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D003072: Cognition Disorders

Developed by Shray Alag, The Harker School
Sections: Correlations, Clinical Trials, and HPO

Correlations computed by analyzing all clinical trials.

Navigate: Clinical Trials and HPO


Correlated Drug Terms (9)


Name (Synonyms) Correlation
drug1309 Diagnostic test Covid-19 Wiki 0.50
drug839 COVID-19 swap test PCR Wiki 0.50
drug2780 Neurofeedback Wiki 0.50
Name (Synonyms) Correlation
drug1305 Diagnostic Test: serology test for COVID-19 Wiki 0.50
drug1793 Goal Management Training (GMT) Wiki 0.50
drug1311 Diagnostic test for detection of SARS-CoV-2 Wiki 0.50
drug1310 Diagnostic test for SARS-Cov2 for patients and health staff Wiki 0.50
drug3364 Prednisone Wiki 0.19
drug3195 Placebo Wiki 0.02

Correlated MeSH Terms (8)


Name (Synonyms) Correlation
D004827 Epilepsy NIH 0.35
D060825 Cognitive Dysfunction NIH 0.33
D012640 Seizures NIH 0.29
Name (Synonyms) Correlation
D009422 Nervous System Diseases NIH 0.22
D040921 Stress Disorders, Traumatic NIH 0.17
D013313 Stress Disorders, Post-Traumatic NIH 0.16
D020521 Stroke NIH 0.12
D011014 Pneumonia NIH 0.03

Correlated HPO Terms (4)


Name (Synonyms) Correlation
HP:0001268 Mental deterioration HPO 0.33
HP:0001250 Seizure HPO 0.22
HP:0001297 Stroke HPO 0.12
Name (Synonyms) Correlation
HP:0002090 Pneumonia HPO 0.03

Clinical Trials

Navigate: Correlations   HPO

There are 4 clinical trials


1 COVID-19 Prevalence, Morbidity and Long Term Cognitive Deficits in Consecutive Patients Presenting With Acute Neurological Symptoms

The purpose is to investigate the COVID-19 prevalence, associated morbidity and long-term cognitive deficits in consecutive patients presenting with acute neurological symptoms

NCT04377425
Conditions
  1. Neurological Diseases or Conditions
  2. Stroke, Acute
  3. Seizure Disorder
Interventions
  1. Diagnostic Test: COVID-19 swap test PCR
MeSH:Stroke Seizures Nervous System Diseases Epilepsy Cognition Disorders Cognitive Dysfunction
HPO:Bilateral tonic-clonic seizure Cognitive impairment Focal sensory seizure Focal-onset seizure Generalized-onset seizure Mental deterioration Seizure Stroke

Primary Outcomes

Description: To investigate the prevalence of COVID-19 infections in consecutive patients with acute onset of neurological symptoms (with or without prior neurological disease)

Measure: Prevalence of COVID-19 infection in consecutive patients with neurological symptoms

Time: 6 months

Secondary Outcomes

Description: Three months cognitive function (Montreal Cognitive Assessment) of COVID-19 positive patients compared to COVID-19 negative patients

Measure: Three months cognitive function of COVID-19 positive patients

Time: 3 months

Description: Characterization of the neurological symptoms in neurological COVID-19 positive patients (exploratory endpoint)

Measure: Clinical presentation of neurological symptoms in COVID-19 positive patients

Time: 6 months

Description: Prevalence of pre-symptomatic and asymptomatic COVID-19pos in acutely admitted patients with a primary complaint of neurological symptoms.

