Mild Cognitive Impairment Due to Alzheimer's DiseaseCOGNIMARKNCT05582941
Biomarkers of Cognitive Impairment in Blood Cells
An observational study of Mild Cognitive Impairment Due to Alzheimer's Disease and Dementia Due to Alzheimer's Disease (Disorder), run by University of the Balearic Islands at 1 site in Spain.
Trial summary
The aim of this study is to identify transcriptomic biomarkers in blood cells to diagnose early cognitive impairment. This would allow preventing the development of severe pathologies, such as Alzheimer Disease. Read more about this study
- Who is it for?
- Ages 55 to 80 yearsHealthy volunteers can take part
- Conditions the study is for
- Mild Cognitive Impairment Due to Alzheimer's Disease, Dementia Due to Alzheimer's Disease (Disorder)
- How many people
- 48 participants
- Where
- 1 siteSpain
- Study dates
- 1 Apr 2022to 31 May 2023
- Phase
- Observational
- 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 55 to 80 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: All of the participants are from Spain. * Control group: the majority are recruited from an Adult University (UOM, Universitat Oberta per Majors, University of the Balearic Island). * Mild Cognitive Impairment and Alzheimer Disease groups: are recruited from the University Hospital, Son Espases, Mallorca, Spain.
Who may be able to join
- Age between 55-80 years
- Absence of cognitive symptoms
- Normal neuropsychological examination, (Clinical Dementia Rating, CDR = 0)
- Age between 55-80 years
- Established diagnosis of MCI
- Cognitive deficit of 1.5 standard deviation in at least one of the neuropsychological tests performed, with no relevant functional repercussion (Functional Activities Questionnaire, FAQ<7 and CDR≤0.5)
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- Group with Dementia Due to Alzheimer Disease (AD)
- Age between 55-80 years
- Established diagnosis of Alzheimer's disease
- CDR ≥ 0.5 and positive AD markers in cerebrospinal fluid
Who cannot join
- Any disease that could influence their cognitive performance or blood cell parameters.
- Group with Mild Cognitive Impairment Due to Alzheimer's Disease (MCI group)
Trial locations and contacts
1 site in 1 country.
Spain1 site
University of the Balearic Islands
Palma, Mallorca, Balearic Islands, 07122
About this study
Official title: Use of Human Blood Cells for the Identification of Early Biomarkers of Cognitive Damage
The aim of this study is to identify transcriptomic biomarkers in blood cells to diagnose early cognitive impairment. This would allow preventing the development of severe pathologies, such as Alzheimer Disease. In addition, this project will analyse the influence of adiposity, obesity, nutritional habits and physical activity on cognition.
Read the detailed description
Blood cells constitute a minimally invasive material, which is presented as potentially suitable for addressing the identification of clinical diagnostic biomarkers. This study will compare gene expression in blood cells of patients with various degrees of cognitive alteration (mild cognitive impairment due to Alzheimer's disease and dementia due to Alzheimer's Disease) compared to control individuals, to identify early biomarkers of impaired cognition. The availability of non-invasive early biomarkers of cognitive dysfunction is highly relevant in the field of public health, from the point of view of being able to prevent or delay the onset and/or progression of dementia and other cognitive disorders. In addition, it is intended to establish the association between the biomarkers identified with nutritional imbalances and increased adiposity/obesity.
- Conditions
- Mild Cognitive Impairment Due to Alzheimer's Disease, Dementia Due to Alzheimer's Disease (Disorder)
- Being tested
- No intervention will be performed.
- Keywords
- Mild Cognitive Impairment, Alzheimer Disease, Blood cells, Adiposity, Nutrition
- Medical subject headings
- Cognitive Dysfunction, Alzheimer Disease, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
No intervention will be performed.Other
No intervention will be performed.
