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CadasilNCT06148051

AusCADASIL: An Australian Cohort of CADASIL

An observational study of Cadasil, run by Perminder Sachdev at 5 sites in Australia.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The aim of this project is to establish an Australian cohort of patients diagnosed with Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL). This study will examine the clinical features and longitudinal course of CADASIL. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Cadasil
How many people
300 participants
Where
5 sitesAustralia
Study dates
25 Nov 2023to 31 Mar 2027
Phase
Observational
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Individuals with CADASIL confirmed by genetic testing, suspected due to clinical symptoms, or family history of CADASIL. Control cohort will be negative for the NOTCH3 pathogenic variant and have no cognitive complaints

Who may be able to join

  • Adults ≥18 years old
  • Ability to provide written informed consent
  • A large-print version is available for individuals with visual impairment
  • An easy-to-read version is available for individuals with cognitive difficulties who may require extra support
  • Ability to attend a testing site
  • Ability to complete minimum dataset (medical examination and medical history questionnaire, blood test to determine genetic status and a short (20 minute) neuropsychology assessment).
Show all 11Show fewer
  • CADASIL participants according to one of the following categories:
  • confirmed diagnosis via genetic testing (NOTCH3 pathogenic variant), OR
  • suspected diagnosis based on medical history and brain MRI, OR
  • first degree relative of participant who is positive for NOTCH3 pathogenic variant
  • OR 6. Unrelated individual who is negative for the NOTCH3 pathogenic variant, and has no cognitive complaints (i.e. control participant)

Who cannot join

  • 1. Significant cognitive impairment leading to an inability to provide informed consent.

Trial locations and contacts

5 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Danit Saks, MBMSc, MRes, PhD contact

9348 1658 ext. +612

d.saks@unsw.edu.au

5 sites in 1 country

Australia5 sites, 5 recruiting
  • Royal Brisbane and Women's Hospital

    Brisbane, Queensland, 4006

    Michael O'Sullivan, MD, 3646 8111 ext. +617, m.osullivan1@uq.edu.au

    Not yet recruiting
  • Royal Melbourne Hospital

    Melbourne, Victoria, 3052

    Ashley Park, MD, 9342 7000 ext. +613, ashley.park@mh.org.au

    Recruiting
  • John Hunter Hospital

    Newcastle, New South Wales, 2305

    Beata Bajorek, BPharm DipHospPharm PhD, 4055 0650 ext. +612, Beata.Bajorek@newcastle.edu.au

    Recruiting
  • Prince of Wales Hospital

    Sydney, New South Wales, 2031

    Danit Saks, PhD, 93481658 ext. +61 2, d.saks@unsw.edu.au

    Recruiting
  • University of New South Wales

    Sydney, New South Wales, 2031

    Danit Saks, PhD, 93481658 ext. +61 2, d.saks@unsw.edu.au

    Recruiting

Other trials in Australia

About this study

The aim of this project is to establish an Australian cohort of patients diagnosed with Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL). This study will examine the clinical features and longitudinal course of CADASIL. Outcome measures include neuropsychological profile, neuroimaging, genetics, blood biomarkers, and retinal imaging.

Read the detailed description

Using clinical examination, questionnaires, neuropsychological evaluation, brain MRI, blood sample evaluation and retinal imaging, we aim to characterise the clinical profile and progression of CADASIL in an Australian cohort.

This is multi-centre observational cohort study currently based at six sites (clinics, hospitals and universities) across three states in Australia (New South Wales, Victoria and Queensland). The multidisciplinary team aims to be the first to develop an Australian cohort of CADASIL which will contribute to global efforts and understanding of the disease.

Conditions
Cadasil
Keywords
CADASIL, Clinical Research, Genetics, Cognition, Neuroimaging, Blood markers, Retinal imaging
Medical subject headings
CADASIL

What participants receive

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

Study groups in NCT06148051
Study groupRoleWhat they receive
CADASIL cohortNot described
Control CohortNot described

What is being measured

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

  1. Online Medical Questionnaire

    Includes questions on participant's medical history (CADASIL and other), family history, and medication use. Outcome will be used to inform clinical profile

    Measured: Baseline, Year 1, Year 2, Year 3, Year 4

  2. Weight and height will be combined to report BMI in kg/m^2

    Participants will undergo structured physical examination which will provide further details on their clinical profile.

    Measured: Baseline, Year 1, Year 2, Year 3, Year 4

  3. Blood Pressure

    Participants will undergo structured physical examination which will provide further details on their clinical profile. Systolic/diastolic blood pressure will be recorded 3 times during the physical examination

    Measured: Baseline, Year 1, Year 2, Year 3, Year 4

  4. Modified Rankin Scale (mRS)

    Participants will undergo structured physical examination which will provide further details on their clinical profile. Scale from 0-5 (0 no symptoms, 5 severe disability)

    Measured: Baseline, Year 1, Year 2, Year 3, Year 4

  5. National Institute of Health Stroke Scale (NIHSS)

    Participants will undergo structured physical examination which will provide further details on their clinical profile. Individual items (11) relating to stroke symptoms and disability, for each item 0 indicates normal.

