ApathyECOCAPTURENCT03272230
Assessment of Apathy in a Real-life Situation, With a Video and Sensors-based System
A study testing ECOCAPTURE, Cognitive and Behavioral experimental tasks and Neuropsychological assessment in people with Apathy and Behavioral Variant Frontotemporal Dementia (bvFTD), run by Institut National de la Santé Et de la Recherche Médicale, France at 1 site in France.
Trial summary
Apathy is defined as a quantitative reduction in voluntary and goal-directed behavior. To address this, the investigators propose an ethological approach to assess apathy objectively and quantitatively by observing patients in real-life situations. Read more about this study
- Who is it for?
- Ages 40 to 85 yearsHealthy volunteers can take part
- Conditions the study is for
- Apathy, Behavioral Variant Frontotemporal Dementia (bvFTD), Disinhibition
- What is being tested?
- ECOCAPTURE, Cognitive and Behavioral experimental tasks and Neuropsychological assessment
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 66 participants
- Where
- 1 siteFrance
- Study dates
- 6 Sep 2017to 8 May 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 40 to 85 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Eligibility Criteria for All Groups:
- Demonstrates the ability to provide informed consent for participation in the study.
- Capable of understanding study instructions and performing cognitive tasks as required.
- Enrolled in a valid health insurance plan.
- Eligibility Criteria for Patients:
- Mini-Mental State Examination (MMSE): Score ≥ 17.
Show all 14Show fewer
- Medical History: Absence of any other neurological or psychiatric conditions.
- Caregiver Requirement: Must have a caregiver present.
- Patient Groups:
- Diagnosed with behavioral variant frontotemporal dementia (bvFTD) based on the Rascovsky criteria (Rascovsky et al., 2011).
- Diagnosed with Major Depressive Disorder (MDD) according to DSM-IV criteria.
- Eligibility Criteria for Healthy Age-, Sex-, and Education-Matched Controls:
- Mini-Mental State Examination (MMSE): Score > 27.
- Medical History: No history of neurological or psychiatric disorders.
Who cannot join
- MRI Contraindications: Standard contraindications to magnetic resonance imaging (e.g., pacemaker, metallic implants, claustrophobia).
- Cognitive Barriers: Inability to comprehend study instructions.
- Legal Restrictions: Individuals referenced in Articles L.1121-5 to L.1121-8 and L.1122-12 of the French Public Health Code.
Trial locations and contacts
1 site in 1 country.
France1 site
Paris Brain Institute / ICM / Pitié-Salpêtrière Hospital AP-HP / CIC
Paris, 75013
About this study
Official title: Assessment of Apathy in a Real-life Situation, With a Video and Sensors-based System in Healthy Subject and Patient With Cerebral Disease
Apathy is defined as a quantitative reduction in voluntary and goal-directed behavior. To address this, the investigators propose an ethological approach to assess apathy objectively and quantitatively by observing patients in real-life situations.
The ECOCAPTURE paradigm involves a structured, multi-step scenario conducted in a functional exploration platform. This platform is equipped with an advanced data acquisition system integrating video recordings and sensors to precisely monitor and analyze participants' behavior.
Read more
Primary objective:
Develop a diagnostic tool for apathy using metrics derived from video recordings and sensor data. This tool aims to provide objective measures to identify and quantify apathy.
Secondary Objectives:
- Validation of ICM_APATHY_TASKS: This novel experimental task is designed to evaluate three primary mechanisms thought to underlie apathy: Motivation, Cognitive inertia (difficulty initiating tasks), The interaction between motivation and action execution.
- Identification of the pathophysiological mechanisms of apathy by investigate the cognitive, behavioral, neural, and neurohormonal underpinnings of apathy.
This will enable the classification of apathetic patients into subtypes (or several forms of apathy) based on the dominant mechanisms and provide insights into which processes best explain apathy in individual cases.
This innovative framework aims to deepen the understanding of apathy, improve diagnostic precision, and pave the way for tailored interventions.
Read the detailed description
A pilot study, ECOCAPTURE (ClinicalTrials.gov/NCT02496312, 2015), was conducted with participants diagnosed with the behavioral variant of frontotemporal dementia (bvFTD) matched for age, gender, and education level with healthy controls (n=7 per group). This study successfully validated the feasibility and conceptual framework of the ECOCAPTURE approach.
The aim of this trial is to further develop and expand the ECOCAPTURE tool by applying it to a larger population, including individuals with the behavioral variant of frontotemporal dementia (bvFTD) and healthy control participants.
The objectives of this study are to evaluate goal-directed behavior and identify apathy by analyzing data to establish a behavioral signature of apathy. Additionally, the study seeks to refine patient profiles by delineating the pathophysiological mechanisms underlying apathy, including cognitive processes, neural substrates, and neurohormonal pathways.
The experiments take place on an experimental platform dedicated to the functional exploration of human behavior (PRISME, ICM core facility, Salpêtrière Hospital, Paris, France), to assess behavior under ecological conditions. The ECOCAPTURE paradigm mimics a naturalistic situation (i.e., waiting comfortably in a waiting room). Participants undergo a structured 45-minute controlled scenario, during which their behavior is systematically monitored to evaluate apathy and disinhibition.
