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Alzheimer's DementiaEYE-ToMNCT04748263

Eye Gaze Strategies During Facial Emotion Recognition in Neurodegenerative Diseases: Links With Neuropsychiatric Disorders (EYE-ToM Study)

An observational study of Alzheimer's Dementia and Parkinson Disease(PD), run by Centre Hospitalier Princesse Grace.

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

It is commonly admitted that social cognition impairment, like deficit in facial emotion recognition or misinterpretation of others' intentions (Theory of Mind), are associated with social behavior disorders. Read more about this study

Who is it for?
Ages 45 years and older
How many people
74 participants
Where
No sites listed yet
Study dates
1 Jul 2015to 1 Nov 2020
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 45 years and older
  • All sexes
  • Adult, Older adult

Study population: Patient 45 years old and above healthy or with FTD, AD or PD pathology

Who may be able to join

  • Hospitalized or coming to perform a consultation, for whom an Eye-Tracking examination is indicated as part of routine care.
  • Sufficient written and oral expression in French.
  • Written informed consent signed by the patient.
  • For the control group: No cognitive impairment (non pathological MMSE (according to age, gender and socio-cultural level), no neurological history, and no psychiatric history (especially anxiety and depressive disorders).
  • For the FTD group: Patient diagnosed according to revised Rascovsky et al. 2011., no neurological history (excepted diagnosed FTD), and no psychiatric history (excepted those related to diagnosed FTD).
  • For the AD group: Patient diagnosed according to DSM-IV-TR criteria, no neurological history (excepted diagnosed AD), and no psychiatric history (excepted those related to diagnosed AD).
  • For the PD group: Patient diagnosed according to NINDS criteria, no neurological history (excepted diagnosed PD), and no psychiatric history (excepted those related to diagnosed PD).

Who cannot join

  • General anaesthesia within 3 months.
  • Ophthalmological problems preventing a video-oculography examination.
  • Oculomotor disorders such as "fixation disorders" or "ocular tracking disorders".
  • Cognitive disorders of the type: visual agnosia, visuo-spatial disorder, visuo-perceptual disorder or aphasia.
  • History of stroke.
  • History of alcohol or drug abuse.

About this study

It is commonly admitted that social cognition impairment, like deficit in facial emotion recognition or misinterpretation of others' intentions (Theory of Mind), are associated with social behavior disorders.

This kind of disorders are observed in Fronto-Temporal Dementia (FTD), Alzheimer's Dementia (AD) and Parkinson's Disease (PD), with severe deficits in FTD and lighter deficits in AD and PD.

One explanation might be that patients apply inappropriate visual exploration strategies to decode emotions and intentions of others.

This study aims to test this hypothesis and further to analyse whether different patterns emerge from these pathologies.

Being tested
No intervention. Only survey and normal use of eye-tracking
Keywords
Eye-Tracking, Neuropsychological evaluations
Medical subject headings
Alzheimer Disease, Parkinson Disease

What participants receive

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

  • No intervention. Only survey and normal use of eye-trackingOther

    The study is conducted in accordance with usual practices of eye-tracking and neuropsychological evaluations carried out at the Center Rainier III.

    Eye-Tracker® is used at the Centre Rainier III since August 2014. It is a non-invasive device for eye movements recording, allowing doctors and researchers to measure standard parameters related to eye movements. Developed by the Eye Brain Company (France), this is a Class IIa medical device, CE marking, according to Annexe IX of the directive 93/42/CE.

Study groups in NCT04748263
Study groupRoleWhat they receive
Fronto-Temporal Dementia (FTD)10 subjects Standard neuropsychological evaluations. Standard Eye-Tracking paradigms.
Receives: Other: No intervention. Only survey and normal use of eye-tracking
Alzheimer's Dementia (AD)20 subjects Standard neuropsychological evaluations. Standard Eye-Tracking paradigms.
Receives: Other: No intervention. Only survey and normal use of eye-tracking
Parkinson's Disease (PD)20 subjects Standard neuropsychological evaluations. Standard Eye-Tracking paradigms.
Receives: Other: No intervention. Only survey and normal use of eye-tracking
Healthy volunteers20 subjects Standard neuropsychological evaluations. Standard Eye-Tracking paradigms.
Receives: Other: No intervention. Only survey and normal use of eye-tracking

What is being measured

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

  1. Eye gaze strategies (number of eye fixation) during Affective Theory of Mind (ToM)

    Comparison of gaze patterns between control group and pathological groups, during Affective ToM task Evaluation criteria: number of eye fixation. Eye movements were recorded with an eye-tracking device. Affective ToM was assessed using the " Reading the Mind in the Eyes " test (Baron-Cohen 2001).

