- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04149197
Down Syndrome Clinical Trials - Study of Alzheimer's Disease in Down Syndrome (LIFE-DSR)
The Down Syndrome Clinical Trials Network (DS-CTN) Study of Alzheimer's Disease in Down Syndrome
Study Overview
Status
Conditions
Detailed Description
The DS-CTN will engage in rigorous, high quality research to better understand AD-DS and the medical needs of this population. The LIFE-DSR study will utilize the DS-CTN network to achieve these goals through evidence-based research and a combination of proven and novel methodologies. The network will initially recruit and employ experts and clinical trial sites who have access to adults with DS and whose focus is on AD-DS.
This trial also aims to develop sensitive and well-validated assessment instruments of cognition, behavior and function appropriate for future clinical trials directed at AD-DS in adults with DS ages 25 and older.
In addition, this LIFE-DSR study will serve as a parent protocol that includes one or more sub-studies, each of which has its own protocol and consent form. These sub-studies will recruit from eligible participants enrolled in this LIFE-DSR protocol.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Contact
- Name: Tashia Harris, MS
- Phone Number: 781-825-1279
- Email: tharris@lumindidsc.org
Study Contact Backup
- Name: Lois Kelly
- Phone Number: 7818251262
- Email: lkelly@lumindidsc.org
Study Locations
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Arizona
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Phoenix, Arizona, United States, 85013
- Barrow Neurological Institute
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California
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Irvine, California, United States, 92697
- University California Irvine
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La Jolla, California, United States, 92093
- University of California, San Diego
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Georgia
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Atlanta, Georgia, United States, 30322
- Emory University
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Illinois
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Chicago, Illinois, United States, 60612
- Rush University Medical Center
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Park Ridge, Illinois, United States, 60068
- Advocate Health
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Kansas
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Fairway, Kansas, United States, 66205
- Kansas University Medical Center
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Kentucky
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Lexington, Kentucky, United States, 40536
- University of Kentucky
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Maryland
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Baltimore, Maryland, United States, 21205
- Kennedy Krieger Institute
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Charlestown, Massachusetts, United States, 02129
- Massachusetts General Hospital
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North Carolina
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Durham, North Carolina, United States, 27710
- Duke University Medical Center
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Ohio
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Cincinnati, Ohio, United States, 45229
- Cincinnati Children's Hospital Medical Center
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Cleveland, Ohio, United States, 044106
- Case Western Reserve University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age 25 years or older
- Diagnosis of DS, typically supported by karyotype analysis documenting full trisomy for chromosome 21 or complete unbalanced translocation of chromosome 21. Karyotype analysis is not required for study entry
- Participants, or Legal Authorized Representative, and their study partner if applicable, in the opinion of the investigator, are able to understand and willing to sign written informed consent.
- Participants must have a study partner who has frequent interaction with the participant on a regular basis, will agree to participate in annual clinic visits, can provide accurate responses to questions about the participant, and facilitate participation in the study visits, in the opinion of site PI or study coordinator.
- Participant and study partner must be capable of reliably completing study assessments.
Exclusion Criteria Participants and study partners who, in the opinion of the site PI, are not able to complete trial procedures or adhere to the schedule of study assessments will be excluded from study participation.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cognitive Measure
Time Frame: through study completion, an average of 2 years
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Severe Impairment Battery (SIB) with Shoebox Test. If the participant achieves a score 60 or above on the SIB, the Down Syndrome Mental Status Examination (DS-MSE) will also be administered. Subscale Ranges: Social Interaction - 0 - 6 Orientation - 0 - 8 Visuospatial Ability - 0 - 8 Construction - 0 - 12 Language - 0 - 56 Memory - 0 - 16 Praxis - 0 - 8 Attention - 0 - 15 Orienting to name - 0 - 4 Higher scores reflect better performance for each subscale. Scores above 60 mean the participant completes the Shoebox Memory Test. |
through study completion, an average of 2 years
|
Functional Measure
Time Frame: through study completion, an average of 2 years
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The Vineland Adaptive Behavior Scales, Third Edition (Vineland-3) Vineland-3 is an adaptive behavior measure used to assess intellectual/developmental/other disabilities. Total score range: 0 - 140 Expressive Communication: 0 - 98 49 questions - range: 0 - 2 per Q Written Communication: 0 - 76 38 questions - range: 0 - 2 per Q Personal Daily Living Skills - 0 - 110 55 questions - range: 0 - 2 per Q |
through study completion, an average of 2 years
|
Behavioral Measure
Time Frame: through study completion, an average of 2 years
|
Dementia Questionnaire for People with Learning Disabilities (DLD) - Measures specific cognitive and functional deterioration as a result of dementia, and functional deterioration as a result of severe sensory or psychiatric problems. Range of total possible scores: 0 - 100 50 Questions with a possible range of 0 - 2 per question. Higher scores reflect worse performance. Score Calculation: Categories are mixed throughout the questionnaire. To calculate the score at the end, scores on each page are added up and categorizes into Cognitive Scores, or SCS (categories 1 - 3: Short-term memory, Long-term memory, and Spatial & Temporal Orientation) and Social Scores, or SOS (Categories 4 - 8: Speech, Practical Skills, Mood, Activity & Interest, Behavioral Disturbance). |
through study completion, an average of 2 years
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Health Measures
Time Frame: through study completion, an average of 2 years
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New-onset seizures or significantly increased frequency of seizures
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through study completion, an average of 2 years
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Behavioral Measure
Time Frame: through study completion, an average of 2 years
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Neuropsychiatric Inventory (NPI) - Neuropsychiatric Inventory (NPI) evaluates both the frequency and severity of 10 neuropsychiatric features, including delusions, hallucinations, agitation/aggression, dysphoria, anxiety, euphoria, apathy, disinhibition, irritability and lability, and aberrant motor behavior, as well as evaluates sleep and appetite/eating disorders.
