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DementiaINDENCT06375213

Investigating Neurocognitive Disorders Epidemiology

An observational study of Dementia and Cognitive Decline, run by King Chulalongkorn Memorial Hospital at 1 site in Thailand.

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

This is a prospective cohort study with the main purpose of predicting progression neurocognitive disorders in Thai population. The main predictor variables to be evaluated are plasma phosphorylated tau (p-tau) level and cognitive test scores, which will be combined using statistical/computational modeling. Read more about this study

Who is it for?
Ages 35 years and olderHealthy volunteers can take part
Conditions the study is for
Dementia, Cognitive Decline, Alzheimer Disease
What is being tested?
Plasma tau phosphorylated at Thr217 and Neurocognitive examination
Type of treatment
Injection or infusion
How many people
990 participants
Where
1 siteThailand
Study dates
24 Aug 2023to 24 Aug 2035
How long will I take part?
8 Years
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 35 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The target population of this study comprises individuals with a risk of cognitive decline in Thailand categorized by their cognitive status.

Who may be able to join

  • Demonstrate normal cognitive function within the expected range on objective cognitive tests.
  • Proficient in speaking and understanding Thai without the need for a translator to participate.
  • Display impaired/abnormal performance on objective cognitive tests.
  • Does not meet criteria for dementia per NIA-AA (or major neurocognitive disorder per DSM-5).
  • Proficient in speaking and understanding Thai without the need for a translator to participate.
  • Display impaired/abnormal performance on objective cognitive tests.
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  • Meets criteria for dementia per NIA-AA (or major neurocognitive disorder per DSM-5), including dementia due to Alzheimer's disease or other causes.
  • Begins to experience symptoms, identified by the physician as a part of dementia continuum, occurring after the age of 65.
  • Proficient in speaking and understanding Thai without the need for a translator to participate.
  • Display impaired/abnormal performance on objective cognitive tests.
  • Meets criteria for dementia per NIA-AA (or major neurocognitive disorder per DSM-5), including dementia due to Alzheimer's disease or other causes.
  • Begins to experience symptoms, identified by the physician as a part of dementia continuum, occurring before the age of 65.
  • Proficient in speaking and understanding Thai without the need for a translator to participate.

Who cannot join

  • Significant neurological or uncontrolled psychiatric illness.
  • Significant unstable systemic condition or end-stage organ failure that affects study participation.
  • Mild Cognitive Impairment
  • Significant neurological or uncontrolled psychiatric illness.
  • Significant unstable systemic condition or end-stage organ failure that affects study participation.
  • Late Onset Dementia
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  • Significant neurological or uncontrolled psychiatric illness.
  • Significant unstable systemic condition or end-stage organ failure that affects study participation.
  • Early Onset Dementia
  • Significant neurological or uncontrolled psychiatric illness.
  • Significant unstable systemic condition or end-stage organ failure that affects study participation.

Trial locations and contacts

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

Poosanu Thanapornsangsuth, M.D. contact

+66 (0)2 2564000 ext. 3561

poosanu.t@chula.ac.th

Thanakit Pongpitakmetha, M.D. contact

thanakit.p@chula.ac.th

Thailand1 site, 1 recruiting
  • King Chulalongkorn Memorial Hospital

    Pathum Wan, Bangkok, 10330

    Adipa Chongsuksantikul, D.Eng., +66 (0)84 1134443, adipar@gmail.com

    Recruiting

Other trials in Thailand

About this study

This is a prospective cohort study with the main purpose of predicting progression neurocognitive disorders in Thai population. The main predictor variables to be evaluated are plasma phosphorylated tau (p-tau) level and cognitive test scores, which will be combined using statistical/computational modeling. Additionally, it seeks to evaluate biomarkers for diagnosing disease pathologies, understand their correlation with clinical outcomes, and explore the socioeconomic impact of neurocognitive disorders. The study invites both participants for biospecimen collection, structured interviews, and cognitive examinations and schedules follow-up visits annually or biennially.

Read the detailed description

The INDE study is a prospective cohort aimed at investigating the natural history and epidemiology of neurocognitive disorders in Thailand. Its primary objective is to develop a predictive model that combines biomarkers (eg. plasma phosphorylated tau) and cognitive performance to accurately predict cognitive decline. Additional objectives include cross-sectional evaluation of various biomarkers for diagnosing disease pathologies, identifying correlations between biomarkers and clinical outcomes, understanding the impact of receiving a biological diagnosis, describing the epidemiology of neurocognitive disorders including risk factors and social determinants of health (SDH), exploring the socioeconomic consequences of these disorders, and establishing a biorepository for future research. The study invites both healthy volunteers and patients referred from memory clinics to participate in a 4-hour visit during which various research procedures are conducted: collection of biospecimens (blood, saliva, sweat), structured interviews covering symptoms, comorbidities, risk factors, SDH, and quality of life, as well as a comprehensive cognitive examination. Participants are scheduled for annual or biennial follow-up visits based on their cognitive status. For those consenting to specific disclosures, investigators provide some biomarker test results and offer post-test counseling based on available research literature. Depending on current funding, a subset of participants meeting additional criteria may also undergo evaluation using appropriate neuroimaging or cerebrospinal fluid (CSF) biomarkers.

