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Frail ElderlyCOGFRAILNCT03129269

Cognitive Function and Prevalence of Amyloid Marker in Frail Older Adults

A study testing MRI and PET scan in people with Frail Elderly, run by University Hospital, Toulouse at 1 site 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

The current study seeks to examine the prevalence of amyloid pathology, among patients referred to the Toulouse Geriatric Frailty Clinic presenting objective memory impairment. We also aim to fully characterize the clinical progression of frail cognitively impaired patients presenting AD (Alzheimer Disease) pathology… Read more about this study

Who is it for?
Ages 70 years and older
Conditions the study is for
Frail Elderly
What is being tested?
MRI and PET scan
Could I receive a placebo?
No, everyone receives an active treatment
How many people
344 participants
Where
1 siteFrance
Study dates
2 Jan 2017to 16 Jun 2024
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 70 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • Female and male individuals referred to the Toulouse Frailty Clinic with an objective memory impairment (CDR=0.5 or CDR=1)
  • Age ≥ 70 years
  • At least 1 Fried-criterion
  • Informed consent signed by the patient
  • Having an informant accompanying or available by phone
  • Individuals affiliated to a healthcare scheme.
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  • - Willing to be informed in case of a new pathology discovered through medical examination
  • Extension study (Cog-Frail Plus):
  • COGFRAIL study participants still included in the study and completing their last visit (M 24)
  • Having a family member or legal representant to sign the consent form if MMSE score <20 at the last visit (M24)

Who cannot join

  • Individuals presenting severe visual or auditory difficulties which may interfere with the completion of neuropsychological and functional assessments.
  • Presence of any pathology or severe clinical or psychological condition that, according to the investigator, might interfere with study results or may expose the participants to additional risks.
  • Individuals who are robust according to the Fried criteria (0 criteria)
  • Individuals who are dependent (Activities of Daily Living (ADL) <4)
  • Individuals who have a major deterioration in global cognitive function (Mini Mental State Examination (MMSE) <20)
  • Subjects deprived of their liberty by administrative or judicial decision, or under guardianship or admitted to a healthcare or social institution (subjects in non-assisted living facilities could be recruited);
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  • Claustrophobia
  • Trauma or surgery which may have left ferromagnetic material in the body, including pacemakers
  • History of neurosurgery or aneurism
  • Extension study (Cog-Frail Plus):
  • Presence of any severe pathology that, according to the investigator, might interfere with study results or may expose the participants to additional risks.
  • Subjects deprived of their liberty by administrative or judicial decision, or under guardianship

Trial locations and contacts

1 site in 1 country.

France1 site
  • Toulouse University Hospital (CHU de Toulouse)

    Toulouse, 31059

Other trials in France

About this study

The current study seeks to examine the prevalence of amyloid pathology, among patients referred to the Toulouse Geriatric Frailty Clinic presenting objective memory impairment. We also aim to fully characterize the clinical progression of frail cognitively impaired patients presenting AD (Alzheimer Disease) pathology vs those who also present a cognitive impairment but do not have AD pathology.

Read the detailed description

The COGFRAIL study is a monocentric study integrating the longitudinal follow-up of 345 individuals referred to the Toulouse Frailty Clinic during 2 years. The procedure consists in neuroimaging to diagnose the presence of amyloid plaques in the brains and permit earlier detection of Alzheimer's disease.

  • Visits will be scheduled at baseline, 1 and 2 years for a full neuropsychological, functional and physical evaluation.
  • At 6 and 18 months patients will be seen in consultation by a Geriatrician and research assistant for a medical check.
  • PET-Scan will be scheduled in the 2 months following inclusion for amyloid measurements. The MRI will be proposed, depending on the clinical relevance
  • A blood sample for biobank will be taken at visit 2 and at the end of the study

Extension study (CogFrail-Plus):

The extension study will integrate an additional 2 years follow-up of the

COGFRAIL study participants, following the initial 2 years period of the study:

  • 2 Visits will be scheduled at 36 and 48 months for a full neuropsychological, functional and physical evaluation
  • At 30 and 42 months patients will be seen in consultation by a Geriatrician and research assistant for a medical check
  • A blood sample will be taken at 36 and 48 months.
Conditions
Frail Elderly
Being tested
MRI and PET scan
Keywords
Cognitive decline, frailty, mild cognitive impairment, Positron Emission Tomography, PET, Alzheimer disease, amyloid load, Magnetic resonance imaging, MRI
Medical subject headings
Cognitive Dysfunction, Frailty, Alzheimer Disease

What participants receive

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

  • MRI and PET scanProcedure or surgery

    Neuroimaging with MRI and PET scan Amyloid tracer : For PET-scans, 4 MBq/kg of [18F]AV-45 will be injected into each subject in an intravenous bolus.