Frequency assessments range from 1 (occasionally, less than once per week) to 4 (very frequently, once or more per day or continuously).
Severity assessments range from 1 (mild) to 3 (severe).
The score for each subscale is the product of severity and frequency and the total score is the sum of all subscales.
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through study completion, an average of 2 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Exploratory Outcome Measure Preliminary composite measure from the scales being used in LIFE-DSR
Time Frame: through study completion, an average of 2 years
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To derive a preliminary composite measure from the scales being used in LIFE-DSR that is most sensitive to change in this population and which can be validated in a future prospective study.
If the participant achieves a score 60 or above on the SIB, the Down Syndrome Mental Status Examination (DS-MSE) will also be administered.
The maximum score is 100.
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through study completion, an average of 2 years
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Exploratory Outcome Measure Novel multi-domain instrument for AD-DS development
Time Frame: through study completion, an average of 2 years
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To integrate and further validate a novel and highly sensitive multidomain instrument for AD-DS upon its completion (Professor A. Strydom, Kings College, London).
This instrument is being developed under a separate protocol and upon its validation will be integrated into LIFE-DSR to evaluate its responsiveness to change in clinically important domains.
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through study completion, an average of 2 years
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Exploratory Outcome Measure Potential Screening Measures
Time Frame: through study completion, an average of 2 years
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Individual subscales from the larger test batteries included in the LIFE-DSR Primary Outcome Measures, Severe Impairment Battery (SIB) with Shoebox Test, the Down Syndrome Mental Status Examination (DS-MSE), NPI, and Vineland3. These could then be further validated in a future prospective study. SIB - Social Interaction - 0 - 6 Orientation - 0 - 8 Visuospatial Ability - 0 - 8 Construction - 0 - 12 Language - 0 - 56 Memory - 0 - 16 Praxis - 0 - 8 Attention - 0 - 15 Orienting to name - 0 - 4 Scores above 60 mean the participant completes the Shoebox Memory Test. Vineland-3 -Total score range: 0 - 140 DLD - Questions with a possible range of 0 - 2 per question. Higher scores reflect worse performance. NPI - The score for each subscale is the product of severity and frequency and the total score is the sum of all subscales. |
through study completion, an average of 2 years
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Exploratory Outcome Measure Obtain and bank plasma sample for future development translational biomarkers
Time Frame: through study completion, an average of 2 years
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The biomarkers are those such as those related to amyloid or tau, Nfl, gene expression, genotype (including ApoE), that may be useful for trial enrichment and to provide evidence of target engagement and pharmacodynamic, as well as biologic, effects.
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through study completion, an average of 2 years
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Exploratory Outcome Measure
Time Frame: through study completion, an average of 2 years
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To derive potential screening measures, from the larger test batteries, that might be best used for screening of significant AD dementia risk.
These could then be further validated in a future prospective study.
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through study completion, an average of 2 years
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Lois Kelly, LuMind IDSC Foundation
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Mental Disorders
- Pathologic Processes
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Neurologic Manifestations
- Neurobehavioral Manifestations
- Neurocognitive Disorders
- Disease
- Congenital Abnormalities
- Genetic Diseases, Inborn
- Neurodegenerative Diseases
- Intellectual Disability
- Dementia
- Tauopathies
- Abnormalities, Multiple
- Chromosome Disorders
- Syndrome
- Alzheimer Disease
- Down Syndrome
Other Study ID Numbers
- ADC-059-LIFE-DSR
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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