The PRISME platform is transformed into a furnished waiting room containing specific objects that provides opportunities to interact with the environment. The platform is equipped with a six-ceiling camera system (not hidden) covering the entire waiting room. The Media Recorder® software (NOLDUS Information Technology, Wageningen, the Netherlands) facilitates simultaneous video recordings from multiple cameras, ensuring synchronized capture across different viewpoints for comprehensive behavioral analysis. During the experiment, individuals' behavior is video-recorded, and their movement acceleration is measured using a wireless body sensor (Move II® triaxial accelerometer, Movisens GmbH, Karlsruhe, Germany) worn on the right hip. An eye-tracking system (SMI Eye Tracking Glasses 2 Wireless, ®SensoMotoric Instruments, Teltow, Germany / Tobii Pro Glasses 3, ®Tobii AB, Danderyd, Sweden) is added to the multimodal recording system, and the subjects wear eye-tracking glasses for a 7-minute period during the 45-minute experimental session. The subjects are informed at the time of initial consent that their behavior would be tracked and recorded by video cameras located in the room.
Video data analysis is performed with The Observer XT software (Version 14.0, NOLDUS, Wageningen, The Netherlands) to identify the frequency and duration of behaviors. Behavioral metrics are obtained by behavioral coding from 45-minute video footage for each individual. Behavioral coding data is collected through the continuous sampling method, to identify all occurrences of behaviors and their duration. Behavioral coding is conducted based on two ethograms - the ECOCAPTURE apathy ethogram, the ECOCAPTURE disinhibition ethogram - (Batrancourt et al. 2022, "The ECOCAPTURE ethograms: apathy ethogram and disinhibition ethogram", Mendeley Data, V2, doi: 10.17632/mv8hndcd95.2) The ECOCAPTURE apathy ethogram includes behaviors divided in two behavioral categories: Motor patterns, Activity states. The ECOCAPTURE disinhibition ethogram includes behaviors divided in three disinhibition categories: Compulsivity, Impulsivity, Social disinhibition.
Metrics built from collected data (video, sensors) are analyzed to reveal a behavioral signature of apathy.
The study consists of two separate visits, each occurring on a different day, and includes the following components: the ECOCAPTURE observation phase in ecological conditions, a comprehensive neuropsychological assessment, a series of experimental tasks (some of which are computer-based), an MRI scan (including T1, T2, rs-fMRI, and MS-DWI), and a blood sample collection.
- Conditions
- Apathy, Behavioral Variant Frontotemporal Dementia (bvFTD), Disinhibition, Depression - Major Depressive Disorder
- Being tested
- ECOCAPTURE, Cognitive and Behavioral experimental tasks, Neuropsychological assessment, ICM_APATHY_TASKS, MRI
- Keywords
- Apathy, Goal-directed behavior, Assessment, Diagnosis, Sensor, Ecological condition, Neurological disease, Dementia, Human ethology, Behavioral sensing, Accelerometer, Disinhibition, ECOCAPTURE
- Medical subject headings
- Lethargy, Disease, Nervous System Diseases, Dementia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ECOCAPTUREBehavioural
45 minutes observational session for tracking goal directed behavior into a waiting room equipped with video and sensor-based data acquisition system
Cognitive and Behavioral experimental tasksBehavioural
Cognitive and Behavioral experimental tasks to explore additional frontal cognitive and behavioral dimensions and functions
Neuropsychological assessmentDiagnostic test
STARKSTEIN APATHY SCALE (SAS) / DAS / MMSE / MADRS / EBI / MINI-SEA / FAB / HAD / MATTIS / HAYLING / STROOP / Verbal Span / Lexical verbal fluency / TMT / CDRS
ICM_APATHY_TASKSBehavioural
Apathy experimental task
MRIOther
T1 / T2 / rs-fMRI / MS-DWI
Neurohormonal mechanismsBiological
Hormonal dosage / Diabetic dosage / Ionogramme dosage / Inflammatory dosage / Hepatic dosage / Lipidic dosage / Thyroid dosage
| Study group | Role | What they receive |
|---|---|---|
| Arm 1 | Experimental | The Arm consists of two separate visits, each occurring on a different day, and includes the following components: the ECOCAPTURE observation phase in ecological conditions, a comprehensive neuropsychological assessment, a series of experimental tasks (some of which are computer-based), an MRI scan (including T1, T2, rs-fMRI, and MS-DWI), and a blood sample collection. Receives: Behavioral: ECOCAPTURE; Behavioral: Cognitive and Behavioral experimental tasks; Diagnostic Test: Neuropsychological assessment; Behavioral: ICM_APATHY_TASKS; Other: MRI; Biological: Neurohormonal mechanisms |
| Healthy volunteers | Active comparator | Not described Receives: Behavioral: ECOCAPTURE; Behavioral: Cognitive and Behavioral experimental tasks; Diagnostic Test: Neuropsychological assessment; Behavioral: ICM_APATHY_TASKS; Other: MRI; Biological: Neurohormonal mechanisms |
What is being measured
The primary outcome is the main question the study is designed to answer.
Frequency of each behavior in the ECOCAPTURE ethogram
[Tracking specific behaviors as outlined in the ECOCAPTURE ethogram. Behavioral metrics are derived from coding the behaviors observed in 45-minute video footage, based on the structured ethogram] integer.
.