Being tested
Plasma tau phosphorylated at Thr217, Neurocognitive examination
Medical subject headings
Dementia, Cognitive Dysfunction, Alzheimer Disease

What participants receive

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

  • Plasma tau phosphorylated at Thr217Diagnostic test

    Also called S-PLEX Human Tau (pT217) Kit, ALZpath pTau-217 CARe Advantage Kit

    Plasma concentration of tau protein phosphorylated at Thr217 as measured on the Meso Scale Discovery, single molecule array (Simoa) or the in-house mass spectrometry platform.

  • Neurocognitive examinationOther

    Traditional (paper and pencil) neurocognitive/neuropsychiatric examination performed by certified psychologists. This includes: Mini Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Clinical Dementia Rating (CDR), Wechsler Memory Scale - Fourth Edition (WMS-IV), Neuropsychiatric Inventory - Questionnaire (NPI-Q), Thai Geriatric Depression Scale (TGDS), General Anxiety Disorder - 7 (GAD-7), The Barthel activities of daily living (ADL) Index, Chula ADL Index.

Study groups in NCT06375213
Study groupRoleWhat they receive
Cognitively healthyThis cohort includes participants with or without subjective complaints whose results of cognitive examination are normal. Participants will undergo clinical, epidemiological, and cognitive assessments, as well as biospecimen collection every two years, over an 8-year follow-up period.
Receives: Diagnostic Test: Plasma tau phosphorylated at Thr217; Other: Neurocognitive examination
Mild cognitive impairmentThis cohort includes participants whose results of cognitive examination are abnormal but have not met the criteria for dementia. Participants will undergo annual clinical, epidemiological, and cognitive assessments, as well as biospecimen collection, for a duration of six years.
Receives: Diagnostic Test: Plasma tau phosphorylated at Thr217; Other: Neurocognitive examination
Late onset dementiaThis cohort includes participants with dementia whose symptoms onset after the age of 65. Participants will undergo annual clinical, epidemiological, and cognitive assessments, as well as biospecimen collection, for a duration of two years.
Receives: Diagnostic Test: Plasma tau phosphorylated at Thr217; Other: Neurocognitive examination
Early onset dementiaThis cohort includes participants with dementia whose symptoms onset before the age of 65. Participants will undergo annual clinical, epidemiological, and cognitive assessments, as well as biospecimen collection, for a duration of six years.
Receives: Diagnostic Test: Plasma tau phosphorylated at Thr217; Other: Neurocognitive examination

What is being measured

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

  1. Progression to dementia

    Fulfilling the criteria for dementia according to the National Institute on Aging and the Alzheimer's Association (NIA-AA) 2018 criteria or major neurocognitive disorder (according to DSM-5) as evaluated by neurologist with special interests in neurocognitive disorders. If such designation is not available, reaching a global CDR score of 1 will be used as a substitute. This outcome only applies to cognitively healthy and mild cognitive impairment cohort.

    Measured: At 2, 4, 6 and 8 years

  2. Changes in Sum of Boxes of the Clinical Dementia Rating Scale

    Administered by a certified psychologist in accordance with Morris, J.C. (1993).

    Minimum value: 0 Maximum value: 18 Higher scores mean a worse outcome.

    Measured: At 2, 4, 6 and 8 years

Secondary outcomes (11)
  1. Changes in the Montreal Cognitive Assessment

    Administered by a certified psychologist. Minimum value: 0 Maximum value: 30 Higher scores mean a better outcome.

    Measured: At 2, 4, 6 and 8 years

  2. Changes in the Montreal Cognitive Assessment - Memory Index Score

    Administered by a certified psychologist. Minimum value: 0 Maximum value: 15 Higher scores mean a better outcome.

    Measured: At 2, 4, 6 and 8 years

  3. Changes in the Mini Mental State Examination

    Administered by a certified psychologist. Minimum value: 0 Maximum value: 30 Higher scores mean a better outcome.

    Measured: At 2, 4, 6 and 8 years

  4. Changes in the Wechsler Memory Scale - Fourth Edition (WMS-IV) Visual Reproduction Scaled Score

    Administered by a certified psychologist. Minimum value: 1 Maximum value: 19 Higher scores mean a better outcome.

    Measured: At 2, 4, 6 and 8 years

  5. Changes in the Wechsler Memory Scale - Fourth Edition (WMS-IV) Logical Memory Scaled Score

    Administered by a certified psychologist. Minimum value: 1 Maximum value: 19 Higher scores mean a better outcome.

    Measured: At 2, 4, 6 and 8 years

  6. Changes in the Wechsler Memory Scale - Fourth Edition (WMS-IV) Verbal Paired Associates Scaled Score

    Administered by a certified psychologist. Minimum value: 1 Maximum value: 19 Higher scores mean a better outcome.

