Trial Review

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Trial registered on ANZCTR


Registration number
ACTRN12618000212257
Ethics application status
Approved
Date submitted
25/01/2018
Date registered
9/02/2018
Date last updated
16/08/2018
Type of registration
Prospectively registered

Titles & IDs
Public title
The Lewy Body Study - an observational study that will assess the changes that occur in memory and thinking skills and changes that occur in the body of 100 participants with dementia with Lewy bodies over a 3 year period.
Scientific title
A longitudinal cohort study of dementia with Lewy bodies - Unravelling the confounding influences of Alzheimer’s disease and cerebrovascular disease in dementia with Lewy bodies.
Secondary ID [1] 293861 0
None
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
dementia with Lewy bodies 306323 0
Condition category
Condition code
Neurological 305407 305407 0 0
Dementias

Intervention/exposure
Study type
Observational
Patient registry
False
Target follow-up duration
Target follow-up type
Description of intervention(s) / exposure
To determine the rates of change in clinical, cognitive, behavioural and imaging biomarkers participants with dementia with Lewy bodies will undergo clinical and cognitive assessments every 6 months; brain MRI scans every 18 months; amyloid brain PET imaging every 18 months; tau and dopaminergic brain PET imaging once at baseline; blood sample at baseline and optional cerebrospinal fluid collection once at baseline. The total obeservational period for each study participant will be 3 years.
Intervention code [1] 300122 0
Not applicable
Comparator / control treatment
30 healthy similarly aged controls will undergo clinical and cognitive assessment, amyloid brain PET scan and brain MRI scan at baseline only,
Control group
Active

Outcomes
Primary outcome [1] 304543 0
To assess the rates of change in clinical, cognitive, neuropsychiatric symptoms and function and how this relates to disease biomarkers (amyloid, tau and cerebrovascular disease) in participants with dementia with Lewy bodies over 18 months. This is a composite primary outcome (ie looking at all factors that may impact the course of the disease process).
Cognitive: sMMSE, ACE III, MoCA, CDR, NPI, computerised attentional tests.
Function and Neuropsychiatric Symptoms: Neuropsychiatric Inventory (NPI); GDS, BADL and ADCS-ADL assessments of activities of daily living.
Quality of Life measures: DEMQOL and EQ-5D.
Imaging: Brain MRI, brain PET scans (amyloid, tau and VMAT2).
Blood and cerebrospinal fluid biomarkers (exploratory outcomes) - APOE status and inflammatory markers will be assessed in blood. Tau, beta amyloid and a-synuclein will be assessed in cerebrospinal fluid.
Timepoint [1] 304543 0
Participants will be assessed every 6 months for 18 months. 18 months is primary timepoint.
Baseline: CDR, sMMSE, ACE III, MoCA, computerised attentional test, NPI, GDS, BADL, ADCS-ADL, UPDRS III, DEMQOL,EQ-5D, Zarit burden.
Brain MRI, brain PET scans (amyloid, tau and VMAT2).
Blood and cerebrospinal fluid samples.
6 months: sMMSE, computerised attentional test, GDS, NPI, BADL.
12 months: sMMSE, computerised attentional test, GDS, NPI, BADL, ADCS-ADL, UPDRS III, DEMQOL,EQ-5D, QOL, Zarit burden,
18 months: CDR, sMMSE, ACE III, MoCA, computerised attentional test, NPI, GDS, BADL, ADCS-ADL, UPDRS III, DEMQOL,EQ-5D, Zarit burden.
Brain MRI, brain PET scan (amyloid).
Secondary outcome [1] 342775 0
To assess the rates of change in clinical, cognitive, neuropsychiatric symptoms and function and how this relates to disease biomarkers (amyloid and cerebrovascular disease) in participants with dementia with Lewy bodies over a 3 year period. This is a composite secondary outcome.
Cognitive: sMMSE, ACE III, MoCA, CDR, NPI, computerised attentional tests.
Function and Neuropsychiatric Symptoms: Neuropsychiatric Inventory (NPI); GDS, BADL and ADCS-ADL assessments of activities of daily living.
Quality of Life measures: DEMQOL and EQ-5D.
Imaging: Brain MRI, brain amyloid PET scans.
(no explort
Timepoint [1] 342775 0
Participants will be assessed every 6 months following the initial 18 months. The secondary timepoint will be 36 months (from study enrolment) for all measures.
24 months: sMMSE, computerised attentional test, GDS, NPI, BADL.
30 months: sMMSE, computerised attentional test, GDS, NPI, BADL..
36 months: CDR, sMMSE, ACE III, MoCA, computerised attentional test, NPI, GDS, BADL, ADCS-ADL, UPDRS III, DEMQOL,EQ-5D, Zarit burden.
Brain MRI, brain PET scan (amyloid).

