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nderstanding Brain Inflammation in Cognitive Problems (BRIC)

Not Applicable
Conditions
Dementia with Lewy bodies
Nervous System Diseases
Registration Number
ISRCTN11195489
Lead Sponsor
ewcastle upon Tyne Hospitals NHS Foundation Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
110
Inclusion Criteria

MCI-LB/DLB group:
1. Age =60 years
2. Fulfil criteria for probable MCI-LB (McKeith et al., 2020) or DLB (McKeith et al., 2017)
3. Capacity to consent to participation in the study
4. MMSE =20
5. If on cholinesterase inhibitors and/or memantine, stable dose for 3 months

Control group:
1. Age =60 years
2. MMSE =27
3. No evidence of mild cognitive impairment or dementia

Exclusion Criteria

1. Active systemic inflammatory disease
2. Active autoimmune disease
3. Taking immune system modifying medications (e.g., oral steroids or tumour necrosis factor inhibitors)
4. Taking incretin analogues (e.g., liraglutide), minocycline or other microglial suppressing agents
5. History of clinical stroke
6. Current major depression
7. History of bipolar disorder, non-organic psychosis (e.g., longstanding schizophrenia) or recurrent severe depression
8. Chronic migraine

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Brain Mitochondrial Translocator Protein (TSPO) is measured by 18F-DPA714 binding (mean cortical and regional) at baseline and 2 years
Secondary Outcome Measures
NameTimeMethod
1. Peripheral blood inflammatory profile is measured by flow cytometry of cells and analysis of inflammatory markers at baseline, 1 year and 2 years<br>2. Cognition is measured using the Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) at baseline, 1 year and 2 years <br>3. Global functional impairment is measured using the Clinical Dementia Rating Scale Sum of Boxes at baseline, 1 year and 2 years
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