Status:

ACTIVE_NOT_RECRUITING

Multidisciplinary Lifestyle Interventions for Neurological Disorders During the Silent Phase

Lead Sponsor:

Vineet Punia MD

Collaborating Sponsors:

Ohio Department of higher education

Conditions:

Neurological Disorder

Eligibility:

All Genders

50+ years

Phase:

NA

Brief Summary

This clinical trial aims to test the impact of multidisciplinary lifestyle interventions (MLI) in neurologically healthy but at-risk individuals. It aims to find out: * if giving four different kinds...

Detailed Description

In this prospective, controlled, randomized study, investigators will enroll neurologically healthy but at-risk individuals (defined based on the pre-defined, disease-specific criteria described below...

Eligibility Criteria

Inclusion

  • Participants must be enrolled in Cleveland Clinic Brain Study (CCBS). CCBS is a prospective non-interventional study platform for the hyper characterization of the brain and body systems changes (blood, cardio-vascular, voice, visual, cognitive, digestive, brain structure, and neurophysiology) in neurologically healthy individuals 50 years and older. All individuals undergo periodic and thorough neurological assessments, blood tests, and cardiac, neurocognitive, imaging, vision, and neurophysiological testing.
  • CCBS participants who do not have a clinical neurological disease (except headache) but show signs of being at risk of developing one of the four conditions based on the below criteria:
  • Stroke: MRI changes consistent with moderate-severe white matter disease on Fazekas Scale
  • Epilepsy: Spikes/Poylspikes/ Sharp Waves on EEG
  • Movement Disorder: Hyposmia on U. Penn Smell Identification Test (UPSIT \<10 percentile based on age)
  • Dementia: Auditory Verbal Learning Test (AVLT) Trial 1-5 total or Trial 7 scoring \<=1.5 SD and subjective memory on BACH score (proprietary test) 0-40

Exclusion

  • Participants who are actively (at the time of enrollment) engaged in 2 or more of the study interventions.
  • Participants with a diagnosed, symptomatic, chronic illness (i.e., significant psychiatric concerns, liver, gastrointestinal, respiratory, renal, cardiac, etc.) who, based on primary investigator review, cannot safely or effectively participate in the study.
  • Participants undergoing intensive medical treatment for serious or life-threatening illness (e.g., chemotherapy, etc.) that, in an investigator's opinion, would impact study participation.
  • Participants who are currently pregnant or less than six weeks postpartum
  • Participants with significant hearing loss
  • Participants with severe impairment of vision/ blindness
  • Participants who require a legally authorized representative (LAR) or lack the capacity to consent for themselves

Key Trial Info

Start Date :

July 13 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 1 2026

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT05984056

Start Date

July 13 2023

End Date

June 1 2026

Last Update

July 8 2025

Active Locations (1)

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Cleveland Clinic

Cleveland, Ohio, United States, 44195