- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04962841
Nutraceuticals and Drug Treatment in Frail Older Adults
May 4, 2022 updated by: Pasquale Mone, University of Campania "Luigi Vanvitelli"
Cognitive and Physical Impairment in Frail Older Adults
Frailty is a multidimensional condition due to reserve loss leading to physical and cognitive impairment that is very common in older adults; in fact, its incidence increases with age.
Frail older adults present a high risk of adverse events such as disability, hospitalization and mortality.
It is very important to check comorbidities and complications to reduce the incidence of cognitive and physical impairment.
Study Overview
Detailed Description
Frailty is a multidimensional condition due to reserve loss leading to physical and cognitive impairment that is very common in older adults; in fact, its incidence increases with age.
Frail older adults present a high-risk of adverse events such as disability, hospitalization and mortality.
It is very important to check comorbidities and complications to reduce the incidence of cognitive and physical impairment; hence, clinical evaluation is the main goal to get an early diagnosis and a timely treatment for cognitive impairment.
Considering this background, the study will investigate the effects of nutraceuticals and drug treatment on cognitive impairment in frail older adults.
In this scenario, global cognitive function will be evaluated with Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) test and physical impairment with the Fried criteria and 5-metres gait speed test.
Study Type
Observational
Enrollment (Anticipated)
485
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
- Name: Pasquale Mone, MD
- Phone Number: 0823275386
- Email: pasquale.mone@unicampania.it
Study Contact Backup
- Name: Antonella Pansini, MD
- Phone Number: 0823275386
- Email: apansini@asl.it
Study Locations
-
-
It
-
Naples, It, Italy, 80138
- Recruiting
- Pasquale Mone
-
Contact:
- Antonella Pansini, MD
- Phone Number: 0823275386
- Email: apansini@aslavellino.it
-
-
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
65 years and older (OLDER_ADULT)
Accepts Healthy Volunteers
N/A
Genders Eligible for Study
All
Sampling Method
Probability Sample
Study Population
Frail older adults.
Description
Inclusion Criteria:
- age > 65 years;
- a frailty status.
Exclusion Criteria:
- age < 65 years.
- no frailty status.
- left ventricular ejection fraction <25%, with previous myocardial infarction or previous PPCI or/and coronary by-pass grafting.
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 |
Intervention / Treatment |
|---|---|
|
Frail older adults treated with nutraceuticals and drugs
|
To observe the effect on cognitive and physical impairment.
Other Names:
|
|
Frail older adults not treated with nutraceuticals and drugs
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Montreal Cognitive Assessment (MoCA)
Time Frame: July 2021
|
Global cognitive impairment
|
July 2021
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
5 metres gait speed test
Time Frame: July 2021
|
Physical impairment
|
July 2021
|
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Correlation between MMSE/MoCA and 5 metres gait speed test
Time Frame: July 2021
|
July 2021
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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
- Afilalo J, Alexander KP, Mack MJ, Maurer MS, Green P, Allen LA, Popma JJ, Ferrucci L, Forman DE. Frailty assessment in the cardiovascular care of older adults. J Am Coll Cardiol. 2014 Mar 4;63(8):747-62. doi: 10.1016/j.jacc.2013.09.070. Epub 2013 Nov 27.
- Cortes-Canteli M, Iadecola C. Alzheimer's Disease and Vascular Aging: JACC Focus Seminar. J Am Coll Cardiol. 2020 Mar 3;75(8):942-951. doi: 10.1016/j.jacc.2019.10.062.
- Jung HW, Baek JY, Jang IY, Guralnik JM, Rockwood K, Lee E, Kim DH. Short Physical Performance Battery as a Crosswalk Between Frailty Phenotype and Deficit Accumulation Frailty Index. J Gerontol A Biol Sci Med Sci. 2021 Nov 15;76(12):2249-2255. doi: 10.1093/gerona/glab087.
- Mone P, Pansini A, Jankauskas SS, Varzideh F, Kansakar U, Lombardi A, Trimarco V, Frullone S, Santulli G. L-Arginine Improves Cognitive Impairment in Hypertensive Frail Older Adults. Front Cardiovasc Med. 2022 Apr 12;9:868521. doi: 10.3389/fcvm.2022.868521. eCollection 2022.
- Mone P, Lombardi A, Gambardella J, Pansini A, Macina G, Morgante M, Frullone S, Santulli G. Empagliflozin Improves Cognitive Impairment in Frail Older Adults With Type 2 Diabetes and Heart Failure With Preserved Ejection Fraction. Diabetes Care. 2022 May 1;45(5):1247-1251. doi: 10.2337/dc21-2434.
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)
April 1, 2020
Primary Completion (ACTUAL)
July 22, 2021
Study Completion (ANTICIPATED)
April 1, 2023
Study Registration Dates
First Submitted
July 10, 2021
First Submitted That Met QC Criteria
July 10, 2021
First Posted (ACTUAL)
July 15, 2021
Study Record Updates
Last Update Posted (ACTUAL)
May 10, 2022
Last Update Submitted That Met QC Criteria
May 4, 2022
Last Verified
May 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Frailty
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Antihypertensive Agents
- Vasodilator Agents
- Cholinergic Agents
- Enzyme Inhibitors
- Protease Inhibitors
- Neuroprotective Agents
- Protective Agents
- Adrenergic Agonists
- Psychotropic Drugs
- Serotonin Uptake Inhibitors
- Neurotransmitter Uptake Inhibitors
- Membrane Transport Modulators
- Serotonin Agents
- Antidepressive Agents
- Calcium-Regulating Hormones and Agents
- Calcium Channel Blockers
- Angiotensin-Converting Enzyme Inhibitors
- Adrenergic beta-Agonists
- Adrenergic beta-1 Receptor Agonists
- Cholinesterase Inhibitors
- Sertraline
- Amlodipine
- Metformin
- Nebivolol
- Rivastigmine
- Ramipril
Other Study ID Numbers
- Campania Nord
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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