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CompletedNCT00106899Updated Sep 16, 2014

ADNI: Alzheimer's Disease Neuroimaging Initiative

An observational study in Alzheimer's Disease, sponsored by Alzheimer's Disease Cooperative Study (ADCS). Completed at 59 sites in 2 countries. Open to participants aged 55 Years to 90 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-09-16.

Sponsored by Alzheimer's Disease Cooperative Study (ADCS) · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
818
Ages
55 Years to 90 Years
Sex
All
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Study summary

The purpose of this study is to examine how brain imaging technology can be used with other tests to measure the progression of mild cognitive impairment (MCI) and early Alzheimer's disease (AD). This information will aid future clinical trials by providing a standard assessment tool to measure the effects of treatments being studied.

Read the detailed description

This study will test whether serial magnetic resonance imaging (MRI), positron emission tomography (PET), other biological markers, and clinical and neuropsychological assessment can be combined to measure the progression of mild cognitive impairment (MCI) and early Alzheimer's disease (AD). The information obtained by studying changes in the brain images of MCI and AD patients and healthy individuals, as well as other assessment tools, will be used to determine the best methods for measuring treatment effects in patients with MCI and AD.

Approximately 800 participants, ranging in age from 55 to 90, will be recruited for the study: 400 patients with MCI, 200 with early AD, and 200 normal controls. Patients with MCI and normal controls will be followed for 3 years, and those with AD will be followed for 2 years. At 6-month intervals, all participants will be seen in person or contacted by telephone. All participants will undergo repeated scanning and blood and urine biomarkers will be collected at the time of each scan. All patients will be asked if they are willing to undergo lumbar puncture at baseline and year one, with the goal of a minimum of 20% and as many as 50% of each group providing CSF (cerebrospinal fluid) samples for analysis and storage for future analyses.

NOTE: Beginning in Spring 2007 a subset of the ADNI participants will be offered the opportunity to participate in a supplemental study. The PIB (Pittsburgh Compound B) study provides imaging of amyloid plaque burden. PIB PET scans will be conducted in 24 control, 48 MCI, and 24 AD participants at approximately 16 ADNI PET sites. For entering participants with no previous PET FDG scans, controls and MCI participants will be scanned with PIB at entry (baseline), 12, 24, and 36 months, and AD participants will be scanned with PIB at entry (baseline), 12, and 24 months. For participants who have undergone previous (baseline and 6 month) PET FDG scans, controls and MCI participants will be scanned with PIB at 12, 24, and 36 months, and AD participants will be scanned with PIB at 12 and 24 months.

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Conditions studied

  • Alzheimer's Disease

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Keywords

  • neuroimaging
  • brain metabolism
  • biomarkers
  • cognition disorder
  • Mild Cognitive Impairment
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In context

Alzheimer Disease

3,675 studies on the registry are indexed under Alzheimer Disease; 869 are open to participants now.

This study's enrollment of 818 is above the median of 200 across 751 observational studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Alzheimer's Disease Cooperative Study (ADCS) is the lead sponsor of 9 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
55 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

community sample

Inclusion criteria

Participants will be classified as either MCI patients, AD patients, or normal controls. General Inclusion Criteria will apply to all groups, with specific criteria for each group as described below:

General (applies to each category):

  • Between 55 and 90 years of age (Currently, ADNI sites are only recruiting volunteers age 70-90 among people with no memory problems)
  • Study partner or caregiver to accompany patient to all scheduled visits
  • Fluent in English or Spanish
  • Permitted medications stable for at least 4 weeks prior to screening
  • Adequate visual and auditory acuity to allow neuropsychological testing
  • Good general health with no additional diseases expected to interfere with the study
  • Women must be two years post-menopausal or surgically sterile
  • Willing and able to complete all baseline assessments, and to participate in the 2-3 year protocol
  • Willing to undergo neuroimaging and provide DNA and plasma samples as specified
  • Completed 6 grades of education or sufficient work history to exclude mental retardation
  • Modified Hachinski score \<=4
  • Geriatric Depression Scale \<6

Specific Criteria for MCI and AD patients:

