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Safety, Tolerability and Efficacy Study to Evaluate Subjects With Mild Cognitive Impairment

Primary Purpose

Mild Cognitive Impairment, So Stated

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
AL-108
AL-108
Placebo
Sponsored by
Allon Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mild Cognitive Impairment, So Stated focused on measuring Dementia, Memory, Alzheimers, Cognition, Mind, Aging

Eligibility Criteria

55 Years - 85 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

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.

Sites / Locations

  • Pivotal Research
  • Collaborative Neuroscience Network
  • Synergy Research
  • Pacific Research Network, Inc
  • Meridien Research
  • Clinical Neuroscience Solutions, Inc.
  • Clinical Neuroscience Solutions
  • Meridien Research
  • Stedman Clinical Trials
  • Clinical Research Center of Indian River Medical Center
  • Comprehensive Neuroscience
  • The Memory Enhancement Center of America
  • SPRI Clinical trials
  • Memory Assessment and Research Services
  • Neurology & Neuroscience Center of Ohio
  • Clinical Neuroscience Solutions, Inc
  • Senior Adults Speciality Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

AL-108 5 mg

AL-108 15 mg

Placebo

Arm Description

5 mg QD

15 mg BID

Placebo

Outcomes

Primary Outcome Measures

Change from baseline to Week 12 on the Composite Memory Variable

Secondary Outcome Measures

Changes in the Composite Memory Variable from baseline to weeks 4, 8, and 16
Changes in test battery individual items from baseline to endpoints (weeks 4, 8, 12, and 16).

Full Information

First Posted
January 16, 2007
Last Updated
October 18, 2012
Sponsor
Allon Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT00422981
Brief Title
Safety, Tolerability and Efficacy Study to Evaluate Subjects With Mild Cognitive Impairment
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
Study Type
Interventional

2. Study Status

Record Verification Date
October 2012
Overall Recruitment Status
Completed
Study Start Date
January 2007 (undefined)
Primary Completion Date
January 2008 (Actual)
Study Completion Date
January 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Allon Therapeutics

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
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).
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mild Cognitive Impairment, So Stated
Keywords
Dementia, Memory, Alzheimers, Cognition, Mind, Aging

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
144 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AL-108 5 mg
Arm Type
Active Comparator
Arm Description
5 mg QD
Arm Title
AL-108 15 mg
Arm Type
Active Comparator
Arm Description
15 mg BID
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
AL-108
Intervention Description
5 mg QD
Intervention Type
Drug
Intervention Name(s)
AL-108
Intervention Description
15 mg BID
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Change from baseline to Week 12 on the Composite Memory Variable
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Changes in the Composite Memory Variable from baseline to weeks 4, 8, and 16
Time Frame
16 weeks
Title
Changes in test battery individual items from baseline to endpoints (weeks 4, 8, 12, and 16).
Time Frame
16 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Donald E Schmechel, MD
Organizational Affiliation
Memory Assessment and Research Services
Official's Role
Principal Investigator
Facility Information:
Facility Name
Pivotal Research
City
Peoria
State/Province
Arizona
ZIP/Postal Code
85381
Country
United States
Facility Name
Collaborative Neuroscience Network
City
Garden Grove
State/Province
California
ZIP/Postal Code
92845
Country
United States
Facility Name
Synergy Research
City
National City
State/Province
California
ZIP/Postal Code
91950
Country
United States
Facility Name
Pacific Research Network, Inc
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
Meridien Research
City
Brooksville
State/Province
Florida
ZIP/Postal Code
34613
Country
United States
Facility Name
Clinical Neuroscience Solutions, Inc.
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32216
Country
United States
Facility Name
Clinical Neuroscience Solutions
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Meridien Research
City
Tampa
State/Province
Florida
ZIP/Postal Code
33606
Country
United States
Facility Name
Stedman Clinical Trials
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
Facility Name
Clinical Research Center of Indian River Medical Center
City
Vero Beach
State/Province
Florida
ZIP/Postal Code
32960
Country
United States
Facility Name
Comprehensive Neuroscience
City
Hoffman Estates
State/Province
Illinois
ZIP/Postal Code
60194
Country
United States
Facility Name
The Memory Enhancement Center of America
City
Long Branch
State/Province
New Jersey
ZIP/Postal Code
07740
Country
United States
Facility Name
SPRI Clinical trials
City
Brooklyn
State/Province
New York
ZIP/Postal Code
11235
Country
United States
Facility Name
Memory Assessment and Research Services
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28405
Country
United States
Facility Name
Neurology & Neuroscience Center of Ohio
City
Toledo
State/Province
Ohio
ZIP/Postal Code
43623
Country
United States
Facility Name
Clinical Neuroscience Solutions, Inc
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38119
Country
United States
Facility Name
Senior Adults Speciality Research
City
Austin
State/Province
Texas
ZIP/Postal Code
78757
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
23594991
Citation
Morimoto BH, Schmechel D, Hirman J, Blackwell A, Keith J, Gold M; AL-108-211 Study. A double-blind, placebo-controlled, ascending-dose, randomized study to evaluate the safety, tolerability and effects on cognition of AL-108 after 12 weeks of intranasal administration in subjects with mild cognitive impairment. Dement Geriatr Cogn Disord. 2013;35(5-6):325-36. doi: 10.1159/000348347. Epub 2013 Apr 13.
Results Reference
derived

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Safety, Tolerability and Efficacy Study to Evaluate Subjects With Mild Cognitive Impairment

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