The UK GENetic Frontotemporal dementia Initiative

Study Code / Acronym
UK GENFI
Award Number
MR/M023664/1
Programme
Research Grant
Status / Stage
Active
Dates
1 May 2015 -
30 April 2020
Duration (calculated)
04 years 11 months
Funder(s)
MRC (UKRI)
Funding Amount
£2,613,582.38
Funder/Grant study page
MRC UKRI
Contracted Centre
University College London
Contracted Centre Webpage
Principal Investigator
Professor Rossor, Martin Neil
WHO Catergories
Development of Biomarkers
Improving clinical trials
Understanding Underlying Disease
Disease Type
Frontotemporal Dementia (FTD)

CPEC Review Info
Reference ID267
ResearcherReside Team
Published12/06/2023

Data

Study Code / AcronymUK GENFI
Award NumberMR/M023664/1
Status / StageActive
Start Date20150501
End Date20200430
Duration (calculated) 04 years 11 months
Funder/Grant study pageMRC UKRI
Contracted CentreUniversity College London
Contracted Centre Webpage
Funding Amount£2,613,582.38

Abstract

Frontotemporal dementia (FTD) is a common cause of young onset dementia, approximately equal in frequency to Alzheimer’s disease in people below the age of 65. Its effect on people of working age with young families represents a major health and economic burden on society. The only known risk factors for FTD are genetic, and around a third of FTD is familial. There are currently no treatments that can delay the onset or prevent the progression of genetic FTD but there are now potential disease-modifying therapies in development. However, there are still no biomarkers of genetic FTD that can confidently predict when disease-modifying therapy should be initiated or how the response to it should be monitored. By studying participants who carry a mutation and are thus destined to develop the disease we can explore the entire disease pathway, using mutation negative first-degree relatives as controls. A pilot study has created a common methodological platform to study genetic FTD. This follow-on study aims to capitalize on the work of the pilot, extending both the platform and expertise generated to a UK-wide study of genetic FTD. Specifically, we will establish a UK-wide familial FTD cohort of 200 participants which will (1) lead to greater understanding of the biological underpinning of the cognitive and behavioural deficits seen in FTD; (2) permit large-scale cohesive and integrated longitudinal biomarker studies of familial FTD with the specific remit of informing clinical trial design; and (3) provide a “readiness” cohort of patients for disease-modifying drug trials. The experimental plan includes longitudinal clinical and neuropsychological assessments, neuroimaging and both blood and spinal fluid sampling, with the key outcomes including improved understanding regarding the selective vulnerability of the specific neural systems affected in FTD, robust biomarkers of disease onset and progression, and estimation of sample sizes required for trials.

Aims

This follow-on study aims to capitalize on the work of the pilot, extending both the platform and expertise generated to a UK-wide study of genetic FTD. Specifically, we will establish a UK-wide familial FTD cohort of 200 participants which will (1) lead to greater understanding of the biological underpinning of the cognitive and behavioural deficits seen in FTD; (2) permit large-scale cohesive and integrated longitudinal biomarker studies of familial FTD with the specific remit of informing clinical trial design; and (3) provide a “readiness” cohort of patients for disease-modifying drug trials. The experimental plan includes longitudinal clinical and neuropsychological assessments, neuroimaging and both blood and spinal fluid sampling, with the key outcomes including improved understanding regarding the selective vulnerability of the specific neural systems affected in FTD, robust biomarkers of disease onset and progression, and estimation of sample sizes required for trials.