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DementiaCIRCAMENCT05977712

Circadian Rhythm and Other Factors in Memory Clinic Patients

An observational study of Dementia, run by Assistance Publique - Hôpitaux de Paris at 2 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The CIRCAME study is a bicentric study of patients from 2 memory clinics in Paris. The main objective is to identify circadian rhythm components and other individual risk factors (sociodemographic, behavioral, and health related factors) associated with the diagnosis of subtypes (AD, Lewy bodies, vascular… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Dementia
What is being tested?
Questionnaire, Clinical examination and Accelerometer port
How many people
1,200 participants
Where
2 sitesFrance
Study dates
6 Mar 2024to Mar 2042
Phase
Observational
Are there results?
Not yet: the study is under way

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

Study population: 1500 patients selected from two memory clinics in Paris (Lariboisière - F. Widal and Bretonneau).

Who may be able to join

  • Patient of legal age (18 or over)
  • Signed informed consent form
  • Patient affiliated to the french social security system

Who cannot join

  • Skin allergy to plastic
  • Diagnosis of psychiatric disorder that can explain all cognitive symptoms
  • Inability to come accompanied for patients with a Mini-Mental State Examination (MMSE) cognitive score ≤18 or a clinician assessment indicating the need to be accompanied (e.g. wheelchair use, agitation)
  • Participation at the time of inclusion and during the 9-day period of wearing the accelerometer in interventional research with potential impact on circadian rhythm

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Claire PAQUET, MDPhD contact

0140054313 ext. 33

claire.paquet@aphp.fr

Séverine SABIA, PhD contact

0157279046 ext. 33

severine.sabia@inserm.fr

France2 sites, 2 recruiting
  • Centre de neurologie Cognitive / CMRR

    Paris, France, 75010

    Claire PAQUET, MDPhD, 0140054313 ext. 33, claire.paquet@aphp.fr

    Recruiting
  • Hôpital de Jour Gériatrique et consultation mémoire

    Paris, France, 75018

    Sophie LACAILLE, MDPhD, 0153111701 ext. 33, sophie.lacaille@aphp.fr

    Recruiting

Other trials in France

About this study

Official title: Circadian Rhythm and Other Individual Factors Among Memory Clinic Patients

The CIRCAME study is a bicentric study of patients from 2 memory clinics in Paris. The main objective is to identify circadian rhythm components and other individual risk factors (sociodemographic, behavioral, and health related factors) associated with the diagnosis of subtypes (AD, Lewy bodies, vascular, frontotemporal dementia) and stages (cognitively healthy, mild cognitive impairment, clinical dementia) of dementia, independent of known risk factors (sociodemographic and genetic) and assess the relevance of use of these factors in primary care for screen of dementia including subtypes and stages. A secondary objective is to determine factors associated with progression of the disease, in terms of cognitive decline and limitations in activities of daily living, as well as progression to dementia among cognitively healthy controls and patients with mild cognitive impairment, up to 15 years after the inclusion period.

Read the detailed description

The diagnosis of Alzheimer's disease and other related dementias is mainly based on assessment of cognitive, behavioral and neuropsychological symptoms, functional limitations and imaging data/cerebrospinal fluid (CSF) biomarkers in some cases. These measures are primarily used in specialized clinics leading to a potential large number of dementia cases not being diagnosed. With population ageing, the number of people living with dementia is increasing and there is an urgent need for cost-effective, scalable tool for early, accurate screening of dementia cases, including both AD and other types of dementia, in primary care. Furthermore, the factors associated with the progression of the different types of dementia are still poorly understood, limiting the prospects for intervention to improve the quality of life of patients and their caregivers and to slow the progression of the disease.

This project aims to identify circadian rhythm components and other individual risk factors that could be used in primary care for dementia diagnosis (including its subtypes: AD, Lewy bodies, vascular, frontotemporal dementia) and stages (cognitively healthy, mild cognitive impairment, clinical dementia). A secondary objective is to determine factors associated with progression of the disease, in terms of cognitive decline and limitations in activities of daily living, as well as progression to dementia among cognitively healthy controls and patients with mild cognitive impairment.

This will be achieved using data from 1500 patients from 2 memory clinics in Paris from who data on sociodemographic, behavioral, and health related factors (such as reported sleep disturbance, plasma biomarkers, retina measures (in a subsample, CIRCAME-EYE) and audiological parameters (CIRCAME-Ear substudy)) will be measured at inclusion interview. Baseline examination will also include a wrist-mounted device for a measure of circadian rhythm and its related behaviors (physical activity and sleep), for which disruptions are thought to characterize dementia subtypes and stages. Information on dementia diagnosis and stages will come from memory clinic routine visits at the time of the inclusion; they will include subtypes (AD, Lewy bodies, vascular, frontotemporal dementia), cognitive stages (cognitively healthy, mild cognitive impairment, clinical dementia) and AD stages based on CSF biomarkers and clinical measures. Information on progression of the disease (change in cognitive function using the mini-mental status examination, change in limitations in activity of daily living) and incidence of dementia, institutionalization and mortality will be retrieved from patients' routine visits at memory clinics up to 15 years after the inclusion period.