Measured: 45 minutes
Occurrence of each behavior in the ECOCAPTURE ethogram
[Tracking specific behaviors as outlined in the ECOCAPTURE ethogram. Behavioral metrics are derived from coding the behaviors observed in 45-minute video footage, based on the structured ethogram] integer.
.
Measured: 45 minutes
Duration of each behavior in the ECOCAPTURE ethogram
[Tracking specific behaviors as outlined in the ECOCAPTURE ethogram. Behavioral metrics are derived from coding the behaviors observed in 45-minute video footage, based on the structured ethogram] integer.
.
Measured: 45 minutes
Activity classes
[Provided by the accelerometer sensor] Activity class: Indicates the physical position of the subject (unknown position = 0, lying down = 1, sitting/standing = 2, vertical movement upwards = 4, fast movement = 5, vertical movement downwards = 6, walking = 7)
Measured: 45 minutes
Body positions
[Provided by the accelerometer sensor] Body position: Specifies the characteristics of the lying position (unknown position = 0, lying on the back = 1, lying on the left side = 2, lying on the stomach = 3, lying on the right side = 4, getting up = 5).
Measured: 45 minutes
Steps
[Provided by the accelerometer sensor] Counting steps.
Measured: 45 minutes
Energy expenditure
[Provided by the accelerometer sensor] Energy expenditure during activity phases. kcal.
Measured: 45 minutes
MET
[Provided by the accelerometer sensor] The Metabolic Equivalent of Task: MET level.
Measured: 45 minutes
Acceleration intensity
[Provided by the accelerometer sensor] g.
Measured: 45 minutes
Pupil Diameter x,y
[Provided by the eye-tracking glasses] mm, mm.
Measured: 7 minutes
Ocular events
[Provided by the eye-tracking glasses] Saccades, Fixations and Blink frequency.
Measured: 7 minutes
Gaze points
[Provided by the eye-tracking glasses] Individual records of the participant's gaze at any given moment
Measured: 7 minutes
Secondary outcomes (41)
STARKSTEIN (SAS)
[Part of the neuropsychological assessment - Starkstein Apathy Scale] SAS global score
Measured: 10 minutes
DAS
[Part of the neuropsychological assessment] - Dimensional Apathy Scale - DAS global score - DAS initiation score - DAS executive score - DAS emotional score.
Measured: 10 minutes
ICM_APATHY_TASKS
ICM_APATHY_TASKS global score. [The ICM_APATHY_TASKS test three main presumed mechanisms of apathy: lack of motivation, cognitive inertia, and the decoupling between motivation and action. These tasks integrate two orthogonal dimensions: 1/ The cognitive dimension: modulation of the level of cognitive strategy (to study cognitive inertia); 2/ The motivational dimension: modulation of the reward at stake (to study lack of motivation)].
Measured: 60 minutes
MMSE
[Part of the neuropsychological assessment] - Mini Mental State Exam - MMSE global score
Measured: 5 minutes
MADRS
[Part of the neuropsychological assessment] - Montgomery-Åsberg Depression Rating Scale - MADRS global score
Measured: 10 minutes
EBI
[Part of the neuropsychological assessment] - Eating Behavior Inventory - EBI scores. [Food behavior questionnaire. This refers to an assessment tool designed to evaluate a person's eating behaviors and identify potential risks, such as choking or aspiration, during eating].
Measured: 15 minutes
MATTIS
[Part of the neuropsychological assessment] - Mattis Dementia Rating Scale - MATTIS global score
Measured: 20 minutes
FAB
[Part of the neuropsychological assessment] - Frontal Assessment Battery - FAB global score [French version: BREF].
Measured: 10 minutes
HAYLING
[Part of the neuropsychological assessment] - Hayling Sentence Completion test - HAYLING B-A score
Measured: 15 minutes
HAD
[Part of the neuropsychological assessment] Hospital Anxiety and Depression Scale - HAD global score
Measured: 10 minutes
STROOP
[Part of the neuropsychological assessment] - STROOP - STROOP global score
Measured: 3 minutes
Mini-SEA
[Part of the neuropsychological assessment] - Mini Social cognition and Emotional Assesment - Mini-SEA global score
Measured: 20 minutes
Verbal Span / Lexical verbal fluency
[Part of the neuropsychological assessment] - Verbal Span / Lexical verbal fluency - Verbal scores
Measured: 7 minutes
CDRS
[Part of the neuropsychological assessment] - Clinical Dementia Rating (CDR) Scale - CDRS global score
Measured: 5 minutes
Gray matter volume
[MRI analysis- Brain segmentation] mm3
Measured: MRI exam: 48 minutes
White matter volume
[MRI analysis- Brain segmentation] mm3
Measured: MRI exam: 48 minutes
Cortical Thickness
[MRI analysis- Brain segmentation] mm
Measured: MRI exam: 48 minutes
Resting-State Connectivity
[fMRI analysis] - strength and significance of the connection between different regions.
