilepsy
  • severe cardiac pre-existing conditions
  • Musculoskeletal disorders that are contrary to regular exercise
  • advanced osteoporosis
  • Increased fall risk / imbalance
  • Advanced Heart Failure, Shortness of Breath, Severe Pulmonary Disease, which are contrary to regular physical activity
  • Diabetes mellitus prone to hypoglycaemia and hyperglycemia
  • Conditions:
  • pregnancy
  • Uncertain knowledge about possibly existing pregnancy
  • Contraceptives:
  • Any type of intrauterine device
  • Spiral made of copper Metal-containing implants or devices in / on the body (all non-metal implants / devices / patches will undergo a thorough examination based on the MRI Safety
  • Listing www.mrisafety.com):
  • Pacemaker / implanted pacemaker wires
  • Implanted defibrillator
  • Drug pump / infusion device
  • Stimulation device / electrodes
  • Non-MRI-compatible implants, for example, surgical screws, plates, nails, etc:
  • vascular / lumen filters, wire rings, wire spirals, stents, vascular clips
  • Artificial heart valve
  • Transdermal patches
  • epithesis (or partial epithesis)
  • shunts, catheters, wire sutures
  • Metal in / on the body:
  • Splinter / gunshot wounds
  • Metal shards in the eye, even if everything was supposedly removed
  • Piercing
  • Dental metals:
  • Any type of implant in the jawbone area / dental implant older than 20 years
  • No contraindications: Amalgam fillings, inlays, crowns, single crowned teeth as a denture base for a denture termed a telescopic denture, firmly screwed dentures
  • Additional:
  • cochlear implant
  • Ventilation Tubes
  • tattoos / permanent make-up (only after the most exact examination and special approval see separate explanation)

Trial locations and contacts

1 site in 1 country.

Kathrin Reetz, Prof. Dr. contact

+49(0)241-80 36516

kreetz@ukaachen.de

Alexa Häger, Dr. med. contact

+49(0)241-80 37212

ahaeger@ukaachen.de

Germany1 site, 1 recruiting
  • RWTH Aachen University Hospital

    Aachen, North Rhine-Westphalia, 52074

    Kathrin Reetz, +4902418036516 ext. +4902418036516, kreetz@ukaachen.de

    Alexa Häger, +4902418037212 ext. +4902418037212, ahaeger@ukaachen.de

    Recruiting

Other trials in Germany

About this study

This study aims to gain a better understanding of metabolic early changes in neurodegenerative diseases, in order to enable new diagnostic and therapeutic approaches in the future. Further, it aims to identify specific movement-induced changes at the cerebral level, on cognition, on quality of life and physical fitness, and on serology parameters in neurodegenerative diseases.

In general, valid biomarkers are needed for early diagnosis and prediction of disease progression. It has been hypothesized that metabolic changes may precede structural changes and may be examined by intervention with exercise therapy. The non-invasive, in vivo characterization and diagnosis of such metabolic changes is therefore of paramount importance. In this line, this research project is focused on applying magnetic resonance imaging (MRI) based metabolic imaging techniques such as sodium MRI and phosphorus magnetic resonance spectroscopy (MRS) with standard structural and functional MRI methods, combined with exercise training, in order to detect biomarkers early in different stages of neurodegenerative diseases. Moreover, this project aims to examine the sensitivity of metabolic imaging with sodium and phosphorus sequences over classical MRI imaging with whole body fat sequences, in order to detect cerebral alterations.

At the end, the medical benefit of the planned project lies in the fact that the expected findings are groundbreaking for the understanding of the phenomenology and pathobiology of neurodegenerative diseases. This is the basis for the development of new methods for early diagnosis and individualized medicine with the optimization of future treatment options.

Being tested
Clinical-neurological and neuropsychological tests, Blood sampling, Assessment of physical activity via fitness tracker/diary, MRI-examinations
Medical subject headings
Alzheimer Disease

What participants receive

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

  • Clinical-neurological and neuropsychological testsOther

    The tests include established standardized questionnaires and detailed clinical neuropsychological examinations (e.g., tests on cognition and perception). In order to avoid exercise effects in multiple examinations, so-called parallel procedures should be used.

  • Blood samplingDiagnostic test

    Venous blood sampling (40 ml) is performed according to the usual criteria of sterile working at baseline and after intervention.

  • Assessment of physical activity via fitness tracker/diaryOther

    All study participants, regardless of group classification, are randomly selected for a period of one week using Fitbit Charge 2® fitness trackers. The study participants are asked in this context to pursue their regular activity and to wear the bracelets for a week throughout. All study participants are asked to document their activities in a hand-written diary.

  • MRI-examinationsOther

    Standard MRI-methods, Sodium MRI, Phosphor MRS, Wholebody-Fat-MRI

Study groups in NCT03939286
Study groupRoleWhat they receive
movement groupOtherintensified training (equipment, coordination, balance)
Receives: Other: Clinical-neurological and neuropsychological tests; Diagnostic Test: Blood sampling; Other: Assessment of physical activity via fitness tracker/diary; Other: MRI-examinations
control groupOthercontinuation of physical activity as usual
Receives: Other: Clinical-neurological and neuropsychological tests; Diagnostic Test: Blood sampling; Other: Assessment of physical activity via fitness tracker/diary; Other: MRI-examinations

What is being measured

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

  1. Metabolic changes of the brain induced by intervention program

    Sodium MR Imaging

    Measured: T1 (baseline), T3 (6 months, after intervention), T4 (optional, 1 year after intervention)

