ClinicalTrials.gg
RecruitingNCT06121544Updated Apr 6, 2026

The Swedish BioFINDER - Preclinical AD Study

An observational study in Alzheimer Disease, Mild Cognitive Impairment and Mild Dementia, sponsored by Skane University Hospital. Recruiting at 1 site in Sweden. Open to participants aged 50 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-04-06.

Sponsored by Skane University Hospital · Observational

From the registry’s dates

  • Started Apr 2022; still recruiting 4 years 7 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
800
Ages
50 Years to 80 Years
Sex
All
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Study summary

This research study aims to examine biomarkers of Alzheimer's disease (AD) as early as possible which could potentially be a screening tool for the general population. This observational study will take place at the Skåne University Hospital in Sweden. The study will enroll up to 600 cognitively healthy subjects aged 50 to 80 years with 3/4 having preclinical Alzheimer's disease. Recruitment and enrollment will be ongoing for 2-3 years, and subject participation will be lasting approximately 4 years. Disclosure of AD risk assessments will be an optional procedure.

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Conditions studied

  • Alzheimer Disease
  • Mild Cognitive Impairment
  • Mild Dementia

Keywords

  • Preclinical Alzheimer, early diagnosis, biomarkers, plasma, CSF, PET
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In context

Alzheimer Disease

3,965 studies on the registry are indexed under Alzheimer Disease; 926 are open to participants now.

This study's planned enrollment of 800 is above the median of 200 across 814 observational studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Skane University Hospital is the lead sponsor of 73 studies on the registry; 17 are open to participants now.

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

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Who can participate

Ages eligible
50 Years to 80 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Cognitively unimpaired individuals (50-80 years old) Step 1. Cognitively normal individuals will be screened using plasma p-tau217 (Eli Lilly-developed Meso Scale Discovery method).

Step 2. Cerebrospinal fluid Alzheimer's disease biomarkers analysis will be done in a subpopulation including all plasma p-tau217 positive individuals and randomly selected individuals with normal p-tau217 (matching 9:1).

Step 3. Amyloid PET imaging.

450 individuals with positive Alzheimer's disease biomarkers and 150 with normal Alzheimer's disease biomarkers will be enrolled into longitudinal study.

FOLLOW-UP FOR 4 YEARS: Cognitive testing and blood draws will be conducted at baseline and 12, 24, 36 and 48 months. cerebrospinal fluid collection, MRI, amyloid PET and tau PET will be conducted at baseline, and 24 and 48 months.

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

  1. Age 50-80
  2. Individuals aged 50-60 require at least one of the following risk factors for AD:

    1. Known apolipoprotein E (APOE) -ε4 carrier
    2. Known 1st degree family history of dementia or severe memory loss with onset prior to 75.
    3. Known amyloid brain pathology by either CSF or PET scan.
  3. (MMSE) ≥26 (aged >65); MMSE ≥27 (aged 50-65).
  4. Score of 12 or above on the Montreal Cognitive Assessment (MoCA) telephone version.
  5. Speaks and understands Swedish to the extent that an interpreter is not necessary to fully understand the study information and cognitive tests.

6a. Preclinical Alzheimer's disease subgroup (n=450): Amyloid pathology according to cerebrospinal fluid Alzheimer's disease and amyloid PET scans.

6b. Non-Preclinical Alzheimer's disease subgroup (n=150): No sign of preclinical Alzheimer's disease using cerebrospinal fluid Alzheimer's disease biomarkers or Aβ-PET scans.

Exclusion criteria

Exclusion Criteria:

  1. Fulfils the criteria for minor or major neurocognitive disorder according to The , Fifth Edition (DSM-5).
  2. History of significant brain injury or other known neurologic disease or insult, resulting in lasting cognitive sequelae that would confound the assessment and staging of potential neurodegenerative disease.
  3. Major depression, bipolar disorder, or recurrent psychotic disorders within the past year.
  4. History of alcohol and/or substance abuse or dependence within the past year.
  5. Significant unstable systemic illness or organ failure, such as terminal cancer, that makes it difficult to participate in the study.
  6. Refusing or unable to complete baseline cognitive and biomarker assessments (i.e., cognitive testing, blood draw, MRI and PET).
Terms in these criteria, in plain language(2)

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.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

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Study design

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

Groups and cohorts

  • Cognitively unimpaired individuals with preclinical Alzheimer's disease

    75% of the recruited population will be cognitively unimpaired individuals with preclinical Alzheimer's disease.