Measured: MRI exam: 48 minutes
IL-6
Hormonal result [Interleukin-6] pg/mL
Measured: Blood sample collection - 30 minutes
Leptin
Hormonal result [Leptin] ng/mL
Measured: Blood sample collection - 30 minutes
Adiponectin
Hormonal result [Blood adiponectin level)] mg/L
Measured: Blood sample collection - 30 minutes
Insulin
Hormonal result [Fasting Insulin] mUI/L
Measured: Blood sample collection - 30 minutes
C-Peptide
Diabetic result [Fasting C-Peptide level] µg/L
Measured: Blood sample collection - 30 minutes
FPG
Diabetic result [Fasting Plasma Glucose] mmol/L
Measured: Blood sample collection - 30 minutes
HbA1C
Diabetic result [Glycated Hemoglobin] %
Measured: Blood sample collection - 30 minutes
Sodium
Ionogram result [Sodium] mmol/L
Measured: Blood sample collection - 30 minutes
K+
Ionogram result [Potassium] mmol/L
Measured: Blood sample collection - 30 minutes
Uric acid
Ionogram result [Uric acid] µmol/L
Measured: Blood sample collection - 30 minutes
Creatinine
Ionogram result [Creatinine] µmol/L
Measured: Blood sample collection - 30 minutes
Total Protein
Ionogram result [Total protein] g/L
Measured: Blood sample collection - 30 minutes
CRP
Inflammatory result [C-reactive protein] mG/L
Measured: Blood sample collection - 30 minutes
AST
Hepatic result [Aspartate aminotransferase] U/L
Measured: Blood sample collection - 30 minutes
ALT
Hepatic result [Alanine aminotransferase] U/L
Measured: Blood sample collection - 30 minutes
GGT
Hepatic result [Gamma-glutamyltransferase] U/L
Measured: Blood sample collection - 30 minutes
Cholesterol
Lipidic result [Total cholesterol] mmol/L
Measured: Blood sample collection - 30 minutes
Triglycerides
Lipidic result [Triglycerides] mmol/L
Measured: Blood sample collection - 30 minutes
HDL cholesterol
Lipidic result [High-density lipoprotein cholesterol] mmol/L
Measured: Blood sample collection - 30 minutes
LDL cholesterol
Lipidic result [Low-density lipoprotein cholesterol] mmol/L
Measured: Blood sample collection - 30 minutes
Glycerol
Lipidic result [Plasma glycerol concentration] mmol/L
Measured: Blood sample collection - 30 minutes
FFAs
Lipidic result [Plasma free fatty acids] mmol/L
Measured: Blood sample collection - 30 minutes
TSH
Thyroid result [Thyroid-stimulating hormone blood test] mmol/L
Measured: Blood sample collection - 30 minutes
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Sep 2017
- Study start6 Sep 2017
- Primary completion8 Dec 2023
- Study completion8 May 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for ApathyStudies of the same condition, open and under way.
- More trials run by Institut National de la Santé Et de la Recherche Médicale, FranceThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 66 participants (actual)
Sponsor and investigators
- Sponsor type
- Other government
- Collaborators
- Paris Brain Institute (ICM), Groupe Hospitalier Pitie-Salpetriere
- Responsible party
- Sponsor
- Investigators
- Richard LEVY, MD, PhD, Principal investigator, Assistance Publique - Hôpitaux de ParisBénédicte BATRANCOURT, PhD, Study chair, Institut National de la Santé Et de la Recherche Médicale, France
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03272230
- Sponsor's protocol ID
- C16-87
- Other IDs
- 2017-A00416-47
- Acronym
- ECOCAPTURE
- Status last verified
- Nov 2024
- First submitted
- 3 Aug 2017
- Last updated
- 20 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: The scientific leaders of the ECOCAPTURE research project aim to participate in international OPEN DATA initiatives. In this context, the following fully anonymized data will be made available to the scientific community: * Data collected from the accelerometer-type sensor. * Data on the subject's ocular behavior (events such as saccades or fixations) from the eye-tracking sensor. The videos from the glasses will not be shared. * Behavioral data from video coding based on the ECOCAPTURE ethogram. The videos will not be shared. * Scores from the neuropsychological assessment * MRI data * Blood test data.
Publications
Godefroy V, Tanguy D, Bouzigues A, Sezer I, Ferrand-Verdejo J, Azuar C, Bendetowicz D, Carle G, Rametti-Lacroux A, Bombois S, Cognat E, Jannin P, Morandi X, Ber IL, Levy R, Batrancourt B, Migliaccio R. Frontotemporal dementia subtypes based on behavioral inhibition deficits. Alzheimers Dement (Amst). 2021 Apr 6;13(1):e12178. doi: 10.1002/dad2.12178. eCollection 2021.
PubMed 33851004Godefroy V, Batrancourt B, Charron S, Bouzigues A, Bendetowicz D, Carle G, Rametti-Lacroux A, Bombois S, Cognat E, Migliaccio R, Levy R. Functional connectivity correlates of reduced goal-directed behaviors in behavioural variant frontotemporal dementia. Brain Struct Funct. 2022 Dec;227(9):2971-2989. doi: 10.1007/s00429-022-02519-5. Epub 2022 Jun 25.
PubMed 35751676Godefroy V, Batrancourt B, Charron S, Bouzigues A, Sezer I, Bendetowicz D, Carle G, Rametti-Lacroux A, Bombois S, Cognat E, Migliaccio R, Levy R. Disentangling Clinical Profiles of Apathy in Behavioral Variant Frontotemporal Dementia. J Alzheimers Dis. 2022;90(2):639-654. doi: 10.3233/JAD-220370.