  2. Metabolic changes of the brain induced by intervention program

    Phosphor MR Imaging

    Measured: T1 (baseline), T3 (6 months, after intervention), T4 (optional, 1 year after intervention)

  3. Structural changes of the brain induced by intervention program

    Standard MR Imaging

    Measured: T1 (baseline), T3 (6 months, after intervention), T4 (optional, 1 year after intervention)

Timeline

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

  1. First posted6 May 2019
  2. Study start8 Apr 2019
  3. Primary completionApr 2021 (estimated)
  4. Study completionOct 2021 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Model description
In total, about 50 study participants will be examined in a prodromal or symptomatic early stage of Alzheimer's disease. These should be distributed equally randomized into two groups: a movement group (n = 25) with intensified training (equipment, coordination, balance) and a control group with continuation of physical activity as usual and participation in a psychoeducational program (n = 25).
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03939286
Sponsor's protocol ID
19-064
Acronym
DEMENTIA-MOVE
Status last verified
May 2019
First submitted
5 Apr 2019
Last updated
7 May 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Beckett MW, Ardern CI, Rotondi MA. A meta-analysis of prospective studies on the role of physical activity and the prevention of Alzheimer's disease in older adults. BMC Geriatr. 2015 Feb 11;15:9. doi: 10.1186/s12877-015-0007-2.

    PubMed 25887627
  • Bruggemann N, Hagenah J, Reetz K, Schmidt A, Kasten M, Buchmann I, Eckerle S, Bahre M, Munchau A, Djarmati A, van der Vegt J, Siebner H, Binkofski F, Ramirez A, Behrens MI, Klein C. Recessively inherited parkinsonism: effect of ATP13A2 mutations on the clinical and neuroimaging phenotype. Arch Neurol. 2010 Nov;67(11):1357-63. doi: 10.1001/archneurol.2010.281.

    PubMed 21060012
  • Diehl-Wiesenecker E, von Armin CA, Dupuis L, Muller HP, Ludolph AC, Kassubek J. Adipose Tissue Distribution in Patients with Alzheimer's Disease: A Whole Body MRI Case-Control Study. J Alzheimers Dis. 2015;48(3):825-32. doi: 10.3233/JAD-150426.

    PubMed 26402111
  • Hilker R, Klein C, Ghaemi M, Kis B, Strotmann T, Ozelius LJ, Lenz O, Vieregge P, Herholz K, Heiss WD, Pramstaller PP. Positron emission tomographic analysis of the nigrostriatal dopaminergic system in familial parkinsonism associated with mutations in the parkin gene. Ann Neurol. 2001 Mar;49(3):367-76.

    PubMed 11261512
  • Reetz K, Lencer R, Steinlechner S, Gaser C, Hagenah J, Buchel C, Petersen D, Kock N, Djarmati A, Siebner HR, Klein C, Binkofski F. Limbic and frontal cortical degeneration is associated with psychiatric symptoms in PINK1 mutation carriers. Biol Psychiatry. 2008 Aug 1;64(3):241-7. doi: 10.1016/j.biopsych.2007.12.010. Epub 2008 Feb 7.

    PubMed 18261714
  • Reetz K, Lencer R, Hagenah JM, Gaser C, Tadic V, Walter U, Wolters A, Steinlechner S, Zuhlke C, Brockmann K, Klein C, Rolfs A, Binkofski F. Structural changes associated with progression of motor deficits in spinocerebellar ataxia 17. Cerebellum. 2010 Jun;9(2):210-7. doi: 10.1007/s12311-009-0150-4.

    PubMed 20016963
  • Raj A, Kuceyeski A, Weiner M. A network diffusion model of disease progression in dementia. Neuron. 2012 Mar 22;73(6):1204-15. doi: 10.1016/j.neuron.2011.12.040. Epub 2012 Mar 21.

    PubMed 22445347
  • Warren JD, Rohrer JD, Hardy J. Disintegrating brain networks: from syndromes to molecular nexopathies. Neuron. 2012 Mar 22;73(6):1060-2. doi: 10.1016/j.neuron.2012.03.006. Epub 2012 Mar 21.

    PubMed 22445334
  • Zhou J, Gennatas ED, Kramer JH, Miller BL, Seeley WW. Predicting regional neurodegeneration from the healthy brain functional connectome. Neuron. 2012 Mar 22;73(6):1216-27. doi: 10.1016/j.neuron.2012.03.004. Epub 2012 Mar 21.

    PubMed 22445348
  • Jucker M, Walker LC. Pathogenic protein seeding in Alzheimer disease and other neurodegenerative disorders. Ann Neurol. 2011 Oct;70(4):532-40. doi: 10.1002/ana.22615.

    PubMed 22028219

Questions about this trial

What is this clinical trial studying?

A study testing Clinical-neurological and neuropsychological tests, Blood sampling and Assessment of physical activity via fitness tracker/diary in people with Alzheimer Disease, run by RWTH Aachen University at 1 site in Germany.

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 8 inclusion and 48 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 7 May 2019. 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 Germany. 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 Kathrin Reetz, Prof. Dr. (+49(0)241-80 36516, kreetz@ukaachen.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Metabolic changes of the brain induced by intervention program (time frame: T1 (baseline), T3 (6 months, after intervention), T4 (optional, 1 year after intervention)). The study lists 3 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 NCT03939286, which also lists 10 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 7 May 2019.

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