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CompletedNCT04104373ONDRIUpdated Apr 2, 2024

The Ontario Neurodegenerative Disease Research Initiative

An observational study in Alzheimer Disease, Amyotrophic Lateral Sclerosis and Frontotemporal Dementia, sponsored by Ontario Neurodegeneration Disease Research Initiative. Completed at 12 sites in Canada. Open to participants aged 55 Years to 85 Years. Per ClinicalTrials.gov, last updated 2024-04-02.

Sponsored by Ontario Neurodegeneration Disease Research Initiative · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
522
Ages
55 Years to 85 Years
Sex
All
01

Study summary

The Ontario Neurodegenerative Disease Research Initiative (ONDRI) is a province-wide collaboration studying dementia and how to improve the diagnosis and treatment of neurodegenerative diseases including:

  • Alzheimer's disease (AD)
  • Parkinson's disease (PD)
  • amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease)
  • frontotemporal lobar degeneration (FTD)
  • vascular cognitive impairment, resulting from stroke (VCI)
Read the detailed description

The Ontario Neurodegenerative Disease Research Initiative (ONDRI) is a research program designed to investigate similarities and differences of dementia among five diseases that will improve the diagnosis and treatment of neurodegeneration. The focus is on diseases that are associated with dementia: Alzheimer's disease/mild cognitive impairment, Parkinson's disease, amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease), frontotemporal lobar degeneration, and vascular cognitive impairment (resulting from stroke).

ONDRI is a province-wide collaboration between more than 50 of Ontario's world-class neurodegenerative disease researchers and clinicians, four patient advocacy groups, the industrial sector, and more than 20 clinical, academic and research centres carried out in partnership with the Ontario Brain Institute (OBI).

Instead of only studying what's unique, our long-term observational study is seeking out the common early indicators and risk factors of the five diseases.

Our mandate is to ensure that the findings from the data collected are transformed into new diagnostic methods that will help detect diseases earlier, improved clinical practice that puts patients first, and eventually new effective treatments that will slow the diseases from progressing or even prevent the disease so people can continue to enjoy the later years of their lives.

More than 600 participants will be followed for up to three years and will complete assessments for genomics, gait and balance, eye measurements, neuropsychology, and neuroimaging and will donate their data to a comprehensive integrated data management system called Brain-CODE.

02

Conditions studied

  • Alzheimer Disease
  • Amyotrophic Lateral Sclerosis
  • Frontotemporal Dementia
  • Parkinson Disease
  • Stroke
03

In context

Parkinson Disease

4,487 studies on the registry are indexed under Parkinson Disease; 1,082 are open to participants now.

This study's enrollment of 522 is above the median of 96 across 1,057 observational studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

Ontario Neurodegeneration Disease Research Initiative is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
55 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Approximately six hundred (600) participants who have one of the following diseases: VCI (150), AD/MCI (150); PD (150); FTD (60) and ALS (90) are to be enrolled.

Inclusion criteria

  • Written informed consent must be obtained and documented.
  • Participant must rate his/her level of proficiency in speaking and understanding English at 7 out of 10 or higher on the two LEAP-Q questions.
  • Participant must have ≥ 8 years education.
  • Participant with a minimum MoCA score of ≥18.

    • Exception: FTD minimum MoCA score of ≥ 14.
  • Participant must have a reliable Study Partner. The Study Partner must:

    • Interact regularly with the participant (i.e., have contact with the participant at least once a month over the phone, email, or face-to-face);
    • Know the participant well enough to answer questions about the her/his cognitive abilities, communication skills, mood, and daily functioning (i.e., known the participant for at least 2 years);
    • Provide written informed consent and complete study questionnaires;
    • Be willing and able to assist in compliance with study procedures (if required).
  • Geographic accessibility to the study site.
  • Participant must be able to walk (assistive aids may be used, e.g., cane, walker, etc.).