PubMed 36155506Godefroy V, Durand A, Simon MC, Weber B, Kable J, Lerman C, Bergstrom F, Levy R, Batrancourt B, Schmidt L, Plassmann H, Koban L. A structural MRI marker predicts individual differences in impulsivity and classifies patients with behavioral-variant frontotemporal dementia from matched controls. bioRxiv [Preprint]. 2024 Sep 16:2024.09.12.612706. doi: 10.1101/2024.09.12.612706.
PubMed 39345385Batrancourt B, Lecouturier K, Ferrand-Verdejo J, Guillemot V, Azuar C, Bendetowicz D, Migliaccio R, Rametti-Lacroux A, Dubois B, Levy R. Exploration Deficits Under Ecological Conditions as a Marker of Apathy in Frontotemporal Dementia. Front Neurol. 2019 Aug 28;10:941. doi: 10.3389/fneur.2019.00941. eCollection 2019.
PubMed 31551908Peltier C, Lejeune FX, Jorgensen LGT, Rametti-Lacroux A, Tanguy D, Godefroy V, Bendetowicz D, Carle G, Cognat E, Bombois S, Migliaccio R, Levy R, Marin F, Batrancourt B; ECOCAPTURE study group. A temporal classification method based on behavior time series data in patients with behavioral variant of frontotemporal dementia and apathy. J Neurosci Methods. 2022 Jul 1;376:109625. doi: 10.1016/j.jneumeth.2022.109625. Epub 2022 May 30.
PubMed 35653896Tanguy D, Batrancourt B, Estudillo-Romero A, Baxter JSH, Le Ber I, Bouzigues A, Godefroy V, Funkiewiez A, Chamayou C, Volle E, Saracino D, Rametti-Lacroux A, Morandi X, Jannin P, Levy R, Migliaccio R; ECOCAPTURE study group. An ecological approach to identify distinct neural correlates of disinhibition in frontotemporal dementia. Neuroimage Clin. 2022;35:103079. doi: 10.1016/j.nicl.2022.103079. Epub 2022 Jun 7.
PubMed 35700600Tanguy D, Rametti-Lacroux A, Bouzigues A, Saracino D, Le Ber I, Godefroy V, Morandi X, Jannin P, Levy R, Batrancourt B, Migliaccio R; ECOCAPTURE Study Group. Behavioural disinhibition in frontotemporal dementia investigated within an ecological framework. Cortex. 2023 Mar;160:152-166. doi: 10.1016/j.cortex.2022.11.013. Epub 2022 Dec 28.
PubMed 36658040
Study at a glance
From the registry record, last updated by the sponsor on 20 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Assessment of Apathy in a Real-life Situation, With a Video and Sensors-based System in Healthy Subject and Patient With Cerebral Disease
- ClinicalTrials.gov ID
- NCT03272230
- Acronym / sponsor ID
- ECOCAPTURE / C16-87
- Conditions
- Apathy, Behavioral Variant Frontotemporal Dementia (bvFTD), Disinhibition, Depression - Major Depressive Disorder
- Keywords
- Apathy, Goal-directed behavior, Assessment, Diagnosis, Sensor, Ecological condition, Neurological disease, Dementia
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 66 participants (actual)
- Lead sponsor
- Institut National de la Santé Et de la Recherche Médicale, FranceOther government
- Collaborators
- Paris Brain Institute (ICM), Groupe Hospitalier Pitie-Salpetriere
- Study start
- 6 Sep 2017 (actual)
- Primary completion
- 8 Dec 2023 (actual)
- Study completion
- 8 May 2024 (actual)
- First posted
- 5 Sep 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Apathy is defined as a quantitative reduction in voluntary and goal-directed behavior. To address this, the investigators propose an ethological approach to assess apathy objectively and quantitatively by observing patients in real-life situations.
The ECOCAPTURE paradigm involves a structured, multi-step scenario conducted in a functional exploration platform. This platform is equipped with an advanced data acquisition system integrating video recordings and sensors to precisely monitor and analyze participants' behavior.
Primary objective:
Develop a diagnostic tool for apathy using metrics derived from video recordings and sensor data. This tool aims to provide objective measures to identify and quantify apathy.
Secondary Objectives:
- Validation of ICM_APATHY_TASKS: This novel experimental task is designed to evaluate three primary mechanisms thought to underlie apathy: Motivation, Cognitive inertia (difficulty initiating tasks), The interaction between motivation and action execution.
- Identification of the pathophysiological mechanisms of apathy by investigate the cognitive, behavioral, neural, and neurohormonal underpinnings of apathy.
This will enable the classification of apathetic patients into subtypes (or several forms of apathy) based on the dominant mechanisms and provide insights into which processes best explain apathy in individual cases.
This innovative framework aims to deepen the understanding of apathy, improve diagnostic precision, and pave the way for tailored interventions.
Detailed description
A pilot study, ECOCAPTURE (ClinicalTrials.gov/NCT02496312, 2015), was conducted with participants diagnosed with the behavioral variant of frontotemporal dementia (bvFTD) matched for age, gender, and education level with healthy controls (n=7 per group). This study successfully validated the feasibility and conceptual framework of the ECOCAPTURE approach.
The aim of this trial is to further develop and expand the ECOCAPTURE tool by applying it to a larger population, including individuals with the behavioral variant of frontotemporal dementia (bvFTD) and healthy control participants.
