RecruitingNCT05059158

Amyloid-β Clearance Mechanisms in Alzheimer's Disease

Amyloid-β Clearance Mechanisms: A Multi-modal Study on Lymphatic, Glymphatic and Blood-brain-barrier Function in Alzheimer's Disease


Sponsor

Ludwig-Maximilians - University of Munich

Enrollment

60 participants

Start Date

Jun 1, 2021

Study Type

OBSERVATIONAL

Conditions

Summary

The focus of this study is to examine the protein-plaque clearance (Aß) in relation to the blood-brain-barrier, the glymphatic system, brain lymphatic system and enzymatic degradation. In order to achieve this aim the investigators intend to study participants with a Subjective Cognitive Decline, Mild Cognitive Impairment and a mild Alzheimer's disease.


Eligibility

Min Age: 50 YearsMax Age: 85 Years

Inclusion Criteria4

  • Diagnosis of amnestic MCI or AD dementia or clinical normal
  • Able to provide written informed consent
  • Unchanged pharmacotherapy within 4 days prior to the study specific assessments
  • Fluent in German

Exclusion Criteria15

  • Unable to give informed consent or has a legal guardian
  • Other severe mental disorder, e.g. schizophrenia or bipolar affective disorder
  • Clinically relevant depression
  • Acute suicidality
  • Current alcohol, drug or medication abuse
  • History of severe traumatic brain injury within 3 months prior to inclusion
  • Structural lesions of the basal ganglia or brain stem
  • Severe neurological disorder including (but not limited to) epilepsy, systemic disorders, stroke, repeated transient ischaemic attacks, increased brain intracranial pressure, normal pressure hydrocephalus
  • Severe medical disorders including (but not limited to) heart failure, respiratory failure, uncontrolled severe arterial hypertension
  • Electronic implants (e.g. cardiac pacemaker) or other MRI contraindication
  • Renal failure \> stage 3 (GFR \< 30 mL/min)
  • Pregnancy
  • Unresolved malignancies within two years prior to inclusion
  • Severe current infections or other chronic or systemic disorders
  • Other circumstances which preclude participation based on the investigator's judgement

Interventions

RADIATIONpositron emission tomography (PET)

18-Flutemetamol PET (clinical indicated) is going to be performed at the visit.


Locations(1)

Klinik und Poliklinik für Psychiatrie und Psychotherapie des LMU Klinikums

München, Bavaria, Germany

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NCT05059158


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