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Amyotrophic Lateral SclerosisTBCSNCT06337578

Advances in Telephone-based Cognitive Screening Procedures

An observational study of Amyotrophic Lateral Sclerosis and Alzheimer's Disease, run by Istituto Auxologico Italiano at 1 site in Italy.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

1. Background Cognitive screening procedures via performance-based tests represent an essential, albeit preliminary, element within the diagnostic and interventional process as addressed to patients with chronic neurological disorders. Read more about this study

Who is it for?
Ages 18 to 100 yearsHealthy volunteers can take part
What is being tested?
Telephone-based neuropsychological assessment - ALS, Telephone-based neuropsychological assessment - AD, LBD, FTD and CVD and Telephone-based and in-person cognitive screening - NIs
How many people
280 participants
Where
1 siteItaly
Study dates
25 Oct 2023to 25 Oct 2026
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 18 to 100 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: ALS: individuals having received a clinical diagnosis of ALS according to current diagnostic criteria AD: individuals with mild cognitive impairment/dementia due to either clinically- or neurochemically-confirmed Alzheimer's disease according to current diagnostic criteria LBD: individuals having received a clinical diagnosis of LBD according to current diagnostic criteria FTD: individuals having received a clinical diagnosis of FTD according to current diagnostic criteria CVD: individuals with mild cognitive impairment/dementia due to neuroradiologically-confirmed chronic cerebrovascular disease

Who may be able to join

  • Patient cohorts: diagnosis of interest. NIs: not applicable

Who cannot join

  • Patient cohorts
  • age <18 years;
  • denial of informed consent to voluntary participation and data processing;
  • absence of the diagnosis of interest;
  • absence of a de visu cognitive screening assessment carried out in the 6 months prior to recruitment;
  • positive history of 1) psychiatric pathologies, 2) serious and/or uncompensated general-medical conditions and 3) uncorrected visual/hearing deficits.
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  • NIs:
  • age <18 years;
  • denial of informed consent to voluntary participation and data processing;
  • positive history of 1) brain disorders, 2) serious and/or uncompensated general-medical conditions and 3) uncorrected visual/hearing deficits.

Trial locations and contacts

1 site in 1 country.

Barbara Poletti, Ph.D. contact

+390261911 ext. 2609

b.poletti@auxologico.it

Italy1 site, 1 recruiting
  • Istituto Auxologico Italiano

    Milan, 20149

    Barbara Poletti, Ph.D., +390261911 ext. 2609, b.poletti@auxologico.it

    Recruiting

Other trials in Italy

About this study

Official title: Avanzamenti in Materia di Screening Cognitivo Telefonico

  1. Background Cognitive screening procedures via performance-based tests represent an essential, albeit preliminary, element within the diagnostic and interventional process as addressed to patients with chronic neurological disorders. Furthermore, in these populations, cognitive screening measures are often employed as outcomes in epidemiological settings, as well as endpoints in clinical trials. Therefore, cognitive screeners need to possess robust clinimetric and clinical usability properties - the investigation of which must be country-specific (i.e., specific to each language and culture). The need for such clinimetric and feasibility studies is even more true if referred to telephone-based cognitive screening (TBCS) procedures - which, until recently, have been mostly neglected in Italy, despite having the potential to bring clear benefits to clinical practice and research. In fact, TBCS techniques allow, through the use of a very widespread, accessible and easy-to-use telecommunication medium, to break down the geographical, logistical, socio-demographic and organizational barriers that make it difficult and/or prevent 1) access to these clinical services and 2) the continuity of their provision, as well as the creation and completion of 3) large-scale epidemiological studies and 4) decentralized clinical trials. However, although some TBCS tests have recently been developed and standardized in Italy, their clinimetric properties and clinical usability in populations with chronic neurological disorders have not yet been investigated. Furthermore, currently, the "paper-and-pencil" version of the international gold-standard for TBCS procedures . i.e. the Telephone Interview For Cognitive Status (TICS), which has been recently standardized in this country - is not available within the Italian scenario. In fact, although the feasibility of a de visu version of the TICS (i.e., In-Person TICS; IP-TICS) has been demonstrated in this country, an actual standardization of this test has not yet been implemented to date. Such a tool would, however, allow flexible use of screening assessments, regardless of the delivery method, both in clinical and experimental contexts.
  2. Aims The present study primarily aims to provide exhaustive evidence regarding the psychometric, diagnostic and both cross-sectional and longitudinal clinical usability of TBCS that are currently available within the Italian scenario in populations with chronic neurological disorders. Secondly, this study aims to derive, in normotypical Italian subjects, 1) normative data for the IP-TICS and 2) the conversion algorithms between the latter (and other widely used "paper-and-pencil" screeners ) and the TICS.
  3. Methods