    Measured: Baseline, Year 1, Year 2, Year 3, Year 4

  6. Alphabet required for Trail Making A/B

    As part of the neuropsychological battery, participants will need to complete the alphabet to inform ability to complete Trail Making tests A and B. These indicate executive function

    Measured: Baseline, Year 1, Year 2, Year 3, Year 4

  7. Montreal Cognitive Assessment (MoCA)

    As part of the neuropsychological battery, participants will complete the MoCA to provide a measure of global cognitive function

    Measured: Baseline, Year 1, Year 2, Year 3, Year 4

  8. Category Fluency (animals)

    As part of the neuropsychological battery, participants will complete Category Fluency to provide a measure of processing speed

    Measured: Baseline, Year 1, Year 2, Year 3, Year 4

  9. Digit Span Backwards (WAIS-IV)

    As part of the neuropsychological battery, participants will complete digit span backwards to provide a measure of executive function

    Measured: Baseline, Year 1, Year 2, Year 3, Year 4

  10. National Institute of Health Computerised Toolbox (NIHCTB)

    As part of the neuropsychological battery, participants will complete the NIHCTB to provide measures of global function

    Measured: Baseline, Year 1, Year 2, Year 3, Year 4

  11. Letter Fluency (FAS)

    As part of the neuropsychological battery, participants will complete the FAS to provide measures of executive function

    Measured: Baseline, Year 1, Year 2, Year 3, Year 4

  12. Rey Auditory Verbal Learning Test (RAVLT)

    As part of the neuropsychological battery, participants will complete the RAVLT to provide measures of learning and memory

    Measured: Baseline, Year 1, Year 2, Year 3, Year 4

  13. Brain MRI scan (total scan time 60 mins)- includes T1 weighted imaging

    To assess brain morphology

    Measured: Baseline, Year 3

  14. Brain MRI scan (total scan time 60 mins)- includes T2-weighted fluid attenuated inversion recovery (FLAIR) imaging

    Combined with T1 outcome to assess brain morphology

    Measured: Baseline, Year 3

  15. Brain MRI scan (total scan time 60 mins)- includes susceptibility-weighted MRI

    Assesses cerebral microbleeds. Signal magnitude will be processed to estimate signal decay time (i.e., T2* maps), which reflect compartmentalisation of magnetised tissue constituents (iron, calcium) [22]. Signal phase will be processed for quantitative susceptibility mapping.

    Measured: Baseline, Year 3

  16. Brain MRI scan (total scan time 60 mins)- includes multi-shell diffusion weighted MRI

    Measures of brain white matter microstructural integrity, such as fractional anisotropy and mean diffusivity, will be calculated using tensor models. Fixel-based analyses of fibre density and cross-section will also be performed. Markers of cerebrovascular diseases derived from diffusion data, such as Peak width of Skeletonised Mean Diffusivity (PSMD), will be calculated. Structural connectivity will also be examined.

    Measured: Baseline, Year 3

  17. Brain MRI scan (total scan time 60 mins)- includes pseudo-continuous arterial spin labelling (PCASL) perfusion imaging with multiple post-labelling delays.

    Used to assess quantitative cerebral blood flow and arterial transit time.

    Measured: Baseline, Year 3

  18. Brain MRI scan (total scan time 60 mins)- includes resting-state blood oxygenation level dependent (BOLD) imaging.

    Used to assess brain functional activity and amplitude of low-frequency fluctuations which embeds signal of cerebrovascular reactivity. For sites with available capnography monitors, participants' end-tidal carbon dioxide concentrations will be recorded during acquiring resting-state BOLD data for more accurate quantification of cerebrovascular reactivity

    Measured: Baseline, Year 3

Secondary outcomes (23)
  1. Blood biochemistry

    Analysed by local pathology lab to indicate clinical profile. Measures will include fasting glucose, HbA1c, lipids, C-reactive protein, creatinine, vit D and liver function tests.

