Quality Improvement PrecivityAD2(TM): a Survey and Clinical Utility Study of the PrecivityAD2 Blood Test in the Evaluation of Cognitive Impairment (QUIP II)
试验速览
- 阶段
- 不适用
- 状态
- 进行中(未招募)
- 发起方
- 入组人数
- 400
- 试验地点
- 9
- 主要终点
- Change in planned clinical management (Cohort A and B)
研究概览
简要总结
There is a major unmet need for timely, non-invasive, and low-burden evaluation of patients presenting with mild cognitive impairment (MCI) and dementia. MCI impacts 12-18% of people in the United States over age 60 years (Alzheimer's Association. Mild Cognitive Impairment (MCI) available at https://www.alz.org/alzheimers-dementia/what-is-dementia/related_conditions/mild-cognitive-impairment. Accessed August 16, 2022). MCI does not substantially interfere with daily activities, although complex functional tasks may be performed less efficiently (Knopman DS, Petersen RC. Mild cognitive impairment and mild dementia: a clinical perspective. Mayo Clin Proc. 2014;89(10):1452-1459. doi:10.1016/j.mayocp.2014.06.019). Approximately 30% of MCI patients have Alzheimer's disease (AD) as a cause of their symptoms (Lopez,OL, Kuller LH, Becker JT, et al. Incidence of dementia in mild cognitive impairment in the cardiovascular health study cognition study. Arch Neurol. 2007;64(3):416-420.doi:10.1001/archneur.64.3.416)). In contrast, dementia is defined by chronic, acquired loss of two or more cognitive abilities caused by brain disease or injury, often associated with significant interference with the ability to function at work or at usual activities. (Knopman DS, Petersen RC. Mild cognitive impairment and mild dementia: a clinical perspective. Mayo Clin Proc. 2014;89(10):1452-1459. doi:10.1016/j.mayocp.2014.06.019). Approximately 60-80% of dementia patients have AD as a cause of their symptoms (Alzheimer's Association. Mild Cognitive Impairment (MCI) available at https://www.alz.org/alzheimers-dementia/what-is-dementia/related_conditions/mild-cognitive-impairment. Accessed August 16, 2022).
详细描述
The Quality Improvement PrecivityAD2(TM) Clinician Survey and Clinical Utility Study (QUIP II) represents a large-scale initiative for the PrecivityAD2 blood test for use by neurologists, geriatricians, and geropsychiatrists (memory care specialists) who see patients aged 55 years and older with signs or symptoms of MCI or dementia.
C₂N Diagnostics, LLC is a CLIA-certified, CAP-accredited diagnostic testing laboratory based in St. Louis, MO. Its new test, the PrecivityAD2 blood test, measures plasma amyloid beta (Aβ) peptides 42 and 40 (Aβ42/40) Ratio and phosphorylated tau (p-tau) compared to non-phosphorylated tau (np-tau) at amino acid 217 of the tau peptide (p-tau217/np-tau217) ratio to determine whether a patient with signs or symptoms of cognitive impairment is likely to have brain amyloid plaques, a pathological hallmark of AD.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 55 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Memory care specialists actively practicing in the United States
- •Practice serves individuals with MCI or dementia age > 55 years
- •Average patient volume > 25 visits per week (all patients seen across practice)
- •Memory care specialist with access to an online electronic survey
排除标准
- •Clinicians who practice in New York
- •Participant Inclusion Criteria:
- •Individual with MCI or dementia
- •Age >= 55 years
- •Participant Exclusion Criteria
- •Individual requiring test related blood draw within the state of New York
- •Participation does not seem to be in the best interest of the individual, per the ordering clinician
结局指标
主要结局
Change in planned clinical management (Cohort A and B)
时间窗: Day 20
The association of the test result on medical decision making
Change in planned clinical management (Cohort B)
时间窗: Day 0 vs Day 20
Evaluate the planned versus subsequent planned change in clinical management as a result of receiving the test result
Difference between the actual age and symptomatology versus intended use criteria (Cohort A and B)
时间窗: Day 90
Evaluate the intended use criteria
次要结局
- Relationship between the test result and actual clinical management (Cohort B)(Day 90)
- Change in planned clinical management compared to conducted clinical management (Cohort B only)(Day 20 vs Day 90)
- Change in probability of AD (Cohort A and B)(Day 0 vs Day 20)
- Change in anti-AD medication use (Cohort A and B)(Day 0 vs Day 20)
- Relationship between the test result and planned testing (Cohort B)(Day 0 vs Day 20 vs Day 90)
- Change in diagnosis (Cohort B)(Day 0 vs Day 90)
- Correlations between the net promoter score and ease of use by APS2 result (Cohort B)(Day 90)
