Alzheimer Disease Clinical Trial
— ValidateOfficial title:
The Swedish BioFINDER - Memory Clinic Study
The diagnosis of diseases causing memory difficulties or dementia is often challenging. Without the use of advanced methods such as cerebrospinal fluid tests, approximately 25-30% do not receive a correct diagnosis today. However, the investigators have recently developed new blood biomarkers with high diagnostic accuracy, and the investigators now want to investigate whether they can eventually replace cerebrospinal fluid tests. This is because blood tests are much more cost-effective and significantly easier for patients compared to cerebrospinal fluid tests. In this study, 1200 patients undergoing clinical evaluations at the Memory Clinic, Skåne University Hospital in Malmö, are included for blood and cerebrospinal fluid sample collection. The blood samples are sent for analysis using the new blood biomarkers. Subsequently, the results are compared with those from the clinical analysis of cerebrospinal fluid to determine how well they perform in routine clinical practice as an alternative to cerebrospinal fluid tests and whether the blood test improves patient care. This comparison is carried out by the attending physician in three steps: 1. Assessment without access to the results of either the blood test or cerebrospinal fluid test. 2. Assessment with access to only the results of the blood test. 3. Assessment with access to the results of both the blood test and cerebrospinal fluid test. Aim 1) To prospectively validate plasma Alzheimer's disease (AD) biomarkers for diagnosis of patients with cognitive symptoms who are evaluated in a specialist memory clinic. Aim 2) Determine whether blood AD biomarkers improve patient management in specialist memory clinic settings.
Status | Recruiting |
Enrollment | 1200 |
Est. completion date | December 31, 2026 |
Est. primary completion date | December 31, 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility | Inclusion Criteria: 1. Under investigation for cognitive symptoms at the Memory clinic. 2. Cerebrospinal fluid and blood sampling is planned to be done as part of clinical practice even if the patient is not taking part of this study. Exclusion Criteria: 1. Not undergoing CSF or blood sampling as part of clinical practice. 2. Not undergoing cognitive testing as part of clinical practice. |
Country | Name | City | State |
---|---|---|---|
Sweden | Skåne University Hospital | Malmö |
Lead Sponsor | Collaborator |
---|---|
Skane University Hospital | Lund University |
Sweden,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Brain AD pathology as determined by CSF AD biomarkers | CSF Ab42/Ab40 and p-tau217 | At baseline (cross-sectional) | |
Secondary | Clinical diagnosis supported by CSF biomarkers | Clinical diagnosis based on The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) but supported by CSF biomarkers | At baseline (cross-sectional) | |
Secondary | Brain AD pathology as determined by amyloid amyloid PET imaging | Amyloid PET imaging | At baseline (cross-sectional) | |
Secondary | Brain AD pathology as determined by tau PET imaging | Tau PET imaging | At baseline (cross-sectional) | |
Secondary | Progression to AD dementia in patients with SCD or MCI at baseline | Development of AD dementia during follow-up diagnosed using DSM-5 and supported by CSF biomarkers | At baseline (cross-sectional) | |
Secondary | Change in patient management | Change in suggested diagnosis, treatment, referral or ordered diagnostic tests | At baseline (cross-sectional) | |
Secondary | Change in diagnostic confidence | Change in diagnostic confidence of the treating physician | At baseline (cross-sectional) |
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