The objectives of this study are to evaluate goal-directed behavior and identify apathy by analyzing data to establish a behavioral signature of apathy. Additionally, the study seeks to refine patient profiles by delineating the pathophysiological mechanisms underlying apathy, including cognitive processes, neural substrates, and neurohormonal pathways.
The experiments take place on an experimental platform dedicated to the functional exploration of human behavior (PRISME, ICM core facility, Salpêtrière Hospital, Paris, France), to assess behavior under ecological conditions. The ECOCAPTURE paradigm mimics a naturalistic situation (i.e., waiting comfortably in a waiting room). Participants undergo a structured 45-minute controlled scenario, during which their behavior is systematically monitored to evaluate apathy and disinhibition.
The PRISME platform is transformed into a furnished waiting room containing specific objects that provides opportunities to interact with the environment. The platform is equipped with a six-ceiling camera system (not hidden) covering the entire waiting room. The Media Recorder® software (NOLDUS Information Technology, Wageningen, the Netherlands) facilitates simultaneous video recordings from multiple cameras, ensuring synchronized capture across different viewpoints for comprehensive behavioral analysis. During the experiment, individuals' behavior is video-recorded, and their movement acceleration is measured using a wireless body sensor (Move II® triaxial accelerometer, Movisens GmbH, Karlsruhe, Germany) worn on the right hip. An eye-tracking system (SMI Eye Tracking Glasses 2 Wireless, ®SensoMotoric Instruments, Teltow, Germany / Tobii Pro Glasses 3, ®Tobii AB, Danderyd, Sweden) is added to the multimodal recording system, and the subjects wear eye-tracking glasses for a 7-minute period during the 45-minute experimental session. The subjects are informed at the time of initial consent that their behavior would be tracked and recorded by video cameras located in the room.
Video data analysis is performed with The Observer XT software (Version 14.0, NOLDUS, Wageningen, The Netherlands) to identify the frequency and duration of behaviors. Behavioral metrics are obtained by behavioral coding from 45-minute video footage for each individual. Behavioral coding data is collected through the continuous sampling method, to identify all occurrences of behaviors and their duration. Behavioral coding is conducted based on two ethograms - the ECOCAPTURE apathy ethogram, the ECOCAPTURE disinhibition ethogram - (Batrancourt et al. 2022, "The ECOCAPTURE ethograms: apathy ethogram and disinhibition ethogram", Mendeley Data, V2, doi: 10.17632/mv8hndcd95.2) The ECOCAPTURE apathy ethogram includes behaviors divided in two behavioral categories: Motor patterns, Activity states. The ECOCAPTURE disinhibition ethogram includes behaviors divided in three disinhibition categories: Compulsivity, Impulsivity, Social disinhibition.
Metrics built from collected data (video, sensors) are analyzed to reveal a behavioral signature of apathy.
The study consists of two separate visits, each occurring on a different day, and includes the following components: the ECOCAPTURE observation phase in ecological conditions, a comprehensive neuropsychological assessment, a series of experimental tasks (some of which are computer-based), an MRI scan (including T1, T2, rs-fMRI, and MS-DWI), and a blood sample collection.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm 1 | Experimental | Behavioral: ECOCAPTURE, Behavioral: Cognitive and Behavioral experimental tasks, Diagnostic Test: Neuropsychological assessment, Behavioral: ICM_APATHY_TASKS, Other: MRI, Biological: Neurohormonal mechanismsThe Arm consists of two separate visits, each occurring on a different day, and includes the following components: the ECOCAPTURE observation phase in ecological conditions, a comprehensive neuropsychological assessment, a series of experimental tasks (some of which are computer-based), an MRI scan (including T1, T2, rs-fMRI, and MS-DWI), and a blood sample collection. |
| Healthy volunteers | Active comparator | Behavioral: ECOCAPTURE, Behavioral: Cognitive and Behavioral experimental tasks, Diagnostic Test: Neuropsychological assessment, Behavioral: ICM_APATHY_TASKS, Other: MRI, Biological: Neurohormonal mechanisms |
Who may qualify
- Ages
- 40 to 85 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Demonstrates the ability to provide informed consent for participation in the study.
- Capable of understanding study instructions and performing cognitive tasks as required.
- Enrolled in a valid health insurance plan.
- Mini-Mental State Examination (MMSE): Score ≥ 17.
- Medical History: Absence of any other neurological or psychiatric conditions.
Key exclusion criteria (3 listed)
- MRI Contraindications: Standard contraindications to magnetic resonance imaging (e.g., pacemaker, metallic implants, claustrophobia).
- Cognitive Barriers: Inability to comprehend study instructions.
