ClinicalTrials.gg
CompletedNCT05107882REPHRASEUpdated Aug 7, 2024

Optina Diagnostics' Cerebral ß-Amyloid Status (CAS) Test

An observational study in Alzheimer Disease, Mild Cognitive Impairment and Mild Dementia, sponsored by Optina Diagnostics Inc.. Completed at 7 sites in 2 countries. Open to participants aged 50 Years to 90 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-08-07.

Sponsored by Optina Diagnostics Inc. · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
466
Ages
50 Years to 90 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 1,939 studies in Alzheimer Disease with a site in United States — 345 open to participants now, 445 under way, 40 of them phase 3. Alzheimer Disease · United States.

Enrollment
98th of 309
466 · median 160
Started
2022
with 130 others
Observational
310 of 1,939
86 open now
Registered
1,379th of 1,939
by date

Among the 1,939 studies in Alzheimer Disease with a site in United States, this one is the 98th largest by enrollment of the 309 observational ones that give a count, is one of 131 that started in 2022, is one of 310 observational ones, and was the 1,379th registered.

Alzheimer Disease

3,967 studies on the registry are indexed under Alzheimer Disease; 928 are open to participants now.

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Open to participants now

345 of the 1,939 studies in Alzheimer Disease with a site in United States are open now. Recruiting first, the newest first:

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A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 642 Alzheimer Disease studies recruiting now, 283 (44%) set no upper age limit and 55 (9%) stop at 75 or younger; 34 take children under 18; 284 take healthy volunteers.

This study: 50 Years to 90 Years · all sexes · healthy volunteers too.

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02

Study summary

This observational, cross-sectional study is designed to validate a novel diagnostic test for the detection of phenotypic changes in the retina that correlate with likely PET amyloid status (negative or positive), to aid in the evaluation of adult patients with cognitive impairment who are being evaluated for Alzheimer's disease and other causes of cognitive decline. The CAS test is an adjunct to other diagnostic evaluations, and is indicated for use with the Optina Diagnostics' MHRC (K200254).

Read the detailed description

This non-interventional, cross-sectional study is designed to validate a novel diagnostic test, the Optina Diagnostics' Cerebral ß-Amyloid Status (CAS) test, for the detection of phenotypic changes in the retina that correlate with likely PET amyloid status (positive or negative). The CAS test is an adjunct to other diagnostic evaluations, and is indicated for use with the Optina Diagnostics' MHRC for imaging the retina. The study objective is to characterize the performance of the diagnostic CAS test in the target population of adult patients fifty (50) years and older with cognitive impairment, who are being evaluated for Alzheimer's disease (AD) and other causes of cognitive decline. The data generated in this study will provide evidence to be used in the assessment of the benefits and risks associated with use of the device in the intended population. The primary endpoint is to demonstrate accuracy of the Optina Diagnostics' CAS test compared to amyloid-PET status, as determined by a majority of three (3) qualified, independent PET Readers.

03

Conditions studied

  • Alzheimer Disease
  • Mild Cognitive Impairment
  • Mild Dementia
04

Who can participate

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

Study population

The target population for the Optina Diagnostics' CAS test is men and women 50 years and older who are under clinical investigation for cognitive impairment where Alzheimer's disease (AD) is one of the possible differential diagnoses.

As concomitant eye pathologies or conditions could interfere with CAS algorithm, individuals with certain ocular pathologies or conditions, including glaucoma, age-related macular degeneration (AMD), retinopathies, and advanced cataracts, will not be included in the target population at this time. Work is on-going to improve the CAS classifier algorithm with the goal to include these individuals in the target population at a later date.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male and female adults aged 50 years and older (inclusive).
  • Individuals with reported cognitive complaint (self or from an informant) under clinical investigation by a health professional for cognitive impairment where Alzheimer's disease (AD) is one of the differential diagnoses.
  • Demonstrated cognitive impairment as evidenced by at least one of the following:

    1. (MMSE) score \< 26/30
    2. Montreal Cognitive Assessment (MoCA) score \< 26/30
    3. Score > 1 Standard Deviation below population mean on a standardized neuropsychological test (in any domain), based on normative data from age-, sex-, education-, and where possible, race-matched peers [Based on guidelines for detecting Mild Cognitive Impairment due to AD (Albert et al., 2011)]
  • Clinical laboratory assessment (complete blood count [CBC], standard blood chemistry profile, thyroid stimulating hormone [TSH], vitamin B12) within the 6 months prior to enrollment.
  • Cognitive impairment on the above test/s is unable to be fully explained by systemic, neurological or psychiatric disorders other than Alzheimer's disease.
  • Capacity to give by patient or substitute decision maker.
  • Ability to undergo PET and MRI scans.