    Measured: Baseline

  2. Eye gaze strategies (duration of eye fixations) during Affective Theory of Mind (ToM)

    Comparison of gaze patterns between control group and pathological groups, during Affective ToM task.

    Evaluation criteria: duration of eye fixations. Eye movements were recorded with an eye-tracking device. Affective ToM was assessed using the " Reading the Mind in the Eyes " test (Baron-Cohen 2001).

    Measured: Baseline

  3. Eye gaze strategies (response times) during Affective Theory of Mind (ToM)

    Evaluation criteria: time to answer for each picture (in second). It was recorded using the eye-tracking device.

    Affective ToM was assessed using 36 pictures from the " Reading the Mind in the Eyes " test (Baron-Cohen 2001), with a maximum of 8 seconds of response time per picture.

    Measured: Baseline

  4. Eye gaze strategies (number of eye fixation) during Facial emotion recognition (FER)

    Comparison of gaze patterns between control group and pathological groups, during Facial emotion recognition tasks.

    Evaluation criteria: number of eye fixation. Eye movements were recorded with an eye-tracking device. FER was assessed using some pictures from the Ekman Faces task (1976).

    Measured: Baseline

  5. Eye gaze strategies (duration of eye fixation) during Facial emotion recognition (FER)

    Comparison of gaze patterns between control group and pathological groups, during Facial emotion recognition tasks.

    Evaluation criteria: duration of eye fixations. Eye movements were recorded with an eye-tracking device. FER was assessed using some pictures from the Ekman Faces task (1976).

    Measured: Baseline

  6. Eye gaze strategies (response times) during Facial emotion recognition (FER)

    Comparison of gaze patterns between control group and pathological groups, during Facial emotion recognition tasks.

    Evaluation criteria: time to answer for each picture (in second). It was recorded using the eye-tracking device.

    Facial emotion recognition was assessed using 28 pictures from The Ekman Faces task (1976), with a maximum of 8 seconds of response time per picture.

    Measured: Baseline

Secondary outcomes (3)
  1. Facial emotion recognition (FER) performances

    Affective ToM performances, and behavioral disorders. Evaluation criteria: Scores (/28) and sub-score (/6) to Ekman Faces task (1976).

    The Ekman Faces task (1976) tests the recognition of the six facial basic emotions and neutral faces. There were four pictures per emotion, for a total of 28. For each picture, participants were asked to select one of the seven labels (anger, disgust, fear, sadness, happiness, surprise and neutral)

    Measured: Baseline

  2. Affective ToM performances

    To study correlations between eye gaze strategies, Facial emotion recognition and Affective ToM performances, and behavioral disorders.

    Evaluation criteria: Scores to the " Reading the Mind in the Eyes " test (Baron-Cohen 2001). 36 black-and-white photographs of the eye area of faces. Subjects are asked to choose which word, among four options, best described what the character in the photograph was thinking or feeling. For this task, four scores were obtained: a total score (/36) and three emotional valence sub-scores: positive (/8), neutral (/16) and negative (/12).

    Measured: Baseline

  3. Behavioral disorders.

    To study correlations between eye gaze strategies, Facial emotion recognition and Affective ToM performances, and behavioral disorders.

    Evaluation criteria: Neuropsychiatric Inventory (NPI), a scale that includes ten behavioral items (delusions, hallucinations, agitation, depression, anxiety, euphoria, apathy, disinhibition, irritability and aberrant motor behaviors) and two neurovegetative symptoms (sleep and appetite disorders). Both the frequency (/5) and the severity (/3) of each behavior were determined and a score was calculated by multiplying the frequency and the severity of each behavior observed during the last month.

    Measured: Baseline

Timeline

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

  1. First posted10 Feb 2021
  2. Study start1 Jul 2015
  3. Primary completion1 Dec 2019
  4. Study completion1 Nov 2020

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
74 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04748263
Sponsor's protocol ID
15-05
Acronym
EYE-ToM
Status last verified
May 2026
First submitted
26 Jan 2021
Last updated
8 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Alzheimer's Dementia and Parkinson Disease(PD), run by Centre Hospitalier Princesse Grace.

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 7 inclusion and 6 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 May 2026. Status can change between updates, so confirm with the study contact before making plans.

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?

Eye gaze strategies (number of eye fixation) during Affective Theory of Mind (ToM) (time frame: Baseline). The study lists 6 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 8 May 2026.

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