Longitudinal Evaluation of Familial Frontotemporal Dementia Subjects

Mayo Clinic398 enrolled

Overview

This study is being done to learn more about normal thinking and behavior, mild thinking and behavior problems, Frontotemporal Dementia and other forms of dementia in families in which one or more relatives have a mutation associated with Frontotemporal Dementia.

This multicenter study will enroll 300 members of familial Frontotemporal Dementia (FTD) families across 8 experienced FTD research centers with a known mutation in MAPT, PGRN, or C9ORF72 (100 mutation carriers with mild dementia or minimally symptomatic yet non-demented, 100 asymptomatic mutation carriers, and 100 clinically normal relatives who are non-mutation carriers) to obtain annual assessments including T1-MRI, FLAIR, diffusion tensor imaging (DTI), ASL perfusion (ASLp), intrinsic connectivity functional MRI (icfMRI), MR spectroscopy (MRS), CSF, blood, and behavioral, neuropsychological and functional assessment, for a total of three assessments per participant. A primary goal of this study is to identify the most robust and reliable methods to track disease progression in familial FTD so that disease-modifying therapeutic trials can be designed appropriately.

Study Type

OBSERVATIONAL

Enrollment

398

Conditions

Familial Frontotemporal Dementia

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Must be a member of family with a known mutation in one of the three major FTLD related genes: MAPT, PGRN, or C9ORF72. 2. At least 18 years of age. 3. The predominant phenotype in the kindred must be cognitive/behavioral (ie, kindreds in whom parkinsonism or ALS is the predominant clinical phenotype among affected relatives may be excluded) 4. Have a reliable informant who personally speaks with or sees that subject at least weekly. 5. Subject is sufficiently fluent in English to complete all measures 6. Subject must be willing and able to consent to the protocol and undergo yearly evaluations over 3 years. 7. Subject must be willing and able to undergo neuropsychological testing (at least at baseline visit). 8. Subject must have no contraindication to MRI imaging. Exclusion Criteria 1. Known presence of a structural brain lesion (e.g. tumor, cortical infarct). 2. Presence of another neurologic disorder which could impact findings (eg, multiple sclerosis). 3. Subject is unwilling to return for follow-up yearly, undergo neuropsychological testing and MR imaging. 4. Subject has no reliable informant.

Locations (8)

University of California, San Francisco, Memory and Aging Center, Department of Neurology

San Francisco, California, United States

Mayo Clinic Florida

Jacksonville, Florida, United States

Harvard University

Charlestown, Massachusetts, United States

Mayo Clinic

Outcomes

Primary Outcomes

Rate of decline in traditional measures of clinical (neuropsychological and behavioral composites) function and cortical volume on structural MRI in the symptomatic phase of familial FTD

neuropsychological, clinical/behavioral, neuroimaging measures

Time frame: 5 years

Secondary Outcomes

Rate of decline in traditional measures of clinical (neuropsychological and behavioral composites) function and cortical volume on structural MRI in the asymptomatic phase of familial FTD

neuropsychological, clinical/behavioral, neuroimaging measures

Time frame: 5 years

Value of novel imaging and clinical measures for characterizing asymptomatic familial FTD subjects, and factors predicting clinical rates of progression in each group.

neuropsychological, clinical/behavioral, neuroimaging measures

Time frame: 5 years

Genetic and biofluid factors that modify rates of clinical and neuroimaging decline in the asymptomatic and symptomatic phases of familial FTD.

genetic and biolfuid factors

Time frame: 5 years

Data from ClinicalTrials.gov

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