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Hormone and Information Processing Study (HIP)

This study is currently recruiting participants.
Information provided by National Institute on Aging (NIA)

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Descriptive Information Fields
Brief Title  Hormone and Information Processing Study
Official Title  Testosterone Supplementation in Men With MCI
Brief Summary

The purpose of this study is to examine the effects of testosterone (T) replacement on changes in thinking and memory, as well as mood in older men with mild cognitive impairment (MCI) and low T levels. The study will also examine whether taking testosterone has effects on biological markers related to Alzheimer's disease.

Detailed Description

Natural age related declines in testosterone (T) are associated with decreases in cognitive abilities independent of health status. Low T levels over time are associated with increased risk for developing Alzheimer's disease (AD). These findings suggest that men with low T levels are most at risk for age-related cognitive decline and AD and therefore most likely to benefit from T supplementation to prevent the development of AD or age-associated cognitive decline. The current study will assess cognition, mood, and cerebral spinal fluid (CSF) biomarker response to T supplementation in older men with mild cognitive impairment (MCI) and low T levels.

Participants will be randomized to either receive T treatment or a placebo for six months. Participants will come in for about five visits within the span of six months where they will complete cognitive & memory tests, fill out mood questionnaires, and have their blood drawn to monitor the medication level. A sample of blood will also be taken at one visit to test for apolipoprotein E (APOE), which is a genetic risk factor associated with AD. Participants will have the option to get a spinal tap in order to measure biological markers associated with Alzheimer's disease including beta-amyloid 1-40, 42, total-tau, and phosphorylated-tau-181-231. This will require an additional two visits.

Study Phase Phase III
Study Type  Interventional
Study Design  Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Efficacy Study
Primary Outcome Measure  Behavioral & Mood measure: Profile of Mood States (POMS) [ Time Frame: Baseline, 3 and 6 months ] [ Designated as safety issue: No ]
Cognitive changes measured by Neuropsychological tests: ADAS-Cog (MCI version), Route Test, Paragraph recall [ Time Frame: Baseline, 3 and 6 months ] [ Designated as safety issue: No ]
Cerebrospinal Fluid (CSF) [ Time Frame: Baseline and 6 months ] [ Designated as safety issue: No ]
APOE genotyping [ Time Frame: Baseline ] [ Designated as safety issue: No ]
Secondary Outcome Measure 
Condition  Mild Cognitive Impairment
Alzheimer's Disease
Intervention  Drug: testosterone gel
Drug: placebo gel
MEDLINE PMIDs 11445632,   15668427,   15985573,   17145137,   16344336
Links
Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  60
Start Date  April 2007
Completion Date March 2010
Eligibility Criteria 

Inclusion Criteria:

  • Male 60-90 years of age
  • Diagnosis of mild cognitive impairment (MCI)
  • Low testosterone level
  • Primary language is English
  • Availability of an informant who knows the participant well enough to answer questions
  • Stable medications for the previous 3 months
  • Normal complete blood count (CBC), calcium, albumin, TSH, and no clinically significant blood chemistry
  • American Urological Association (AUA) symptom score less than or equal to 19
  • Body Mass Index (BMI) less than 33 and stable weight in the previous year

Exclusion Criteria:

  • Prior history of prostate cancer or prostate specific antigen level greater than 4.0ng/ml
  • Peripheral or vascular disease
  • Significant history of alcohol abuse, current alcohol abuse (more than 2 drinks per day), or other substance abuse
  • History of severe head injury (with loss of consciousness greater than 30 minutes)
  • Significant neurological illness, such as Parkinson's disease, seizure disorder, multiple sclerosis, major stoke
  • Smokes cigarettes
  • Major psychiatric illness, such as schizophrenia or bipolar disorder

Prohibited Medications:

  • Anti-convulsants
  • Anti-psychotics
  • Sedating antihistamines
  • Sedative/hypnotics
  • Benzodiazepines
  • Hormone or testosterone regimens
  • GNRH antagonists
  • Flutamide
  • Anti-depressants and/or anti-cholinesterase inhibitors, but acceptable if on stable dose for 3 months or more
Gender Male
Ages 60 Years to 90 Years
Accepts Healthy Volunteers No
Contacts ††
Contact: Christina Bradic     206-277-1155     cb80@u.washington.edu    
Contact: Gareth Holman     206-277-5055     gholman@u.washington.edu    
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00539305
Organization ID IA0124
Secondary IDs †† 1R01AG027156-01 A2
Study Sponsor  National Institute on Aging (NIA)
Collaborators †† Solvay Pharmaceuticals
Investigators 
Principal Investigator:     Monique Cherrier, PhD     University of Washington    
Information Provided By National Institute on Aging (NIA)
Verification Date February 2008
First Received Date  October 3, 2007
Last Updated Date February 25, 2008

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




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