Measure: Prevalence of pre- and asymptomatic COVID-19 positive patients in acutely admitted neurological patients

Time: 6 months

Description: Prevalence of anosmia in COVID-19pos patients compared to COVID-19neg patients

Measure: Anosmia in COVID-19 positive patients

Time: 6 months

Description: Neuro-specific and inflammatory blood- and cerebrospinal fluid markers in COVID-19 positive patients compared to COVID-19 negative matched controls

Measure: Exploratory analysis on neuro-specific and inflammatory blood and cerebrospinal fluid markers of COVID-19 infection

Time: 24 months

Description: Functional and immunologic plasma assays will be employed to analyze proteins and pathways in coagulation and fibrinolysis

Measure: Exploratory analysis of the coagulation profile of COVID-19 positive patients compared to COVID-19neg patients

Time: 24 months
2 An EffectivenessTrial Examining a Novel Approach to Cognitive Remediation in Individuals With Post-Traumatic Stress Disorder (PTSD)

This study will evaluate the effect of a manualized treatment (Goal Management Training, or GMT) on the cognitive impairments associated with PTSD (Post-Traumatic Stress Disorder), as well as any impact on PTSD symptems themselves. Participants will be randomized to either GMT group treatment, or a wait list condition.

NCT04457271
Conditions
  1. PTSD
  2. Post-traumatic Stress Disorder
  3. Cognitive Impairment
  4. Cognitive Dysfunction
  5. Cognitive Deficit
Interventions
  1. Behavioral: Goal Management Training (GMT)
MeSH:Cognitive Dysfunction Stress Disorders, Traumatic Stress Disorders, Post-Traumatic Cognition Disorders
HPO:Cognitive impairment Mental deterioration

Primary Outcomes

Description: A computer-based go/no-go task that requires participants to withhold behavioral response to a single, infrequent target presented amidst a background of frequent non-targets. This task assesses inattentiveness, impulsivity, sustained attention, and vigilance.

Measure: Change in Sustained Attention to Response Task (SART) scores from baseline to post-treatment assessment

Time: 9 weeks

Description: A computer-based go/no-go task that requires participants to withhold behavioral response to a single, infrequent target presented amidst a background of frequent non-targets. This task assesses inattentiveness, impulsivity, sustained attention, and vigilance.

Measure: Change in Sustained Attention to Response Task (SART) scores from post-treatment to 3-month follow-up assessment

Time: 12 weeks

Description: Assesses the participant's ability to act with forethought, and sequence behaviour in an orderly fashion to reach specific goals (i.e., executive functioning). Similar to the Tower of London test.

Measure: Change in score on Tower Test (part of Millisecond's online cognitive battery) from baseline to post-treatment assessment.

Time: 9 weeks

Description: Assesses the participant's ability to act with forethought, and sequence behaviour in an orderly fashion to reach specific goals (i.e., executive functioning). Similar to the Tower of London test.

Measure: Change in score on Tower Test (part of Millisecond's online cognitive battery) from post-treatment to 3-month follow-up assessment.

Time: 12 weeks

Description: A 36-item self-report measure that assesses difficulties with emotion regulation across six domains. A total score is derived by summing all the items - ranging from 36 to 180. Higher scores indicate greater dysfunction in emotion regulation.

Measure: Change in Difficulties in Emotion Regulation Scale (DERS) score from baseline to post-treatment assessment

Time: 9 weeks

Description: A 36-item self-report measure that assesses difficulties with emotion regulation across six domains. A total score is derived by summing all the items - ranging from 36 to 180. Higher scores indicate greater dysfunction in emotion regulation.

Measure: Change in Difficulties in Emotion Regulation Scale (DERS) score from post-treatment to 3-month follow-up assessment

Time: 12 weeks

Description: Gold standard, clinician administered PTSD assessment tool; min. score=0, max=80, with higher scores representing greater PTSD symptoms

Measure: Change in Clinician Administered PTSD Scale (CAPS) score from baseline to post-treatment assessment

Time: 9 weeks

Description: Gold standard, clinician administered PTSD assessment tool; min. score=0, max=80, with higher scores representing greater PTSD symptoms

Measure: Change in Clinician Administered PTSD Scale (CAPS) score from post-treatment to 3-month follow-up assessment

Time: 12 weeks
3 Corticosteroid Treatment for Community-Acquired Pneumonia to Improve Long-term Cognition: A Pilot Randomized Controlled Trial

This is a single-center, blinded, placebo-controlled pilot RCT evaluating corticosteroids for the treatment of Community Acquired Pneumonia (CAP) that will enroll 100 adults hospitalized with community-acquired pneumonia. The primary goal is to assess the feasibility of proposed trial procedures for use in a subsequent phase III trial powered on 6-month cognitive outcome (MOCA-Blind score). Key outcomes are six-month cognitive and functional status, duration and severity of symptoms, and mortality.

