UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057274
Receipt number R000045230
Scientific Title Evaluation of brain lymphatics related to sleep by using MRI
Date of disclosure of the study information 2025/04/01
Last modified on 2025/03/13 11:32:53

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Basic information

Public title

Evaluation of brain lymphatics related to sleep by using MRI

Acronym

Evaluation of brain lymphatics related to sleep by using MRI

Scientific Title

Evaluation of brain lymphatics related to sleep by using MRI

Scientific Title:Acronym

Evaluation of brain lymphatics related to sleep by using MRI

Region

Japan


Condition

Condition

Sleep Apnea Syndrome

Classification by specialty

Radiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Three MRI-based methods can be considered for evaluating changes in the brain's lymphatic system associated with obstructive sleep apnea syndrome (hereafter referred to as sleep disorder):

1. **Evaluation using diffusion imaging: Primary evaluation item**
Assessment of changes in the ALPS index before and after sleep, as well as after treatment in the disease group, using the DTI-ALPS method with diffusion imaging.

Basic objectives2

Others

Basic objectives -Others

2. **Evaluation using magnetization transfer imaging**
Assessment of changes in the distribution of mobile proteins in the brain using amide proton transfer MRI signal intensity images.

3. **Evaluation using perfusion imaging with gadolinium contrast agent**
Assessment of changes in cerebral blood flow and cerebral blood volume using MRI perfusion imaging.
This evaluation will only be conducted on patients who provide consent for contrast-enhanced imaging and will be considered as a supplementary measure to the above two methods.

Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

In this study, to establish an evaluation method for the brain's lymphatic system, we will compare the individual assessment capabilities of the three evaluation methods in patients with obstructive sleep apnea syndrome and a normal control group. Additionally, we will examine the usefulness of a comprehensive evaluation combining all three methods.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Device,equipment

Interventions/Control_1

Individuals aged 18 years or older and under 50 who are scheduled for an evaluation of central nervous system abnormalities using the 3T MRI at the affiliated hospital for the diagnosis of sleep disorders, and who understand the study details and consent to participate, will be included as subjects.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

50 years-old >

Gender

Male and Female

Key inclusion criteria

Individuals aged 18 years or older and under 50 who are scheduled for an evaluation of central nervous system abnormalities using the 3T MRI at the affiliated hospital for the diagnosis of sleep disorders, and who understand the study details and consent to participate, will be included as subjects.

Key exclusion criteria

1) Individuals with internal or superficial metal due to surgery or trauma (e.g., ferromagnetic cerebral aneurysm clips, intraocular metal [history of metalwork], artificial heart valves, implants, dentures with magnets, artificial joints, endoscopic clips, fracture fixation metal, bullets, ocular prostheses with magnets, implanted acupuncture needles, etc.).

2) Individuals with implanted electronic devices (e.g., cardiac pacemakers, cochlear implants, implantable defibrillators, implanted neurostimulators, bone growth stimulators, etc.).

3) Individuals with tattoos or permanent eyeliner.

4) Individuals with claustrophobia.

5) Individuals who are pregnant or may be pregnant.

6) Individuals wearing underwear that may generate heat during imaging, such as Heattech.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Toshiaki
Middle name
Last name Taoka

Organization

Nagoya University, Graduate scholl of medicine

Division name

Department of innovative biomedical visualization

Zip code

466-8550

Address

65 Tsurumai-cho, Showa-ku, Nagoya

TEL

052-744-2327

Email

ttaoka@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name Toshiaki
Middle name
Last name Taoka

Organization

Nagoya University, Graduate scholl of medicine

Division name

Department of innovative biomedical visualization

Zip code

466-8550

Address

65 Tsurumai-cho, Showa-ku, Nagoya

TEL

052-744-2327

Homepage URL


Email

ttaoka@med.nagoya-u.ac.jp


Sponsor or person

Institute

Nagoya University

Institute

Department

Personal name



Funding Source

Organization

Canon Medical Systems

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagoya University Hospital

Address

65 Tsurumai-cho, Showa-ku, Nagoya

Tel

052-744-2327

Email

ttaoka@med.nagoya-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 04 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

50

Results

A multiple regression analysis adjusted for age was performed to evaluate the relationship between diffusion factors in the **ALPS White Matter Region** and the **ALPS index**. As expected, factors within the **ALPS White Matter Region** had a significant impact. Interestingly, **assocDyy** and **projDzz**, which are not directly involved in the calculation of the **ALPS index**, were also found to have an influence.


Results date posted

2025 Year 03 Month 13 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2020 Year 11 Month 02 Day

Date of IRB

2020 Year 11 Month 02 Day

Anticipated trial start date

2020 Year 11 Month 02 Day

Last follow-up date

2025 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 03 Month 13 Day

Last modified on

2025 Year 03 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045230