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Amyotrophic Lateral SclerosisNCT06566651

Emotion Processing Among Patients With ALS

An observational study of Amyotrophic Lateral Sclerosis and Neuromuscular Diseases, run by University of Aarhus at 2 sites in Denmark.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The goal of this observational study is to learn about the emotional perception in people with ALS disease compared to people with other neuromuscular disease and healthy controls. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Emotion Discrimination Task (EDT)
How many people
180 participants
Where
2 sitesDenmark
Study dates
15 Dec 2023to 30 Jun 2026
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: * Residents of Aarhus and Aalborg * Patients at Aarhus University Hospital * Patients at Aalborg University Hospital

Who may be able to join

  • ALS patients, ambulant and hospitalized
  • Able to give informed consent
  • Diagnosed with ALS or probable ALS according to the existing revision of the El Escorial Criteria 21,22.
  • Patients with a peripheral neuromuscular disease, ambulant and hospitalized
  • Able to give informed consent
  • Diagnosed with a peripheral neuromuscular disease, that does not affect CNS, including but not limited to Myasthenia Gravis and polyneuropathy
Show all 9Show fewer
  • Healthy controls
  • Able to give informed consent
  • Age and gender matched to ALS patients

Who cannot join

  • All Participants
  • Other severe medical, neurological, or psychiatric disorders
  • Visual impairment to an extent that interferes with the ability to perform of the test
  • Severe motor or cognitive deficits, to the extent that the test-task cannot be performed
  • Alcohol or drug abuse to an extent the interferes with task performance
  • Patients with a peripheral neuromuscular disease
Show all 10Show fewer
  • ● Familial predisposition to ALS
  • Healthy controls
  • Familial predisposition to ALS (first degree relatives)
  • Medical treatment that affects the central nervous system (e.g., antidepressants)

Trial locations and contacts

2 sites in 1 country.

Mia B Heintzelmann, Cand.med contact

78454255

minielse@rm.dk

Camilla Hakala, Bach.psych contact

26332857

caha@cfin.au.dk

Denmark2 sites, 2 recruiting
  • Aalborg University Hospital

    Aalborg, Region Nordjulland, 9000

    Jakob U Blicher, Ph.D, 78469939, jbli@cfin.au.dk

    Not yet recruiting
  • Aarhus University Hospital

    Aarhus, Central Jutland, 8200

    Mia B Heintzelmann, Cand.med, 78454255, minielse@rm.dk

    Recruiting

Other trials in Denmark

About this study

Official title: Emotion and Interoception Processing in ALS

The goal of this observational study is to learn about the emotional perception in people with ALS disease compared to people with other neuromuscular disease and healthy controls. The main questions it aims to answer are:

  • How people with ALS judge happy and angry faces and what their "insight" into these judgements are like
  • How their autonomic responses differ from the other two test group Participants will asked to judge if a face presents a happy emotion or angry emotion.

Researchers will compare the ALS group responses with neuromuscular diseases group and healthy control group responses to see if the ALS group judge more happy faces than angry.

Read the detailed description

Mild cognitive and behavioral changes occur in 35% of ALS patients and 10-15% of patients meet the criteria for FTD1-4. Recent research suggests changes in emotional perception and social cognition are a part of the neuropsychological changes in ALS, possibly associated with cognitive and behavioral symptoms seen in ALS-FTD5-9.

The aim of this project is to investigate emotional perception in ALS patients compared to healthy controls and patients with other neuromuscular diseases that do not affect the central nervous system. We use a simple emotion discrimination task to evaluate emotional bias and metacognition of emotion discrimination. Moreover, this project aims to explore the correlation between emotion perception and autonomic reactivity in ALS patients by recording heart rate frequency and respiration frequency during the EDT.

The project will contribute with deeper insights to the neuropsychological changes in ALS patients and the opportunity to quantify these changes. Thereby, the project will add new perspectives to the discussion of how we evaluate socio-emotional aspects of ALS in both clinical decision-making, guidance of relatives and future research.