  • Memory complaint by patient or study partner
  • Abnormal memory function score on Wechsler Memory Scale (adjusted for education)
  • Mini-Mental State Exam score between 24 and 30 (MCI) or 20 and 26 (AD)
  • Clinical Dementia Rating = 0.5; Memory Box score at least 0.5 (MCI) or 1.0 (AD)

Exclusion criteria

Exclusion Criteria:

  • Any significant neurologic disease other than Alzheimer's disease
  • Abnormal baseline MRI
  • Presence of pacemakers, aneurysm clips, artificial heart valves, ear implants, metal fragments or foreign objects in the eyes, skin, or body
  • Major depression, bipolar disorder, history of schizophrenia
  • History of alcohol or substance abuse or dependency within the past 2 years
  • Any significant systemic illness or unstable medical condition which could lead to difficulty complying with the protocol
  • Clinically significant laboratory abnormalities
  • Residence in skilled nursing facility
  • Participation in clinical studies involving neuropsychological measures being collected more than one time per year

Specific Exclusion Criteria for MCI and AD:

  • Psychotic features, agitation or behavioral problems within the last 3 months which could lead to difficulty complying with the protocol.

Prohibited medications:

  • Specific psychoactive medications (for example, certain antidepressants, anti-anxiety medications, sleeping pills, etc.)
  • Warfarin (Coumadin)
  • Investigational agents
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
818 participants (actual)
Biospecimen retention
Samples with dna

Groups and cohorts

  • 1

    Mild Cognitive Impairment (MCI); scans performed at screening/baseline, 6, 12, 18, 24, and 36 months

    Procedure: Magnetic Resonance Imaging (MRI) · Procedure: Positron Emission Tomography (PET) · Procedure: Lumbar Puncture (LP)

  • 2

    Early Alzheimer's disease (AD); scans performed at screening/baseline, 6, 12, and 24 months

    Procedure: Magnetic Resonance Imaging (MRI) · Procedure: Positron Emission Tomography (PET) · Procedure: Lumbar Puncture (LP)

  • 3

    Unaffected/normal controls; scans performed at baseline/screening, 6, 12, 24, and 36 months

    Procedure: Magnetic Resonance Imaging (MRI) · Procedure: Positron Emission Tomography (PET) · Procedure: Lumbar Puncture (LP)

Interventions

  • ProcedureMagnetic Resonance Imaging (MRI)

    MRI scans

  • ProcedurePositron Emission Tomography (PET)

    PET scans

  • ProcedureLumbar Puncture (LP)

