mild cognitive impairment prodromal Alzheimer Disease
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients between 55 and 85 years old with episodic memory disorder AND one of the following: - cerebrospinalfluid beta amyloid 1-42/1-40 350 pg/ml and/or phospho-tau > 60 pg/ml OR - MRI evidence for medial temporal lobe atrophy OR - abnormal FDG PET compatible with AD type changes
Exclusion criteria
Exclusion criteria: - dementia (according to DSM-IV criteria) - use of omega-3 preparations or high dose vitamins - historical use of cholinesterase inhibitors of NDMA antagonists - concomitant serious disease - major depressive disorder - participation in any other clinical trial last 30 days
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in cognitive function between patients in the Souvenaid group and the placebo group on the Dutch translation of the CERAD 10-word list learning, CERAD 10-word delayed recall, CERAD 10-word recognition, category fluency and letter digit substitution test. | — |
Secondary
| Measure | Time frame |
|---|---|
| - progression to fulfill the criteria for dementia - other cognitive domains based on the modified neuropsychological test battery - plasma levels of EPA, DHA, HDL-cholesterol, LDL-cholesterol - CSF fatty acid profile - atrophy rates on MRIs - functional abilities / clinical global impression (CDR sum of boxes) - cognitive impairment severity (CDR total score) - scores on the individual NTB tests. Exploratory outcome: - cognitive performance (measured by Mini-Mental State Examination (MMSE) and the 13-item Alzheimer*s Disease Assessment Scale * Cognitive (ADAS-Cog) - functional abilities (ADCS-ADL) - occurrence of depressive symptoms measured with Montgomery Åsberg Depression Rating Scale (MADRS) - plasma biomarkers Abeta 1-40, Abeta 1-42, triglycerides, 24 and 27-hydroxycholesterol, total cholesterol, isoprostane, IL-1, IL-6, TNF-a - fatty acid profile in erythrocyte membranes - CSF Abeta 1-40 and Abeta 1-42, tau, and phospho-tau, 24 and 27-hydroxycholesterol, isoprostane, IL-1, IL-6, TNF-a - nutritional/anthropometric parameters | — |
Countries
Netherlands