About this trial
The purpose of this study is to determine the relationships between amyloid, tau, and neurodegeneration biomarkers in the blood and the presence of Alzheimer's disease (AD) pathology, clinical cognitive decline, and diagnosis. We aim to understand how well blood-based biomarkers can diagnose and predict Alzheimer's disease, which will help to further develop and validate blood tests for the disease.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
At least 60 years of age
80% of the newly enrolled clinic-based cohort will have symptoms of forgetfulness, mild cognitive impairment, mild dementia, or Alzheimer's disease as determined by their medical chart and/or provider
All SEABIRD participants will be invited to participate regardless of their cognitive status
Disqualifiers
Unable to perform one or more basic activities of daily living (eating, bathing, dressing, ambulating, toileting) due to cognitive impairment
Uncontrolled hepatitis B, hepatitis C, or HIV at time of blood collection
Taking a disease-modifying drug for AD at time of enrollment
Blood transfusion in the last three months
Trial population
All participants who completed our prior study, the Study to Evaluate Amyloid in Blood and Imaging Related to Dementia (SEABIRD, NCT03899844), will be invited to join SUNBIRD. We will also recruit approximately 1000 new participants from Washington University and Barnes-Jewish Hospital affiliated clinics in the greater St. Louis metropolitan area.
Trial design
Case-control
Prospective
Treatments tested in this trial
Clinical tau PET
Diagnostic testTau PET (flortaucipir)
Clinical amyloid test
Diagnostic testAmyloid PET (florbetapir), CSF amyloid test, or blood amyloid test
Research blood collection
Other interventionResearch blood assays for amyloid, tau, and neurodegeneration
Cognitive assessments
Other interventionClinical Dementia Rating (CDR) or electronic Clinical Dementia Rating (eCDR); Montreal Cognitive Assessment (MoCA)
Treatment groups
Trial outcomes
Primary outcomes
Area under the curve (AUC) of plasma amyloid-beta 42/40 in predicting amyloid PET status
Area under the curve (AUC) of plasma %p-tau217 in predicting amyloid PET status
Area under the curve (AUC) of plasma p-tau217 in predicting tau PET status
Area under the curve (AUC) of plasma %p-tau217 in predicting clinical diagnosis
Secondary outcomes
Area under the curve (AUC) of plasma p-tau205 in predicting tau PET status
Area under the curve (AUC) of plasma neurofilament light in predicting tau PET status
Area under the curve (AUC) of plasma %p-tau205 in predicting clinical diagnosis
Area under the curve (AUC) of plasma neurofilament light in predicting clinical diagnosis
Sponsors and contacts
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Washington University School of Medicine
Lead sponsor
National Institute on Aging (NIA)
Collaborator