Efficacy and Safety of Fufangdanshen Tablets in Mild to Moderate Vascular Dementia
Primary Purpose
Vascular Dementia
Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Fufangdanshen Tablets
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Vascular Dementia focused on measuring Vascular dementia, Fufangdanshen Tablets, Randomized Controlled trial, Chinese Medicine
Eligibility Criteria
Inclusion Criteria:
- Inpatients and outpatients meeting the diagnostic criteria probable VaD established according to the Diagnostic and Statistical Manual of Mental Disorders (fourth edition) (DSM-Ⅳ) and the National Institute of Neurological Disorders and Stroke and the Association Internationale pour la Recherche et l'Enseignement en Neurosciences (NINDS-AIREN)were eligible to participate.
- Weighing between 45 to 90 kg;
- The diagnosis had also to be compatible with the findings from a recent (within last 12 months) magnetic resonance image (MRI) of the brain and
- The Hachinski Ischemia Scale (HIS) score>4.
- six months' mild to moderate VaD duration before inclusion.
- Mild-to-moderate dementia (Score of the Mini-Mental State Examination (MMSE) defined as between 11 to 26)
- The Hamilton Depression Scale (HAMD for 17 items) had a score of ≤ 12
- have a consistent informant to accompany them on scheduled visits
- Ability to read, write, communicate, and understand cognitive testing instructions
Exclusion Criteria:
- Neurodegenerative disorders such as Parkinson's disease, with AD and any other secondary types of dementia;
- cognitive impairment resulting from conditions such as acute cerebral trauma, cerebral damage due to a lack of oxygen, vitamin deficiency, infections such as meningitis or AIDS, significant endocrine or metabolic disease, mental retardation, or a brain tumor
- having significant psychiatric disease, active peptic ulcer, clinically significant liver, kidney or lung disorders, or heart disease
- history of epilepsy, convulsions, drug abuse or alcohol abuse
- history of hypersensitivity to the treatment drugs;
- concomitant drugs with the potential to interfere with cognition;
- administration of other investigational drugs;
- females of child bearing potential without adequate contraception
Sites / Locations
- Dongzhimen Hospital ,Beijing University of Chinese Medicine
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Fufangdanshen Tablets
Placebo
Arm Description
1 tablets contains contains tanshinoneⅡA 0.67mg , salvianolic acid B 8.2mg, Panax Notoginsenosides R1 0.53mg, ginsenoside Rb1 3.03mg, ginsenoside Rg1 2.73mg, 3 tablets per time, 3 times per day for 24 weeks
3 tablets per time, 3 times per day for 24 weeks. The placebo has similar smile and appearance as the Fufangdanshen Tablets
Outcomes
Primary Outcome Measures
Change from baseline to end of double-blind treatment Clinician's Interview Based Impression of Change - Plus Caregiver Input; Alzheimer Disease Assessment Scale-cognitive subscale
Global cognition was assessed with the CIBIC-plus, at baseline (day 1 clinic visit) and at 12-week intervals thereafter until week 24.
Change in cognitive scores: Alzheimer Disease Assessment Scale-cognitive. subscale (ADAS-cog)
Cognition was assessed with the Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-cog), at baseline (day 1 clinic visit) and at 12-week intervals thereafter until week 24.
Secondary Outcome Measures
Change in functional scores: Activities of Daily Living (ADL).
Functional ability was evaluated with the ADL was evaluated at baseline (day 1 clinic visit), at the mid-study (week 12), and at the endpoint of treatment (week 24).
Change from baseline to the end of double-blind treatment in Mini-mental state examination (MMSE) scores
Change in global cognition:Mini-mental state examination at baseline (day 1 clinic visit) and at 12-week intervals thereafter until week 24.
Full Information
NCT ID
NCT01761227
First Posted
January 2, 2013
Last Updated
October 22, 2018
Sponsor
Dongzhimen Hospital, Beijing
Collaborators
Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited
1. Study Identification
Unique Protocol Identification Number
NCT01761227
Brief Title
Efficacy and Safety of Fufangdanshen Tablets in Mild to Moderate Vascular Dementia
Official Title
The Safety and Efficacy of Fufangdanshen Tablets in Treatment of Mild to Moderate Vascular Dementia: a 24-week, Double Blind, Randomized, Parallel,Placebo Controlled Trial.
Study Type
Interventional
2. Study Status
Record Verification Date
October 2018
Overall Recruitment Status
Completed
Study Start Date
September 2012 (Actual)
Primary Completion Date
December 2015 (Actual)
Study Completion Date
December 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Dongzhimen Hospital, Beijing
Collaborators
Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Purpose: The purpose of this study is to examine the efficacy and safety of Fufangdanshen Tablets in patients with mild to moderate vascular dementia (VaD).
