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Frontotemporal Dementia, Behavioral VariantSELFSOCNCT07531732

Links Between Self-awareness and Sociocognitive Processes in Neurodegenerative Diseases

An observational study of Frontotemporal Dementia, Behavioral Variant and Alzheimer Disease, run by Assistance Publique - Hôpitaux de Paris at 1 site 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

This monocentric, non-interventional study (SELFSOC) investigates the relationship between self-awareness and social cognition in patients with behavioral variant frontotemporal dementia (bvFTD) and Alzheimer's disease (AD). Read more about this study

Who is it for?
Ages 50 to 80 years
What is being tested?
Computer-based facial expression recognition task, Computerized affective task and UCLA Structured Insight Interview
How many people
34 participants
Where
1 siteFrance
Study dates
Apr 2026to Dec 2027
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 50 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Adult patients diagnosed with behavioral variant frontotemporal lobar degeneration (bvFTD) or Alzheimer's disease (AD) at a mild to moderate stage.

Who may be able to join

  • Diagnosis of possible or probable behavioral variant frontotemporal dementia according to the Rascovsky 2011 criteria (DLFTvc group) OR
  • Diagnosis of Alzheimer's disease according to the Jack 2018 criteria, including biomarkers (MA group)
  • Mini-Mental State Examination (MMSE) ≥ 20
  • Age: 50-80 years
  • Sufficient reading and writing proficiency in French to enable completion of the study procedures, in the investigator's opinion

Who cannot join

  • Moderate to severe language disorders: Confrontation naming (DO 40 scale) ≤ 32
  • Inability to perform computerized tasks according to the investigator's opinion
  • Other neurological disorders (including epilepsy, Lewy body disease, vascular dementia)
  • Psychiatric comorbidities (bipolar disorder, schizophrenia, current major depressive episode)
  • Uncorrected visual impairment

Trial locations and contacts

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

Emmanuel Cognat, MD PhD contact

+33 (0) 1 40 05 49 54

emmanuel.cognat@aphp.fr

France1 site, 1 recruiting
  • Cognitive Neurology Center, Lariboisière-Fernand Widal Hospital Group, APHP

    Paris, 75010

    Emmanuel Cognat, MD PhD, +33 (0) 1 40 05 49 54, emmanuel.cognat@aphp.fr

    Recruiting

Other trials in France

About this study

Official title: Study of the Links Between Self-awareness and Sociocognitive Processes in Neurodegenerative Diseases in People With Frontotemporal Lobar Degeneration, Behavioral Variant and Alzheimer's Disease

This monocentric, non-interventional study (SELFSOC) investigates the relationship between self-awareness and social cognition in patients with behavioral variant frontotemporal dementia (bvFTD) and Alzheimer's disease (AD).

The primary objective is to assess metacognitive efficiency related to social cognitive performance using a computerized facial emotion recognition task combined with confidence judgments. Metacognitive indices (including Mratio) will quantify the correspondence between subjective and objective performance.

Thirty-four participants (17 bvFTD, 17 AD; age 50-80; MMSE ≥20) will complete two study visits involving tasks assessing emotion recognition, theory of mind, and memory.

Read the detailed description

Self-awareness impairments are common in neurodegenerative diseases, yet their relationship with social cognition remains poorly understood. This study aims to characterize metacognitive processes associated with social cognition in bvFTD and AD, and to determine whether these processes differ across diagnostic groups.

The primary objective is to evaluate metacognitive efficiency during a facial emotion recognition task using trial-by-trial retrospective confidence judgments, allowing computation of Mratio. This index reflects the alignment between perceived and actual performance.

Secondary objectives include: (1) assessing additional metacognitive measures (prospective and global judgments), (2) comparing metacognition between bvFTD and AD, (3) examining correlations between metacognitive judgments and social cognitive performance, (4) testing domain specificity by comparing social cognition and memory, (5) evaluating the effect of task complexity, (6) assessing the impact of performance feedback, (7) comparing subjective versus objective metacognitive assessments, (8) investigating the role of anosognosia in AD, and (9) exploring associations with hypnotic suggestibility.

Participants will attend two visits (~2 hours each). The first visit includes eligibility assessment, sociodemographic data collection, and a computerized emotion recognition task with metacognitive judgments. The second visit includes additional computerized tasks assessing theory of mind and memory, and an optional hypnotic suggestibility assessment.

