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Older People and Enhanced Neurocognitive function study
Source of recordUK Trials
ISRCTNISRCTN54195799
Date ISRCTN assigned04/04/2008
Local reference number(s)NO5R0009
Public titleOlder People and Enhanced Neurocognitive function study
Scientific title
AcronymThe OPEN study
Disease/condition/study domainNerve and cognitive function
Study hypothesisOlder people are at increased risk of vitamin B12 deficiency which can lead to severe neurocognitive deficit (e.g. progressive weakness, vision and hearing loss, impairment in communication and co-ordination). The aim of the present study is to assess whether increased dietary intake of crystalline vitamin B12 will improve nerve function and cognitive function in older people with defined low vitamin B12 status. Demonstrating that vitamin B12 dependant nerve and cognitive function impairment is present even in individuals without clinical symptoms will have considerable public health significance.
Design/methodologyRandomised controlled trial
Research ethics reviewApplication submitted to Cambridgeshire 4 REC, pending as of 03/03/2008.
Countries of trialUnited Kingdom
Participants - inclusion criteria1. Healthy volunteers
2. Aged 75 years and over, either sex
3. Defined low B12 status (greater than 107 pmol/l and less than 210 pmol/l)
4. No previous history of diabetes or dementia
Participants - exclusion criteria1. Pre-existing type I or type II diabetes at baseline
2. Pre-existing dementia at baseline
3. Currently consuming vitamin B12 on a daily basis
4. Mini-Mental State Examination (MMSE) score less than 24 at baseline screen
5. Very low B12 (below 107 pmol/l - Beckman Coulter assay)
6. B12 levels above 210 pmol/l
7. Anaemic
8. History of epilepsy
9. Those with implanted metallic devices such as a pacemaker
10. Alcoholics
Patient information materialPatient information on the various different aspects of the study will be available on the website at: http://www.lshtm.ac.uk/nphiru/research/open/
Anticipated start date01/07/2008
Anticipated end date01/11/2010
Status of trialOngoing
Target number of participants200
InterventionsDaily nutritional supplement of 1 mg vitamin B12 versus placebo. The total duration of treatment is 12 months for both arms. Longer term follow up may be the subject of a separate protocol.
Primary outcome measure(s)Amplitude of tibial motor evoked responses and tibial nerve conduction velocity, measured at 12 months.
Secondary outcome measure(s)1. Cognitive function: immediate recall, prospective memory, letter search/cancellation, verbal fluency, symbol digit modalities, simple and choice reaction time
2. Timed up and go
3. Psychological health (mood) using the 30-item General Health Questionnaire (GHQ-30)
4. Height and weight
5. History of myocardial infarction (MI) and stroke (reported hospitalisation)

All outcomes measured at 12 months.
Trial websitehttp://www.lshtm.ac.uk/nphiru/research/open/
Sources of fundingFood Standards Agency (UK)
Sponsor nameLondon School of Hygiene and Tropical Medicine (LSHTM) (UK)
Sponsor detailsKeppel Street
London
United Kingdom
WC1E 7HT
Sponsor emailpenny.ireland@lshtm.ac.uk
Sponsor websitehttp://www.lshtm.ac.uk/
Contact nameDr Alan Dangour
Contact detailsLondon School of Hygiene and Tropical Medicine (LSHTM)
Keppel Street
London
United Kingdom
WC1E 7HT
Contact telephone+44 (0)20 7958 8133
Contact fax+44 (0)20 7958 8111
Contact emailalan.dangour@lshtm.ac.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN54195799
Date last extracted from ISRCTN register17/04/2008
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