The study is monocentric, observational, prospective. Over a period of 3 years, patients who have already undergone an in-person cognitive screening session within 6 months prior to recruitment and falling under the following diagnostic categories will be recruited: 1) amyotrophic lateral sclerosis (N≥88); 2) Alzheimer's disease (N≥66); 3) Lewy body dementia (N≥30); 4) frontotemporal dementia (N≥30); 5) chronic cerebrovascular disorders (N≥66). Furthermore, N≥287 normotypical subjects representative of the Italian population will be recruited. The following TBCS tests will be administered to patients: 1) TICS; 2) Telephone-based Frontal Assessment Battery; 3) Telephone Language Screener; 4) Telephone-based Verbal Fluency Battery; 5) ALS Cognitive Behavioral Screen-Phone Version. Additionally, patients will undergo a functional evaluation using caregiver-report questionnaires evaluating instrumental and non-instrumental skills of daily living and behavioral changes. Normal subjects will instead be administered: 1) TICS; 2) IP-TICS; 3) Mini-Mental State Examination (MMSE); 4) Montreal Cognitive Assessment (MoCA). In patients, telephone follow-ups are expected after 6, 12 and 18 months. Statistical analyses will be carried out aimed at 1) the detailed study, in patients, of the psychometrics, diagnostics and cross-sectional/longitudinal clinical usability of the aforementioned TBCS test, as well as at 2) the derivation, in normotypical subjects, of the normative data of the IP-TICS and MoCA Memory Index Score (MIS), as well as the conversion algorithms between TICS and IP-TICS/MMSE/MoCA.

Being tested
Telephone-based neuropsychological assessment - ALS, Telephone-based neuropsychological assessment - AD, LBD, FTD and CVD, Telephone-based and in-person cognitive screening - NIs
Medical subject headings
Amyotrophic Lateral Sclerosis, Alzheimer Disease, Lewy Body Disease, Cerebrovascular Disorders

What participants receive

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

  • Telephone-based neuropsychological assessment - ALSBehavioural

    ALS patients will be administered the following TBCS tests:

    • ALS Cognitive Behavioral Screen-Phone Version;
    • Telephone-based Frontal Assessment Battery;
    • Telephone Language Screener;
    • Telephone-based Verbal Fluency Battery;

    This group will also undergo a telephone-based, caregiver-reported behavioral and functional assessment via the following scales:

    • Activities of Daily Living;
    • Instrumental Activities of Daily Living;
    • Amsterdam IADL Questionnaire - Short Version;
    • Caregiver Behavioral Questionnaire;
    • ECAS-Carer Interview.
  • Telephone-based neuropsychological assessment - AD, LBD, FTD and CVDBehavioural

    AD, DLB, FTD and CVD patients will be administered the following TBCS tests:

    • Telephone Interview for Cognitive Status;
    • Telephone-based Frontal Assessment Battery;
    • Telephone Language Screener;
    • Telephone-based Verbal Fluency Battery;

    These groups will also undergo a telephone-based, caregiver-reported behavioral and functional assessment via the following scales:

    • Activities of Daily Living;
    • Instrumental Activities of Daily Living;
    • Amsterdam IADL Questionnaire - Short Version;
    • Neuropsychiatric Inventory;
    • Frontal Behavioural Inventory.
  • Telephone-based and in-person cognitive screening - NIsBehavioural

    NIs will undergo the Telephone Interview for Cognitive Status over the telephone and will be additionally administered, in person, the following cognitive screeners:

