Effects of Simvastatin on Biomarkers (SimBio)

This is an interventional prevention trial for Alzheimer's Disease focused on measuring Alzheimer's Disease, Prevention, Spinal Fluid, Biomarkers, Simvastatin Read More

Inclusion Criteria (participants must meet the following criteria)

• If female of childbearing potential, must have negative pregnancy test at baseline, and all subsequent visits.
• Age 45 to 64 years inclusive.
• Considered cognitively normal with no evidence of memory or other cognitive impairments (MMSE >26, Logical Memory delayed recall > 6, CDR score of 0).
• Normal or only mildly elevated cholesterol which does not require drug therapy based on National Cholesterol Education Program Adult Treatment Panel III (NCEP/ATP-III) guidelines.
• An LDL level above 70mg/dL.
• Hamilton Depression Scale (HAM-D) score < 12.
• BMI between 18 - 34 (or exception made by MD).
• In good recent general health (i.e., no trauma or infection in the 4 weeks before LP).
• On stable dose of non-exclusionary medications for the 4 weeks preceding the LP.
• Platelet count >100,000.

Exclusion Criteria (participants must NOT satisfy any of the following conditions)

• Any contraindications to LP, such as spinal deformity, severe disease or infection in the LP region, bleeding tendency, anticoagulant or blood-thinning medications.
• Taken a statin medication in the past 12 months.
• Any clinically significant laboratory abnormalities.
• Any neurological disorders: multiple sclerosis, epilepsy, stroke, Parkinson's, other degenerative CNS disorders, or neuropathy with radicular involvement.
• Acute or chronic major psychiatric disorders: schizophrenia, affective disorders, or severe anxiety disorders. (Dysthymia allowed, history of MDD allowed if currently in remission)
• Unstable or poorly controlled medical problems such as: heart failure, diabetes (poorly controlled or insulin dependent), hypertension (BP >160/100), pulmonary disease with hypoxia or hypercapnia, significant liver disease or known hepatitis C seropositivity, renal failure, treatment for cancer in the past 2 years (other than non-melanoma skin cancer) or known HIV positive status.
• Use of illegal drugs or alcohol abuse (>2 drinks/day or 10/week) within the past year.
• Concurrent participation in another investigational drug study.

• Use of any exclusionary medications in the 4 weeks prior to screening:

  • Drugs which could interact with statins: itraconazole, ketoconazole, erythromycin, clarithromycin, HIV protease inhibitors, nefazodone, amiodarone, cyclosporine, isoniazid, quinidine, or large quantities of grapefruit juice (>1 quart daily)
  • Central nervous system acting medications: antipsychotics, anti-Parkinson's disease medications, anti convulsants, or CNS stimulants
  • Chronic use of benzodiazepines, sedating antihistamines, or other sedative-hypnotic agents (prn use is allowed as long as it is not within 72 hours of LP or cognitive testing)
  • Medications affecting coagulation and/or inflammation: coumadin, potent anti-inflammatory medications (hydrocortisone, methotrexate or other potent immune-modulating medications), and anti-HIV medications (Aspirin up to 325 mg/day is allowed.)
  • Lipid-lowering drugs: fibrates or niacin >500mg/day (stable dose of omega-3 is allowed)

• Does the subject's family history meet any of the following criteria?

  • Both parents had/have dementia
  • On one side of the family, over two consecutive generations three relatives had/have dementia?
  • One parent had an onset of dementia before age 60?
• Does the subject have a major active autoimmune or immunological disorder?