Long-Term Impact of Military-Relevant Brain Injury Consortium Chronic Effects of Neurotrauma Consortium


CENC Cycle 1, 2013-2019

The initial grant awarded funds to consortium studies for a 5-year cycle and additionally allocated funds for studies selected through a Peer Review Panel (PRP). To support a consortium that spanned across the country and was continuously growing, CENC Leadership decided to establish multiple Cores that would coordinate research activities including study management, biostatistics, neuroimaging, and collection of biospecimen samples. The following Studies and Cores were included in CENC Cycle 1:


Principal Investigator Contact Information
Dr. William Walker, M.D. william.walker@vcuhealth.org

Study description: The Observational Study on Late Neurologic Effects of OEF/OIF/OND Combat (CENC0001C) is a large 1100 participant Observational Cohort Study with the objective of identifying and assessing the long-term effects of mild TBI in a population of Veterans and Service Members with a history of deployment and combat exposure in recent conflicts such as Operation Enduring Freedom or Operation Iraqi Freedom. Data collected include a variety of clinical measures, cognitive and neurological functioning assessments, patient-reported outcomes, and biological measures including biospecimen and MRI analysis. This study is taking place at seven Veteran’s Affairs Medical Centers located in Richmond, Tampa, Houston, San Antonio, Portland, Minneapolis and Boston as well as one DoD site located at Fort Belvoir, VA.

Principal Investigator Contact Information
Dr. Kristine Yaffe, M.D. Kristine.Yaffe@ucsf.edu
Dr. Mary Jo Pugh, Ph.D. MaryJo.Pugh@hsc.utah.edu

Study description: The Epidemiology of mTBI and Neurosensory Outcomes Study (CENC0004C) is a retrospective cohort study integrating existing federal healthcare databases to study the chronic effects of mTBI on neurodegenerative disease and other comorbidities, and the methods to treat and rehabilitate adverse effects of mTBI in Veterans over time.

Principal Investigator Contact Information
Dr. Fiona Crawford, Ph.D. fcrawford@roskampinstitute.org
Dr. Elliott Mufson Elliott.Mufson@DignityHealth.org

Study description: The Tau Modifications Study (CENC0005C) is a basic science project to identify the key molecular events in the processing of tau after TBI in rodents and humans, with the goal of developing novel biomarker tools to assess tau dysregulation after TBI.

Principal Investigator Contact Information
Dr. Faith Akin, Ph.D. faith.akin@va.gov

Study description: The Otolith Dysfunction and Postural Stability Study (CENC0008P) is a prospective case-controlled study to determine the effect of inner ear (vestibular) dysfunction on balance, gait and quality of life in Veterans. This study is located at the Mountain Home Veteran’s Affairs Medical Center in Johnson City, TN.

Principal Investigator Contact Information
Dr. Amy Jak, Ph.D. ajak@ucsd.edu

Study description: The Novel White Matter Imaging to Improve Diagnosis of Mild TBI Study (CENC0020P) is an observational cohort study assessing the diagnostic utility of multicomponent-driven equilibrium single pulse observation of T1 and T2 (mcDESPOT) on brain volume after mTBI in Veterans with a history of mTBI, posttraumatic stress or both. This study is located at the VA San Diego Healthcare System.

Principal Investigator Contact Information
Dr. Christine MacDonald, Ph.D. cmacd@uw.edu

Study description: The ADAPT/EVOLVE Study (CENC0025P) is a follow up to an existing prospective case-controlled study of advanced MR imaging and clinical outcomes measures 3-5 years after concussive traumatic brain injury (TBI) in US military personnel injured during deployment. This study is located at the University of Washington in Seattle, WA.

Principal Investigator Contact Information
Dr. Katherine Taber, Ph.D. katherine.taber@va.gov

Study description: The Structural and Functional Neurobiology of Veterans Exposed to Primary Blast Forces Study (CENC0034P) is an observational cohort study designed to investigate the microstructural nature and functional effect of diffuse heterogeneous white matter abnormalities following mTBI in Veterans of recent conflicts, using advanced multimodal neuroimaging, structured interview, cognitive testing and questionnaires. This study is located at the WG Hefner VA Medical Center in Salisbury, NC.

