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A Study to Evaluate Alzheimer's Disease Conversion Rate Differences Between High-risk Mild Cognitive Impairment (MCI) and Low-risk MCI in a Real World Setting

Completed
Conditions
Mild Cognitive Impairment
Interventions
Other: Usual care setting
Registration Number
NCT03448445
Lead Sponsor
Eisai Korea Inc.
Brief Summary

This study will be conducted to evaluate the rate of Alzheimer's disease conversion differences between high-risk mild cognitive impairment (MCI) and low-risk MCI.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
201
Inclusion Criteria
  • Participant over 55 years old and less than 90 years old
  • Participant with subjective memory complaint by informant
  • Clinical Dementia Rating (CDR) of 0.5; memory score box must be at least 0.5
  • General cognition and functional performance sufficiently preserved such that a diagnosis of Alzheimer's disease cannot be made by the site physician at the time of the screening visit
  • Essentially preserved activities of daily living
  • Absence of dementia
  • Participant with Seoul Neuropsychological Screening Battery-Dementia Version cut-off score between 134.25 and 188.25
  • Participants and caregivers who give written authorization to use their personal and health data
  • Cognitive decline history within past 6 months from the baseline
Exclusion Criteria
  • Diagnostic evidence of probable Alzheimer's disease consistent with National Institute of Neurological and Communicative Diseases and Stroke-Alzheimer's Disease and Related Disorders Association
  • CDR-Global score (CDR-GS) >1
  • Participant who has taken memantine, acetylcholinesterase inhibitors, or nootropics prior to participating in this study
  • Any significant neurologic disease: other than suspected incipient Alzheimer's disease, such as Parkinson's disease, multi-infarct dementia, Huntington's disease, normal pressure hydrocephalus, brain tumor, progressive supranuclear palsy, seizure disorder, subdural hematoma, multiple sclerosis, or history of significant head trauma followed by persistent neurologic defaults or known structural brain abnormalities
  • Neuroimaging: participant with severe subcortical hyperintensities: D3-P3
  • Magnetic resonance imaging exclusions: presence of pacemakers, aneurysm clips, artificial heart valves, ear implants, metal fragments or foreign objects in the eyes, skin or body
  • Participant who is pregnant, lactating or of childbearing potential (i.e., women must be two years post-menopausal or surgically sterile)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Low-risk MCIUsual care settingThis cohort will include participants with low-risk MCI.
High-risk MCIUsual care settingThis cohort will include participants with high-risk mild cognitive impairment (MCI).
Primary Outcome Measures
NameTimeMethod
Rate of Alzheimer's Disease (AD) conversion differences between high-risk mild cognitive impairment (MCI) and low-risk MCIUp to 36 months

AD conversion differences will be assessed according to National Institute of Neurological and Communicative Diseases and Stroke-Alzheimer's Disease and Related Disorders Association Criteria for Probable AD.

Secondary Outcome Measures
NameTimeMethod
Mean change from Baseline in the CDR-Global ScoreBaseline, Month 12, Month 24
Mean change from Baseline in Geriatric Depression Scale scoresBaseline, Month 12, Month 24
Mean change from Baseline in the volume of the whole brain according to Baseline demographicsBaseline, Month 12, Month 24
Mean change from Baseline in Seoul Neuropsychological Screening Battery-Dementia Version scoresBaseline, Month 12, Month 24
Mean change from Baseline in Clinical Dementia Rating (CDR) Sum of Boxes scoresBaseline, Month 12, Month 24
Mean change from Baseline in other structural magnetic resonance imaging (MRI) measures according to Baseline demographicsBaseline, Month 12, Month 24
Mean change from Baseline in the volume of the hippocampus according to Baseline demographicsBaseline, Month 12, Month 24

Trial Locations

Locations (16)

Eisai Trial site_07

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Guri, Korea, Republic of

Eisai Trial site_06

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Seoul, Korea, Republic of

Eisai Trial site_04

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Seoul, Korea, Republic of

Eisai Trial site_13

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Seoul, Korea, Republic of

Eisai Trial site_12

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Anyang, Korea, Republic of

Eisai Trial site_11

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Busan, Korea, Republic of

Eisai Trial site_09

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Daegu, Korea, Republic of

Eisai Trial site_15

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Busan, Korea, Republic of

Eisai Trial site_03

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Gachon, Korea, Republic of

Eisai Trial site_10

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Gwangju, Korea, Republic of

Eisai Trial site_16

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Jeju, Korea, Republic of

Eisai Trial site_08

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Changwon, Korea, Republic of

Eisai Trial site_05

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Daejeon, Korea, Republic of

Eisai Trial site_01

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Seoul, Korea, Republic of

Eisai Trial site_02

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Seoul, Korea, Republic of

Eisai Trial site_14

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Seoul, Korea, Republic of

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