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The Healthy Elderly Longevity Cohort (Wellderly)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01004133
Recruitment Status : Recruiting
First Posted : October 29, 2009
Last Update Posted : March 18, 2020
Sponsor:
Information provided by (Responsible Party):
Eric Topol, MD, Scripps Translational Science Institute

Study Description
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Brief Summary:

With the completion of the human genome project, investigators can now explore new questions in human biology. Previously human genetics focused on highly penetrant, Mendelian traits; however, now rare and common variants can be discovered that affect "common" diseases that have multi-gene architecture with variable penetrance such as breast cancer, diabetes mellitus, and coronary artery disease. This change took place because investigators now have the tools to illuminate the whole genome at once to discover the genetic variants responsible for different disease phenotypes through statistical differences between populations. Besides disease phenotypes, health can be considered a human phenotype that can be studied. Health is not merely the absence of disease but may be viewed as a dynamic ongoing interplay between the environment and the genome to maintain homeostasis. Individuals often attempt to optimize environmental conditions according to ones genome to maximize their health. All individuals possess potentially beneficial and harmful variants depending on the environment. How this dynamic interplay occurs between the genome and environment requires understanding the boundary conditions of the genetic architecture of health and disease and then modeling the system to simulate the observed data.

The aging process also affects health. Aging involves a loss of the normal coping responses to internal and external environmental stressors or signals. Investigators now have the tools to uncover from the bottom up the mechanisms involved in maintaining the ability to overcome environmental conditions that can affect health.

Against this genomic breakthrough of whole genome association studies, the demographics in the United States are quickly changing. The older population (age > 65 years) in 2030 is projected to be twice as large as in 2000 representing nearly 20 percent of the total US population. The first baby boomers turn 65 in 2011 and will challenge all facets of health care in the coming decades. The demographic changes underscore the need to understand the mechanisms that promote health and disease in this cohort. Genomic discoveries will help individuals and may reduce medical costs and benefit society.

In summary, the objective of this study is to obtain blood and/or saliva samples in order to help model health and disease phenotypes through population genomics. The blood and/or saliva samples may allow for participants' entire genomes to be sequenced if such comprehensive analysis becomes feasible and economical.


Condition or disease
Healthy

Study Design
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Study Type : Observational
Estimated Enrollment : 5000 participants
Observational Model: Other
Time Perspective: Other
Official Title: The Healthy Elderly Longevity Cohort
Study Start Date : August 2007
Estimated Primary Completion Date : January 2030
Estimated Study Completion Date : January 2030

Resource links provided by the National Library of Medicine


Groups and Cohorts
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Group/Cohort
Subjects 80 years of age or older without chronic diseases.


Outcome Measures
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Primary Outcome Measures :
  1. Biorepository Creation [ Time Frame: ten years ]
    Create a biorepository from participants' blood and/or saliva donations we will ultimately be able to define genes for various diseases and understand health


Biospecimen Retention:   Samples With DNA

A single blood specimen or saliva specimen is collected from each subject. If blood is collected, approximately thirty eight milliliters of blood will be dispensed as follows:

3 x 8.5 mls DNA Tubes

1 x 2.5 mls RNA tube

1 x 10 mls EBV tube (EDTA) for immortalized cell lines


Eligibility Criteria
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Information from the National Library of Medicine

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Ages Eligible for Study:   80 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
General outpatient and community population.
Criteria

Inclusion Criteria:

  1. Age 80 years or older
  2. Eligible for blood draw and/or saliva collection
  3. Be reliable, cooperative and willing to comply with all protocol-specified procedures
  4. Able to understand and grant informed consent

  5. Be healthy or have mild medical conditions that may be associated with the normal aging process, including:

    • Hypertension, well controlled (no more than 3 medications)
    • Osteoporosis, Osteopenia and/or osteoarthritis
    • Benign prostatic hypertrophy
    • Cataracts, Glaucoma, Macular Degeneration
    • Dyslipidemia
    • Hypothyroidism
    • Pre-diabetes/impaired fasting glucose (fasting blood glucose 100-126 mg/dL, if known)

Exclusion Criteria:

  1. < 80 years old
  2. Participants have been previously enrolled in The Scripps Genebank Healthy Elderly Cohort
  3. Treatment with any investigational agents or devices within thirty days preceding enrollment in the study.

  4. Self-reported history or current diagnosis of significant chronic conditions including:

    • Any Cancer (including polycythemia; excluding basal or squamous cell skin cancer).
    • Coronary Artery Disease/Myocardial Infarction
    • Stroke/TIA
    • Deep Vein Thrombosis/Pulmonary Embolus
    • Chronic Renal Disease/Hemodialysis
    • Significant Auto-immune/Inflammatory conditions such as (Rheumatoid Arthritis, Lupus, Crohn's, etc.
    • Alzheimer's/Parkinson's
    • Diabetes (Hemoglobin A1C > 6.5 % or fasting glucose >126 mg/dL or treated with oral diabetic medication or insulin if known)
    • Aortic or Cerebral Aneurysm

  5. Currently taking any of the following medications on a regular basis:

    • Oral chemotherapeutic agents (ex.: tamoxifen, doxorubicin, mitoxantrone, bleomycin)
    • Anti-platelet agents, not including aspirin (ex.: clopidogrel/plavix, dipyridamole/aggrenox/persantine, ticlopidine/ticlid)
    • Cholinesterase inhibitor for Alzheimer's disease (i.e. donepezil/Aricept)
    • Insulin
  6. Subject has a significant medical condition which, in the Investigator's opinion, may interfere with the patient's optimal participation in the study or would potentially confound interpretation of the individual's phenotype.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01004133


Contacts
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Contact: Sarah Topol, BS 858-784-2155 topol.sarah@scrippshealth.org
Contact: Emily Spencer, PhD 858-784-2029 egspence@scripps.edu

Locations
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United States, California
Scripps Translational Science Institute Recruiting
La Jolla, California, United States, 92037
Contact: Sarah Topol, BSN, RN    858-554-5747    topol.sarah@scrippshealth.org   
Principal Investigator: Eric J Topol, MD         
Sponsors and Collaborators
Scripps Translational Science Institute
More Information
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Additional Information:

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Responsible Party: Eric Topol, MD, Director, Scripps Translational Science Institute
ClinicalTrials.gov Identifier: NCT01004133    
Other Study ID Numbers: HSC 07-4789
First Posted: October 29, 2009    Key Record Dates
Last Update Posted: March 18, 2020
Last Verified: March 2020
Keywords provided by Eric Topol, MD, Scripps Translational Science Institute:
Age 80 or older
No chronic disease