Why some people stay mentally sharp into their 90s

Cognitively Healthy Nonagenarians in the Cross Cohort Collaboration (CCC)

NIH-funded research University of Texas Hlth Science Center · NIH-11470427

Bringing together long-term health data to find what helps people remain cognitively healthy past age 85.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Texas Hlth Science Center NIH-funded
Lab location1 site (San Antonio, United States)
Project IDNIH-11470427 on NIH RePORTER

What this research studies

This project combines data from many long-term studies that followed people from midlife into very old age to compare those who stayed cognitively healthy with those who developed dementia. Researchers harmonize information on brain imaging, blood markers (like Aβ‑42), genetics (including APOE), vascular health, and lifestyle over decades. They will analyze how Alzheimer pathology, vascular injury, and other medical conditions contribute to dementia in the oldest-old and what resilience factors protect thinking. The aim is to reveal patterns that single cohorts cannot show because so few participants survive past age 85 in any one study.

Who could benefit from this research

Good fit: This is most relevant to older adults, especially people aged 85 and older or anyone enrolled in long-term cohort studies that track brain health over decades.

Not a fit: People seeking an immediate treatment for dementia or those under about 65 are unlikely to receive direct personal benefit from this observational, data‑linking work.

Why it matters

Potential benefit: If successful, the work could identify risks and protective factors that help people keep their thinking skills late into life, informing prevention and care strategies.

How similar studies have performed: Pooling long-term cohort data (for example through CHARGE) has previously revealed links between genetics, vascular disease, and dementia, but focusing on the 85+ population by harmonizing many cohorts is a newer effort.

Where this research is happening

San Antonio, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Acquired brain injury
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.