Conditions
Dementia
Being tested
Questionnaire, Clinical examination, Accelerometer port, Eye examination, Ear Examination
Keywords
Circadian rhythm, Sleep disturbance, APOE, Retinal measures, Dementia subtypes, stages and progression, Alzheimer's disease, Lewy body dementia, Plasma biomarkers, Cerebrospinal fluid biomarkers, Individual risk factors, audiological function
Medical subject headings
Dementia, Parasomnias, Disease Progression, Alzheimer Disease, Lewy Body Disease

What participants receive

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

  • QuestionnaireOther

    The questionnaire includes information on socio-demographics (age, sex, education, occupation, marital status), behavioural (smoking, alcohol consumption, social functioning), and health-related factors (morbidities, treatment, sleep disturbance, eye diseases, frailty, falls).

  • Clinical examinationOther

    This includes earing test, cognitive tests (mini-mental status examination, MemScreen), body mass index, waist circumference, blood pressure and blood tests (biomarkers of Alzheimer's disease, neurodegeneration, and other dementias).

  • Accelerometer portOther

    Participants will be wearing an accelerometer for 9 days.

  • Eye examinationOther

    Eye fundus photo, OCT and OCT-A exams

  • Ear ExaminationOther

    Otoscopic examination, Wideband tympanometry, Pure-tone and speech audiometry (in quiet and in noise), Auditory evoked potentials, Electroencephalogram with auditory stimulation

Study groups in NCT05977712
Study groupRoleWhat they receive
CIRCAMEThis is the full cohort of patients that compose the CIRCAME study (N estimated = 1500)
Receives: Other: Questionnaire; Other: Clinical examination; Other: Accelerometer port
CIRCAME-EYE ancillary studyPatients from CIRCAME seen at the Fernand-Widal hospital who will also undergo an eye examination (CIRCAME-EYE, N estimated = 1100, a sub-group of CIRCAME)
Receives: Other: Eye examination
CIRCAME-EAR ancillary studyPatients from CIRCAME seen at the Fernand-Widal hospital who will also undergo an audiolological examination (CIRCAME-EAR, N estimated = 1100, a sub-group of CIRCAME)
Receives: Other: Ear Examination

What is being measured

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

  1. Dementia subtypes and stages (% at inclusion)

    Dementia subtypes and stages will be defined at inclusion based on the most recent routine visits at the memory center and categorised as: Alzheimer's disease, vascular dementia, Lewy body dementia, frontotemporal dementia), as having MCI (differentiating AD form of MCI and others), or being cognitively healthy.

    This consensus diagnosis of dementia subtypes among clinicians from the memory clinics is based on clinical examination consisting of a large battery of cognitive tests, assessment of behavioural and neuropsychological symptoms, and limitations in basic and instrumental activities of daily living (ADL/IADL), and additional examination of magnetic resonance imaging (MRI) and CSF biomarkers when AD is suspected or clinical symptoms do not provide an unequivocal diagnosis.

    This outcome will be examined as %

    Measured: At inclusion

  2. Dementia subtypes and stages (incidence)

    Dementia subtypes and stages will be defined on routine visits at the memory clini and categorised as: Alzheimer's disease, vascular dementia, Lewy body dementia, frontotemporal dementia), as having MCI (differentiating AD form of MCI and others), or being cognitively healthy.

    This consensus diagnosis of dementia subtypes among clinicians from the memory clinics is based on clinical examination consisting of a large battery of cognitive tests, assessment of behavioural and neuropsychological symptoms, and limitations in basic and instrumental activities of daily living (ADL/IADL), and additional examination of magnetic resonance imaging (MRI) and CSF biomarkers when AD is suspected or clinical symptoms do not provide an unequivocal diagnosis.

    This outcome will be examined among those with MCI and healthy controls as incident cases over time (up to 15 years after the inclusion) This outcome will be measured as part of the usual routine visits with the clinician (passive follow-up, vis

    Measured: From inclusion until last routine visit at the memory clinic within the 15 years following inclusion

  3. Alzheimer's disease stages (%)

    AD stages will be based on the most recent measure of CSF Aβ peptide level (Aβ42/40 ratio) to assess the A+ criterion, p-Tau 181 to assess the T+ criterion, and clinical examination to assess the CogFI+ criterion (cognitive impairment and/or neurobehavioural symptoms with functional impact on daily life). Patients will be categorised based on all combinations of positivity status on A, T and CogFI and % in each category will be compared.

    This analysis will be among those with CSF biomarkers measured as part of their routine visit at the memory clinics.

    Measured: At inclusion

  4. Alzheimer's disease stages (change in)

    AD stages change will be based on the most recent measure of CSF Aβ peptide level (Aβ42/40 ratio) to assess the A+ criterion, p-Tau 181 to assess the T+ criterion, and clinical examination to assess the CogFI+ criterion (cognitive impairment and/or neurobehavioural symptoms with functional impact on daily life). Patients will be categorised based on all combinations of positivity status on A, T and CogFI and change in categories since inclusion status will be compared.

