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出境医 / 临床实验 / Longitudinal Innate Immunity and Aging Study (LIIA)

Longitudinal Innate Immunity and Aging Study (LIIA)

Study Description
Brief Summary:
This study plans to examine biological bases of cognitive aging. The goals of the study are to better understand how immune system markers, measured in the blood and in the spinal fluid, are related to clinical features of aging over time. The study also aims to better understand how different types of biomarkers may relate to immune health and the aging process. This research may ultimately help us better understand what puts individuals at risk for cognitive decline and for Alzheimer's disease.

Condition or disease
Healthy Older Adults Ages 60-89

Study Design
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Study Type : Observational
Estimated Enrollment : 300 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Investigating the Contribution of Peripheral Versus Central Nervous System Dysfunction to Cognitive Aging
Actual Study Start Date : April 30, 2019
Estimated Primary Completion Date : March 31, 2024
Estimated Study Completion Date : March 31, 2024
Arms and Interventions
Outcome Measures
Primary Outcome Measures :
  1. Levels of Immune Protein Markers in Blood and CSF [ Time Frame: 2-Year Changes ]
    Outcome measures will include longitudinal changes in protein levels of blood inflammation and CSF inflammation

  2. Performance on Neuropsychological Measures [ Time Frame: 2-Year Changes ]
    Outcome measures will include longitudinal changes in cognitive measures (e.g., memory and executive functions) over time

  3. Levels of Exosomal Innate Immune Markers in Blood and CSF [ Time Frame: 2-Year Changes ]
    Outcome measures will include longitudinal changes in innate immune markers in exosomes (i.e., extracellular vesicles)


Secondary Outcome Measures :
  1. Brain Structure [ Time Frame: Baseline ]
    Outcome measures will include baseline structural brain imaging

  2. CSF Levels of Alzheimer's Disease Related Markers [ Time Frame: 2-year change ]
    Outcome measures will include CSF levels of proteins associated with Alzheimer's disease pathology


Eligibility Criteria
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Ages Eligible for Study:   60 Years to 89 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Healthy older adults
Criteria

Inclusion Criteria:

  1. Between ages of 60-89
  2. Have a reliable study partner who has frequent contact with the subject (i.e., at least twice per month) and is able to provide information about functional abilities
  3. Mini Mental State Examination (MMSE) >23
  4. Clinical Dementia Rating (CDR) global score of 0
  5. No informant report of significant cognitive decline in prior year
  6. No evidence from the screening visit suggesting a neurodegenerative disorder (per team neurologist)
  7. Willingness to complete both baseline and 2-year follow-up procedures

Exclusion Criteria:

  1. Major psychiatric disorder (e.g. schizophrenia, bipolar disorder, untreated major depression within past year)
  2. Neurological conditions affecting cognition (e.g. Parkinson's disease, epilepsy (onset prior than 2 years ago), head trauma with loss of consciousness >5 min within past two years, large vessel infarct, mild cognitive impairment, or dementia)
  3. CNS immune conditions and other conditions affecting cognition (e.g., multiple sclerosis, paraneoplastic encephalitides; Hashimoto's encephalopathy; systematic lupus erythematosus)
  4. Systematic illness (e.g.,current cancer, renal failure, respiratory failure)
  5. Substance abuse/dependence (DSM-V criteria)
  6. Current medication use likely to affect CNS (e.g., long-acting benzodiazepines, neuroleptics in the phenothiazine and haloperidol families)
  7. Current medication use that precludes lumbar punctures (e.g. anticoagulants, antiplatelets, heparin shots, or some other blood thinner medications: Warfarin [coumadin], Pradaxa [dabigatran], Xarelto [rivaroxaban]. Eliquis [apixaban], or Plavix [clopidogrel].
  8. Significant sensory or motor deficits that would interfere with cognitive testing
  9. Factors that preclude MR imaging (e.g., pacemaker)
  10. Factors that preclude lumbar puncture
Contacts and Locations

Contacts
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Contact: Neurology Reserach Partners 303-724-4644 neurologyresearchpartners@ucdenver.edu
Contact: Michelle Stocker 303-724-2048 michelle.stocker@cuanschutz.edu