- Legal Restrictions: Individuals referenced in Articles L.1121-5 to L.1121-8 and L.1122-12 of the French Public Health Code.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ECOCAPTURE45 minutes observational session for tracking goal directed behavior into a waiting room equipped with video and sensor-based data acquisition system | Behavioural | Arm 1, Healthy volunteers |
| Cognitive and Behavioral experimental tasksCognitive and Behavioral experimental tasks to explore additional frontal cognitive and behavioral dimensions and functions | Behavioural | Arm 1, Healthy volunteers |
| Neuropsychological assessmentSTARKSTEIN APATHY SCALE (SAS) / DAS / MMSE / MADRS / EBI / MINI-SEA / FAB / HAD / MATTIS / HAYLING / STROOP / Verbal Span / Lexical verbal fluency / TMT / CDRS | Diagnostic test | Arm 1, Healthy volunteers |
| ICM_APATHY_TASKSApathy experimental task | Behavioural | Arm 1, Healthy volunteers |
| MRIT1 / T2 / rs-fMRI / MS-DWI | Other | Arm 1, Healthy volunteers |
| Neurohormonal mechanismsHormonal dosage / Diabetic dosage / Ionogramme dosage / Inflammatory dosage / Hepatic dosage / Lipidic dosage / Thyroid dosage | Biological | Arm 1, Healthy volunteers |
Primary outcome
Frequency of each behavior in the ECOCAPTURE ethogram
Time frame: 45 minutes
[Tracking specific behaviors as outlined in the ECOCAPTURE ethogram. Behavioral metrics are derived from coding the behaviors observed in 45-minute video footage, based on the structured ethogram] integer. .
Occurrence of each behavior in the ECOCAPTURE ethogram
Time frame: 45 minutes
[Tracking specific behaviors as outlined in the ECOCAPTURE ethogram. Behavioral metrics are derived from coding the behaviors observed in 45-minute video footage, based on the structured ethogram] integer. .
Duration of each behavior in the ECOCAPTURE ethogram
Time frame: 45 minutes
[Tracking specific behaviors as outlined in the ECOCAPTURE ethogram. Behavioral metrics are derived from coding the behaviors observed in 45-minute video footage, based on the structured ethogram] integer. .
Activity classes
Time frame: 45 minutes
[Provided by the accelerometer sensor] Activity class: Indicates the physical position of the subject (unknown position = 0, lying down = 1, sitting/standing = 2, vertical movement upwards = 4, fast movement = 5, vertical movement downwards = 6, walking = 7)
Body positions
Time frame: 45 minutes
[Provided by the accelerometer sensor] Body position: Specifies the characteristics of the lying position (unknown position = 0, lying on the back = 1, lying on the left side = 2, lying on the stomach = 3, lying on the right side = 4, getting up = 5).
Steps
Time frame: 45 minutes
[Provided by the accelerometer sensor] Counting steps.
Energy expenditure
Time frame: 45 minutes
[Provided by the accelerometer sensor] Energy expenditure during activity phases. kcal.
MET
Time frame: 45 minutes
[Provided by the accelerometer sensor] The Metabolic Equivalent of Task: MET level.
Acceleration intensity
Time frame: 45 minutes
[Provided by the accelerometer sensor] g.
Pupil Diameter x,y
Time frame: 7 minutes
[Provided by the eye-tracking glasses] mm, mm.
Ocular events
Time frame: 7 minutes
[Provided by the eye-tracking glasses] Saccades, Fixations and Blink frequency.
Gaze points
Time frame: 7 minutes
[Provided by the eye-tracking glasses] Individual records of the participant's gaze at any given moment
41 secondary outcomes
STARKSTEIN (SAS)
Time frame: 10 minutes
DAS
Time frame: 10 minutes
ICM_APATHY_TASKS
Time frame: 60 minutes
MMSE
Time frame: 5 minutes
MADRS
Time frame: 10 minutes
EBI
Time frame: 15 minutes
MATTIS
Time frame: 20 minutes
FAB
Time frame: 10 minutes
HAYLING
Time frame: 15 minutes
HAD
Time frame: 10 minutes
STROOP
Time frame: 3 minutes
Mini-SEA
Time frame: 20 minutes
Verbal Span / Lexical verbal fluency
Time frame: 7 minutes
CDRS
Time frame: 5 minutes
Gray matter volume
Time frame: MRI exam: 48 minutes
White matter volume
Time frame: MRI exam: 48 minutes
Cortical Thickness
Time frame: MRI exam: 48 minutes
Resting-State Connectivity
Time frame: MRI exam: 48 minutes
IL-6
Time frame: Blood sample collection - 30 minutes
Leptin
Time frame: Blood sample collection - 30 minutes
Adiponectin
Time frame: Blood sample collection - 30 minutes
Insulin
Time frame: Blood sample collection - 30 minutes
C-Peptide
Time frame: Blood sample collection - 30 minutes
FPG
Time frame: Blood sample collection - 30 minutes
HbA1C
Time frame: Blood sample collection - 30 minutes
Sodium
Time frame: Blood sample collection - 30 minutes
K+
Time frame: Blood sample collection - 30 minutes
Uric acid
Time frame: Blood sample collection - 30 minutes
Creatinine
Time frame: Blood sample collection - 30 minutes
Total Protein
Time frame: Blood sample collection - 30 minutes
CRP
Time frame: Blood sample collection - 30 minutes
AST
Time frame: Blood sample collection - 30 minutes
ALT
Time frame: Blood sample collection - 30 minutes
GGT
Time frame: Blood sample collection - 30 minutes
Cholesterol
Time frame: Blood sample collection - 30 minutes
Triglycerides
Time frame: Blood sample collection - 30 minutes
HDL cholesterol
Time frame: Blood sample collection - 30 minutes
LDL cholesterol
Time frame: Blood sample collection - 30 minutes
Glycerol
Time frame: Blood sample collection - 30 minutes
FFAs
Time frame: Blood sample collection - 30 minutes
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 May 2026.