NCT04652414
Conditions
  1. Community-acquired Pneumonia
  2. Cognition Disorder
Interventions
  1. Drug: Prednisone
  2. Drug: Placebo
MeSH:Pneumonia Cognition Disorders
HPO:Pneumonia

Primary Outcomes

Description: Feasibility will be defined as: (a) recruitment and successful protocol completion of 100 patients; (b) corticosteroids being well tolerated, as shown by similar severity and frequency of adverse events in the intervention and placebo groups; (c) successful completion of 6-month cognitive assessments by >80% of survivors; and (d) the primary cognitive outcome Montreal Cognitive Assessment-Blind (MOCA-Blind) numerically favoring the intervention group with the one-tailed upper 80% confidence interval of the difference in MOCA-Blind between the intervention and placebo groups containing the minimally-important clinical difference (2 points on the MOCA-Blind).

Measure: Feasibility as determined by the number of subjects who are successfully recruited and complete follow-up

Time: 1.5 years

Secondary Outcomes

Description: This is a measure of global cognition based on the assessment of attention concentration, memory, language, conceptual thinking, calculations, and orientation. Scores range from 0 to 22 with higher scores indicating better cognition.

Measure: Global cognition as measured by the Montreal Cognitive Assessment-Blind (MOCA-Blind)

Time: 6-months

Description: This is a 18-item scale to determine the presence and severity of pneumonia symptoms. Each item is graded on a 6-point Likert scale. Scores range from 0 to 90 with higher scores indicating more severe symptoms.

Measure: Severity of pneumonia symptoms as measured by the Community-Acquired Pneumonia Symptom (CAP-Sym) Questionnaire

Time: 3-days

Description: This is a 18-item scale to determine the presence and severity of pneumonia symptoms. Each item is graded on a 6-point Likert scale. Scores range from 0 to 90 with higher scores indicating more severe symptoms.

Measure: Severity of pneumonia symptoms as measured by the Community-Acquired Pneumonia Symptom (CAP-Sym) Questionnaire

Time: 7-days

Description: This is a 18-item scale to determine the presence and severity of pneumonia symptoms. Each item is graded on a 6-point Likert scale. Scores range from 0 to 90 with higher scores indicating more severe symptoms.

Measure: Severity of pneumonia symptoms as measured by the Community-Acquired Pneumonia Symptom (CAP-Sym) Questionnaire

Time: 30-days

Description: Characterizes quality of life and contains 5-dimensions ("5D") related to everyday living: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. It asks patients to rate their current global health status from 0 (worst health you can imagine) to 100 (best health you can imagine). Scores range from -0.573 to 1.000 with higher scores indicating better quality of life.

Measure: Quality of life as measured by the EQ-5D-5L

Time: 6-months

Description: Quantifies pre-illness basic ADLs such as bathing, dressing, toileting, transferring, continence, and feeding. Scores range from 0 to 20 with higher scores indicating better functioning.

Measure: Basic activities of daily living (ADL) as measured by the Barthel's Index

Time: 6-months

Description: Quantifies pre-illness IADLs - ability to use the phone, shopping, food preparation, housekeeping, laundry, transportation, medication management, and finances. Scores range from 0 to 8 with higher scores indicating better functioning.

Measure: Instrumental ADL as measured by Lawton Instrumental Activities of Daily Living Scale (IADLs)

Time: 6-months

Description: 9-item survey that characterizes the patient's baseline (prior to the critical illness) and current level of employment (full, partial, or not employed). Patients will be categorized as loss of employment or no loss of employment.

Measure: Employment status as characterized by the Outcomes After Critical Illness and Surgery (OACIS) Employment Status Questionnaire

Time: 6-months

Description: Death during the index hospitalization will be recorded.

Measure: Vital status (dead / alive)

Time: Baseline to hospital discharge, approximately 5 days

Description: Death within 6-months will be recorded.