    Diagnostic Test: Plasma tau · Diagnostic Test: Plasma β-Amyloid 42/40 (Aβ42/Aβ40) · Diagnostic Test: Flutemetamol F18 Injection · Diagnostic Test: [18F]-RO6958948 Injection · Diagnostic Test: Magnetic resonance imaging (MRI)

  • Cognitively unimpaired individuals without preclinical Alzheimer's disease.

    25% of the recruited population will be cognitively unimpaired individuals without preclinical Alzheimer's disease.

    Diagnostic Test: Plasma tau · Diagnostic Test: Plasma β-Amyloid 42/40 (Aβ42/Aβ40) · Diagnostic Test: Flutemetamol F18 Injection · Diagnostic Test: [18F]-RO6958948 Injection · Diagnostic Test: Magnetic resonance imaging (MRI)

Interventions

  • Diagnostic testPlasma tau

    Plasma levels of different p-tau and np-tau species

  • Diagnostic testPlasma β-Amyloid 42/40 (Aβ42/Aβ40)

    Plasma levels of Aβ42/Aβ40 ratio

  • Diagnostic testFlutemetamol F18 Injection

    Positron emission tomography (PET) imaging of amyloid-β plaques

  • Diagnostic test[18F]-RO6958948 Injection

    PET imaging of Tau aggregates

  • Diagnostic testMagnetic resonance imaging (MRI)

    Different MRI sequences relevant for brain imaging

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What researchers measure

Primary outcomes

  1. Change in cognitive function

    Rate of cognitive decline as measured by traditional cognitive and behavioral assessments including The Preclinical Alzheimer Cognitive Composite (PACC)

    Time frame: Time zero equals the baseline visit. All subjects will subsequently attend follow-up visits every year for 4 years after baseline.

  2. Change in cognitive function - digital assessment

    Rate of cognitive decline as measured by digital cognitive assessments

    Time frame: Time zero equals the baseline visit. All subjects will subsequently attend follow-up visits every year for 4 years after baseline.

Secondary outcomes

  1. Rate of change in plasma biomarkers

    Time frame: Time zero equals the baseline visit. All subjects will subsequently attend follow-up visits every year for 4 years after baseline.

  2. Rate of change in cerebrospinal fluid biomarkers

    Time frame: Time zero equals the baseline visit. All subjects will subsequently attend follow-up visits every two years for 4 years after baseline.

  3. Rate of change in amyloid PET

    Time frame: Time zero equals the baseline visit. All subjects will subsequently attend follow-up visits every two years for 4 years after baseline.

  4. Rate of change in tau PET

    Time frame: Time zero equals the baseline visit. All subjects will subsequently attend follow-up visits every two years for 4 years after baseline.

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Study locations

1 of 1 sites recruiting
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References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: Within one year after study completion

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 6, 2026, 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
NCT06121544
Lead sponsor
Skane University Hospital
Collaborators
Lund University
Responsible party
Erik Stomrud (M.D., PhD, Skane University Hospital) — Principal investigator
First posted
Nov 8, 2023
Start date
Apr 1, 2022
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Apr 6, 2026

Study contacts

Erik Stomrud, MD, PhD
Contact
erik.stomrud@med.lu.se
+46 40 33 10 00
Niklas Mattsson-Carlgren, MD, PhD
Contact
niklas.mattsson-carlgren@med.lu.se
+46 40 33 10 00
Erik Stomrud, MD, PhD
principal investigator · Skane University Hospital and Lund University

Oversight

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

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