Mild cognitive impairment, Dementia
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with MCI (including early AD and other types of mild dementia) aged 40 years or older who speak Japanese as their mother tongue. Patients must have a Clinical Dementia Rating (CDR) of 0.5-1 and a Mini-Mental State Examination (MMSE) score of 20-30. 2. Patients accompanied by a co-participant (study partner). The study partner must be physically and mentally healthy, contact the patient about once a week, and know how the patient lives. Preferably, the study partner should be able to make many visits together with the patient during the monitoring period. 3. Patients and their study partners are able to give written informed consent 4. No limitations on age, sex, or concomitant drugs 5. All types of MCI
Exclusion criteria
Exclusion criteria: 1. Patients with a CDR of 2 or more or an MMSE score of 19 or less (including those with Alzheimer's disease, dementia with Lewy body, frontotemporal dementia, and vascular dementia). Those who meet this criterion will be eligible for another planned research protocol and are excluded from this program. Patients with the following conditions are also excluded: Parkinson's disease, apoplexy, Huntington's disease, normal pressure hydrocephalus, brain tumors, progressive supranuclear palsy, corticobasal degeneration, multiple system atrophy, epilepsy, subdural hematoma, encephalitis/meningitis, multiple sclerosis, or decreased cognitive function due to head injury. 2. Any local lesion such as cerebral infarction(s) detected by CT or MRI before enrollment that can greatly affect the cognitive function 3. History of major depression, bipolar disorder, schizophrenia, or alcohol/drug abuse; current serious or unstable disease 4. Patients unsuitable for treatment due to vitamin B1/B12 and/or folate deficiency, syphilis, or thyroid dysfunction 5. Inability to undergo CDR and MMSE tests 6. Patients deemed ineligible for enrollment by the responsible researcher or co-researcher at each institution
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Kaplan-Meier method will be mainly used to determine parameters such as when a patient progressed to dementia from MCI or first had a CDR of 2 or more or an MMSE of 19 or less, in accordance with the statistical analysis plan. | — |
Secondary
| Measure | Time frame |
|---|---|
| Other analyses such as subgroup analyses will also be performed in accordance with the statistical analysis plan. Meanwhile, based on the advancement in statistical analysis methods, improvements and additions will be accordingly added to the current methods overall so that the most appropriate analysis will be constantly performed. | — |
Countries
Japan
Contacts
National Center for Geriatrics and Gerontology Administrative Office of ORANGE Registry