Measure: Vital status (dead / alive)

Time: 6-months

Description: Intensive care unit admission at any point during the index hospitalization will be recorded.

Measure: Intensive care unit admission (yes/no)

Time: Baseline to hospital discharge, approximately 5 days

Description: Invasive mechanical ventilation is defined as new assisted positive pressure breathing through an endotracheal tube or tracheostomy for any duration. Noninvasive ventilation through a mask or nasal prongs does not satisfy the outcome of invasive mechanical ventilation.

Measure: Mechanical ventilation (yes/no)

Time: Baseline to hospital discharge, approximately 5 days

Description: defined as the administration of any of the following medications by continuous infusion for at least 1 hour during the index hospitalization: norepinephrine, epinephrine, dopamine, phenylephrine or vasopressin.

Measure: Vasopressor use (yes/no)

Time: Baseline to hospital discharge, approximately 5 days

Description: Pleural drainage is defined as removal of fluid from the pleural space by any procedure at the bedside or in the operating room during the index hospitalization; procedures such as thoracentesis and video-assisted thorascopic surgery (VATS) may be used to drain pleural fluid.

Measure: Pleural drainage (yes/no)

Time: Baseline to hospital discharge, approximately 5 days

Description: Duration of hospitalization (presentation to hospital discharge) will be recorded.

Measure: Hospital length of stay in (days)

Time: Baseline to hospital discharge, approximately 5 days
4 An Effectiveness Trial Examining Neurofeedback in Adults With PTSD

This study is an effectiveness trial investigating neurofeedback (NFB) in adults with PTSD (Post-Traumatic Stress Disorder). Participants will be randomly assigned to one of two treatment conditions - i) NFB, or ii) wait list. Due to the coronavirus pandemic, our study will, primarily, take place online (i.e., online assessment and treatment, with option of in-person fMRI, or functional magnetic resonance imaging, scans). NFB sessions will be conducted from home, with videoconferenced supervision by research staff. After study completion, individuals in the wait list condition will be offered the same NFB treatment.

NCT04654130
Conditions
  1. PTSD
  2. Post-traumatic Stress Disorder
  3. Cognitive Dysfunction
  4. Cognitive Deficit
Interventions
  1. Other: Neurofeedback
MeSH:Stress Disorders, Traumatic Stress Disorders, Post-Traumatic Cognitive Dysfunction Cognition Disorders
HPO:Cognitive impairment Mental deterioration

Primary Outcomes

Description: Gold standard, clinician-administered PTSD assessment tool; min. score=0, max.=80, with higher scores representing greater PTSD symptoms

Measure: Change in Clinician Administered PTSD Scale (CAPS) score from baseline to post-treatment assessment.

Time: 19 weeks

Description: Gold standard, clinician-administered PTSD assessment tool; min. score=0, max.=80, with higher scores representing greater PTSD symptoms

Measure: Change in Clinician Administered PTSD Scale (CAPS) score from post-treatment to 3-month follow-up assessment.

Time: 12 weeks

Description: A computer-based go/no-go task that requires participants to withhold behavioral response to a single, infrequent target presented amidst a background of frequent non-targets. This task assesses inattentiveness, impulsivity, sustained attention, and vigilance.

Measure: Change in Sustained Attention to Response Task (SART) scores from baseline to post-treatment assessment

Time: 19 weeks

Description: A computer-based go/no-go task that requires participants to withhold behavioral response to a single, infrequent target presented amidst a background of frequent non-targets. This task assesses inattentiveness, impulsivity, sustained attention, and vigilance.

Measure: Change in Sustained Attention to Response Task (SART) scores from post-treatment to 3-month follow-up assessment

Time: 12 weeks

HPO Nodes


HPO

Alphabetical listing of all HPO terms. Navigate: Correlations   Clinical Trials


HPO Nodes


Reports

Data processed on December 13, 2020.

An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

Drug Reports   MeSH Reports   HPO Reports  

Interventions

4,818 reports on interventions/drugs

MeSH

706 reports on MeSH terms

HPO

306 reports on HPO terms

All Terms

Alphabetical index of all Terms

Google Colab

Python example via Google Colab Notebook