Actively Recruiting

Age: 65Years +
All Genders
ID07435467

Blood Biomarkers for Alzheimer Disease and Neuro-injury to Estimate the Association With Cognitive/Functional Decline and Mortality in a Real-world Population of GERiatric Hospitalized Patients (BAD-GER): a Multicenter, Observational, 3-arms, Prospective Study

Led by Istituto Nazionale di Ricovero e Cura per Anziani · Updated on 2026-02-27

400

Participants Needed

3

Research Sites

N/A

Total Duration

On this page

Sponsors

I

Istituto Nazionale di Ricovero e Cura per Anziani

Lead Sponsor

M

Ministry of Health, Italy

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating blood biomarkers related to Alzheimer's Disease and neuro-injury to understand their association with cognitive and functional decline, mortality, and hospital readmission in older hospitalized patients. This multicenter, prospective observational study aims to validate a prognostic algorithm developed from a prior retrospective analysis of biomarkers in a cohort of 700 geriatric patients. The study integrates clinical, laboratory, and biomarker data to assess these relationships in a real-world population. The study involves three groups of hospitalized patients: those with acute neurological disorders such as stroke or delirium, those with major neurocognitive disorder (dementia), and those hospitalized for non-neurological diseases without dementia. Blood samples will be collected at baseline to measure amyloid ß-42, tau proteins, neuro-injury markers, neuroinflammation markers, and astrocyte activation. The research will observe participants over 12 months to record mortality and hospital readmission rates. Participants will undergo comprehensive geriatric assessments and evaluations of cognitive function and frailty at the start of the study. Blood biomarker levels will be analyzed alongside clinical data to explore their association with outcomes. The primary outcomes include all-cause mortality and number of hospital readmissions within 12 months of enrollment. This observational study does not involve treatment interventions but focuses on monitoring and data collection to improve understanding of disease progression and risks in elderly hospitalized patients.

CONDITIONS

Brief Title

Blood Biomarkers for Alzheimer Disease and Neuro-injury to Estimate the Association With Cognitive/Functional Decline and Mortality in a Real-world Population of GERiatric Hospitalized Patients (BAD-GER)

Who Can Participate

Age: 65Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged 65 years or older
  • Inpatients diagnosed with ischemic or hemorrhagic stroke, delirium, status epilepticus, or encephalitis/meningitis (Group 1)
  • Inpatients diagnosed with major neurocognitive disorder according to DSM-5 criteria (Group 2)
  • Inpatients with non-neurological diseases without dementia (Group 3)
  • Ability to provide informed consent
Not Eligible

You will not qualify if you...

  • Lack of informed consent
  • For Group 2: patients with ischemic or hemorrhagic stroke, delirium, status epilepticus, or encephalitis/meningitis
  • For Group 3: patients with ischemic or hemorrhagic stroke, delirium, status epilepticus, or encephalitis/meningitis
  • For Group 3: diagnosis of dementia

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - At baseline

Participants provide blood samples and undergo assessments to measure biomarkers and cognitive, functional, and frailty status.

1 visit (in-person)

Long-term Monitoring

Duration - 12 months from enrollment

Participants are monitored for mortality and hospital readmission over 12 months.

Follow-up contacts as part of routine care

Trial Site Locations

Total: 3 locations

1

IRCCS INRCA Hospital

Ancona, Italy

Actively Recruiting

2

IRCCS INRCA Hospital

Fermo, Italy

Actively Recruiting

3

Policlinico Universitario

Messina, Italy

Actively Recruiting

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Research Team

A

Anna Rita Bonfigli

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

3

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