UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062108
Receipt number R000071025
Scientific Title A prospective observational study to develop prediction models for prognosis and adverse events during anti-amyloid antibody therapy in patients with Alzheimer's disease
Date of disclosure of the study information 2026/07/10
Last modified on 2026/07/01 19:41:00

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Basic information

Public title

Development of a prognostic prediction model for anti-amyloid antibody therapy in Alzheimer's disease

Acronym

HiRAPAR study

Scientific Title

A prospective observational study to develop prediction models for prognosis and adverse events during anti-amyloid antibody therapy in patients with Alzheimer's disease

Scientific Title:Acronym

HiRAPAR study

Region

Japan


Condition

Condition

Mild cognitive impairment, dementia

Classification by specialty

Neurology Geriatrics Psychiatry

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

This study aims to prospectively enroll patients with Alzheimer's disease or suspected Alzheimer's disease who are considered for initiation, discontinuation, or resumption of anti-amyloid antibody therapy at Kansai Medical University Hospital and Kansai Medical University Medical Center. The study will evaluate prognosis, adverse events including amyloid-related imaging abnormalities, behavioral and psychological symptoms, cognitive function, and physical function, with the aim of developing prediction models for clinical outcomes and adverse events.

Basic objectives2

Others

Basic objectives -Others

To develop prediction models for clinical outcomes and adverse events, including amyloid-related imaging abnormalities, after anti-amyloid antibody therapy using clinical data, neuroimaging findings, blood and cerebrospinal fluid biomarkers, and APOE genotype in patients with mild cognitive impairment or mild Alzheimer's disease who are considered for initiation, discontinuation, or resumption of anti-amyloid antibody therapy.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Incidence of amyloid-related imaging abnormalities and behavioral and psychological symptoms of dementia according to baseline MRI findings.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients with suspected mild cognitive impairment or mild Alzheimer's disease who are considered for initiation or discontinuation of anti-amyloid antibody therapy.
2) No age restriction.
3) Both outpatients and inpatients are eligible.
4) Both sexes are eligible.
5) Patients who provide written informed consent after receiving sufficient explanation. If the patient is unable to provide valid consent due to cognitive impairment, written consent may be obtained from a legally acceptable representative.

Key exclusion criteria

1) Patients for whom written consent cannot be obtained from the patient or family member/representative.
2) Patients judged by the principal investigator to be inappropriate for participation in the study.

Target sample size

500


Research contact person

Name of lead principal investigator

1st name Yusuke
Middle name
Last name Yakushiji

Organization

Kansai Medical University

Division name

Department of Neurology

Zip code

573-1010

Address

2-5-1 Shinmachi, Hirakata, Osaka

TEL

0728040101

Email

yakushiji.yus@kmu.ac.jp


Public contact

Name of contact person

1st name Tatsuya
Middle name
Last name Doyama

Organization

Kansai Medical University

Division name

Department of Neurology

Zip code

5731010

Address

2-5-1 Shinmachi, Hirakata, Osaka

TEL

0728040101

Homepage URL


Email

doyama.tat@kmu.ac.jp


Sponsor or person

Institute

Kansai Medical University

Institute

Department

Personal name



Funding Source

Organization

Kansai Medical University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee of Kansai Medical University

Address

2-5-1 Shinmachi, Hirakata, Osaka

Tel

072-804-0101

Email

rinri@kmu.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

2026 Year 07 Month 10 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


Results


Results date posted


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

Open public recruiting

Date of protocol fixation

2024 Year 05 Month 02 Day

Date of IRB

2024 Year 09 Month 03 Day

Anticipated trial start date

2024 Year 09 Month 03 Day

Last follow-up date

2031 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Patient enrollment has started after approval by the ethics committee and permission from the head of the research institution. Enrollment is currently ongoing at Kansai Medical University Hospital and Kansai Medical University Medical Center among patients who are considered for initiation, discontinuation, or resumption of anti-amyloid antibody therapy. The study is progressing smoothly in accordance with the study protocol.


Management information

Registered date

2026 Year 07 Month 01 Day

Last modified on

2026 Year 07 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071025