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Alzheimer's Disease Neuroimaging Initiative 3 (ADNI3)

Recruiting
Conditions
Mild Cognitive Impairment (MCI)
Alzheimer's Disease (AD)
Registration Number
NCT02854033
Lead Sponsor
University of Southern California
Brief Summary

Since its launch in 2004, the overarching aim of the Alzheimer's Disease Neuroimaging Initiative (ADNI) has been realized in informing the design of therapeutic trials in AD. ADNI3 continues the previously funded ADNI-1, ADNI-GO, and ADNI-2 studies that have been combined public/private collaborations between academia and industry to determine the relationships between the clinical, cognitive, imaging, genetic and biochemical biomarker characteristics of the entire spectrum of Alzheimer's disease (AD). The overall goal of the study is to continue to discover, optimize, standardize, and validate clinical trial measures and biomarkers used in AD research.

Detailed Description

The overall goal of ADNI3 is to determine the relationships among the clinical, cognitive, imaging, genetic and biochemical biomarker characteristics of the entire spectrum of Alzheimer's disease (AD), as the pathology evolves from normal aging through very mild symptoms, to mild cognitive impairment (MCI), to dementia. ADNI3 continues the previously funded AD Neuroimaging Initiative (ADNI1, ADNI-GO, and ADNI-2), and remains a public/private collaboration between academia and industry to study biomarkers of AD. ADNI will continue to inform the neuroscience of AD, identify diagnostic and prognostic markers, identify outcome measures that can be used in clinical trials, and help develop the most effective clinical trial scenarios.

This is multi-center, a non-randomized, natural history, non-treatment study. 1,070-2,000 total participants will be enrolled across three cohorts: cognitively normal\* (CN), mild cognitive impairment (MCI) and mild Alzheimer's Disease (AD) dementia. Participants between the ages of 55-90 (inclusive) will be enrolled at 59 sites in the United States and Canada. Approximately, 700 - 800 will be rollover participants from previous ADNI studies, and 370 - 1200 will be newly enrolled. Clinical/cognitive, imaging, biomarker, and genetic characteristics will be assessed across the three cohorts.

Participants will undergo longitudinal clinical and cognitive assessments, computerized cognitive batteries, biomarker and genetic tests, PET (FDG, amyloid and tau) and MRI scans and cerebral spinal fluid (CSF) collection for up to 5 years.

\*currently recruiting non-Caucasian participants only for the cognitively normal cohort.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
2000
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Rate of change in cognition as measured by the Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog13)5 years

The ADAS-Cog is an in-person examiner-administered, structured scale that evaluates memory (word recall, word recognition), reasoning (following commands), language (naming, comprehension), orientation, ideational praxis (placing letter in envelope) and constructional praxis (copying geometric designs). Ratings of spoken language, language comprehension, word finding difficulty, and ability to remember test instructions are also obtained.

Rate of change in cognition as measured by the Logical Memory Test I and II5 years
Rate of change in cognition as measured by the Mini-Mental State Examinations (MMSE)5 years

The MMSE scale evaluates orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two overlapping pentagons.

Secondary Outcome Measures
NameTimeMethod
Rate of change in cognition as measured by the American National Adult Reading Test (ANART)5 years

The ANART estimates premorbid verbal intelligence (VIQ) in patients with dementia.

Rate of change in cognition as measured by the Cogstate Brief Battery (CBB)5 years

The Cogstate Brief battery (CBB) is a brief (10-15 minute) computerized cognitive battery developed by Cogstate (Cogstate Ltd. New Haven, CT, USA) that measures attention, speed of information processing, working memory and learning.

Rate of change in cognition as measured by the Rey Auditory Verbal Learning Test5 years

The AVLT is a list-learning task, which assesses multiple cognitive parameters associated with learning and memory.

Rate of change in cognition as measured by the Trail Making Test: A and B5 years
Change in tau deposition as measured by 18F-AV-14515 years
Change in amyloid deposition as measured by Florbetapir5 years
Change in amyloid deposition as measured by Florbetaben5 years
Rate of change in cognition as measured by the Montreal Cognitive Assessment (MoCA)5 years

The Montreal Cognitive Assessment test (MoCA) is a cognitive assessment designed to detect participants at the MCI stage of cognitive dysfunction.