    collection of cerebrospinal fluid

    Also known as: spinal tap

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Study locations

59 sites
  • University of Alabama
    Birmingham, Alabama 35233, United States
  • Banner Good Samaritan Medical Center
    Phoenix, Arizona 85006, United States
  • Sun Health / Arizona Consortium
    Sun City, Arizona 85351, United States
  • University of California, Irvine
    Irvine, California 92697-4285, United States
  • University of California, Irvine - Brain Imaging Center
    Irvine, California 92697, United States
  • University of California, San Diego
    La Jolla, California 92037, United States
  • University of Southern California
    Los Angeles, California 90033, United States
  • University of California, Los Angeles
    Los Angeles, California 90095, United States
  • University of California, Davis
    Sacramento, California 95817, United States
  • University of California, San Francisco
    San Francisco, California 94115, United States
  • Stanford University
    Stanford, California 94304, United States
  • Olin Neuropsychiatry Research Center
    Hartford, Connecticut 06106, United States
  • Yale University School of Medicine
    New Haven, Connecticut 06510, United States
  • Georgetown University
    Washington, District of Columbia 20057, United States
  • Howard University
    Washington, District of Columbia 20060, United States
  • Mayo Clinic, Jacksonville
    Jacksonville, Florida 32224, United States
  • Wein Center
    Miami, Florida 33140, United States
  • Byrd Alzheimer's Institute
    Tampa, Florida 33647, United States
  • Premiere Neurological Group
    West Palm Beach, Florida 33407, United States
  • Emory University
    Atlanta, Georgia 30322, United States
  • Northwestern University
    Chicago, Illinois 60611, United States
  • Rush University Medical Center/Presbyterian St. Luke's Medical Center
    Chicago, Illinois 60612, United States
  • Indiana University
    Indianapolis, Indiana 46202-5120, United States
  • University of Kansas
    Kansas City, Kansas 66160, United States
  • University of Kentucky
    Lexington, Kentucky 40536, United States
  • Johns Hopkins University
    Baltimore, Maryland 21287-7218, United States
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
  • Boston University Schools of Medicine and Public Health
    Boston, Massachusetts 02118, United States
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
  • Mayo Clinic, Rochester
    Rochester, Minnesota 55901-0144, United States
  • Washington University
    St. Louis, Missouri 63108, United States
  • University of Nevada School of Medicine
    Las Vegas, Nevada 89102, United States
  • Dartmouth Hitchcock Medical Center
    Lebanon, New Hampshire 03756, United States
  • Albany Medical College
    Albany, New York 12208, United States
  • Dent Neurological Institute
    Amherst, New York 14266, United States
  • New York University
    New York, New York 10016, United States
  • Mount Sinai School of Medicine
    New York, New York 10029, United States
  • Columbia University
    New York, New York 11032, United States
  • Dent Neurological Institute
    Orchard Park, New York 14127, United States
  • University of Rochester Medical Center
    Rochester, New York 14620, United States
  • Neurological Care of CNY
    Syracuse, New York 13210, United States
  • Duke University Medical Center
    Durham, North Carolina 27705, United States
  • Wake Forest University
    Winston Salem, North Carolina 27157, United States
  • Case Western Reserve University
    Cleveland, Ohio 44120, United States
  • Ohio State University
    Columbus, Ohio 43210, United States
  • Oregon Health and Science University
    Portland, Oregon 97239, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Jefferson University
    Philadelphia, Pennsylvania 19107, United States
  • University of Pittsburgh
    Pittsburgh, Pennsylvania 15213, United States
  • Rhode Island Hospital
    Providence, Rhode Island 02903, United States
  • Medical University of South Carolina
    North Charleston, South Carolina 29406, United States
  • University of Texas Southwestern Medical Center
    Dallas, Texas 75390, United States
  • Baylor College of Medicine
    Houston, Texas 77030, United States
  • University of Wisconsin
    Madison, Wisconsin 53706, United States
  • University of British Columbia
    Vancouver, British Columbia V6T 2B5, Canada
  • Parkwood Hospital
    London, Ontario, Canada
  • Saint Joseph's Hospital
    London, Ontario, Canada
  • Sunnybrook and Women's College, Health Sciences Centre, University of Toronto
    Toronto, Ontario, Canada
  • Jewish Hospital Memory Clinic, Quebec
    Montreal, Quebec H3T 1E2, Canada
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References and documents