Exclusion criteria

Exclusion Criteria:

  • Any ophthalmologic condition that would prevent obtaining retinal imaging and/or could interfere with the analysis of the MHRC images by the CAS, including:

    1. Pupil dilation (due to a pathology, or presence of 3 quadrants with Van Herick grading of 0 or 1 without iridotomy)
    2. Inadequate pupil dilatation (\< 6mm diameter) preventing uniform illumination of the retina with the MHRC
    3. Diagnosis of glaucoma or signs of glaucoma (excavation ratio ≥0.7)
    4. Signs of vascular occlusion or retinopathy (microaneurysm, exudate, hemorrhage or edema) within a diameter of 10 mm from the mid-point between the optic nerve head and the macula
    5. Presence of drusen and/or age-related macular degeneration (AREDS 9-step scale ≥4 - cumulative drusen area diameter ≥ 250 um, pigmentary changes and cumulative drusen area diameter ≥ 63 um or pigmentary changes and cumulative geographic atrophy area diameter ≥ 354 um)
    6. Macular anomaly (e.g., macular hole, dystrophy, degeneration)
    7. Nuclear sclerosis > 2 (LOCS II four-point grading system) or presence of central cortical or central posterior subcapsular cataract
    8. Refractive error outside the range of -15 D to +15 D
    9. Scar, atrophy, naevus, tumor, eepiretinal membrane or retinal pucker with a cumulative area > 1 disc area within a diameter of 10 mm from the mid-point between the optic nerve head and the macula
    10. Papilledema
    11. Deficient visual fixation (inability to fixate for at least 2 s)
    12. Corneal or media opacities (e.g., Weiss ring) affecting retinal imaging on a cumulative area > 1 disc area within a diameter of 10 mm from the mid-point between the optic nerve head and the macula (i.e., the area of interest for the MHRC imaging)
  • Inability of obtaining at least 3 images of satisfactory quality with the MHRC per the Optina Diagnostics quality index software and /or per the eye specialists' evaluation.
  • Impossibility of obtaining a satisfactory quality amyloid-PET scan for interpretation by imaging specialists.
  • Individuals who currently or have previously taken cerebral amyloid modifying medication.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
466 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Retinal beta-amyloid detection

    Presence of absence of beta-amyloid plaques in the retina where the accuracy will be assessed using positive percent agreement (PPA) and negative percent agreement (NPA) with 95% confidence intervals.

    Time frame: 1 year

07

Study locations

7 sites
  • Ezy Medical Research
    Miami, Florida 33175, United States
  • Lou Ruvo Center for Brain Health at Cleveland Clinic (LR-CC)
    Las Vegas, Nevada 89106, United States
  • East Virginia Medical School (EVMS)
    Norfolk, Virginia 23507, United States
  • University of Washington (MBWC)
    Seattle, Washington 98104, United States
  • Ottawa Memory Clinic (OMC)
    Ottawa, Ontario K1Z 1G3, Canada
  • Centricity Research
    Toronto, Ontario M4G 3E8, Canada
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N 3M5, Canada
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2022 to primary completion in Jul 2024, 25 months.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 21, 2021
First posted
Nov 4, 2021
StartActual
Jun 7, 2022
Primary completionActual
Jul 25, 2024
CompletionActual
Jul 25, 2024
Last update
Aug 7, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 7, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05107882
Lead sponsor
Optina Diagnostics Inc.
Collaborators
Eastern Virginia Medical School, The Cleveland Clinic, University of Washington, Sunnybrook Research Institute
Responsible party
Sponsor
First posted
Nov 4, 2021
Start date
Jun 7, 2022
Primary completion
Jul 25, 2024
Completion
Jul 25, 2024
Last update
Aug 7, 2024

Study contacts

Hamid Okhravi, MD, PhD FRPC
principal investigator · Eastern Virginia Medical Center
Richard Bergeron, PhD FRPC
principal investigator · Ottawa Memory Clinic and Clinic Memoire Outaouais
Suman Jayadev, MD
principal investigator · University of Washington
Charles Bernick, MD, MPH
principal investigator · Cleveland Clinic Lou Ruvo Center for Brain
Sandra Black, MD
principal investigator · Sunnybrook Research Institute (SRI)
Jorge P. Bruno, MD
principal investigator · Ezy Medical Research
Giovanni J Marotta, MD, FRCP(C)
principal investigator · Centricity Research

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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