Novel Retinal Imaging Biomarkers in Early Alzheimer's Disease

Sponsor
Duke University (Other)
Overall Status
Completed
CT.gov ID
NCT01937221
Collaborator
Duke Institute for Brain Sciences (Other), Alzheimer's Association (Other), Duke-NUS Graduate Medical School (Other)
60
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46
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Study Details

Study Description

Brief Summary

The goal of this study is to create new retinal imaging processing software useful for the development of novel retinal biomarkers of cognitive impairment associated with Alzheimer's disease (AD).

Condition or Disease Intervention/Treatment Phase
  • Other: spectral-domain optical coherence tomography (SD-OCT)

Study Design

Study Type:
Observational
Anticipated Enrollment :
60 participants
Observational Model:
Case-Control
Time Perspective:
Prospective
Official Title:
Novel Retinal Imaging Biomarkers in Early Alzheimer's Disease
Study Start Date :
Sep 1, 2013
Actual Primary Completion Date :
Jul 1, 2017
Actual Study Completion Date :
Jul 1, 2017

Arms and Interventions

Arm Intervention/Treatment
mild cognitive impairment

Other: spectral-domain optical coherence tomography (SD-OCT)
Intervention same to all groups.

mild to moderate cognitive impairment

Other: spectral-domain optical coherence tomography (SD-OCT)
Intervention same to all groups.

normal or control group

Other: spectral-domain optical coherence tomography (SD-OCT)
Intervention same to all groups.

Outcome Measures

Primary Outcome Measures

  1. Nerve fiber layer/ganglion cell layer (NFL/GCL) abnormality score [Baseline]

    The study will determine the significance of difference in NFL/GCL score between the AD subject groups at baseline.

  2. NFL/GCL abnormality score [12 months]

    The study will determine the significance of difference in NFL/GCL score between the AD subject groups at baseline. Dependent on baseline results, some subjects may have the opportunity to have another measurement taken at 12 months.

Secondary Outcome Measures

  1. Drusen/plaque score [Baseline]

    The study will determine the significance of difference in peripheral drusen/amyloid plaque score between the AD subject groups at baseline.

  2. Drusen/plaque score [12 months]

    The study will determine the significance of difference in peripheral drusen/amyloid plaque score between the AD subjects groups at baseline. Dependent on baseline results, some subjects may have the opportunity to have a second measurement at 12 months.

  3. Total drusen area [Baseline]

    The study will determine the significance of difference in total drusen area between the AD subject groups at baseline.

  4. Total drusen area [12 months]

    The study will determine the significance of difference in total drusen area between the AD subject groups at baseline. Dependent on baseline results, some subjects may have the opportunity to have a second measurement taken at 12 months.

Eligibility Criteria

Criteria

Ages Eligible for Study:
55 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  1. Result of the standard neuropsychological assessment

  2. Are men or postmenopausal women, at least 55 years of age. Postmenopausal women are defined as women who have had a hysterectomy and/or bilateral oophorectomy; or who have been amenorrheic for at least 2 years;

  3. Fluency in English

  4. Participants in mild cognitive impairment (MCI)/prodromal and mild-to-moderate dementia groups must assign a surrogate for purposes of informed consent and help with protocol compliance.

Exclusion Criteria:
  1. Known or suspected diagnosis of non-AD, associated dementia;

  2. Major ophthalmologic comorbidities: Ruptured globe, retinal vascular occlusive disease, retinal artery occlusion, anterior ischemic optic neuropathy, media opacification due to corneal abnormalities or cataract that prevent ocular and OCT examination, glaucoma, wet (neovascular) age-related macular degeneration, history of intravitreal injections, and macular edema. If two eyes satisfy the inclusion criteria, both eyes will be included in the study.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Duke University Medical Center Durham North Carolina United States 27710

Sponsors and Collaborators

  • Duke University
  • Duke Institute for Brain Sciences
  • Alzheimer's Association
  • Duke-NUS Graduate Medical School

Investigators

  • Principal Investigator: Heather Whitson, MD, MHS, Duke University
  • Principal Investigator: Eleonora Lad, MD, PhD, Duke University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Duke University
ClinicalTrials.gov Identifier:
NCT01937221
Other Study ID Numbers:
  • Pro00047227
First Posted:
Sep 9, 2013
Last Update Posted:
Jan 31, 2019
Last Verified:
Dec 1, 2017
Keywords provided by Duke University
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jan 31, 2019