Study groups in NCT03129269
Study groupRoleWhat they receive
neuroimaging amyloid diagnosis by MRI and PET scanExperimentalThere is only one arm. The procedure consists in neuroimaging to diagnose the presence of amyloid plaques in the brains and permit earlier detection of Alzheimer's disease. MRI and PET Scan. * Visits at baseline, 1 and 2 years for a full neuropsychological, functional and physical evaluation. * At 6 and 18 months in consultation by a Geriatrician and research assistant for a medical check. * one PET-Scan in the 2 months following inclusion for amyloid measurements and one MRI, depending on the clinical relevance * A blood sample for biobank at visit 2 and at visit 5. Extension study (CogFrail-Plus): additional 2 years follow-up of the COGFRAIL study participants, following the initial 2 years period of the study: * 2 Visits at at 36 and 48 months for a full neuropsychological, functional and physical evaluation * At 30 and 42 months in consultation by a Geriatrician and research assistant for a medical check * A blood sample at 36 and 48 months.
Receives: Procedure: MRI and PET scan

What is being measured

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

  1. Amyloid physiological parameter

    Amyloid pathology as corroborated with amyloid Positron Emission Tomography (PET) or lumbar punction

    Measured: 2 months after inclusion

Secondary outcomes (4)
  1. Change in cognitive function with Clinical Dementia Rating Scale (CDR)

    Comparison between 2 timeframe to observe change in cognitive function between T12, T24 months

    Measured: 12 and 24 months

  2. Changes in functional capacities with scales IADL

    Changes in functional capacities, body composition, frailty phenotype, dietary intake and nutritional status with Instrumental Activities of Daily Living (IADL), Activities of Daily Living (ADL), Short Physical Performance Battery (SPPB).

    All measures analysed together, parameters are linked and must be evaluated all together to get the main information.

    Measured: 12 and 24 months

  3. Changes in functional capacities with scales ADL

    Changes in functional capacities, body composition, frailty phenotype, dietary intake and nutritional status with Instrumental Activities of Daily Living (IADL), Activities of Daily Living (ADL), Short Physical Performance Battery (SPPB).

    All measures analysed together, parameters are linked and must be evaluated all together to get the main information.

    Measured: 12 and 24 months

  4. Changes in functional capacities with scales SPPB

    Changes in functional capacities, body composition, frailty phenotype, dietary intake and nutritional status with Instrumental Activities of Daily Living (IADL), Activities of Daily Living (ADL), Short Physical Performance Battery (SPPB).

    All measures analysed together, parameters are linked and must be evaluated all together to get the main information.

    Measured: 12 and 24 months

Timeline

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

  1. First posted26 Apr 2017
  2. Study start2 Jan 2017
  3. Primary completion16 Jun 2024
  4. Study completion16 Jun 2024

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
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
344 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03129269
Sponsor's protocol ID
RC31/16/8753
Acronym
COGFRAIL
Status last verified
Apr 2026
First submitted
2 Mar 2017
Last updated
4 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Robertson DA, Savva GM, Kenny RA. Frailty and cognitive impairment--a review of the evidence and causal mechanisms. Ageing Res Rev. 2013 Sep;12(4):840-51. doi: 10.1016/j.arr.2013.06.004. Epub 2013 Jul 4.

    PubMed 23831959
  • Panza F, Solfrizzi V, Barulli MR, Santamato A, Seripa D, Pilotto A, Logroscino G. Cognitive Frailty: A Systematic Review of Epidemiological and Neurobiological Evidence of an Age-Related Clinical Condition. Rejuvenation Res. 2015 Oct;18(5):389-412. doi: 10.1089/rej.2014.1637. Epub 2015 Aug 20.