Publications

  • Frank RA, Galasko D, Hampel H, Hardy J, de Leon MJ, Mehta PD, Rogers J, Siemers E, Trojanowski JQ; National Institute on Aging Biological Markers Working Group. Biological markers for therapeutic trials in Alzheimer's disease. Proceedings of the biological markers working group; NIA initiative on neuroimaging in Alzheimer's disease. Neurobiol Aging. 2003 Jul-Aug;24(4):521-36. doi: 10.1016/s0197-4580(03)00002-2. No abstract available. PubMed 12714109 ↗
  • Grundman M, Petersen RC, Ferris SH, Thomas RG, Aisen PS, Bennett DA, Foster NL, Jack CR Jr, Galasko DR, Doody R, Kaye J, Sano M, Mohs R, Gauthier S, Kim HT, Jin S, Schultz AN, Schafer K, Mulnard R, van Dyck CH, Mintzer J, Zamrini EY, Cahn-Weiner D, Thal LJ; Alzheimer's Disease Cooperative Study. Mild cognitive impairment can be distinguished from Alzheimer disease and normal aging for clinical trials. Arch Neurol. 2004 Jan;61(1):59-66. doi: 10.1001/archneur.61.1.59. PubMed 14732621 ↗
  • Petersen RC. Mild cognitive impairment clinical trials. Nat Rev Drug Discov. 2003 Aug;2(8):646-53. doi: 10.1038/nrd1155. No abstract available. PubMed 12904814 ↗
  • Rouch L, Virecoulon Giudici K, Cantet C, Guyonnet S, Delrieu J, Legrand P, Catheline D, Andrieu S, Weiner M, de Souto Barreto P, Vellas B; Alzheimer's Disease Neuroimaging Initiative. Associations of erythrocyte omega-3 fatty acids with cognition, brain imaging and biomarkers in the Alzheimer's disease neuroimaging initiative: cross-sectional and longitudinal retrospective analyses. Am J Clin Nutr. 2022 Dec 19;116(6):1492-1506. doi: 10.1093/ajcn/nqac236. PubMed 36253968 ↗
  • Xu G, Zheng S, Zhu Z, Yu X, Jiang J, Jiang J, Chu Z; Alzheimer's Disease Neuroimaging Initiative. Association of tau accumulation and atrophy in mild cognitive impairment: a longitudinal study. Ann Nucl Med. 2020 Nov;34(11):815-823. doi: 10.1007/s12149-020-01506-2. Epub 2020 Aug 12. PubMed 32785820 ↗
  • Kennedy RE, Schneider LS, Cutter GR; Alzheimer's Disease Neuroimaging Initiative. Biomarker positive and negative subjects in the ADNI cohort: clinical characterization. Curr Alzheimer Res. 2012 Dec;9(10):1135-41. doi: 10.2174/156720512804142976. PubMed 22963265 ↗
  • Grill JD, Di L, Lu PH, Lee C, Ringman J, Apostolova LG, Chow N, Kohannim O, Cummings JL, Thompson PM, Elashoff D; Alzheimer's Disease Neuroimaging Initiative. Estimating sample sizes for predementia Alzheimer's trials based on the Alzheimer's Disease Neuroimaging Initiative. Neurobiol Aging. 2013 Jan;34(1):62-72. doi: 10.1016/j.neurobiolaging.2012.03.006. Epub 2012 Apr 13. PubMed 22503160 ↗
  • Schrag A, Schott JM; Alzheimer's Disease Neuroimaging Initiative. What is the clinically relevant change on the ADAS-Cog? J Neurol Neurosurg Psychiatry. 2012 Feb;83(2):171-3. doi: 10.1136/jnnp-2011-300881. Epub 2011 Oct 21. PubMed 22019547 ↗
  • Samtani MN, Farnum M, Lobanov V, Yang E, Raghavan N, Dibernardo A, Narayan V; Alzheimer's Disease Neuroimaging Initiative. An improved model for disease progression in patients from the Alzheimer's disease neuroimaging initiative. J Clin Pharmacol. 2012 May;52(5):629-44. doi: 10.1177/0091270011405497. Epub 2011 Jun 9. PubMed 21659625 ↗
  • Schneider LS, Insel PS, Weiner MW; Alzheimer's Disease Neuroimaging Initiative. Treatment with cholinesterase inhibitors and memantine of patients in the Alzheimer's Disease Neuroimaging Initiative. Arch Neurol. 2011 Jan;68(1):58-66. doi: 10.1001/archneurol.2010.343. PubMed 21220675 ↗
  • Schneider LS, Kennedy RE, Cutter GR; Alzheimer's Disease Neuroimaging Initiative. Requiring an amyloid-beta1-42 biomarker for prodromal Alzheimer's disease or mild cognitive impairment does not lead to more efficient clinical trials. Alzheimers Dement. 2010 Sep;6(5):367-77. doi: 10.1016/j.jalz.2010.07.004. PubMed 20813339 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00106899
Lead sponsor
Alzheimer's Disease Cooperative Study (ADCS)
Collaborators
Northern California Institute of Research and Education, National Institute on Aging (NIA), National Institute for Biomedical Imaging and Bioengineering (NIBIB), Foundation for the National Institutes of Health, Alzheimer's Drug Discovery Foundation, Alzheimer's Association
Responsible party
Sponsor
First posted
Apr 1, 2005
Start date
Jul 2005
Primary completion
Jun 2011
Completion
Jun 2011
Last update
Sep 16, 2014

Study contacts

Michael W. Weiner, MD
principal investigator · University of California, San Francisco
Ronald Petersen, MD, PhD
principal investigator · Mayo Clinic - Rochester, Minnesota
Paul Aisen, MD
principal investigator · University of California, San Diego

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2014. You cannot join it, but the record below documents what was studied.

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