Alzheimer's Disease Clinical Trial
Official title:
Alzheimer's Disease Neuroimaging Initiative
The purpose of this study is to examine how brain imaging technology can be used with other tests to measure the progression of mild cognitive impairment (MCI) and early Alzheimer's disease (AD). This information will aid future clinical trials by providing a standard assessment tool to measure the effects of treatments being studied.
This study will test whether serial magnetic resonance imaging (MRI), positron emission
tomography (PET), other biological markers, and clinical and neuropsychological assessment
can be combined to measure the progression of mild cognitive impairment (MCI) and early
Alzheimer's disease (AD). The information obtained by studying changes in the brain images
of MCI and AD patients and healthy individuals, as well as other assessment tools, will be
used to determine the best methods for measuring treatment effects in patients with MCI and
AD.
Approximately 800 participants, ranging in age from 55 to 90, will be recruited for the
study: 400 patients with MCI, 200 with early AD, and 200 normal controls. Patients with MCI
and normal controls will be followed for 3 years, and those with AD will be followed for 2
years. At 6-month intervals, all participants will be seen in person or contacted by
telephone. All participants will undergo repeated scanning and blood and urine biomarkers
will be collected at the time of each scan. All patients will be asked if they are willing
to undergo lumbar puncture at baseline and year one, with the goal of a minimum of 20% and
as many as 50% of each group providing CSF (cerebrospinal fluid) samples for analysis and
storage for future analyses.
NOTE: Beginning in Spring 2007 a subset of the ADNI participants will be offered the
opportunity to participate in a supplemental study. The PIB (Pittsburgh Compound B) study
provides imaging of amyloid plaque burden. PIB PET scans will be conducted in 24 control, 48
MCI, and 24 AD participants at approximately 16 ADNI PET sites. For entering participants
with no previous PET FDG scans, controls and MCI participants will be scanned with PIB at
entry (baseline), 12, 24, and 36 months, and AD participants will be scanned with PIB at
entry (baseline), 12, and 24 months. For participants who have undergone previous (baseline
and 6 month) PET FDG scans, controls and MCI participants will be scanned with PIB at 12,
24, and 36 months, and AD participants will be scanned with PIB at 12 and 24 months.
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Observational Model: Case Control, Time Perspective: Prospective
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