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AzTrials

Alzheimer's DiseaseIMAP+NCT01638949

Multi-modal Neuroimaging in Alzheimer's Disease IMAP+

A study testing Memory assessment, Circulating biomarkers measure and ApoE4 in people with Alzheimer's Disease, run by University Hospital, Caen at 7 sites in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Alzheimer's disease (AD) is a major public health problem due to its socio-economic weight. An early diagnosis of AD is urgently needed as it would constitute a determinant breakthrough from a social, financial and research standpoints. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Alzheimer's Disease
What is being tested?
Memory assessment, Circulating biomarkers measure and ApoE4
Could I receive a placebo?
No, everyone receives an active treatment
How many people
242 participants
Where
7 sitesFrance
Study dates
May 2012to 20 Sep 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Education level > 7 years
  • Native language: French
  • Medical, neurological, neuropsychological and neuroradiological depth in accordance with the criteria for inclusion and exclusion-specific population, that is to say:
  • Healthy young volunteers: between 18 and 40 years old; normal performances compared to the age and the educational level for all tests of the diagnostic battery (± 1.65 SD).
  • Healthy Middle-aged volunteers: between 40 and 60 years old; without memory complaints, normal performances compared to the age and the educational level for all tests of the diagnostic battery (± 1.65 SD).
  • Healthy Elderly volunteers: over 60 years old, living at home, without memory complaints, normal performances compared to the age and the educational level for all tests of the diagnostic battery (± 1.65 SD).
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  • SCI patients: over 60 years old ; memory complaints; memory complaint ; normal performances compared to the age and the educational level for all tests of the diagnostic battery (± 1.65 SD).
  • MCI patients: presenting the current criteria for amnestic MCI including: i) memory complaint, ii) deficits of the episodic memory (lower performance of at least 1.65 SD from the norm for age and cultural level for one or more scores of episodic memory and iii) normal performances compared to the age and the educational level of all other cognitive functions as memory, including tests to assess cognitive abilities.
  • Alzheimer's patients: presenting the standard criteria of NINCDS-ADRDA probable Alzheimer's disease, including abnormal global cognitive function and deficits in at least two cognitive domains identified by the diagnostic battery and a mild to moderate Alzheimer's disease (MMSE ≥ 15).

Who cannot join

  • The sudden onset of cognitive impairments (as opposed to their slow and gradual installation in Alzheimer's disease)
  • A chronic neurological, psychiatric, endocrine, hepatic or infectious complaint
  • A history of major disease (an uncontrolled diabetes, a lung, heart, metabolic, hematologic, endocrine disease or a severe cancer)
  • A medication that may interfere with memory or metabolic measures
  • A alcohol or drugs abuse
  • The cons-indications to MRI (claustrophobia, metallic object in the body)
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  • A predominantly left-hand (score below 50% in Edinburgh Inventory)
  • Protected adults, and persons not affiliated with a social security system will not participate in this study
  • The inclusion of a participant in another biomedical research protocol

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

France7 sites
  • GIP Cyceron

    Caen, Calvados, 14000

  • Inserm - EPHE - University of Caen U1077

    Caen, 14000

  • University Hospital Côte de Nacre

    Caen, 14033

  • University Hospital Roger Salengro

    Lille, 59037

  • University Hospital Pontchaillou

    Rennes, 35033

  • University Hospital Rouen

    Rouen, 76031

  • University Hospital Tours

    Tours, 37044

Other trials in France

About this study

Official title: Study of the Predictive Markers and the Pathophysiological Mechanisms of Alzheimer's Disease: Transverse and Longitudinal Approach in Anatomical and Functional Multimodal Imaging

Alzheimer's disease (AD) is a major public health problem due to its socio-economic weight. An early diagnosis of AD is urgently needed as it would constitute a determinant breakthrough from a social, financial and research standpoints. Therefore, the investigators need predictive markers of AD, and neuroimaging is a particularly promising tool, especially when using complementary neuroimaging techniques and a longitudinal design, allowing to assess the relationships between the different biomarkers of the disease, their dynamic and their chronology.