Statistical analyses will include between-group comparisons using non-parametric tests, within-subject analyses, and exploratory correlational and regression analyses.

Being tested
Computer-based facial expression recognition task, Computerized affective task, UCLA Structured Insight Interview, Barber's Standardized Suggestibility Scale
Keywords
Metacognition, Social cognition, Emotion recognition, Theory of Mind, Neuropsychology, Hypnotic suggestibility
Medical subject headings
Pick Disease of the Brain, Alzheimer Disease

What participants receive

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

  • Computer-based facial expression recognition taskBehavioural

    Eighteen facial photographs from the FACES database (Ebner et al., 2010) were selected, each depicting one of six emotions: joy, sadness, disgust, fear, anger, and neutral. For each face, the patient must identify the emotion being expressed by choosing from six verbal labels displayed on the screen.

  • Computerized affective taskBehavioural

    The task consists of 32 silent black-and-white videos featuring two characters interacting in a social situation, adapted from the Pierre and Marie task (Caillaud et al., 2020). Each video lasts between 8 and 9 seconds and shows one of the two characters experiencing a specific emotion. Patients will be asked to infer the emotion felt by that character. The emotions depicted are either positive or negative and vary in complexity: embarrassment, pride, anger, and surprise (8 videos for each emotion). After each video, the name of an emotion will appear on the screen, and patients will be asked to indicate whether the displayed emotion matches the one felt by the protagonist (half of the options will be congruent and the other half incongruent). The measured variable will be the rate of correct responses.

  • UCLA Structured Insight InterviewBehavioural

    The UCLA Structured Insight Interview (Mendez \& Shapira, 2011), translated into French, will be used to quantify anosognosia. This is a structured interview, conducted by the investigator, designed to assess patients' awareness of their symptoms in cases of neurodegenerative disease.

  • Barber's Standardized Suggestibility ScaleBehavioural

    The participant, who must keep their eyes closed throughout the administration of the scale, receives a standardized series of suggestions read aloud by the experimenter in a specific order. These suggestions pertain to motor, sensory, verbal, and mnemonic responses (lowering or raising the arm, clenching the hands, feeling thirsty, speech inhibition, immobility, post-hypnotic response, and amnesia).The scale consists of 8 items and is therefore scored on a scale of 0 to 8 : minimum score 0/8 = no suggestibility; maximum score 8/8 = maximum suggestibility.

Study groups in NCT07531732
Study groupRoleWhat they receive
Behavioral Variant Frontotemporal Dementia (bvFTD)Participants diagnosed with behavioral variant frontotemporal dementia according to established clinical criteria (Rascovsky et al., 2011). Patients are aged 50-80 years with mild to moderate disease severity (MMSE ≥20).
Receives: Behavioral: Computer-based facial expression recognition task; Behavioral: Computerized affective task; Behavioral: UCLA Structured Insight Interview; Behavioral: Barber's Standardized Suggestibility Scale
Alzheimer's Disease (AD)Participants diagnosed with Alzheimer's disease based on biomarker-supported criteria (A+T+; Jack et al., 2018). Patients are aged 50-80 years with mild to moderate disease severity (MMSE ≥20).
Receives: Behavioral: Computer-based facial expression recognition task; Behavioral: Computerized affective task; Behavioral: UCLA Structured Insight Interview; Behavioral: Barber's Standardized Suggestibility Scale

What is being measured

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

  1. Metacognitive efficiency during facial emotion recognition (Mratio)

    Metacognitive efficiency (Mratio) derived from a computerized facial emotion recognition task with trial-by-trial retrospective confidence judgments. This measure quantifies the correspondence between subjective confidence and objective performance in social cognition.

    Measured: Day 0

Secondary outcomes (9)
  1. Prospective and global metacognitive judgments

    Assessment of metacognitive performance using prospective (pre-task) and global (post-task) confidence judgments related to social cognitive tasks.

    Measured: Day 0, with the second evaluation taking place between Day 1 and Day 20.

  2. Between-group differences in metacognitive efficiency

    Comparison of metacognitive indices (including Mratio) between bvFTD and Alzheimer's disease groups during social cognition tasks.

    Measured: Day 0, with the second evaluation taking place between Day 1 and Day 20

  3. Association between metacognition and social cognition performance

    Correlation between metacognitive judgments and objective performance on social cognition tasks (emotion recognition and theory of mind).

