Alzheimer's Disease Clinical Trial
Official title:
ERP and qEEG Measures Collected in Outpatient Settings as Indices of Disease Progression in Alzheimer's Disease (AD)
In a previous study, NCT00582127, two age-matched cohorts, one clinically diagnosed with mild Alzheimer's disease and the other healthy controls, were tested with a hand-held EEG/ERP system to determine if the cohorts could be discriminated using the EEG/ERP measures. This study proposes to retest the AD cohort 18-60 months after their first test to characterize the change in EEG/ERP measures correlated with the longitudinal change in neuropsychological testing.
In study NCT00582127, two age-matched cohorts (mild AD, n=98 and healthy controls, n=100)
were recruited to 7 clinical sites to undergo a broad range of clinical, neuropsychological,
and neuroelectrophysiological tests. The complete battery of ADNI neuropsychological tests
were performed on the mild AD subjects as well as standard blood tests and MRI using the ADNI
protocol. MRI volumetry analysis was performed on the MRI data. Both cohorts underwent a
3-minute EEG recording and event-related potential (ERP) testing using a standard 2-deviant
auditory oddball paradigm with the COGNISION(tm) System from Neuronetrix. The study showed
that specific EEG/ERP features could be used to discriminate the mild AD cohort from healthy
controls.
The current study is intended as a follow up to NCT00582127.AD subjects that successfully
completed COGNISION™ and psychometric testing in the previous study are eligible to be part
of the present follow up.
In the first part of the current study, de-identified cognitive and functional data for the
AD patients that the sites have collected during regular check ups after testing for the
original Neuronetrix study will be shared with the study Sponsor. The retrospective chart
review has three main objectives:
- Quantify the rate of cognitive and functional decline in these patients.
- Investigate whether ERP and/or qEEG data collected during testing for the original
Neuronetrix study can provide any insight on subsequent rate of cognitive and functional
decline.
- Identify study subjects that might still be functional enough to successfully complete a
follow-up ERP/qEEG test. These subjects will be offered an opportunity to come back to
the sites for follow-up ERP/qEEG and psychometric testing.
Up to 40 subjects will be invited back to the sites. Subjects that choose to enroll in the
second part of the study will have an ERP/qEEG test administered by a Neuronetrix certified
test administrator. Subjects that complete the test successfully will move on to clinical
evaluation and psychometric testing.
Results obtained from this part of the study will be compared with ERP/qEEG and psychometric
data from the completed Neuronetrix study mentioned above. The two main objectives of the
comparisons will be:
- Investigate whether ERP and qEEG measures collected in outpatient settings show
significant changes over time in subjects with AD.
- Correlate longitudinal changes in ERP and qEEG measures (if any) with cognitive and
functional decline as measured by psychometric tests.
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