    Measured: At 2, 4, 6 and 8 years

  7. Biological diagnosis of Alzheimer's disease

    Receiving the diagnosis of Alzheimer's disease based on the abnormality of any pathology-specific biomarkers that fulfills the current NIA-AA criteria. These biomarkers include, but not limited to, amyloid positron emission tomography (PET) (eg. [18 F]-Florbetaben PET), tau-PET (eg. [18F]PI-2620 PET), or CSF levels of core Alzheimer's disease biomarkers.

    Measured: within 6 months of baseline measurement

  8. Biological staging of Alzheimer's disease

    Staging of Alzheimer's disease based on the abnormality of pathology-specific biomarkers according to the current NIA-AA criteria.

    Measured: within 6 months of baseline measurement

  9. Quantitative amyloid PET uptake.

    Amyloid PET uptake tracer uptake quantified in Centiloids.

    Measured: within 6 months of baseline measurement

  10. Quantitative tau PET uptake in various cortical regions.

    Cortical tau-PET uptake measured using mean standardized uptake value ratios of referenced against inferior cerebellar cortex. The pre-specified regions of interest are analogous with Braak staging (as suggested by Cho, H. (2016).):

    Stage I-II, entorhinal cortex; Stage III, parahippocampal and fusiform cortices, and amygdala; Stage IV, inferior and middle temporal cortices; Stage V, inferior parietal, posterior cingulate, lingual, orbitofrontal, insular, supramarginal, lateral occipital, superior temporal, precuneus, superior parietal, superior, middle, and inferior frontal, and anterior cingulate cortices; Stage VI, medial occipital, precentral, paracentral, and postcentral cortices.

    Measured: within 6 months of baseline measurement

  11. Future diagnosis of Alzheimer's disease dementia.

    All of the following:

    1. Fulfilling the criteria for dementia (NIA-AA 2018) or major neurocognitive disorder (DSM-5) as evaluated by neurologist with special interests in neurocognitive disorders. If such designation is not available, reaching a global CDR score of 1 will be used as a substitute.
    2. Receiving the diagnosis of Alzheimer's disease based on the abnormality of any pathology-specific biomarkers that fulfills the current NIA-AA criteria. These biomarkers include, but not limited to, amyloid-PET (eg. [18 F]-Florbetaben PET), tau-PET (eg. [18F]PI-2620 PET), or CSF levels of core Alzheimer's disease biomarkers.
    3. Conclusion made by a neurologist with special interests in neurocognitive disorders that dementia is predominately due to Alzheimer's disease.

    Measured: At 2, 4, 6 and 8 years

Timeline

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

  1. First posted19 Apr 2024
  2. Study start24 Aug 2023
  3. Primary completion24 Aug 2035 (estimated)
  4. Study completion24 Aug 2035 (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
990 participants (estimated)
Target duration
8 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT06375213
Sponsor's protocol ID
425/66
Acronym
INDE
Status last verified
Apr 2024
First submitted
16 Apr 2024
Last updated
22 Apr 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Cho H, Choi JY, Hwang MS, Kim YJ, Lee HM, Lee HS, Lee JH, Ryu YH, Lee MS, Lyoo CH. In vivo cortical spreading pattern of tau and amyloid in the Alzheimer disease spectrum. Ann Neurol. 2016 Aug;80(2):247-58. doi: 10.1002/ana.24711. Epub 2016 Jul 8.

    PubMed 27323247
  • Morris JC. The Clinical Dementia Rating (CDR): current version and scoring rules. Neurology. 1993 Nov;43(11):2412-4. doi: 10.1212/wnl.43.11.2412-a. No abstract available.

    PubMed 8232972
  • Jack CR Jr, Bennett DA, Blennow K, Carrillo MC, Dunn B, Haeberlein SB, Holtzman DM, Jagust W, Jessen F, Karlawish J, Liu E, Molinuevo JL, Montine T, Phelps C, Rankin KP, Rowe CC, Scheltens P, Siemers E, Snyder HM, Sperling R; Contributors. NIA-AA Research Framework: Toward a biological definition of Alzheimer's disease. Alzheimers Dement. 2018 Apr;14(4):535-562. doi: 10.1016/j.jalz.2018.02.018.

    PubMed 29653606
  • American Psychiatric Association. Neurocognitive disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). 2013.

  • Pattanaphesaj J, Thavorncharoensap M, Ramos-Goni JM, Tongsiri S, Ingsrisawang L, Teerawattananon Y. The EQ-5D-5L Valuation study in Thailand. Expert Rev Pharmacoecon Outcomes Res. 2018 Oct;18(5):551-558. doi: 10.1080/14737167.2018.1494574. Epub 2018 Jul 6.

    PubMed 29958008

Questions about this trial

What is this clinical trial studying?

An observational study of Dementia and Cognitive Decline, run by King Chulalongkorn Memorial Hospital at 1 site in Thailand.

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 13 inclusion and 11 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 22 Apr 2024. 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 Thailand. 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 Poosanu Thanapornsangsuth, M.D. (+66 (0)2 2564000 ext. 3561, poosanu.t@chula.ac.th), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression to dementia (time frame: At 2, 4, 6 and 8 years). The study lists 2 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 NCT06375213, which also lists 5 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 22 Apr 2024; AzTrials last refreshed its copy on 26 Oct 2026.

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