Safety, Tolerability and Efficacy Study to Evaluate Subjects With Mild Cognitive Impairment
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Purpose
The purpose of this study is to find out if different doses of Investigational Drug are safe, tolerable, and if they have an effect on Mild Cognitive Impairment (MCI).
| Condition | Intervention | Phase |
|---|---|---|
|
Mild Cognitive Impairment, So Stated |
Drug: AL-108 Drug: Placebo |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Phase 2, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, and Effect on Cognitive Function of AL-108 After 12 Weeks of Intranasal Administration in Subjects With Mild Cognitive Impairment |
- Change from baseline to Week 12 on the Composite Memory Variable [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- Changes in the Composite Memory Variable from baseline to weeks 4, 8, and 16 [ Time Frame: 16 weeks ] [ Designated as safety issue: No ]
- Changes in test battery individual items from baseline to endpoints (weeks 4, 8, 12, and 16). [ Time Frame: 16 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 144 |
| Study Start Date: | January 2007 |
| Study Completion Date: | January 2008 |
| Primary Completion Date: | January 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: AL-108 5 mg
5 mg QD
|
Drug: AL-108
5 mg QD
|
|
Active Comparator: AL-108 15 mg
15 mg BID
|
Drug: AL-108
15 mg BID
|
|
Placebo Comparator: Placebo
Placebo
|
Drug: Placebo
Placebo
|
Detailed Description:
Pre-Clinical experiments indicate the AL-108 compound has neuroprotective, cognitive protective and neurotrophic properties; therefore, the compound could be tested in a variety of human diseases. Human diseases include Cognitive impairment associated with aging or neurodegenerative diseases such as Alzheimer's Disease.
This clinical trial aims at providing the dose rationale as well as safety and tolerability information for AL-108 as evaluated after 12 weeks of intranasal administration in subjects with Mild Cognitive Impairment (MCI).
There are currently no drugs approved for the treatment of MCI nor accepted treatment or standard treatment approach.
Eligibility| Ages Eligible for Study: | 55 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Is male or female, at 55-85 years of age (inclusive) at screening
- Self-reported memory complaint, corroborated by spouse or companion as appropriate.
- Wechsler Memory Scale III (WMS-III) age-adjusted Logical Memory II score ≤ 5.
- Mini-Mental State Exam (MMSE) ≥24.
- Center for Epidemiologic Studies-Depression (CES-D) score <27.
- Normal thyroid function, defined as TSH, T3 and T4 within normal limits.
- Agree not to consume alcoholic beverages within 8 hours of each study visit.
- Willing and able to sign informed consent and complete the CTB and all other tests and procedures as listed in the protocol.
- Fluently reads and speaks English.
- Female subjects must be surgically sterile or post-menopausal for at least 2 years. If <2 years post-menopausal, then a follicle stimulating hormone (FSH) ≥40 mIU/mL must be obtained.
Exclusion Criteria:
- Subjects who have any significant, untreated psychiatric illness or any CNS condition (such as schizophrenia, Parkinson's disease, stroke, etc.) that could interfere with the study evaluations or procedures or which poses an additional risk. Subjects with a history of uncomplicated depression may participate if in remission and on a stable dose of antidepressant medication for at least 2 months.
- History of significant head trauma followed by persistent neurologic defaults or known structural brain abnormalities.
- History of alcohol or substance abuse or dependence within the past year.
- Acute infective sinusitis.
- History or presence of an abnormality of the external or internal structures of the nose or nasopharynx, except for surgical correction of the nasal septum or a "broken nose" at least 2 years previously, or surgical repair of cleft palate when <30 years of age.
- Use of medications that are known to cause frank obtundation of cognition
- Use of any approved or investigational medication for Alzheimer's Disease within 3 months of screening
- History of or current significant systemic disease judged to interfere with the study evaluations or likely to be a safety concern.
- Untreated sleep apnea or treatment for sleep apnea for <3 months.
- Abnormal clinical laboratory test results, specifically: Alanine transaminase (ALT) or aspartate transaminase (AST) >2 х the upper limit of normal (ULN),Hematology <80% the lower limit of normal, Creatinine ≥2 mg/dL and ,Other clinical laboratory values or vital signs considered clinically significant in the opinion of the Investigator.
- Treatment with any investigational drug, biologic, or device within the previous 30 days prior to screening.
- Surgery involving general anesthesia within the past 3 months or planned surgery requiring general anesthesia during the study period.
Contacts and Locations| United States, Arizona | |
| Pivotal Research | |
| Peoria, Arizona, United States, 85381 | |
| United States, California | |
| Collaborative Neuroscience Network | |
| Garden Grove, California, United States, 92845 | |
| Synergy Research | |
| National City, California, United States, 91950 | |
| Pacific Research Network, Inc | |
| San Diego, California, United States, 92103 | |
| United States, Florida | |
| Meridien Research | |
| Brooksville, Florida, United States, 34613 | |
| Clinical Neuroscience Solutions, Inc. | |
| Jacksonville, Florida, United States, 32216 | |
| Clinical Neuroscience Solutions | |
| Orlando, Florida, United States, 32806 | |
| Meridien Research | |
| Tampa, Florida, United States, 33606 | |
| Stedman Clinical Trials | |
| Tampa, Florida, United States, 33613 | |
| Clinical Research Center of Indian River Medical Center | |
| Vero Beach, Florida, United States, 32960 | |
| United States, Illinois | |
| Comprehensive Neuroscience | |
| Hoffman Estates, Illinois, United States, 60194 | |
| United States, New Jersey | |
| The Memory Enhancement Center of America | |
| Long Branch, New Jersey, United States, 07740 | |
| United States, New York | |
| SPRI Clinical trials | |
| Brooklyn, New York, United States, 11235 | |
| United States, North Carolina | |
| Memory Assessment and Research Services | |
| Wilmington, North Carolina, United States, 28405 | |
| United States, Ohio | |
| Neurology & Neuroscience Center of Ohio | |
| Toledo, Ohio, United States, 43623 | |
| United States, Tennessee | |
| Clinical Neuroscience Solutions, Inc | |
| Memphis, Tennessee, United States, 38119 | |
| United States, Texas | |
| Senior Adults Speciality Research | |
| Austin, Texas, United States, 78757 | |
| Principal Investigator: | Donald E Schmechel, MD | Memory Assessment and Research Services |
More Information
No publications provided
| Responsible Party: | Allon Therapeutics |
| ClinicalTrials.gov Identifier: | NCT00422981 History of Changes |
| Other Study ID Numbers: | AL-108-211 |
| Study First Received: | January 16, 2007 |
| Last Updated: | October 18, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Allon Therapeutics:
|
Dementia Memory Alzheimers |
Cognition Mind Aging |
Additional relevant MeSH terms:
|
Cognition Disorders Delirium, Dementia, Amnestic, Cognitive Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 22, 2013