Read the detailed description

The three main objectives of this project are:

  • To Identify, compare and combine the predictive markers of AD,
  • To better understand the pathophysiologic mechanisms of AD,
  • To study the ability of different neuroimaging techniques to monitor AD's evolution.

For these purposes, detailed neuropsychological evaluations, biological measures and brain structural \& functional imaging measures are associated for a fully-comprehensive description of the different manifestations of AD through disease progression and toward identifying early markers.

Subjects are evaluated using neuropsychological tests of episodic memory (encoding vs. retrieval), executive functions (inhibition, flexibility, and updating processes), self-judgment, theory of mind, mental imagery and verbal fluency. A FDG-PET measure of resting state glucose consumption, an AV45-PET measure of amyloid deposition as well as anatomical, resting-state and activation fMRI scans are performed for each volonteer. In addition, blood and cerebro-spinal fluid samples will be performed to determine different biomarkers (Aβ1-40, Aβ1-42 and tPA as circulating blood proteins and Aβ40, Aβ42, tau and its phosphorylated form in CSF). The investigators also study the polymorphism of Apolipoprotein E as a genetic risk factor of AD.

One hundred and twenty healthy controls (40 young, 40 middle age and 40 elderly), 40 Mild Cognitive Impairment patients (MCI; i.e. isolated memory impairment and increased risk of developing AD) and 30 AD patients will be selected. Participants with increased risk of developing AD and without objective evidence will be also studied: 50 asymptomatic subjects from families carrying a genetic mutation with an autosomal dominant transmission (NORMA) and 40 Subjective Cognitive Impairment patients (SCI).

Clinical follow-up of patients will be completed during 36 months (18 months for AD patients), as a neuropsychological evaluation every 6 months. Comparable neuropsychological and imaging exams will be proposed once again after 18 months for all participants as well as after 36 months for elderly controls, NORMA and SCI \& MCI patients.

To study and compare the effectiveness of different in vivo markers (to predict cognitive decline in populations at risk of developing AD), each data set (i.e. modality) will be first analyzed independently from one another (intra-modality analyses), including inter-group comparisons, correlations and connectivity analyses, as well as longitudinal assessment of cognitive, biological and brain changes. Baseline data will also be analyzed in function of patient's clinical evolution to assess their predictive value. Comparisons and correlations between the different patterns of alterations will then be performed through inter-modality analyses. More specifically, the investigators will address the questions of the relationships between cognitive and cerebral alterations and structural / functional brain changes over our different patient samples, neuroimaging data sets, and through disease evolution.

This project is expected to identify specific and early markers of the MA and also to compare the diagnostic efficiency of different measures. It should contribute to better understand brain and cognitive alterations in AD. Finally, the investigators will be able to appreciate the dynamic properties of these alterations in the evolution of the disease through the longitudinal study.

Being tested
Memory assessment, Circulating biomarkers measure, ApoE4, Brain imaging examination MRI and PET examinations
Keywords
Alzheimer's disease, MCI, genetic, AV45-PET
Medical subject headings
Alzheimer Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Memory assessmentBehavioural

    Neuropsycological tests including clinical and original tests to compare differences between each populations.

  • Circulating biomarkers measureBiological

    ELISA tests from blood samples to compare differences between each populations.

  • ApoE4Genetic

    Evaluation of apolipoprotein E polymorphism as a risk factor.

  • Brain imaging examination MRI and PET examinationsOther

    Structural and functional MRI FDG-PET to compare differences between each populations.