Being tested
Emotion Discrimination Task (EDT)
Keywords
Amyotrophic Lateral Sclerosis, Neuromuscular Diseases, Emotion Perception, Emotion Processing, Emotion Recognition, Autonomic Responses, Respiratory Responses, Heart rate, Emotion Discrimination Task, ALS, Motorneuron disease, MND
Medical subject headings
Amyotrophic Lateral Sclerosis, Neuromuscular Diseases, Motor Neuron Disease

What participants receive

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

  • Emotion Discrimination Task (EDT)Other

    It estimates the subjective bias and sensitivity in discriminating between happy and angry facial expressions of different intensities of emotional expression

Study groups in NCT06566651
Study groupRoleWhat they receive
Amyotrophic Lateral Sclerosis (ALS)People diagnosed or suspected of having the neurodegenerative disease Amyotrophic Lateral Sclerosis (ALS)
Receives: Other: Emotion Discrimination Task (EDT)
NeuromuscularPeople diagnosed with a neuromuscular disease other than ALS
Receives: Other: Emotion Discrimination Task (EDT)
ControlHealthy people
Receives: Other: Emotion Discrimination Task (EDT)

What is being measured

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

  1. The perception of facial emotions measured using an Emotion Discrimination Task (EDT).

    The EDT requires subjects to assess the facial emotion of a face stimulus and report whether the facial emotion was angry or happy. This will be the operationalisation of subjects' emotion perception, which we anticipate will reveal a bias towards positive perceptions. There is thus two scores on this scale: "Angry" and "Happy". There is no one of these scores that is "better" than the other. It is an nominal categorical scare.

    Measured: 20 minutes

  2. Metacognitive sensitivity measured using a retrospective confidence rating scale

    Metacognitive insight will be operationalized through a metacognitive sensitivity measure. The method employed for this is a confidence rating measure, where subjects assess their own performance on the EDT. Subjects will indicate on a sliding scale, ranging from "very confident" (maximum score) to a "pure guess" (minimum score), how confident they are that their previous answer was correct. Generally higher scores on this scale is considered better. This scales title is: " Confidence Rating Scale".

    Measured: 20 minutes

Secondary outcomes (2)
  1. Subjects' heart rate is monitored throughout the EDT

    Subjects heart rate is measured through a standard 3-lead electrocardiogram montage. Electrodes were place on both collarbones and on the left lower rib.

    Measured: 20 minutes

  2. Subjects' respiration is monitored throughout the EDT

    Subjects' respiration is measured using a respiratory belt around the upper torso.

    Measured: 20 minutes

Timeline

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

  1. First posted22 Aug 2024
  2. Study start15 Dec 2023
  3. Primary completion30 Jun 2026 (estimated)
  4. Study completion30 Jun 2026 (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
Case-control
Time perspective
Cross-sectional
Enrolment
180 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06566651
Sponsor's protocol ID
emotionperceptionALS11072308
Status last verified
Aug 2024
First submitted
28 Nov 2023
Last updated
22 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: All collected IPD. Once the data is fully anonymized, they may be released on public scientific repositories such as Github or Figshare.

Publications

  • Swinnen B, Robberecht W. The phenotypic variability of amyotrophic lateral sclerosis. Nat Rev Neurol. 2014 Nov;10(11):661-70. doi: 10.1038/nrneurol.2014.184. Epub 2014 Oct 14.

    PubMed 25311585
  • Sedda A. Disorders of emotional processing in amyotrophic lateral sclerosis. Curr Opin Neurol. 2014 Dec;27(6):659-65. doi: 10.1097/WCO.0000000000000147.

    PubMed 25333604
  • Strong MJ, Abrahams S, Goldstein LH, Woolley S, Mclaughlin P, Snowden J, Mioshi E, Roberts-South A, Benatar M, HortobaGyi T, Rosenfeld J, Silani V, Ince PG, Turner MR. Amyotrophic lateral sclerosis - frontotemporal spectrum disorder (ALS-FTSD): Revised diagnostic criteria. Amyotroph Lateral Scler Frontotemporal Degener. 2017 May;18(3-4):153-174. doi: 10.1080/21678421.2016.1267768. Epub 2017 Jan 5.

    PubMed 28054827
  • Strong MJ, Yang W. The frontotemporal syndromes of ALS. Clinicopathological correlates. J Mol Neurosci. 2011 Nov;45(3):648-55. doi: 10.1007/s12031-011-9609-0. Epub 2011 Aug 2.

    PubMed 21809041
  • Bora E. Meta-analysis of social cognition in amyotrophic lateral sclerosis. Cortex. 2017 Mar;88:1-7. doi: 10.1016/j.cortex.2016.11.012. Epub 2016 Dec 5.

