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临床试验/NCT06604520
NCT06604520招募中2 期

Functional Neuroimaging to Examine Affective Symptoms and Cognition in Frontotemporal Dementia

Johns Hopkins University1 个研究点 分布在 1 个国家目标入组 50 人开始时间: 2025年3月20日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
招募中
入组人数
50
试验地点
1
主要终点
Change in global cerebral glucose metabolism on [18F] fluorodeoxyglucose Positron Emission Tomography (FDG PET)

研究概览

简要总结

The goal of this clinical trial is to learn if vortioxetine improves mood symptoms and cognition in patients with early-stage behavioral variant Frontotemporal Dementia (bvFTD). The main questions this study aims to answer are:

  1. Do individuals with mood symptoms and bvFTD have brain changes and cognitive profiles that differ compared to individuals without bvFTD?
  2. Do mood symptoms and cognition improve following treatment with vortioxetine?

Researchers will also determine whether there are changes in the brain associated with vortioxetine treatment.

Participants will:

  • Undergo a screening visit that involves clinical assessments and laboratory tests
  • Undergo an initial brain magnetic resonance imaging (MRI) and fluorodeoxyglucose (18F) Positron Emission Tomography (FDG PET) scan before starting treatment with vortioxetine
  • Undergo memory and problem-solving tests before starting treatment with vortioxetine
  • Undergo approximately 12 weeks of treatment with vortioxetine, during which time there will be regular contact and assessments with the study psychiatrist
  • Undergo a repeat PET scan and repeat memory and problem-solving tests after 12 weeks of treatment with vortioxetine

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
45 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • FTD Patients
  • Inclusion Criteria:
  • Male or Female
  • Age 45 and above
  • Diagnosis of possible or probable bvFTD based on international consensus criteria for behavioral variant FTD (FTDC)
  • The presence of at least one of the following affective symptoms on the 12-item Neuropsychiatric Inventory: depression, anxiety, irritability, or agitation
  • A global Clinical Dementia Rating (CDR®) plus National Alzheimer's Coordinating Center (NACC) Frontotemporal lobar degeneration (FTLD) Behavior and Language Domains global score (CDR® plus NACC FTLD) less than or equal to one
  • Patients must be medically stable
  • Vortioxetine treatment is clinically indicated
  • Competent to provide informed consent

排除标准

  • No history of drug or alcohol dependence within six months prior to study entry
  • Negative toxicology screening for drugs of abuse
  • Subject must not be pregnant or nursing
  • No contraindications to Vortioxetine treatment
  • No contraindications for Magnetic Resonance (MR) scanning (e.g. metal implanted in the body)
  • Healthy Controls
  • Inclusion Criteria:
  • Male or Female
  • Age 45 and above
  • Subjects must be medically stable
  • Free of psychotropic medications
  • Competent to provide informed consent
  • Exclusion Criteria:
  • No current or past history of neurological or psychiatric illness or substance abuse
  • Subject must not be pregnant or nursing
  • Negative toxicology screening for drugs of abuse
  • No contraindications for MR scanning (e.g. metal implanted in the body)

研究组 & 干预措施

Patient Treatment Arm (Vortioxetine)

Experimental

Individuals with bvFTD and mood symptoms receiving the study drug, vortioxetine.

干预措施: Vortioxetine (Drug)

结局指标

主要结局

Change in global cerebral glucose metabolism on [18F] fluorodeoxyglucose Positron Emission Tomography (FDG PET)

时间窗: Baseline, 12 weeks

Cerebral glucose uptake measured through 18F FDG positron emission tomography

次要结局

  • Change in depressive symptoms as assessed by the Hamilton Depression Rating Scale (HDRS).(Baseline, 12 weeks)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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