    • Mini-Mental State Examination
    • Montreal Cognitive Assessment
    • In-Person Telephone Interview for Cognitive Status in person.
Study groups in NCT06337578
Study groupRoleWhat they receive
Patients with amyotrophic lateral sclerosis (ALS)Individuals having been received a clinical diagnosis of amyotrophic lateral sclerosis according to current diagnostic criteria
Receives: Behavioral: Telephone-based neuropsychological assessment - ALS
Patients with Alzheimer's disease (AD)Individuals having been received a neurochemical and/or aclinical diagnosis of Alzheimer's according to current diagnostic criteria
Receives: Behavioral: Telephone-based neuropsychological assessment - AD, LBD, FTD and CVD
Patients with Lewy body dementia (LBD)Individuals having been received a clinical diagnosis of Lewy body dementia according to current diagnostic criteria
Receives: Behavioral: Telephone-based neuropsychological assessment - AD, LBD, FTD and CVD
Patients with frontotemporal dementia (FTD)Individuals having been received a clinical diagnosis of frontotemporal dementia (i.e., behavioural variant-frontotemporal dementia; semantic dementia; progressive non-fluent aphasia) according to current diagnostic criteria
Receives: Behavioral: Telephone-based neuropsychological assessment - AD, LBD, FTD and CVD
Patients with chronic cerebrovascular disorders (CVD)Individuals with mild cognitive impairment/dementia and neuroradiological evidence of chronic cerebrovascular diseases
Receives: Behavioral: Telephone-based neuropsychological assessment - AD, LBD, FTD and CVD
Normotypical individuals (NI)Individuals without brain disorders
Receives: Behavioral: Telephone-based and in-person cognitive screening - NIs

What is being measured

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

  1. ALS Cognitive Behavioral Screen-Phone Version in ALS patients

    ALS Cognitive Behavioral Screen-Phone Version

    Measured: At enrollment and at 6 months, 12 months and 18 months of follow-up

  2. Telephone Interview for Cognitive Status in AD, LBD, FTD and CVD patients

    Telephone Interview for Cognitive Status

    Measured: At enrollment and at 6 months, 12 months and 18 months of follow-up

  3. Telephone-based Frontal Assessment Battery in ALS, AD, LBD, FTD and CVD patients

    Telephone-based Frontal Assessment Battery

    Measured: At enrollment and at 6 months, 12 months and 18 months of follow-up

  4. Telephone Language Screener in ALS, AD, LBD, FTD and CVD patients

    Telephone Language Screener

    Measured: At enrollment and at 6 months, 12 months and 18 months of follow-up

  5. Telephone-based Verbal Fluency Battery in ALS, AD, LBD, FTD and CVD patients

    Telephone-based Verbal Fluency Battery

    Measured: At enrollment and at 6 months, 12 months and 18 months of follow-up

  6. Mini-Mental State Examination in NI

    Mini-Mental State Examination; test with minimum score of 0 and maximum score of 30

    Measured: At enrollment and at 6 months, 12 months and 18 months of follow-up

  7. Montreal Cognitive Assessment in NI

    Montreal Cognitive Assessment; test with maximum score of 30: score of 26 or more is considered normal

    Measured: At enrollment and at 6 months, 12 months and 18 months of follow-up

Timeline

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

  1. First posted29 Mar 2024
  2. Study start25 Oct 2023
  3. Primary completion25 Oct 2026 (estimated)
  4. Study completion25 Oct 2026 (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
280 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06337578
Sponsor's protocol ID
23C308
Acronym
TBCS
Status last verified
Mar 2024
First submitted
15 Mar 2024
Last updated
29 Mar 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Amyotrophic Lateral Sclerosis and Alzheimer's Disease, run by Istituto Auxologico Italiano at 1 site in Italy.

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 1 inclusion and 10 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 29 Mar 2024. 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 Italy. 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 Barbara Poletti, Ph.D. (+390261911 ext. 2609, b.poletti@auxologico.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

ALS Cognitive Behavioral Screen-Phone Version in ALS patients (time frame: At enrollment and at 6 months, 12 months and 18 months of follow-up). The study lists 7 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 29 Mar 2024.

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TBCS Clinical Trial NCT06337578 | AzTrials