    PubMed 28002755
  • Martins AP, Prado LGR, Lillo P, Mioshi E, Teixeira AL, de Souza LC. Deficits in Emotion Recognition as Markers of Frontal Behavioral Dysfunction in Amyotrophic Lateral Sclerosis. J Neuropsychiatry Clin Neurosci. 2019 Spring;31(2):165-169. doi: 10.1176/appi.neuropsych.18040086. Epub 2018 Dec 12.

    PubMed 30537912
  • Oh SI, Oh KW, Kim HJ, Park JS, Kim SH. Impaired Perception of Emotional Expression in Amyotrophic Lateral Sclerosis. J Clin Neurol. 2016 Jul;12(3):295-300. doi: 10.3988/jcn.2016.12.3.295. Epub 2016 Apr 19.

    PubMed 27095526
  • Zimmerman EK, Eslinger PJ, Simmons Z, Barrett AM. Emotional perception deficits in amyotrophic lateral sclerosis. Cogn Behav Neurol. 2007 Jun;20(2):79-82. doi: 10.1097/WNN.0b013e31804c700b.

    PubMed 17558250
  • Lule D, Kurt A, Jurgens R, Kassubek J, Diekmann V, Kraft E, Neumann N, Ludolph AC, Birbaumer N, Anders S. Emotional responding in amyotrophic lateral sclerosis. J Neurol. 2005 Dec;252(12):1517-24. doi: 10.1007/s00415-005-0907-8. Epub 2005 Jun 24.

    PubMed 15977000
  • Crespi C, Cerami C, Dodich A, Canessa N, Arpone M, Iannaccone S, Corbo M, Lunetta C, Scola E, Falini A, Cappa SF. Microstructural white matter correlates of emotion recognition impairment in Amyotrophic Lateral Sclerosis. Cortex. 2014 Apr;53:1-8. doi: 10.1016/j.cortex.2014.01.002. Epub 2014 Jan 18.

    PubMed 24534360
  • Lule D, Diekmann V, Anders S, Kassubek J, Kubler A, Ludolph AC, Birbaumer N. Brain responses to emotional stimuli in patients with amyotrophic lateral sclerosis (ALS). J Neurol. 2007 Apr;254(4):519-27. doi: 10.1007/s00415-006-0409-3. Epub 2007 Mar 31.

    PubMed 17401515
  • Aho-Ozhan HE, Keller J, Heimrath J, Uttner I, Kassubek J, Birbaumer N, Ludolph AC, Lule D. Perception of Emotional Facial Expressions in Amyotrophic Lateral Sclerosis (ALS) at Behavioural and Brain Metabolic Level. PLoS One. 2016 Oct 14;11(10):e0164655. doi: 10.1371/journal.pone.0164655. eCollection 2016.

    PubMed 27741285
  • Finegan E, Chipika RH, Li Hi Shing S, Hardiman O, Bede P. Pathological Crying and Laughing in Motor Neuron Disease: Pathobiology, Screening, Intervention. Front Neurol. 2019 Mar 21;10:260. doi: 10.3389/fneur.2019.00260. eCollection 2019.

    PubMed 30949121
  • Caga J, Hsieh S, Lillo P, Dudley K, Mioshi E. The Impact of Cognitive and Behavioral Symptoms on ALS Patients and Their Caregivers. Front Neurol. 2019 Mar 11;10:192. doi: 10.3389/fneur.2019.00192. eCollection 2019.

    PubMed 30915018
  • de Wit J, Bakker LA, van Groenestijn AC, van den Berg LH, Schroder CD, Visser-Meily JMA, Beelen A. Caregiver burden in amyotrophic lateral sclerosis: A systematic review. Palliat Med. 2018 Jan;32(1):231-245. doi: 10.1177/0269216317709965. Epub 2017 Jul 3.

    PubMed 28671483

Questions about this trial

What is this clinical trial studying?

An observational study of Amyotrophic Lateral Sclerosis and Neuromuscular Diseases, run by University of Aarhus at 2 sites in Denmark.

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 9 inclusion and 10 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: status not confirmed, as of the sponsor's last update on 22 Aug 2024. 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 Denmark. 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?

Results are not available in the source record.

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

Contact Mia B Heintzelmann, Cand.med (78454255, minielse@rm.dk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The perception of facial emotions measured using an Emotion Discrimination Task (EDT). (time frame: 20 minutes). 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 NCT06566651, which also lists 22 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 Aug 2024.

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