    This analysis will be among those with CSF biomarkers measured as part of their routine visit at the memory clinics.

    This outcome will be measured as part of the usual routine visits with the clinician (passive follow-up, visit not specific to CIRCAME)

    Measured: From inclusion until last routine visit at the memory clinic within the 15 years following inclusion

Secondary outcomes (15)
  1. Level of Amyloid β 42/40 ratio (concentration)

    Amyloid β 42/40 ratio, a marker of AD pathology, will be measured based on Simoa 4-plex E assay of plasma sample from the inclusion visit

    Measured: At inclusion

  2. Level of neurofilament light (NfL) (concentration)

    Neurofilament light (NfL), a marker of neurodegeneration in all neurodegenerative diseases, will be measured based on Simoa 4-plex E assay of plasma sample from the inclusion visit

    Measured: At inclusion

  3. Level of Glial fibrillary acidic protein (GFAP) (concentration)

    Glial fibrillary acidic protein (GFAP), a marker of astrocytosis, will be measured based on Simoa 4-plex E assay of plasma sample from the inclusion visit

    Measured: At inclusion

  4. Level of phosphorylated tau (p-tau) (concentration)

    Phosphorylated tau (p-tau) for detection of early AD-related tauopathy and disease staging ,will be measured based on ALZ-path Simoa p-tau 217 assay of plasma sample from the inclusion visit

    Measured: At inclusion

  5. Level of baseline cognition (mini-mental status examination)

    At inclusion the mini-mental status examination will be assessed by trained nurse and with possible scores between 0 and 30

    Measured: At inclusion

  6. Change in cognitive performance (mini-mental status examination)

    The mini-mental status examination will be extracted from memory clinic records from routine visits with the clinician at memory clinics

    Measured: From inclusion until last routine visit at the memory clinic within the 15 years following inclusion

  7. Level of baseline cognition (MemScreen)

    At inclusion the MemScreen digital cognitive test will be assessed by trained nurse and with possible scores between 0 and 34

    Measured: At inclusion

  8. Change in cognitive performance (MemScreen)

    The MemScreen will be extracted from memory clinic records from routine visits with the clinician at memory clinics

    Measured: From inclusion until last routine visit at the memory clinic within the 15 years following inclusion

  9. Level of limitations in basic activities of daily living

    At inclusion the number of limitations in activities of daily living ((dressing, walking, bathing, eating, continence, using toilet) will be assessed by trained nurse and with possible scores between 0 and 6

    Measured: At inclusion

  10. Change in limitations in basic activities of daily living

    Change since inception in the number of limitations in activities of daily living (dressing, walking, bathing, eating, continence, using toilet) will be examined. The number of limitations in activities of daily living will be extracted from memory clinic records from routine visits with the clinician at memory clinics

    Measured: From inclusion until last routine visit at the memory clinic within the 15 years following inclusion

  11. Level of limitations in instrumental activities of daily living

    At inclusion the number of limitations in activities of daily living (cooking, shopping for grocery, telephone calls, taking medication, using transports, managing money) will be assessed by trained nurse and with possible scores between 0 and 6

    Measured: At inclusion

  12. Change in limitations in instrumental activities of daily living

    Change since inception in the number of limitations in instrumental activities of daily living (cooking, shopping for grocery, telephone calls, taking medication, using transports, managing money) will be examined. The number of limitations in instrumental activities of daily living will be extracted from memory clinic records from routine visits with the clinician at memory clinics.

    Measured: From inclusion until last routine visit at the memory clinic within the 15 years following inclusion

  13. Incidence of institutionalization

    Information on entrance in institution (medical institution for long stay) will come from memory clinics records.

    Measured: From inclusion until last routine visit at the memory clinic within the 15 years following inclusion

  14. Incidence of hospitalisation

    Information on entrance in hospitalisation (planned or unplanned) will come from memory clinics records.

    Measured: From inclusion until last routine visit at the memory clinic within the 15 years following inclusion

  15. Incidence of death

    Information on death (date) will come from memory clinics records.

    Measured: From inclusion until last routine visit at the memory clinic within the 15 years following inclusion

Timeline

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

  1. First posted4 Aug 2023
  2. Study start6 Mar 2024
  3. Primary completionMar 2027 (estimated)
  4. Study completionMar 2042 (estimated)

Resources

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
Cohort
Time perspective
Prospective
Enrolment
1,200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05977712
Sponsor's protocol ID
APHP230740
Other IDs
2023-A01469-36
Acronym
CIRCAME
Status last verified
Feb 2026
First submitted
28 Jul 2023
Last updated
19 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Dementia, run by Assistance Publique - Hôpitaux de Paris at 2 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 3 inclusion and 4 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: looking for participants now, as of the sponsor's last update on 19 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Claire PAQUET, MDPhD (0140054313 ext. 33, claire.paquet@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dementia subtypes and stages (% at inclusion) (time frame: At inclusion). The study lists 4 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 19 Feb 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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