Eligibility
Key inclusion criteria
Dementia with Lewy bodies participants:
Male or female aged 50+ diagnosed with dementia with Lewy bodies
MMSE greater than or equal to 14
no past history of alcohol or drug dependence
english as first language or adequate understanding for cognitive testing
adequate visual and auditory acuity to perform neuropsychological testing

Healthy Volunteers:
Male or female aged 50+
MMSE greater than or equal to 27
Absence of severe medical illness
No active, clinically significant psychiatric illness
No history of drug or alcohol dependence
English as first language or adequate understanding for cognitive testing
Adequate visual and auditory acuity to perform neuropsychological testing
Minimum age
50 Years
Maximum age
No limit
Gender
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
Dementia with Lewy bodies participants:
alcohol intake greater than 4 standard alcoholic drinks per day
no identifiable family carer or other informant

Healthy controls:
contraindications to MRI (e.g. pacemaker, stents, metal implants)

Study design
Purpose
Natural history
Duration
Longitudinal
Selection
Defined population
Timing
Prospective
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Date of first participant enrolment
Anticipated
23/03/2018
Actual
13/03/2018
Date of last participant enrolment
Anticipated
7/07/2020
Actual
Date of last data collection
Anticipated
4/09/2023
Actual
Sample size
Target
130
Accrual to date
5
Final
Recruitment in Australia
Recruitment state(s)
VIC
Recruitment postcode(s) [1] 18639 0
3052 - Parkville

Funding & Sponsors
Funding source category [1] 298481 0
Charities/Societies/Foundations
Name [1] 298481 0
Yulgilbar Foundation
Address [1] 298481 0
Level 7, 171 Collins St,
Melbourne, Victoria 3000
Country [1] 298481 0
Australia
Primary sponsor type
University
Name
Florey Institute of Neuroscience and Mental Health, University of Melbourne
Address
30 Royal Parade
Parkville Victoria 3050
Country
Australia
Secondary sponsor category [1] 297625 0
None
Name [1] 297625 0
Address [1] 297625 0
Country [1] 297625 0

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 299468 0
Melbourne Health Human Research Ethics Committee
Ethics committee address [1] 299468 0
Royal Melbourne Hospital
Level 2
South West
300 Grattan Street
Parkville Victoria
Ethics committee country [1] 299468 0
Australia
Date submitted for ethics approval [1] 299468 0
29/03/2017
Approval date [1] 299468 0
11/09/2017
Ethics approval number [1] 299468 0

Summary
Brief summary
Dementia with Lewy bodies (DLB) is a common form of dementia in older age (approximately 1 in 6 of all dementia cases), However there are very few longitudinal studies that investigate the changes that occur in the brain and in the body of people with DLB.

People with DLB have an abnormal accumulation of the protein alpha-synuclein in their brain which may affect memory, thinking, behaviour, mood and movement. Many cases of DLB have multiple changes in brain pathology, such as vascular disease changes, or the accumulation of other proteins, such as amyloid and tau, that are found in Alzheimer’s disease. However it is not known what effect these changes have when there are also Lewy bodies present. In order to understand the disease process and offer potentially effective treatments in the future, these changes need to be investigated.

The Lewy Body Study will establish an Australian cohort of 100 individuals diagnosed with DLB and follow them over the course of 3 years to investigate factors which may help to predict disease outcomes, and which may lead to effective treatments being available in the future.

Participants will undergo clinical and cognitive (memory and thinking) assessments and health related questionnaires every 6 months; and brain imaging scans (PET and MRI) every 18 months for the duration of the study so that the rate of disease changes can be monitored. There is also an opportunity for participants to undergo cerebrospinal fluid collection (optional).

Dementia with Lewy bodies is currently widely underdiagnosed. The Lewy Body Study will provide the largest depository of DLB disease related data in Australia that will be made available to approved researchers both nationally and internationally to help further dementia research.

We aim to establish whether there are any disease biomarkers (genetic, blood, imaging, cognitive) which may help improve the diagnosis rate of DLB which may in turn improve the treatments and outcomes for those diagnosed with this disease.
Trial website
Trial related presentations / publications
Public notes
Healthy volunteers will be in control group only

Contacts
Principal investigator
Name 80506 0
Dr Rosie Watson
Address 80506 0
Florey Institute of Neuroscience and Mental Health, The University of Melbourne
155 Oak St
Parkville, Victoria 3052
Country 80506 0
Australia
Phone 80506 0
+61 3 9389 2909
Fax 80506 0
+61 3 9387 5061
Email 80506 0
rosie.watson@florey.edu.au
Contact person for public queries
Name 80507 0
Ms Lesley Vidaurre
Address 80507 0
Florey Institute of Neuroscience and Mental Health, The University of Melbourne
155 Oak St
Parkville, Victoria 3052
Country 80507 0
Australia
Phone 80507 0
+61 3 9389 2909
Fax 80507 0
+61 3 9387 5061
Email 80507 0
lesley.vidaurre@florey.edu.au
Contact person for scientific queries
Name 80508 0
Dr Rosie Watson
Address 80508 0
Florey Institute of Neuroscience and Mental Health, The University of Melbourne
155 Oak St
Parkville, Victoria 3052
Country 80508 0
Australia
Phone 80508 0
+61 3 9389 2909
Fax 80508 0
+61 3 9387 5061
Email 80508 0
rosie.watson@florey.edu.au

No data has been provided for results reporting
Summary results
Not applicable