Clinical trial Recruiting at 1 site Interventional Ages 50 and up

miR-342-5p and AnkG pathway in early Alzheimer's synapse changes

Official title: Effects of miR-342-5p/AnkG Pathway-Mediated Axon Initial Segment Filtering Injury on Early Synaptic Dysfunction in Alzheimer's Disease and Its Clinical Applications

Run by The Fourth Affiliated Hospital of Zhejiang University School of Medicine · NCT07353502 · Data updated 2026-11-12

This study will test whether levels of the miR-342-5p/AnkG pathway in blood or cerebrospinal fluid reflect early synaptic damage in people aged 50 and older with probable Alzheimer's and in healthy age-matched volunteers.

Quick facts

Study typeInterventional
Ages50 Years and up
SexAll
Enrollment40 (estimated)
SponsorThe Fourth Affiliated Hospital of Zhejiang University School of Medicine
Academic / other
Locations1 site (Yiwu, Zhejiang)
StatusRecruiting
StartedJune 20, 2025
Main results expectedMarch 10, 2026
Study endsMarch 10, 2026
Registry record updatedJanuary 20, 2026
Trial IDNCT07353502 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 50 or older who meet NINCDS-ADRDA criteria for probable Alzheimer's dementia (MMSE 0–23, CDR ≥0.5, hippocampal/temporal atrophy on MRI) or healthy age-matched controls with normal cognition and negative MRI.

Probably not a fit

People whose cognitive impairment is explained by other neurological or psychiatric conditions, prior traumatic brain injury, substance abuse, or severe comorbid illness, and those unwilling to provide blood or CSF samples are unlikely to gain benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Researchers will compare people with probable Alzheimer's dementia to healthy age-matched controls to study changes in the miR-342-5p/AnkG pathway linked to early synaptic dysfunction. Participants will undergo cognitive screening, brain MRI confirmation, blood collection, and optional cerebrospinal fluid collection with consent. The team will measure pathway components in peripheral blood and CSF and correlate those levels with cognitive scores and MRI findings. The goal is to clarify mechanisms of early synaptic abnormality and identify accessible biomarkers for earlier diagnosis.

Why it matters

Potential benefit: If successful, this work could produce blood- or CSF-based biomarkers that enable earlier detection of Alzheimer's-related synaptic changes and support earlier intervention or trial enrollment.

How similar studies have gone: Previous animal studies and small human investigations of microRNA and AnkG-related biomarkers have shown early promise, but these approaches are not yet validated for routine clinical use.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Inclusion criteria for AD group:

1. Meet the diagnostic criteria for "probable AD dementia" established by the National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA)
2. MMSE score between 0-23 points, Clinical Dementia Rating (CDR) score ≥0.5 points, Hachinski Ischemic Score \<4 points
3. Brain MRI showing bilateral temporal lobe and hippocampal atrophy
4. Age ≥50 years

Inclusion criteria for control group:

1. Healthy subjects with age matched to the AD group
2. Normal cognitive function and good activities of daily living
3. No dementia patients among first-degree relatives
4. Negative brain MRI and neurological examination

Exclusion Criteria:

1. Dementia or cognitive impairment caused by other diseases
2. History of substance abuse
3. Progressive primary aphasia
4. Previous traumatic brain injury
5. Patients with comorbid depression, schizophrenia, or severe diseases of the cardiovascular, hepatic, renal, or hematological systems
6. Impaired consciousness and inability to cooperate
7. Other conditions unsuitable for inclusion

Where it's running

  • The Fourth Affiliated Hospital of Zhejiang University School of Medicine
    Yiwu, Zhejiang, China
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.