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Improving Memory in Patients With Multiple Sclerosis

This study is currently recruiting participants.
Study NCT00062972.   Last updated on June 23, 2005.   Information provided by Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

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Descriptive Information Fields
Brief Title  Improving Memory in Patients With Multiple Sclerosis
Official Title  Interventions to Improve Memory in Patients With Multiple Sclerosis
Brief Summary

People with multiple sclerosis (MS) suffer from cognitive and other brain problems. This study will examine the effectiveness of the drug donepezil and of sugar water for enhancing memory in individuals with MS. Donepezil (also known as Aricept) has been FDA approved for improving memory and learning in individuals with Alzheimer’s disease.

Detailed Description

Cognitive dysfunction is one of the leading causes of disability in people with MS. Memory involving specific words (verbal memory) is particularly affected in individuals with MS. Attempts to rehabilitate cognitive dysfunction in MS have had only limited success.

This study will determine the efficacy of donepezil therapy and glucose administration for enhancing verbal memory functioning in individuals with MS. The study will also measure secondary outcomes assessing other areas of cognitive dysfunction (i.e., nonverbal memory, conceptual thinking, processing speed) which may improve with intervention.

Forty participants with MS will be randomly assigned to receive either donepezil or placebo for 24 weeks. Participants will complete memory and cognitive tests at the beginning and end of the 24 week period.

Twenty participants with MS will be randomly assigned to drink a beverage sweetened with either glucose or saccharin (placebo). Participants will then complete memory and other cognitive tests. Two weeks later, participants will drink a beverage sweetened with the alternative sweetener and again complete the memory and cognitive tests.

Study Phase Phase III
Study Type  Interventional
Study Design  Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study
Primary Outcome Measure 
Secondary Outcome Measure 
Condition  Multiple Sclerosis
Intervention  Drug: donepezil
Drug: glucose
MEDLINE PMIDs 8340793,   8797541,   8018045,   7608714
Links
Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  60
Start Date  September 1999
Completion Date August 2002
Eligibility Criteria 

Inclusion Criteria

  • MS as defined by the Poser criteria
  • Expanded Disability Status Scale (EDSS) score of 0 to 6.5
  • Stable neurologic function for at least 30 days prior to study entry
  • Agree to continue all current medications for study duration
  • Rey Auditory Verbal Learning Test score in low normal range or below
  • Mini-mental status exam score of 26 or higher
  • Montgomery-Asberg Depression Scale scaled score of 14 or lower
  • Fluent in English

Exclusion Criteria

  • Use of anticholinergic or benzodiazepine medication
  • Change in dosage of medications judged to have the potential to impact cognitive function (e.g., antispasticity medications) within 2 weeks of study entry
  • Current alcohol or substance abuse
  • History of neurological or major medical problem that has a known effect on cognitive functioning
  • History of noncompliance
  • Visual or upper extremity impairment which precludes ability to participate in cognitive assessment
Gender Both
Ages 18 Years to 56 Years
Accepts Healthy Volunteers No
Contacts ††
Contact: Patricia Melville, RN     631-444-8164     Pmelvill@neuro.som.sunysb.edu    
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00062972
Organization ID 1R01 HD38107-01
Secondary IDs ††
Study Sponsor  Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborators †† Department of Education
Investigators 
Principal Investigator:     Lauren B. Krupp, MD     Department of Neurology, University Hospital Medical Center    
Information Provided By Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Verification Date December 2003
First Received Date  June 18, 2003
Last Updated Date June 23, 2005

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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