| Study group | Role | What they receive |
|---|---|---|
| Control | 20 individuals with no cognitive alterations or any other pathology which could alter cognitive performance or blood cells Receives: Other: No intervention will be performed. | |
| Mild Cognitive Impairment Due to Alzheimer's Disease: MCI group | 20 individuals diagnosed with Mild Cognitive Impairment Due to Alzheimer's Disease with positive AD markers in cerebrospinal fluid Receives: Other: No intervention will be performed. | |
| Dementia due to Alzheimer Disease: AD group | 20 individuals diagnosed with Dementia Due to Alzheimer Disease with positive AD markers in cerebrospinal fluid Receives: Other: No intervention will be performed. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of semiquantitative gene expression of blood cells between the three groups
Gene expression analysis performed by real-time quantitative polymerase chain reaction (RT-qPCR). Percentage of semiquantitative gene expression between the groups: MCI vs Control, AD vs Control, and MCI vs AD
Measured: Baseline point (all groups)
Mini-Mental State Examination (MMSE), questionnaire (numerical scale)
Cognitive test
Measured: Baseline point (all groups)
Montreal Cognitive Assessment (MoCA), questionnaire (numerical scale)
Cognitive test
Measured: Baseline point (all groups)
Cognitive Reserve Questionnaire (CRIq), questionnaire (numerical scale)
Cognitive test
Measured: Baseline point (all groups)
Body composition (fat mass)
Percentage of fat mass measured using a dual energy x-ray absorptiometry (DXA) scanner
Measured: Baseline point (all groups)
Secondary outcomes (22)
Height (cm)
Basic anthropometric parameter, measured in centimeters with a tape-measure
Measured: Baseline point (all groups)
Weight (kg)
Basic anthropometric parameter, measured using a scale
Measured: Baseline point (all groups)
Waist-hip ratio (numerical ratio)
Basic anthropometric parameter. Waist circumference (cm) and hip circumference (cm) will be combined to report waist-hip ratio (waist(cm)/hip(cm))
Measured: Baseline point (all groups)
Blood pressure (mm Hg)
Basic anthropometric parameter, measured in millimeters of mercury with a blood pressure monitor
Measured: Baseline point (all groups)
Body Mass Index (BMI) (kg/m2)
Basic anthropometric parameter. Weight and height will be combined to report BMI in kg/m^2
Measured: Baseline point (all groups)
Complete blood count test (numbers of cells/mcL)
Circulating parameter (from blood sample). It will be measured: red blood cells, white blood cells (neutrophils, lymphocytes, monocytes, eosinophils, basophils) and platelets. All of them measured in numbers of cells/mcL by a complete blood count test.
Measured: Baseline point (all groups)
Plasma glucose (mg/dL)
Circulating parameter (from blood sample)
Measured: Baseline point (all groups)
Triglycerides (TG, mg/dL)
Circulating parameter (from blood sample)
Measured: Baseline point (all groups)
Total cholesterol (mg/dL)
Circulating parameter (from blood sample)
Measured: Baseline point (all groups)
High-density lipoprotein cholesterol (HDL-C,mg/dL)
Circulating parameter (from blood sample)
Measured: Baseline point (all groups)
Low-density lipoprotein cholesterol (LDL-C, mg/dL)
Circulating parameter (from blood sample)
Measured: Baseline point (all groups)
Aspartate aminotransferase (AST, U/L)
Circulating parameter (from blood sample)
Measured: Baseline point (all groups)
Alanine aminotransferase (ALT, U/L)
Circulating parameter (from blood sample)
Measured: Baseline point (all groups)
Gamma-glutamyl transpeptidase (GGT, U/L)
Circulating parameter (from blood sample)
Measured: Baseline point (all groups)
Transpeptidase (GGT, U/L)
Circulating parameter (from blood sample)
Measured: Baseline point (all groups)
C-reactive protein (CRP, mg/dL)
Circulating parameter (from blood sample)
Measured: Baseline point (all groups)
Apolipoprotein E (APOE, mg/dL)
Circulating parameter (from blood sample)
Measured: Baseline point (all groups)
Glycated hemoglobin (HbA1c, %)
Circulating parameter (from blood sample)
Measured: Baseline point (all groups)
Test on nutritional habits, questionnaire (numerical scale)
Lifestyle test. Test on nutritional habits based on a 14-item Mediterranean diet questionnaire
Measured: Baseline point (all groups)
International Physical Activity Questionnaire, IPAQ (numerical scale)
Lifestyle test, specifically a physical activity test
Measured: Baseline point (all groups)
STOP-BANG Sleep Apnea Questionnaire (numerical scale)
Lifestyle test, specifically a screening for obstructive sleep apnea in adults
Measured: Baseline point (all groups)
Gait Speed Test (m/s)
Gait speed is recorded on a 4 meter walkway with 2 meter non-instrumented walkway segments at each end to allow for acceleration and deceleration. Gait speed recorded is the average of the speed for the two trials
Measured: Baseline point (all groups)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Oct 2022
- Study start1 Apr 2022
- Primary completion31 May 2023
- Study completion31 May 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Mild Cognitive Impairment Due to Alzheimer's DiseaseStudies of the same condition, open and under way.
