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A Multicenter Trial of Rofecoxib and Naproxen in Alzheimer's Disease (NSAID Study)

Primary Purpose

Alzheimer Disease

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Rofecoxib
Naproxen
Sponsored by
National Institute on Aging (NIA)
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer Disease focused on measuring Anti-inflammatory

Eligibility Criteria

55 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: NINCDS/ADRDA criteria for probable AD MMSE between 13 and 26, inclusive Stable medical condition for 3 months Screening visit Physically acceptable for this study as confirmed by medical history, physical exam, neurologic exam, and clinical laboratory tests Supervision available for administration of study medications; caregiver/informant to accompany patient to all scheduled visits Fluent in English or Spanish Age greater than or equal to 55 years old Modified Hachinski of less than or equal to 4 CT or MRI since onset of memory impairment demonstrating absence of clinically significant focal lesion Able to complete baseline assessments 6 years of education or work history sufficient to exclude mental retardation Able to ingest oral medication Exclusion Criteria: Hypersensitivity to aspirin or NSAID Active peptic ulcer disease within 5 years Renal insufficiency with creatinine greater than 1.5 Clinically significant liver disease Poorly controlled hypertension Congestive heart failure Bleeding ulcer Active neoplastic disease (skin tumors other than melanoma are not exclusionary; patients with stable prostate cancer may be included at the discretion of the project director) Inflammatory diseases (including crystal arthropathy, rheumatoid arthritis, systemic lupus, erythematosus, Sjogren's syndrome, inflammatory bowel disease)

Sites / Locations

  • Barrow Neurological Group
  • University of Arizona, Tucson
  • University of California Irvine Institute for Brain Aging and Dementia
  • University of California, San Diego
  • University of Southern California
  • University of California, Los Angeles
  • University of California, Davis
  • Yale University, School of Medicine
  • Georgetown University Medical Center
  • Baumel-Eisner Neuromedical Institute, Boca Raton
  • Baumel-Eisner Ft Lauderdale
  • Mayo Clinic Jacksonville
  • Wein Center
  • Baumel-Eisner Neuromedical Institute, MiamiBeach
  • University of South Florida
  • Premiere Research Institute
  • Emory University
  • Rush Presbyterian St. Luke's Medical Center
  • Indiana University Medical Center
  • Kansas University
  • University of Kentucky
  • University of Michigan
  • University of Minnesota
  • Washington University
  • University of Nevada
  • ClinSearch, Inc
  • New York University Medical Center
  • Columbia University
  • University of Rochester Medical Center
  • University Hospitals of Cleveland
  • Oregon Health Sciences University
  • University of Pennsylvania
  • University of Pittsburgh
  • Memorial Hospital of Rhode Island
  • Medical University of South Carolina
  • Vanderbilt University Medical Center
  • University of Texas, SW Medical Center
  • Baylor College of Medicine
  • Southwestern Vermont Medical Center
  • University of Washington

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
February 28, 2000
Last Updated
December 10, 2009
Sponsor
National Institute on Aging (NIA)
Collaborators
Alzheimer's Disease Cooperative Study (ADCS)
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1. Study Identification

Unique Protocol Identification Number
NCT00004845
Brief Title
A Multicenter Trial of Rofecoxib and Naproxen in Alzheimer's Disease (NSAID Study)
Official Title
A Multicenter Trial of Rofecoxib and Naproxen in Alzheimer's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
June 2009
Overall Recruitment Status
Completed
Study Start Date
undefined (undefined)
Primary Completion Date
December 2001 (Actual)
Study Completion Date
December 2001 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
National Institute on Aging (NIA)
Collaborators
Alzheimer's Disease Cooperative Study (ADCS)

4. Oversight

5. Study Description

Brief Summary
The primary specific aim of this clinical trial is to determine whether treatment with rofecoxib or naproxen for one year will slow the rate of decline of cognitive function in patients with Alzheimer's disease (AD) as measured by ADAScog.
Detailed Description
Evidence that inflammatory mechanisms contribute to neuronal injury in Alzheimer's disease along with a number of epidemiological studies suggests that non-steroidal anti-inflammatory drugs (NSAIDs) may slow the rate of cognitive deterioration. We have selected two such drugs for a therapeutic trial: rofecoxib and naproxen. The trial employs a double-blind parallel design with three primary treatment groups: rofecoxib, naproxen and placebo. A total of 320 patients will be enrolled in the trial and randomized to the three groups. Stable use of cholinesterase inhibitors, estrogen, low dose aspirin, and vitamin E will be allowed. Patients with inflammatory diseases that might respond to the study medications will be excluded. The primary outcome measure will be the one year change in the cognitive subscale of the Alzheimer's Disease Assessment Scale (ADAScog). The attainment of significant endpoints will be examined as a secondary outcome measure. Other secondary measures include the CDR sum-of-boxes, Neuropsychiatric Inventory, the Quality of Life-AD and the ADCS pharmacoeconomic scale. The influence of HLA-DR (Human Leukocyte Antigen) genotype on clinical progression and response to treatment will also be examined.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer Disease
Keywords
Anti-inflammatory

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Masking
Double
Allocation
Randomized