    Measured: Baseline, Year 3

  2. Ocular Questionnaire

    Includes questions regarding vision ability and ocular symptoms, and history

    Measured: Baseline, Year 3

  3. Genetic Profile

    Genetic testing for NOTCH3 variants as well as potentially modifying genes

    Measured: Baseline

  4. Instrumental Activities of Daily Living Scale (IADL)

    Completed online, 8 items to assess daily living skills in older adults. Outcome will be used to inform clinical profile

    Measured: Baseline

  5. Quality of Life Scale (EQ-5D-5L)

    Completed online, 6 items to assess mobility, self-care, activities, pain/discomfort, anxiety/depression. Outcome will be used to inform clinical profile

    Measured: Baseline

  6. STOP-BANG Sleep Questionnaire

    Completed online, 8 items to assess Obstructive Sleep Apnoea risk. Outcome will be used to inform clinical profile

    Measured: Baseline

  7. PROMIS Sleep Disturbance

    Completed online, 8 items to assess sleep quality. Outcome will be used to inform clinical profile

    Measured: Baseline

  8. Apathy Evaluation Scale (AES)

    Completed online, 18 items to assess apathy by goal-directed behaviour, goal-related cognition, and goal-related emotional responses. Outcome will be used to inform clinical profile

    Measured: Baseline

  9. Multidimensional Fatigue Inventory (MFI)

    Completed online, 20 items to assess physical and mental fatigue and motivation. Outcome will be used to inform clinical profile

    Measured: Baseline

  10. Patient Health Questionnaire-9 (PHQ-9)

    Completed online, 9 items to assess depression symptoms and severity. Outcome will be used to inform clinical profile

    Measured: Baseline

  11. Hospital Anxiety and Depression Scale (HADS)

    Completed online, includes 14 items to assess non-physical symptoms of anxiety and depression. Outcome will be used to inform clinical profile

    Measured: Baseline

  12. Study Partner Apathy Evaluation Scale (AES)

    Completed online by nominated study partner (someone who knows the participant well e.g. spouse, carer, friend etc). Inform's participant's apathy by goal-directed behaviour, goal-related cognition, and goal-related emotional responses

    Measured: Baseline

  13. Study Partner Instrumental Activities of Daily Living Scale (IADL)

    Completed online by nominated study partner (someone who knows the participant well e.g. spouse, carer, friend etc). 8 items to assess daily living skills in older adults. Outcome will be used to inform participant's clinical profile

    Measured: Baseline

  14. Neuropsychiatric Inventory (NPI-Q)

    Completed online by nominated study partner (someone who knows the participant well e.g. spouse, carer, friend etc). 12 domains, approx. 100 questions. Used to inform psychopathology in participants

    Measured: Baseline

  15. Blood Omic investigation

    Blood tubes will be transported to the University of New South Wales for genomics, proteomics, lipidomics, and epigenomics analysis

    Measured: Baseline and year 3

  16. Ocular Assessment-Visual Acuity

    a measure of the vision function using high contrast letters will be performed with standardised vision charts at distance and at near.

    Measured: Baseline and year 3

  17. Ocular Assessment- Contrast Sensitivity

    A measure of vision function, relating to the ability to distinguish between an object and the background behind it.

    Measured: Baseline and year 3

  18. Ocular Assessment- Stereopsis

    The perception of depth will be measured using a stereo acuity instrument by viewing a series of stereograms.

    Measured: Baseline and year 3

  19. Ocular Assessment- Slit-lamp examination

    Involves viewing of the ocular structures using a slit-lamp illumination system and biomicroscope viewing system. The slit-lamp examination will be conducted by a trained observer and will allow identification of ocular media opacities, abnormalities of the eye lids, tear film and anterior structures.

    Measured: Baseline and year 3

  20. Ocular Assessment- Standard automated perimetry

    A measure of the sensitivity of the visual field.

    Measured: Baseline and year 3

  21. Ocular Assessment- Intraocular pressure

    A measure of the pressure within the eye.

    Measured: Baseline and year 3

  22. Ocular Assessment- Fundus imaging (requires pupil dilation using tropicamide 0.5 or 1.0% eye drops

    Used to visualise the back of the eye

    Measured: Baseline and year 3

  23. Ocular Assessment- Optical Coherence Tomography (OCT) and OCT-Angiography

    Used to visualise the back of the eye in retinal layers, and the retinal vessels

    Measured: Baseline and year 3

Timeline

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

  1. First posted28 Nov 2023
  2. Study start25 Nov 2023
  3. Primary completion31 Mar 2027 (estimated)
  4. Study completion31 Mar 2027 (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-control
Time perspective
Prospective
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06148051
Sponsor's protocol ID
AusCADASIL
Status last verified
May 2024
First submitted
7 Nov 2023
Last updated
8 May 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of Cadasil, run by Perminder Sachdev at 5 sites in Australia.

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 11 inclusion and 1 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: looking for participants now, as of the sponsor's last update on 8 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Australia. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Danit Saks, MBMSc, MRes, PhD (9348 1658 ext. +612, d.saks@unsw.edu.au), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Online Medical Questionnaire (time frame: Baseline, Year 1, Year 2, Year 3, Year 4). The study lists 18 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 2024.

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