- 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
- Observational
- Observational model
- Case-control
- Time perspective
- Retrospective
- Enrolment
- 48 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of the Balearic Islands
- Sponsor type
- University, hospital or other
- Collaborators
- Fundació d'investigació Sanitària de les Illes Balears, Consorcio Centro de Investigación Biomédica en Red (CIBER)
- Responsible party
- Sponsor
- Investigators
- Paula Oliver, Professor, Principal investigator, University of the Balearic Islands
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05582941
- Sponsor's protocol ID
- IB 3799/18 PI
- Acronym
- COGNIMARK
- Status last verified
- Jun 2023
- First submitted
- 28 Jul 2022
- Last updated
- 4 Jul 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Individual Participant Data (IPD) will be shared in due time if considered relevant for other research. With our current objectives, it is not considered necessary.
Study at a glance
From the registry record, last updated by the sponsor on 4 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Use of Human Blood Cells for the Identification of Early Biomarkers of Cognitive Damage
- ClinicalTrials.gov ID
- NCT05582941
- Acronym / sponsor ID
- COGNIMARK / IB 3799/18 PI
- Conditions
- Mild Cognitive Impairment Due to Alzheimer's Disease, Dementia Due to Alzheimer's Disease (Disorder)
- Keywords
- Mild Cognitive Impairment, Alzheimer Disease, Blood cells, Adiposity, Nutrition
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 48 participants (actual)
- Lead sponsor
- University of the Balearic IslandsUniversity, hospital or other
- Collaborators
- Fundació d'investigació Sanitària de les Illes Balears, Consorcio Centro de Investigación Biomédica en Red (CIBER)
- Study start
- 1 Apr 2022 (actual)
- Primary completion
- 31 May 2023 (actual)
- Study completion
- 31 May 2023 (actual)
- First posted
- 17 Oct 2022 (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.
The aim of this study is to identify transcriptomic biomarkers in blood cells to diagnose early cognitive impairment. This would allow preventing the development of severe pathologies, such as Alzheimer Disease. In addition, this project will analyse the influence of adiposity, obesity, nutritional habits and physical activity on cognition.
Detailed description
Blood cells constitute a minimally invasive material, which is presented as potentially suitable for addressing the identification of clinical diagnostic biomarkers. This study will compare gene expression in blood cells of patients with various degrees of cognitive alteration (mild cognitive impairment due to Alzheimer's disease and dementia due to Alzheimer's Disease) compared to control individuals, to identify early biomarkers of impaired cognition. The availability of non-invasive early biomarkers of cognitive dysfunction is highly relevant in the field of public health, from the point of view of being able to prevent or delay the onset and/or progression of dementia and other cognitive disorders. In addition, it is intended to establish the association between the biomarkers identified with nutritional imbalances and increased adiposity/obesity.
Study design
- Observational model
- Case-control
- Time perspective
- Retrospective
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Control | – | Other: No intervention will be performed.20 individuals with no cognitive alterations or any other pathology which could alter cognitive performance or blood cells |
| Mild Cognitive Impairment Due to Alzheimer's Disease: MCI group | – | Other: No intervention will be performed.20 individuals diagnosed with Mild Cognitive Impairment Due to Alzheimer's Disease with positive AD markers in cerebrospinal fluid |
| Dementia due to Alzheimer Disease: AD group | – | Other: No intervention will be performed.20 individuals diagnosed with Dementia Due to Alzheimer Disease with positive AD markers in cerebrospinal fluid |
Who may qualify
- Ages
- 55 to 80 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- All of the participants are from Spain. * Control group: the majority are recruited from an Adult University (UOM, Universitat Oberta per Majors, University of the Balearic Island). * Mild Cognitive Impairment and Alzheimer Disease groups: are recruited from the University Hospital, Son Espases, Mallorca, Spain.
