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Double Blind Study of Trp01 in Patients With Alzheimer's Disease

Primary Purpose

Alzheimer's Disease

Status
Completed
Phase
Phase 4
Locations
Canada
Study Type
Interventional
Intervention
Tryptophan
Sponsored by
Queen's University
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer's Disease

Eligibility Criteria

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

Inclusion Criteria: Patients will be selected in order to fulfill both of the following definitions: Dementia according to DSM-IV criteria : development of multiple cognitive deficits manifested by both memory impairment and one or more of the following cognitive disturbances: aphasia, apraxia, agnosia, disturbance in executive functioning the above-mentioned deficits cause significant impairment in social or occupational functioning they do not occur exclusively during the course of delirium Dementia according to communicative disorders and stroke criteria (NINCDS-ADRDA) dementia established clinically and documented by a Folstein Mini-Mental State Examination (MMSE) deficits in two or more areas of cognition progressive worsening of memory and other cognitive functions no disturbance of consciousness absence of systematic disorders or other brain diseases that in and of themselves can account for progressive deficit in memory and cognition Furthermore, patients must fulfill the following criteria: men, or postmenopausal or surgically sterilized women with severity of dementia of mild to moderate degree as reflected by a score of greater than 14 but less than 26 on the MMSE with a minimum one-year duration of the symptomatology (progressive worsening of memory and other cognitive functions) living at home or in an institution provided that they have reliable caregivers able to perform the required psychometric tests and evaluations. Visual and auditory acuity (with glasses or hearing aid if required) must be sufficient to complete the protocol-specified procedures. Clinical laboratory battery (see section 7.2.2) must yield results within normal limits or determined as not clinically significant by the study physician for the patient's sex and age Patients and their substitute decision-makers must have signed the written informed consent form Exclusion Criteria: Patients with any of the following will not be included in the study: Patients with any other cause of dementia as evidenced by medical history, general physical and neurological examination, laboratory tests, and neuroradiological findings: Vascular dementia, as evidenced by Modified Hachinski Ischemia Scale Depressive pseudementia, as evidenced by cognitive disturbances concomitant to a major depressive episode according to DSM-IV and/or a history of more than one major depressive episode DSM-IV criteria for any major psychiatric disorder including schizophrenia, alcohol or substance abuse Huntington's chorea or Parkinson's disease, evidenced by neurological examination, with an onset prior to or concurrent with dementia Creutzfeldt-Jakob disease Intracranial mass lesion Clinically important head injury History or current evidence of stroke Onset of dementia following cardiac arrest or heart surgery Neurosyphilis Seropositivity for HIV Vitamin B12 deficiency Uncorrected hypothyroidism (i.e. abnormal free T4, ultrasensitive TSH) Patients with other relevant concomitant diseases: Patients with history or current evidence of a sleep disorder Patients with a clinically significant cardiovascular, renal, hepatic, pulmonary, gastrointestinal, endocrine, metabolic, opthalmologic, or hematologic condition Current evidence or history within the past year of myocardial infarction (MI), congestive heart failure Blood pressure at screening of > 180 mm Hg systolic or 100 mm Hg diastolic Impaired renal, hepatic, or gastrointestinal function, which could interfere with drug absorption, metabolism or excretion Seizure disorder Diabetes Earlier diagnosis or current evidence of cataracts Progressive fatal disease (other than AD) Treatment with any other investigational drug in the last 8 weeks prior to screening Previous administration of TRP01

Sites / Locations

  • Queen's University

Outcomes

Primary Outcome Measures

1. MMSE score
2. Alzheimer's Disease Assessment Scale, cognitive subpart (ADAS-Cog) as an evaluation of cognitive functioning

Secondary Outcome Measures

1. Alzheimer's Disease Cooperative Study - Clinical Global Impression of Change (ADCS-CGIC)
2. Neuropsychiatric Inventory (NPI)
3. Disability Assessment for Dementia (DAD)
4. Physical Self-Maintenance Scale (PSMS)
5. Functional Activities Questionnaire (FAQ)

Full Information

First Posted
September 13, 2005
Last Updated
September 13, 2005
Sponsor
Queen's University
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1. Study Identification

Unique Protocol Identification Number
NCT00202124
Brief Title
Double Blind Study of Trp01 in Patients With Alzheimer's Disease
Official Title
Double Blind Medium Term Efficacy Study of Trp01 in Patients With Mild to Moderate Alzheimer's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
November 2002
Overall Recruitment Status
Completed
Study Start Date
April 2001 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
March 2002 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Queen's University

