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| Sponsor: | National Institute on Aging (NIA) |
|---|---|
| Collaborator: |
Takeda Pharmaceuticals North America, Inc. |
| Information provided by: | National Institute on Aging (NIA) |
| ClinicalTrials.gov Identifier: | NCT00982202 |
Purpose
This study was designed to assess the safety and tolerability of pioglitazone, an approved drug for type 2 diabetes, in non diabetic patients with Alzheimer's disease. It was also designed to generate preliminary information on whether pioglitazone might slow progression of Alzheimer's disease.
| Condition | Intervention | Phase |
|---|---|---|
|
Alzheimer Disease |
Drug: pioglitazone Drug: Placebo |
Phase II |
| Study Type: | Interventional |
| Study Design: | Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Parallel Assignment, Safety/Efficacy Study |
| Official Title: | Pioglitazone in Alzheimer Disease Progression |
| Enrollment: | 25 |
| Study Start Date: | January 2002 |
| Study Completion Date: | January 2005 |
| Primary Completion Date: | January 2005 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| PGZ: Experimental |
Drug: pioglitazone
15mg tablet daily, increase by one pill at one-week intervals based on reported tolerability; maintain best tolerated dose (1 to 3 tablets daily) for ~18months
|
| Placebo: Placebo Comparator |
Drug: Placebo
1 to 3 tablets daily for ~18 months
|
Inflammatory processes are important in the progressive loss of memory and thinking skills in Alzheimer's disease (AD). Laboratory studies show that drugs that bind to a protein known as "Peroxisome Proliferator Activated Receptor-gamma (PPARgamma)" act to reduce inflammatory responses in brain cells known as microglia when they are exposed to amyloid peptide, a major part of AD pathology. Therefore, drugs that activate PPARgamma have great potential for reducing the progression of AD. Pioglitazone (PGZ) activates PPARgamma and has shown favorable clinical experiences and safety profiles in patients with diabetes. This is a pilot study to determine the safety and tolerability of PGZ in patients with AD. Another goal of the study is to assess how clinical measures of cognition, daily function, and behavior might respond to PGZ treatment.
Eligibility| Ages Eligible for Study: | 50 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| United States, Ohio | |
| University Hospitals of Cleveland | |
| Cleveland, Ohio, United States, 44120 | |
| United States, Virginia | |
| University of Virginia | |
| Charlottesville, Virginia, United States, 22908 | |
| Principal Investigator: | David Geldmaher, MD | University of Virginia Health System |
More Information
| Responsible Party: | University of Virginia Health System ( David Geldmaher, MD ) |
| Study ID Numbers: | IA0168, 1R01AG018905 |
| Study First Received: | September 22, 2009 |
| Last Updated: | September 22, 2009 |
| ClinicalTrials.gov Identifier: | NCT00982202 History of Changes |
| Health Authority: | United States: Federal Government |
|
PPAR-gamma inflammation |
|
Pioglitazone Alzheimer Disease Nervous System Diseases Physiological Effects of Drugs Central Nervous System Diseases Brain Diseases Neurodegenerative Diseases |
Pharmacologic Actions Delirium, Dementia, Amnestic, Cognitive Disorders Hypoglycemic Agents Mental Disorders Dementia Tauopathies |