Study groups in NCT01638949
Study groupRoleWhat they receive
Young controlsExperimentalNot described
Receives: Behavioral: Memory assessment; Biological: Circulating biomarkers measure; Genetic: ApoE4; Other: Brain imaging examination MRI and PET examinations
Middle age controlsExperimentalNot described
Receives: Behavioral: Memory assessment; Biological: Circulating biomarkers measure; Genetic: ApoE4; Other: Brain imaging examination MRI and PET examinations
Elderly controlsExperimentalNot described
Receives: Behavioral: Memory assessment; Biological: Circulating biomarkers measure; Genetic: ApoE4; Other: Brain imaging examination MRI and PET examinations
Asymptomatic subjectsExperimentalAsymptomatic subjects from families carrying a genetic mutation with an autosomal dominant transmission
Receives: Behavioral: Memory assessment; Biological: Circulating biomarkers measure; Genetic: ApoE4; Other: Brain imaging examination MRI and PET examinations
Subjectif Cognitive Impariment patientsExperimentalNot described
Receives: Behavioral: Memory assessment; Biological: Circulating biomarkers measure; Genetic: ApoE4; Other: Brain imaging examination MRI and PET examinations
Mild Cognitive Impairment patientsExperimentalNot described
Receives: Behavioral: Memory assessment; Biological: Circulating biomarkers measure; Genetic: ApoE4; Other: Brain imaging examination MRI and PET examinations
Alzheimer Disease patientsExperimentalNot described
Receives: Behavioral: Memory assessment; Biological: Circulating biomarkers measure; Genetic: ApoE4; Other: Brain imaging examination MRI and PET examinations
Non degenerative amnsesic syndromeExperimentalNot described
Receives: Behavioral: Memory assessment; Biological: Circulating biomarkers measure; Genetic: ApoE4; Other: Brain imaging examination MRI and PET examinations

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rate of volume change of whole brain, hippocampus and other structural MRI measures

    Measured: 3 years

  2. Rate of Decline as measured by: Cognitive Tests, Activities of Daily Living, and CDR Sum of Boxes

    Measured: 3 years

  3. Rates of change on each specified biochemical biomarker

    Measured: 3 years

  4. Rates of change of glucose metabolism (FDG-PET)

    Measured: 3 years

  5. Extent of amyloid deposition as measured by 18F-AV45

    Measured: 3 years

  6. Group differences for each imaging and biomarker measurement

    Measured: 3 years

  7. APOE genotype

    Measured: 3 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jul 2012 (estimated)
  2. Study startMay 2012
  3. Primary completion20 Jan 2020
  4. Study completion20 Sep 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Non-randomised
Intervention model
Factorial
Masking
None (open label)
Enrolment
242 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01638949
Sponsor's protocol ID
2011-A01493-38
Acronym
IMAP+
Status last verified
Apr 2014
First submitted
22 May 2012
Last updated
2 Apr 2026
Results posted
No
Data monitoring committee
Yes

Publications

  • Kuhn E, Perrotin A, La Joie R, Touron E, Dautricourt S, Vanhoutte M, Vivien D, de La Sayette V, Chetelat G; Alzheimer's Disease Neuroimaging Initiative. Association of the Informant-Reported Memory Decline With Cognitive and Brain Deterioration Through the Alzheimer Clinical Continuum. Neurology. 2023 Jun 13;100(24):e2454-e2465. doi: 10.1212/WNL.0000000000207338. Epub 2023 Apr 21.

    PubMed 37085328
  • Kuhn E, Moulinet I, Perrotin A, La Joie R, Landeau B, Tomadesso C, Bejanin A, Sherif S, De La Sayette V, Desgranges B, Vivien D, Poisnel G, Chetelat G. Cross-sectional and longitudinal characterization of SCD patients recruited from the community versus from a memory clinic: subjective cognitive decline, psychoaffective factors, cognitive performances, and atrophy progression over time. Alzheimers Res Ther. 2019 Jul 8;11(1):61. doi: 10.1186/s13195-019-0514-z.

    PubMed 31286994
  • Gonneaud J, Arenaza-Urquijo EM, Fouquet M, Perrotin A, Fradin S, de La Sayette V, Eustache F, Chetelat G. Relative effect of APOE epsilon4 on neuroimaging biomarker changes across the lifespan. Neurology. 2016 Oct 18;87(16):1696-1703. doi: 10.1212/WNL.0000000000003234. Epub 2016 Sep 28.

    PubMed 27683850

Questions about this trial

What is this clinical trial studying?

A study testing Memory assessment, Circulating biomarkers measure and ApoE4 in people with Alzheimer's Disease, run by University Hospital, Caen at 7 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rate of volume change of whole brain, hippocampus and other structural MRI measures (time frame: 3 years). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01638949, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Apr 2026.

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