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to determine whether tryptophan is effective in the treatment of mild to moderate Alzheimer's Disease (AD).
Detailed Description
The clinical trial will be a double-blind, placebo-controlled study with patients being randomized in a 2:1 ratio into groups A and B, respectively: Group A: TRP01 1g b.i.d. for 26 weeks Group B: placebo capsules b.i.d. for 26 weeks After the initial screening, clinic visits will take place at 0, 13 and 26 weeks. The blinding will be maintained until all patients have completed the 26-week trial. Any patients wishing to continue taking the medication upon completion of the trial will be provided a prescription for the drug and may purchase it at their own expense.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer's Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
12 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Tryptophan
Primary Outcome Measure Information:
Title
1. MMSE score
Title
2. Alzheimer's Disease Assessment Scale, cognitive subpart (ADAS-Cog) as an evaluation of cognitive functioning
Secondary Outcome Measure Information:
Title
1. Alzheimer's Disease Cooperative Study - Clinical Global Impression of Change (ADCS-CGIC)
Title
2. Neuropsychiatric Inventory (NPI)
Title
3. Disability Assessment for Dementia (DAD)
Title
4. Physical Self-Maintenance Scale (PSMS)
Title
5. Functional Activities Questionnaire (FAQ)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
0 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients will be selected in order to fulfill both of the following definitions: Dementia according to DSM-IV criteria : development of multiple cognitive deficits manifested by both memory impairment and one or more of the following cognitive disturbances: aphasia, apraxia, agnosia, disturbance in executive functioning the above-mentioned deficits cause significant impairment in social or occupational functioning they do not occur exclusively during the course of delirium Dementia according to communicative disorders and stroke criteria (NINCDS-ADRDA) dementia established clinically and documented by a Folstein Mini-Mental State Examination (MMSE) deficits in two or more areas of cognition progressive worsening of memory and other cognitive functions no disturbance of consciousness absence of systematic disorders or other brain diseases that in and of themselves can account for progressive deficit in memory and cognition Furthermore, patients must fulfill the following criteria: men, or postmenopausal or surgically sterilized women with severity of dementia of mild to moderate degree as reflected by a score of greater than 14 but less than 26 on the MMSE with a minimum one-year duration of the symptomatology (progressive worsening of memory and other cognitive functions) living at home or in an institution provided that they have reliable caregivers able to perform the required psychometric tests and evaluations. Visual and auditory acuity (with glasses or hearing aid if required) must be sufficient to complete the protocol-specified procedures. Clinical laboratory battery (see section 7.2.2) must yield results within normal limits or determined as not clinically significant by the study physician for the patient's sex and age Patients and their substitute decision-makers must have signed the written informed consent form Exclusion Criteria: Patients with any of the following will not be included in the study: Patients with any other cause of dementia as evidenced by medical history, general physical and neurological examination, laboratory tests, and neuroradiological findings: Vascular dementia, as evidenced by Modified Hachinski Ischemia Scale Depressive pseudementia, as evidenced by cognitive disturbances concomitant to a major depressive episode according to DSM-IV and/or a history of more than one major depressive episode DSM-IV criteria for any major psychiatric disorder including schizophrenia, alcohol or substance abuse Huntington's chorea or Parkinson's disease, evidenced by neurological examination, with an onset prior to or concurrent with dementia Creutzfeldt-Jakob disease Intracranial mass lesion Clinically important head injury History or current evidence of stroke Onset of dementia following cardiac arrest or heart surgery Neurosyphilis Seropositivity for HIV Vitamin B12 deficiency Uncorrected hypothyroidism (i.e. abnormal free T4, ultrasensitive TSH) Patients with other relevant concomitant diseases: Patients with history or current evidence of a sleep disorder Patients with a clinically significant cardiovascular, renal, hepatic, pulmonary, gastrointestinal, endocrine, metabolic, opthalmologic, or hematologic condition Current evidence or history within the past year of myocardial infarction (MI), congestive heart failure Blood pressure at screening of > 180 mm Hg systolic or 100 mm Hg diastolic Impaired renal, hepatic, or gastrointestinal function, which could interfere with drug absorption, metabolism or excretion Seizure disorder Diabetes Earlier diagnosis or current evidence of cataracts Progressive fatal disease (other than AD) Treatment with any other investigational drug in the last 8 weeks prior to screening Previous administration of TRP01
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Donald F Weaver, MD, PhD
Organizational Affiliation
Queen's University
Official's Role
Study Chair
Facility Information:
Facility Name
Queen's University
City
Kingston
State/Province
Ontario
ZIP/Postal Code
K7L 3N6
Country
Canada

12. IPD Sharing Statement

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Double Blind Study of Trp01 in Patients With Alzheimer's Disease

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