Rate of conversion to MCI or dementia due to AD5 years
Rates of change of glucose metabolism (FDG-PET)5 years
Change in Cerebral Spinal Fluid (CSF) Tau Biomarkers5 years
Change in brain structure using magnetic resonance imaging (MRI)5 years

Trial Locations

Locations (59)

University of Alabama, Birmingham

🇺🇸

Birmingham, Alabama, United States

Banner Alzheimer's Institute

🇺🇸

Phoenix, Arizona, United States

Barrow Neurological Institute

🇺🇸

Phoenix, Arizona, United States

Banner Sun Health Research Institute

🇺🇸

Sun City, Arizona, United States

University of California, Irvine

🇺🇸

Irvine, California, United States

University of California, San Diego

🇺🇸

La Jolla, California, United States

Long Beach VA Neuropsychiatric Research Program

🇺🇸

Long Beach, California, United States

University of Southern California

🇺🇸

Los Angeles, California, United States

University of California, Los Angeles

🇺🇸

Los Angeles, California, United States

VA Palo Alto HSC / Stanford School of Medicine

🇺🇸

Palo Alto, California, United States

University of California, San Francisco

🇺🇸

San Francisco, California, United States

University of California, Davis

🇺🇸

Walnut Creek, California, United States

Yale University School of Medicine

🇺🇸

New Haven, Connecticut, United States

Georgetown University

🇺🇸

Washington, District of Columbia, United States

Howard University

🇺🇸

Washington, District of Columbia, United States

Mayo Clinic, Jacksonville

🇺🇸

Jacksonville, Florida, United States

Wien Center for Clinical Research

🇺🇸

Miami Beach, Florida, United States

University of South Florida - Health Byrd Alzheimer Institute

🇺🇸

Tampa, Florida, United States

Emory University

🇺🇸

Atlanta, Georgia, United States

Northwestern University

🇺🇸

Chicago, Illinois, United States

Rush University Medical Center

🇺🇸

Chicago, Illinois, United States

Indiana University

🇺🇸

Indianapolis, Indiana, United States

University of Iowa

🇺🇸

Iowa City, Iowa, United States

University of Kansas

🇺🇸

Fairway, Kansas, United States

University of Kentucky

🇺🇸

Lexington, Kentucky, United States

Johns Hopkins University

🇺🇸

Baltimore, Maryland, United States

Brigham and Women's Hospital

🇺🇸

Boston, Massachusetts, United States

Boston University School of Medicine

🇺🇸

Boston, Massachusetts, United States

University of Michigan, Ann Arbor

🇺🇸

Ann Arbor, Michigan, United States

Mayo Clinic, Rochester

🇺🇸

Rochester, Minnesota, United States

Washington University, St. Louis

🇺🇸

Saint Louis, Missouri, United States

Cleveland Clinic Lou Ruvo Center for Brain Health

🇺🇸

Las Vegas, Nevada, United States

Albany Medical College

🇺🇸

Albany, New York, United States

Dent Neurologic Institute

🇺🇸

Buffalo, New York, United States

New York University Medical Center

🇺🇸

New York, New York, United States

Mount Sinai School of Medicine

🇺🇸

New York, New York, United States

Columbia University

🇺🇸

New York, New York, United States

Nathan Kline Institute for Psychiatric Research

🇺🇸

Orangeburg, New York, United States

University of Rochester

🇺🇸

Rochester, New York, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

Wake Forest University Health Sciences

🇺🇸

Winston-Salem, North Carolina, United States

Case Western Reserve University

🇺🇸

Beachwood, Ohio, United States

Ohio State University

🇺🇸

Columbus, Ohio, United States

Oregon Health & Science University

🇺🇸

Portland, Oregon, United States

University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

University of Pittsburgh

🇺🇸

Pittsburgh, Pennsylvania, United States

Rhode Island Hospital

🇺🇸

Providence, Rhode Island, United States

Butler Hospital Memory and Aging Program

🇺🇸

Providence, Rhode Island, United States

Ralph H. Johnson VA Health Care System

🇺🇸

Charleston, South Carolina, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

University of Texas, Southwestern MC at Dallas

🇺🇸

Dallas, Texas, United States

Baylor College of Medicine

🇺🇸

Houston, Texas, United States

Houston Methodist

🇺🇸

Houston, Texas, United States

University of Wisconsin

🇺🇸

Madison, Wisconsin, United States

University of British Columbia, Clinic for AD & Related

🇨🇦

Vancouver, British Columbia, Canada

Parkwood Institute

🇨🇦

London, Ontario, Canada

St. Joseph's Health Center - Cognitive Neurology

🇨🇦

London, Ontario, Canada

Sunnybrook Health Sciences Centre

🇨🇦

Toronto, Ontario, Canada

Jewish General Hospital Memory Clinic

🇨🇦

Montreal, Quebec, Canada

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