Alzheimer Disease, Cognitive Decline, Dementia, Early Onset Alzheimer Disease, Late Onset Alzheimer Disease, Memory Loss, Mild Cognitive Impairment (MCI), Neurodegenerative Disorders
Conditions
Keywords
Alzehimer's Disease, Blood Biomarkers, Protein Kinase C (PKC), Amyloid Beta, Neurodegeneration, Early Diagnosis, AD Patients
Brief summary
This is a 24-month, monocentric, exploratory and observational clinical study aimed at developing and validating a blood-based diagnostic test for Alzheimer's disease (AD). The test is based on two complementary biomarkers: conformational changes in Protein Kinase C (PKC) and aggregation of β-amyloid peptide on red blood cell membranes. The study will also establish a biobank of serum, plasma, urine, and RNA samples for future biomarker research.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
For All Participants (HV and AD groups): * Age between 50 and 85 years * Ability to understand and sign informed consent * Availability for the full duration of the study (24 months) * Fasting capability for morning sample collection (between 8:30-12:00) * Willingness to provide blood and urine samples for biomarker analysis and biobank storage Additional Criteria for Healthy Volunteers (HV): * No history or current diagnosis of neurodegenerative disease * Normal cognitive function confirmed by neuropsychological testing (e.g., MMSE score within normal range) * No significant abnormalities on brain imaging (CT or MRI if performed) * No use of medications affecting cognitive function Additional Criteria for Alzheimer's Disease Patients (AD): * Clinical diagnosis of probable Alzheimer's disease based on standardized criteria * Cognitive impairment confirmed by neuropsychological testing (e.g., MMSE score below threshold) * Supporting evidence from brain imaging (CT or MRI) and/or cerebrospinal fluid biomarkers (if available) * Stable medical condition allowing participation in study procedures
Exclusion criteria
For All Participants: * History of major psychiatric disorders (e.g., schizophrenia, bipolar disorder) * Significant neurological conditions other than Alzheimer's disease (e.g., Parkinson's disease, stroke) * Active malignancy or history of cancer within the past 5 years (except localized skin cancer) * Severe renal, hepatic, or cardiovascular disease * Current participation in another interventional clinical trial * Known blood disorders or conditions affecting red blood cell morphology or function * Recent blood transfusion (within 3 months) * Substance abuse or alcohol dependence * Inability to comply with study procedures Additional Exclusion for Healthy Volunteers: * Any cognitive complaints or subjective memory loss * First-degree family history of Alzheimer's disease (optional, depending on stratification strategy) * Use of psychoactive medications Additional Exclusion for Alzheimer's Disease Patients: * Diagnosis of mixed or atypical dementia * Rapidly progressive cognitive decline suggestive of other pathology * Contraindications to lumbar puncture (if CSF sampling is planned)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quantification of Blood Biomarkers in Alzheimer's Disease and Healthy Subjects | At baseline (Visit 0) | Measurement and comparison of two blood-based biomarkers-(1) conformational change in Protein Kinase C (PKC) and (2) aggregation of β-amyloid peptide (Aβ1-42) on red blood cell membranes-between patients diagnosed with Alzheimer's disease and age- and sex-matched healthy volunteers. The goal is to assess the diagnostic performance of each biomarker individually. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Analytical Performance of Biomarkers Across Demographic and Clinical Variables | Within 1 month after sample collection | Evaluation of the influence of age, sex, sample matrix (serum, plasma, urine), and storage conditions on the analytical performance of each biomarker. |
| Establishment of a Biobank for Future Biomarker Research | Throughout the 24-month study period | Collection and storage of biological samples (serum, plasma, urine, RNA) from all participants to support future studies on Alzheimer's disease and related biomarkers. |
Countries
France