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Predicting Cognitive Decline From Androgen Deprivation Therapy
Sponsor: University of California, San Francisco
Summary
Androgen Deprivation Therapy (ADT) is associated with cognitive impairment and dementia in men with prostate cancer. Pre-clinical data suggest that ADT-induced hypogonadism leads to accumulation of beta-amyloid plaques in the hippocampus, a pathological hallmark of Alzheimer's Disease (AD). Neuroimaging Functional magnetic resonance imaging (fMRI) studies also demonstrate that ADT decreases metabolic activity in the parietal, occipital, and prefrontal cortices. Multiple prospective cohort and population-based clinical studies have been conducted to test the association between ADT and cognitive impairment and/or dementia. Plasma biomarkers have been developed to predict brain amyloidosis, a key pathological feature of AD and a risk factor for developing dementia due to AD. The advantage of a blood-based assay is the lower cost, invasiveness, and time compared to cerebrospinal fluid (CSF) and Positron Emission Tomography (PET)-based biomarkers.
Official title: Plasma Amyloid-beta 42/40 to Predict Cognitive Decline From Androgen Deprivation Therapy in Prostate Cancer: a Prospective Observational Study
Key Details
Gender
MALE
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
32
Start Date
2023-05-22
Completion Date
2026-02-28
Last Updated
2026-02-24
Healthy Volunteers
No
Conditions
Interventions
Blood-based assay
Blood samples will be collected
Cognitive assessments
Cognitive assessments will be both participant- and partner-reported
Quality of Life Surveys
Participant-reported Quality of Life Surveys
Locations (1)
University of California, San Francisco
San Francisco, California, United States