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Rofecoxib
Intervention Type
Drug
Intervention Name(s)
Naproxen

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: NINCDS/ADRDA criteria for probable AD MMSE between 13 and 26, inclusive Stable medical condition for 3 months Screening visit Physically acceptable for this study as confirmed by medical history, physical exam, neurologic exam, and clinical laboratory tests Supervision available for administration of study medications; caregiver/informant to accompany patient to all scheduled visits Fluent in English or Spanish Age greater than or equal to 55 years old Modified Hachinski of less than or equal to 4 CT or MRI since onset of memory impairment demonstrating absence of clinically significant focal lesion Able to complete baseline assessments 6 years of education or work history sufficient to exclude mental retardation Able to ingest oral medication Exclusion Criteria: Hypersensitivity to aspirin or NSAID Active peptic ulcer disease within 5 years Renal insufficiency with creatinine greater than 1.5 Clinically significant liver disease Poorly controlled hypertension Congestive heart failure Bleeding ulcer Active neoplastic disease (skin tumors other than melanoma are not exclusionary; patients with stable prostate cancer may be included at the discretion of the project director) Inflammatory diseases (including crystal arthropathy, rheumatoid arthritis, systemic lupus, erythematosus, Sjogren's syndrome, inflammatory bowel disease)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Leon Thal, MD
Organizational Affiliation
Alzheimer's Disease Cooperative Study
Official's Role
Principal Investigator
Facility Information:
Facility Name
Barrow Neurological Group
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85013
Country
United States
Facility Name
University of Arizona, Tucson
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85724-5023
Country
United States
Facility Name
University of California Irvine Institute for Brain Aging and Dementia
City
Irvine
State/Province
California
ZIP/Postal Code
92697-4285
Country
United States
Facility Name
University of California, San Diego
City
La Jolla
State/Province
California
ZIP/Postal Code
92037
Country
United States
Facility Name
University of Southern California
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033-1039
Country
United States
Facility Name
University of California, Los Angeles
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095-1769
Country
United States
Facility Name
University of California, Davis
City
Martinez
State/Province
California
ZIP/Postal Code
94553
Country
United States
Facility Name
Yale University, School of Medicine
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06520
Country
United States
Facility Name
Georgetown University Medical Center
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States
Facility Name
Baumel-Eisner Neuromedical Institute, Boca Raton
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33486
Country
United States
Facility Name
Baumel-Eisner Ft Lauderdale
City
Ft Lauderdale
State/Province
Florida
ZIP/Postal Code
33321
Country
United States
Facility Name
Mayo Clinic Jacksonville
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32225
Country
United States
Facility Name
Wein Center
City
Miami Beach
State/Province
Florida
ZIP/Postal Code
33140
Country
United States
Facility Name
Baumel-Eisner Neuromedical Institute, MiamiBeach
City
Miami Beach
State/Province
Florida
ZIP/Postal Code
33154
Country
United States
Facility Name
University of South Florida
City
Tampa
State/Province
Florida
ZIP/Postal Code
33617
Country
United States
Facility Name
Premiere Research Institute
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33407
Country
United States
Facility Name
Emory University
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30329
Country
United States
Facility Name
Rush Presbyterian St. Luke's Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Indiana University Medical Center
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202-5266
Country
United States
Facility Name
Kansas University
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160
Country
United States
Facility Name
University of Kentucky
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40536-0230
Country
United States
Facility Name
University of Michigan
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
University of Minnesota
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55455
Country
United States
Facility Name
Washington University
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63108-2293
Country
United States
Facility Name
University of Nevada
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89102
Country
United States
Facility Name
ClinSearch, Inc
City
Summit
State/Province
New Jersey
ZIP/Postal Code
07901
Country
United States
Facility Name
New York University Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Columbia University
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
University of Rochester Medical Center
City
Rochester
State/Province
New York
ZIP/Postal Code
14620
Country
United States
Facility Name
University Hospitals of Cleveland
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44120
Country
United States
Facility Name
Oregon Health Sciences University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97201-3098
Country
United States
Facility Name
University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
University of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
Memorial Hospital of Rhode Island
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02906
Country
United States
Facility Name
Medical University of South Carolina
City
North Charleston
State/Province
South Carolina
ZIP/Postal Code
29406
Country
United States
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37212-8646
Country
United States
Facility Name
University of Texas, SW Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390-9070
Country
United States
Facility Name
Baylor College of Medicine
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Southwestern Vermont Medical Center
City
Bennington
State/Province
Vermont
ZIP/Postal Code
05201
Country
United States
Facility Name
University of Washington
City
Seattle
State/Province
Washington
ZIP/Postal Code
98108
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
12783912
Citation
Aisen PS, Schafer KA, Grundman M, Pfeiffer E, Sano M, Davis KL, Farlow MR, Jin S, Thomas RG, Thal LJ; Alzheimer's Disease Cooperative Study. Effects of rofecoxib or naproxen vs placebo on Alzheimer disease progression: a randomized controlled trial. JAMA. 2003 Jun 4;289(21):2819-26. doi: 10.1001/jama.289.21.2819.
Results Reference
result

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A Multicenter Trial of Rofecoxib and Naproxen in Alzheimer's Disease (NSAID Study)

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