Cognitive Testing in Different Aetiologies of Dementia

  • Research type

    Research Study

  • Full title

    Cognitive Testing in Different Aetiologies of Dementia

  • IRAS ID

    226653

  • Contact name

    Elizabeth Coulthard

  • Contact email

    elizabeth.coulthard@bristol.ac.uk

  • Sponsor organisation

    North Bristol NHS Trust

  • Clinicaltrials.gov Identifier

    226653, IRAS

  • Duration of Study in the UK

    1 years, 6 months, 12 days

  • Research summary

    Each type of dementia has a typical cognitive profile, for example, memory and visuospatial processing may be impaired to varying extents in Alzheimer’s disease, vascular dementia, Parkinson’s disease dementia and Lewy body dementia. However, there are undoubtedly individual differences in cognitive function between patients with the same dementia. In order to tailor therapy for an individual patient, we first have to be able to identify the precise deficits in each patient. Here we propose using computerised tasks to test two cognitive domains, memory and visuospatial processing, in patients with dementia.

    We are particularly interested in memory as we have designed a computerised cognitive task that allows us to distinguish between impairment of different types of memory and demonstrated that dopamine therapy
    boosts medium term memory. We hypothesise that some patients with dementia will have a medium term memory deficit that may be amenable to treatment with dopaminergic therapy in a future clinical trial.

    Recent work has also suggested that visuospatial processing is abnormal in patients with dementia. Identification of abnormal visuospatial function may be important in classifying dementia type and also may provide a basis for future trials of medications that can improve visuospatial attention. We plan to run our computerised cognitive tasks in patients with dementia, including Alzheimer’s disease, Vascular dementia, Lewy body dementia and Parkinson’s Disease Dementia, as well as patients with mild cognitive impairment. We hypothesise that many patients with these dementias will have a medium term memory deficit and that a distinct pattern of visuospatial deficits will distinguish between different types of dementia and help to predict the type of dementia that may develop in patients with mild cognitive impairment. We hope that our work will provide the basis for future therapeutic trials in dementia.

  • REC name

    Yorkshire & The Humber - South Yorkshire Research Ethics Committee

  • REC reference

    17/YH/0243

  • Date of REC Opinion

    13 Nov 2017

  • REC opinion

    Further Information Favourable Opinion