    Measured: Day 0, with the second evaluation taking place between Day 1 and Day 20

  4. Domain specificity of metacognition (social cognition vs memory)

    Comparison of metacognitive efficiency indices (Mratio) between social cognition tasks and memory tasks.

    Measured: A single evaluation conducted between Day 1 and Day 20

  5. Effect of task complexity on metacognitive performance

    Comparison of metacognitive performance across tasks of varying complexity (low-level emotion recognition vs higher-level theory of mind).

    Measured: A single evaluation conducted between Day 1 and Day 20

  6. Effect of feedback on metacognitive adjustment

    Evaluation of changes in metacognitive judgments following feedback on actual performance.

    Measured: Day 0, with the second evaluation taking place between Day 1 and Day 20

  7. Subjective versus objective metacognitive assessment

    Comparison between questionnaire-based (subjective) and task-based (objective) metacognitive measures and their relationship with social cognition.

    Measured: Day 0, with the second evaluation taking place between Day 1 and Day 20

  8. Impact of anosognosia on social cognition in Alzheimer's disease

    Comparison of social cognitive and metacognitive performance between Alzheimer's disease patients with and without anosognosia.

    Measured: Day 0, with the second evaluation taking place between Day 1 and Day 20

  9. Association between hypnotic suggestibility and metacognition

    Exploration of the relationship between hypnotic suggestibility scores and metacognitive performance in bvFTD and AD patients.

    Measured: A single optional evaluation conducted between Day 1 and Day 20

Timeline

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

  1. First posted15 Apr 2026
  2. Study startApr 2026 (estimated)
  3. Primary completionDec 2027 (estimated)
  4. Study completionDec 2027 (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
34 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07531732
Sponsor's protocol ID
APHP251424
Other IDs
2025-A02199-40
Acronym
SELFSOC
Status last verified
Apr 2026
First submitted
8 Apr 2026
Last updated
15 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Mendez MF, Shapira JS. Loss of emotional insight in behavioral variant frontotemporal dementia or "frontal anosodiaphoria". Conscious Cogn. 2011 Dec;20(4):1690-6. doi: 10.1016/j.concog.2011.09.005. Epub 2011 Sep 29.

    PubMed 21959203
  • Caillaud M, Bejanin A, Laisney M, Gagnepain P, Gaubert M, Viard A, Clochon P, de La Sayette V, Allain P, Eustache F, Desgranges B. Influence of emotional complexity on the neural substrates of affective theory of mind. Hum Brain Mapp. 2020 Jan;41(1):139-149. doi: 10.1002/hbm.24794. Epub 2019 Sep 30.

    PubMed 31566290
  • Ebner NC, Riediger M, Lindenberger U. FACES--a database of facial expressions in young, middle-aged, and older women and men: development and validation. Behav Res Methods. 2010 Feb;42(1):351-62. doi: 10.3758/BRM.42.1.351.

    PubMed 20160315
  • 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
  • Rascovsky K, Hodges JR, Knopman D, Mendez MF, Kramer JH, Neuhaus J, van Swieten JC, Seelaar H, Dopper EG, Onyike CU, Hillis AE, Josephs KA, Boeve BF, Kertesz A, Seeley WW, Rankin KP, Johnson JK, Gorno-Tempini ML, Rosen H, Prioleau-Latham CE, Lee A, Kipps CM, Lillo P, Piguet O, Rohrer JD, Rossor MN, Warren JD, Fox NC, Galasko D, Salmon DP, Black SE, Mesulam M, Weintraub S, Dickerson BC, Diehl-Schmid J, Pasquier F, Deramecourt V, Lebert F, Pijnenburg Y, Chow TW, Manes F, Grafman J, Cappa SF, Freedman M, Grossman M, Miller BL. Sensitivity of revised diagnostic criteria for the behavioural variant of frontotemporal dementia. Brain. 2011 Sep;134(Pt 9):2456-77. doi: 10.1093/brain/awr179. Epub 2011 Aug 2.

    PubMed 21810890

Questions about this trial

What is this clinical trial studying?

An observational study of Frontotemporal Dementia, Behavioral Variant and Alzheimer Disease, run by Assistance Publique - Hôpitaux de Paris 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 5 inclusion and 5 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 15 Apr 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?

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 Emmanuel Cognat, MD PhD (+33 (0) 1 40 05 49 54, emmanuel.cognat@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Metacognitive efficiency during facial emotion recognition (Mratio) (time frame: Day 0). 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 NCT07531732, 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 15 Apr 2026.

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