Locations
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United States, Colorado
University of Colorado Anschutz Medical Campus Recruiting
Aurora, Colorado, United States, 80045
Contact: Michelle Stocker    303-724-2048    michelle.stocker@cuanschutz.edu   
Sponsors and Collaborators
University of Colorado, Denver
National Institute on Aging (NIA)
Tracking Information
First Submitted Date April 4, 2019
First Posted Date May 9, 2019
Last Update Posted Date May 21, 2021
Actual Study Start Date April 30, 2019
Estimated Primary Completion Date March 31, 2024   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: May 8, 2019)
  • Levels of Immune Protein Markers in Blood and CSF [ Time Frame: 2-Year Changes ]
    Outcome measures will include longitudinal changes in protein levels of blood inflammation and CSF inflammation
  • Performance on Neuropsychological Measures [ Time Frame: 2-Year Changes ]
    Outcome measures will include longitudinal changes in cognitive measures (e.g., memory and executive functions) over time
  • Levels of Exosomal Innate Immune Markers in Blood and CSF [ Time Frame: 2-Year Changes ]
    Outcome measures will include longitudinal changes in innate immune markers in exosomes (i.e., extracellular vesicles)
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: May 8, 2019)
  • Brain Structure [ Time Frame: Baseline ]
    Outcome measures will include baseline structural brain imaging
  • CSF Levels of Alzheimer's Disease Related Markers [ Time Frame: 2-year change ]
    Outcome measures will include CSF levels of proteins associated with Alzheimer's disease pathology
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Longitudinal Innate Immunity and Aging Study
Official Title Investigating the Contribution of Peripheral Versus Central Nervous System Dysfunction to Cognitive Aging
Brief Summary This study plans to examine biological bases of cognitive aging. The goals of the study are to better understand how immune system markers, measured in the blood and in the spinal fluid, are related to clinical features of aging over time. The study also aims to better understand how different types of biomarkers may relate to immune health and the aging process. This research may ultimately help us better understand what puts individuals at risk for cognitive decline and for Alzheimer's disease.
Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Healthy older adults
Condition Healthy Older Adults Ages 60-89
Intervention Not Provided
Study Groups/Cohorts Not Provided
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: May 8, 2019)
300
Original Estimated Enrollment Same as current
Estimated Study Completion Date March 31, 2024
Estimated Primary Completion Date March 31, 2024   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  1. Between ages of 60-89
  2. Have a reliable study partner who has frequent contact with the subject (i.e., at least twice per month) and is able to provide information about functional abilities
  3. Mini Mental State Examination (MMSE) >23
  4. Clinical Dementia Rating (CDR) global score of 0
  5. No informant report of significant cognitive decline in prior year
  6. No evidence from the screening visit suggesting a neurodegenerative disorder (per team neurologist)
  7. Willingness to complete both baseline and 2-year follow-up procedures

Exclusion Criteria:

  1. Major psychiatric disorder (e.g. schizophrenia, bipolar disorder, untreated major depression within past year)
  2. Neurological conditions affecting cognition (e.g. Parkinson's disease, epilepsy (onset prior than 2 years ago), head trauma with loss of consciousness >5 min within past two years, large vessel infarct, mild cognitive impairment, or dementia)
  3. CNS immune conditions and other conditions affecting cognition (e.g., multiple sclerosis, paraneoplastic encephalitides; Hashimoto's encephalopathy; systematic lupus erythematosus)
  4. Systematic illness (e.g.,current cancer, renal failure, respiratory failure)
  5. Substance abuse/dependence (DSM-V criteria)
  6. Current medication use likely to affect CNS (e.g., long-acting benzodiazepines, neuroleptics in the phenothiazine and haloperidol families)
  7. Current medication use that precludes lumbar punctures (e.g. anticoagulants, antiplatelets, heparin shots, or some other blood thinner medications: Warfarin [coumadin], Pradaxa [dabigatran], Xarelto [rivaroxaban]. Eliquis [apixaban], or Plavix [clopidogrel].
  8. Significant sensory or motor deficits that would interfere with cognitive testing
  9. Factors that preclude MR imaging (e.g., pacemaker)
  10. Factors that preclude lumbar puncture
Sex/Gender
Sexes Eligible for Study: All
Ages 60 Years to 89 Years   (Adult, Older Adult)
Accepts Healthy Volunteers Yes
Contacts
Contact: Neurology Reserach Partners 303-724-4644 neurologyresearchpartners@ucdenver.edu
Contact: Michelle Stocker 303-724-2048 michelle.stocker@cuanschutz.edu
Listed Location Countries United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT03944603
Other Study ID Numbers 18-2607
R01AG058772 ( U.S. NIH Grant/Contract )
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Responsible Party University of Colorado, Denver
Study Sponsor University of Colorado, Denver
Collaborators National Institute on Aging (NIA)
Investigators Not Provided
PRS Account University of Colorado, Denver
Verification Date May 2021