Study on Biomarkers for Early Diagnosis of Alzheimer's Disease

March 19, 2026 updated by: Jianping Jia, Capital Medical University

Study on Body Fluid, Gene and Neuroimaging Biomarkers for Early Diagnosis of Alzheimer's Disease

The project of Bio-AD is a population- based cohort study among the elderly in China.

The project includes not only Alzheimer's disease (AD including familial AD and sporadic AD), but also other clinical stage of AD, as well as elderly people with normal cognitive function.

The project will collect, detect and screen the special biomarkers at different clinical stage of AD based on body fluid, gene and brain image. The standard and consistent assessment protocols are employed to obtain clinical, cognitive, genetic, neuroimaging and biospecimen data.

The purpose of this project is to establish a panel of biomarkers which could be used to diagnose AD at the early stage, and to establish a risk prediction models for AD to predict the 5-years risk of the onset and progression of AD among elderly population in China.

Study Overview

Status

Recruiting

Conditions

Detailed Description

  1. Set up a large population- based cohort including AD, MCI, pre-MCI, other neurodegenerative diseases, and elderly individuals with normal cognitive function.
  2. Collect the information of clinical and neuropsychological assessment, individual traits and social environmental factors, and neuroimaging data, as well as the biological samples, such as peripheral blood and cerebrospinal fluid.
  3. Screen biomarkers with high specificity and sensitivity from peripheral blood, cerebrospinal fluid and neuroimaging to distinguish different clinical stages of AD at baseline.
  4. Screen the AD-associated gene and their risk variants.
  5. Establish a panel of AD-specific biomarkers for the preliminary development of diagnostic kit.
  6. Identify AD-relevant factors and the special biomarkers to create a preliminary risk models to predict the onset and progression of AD.
  7. Follow up the cohort for next 5 years and collect the multiple information and biological samples each year to validate and revise the risk prediction models and the diagnostic kit of AD.

Study Type

Observational

Enrollment (Estimated)

6000

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • Beijing Municipality
      • Beijing, Beijing Municipality, China, 100053
        • Recruiting
        • Xuanwu Hospital of Capital Medical University
        • Contact:
          • Jianping Jia, Doctor

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Sampling Method

Probability Sample

Study Population

The study population was calculated according to objectives of this project. There are five gruops in this cohort, AD, MCI, pre-MCI, normal cognitive subjects and other neurodegenerative disease, respectively. AD gruop include familial AD and sporadic AD. The study population include subjects at different clinical stages of AD.

Description

Inclusion Criteria:

  • Written informed consent obtained from participant or legal guardian prior to any study-related procedures.
  • Aged 18 (inclusive) or older.
  • Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-R). The diagnosis of AD is made using the National Institute of Neurologic and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association (NINCDS- ADRDA) or National Institute on Aging and the Alzheimer's Assocation (NIA-AA) criteria. A diagnosis of mild cognitive impairment (MCI) is assigned according to Petersen criteria. A diagnosis of pre-MCI group is assigned by β-Amyloid positive or APOE ε4 carrier or complains of cognitive impairment, but not up to MCI or cognitive impairment. Normal cognitive function assessed/evaluated by MMSE, CDR and other cognitive function scales.
  • Follow up 5 years and collect the information.

Exclusion Criteria:

  • Under age 18.
  • Medical or psychiatric illness that would interfere in completing initial and follow-up visits.
  • No one can serve as a study informant.
  • With current or past neurological or psychiatric illnesses such as schizophrenia, epilepsy, brain tumors, severe head trauma and other diseases which can induce dementia.
  • Refused to complete a cognitive test and provide biospecimen.
  • With history of alcohol or drug abuse.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
MCI group
aMCI diagnosed according to the criteria of 2004 Peterson.
AD group
Dementia is diagnosed according to the 2011 NIA-AA criteria.
pre-MCI group
β-Amyloid positive or APOE ε4 carrier or complains of cognitive impairment; not up to MCI or cognitive impairment.
Other neurodegenerative diseases
Frontotemporal Dementia; or Parkinson's disease
Cognitive normal group
Individuals are with normal cognitive function and ≥ 60 years old.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
A multiple diagnostic kit for early diagnosis of AD.
Time Frame: An Average of 1 year
A panel of special biomarkers is identified for early diagnosis of AD.
An Average of 1 year
A 5-years risk prediction model for onset and progression of AD among elderly population in China.
Time Frame: An Average of 1 year
A 5-years risk prediction model including multiple factors to predict the onset and progression of AD in China.
An Average of 1 year

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
A panel of biomarker with high specificity and sensibility
Time Frame: An Average of 1 year
Screening the biomarker with high specificity and sensibility in body fluid at different clinical stage of AD.
An Average of 1 year
AD-associated genes in Chinese.
Time Frame: An Average of 1 year
AD-associated genes and their risk variants will be identified by whole exome sequencing in this project.
An Average of 1 year
Neuroimaging biomarkers for AD
Time Frame: An Average of 1 year
The certain threshold on neuroimaging biomarkers will be established to distinguish the different clinical stage of AD.
An Average of 1 year
Risks and protective factors for AD among elderly in China
Time Frame: An Average of 1 year
The risks and protective factors of individual and environment will be estimated in this project.
An Average of 1 year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Chair: Jianping Jia, Doctor, Xuanwu Hospital of Capital Medical University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 28, 2020

Primary Completion (Estimated)

June 30, 2027

Study Completion (Estimated)

June 30, 2027

Study Registration Dates

First Submitted

September 29, 2020

First Submitted That Met QC Criteria

September 29, 2020

First Posted (Actual)

October 5, 2020

Study Record Updates

Last Update Posted (Actual)

March 23, 2026

Last Update Submitted That Met QC Criteria

March 19, 2026

Last Verified

March 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • Bio-AD

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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