Detailed Description
This multicenter, double-blind, placebo-controlled study will evaluate the safety and effectiveness of Fufangdanshen Tablets in patients with vascular dementia. All patients will initially receive placebo for a 2 weeks period and then will receive Fufangdanshen Tablets or placebo for 6 months. The primary measures of effectiveness include the change from baseline to the end of treatment in the ADAS-cog/11 score (Alzheimer's Disease Assessment Scale: sum of 11 cognitive items) and the CIBIC-plus score (Clinician's Interview Based Impression of Change - Plus Caregiver Input). Additional measures of effectiveness include the change from baseline to the end of the treatment in the MMSE score (Mini-mental State Examination), the ADL (Ability of Daily Living) score. Safety evaluations (incidence of adverse events, electrocardiograms (ECGs), physical examinations, laboratory tests) will be performed throughout the study. Patients who complete the double-blind portion of the study will be followed up 12 weeks. Effectiveness will be assessed at 12 weeks, 24weeks and 36 weeks. Safety evaluations (incidence of adverse events, ECGs, physical examinations, laboratory tests) will be performed at 12 weeks, 24weeks and 36 weeks of the study. The study hypothesis is that Fufangdanshen Tablets will be effective in the treatment of patients with vascular dementia and will be well tolerated. Double-blind: Fufangdanshen Tablets: 3 tablets per time, 3 times per day, and placebo : 3 tablets per time, 3 times per day. The placebo has similar smile and appearance as the Fufangdanshen Tablets.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vascular Dementia
Keywords
Vascular dementia, Fufangdanshen Tablets, Randomized Controlled trial, Chinese Medicine
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
240 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Fufangdanshen Tablets
Arm Type
Experimental
Arm Description
1 tablets contains contains tanshinoneⅡA 0.67mg , salvianolic acid B 8.2mg, Panax Notoginsenosides R1 0.53mg, ginsenoside Rb1 3.03mg, ginsenoside Rg1 2.73mg, 3 tablets per time, 3 times per day for 24 weeks
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
3 tablets per time, 3 times per day for 24 weeks. The placebo has similar smile and appearance as the Fufangdanshen Tablets
Intervention Type
Drug
Intervention Name(s)
Fufangdanshen Tablets
Intervention Description
1 tablets contains contains tanshinoneⅡA 0.67mg , salvianolic acid B 8.2mg, Panax Notoginsenosides R1 0.53mg, ginsenoside Rb1 3.03mg, ginsenoside Rg1 2.73mg, 3 tablets per time, 3 times per day for 24 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo for 3 tablets per time, 3 times per day for 24 weeks
Primary Outcome Measure Information:
Title
Change from baseline to end of double-blind treatment Clinician's Interview Based Impression of Change - Plus Caregiver Input; Alzheimer Disease Assessment Scale-cognitive subscale
Description
Global cognition was assessed with the CIBIC-plus, at baseline (day 1 clinic visit) and at 12-week intervals thereafter until week 24.
Time Frame
24 weeks
Title
Change in cognitive scores: Alzheimer Disease Assessment Scale-cognitive. subscale (ADAS-cog)
Description
Cognition was assessed with the Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-cog), at baseline (day 1 clinic visit) and at 12-week intervals thereafter until week 24.
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
Change in functional scores: Activities of Daily Living (ADL).
Description
Functional ability was evaluated with the ADL was evaluated at baseline (day 1 clinic visit), at the mid-study (week 12), and at the endpoint of treatment (week 24).
Time Frame
24 weeks
Title
Change from baseline to the end of double-blind treatment in Mini-mental state examination (MMSE) scores
Description
Change in global cognition:Mini-mental state examination at baseline (day 1 clinic visit) and at 12-week intervals thereafter until week 24.
Time Frame
24 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Inpatients and outpatients meeting the diagnostic criteria probable VaD established according to the Diagnostic and Statistical Manual of Mental Disorders (fourth edition) (DSM-Ⅳ) and the National Institute of Neurological Disorders and Stroke and the Association Internationale pour la Recherche et l'Enseignement en Neurosciences (NINDS-AIREN)were eligible to participate.
Weighing between 45 to 90 kg;
The diagnosis had also to be compatible with the findings from a recent (within last 12 months) magnetic resonance image (MRI) of the brain and
The Hachinski Ischemia Scale (HIS) score>4.
six months' mild to moderate VaD duration before inclusion.
Mild-to-moderate dementia (Score of the Mini-Mental State Examination (MMSE) defined as between 11 to 26)
The Hamilton Depression Scale (HAMD for 17 items) had a score of ≤ 12
have a consistent informant to accompany them on scheduled visits
Ability to read, write, communicate, and understand cognitive testing instructions
Exclusion Criteria:
Neurodegenerative disorders such as Parkinson's disease, with AD and any other secondary types of dementia;
cognitive impairment resulting from conditions such as acute cerebral trauma, cerebral damage due to a lack of oxygen, vitamin deficiency, infections such as meningitis or AIDS, significant endocrine or metabolic disease, mental retardation, or a brain tumor
having significant psychiatric disease, active peptic ulcer, clinically significant liver, kidney or lung disorders, or heart disease
history of epilepsy, convulsions, drug abuse or alcohol abuse
history of hypersensitivity to the treatment drugs;
concomitant drugs with the potential to interfere with cognition;
administration of other investigational drugs;
females of child bearing potential without adequate contraception
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jinzhou Tian, Ph.D, M.D
Organizational Affiliation
Dongzhimen Hospital, Beijing University of Chinese Medicine
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jing Shi, M.D
Organizational Affiliation
Dongzhimen Hospital, Beijing University of Chinese Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Dongzhimen Hospital ,Beijing University of Chinese Medicine
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100700
Country
China
12. IPD Sharing Statement
Citations:
PubMed Identifier
27266867
Citation
Tian J, Shi J, Wei M, Qin R, Ni J, Zhang X, Li T, Wang Y. The efficacy and safety of Fufangdanshen tablets (Radix Salviae miltiorrhizae formula tablets) for mild to moderate vascular dementia: a study protocol for a randomized controlled trial. Trials. 2016 Jun 8;17(1):281. doi: 10.1186/s13063-016-1410-5.
Results Reference
derived
Learn more about this trial
Efficacy and Safety of Fufangdanshen Tablets in Mild to Moderate Vascular Dementia
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