    PubMed 25808052
  • Kojima G, Taniguchi Y, Iliffe S, Walters K. Frailty as a Predictor of Alzheimer Disease, Vascular Dementia, and All Dementia Among Community-Dwelling Older People: A Systematic Review and Meta-Analysis. J Am Med Dir Assoc. 2016 Oct 1;17(10):881-8. doi: 10.1016/j.jamda.2016.05.013. Epub 2016 Jun 17.

    PubMed 27324809
  • Buchman AS, Schneider JA, Leurgans S, Bennett DA. Physical frailty in older persons is associated with Alzheimer disease pathology. Neurology. 2008 Aug 12;71(7):499-504. doi: 10.1212/01.wnl.0000324864.81179.6a.

    PubMed 18695161
  • Buchman AS, Yu L, Wilson RS, Schneider JA, Bennett DA. Association of brain pathology with the progression of frailty in older adults. Neurology. 2013 May 28;80(22):2055-61. doi: 10.1212/WNL.0b013e318294b462. Epub 2013 May 1.

    PubMed 23635961
  • Tavassoli N, Guyonnet S, Abellan Van Kan G, Sourdet S, Krams T, Soto ME, Subra J, Chicoulaa B, Ghisolfi A, Balardy L, Cestac P, Rolland Y, Andrieu S, Nourhashemi F, Oustric S, Cesari M, Vellas B; Geriatric Frailty Clinic (G.F.C) for Assessment of Frailty and Prevention of Disability Team. Description of 1,108 older patients referred by their physician to the "Geriatric Frailty Clinic (G.F.C) for Assessment of Frailty and Prevention of Disability" at the gerontopole. J Nutr Health Aging. 2014 May;18(5):457-64. doi: 10.1007/s12603-014-0462-z.

    PubMed 24886728
  • Grande de Franca NA, Diaz G, Lengele L, Soriano G, Caspar-Bauguil S, Saint-Aubert L, Payoux P, Rouch L, Vellas B, de Souto Barreto P, Sourdet S. Associations Between Blood Nutritional Biomarkers and Cerebral Amyloid-beta: Insights From the COGFRAIL Cohort Study. J Gerontol A Biol Sci Med Sci. 2024 Jan 1;79(1):glad248. doi: 10.1093/gerona/glad248.

    PubMed 37879623
  • Sourdet S, Soriano G, Delrieu J, Steinmeyer Z, Guyonnet S, Saint-Aubert L, Payoux P, Ousset PJ, Ghisolfi A, Chicoulaa B, Dardenne S, Gemar T, Baziard M, Guerville F, Andrieu S, Vellas B. Cognitive Function and Amyloid Marker in Frail Older Adults: The COGFRAIL Cohort Study. J Frailty Aging. 2021;10(2):160-167. doi: 10.14283/jfa.2020.57.

    PubMed 33575706
  • Lengele L, Sourdet S, Soriano G, Rolland Y, Soler V, de Souto Barreto P. Cross-sectional associations of dietary intake with hearing and vision capacities and potential mediation effect of inflammation in older adults: the COGFRAIL study. Aging Clin Exp Res. 2023 Jun;35(6):1325-1337. doi: 10.1007/s40520-023-02418-7. Epub 2023 Apr 29.

    PubMed 37119508
  • Bellelli F, Delrieu J, van Kan GA, Peluso A, Soriano G, Vellas B, Angioni D, Sourdet S. Are pre-frail and frail amyloid positive individuals eligible to Lecanemab? A cross-sectional analysis from the Cogfrail real-world cohort. Alzheimers Res Ther. 2026 Feb 4;18(1):56. doi: 10.1186/s13195-026-01966-0.

    PubMed 41634843
  • Sawicki A, Gonzalez-Bautista E, Peluso A, Abellan van Kan G, Sourdet S, Soto M. Mild behavioral impairment is longitudinally associated with frailty in very old adults with MCI: insights from COGFRAIL. Aging Clin Exp Res. 2026 Feb 3;38(1):64. doi: 10.1007/s40520-025-03309-9.

    PubMed 41632436

Questions about this trial

What is this clinical trial studying?

A study testing MRI and PET scan in people with Frail Elderly, run by University Hospital, Toulouse at 1 site 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 10 inclusion and 12 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 4 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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?

Amyloid physiological parameter (time frame: 2 months after inclusion). 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 NCT03129269, which also lists 11 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 4 May 2026.

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