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The Predictive Turn in Alzheimer’s Disease: Ethical, Clinical, Linguistic and Legal Aspects

The Predictive Turn in Alzheimer’s Disease: Ethical, Clinical, Linguistic and Legal Aspects - PreTAD

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
DRKS
Registry ID
DRKS00029035
Enrollment
3150
Registered
2023-03-08
Start date
2023-03-01
Completion date
Unknown
Last updated
2026-06-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Subjective cognitive decline (SCD) G30.9

Interventions

Group 1: a) Cognitively healthy participants without a family history or personal experience with Alzheimer's dementia Baseline: questionnaire survey and optional narrative interview Optional follow-u
Baseline: questionnaire survey and optional narrative interview Follow-up after 6 months: questionnaire survey Optional after 1 year: narrative interview Group 3: c) N=50 participants with subjective
Baseline: questionnaire survey and optional narrative interviews Follow-up after 6 months: questionnaire survey Optional after 1 year: narrative interview Group 4: d) N=30 Participants with newly dia
Baseline: questionnaire survey and optional narrative interview Follow-up after 6 months: questionnaire survey Optional after 1 year: narrative interview Group 5: e) General population Cross-sectiona
Spain, N=1,000
Switzerland, N=750).

Sponsors

Rheinische Friedrich-Wilhelms-Universität Bonn, Center for Life Ethics
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: ? Written informed consent ? Local language skills that allow all surveys/interviews to be conducted. ? Group a: none ? Group b additionally: - Knowledge of physician-recorded diagnosis of Alzheimer's disease in at least one 1st degree relative (mother, father or sibling) or - Knowledge of the proband about an ApoE-e3/e4 or ApoE-e4/e4 gene carrier status. ? Group c and d additionally: - Self-experienced persistent deterioration of cognitive abilities compared with a previously normal state and unrelated to an acute event. - Unremarkable age-, sex-, and education-adjusted performance on standardized cognitive Tests used to classify mild cognitive impairment (MCI) or Alzheimer's disease (AD) prodromes ? Group e: none

Exclusion criteria

Exclusion criteria: ? Group a additionally: - Presence of mild cognitive impairment, early-stage Alzheimer's disease, or dementia. - Moderate to severe depressive disorder; Hospital Anxiety and Depression Scale (HADS) score > 10 points - Close person with Alzheimer’s disease - (Previous) visit to Alzheimer's prevention centre or a comparable institution - Individuals with a known ApoE-e3/e4 or ApoE-e4/e4 gene carrier status ? Group b additionally: - Presence of mild cognitive impairment, early-stage Alzheimer's disease, or dementia. - Moderate to severe depressive disorder; Hospital Anxiety and Depression Scale (HADS) score > 10 points ? Group c and d additionally: - Presence of mild cognitive impairment, early-stage Alzheimer's disease, or dementia. - Moderate to severe depressive disorder; Hospital Anxiety and Depression Scale (HADS) score > 10 points - Subjective deterioration of cognitive abilities may be due to a psychiatric or neurological disorder (other than Alzheimer's disease), a medical disorder, medications, or drug use. Group e: none

Design outcomes

Primary

MeasureTime frame
The overarching goal of PreTAD is to identify individual needs and different perspectives on the risk estimation of Alzheimer's dementia, as well as to assess the impact of the paradigm shift in medicine at the individual, linguistic, legal, and societal levels.

Secondary

MeasureTime frame
Development of an empirically based ethically, linguistic and legally informed framework for the risk estimation of Alzheimer's dementia.

Countries

Germany, Spain, Switzerland

Contacts

Public ContactConstanze Hübner

Rheinische Friedrich-Wilhelms-Universität Bonn, Center for Life Ethics

constanze.huebner@uni-bonn.de02287366200

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Jun 27, 2026