Exclusion criteria

Exclusion Criteria:

  • Serious underlying disease other than the disease being studied which in the opinion of the investigator may interfere with the participant's ability to participate fully in the study.
  • Any disease that would/could lead to death over the next 3 to 5 years (i.e., cardiac/renal/liver cancer) with poor prognosis.
  • Participant has been diagnosed with more than one of the five diseases (AD/MCI, ALS, FTD, PD or VCI) being studied.
  • History of alcohol or drug abuse, which in the opinion of the investigator, may interfere with the participant's ability to comply with the study procedures.
  • Presence of any of the following clinical conditions:

    • Substance abuse within the past year.
    • Unstable cardiac, pulmonary, renal, hepatic, endocrine, hematologic, or active malignancy or infectious disease.
    • AIDS or AIDS-related complex.
    • Unstable psychiatric illness defined as psychosis (hallucinations or delusions) or untreated major depression within 90 days of the screening visit.
  • Participant is currently enrolled in a disease modifying therapeutic (drug or interventional) trial or observational study that the Executive Committee feels would compromise study results.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
522 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Interventions

  • OtherObservational Cohort
06

What researchers measure

Primary outcomes

  1. Eye Tracking - Pro Saccade and Anti Saccade

    Pro-saccade task assesses simple sensory-motor function by following eye movement for specific tasks. • Anti-saccade task is identical to the pro-saccade task, except the instruction, indicated by fixation point (FP) colour,and is a sensitive indicator of cognitive disturbances.

    Time frame: 5 Years

  2. Retinal Nerve Imaging

    Institutions with the Heidelberg Spectralis with Ocular Coherence Tomography (OCT) Blue Peak Instrumentation will participate in this assessment. Both eyes of all participants will undergo: * Assessment of best corrected visual acuity * Digital colour fundus photography. * Retinal nerve imaging

    Time frame: 5 years

  3. Gait and Balance

    All participants will perform walks along a 6 metre path while wearing hip and ankle accelerometers. Participants will perform three main tasks: 1) preferred walking speed, 2) dual task walking and 3) fast walking.

    Time frame: 5 years

  4. Genomics

    Blood samples will be drawn by LifeLabs Medical Laboratory Services located in London, Ottawa, Toronto, Kingston, Thunder Bay, and Hamilton. Under extenuating circumstances, an appointment may be made with LifeLabs to have the blood samples drawn at home or in a residential facility.Samples must be drawn from Monday to Wednesday to allow for weekday shipping and receipt of samples at the OBI Biobank Sample Reception at Robarts Research Institute in London, Ontario (ON). LifeLabs standardized protocols for collection and overnight shipping will be followed. Subsequently, DNA aliquots for NeuroX microarray will be sent to Dr. Ekaterina Rogaeva at the University of Toronto in Toronto, ON. DNA aliquots for the OBI Neurodegeneration Re-sequencing Panel will remain with Dr. Robert Hegele at Robarts Research Institute in London, ON.

    Time frame: 5 years

  5. Neuropsychology

    A battery of broad-based, standardized and validated cognitive assessments covering attention,memory, speech production, language and visuospatial function with a focus on coginitve domains reflection frontal network functioning and social attention. will be completed on an annual basis.

    Time frame: 5 years

  6. Neuroimaging

    Imaging will be done on an annual basis to characterize the neuro-anatomical, microstructural, and functional profiles of dementia types and monitor changes from baseline.

    Time frame: 5 years

07

Study locations

12 sites
  • Hamilton Health Sciences Centre
    Hamilton, Ontario L8L 8E7, Canada
  • Providence Care Mental Health Services
    Kingston, Ontario K7L 5A2, Canada
  • London Health Sciences Centre
    London, Ontario N6A 5W9, Canada
  • Parkwood Institute
    London, Ontario N6C 0A7, Canada
  • The Ottawa Hospital
    Ottawa, Ontario K1H 8L6, Canada
  • Elisabeth Bruyere
    Ottawa, Ontario K1N 5C8, Canada
  • Thunder Bay Regional Research Institute
    Thunder Bay, Ontario P7B 5E1, Canada
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N 3M5, Canada
  • St. Michael's Hospital
    Toronto, Ontario M5B 1W8, Canada
  • University Health Network
    Toronto, Ontario M5T 2S8, Canada
  • Baycrest
    Toronto, Ontario M6A 2Ei, Canada
  • Centre for Addiction and Mental Health
    Toronto, Ontario M6J 1H4, Canada
08

References and documents

Individual participant data

Plan to share: Yes — All IPD collected for the purpose of publications are to be shared via a controlled public release along with the accompanying data dictionaries and other supplementary files. All data shared are de-identified in accordance with the policies set out by the Ontario Brain Institute (OBI).

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 2, 2024, 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
NCT04104373
Lead sponsor
Ontario Neurodegeneration Disease Research Initiative
Responsible party
Sponsor
First posted
Sep 26, 2019
Start date
Jul 7, 2014
Primary completion
Mar 31, 2018
Completion
Apr 30, 2018
Last update
Apr 2, 2024

Study contacts

Richard Swartz, MD
principal investigator · Sunnybrook Health Sciences Centre

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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