- Results publication: PubMed 33851004Godefroy V, Tanguy D, Bouzigues A, Sezer I, Ferrand-Verdejo J, Azuar C, Bendetowicz D, Carle G, Rametti-Lacroux A, Bombois S, Cognat E, Jannin P, Morandi X, Ber IL, Levy R, Batrancourt B, Migliaccio R. Frontotemporal dementia subtypes based on behavioral inhibition deficits. Alzheimers Dement (Amst). 2021 Apr 6;13(1):e12178. doi: 10.1002/dad2.12178. eCollection 2021.
- Results publication: PubMed 35751676Godefroy V, Batrancourt B, Charron S, Bouzigues A, Bendetowicz D, Carle G, Rametti-Lacroux A, Bombois S, Cognat E, Migliaccio R, Levy R. Functional connectivity correlates of reduced goal-directed behaviors in behavioural variant frontotemporal dementia. Brain Struct Funct. 2022 Dec;227(9):2971-2989. doi: 10.1007/s00429-022-02519-5. Epub 2022 Jun 25.
- Results publication: PubMed 36155506Godefroy V, Batrancourt B, Charron S, Bouzigues A, Sezer I, Bendetowicz D, Carle G, Rametti-Lacroux A, Bombois S, Cognat E, Migliaccio R, Levy R. Disentangling Clinical Profiles of Apathy in Behavioral Variant Frontotemporal Dementia. J Alzheimers Dis. 2022;90(2):639-654. doi: 10.3233/JAD-220370.
- Results publication: PubMed 39345385Godefroy V, Durand A, Simon MC, Weber B, Kable J, Lerman C, Bergstrom F, Levy R, Batrancourt B, Schmidt L, Plassmann H, Koban L. A structural MRI marker predicts individual differences in impulsivity and classifies patients with behavioral-variant frontotemporal dementia from matched controls. bioRxiv [Preprint]. 2024 Sep 16:2024.09.12.612706. doi: 10.1101/2024.09.12.612706.
- Results publication: PubMed 31551908Batrancourt B, Lecouturier K, Ferrand-Verdejo J, Guillemot V, Azuar C, Bendetowicz D, Migliaccio R, Rametti-Lacroux A, Dubois B, Levy R. Exploration Deficits Under Ecological Conditions as a Marker of Apathy in Frontotemporal Dementia. Front Neurol. 2019 Aug 28;10:941. doi: 10.3389/fneur.2019.00941. eCollection 2019.
- Results publication: PubMed 35653896Peltier C, Lejeune FX, Jorgensen LGT, Rametti-Lacroux A, Tanguy D, Godefroy V, Bendetowicz D, Carle G, Cognat E, Bombois S, Migliaccio R, Levy R, Marin F, Batrancourt B; ECOCAPTURE study group. A temporal classification method based on behavior time series data in patients with behavioral variant of frontotemporal dementia and apathy. J Neurosci Methods. 2022 Jul 1;376:109625. doi: 10.1016/j.jneumeth.2022.109625. Epub 2022 May 30.
- Results publication: PubMed 35700600Tanguy D, Batrancourt B, Estudillo-Romero A, Baxter JSH, Le Ber I, Bouzigues A, Godefroy V, Funkiewiez A, Chamayou C, Volle E, Saracino D, Rametti-Lacroux A, Morandi X, Jannin P, Levy R, Migliaccio R; ECOCAPTURE study group. An ecological approach to identify distinct neural correlates of disinhibition in frontotemporal dementia. Neuroimage Clin. 2022;35:103079. doi: 10.1016/j.nicl.2022.103079. Epub 2022 Jun 7.
- Results publication: PubMed 36658040Tanguy D, Rametti-Lacroux A, Bouzigues A, Saracino D, Le Ber I, Godefroy V, Morandi X, Jannin P, Levy R, Batrancourt B, Migliaccio R; ECOCAPTURE Study Group. Behavioural disinhibition in frontotemporal dementia investigated within an ecological framework. Cortex. 2023 Mar;160:152-166. doi: 10.1016/j.cortex.2022.11.013. Epub 2022 Dec 28.
- Individual participant dataSharing planned: Yes. The scientific leaders of the ECOCAPTURE research project aim to participate in international OPEN DATA initiatives. In this context, the following fully anonymized data will be made available to the scientific community: * Data collected from the accelerometer-type sensor. * Data on the subject's ocular behavior (events such as saccades or fixations) from the eye-tracking sensor. The videos from the glasses will not be shared. * Behavioral data from video coding based on the ECOCAPTURE ethogram. The videos will not be shared. * Scores from the neuropsychological assessment * MRI data * Blood test data.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Richard LEVY, MD, PhD principal investigator
Assistance Publique - Hôpitaux de Paris
Bénédicte BATRANCOURT, PhD study chair
Institut National de la Santé Et de la Recherche Médicale, France
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing ECOCAPTURE, Cognitive and Behavioral experimental tasks and Neuropsychological assessment in people with Apathy and Behavioral Variant Frontotemporal Dementia (bvFTD), run by Institut National de la Santé Et de la Recherche Médicale, France 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 14 inclusion and 3 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 20 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?
Frequency of each behavior in the ECOCAPTURE ethogram (time frame: 45 minutes). The study lists 12 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 NCT03272230, which also lists 8 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 20 May 2026.