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Cerebral Small Vessel DiseaseNCT07726654

The Longitudinal Cohort of Cerebral Small Vessel Disease in Ruijin Hospital

An observational study of Cerebral Small Vessel Disease, run by Ruijin Hospital at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

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Trial summary

The goal of this observational study is to learn about neuroimage and biomarkers in the cerebral small vessel disease. The main questions it aims to answer are: How does neurovascular coupling change during the progression of CSVD? How is the pattern/mapping of alterations in CSVD biomarkers? Participants will be… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Cerebral Small Vessel Disease
How many people
400 participants
Where
1 siteChina
Study dates
8 Jul 2026to 31 Dec 2028
Phase
Observational

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: The population consists of vascular dementia, vascular mild cognitive impairment, and cognitively normal participants.

Who may be able to join

  • Age ≥18 years.
  • Evidence of cerebral small vessel disease (CSVD) on brain MRI, meeting at least one of the following imaging criteria:
  • White matter hyperintensities (WMH) with a total Fazekas score ≥2;
  • Fazekas score =1 with at least two vascular risk factors (hypertension, hyperlipidemia, diabetes mellitus, obesity, current smoking, or a history of vascular events other than stroke);
  • Fazekas score =1 accompanied by the presence of lacunes;
  • Imaging evidence of a recent subcortical lacunar infarction.
  • Independent in activities of daily living (modified Rankin Scale [mRS] ≤2).
  • Able and willing to provide written informed consent.

Who cannot join

  • Acute ischemic stroke with a diffusion-weighted imaging (DWI) lesion >20 mm in diameter.
  • Acute intracerebral hemorrhage.
  • Acute subarachnoid hemorrhage, a history of aneurysmal subarachnoid hemorrhage or cerebrovascular malformation, or the presence of an untreated intracranial aneurysm >3 mm in diameter.
  • Previously diagnosed neurodegenerative disorders, such as Alzheimer's disease (AD) or Parkinson's disease (PD).
  • Definite non-vascular white matter diseases, including multiple sclerosis, adult-onset leukodystrophy, metabolic encephalopathy, or other non-vascular white matter disorders.
  • Major psychiatric disorders diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
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  • Contraindications to MRI (e.g., severe claustrophobia or MRI-incompatible implants).
  • Severe systemic diseases (e.g., active malignancy) with an expected life expectancy of less than 5 years.
  • Inability to complete scheduled follow-up because of geographic, logistical, or other reasons.
  • Concurrent participation in another interventional clinical trial.

Trial locations and contacts

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

China1 site
  • Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine

    Shanghai, Shanghai Municipality, 200025

    Jingyan Tian, Dr, 13671865057, tjy11488@rjh.com.cn

    Jingwen Jiang, Dr.

Other trials in China

About this study

The goal of this observational study is to learn about neuroimage and biomarkers in the cerebral small vessel disease. The main questions it aims to answer are:

  • How does neurovascular coupling change during the progression of CSVD?
  • How is the pattern/mapping of alterations in CSVD biomarkers? Participants will be observed and visit the research center annually to perform multi-modal MRI, PET, neuropsychological tests, and blood tests.
Read the detailed description

This observational study recruits participants with cerebral small vessel disease (CSVD) from hospitals and community-based populations. Healthy volunteers will also be recruited as controls. Longitudinal follow-up of these participants will help clarify the significance of neuroimaging and biological biomarkers during the development and progression of CSVD.

The investigators aim to establish a longitudinal cohort covering the spectrum of CSVD and identify key biomarkers associated with disease progression and cognitive decline. All participants will undergo multimodal MRI, PET imaging (optional) with different tracers, and blood biomarker assessments. Using multimodal MRI, the investigators will investigate alterations in neurovascular coupling and their role in the pathophysiology of CSVD. In addition, PET imaging (optional) and blood biomarkers will be used to characterize the spatial and temporal patterns of disease-related biomarker changes. Furthermore, additional neuroimaging and digital biomarkers will be evaluated within the cohort to improve disease characterization and prognostic prediction.

Medical subject headings
Cerebral Small Vessel Diseases

What participants receive

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

Study groups in NCT07726654
Study groupRoleWhat they receive
Cognitively NormalParticipants do not have cognitive impairment.
Cerebral small vessel disease without dementiaParticipants have vascular cognitive impairment, but no cognitive impairment
Vascular Dementia (VaD)Participants have vascular cognitive impairment or difficulty in daily activity.

What is being measured

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

  1. Global cognitive ability

    Mini-mental state examination

    Measured: baseline, 1 year, 2-year, 3-year, 5-year,10-year

  2. Executive function

    Clock drawing test

    Measured: baseline, 1 year, 2-year, 3-year, 5-year,10-year

  3. Visual memory

    Rey-Osterich complex figure test

    Measured: baseline, 1 year, 2-year, 3-year, 5-year,10-year

  4. Short-term memory

    Auditory verbal learning test

    Measured: baseline, 1 year, 2-year, 3-year, 5-year,10-year

  5. Executive memory

    Symbol-digit test

    Measured: baseline, 1 year, 2-year, 3-year, 5-year,10-year

  6. Spatial executive function

    Trail making test

    Measured: baseline, 1 year, 2-year, 3-year, 5-year,10-year

  7. Naming ability

    Boston naming test

    Measured: baseline, 1 year, 2-year, 3-year, 5-year,10-year

  8. Language ability

    Language fluency test

    Measured: baseline, 1 year, 2-year, 3-year, 5-year,10-year

  9. Sleep quality

    Sleep disorder

    Measured: baseline, 1 year, 2-year, 3-year, 5-year,10-year

  10. Movement ability

    Part III of the Unified Parkinson's Disease Rating Scale

    Measured: baseline, 1 year, 2-year, 3-year, 5-year,10-year

Secondary outcomes (3)
  1. Brain volume

    Annual changes of volumes of brain

    Measured: baseline, 1 year, 2-year, 3-year, 5-year,10-year

  2. Connectivity integrity of the neural circuit

    Annual changes of hippocampus related neural connectivity

    Measured: baseline, 1 year, 2-year, 3-year, 5-year,10-year

  3. Volume of white matter lesions

    Structural and functional MRI measures, including arterial spin labeling (ASL), diffusion MRI (dMRI), susceptibility-weighted imaging (SWI) and fluid-attenuated inversion recovery (FLAIR).

    Measured: baseline, 1 year, 2-year, 3-year, 5-year,10-year

Timeline

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

  1. First posted24 Jul 2026
  2. Study start8 Jul 2026 (estimated)
  3. Primary completion30 Sep 2028 (estimated)
  4. Study completion31 Dec 2028 (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
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07726654
Sponsor's protocol ID
RJNeuroBank-SVD
Status last verified
Jun 2026
First submitted
10 Jul 2026
Last updated
24 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: There is not yet a plan to make IPD available to other researchers

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