Links Between Cognitive Functions and Clinical, Biological and Neuroradiological Outcomes in Adults with Sickle Cell Disease. (Drépa-COG)

Civil Hospices of Lyon

Status: Completed

Conditions: Drepanocytosis; Sickle Cell Disease

Treatments: Behavioral: BEARNI Tool

Study type: Observational

Funder types: Other

Identifiers

NCT04244240

2019-A02709-48 (Other Identifier)

69HCL19_0753

Details and patient eligibility

About

Sickle cell disease (SCD) is an inherited blood disorder. Symptoms include acute and chronic complications. Due to progress in SCD care, patients with SCD are living longer than before and we focus more attention in chronic complications.

Children with SCD experience worse cognitive functions than healthy children, and fewer is known about cognitive functions in adults. Studies suggest lower cognitive performance in SCD, mostly in executive functions and processing speed, but the biological and anatomical substrates of cognitive decline are not yet well established in SCD. Often times, cognitive impairments and cerebral disorders are not diagnosed and treated in adults with SCD.

The main objective of this study is to propose a deep neuropsychological assessment in adults with SCD and cognitive complaints and to highlight links between cognitive functions and clinical, biological and neuroradiological markers. The hypothesis of this study is that cognitive functions are associated with severity of the SCD, with bood abnormalities, with MRI markers and Transcranial Doppler (TCD) markers of cerebrovascular disease. The secondary objective of this study is to validate a brief cognitive assessment tool (BEARNI tool) in adults with SCD.

This study is an observational cross-sectional study that will enroll adults with SCD and cognitive complaint.

Enrollment: 19 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age ≥ 18 years old
• Sickle cell anemia (homozygous SS or heterozygous SC, Sβ0, S/C, Sβ+)
• In steady state (without vaso-occlusive crisis or acute chest syndrome at the time of measurements)
• Presence of spontaneous cognitive complaint or requested by the physician.
• Good command of the French language (native language or not)
• No objection to participate in the study
• Affiliated patient or beneficiary of social security scheme

Exclusion criteria

• Patient not compliant in the management of his disease
• Patient participating in another interventional research protocol that may interfere with this protocol (according to investigator's judgment)
• Language barrier
• Pregnancy or breast feeding
• MRI contraindication
• Patient under guardianship , curatorship or justice
• Inability to express non-opposition

Trial design

19 participants in 1 patient group

Sickle cell disease patient

Description:

Adults with sickle cell disease (homozygous SS or heterozygous SC, Sβ0 or Sβ+) with cognitive complaint.

Treatment:

Behavioral: BEARNI Tool