Key inclusion criteria (10 listed)
- Group with Dementia Due to Alzheimer Disease (AD)
- Age between 55-80 years
- Established diagnosis of Alzheimer's disease
- CDR ≥ 0.5 and positive AD markers in cerebrospinal fluid
Key exclusion criteria (2 listed)
- Group with Mild Cognitive Impairment Due to Alzheimer's Disease (MCI group)
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 |
|---|---|---|
| No intervention will be performed.No intervention will be performed. | Other | Control, Dementia due to Alzheimer Disease: AD group, Mild Cognitive Impairment Due to Alzheimer's Disease: MCI group |
Primary outcome
Percentage of semiquantitative gene expression of blood cells between the three groups
Time frame: Baseline point (all groups)
Gene expression analysis performed by real-time quantitative polymerase chain reaction (RT-qPCR). Percentage of semiquantitative gene expression between the groups: MCI vs Control, AD vs Control, and MCI vs AD
Mini-Mental State Examination (MMSE), questionnaire (numerical scale)
Time frame: Baseline point (all groups)
Cognitive test
Montreal Cognitive Assessment (MoCA), questionnaire (numerical scale)
Time frame: Baseline point (all groups)
Cognitive test
Cognitive Reserve Questionnaire (CRIq), questionnaire (numerical scale)
Time frame: Baseline point (all groups)
Cognitive test
Body composition (fat mass)
Time frame: Baseline point (all groups)
Percentage of fat mass measured using a dual energy x-ray absorptiometry (DXA) scanner
22 secondary outcomes
Height (cm)
Time frame: Baseline point (all groups)
Weight (kg)
Time frame: Baseline point (all groups)
Waist-hip ratio (numerical ratio)
Time frame: Baseline point (all groups)
Blood pressure (mm Hg)
Time frame: Baseline point (all groups)
Body Mass Index (BMI) (kg/m2)
Time frame: Baseline point (all groups)
Complete blood count test (numbers of cells/mcL)
Time frame: Baseline point (all groups)
Plasma glucose (mg/dL)
Time frame: Baseline point (all groups)
Triglycerides (TG, mg/dL)
Time frame: Baseline point (all groups)
Total cholesterol (mg/dL)
Time frame: Baseline point (all groups)
High-density lipoprotein cholesterol (HDL-C,mg/dL)
Time frame: Baseline point (all groups)
Low-density lipoprotein cholesterol (LDL-C, mg/dL)
Time frame: Baseline point (all groups)
Aspartate aminotransferase (AST, U/L)
Time frame: Baseline point (all groups)
Alanine aminotransferase (ALT, U/L)
Time frame: Baseline point (all groups)
Gamma-glutamyl transpeptidase (GGT, U/L)
Time frame: Baseline point (all groups)
Transpeptidase (GGT, U/L)
Time frame: Baseline point (all groups)
C-reactive protein (CRP, mg/dL)
Time frame: Baseline point (all groups)
Apolipoprotein E (APOE, mg/dL)
Time frame: Baseline point (all groups)
Glycated hemoglobin (HbA1c, %)
Time frame: Baseline point (all groups)
Test on nutritional habits, questionnaire (numerical scale)
Time frame: Baseline point (all groups)
International Physical Activity Questionnaire, IPAQ (numerical scale)
Time frame: Baseline point (all groups)
STOP-BANG Sleep Apnea Questionnaire (numerical scale)
Time frame: Baseline point (all groups)
Gait Speed Test (m/s)
Time frame: Baseline point (all groups)
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 4 Jul 2025.
- Article from the research group that supports the relation between normal-weight obesity in rodents and cognitive impairment in rats.Link provided by the sponsor.
- Individual participant dataSharing planned: Undecided. Individual Participant Data (IPD) will be shared in due time if considered relevant for other research. With our current objectives, it is not considered necessary.
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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.
Paula Oliver, Professor principal investigator
University of the Balearic Islands
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Mild Cognitive Impairment Due to Alzheimer's Disease and Dementia Due to Alzheimer's Disease (Disorder), run by University of the Balearic Islands at 1 site in Spain.
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 2 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 Jul 2025. 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 Spain. 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?
Percentage of semiquantitative gene expression of blood cells between the three groups (time frame: Baseline point (all groups)). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 Jul 2025.