Principal Investigator Contact Information
Dr. Elisabeth Wilde, Ph.D. ewilde@bcm.edu

Study description: The DTI Phantom Study (CENC0039P) is an observational study to cross-validate the many different scanners across the VA hospital system to provide the same imaging information in suspected cases of TBI.

Principal Investigator Contact Information
Dr. Nicholas Davenport, Ph.D. daven012@umn.edu

Study description: The Clinical and Neuroimaging Correlates of Neurodegeneration in Military mTBI Study (CENC0049P) is an observational cohort study designed to test potential markers of mTBI and assess self-report measures by re-assessing an existing cohort of Veterans and Service Members by collecting data through clinical interviews, self-reporting measures, neuroimaging and blood-based protein expression. This study is located at the Minneapolis VA Healthcare System and the University of Minnesota.

Principal Investigator Contact Information
Dr. Randy Kardon, M.D., Ph.D. randy-kardon@uiowa.edu

Study description: The Visual Sensory Impairments and Progression Following Mild Traumatic Brain Injury Study (CENC0056P) is an observational cohort study to identify the spectrum of visual sensory disturbances after mTBI using a new imaging technology, and further to identify potential therapeutic modalities including focal transcranial magnetic stimulation, visual behavioral tasks that may strengthen synaptic connections, chemical neuromodulation, and peripheral and central nerve stimulation. This study is headquartered out of the Iowa City VA Healthcare System with study sites also located in Minneapolis and Palo Alto.


Location Website
Virginia Commonwealth University, https://www.vcu.edu/
Richmond, VA

Core description: The Coordinating Center manages and provides support for all consortium activities. Through individual and collective collaboration with CENC leadership, Core Directors, and Study personnel, the Coordinating Center ensures regulatory compliance, monitors progress, facilitates communication, and offers assistance, in order to promote success for each project, as well as the unified consortium.

Location Website
Uniformed Services University of the Health Sciences, https://www.usuhs.edu/
Bethesda, MD

Core description: The Biorepository Core manages the transfer, storage, and processing of all blood and saliva samples collected, for all consortium projects that conduct biospecimen collection procedures.

Location Website
RTI International, https://www.rti.org/
Research Triangle Park, NC

Core description: The Biostatistics Core provides analytic expertise and statistical programming support, which functions to assist with study design and protocol development, monitor projects, conduct data analyses, report results, and contribute to manuscript production.

The Data Management and Study Management Core centrally and securely maintains all consortium data, and manages clinical monitoring of research sites. Provided by the Data Management and Study Management Core is a Consortium Research Manager, which communicates with site Clinical Research Coordinators to guide and expedite clinical protocols through regulatory approval processes, coordinates patient accrual, and monitors study activities across sites.

Location Website
Baylor College of Medicine, https://www.bcm.edu/
Houston, TX

Core description: The Neuroimaging Core facilitates acquisition, review, transfer, collation, tracking, analysis, reporting, storage, and interpretation of neuroimaging data, for all consortium projects that conduct imaging procedures.

Location Website
VA Boston Healthcare System, https://www.boston.va.gov/
Boston, MA

Core description: The Neuropathology Core manages the collection of brain specimens from participants under an existing national network of neuropathologists and dieners. Responsibilities of the Neuropathology Core include tissue cataloging and storage, administration of requests for tissue analysis, and monitoring of results produced by tissue analyses conducted.

The U.S. Army Medical Research Acquisition Activity, 839 Chandler Street, Fort Detrick MD 21702-5014 is the awarding and administering acquisition office. This work was supported by the Assistant Secretary of Defense for Health Affairs endorsed by the Department of Defense, through the Psychological Health/Traumatic Brain Injury Research Program Long-Term Impact of Military-Relevant Brain Injury Consortium (LIMBIC) Award/W81XWH-18-PH/TBIRP-LIMBIC under Awards No. W81XWH1920067 and W81XWH-13-2-0095, and by the U.S. Department of Veterans Affairs Awards No. I01 CX002097, I01 CX002096, I01 HX003155, I01 RX003444, I01 RX003443, I01 RX003442, I01 CX001135, I01 CX001246, I01 RX001774, I01 RX 001135, I01 RX 002076, I01 RX 001880, I01 RX 002172, I01 RX 002173, I01 RX 002171, I01 RX 002174, and I01 RX 002170. Opinions, interpretations, conclusions and recommendations are those of the author and are not necessarily endorsed by the Department of Defense. / Created by VCU University Relations