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A Pivotal Study of LIPUS-Brain in Patients With Early Alzheimer's Disease

Primary Purpose

Alzheimer Disease, Early Onset

Status
Recruiting
Phase
Phase 3
Locations
Japan
Study Type
Interventional
Intervention
LIPUS-Brain
Placebo
Sponsored by
Sound Wave Innovation CO., LTD.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer Disease, Early Onset

Eligibility Criteria

50 Years - 89 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Provide written informed consent to participate in the clinical trial from the patient and their legal representative. Mild AD or MCI due to AD patient aged greater than or equal to (>=) 50 and less than (<) 90 years, at the time of informed consent. Patients with the same partner/informant who meet all of the following conditions during the study period Living with or in contact with the patient It is possible to observe the patient's activities of daily living and physical condition. Being able to be present at all times during the efficacy evaluation specified in this clinical trial Person judged by an investigator to be able to manage administration of concomitant medications Patients who met the diagnostic criteria of Mild AD or MCI due to AD according to the NIA/AA 2018 diagnostic criteria at the time of informed consent and were diagnosed as positive by the amyloid PET imaging evaluation committee. Have a CDR global score of 0.5 (MCI due to AD) to 1.0 (Mild AD) at screening. Patients with her MMSE-J score >=20 at screening. No organic diseases such as symptomatic cerebral hemorrhage, symptomatic cerebral infarction, acute cerebral infarction, brain tumor, etc. within 48 weeks before obtaining informed consent or in head MRI images at screening, and in head MRA images, Patients evaluated by the imaging evaluation committee as not having severe stenosis/occlusion from the internal carotid artery to the middle cerebral artery. Patients who are receiving existing drug therapy for Mild AD or MCI due to AD and are not scheduled to change their medication within the past 4 weeks from obtaining consent and after obtaining consent. Exclusion Criteria: Patients judged by the investigator that it is difficult to continue the study treatment for 20 minutes. Patients judged by the investigator to be difficult to perform an MRI examination. Patients with impaired consciousness with a GCS score of 12 or less at the time of enrollment. Patients who have had symptomatic cerebral infarction or cerebral hemorrhage within 12 weeks prior to enrollment. Patients with a modified Hachinski Ischemic Scale score of 5 or more at enrollment. Patients with Lewy body dementia and frontotemporal dementia. Patients judged by the investigator to be difficult to participate in the clinical trial due to severe mental illness Poorly controlled serious systemic disease (heart failure, liver failure, renal failure, vitamin B12 deficiency, hypothyroidism, etc.) that makes it difficult for the investigator to participate in the study judged patient. Patients with uncontrolled diabetic retinopathy (with active fundus hemorrhage). Patients who have malignant tumor as a complication or who have been treated for malignant tumor within 5 years from the time of enrollment (excluding cured resected carcinoma in situ). Patients who are or have a history of drug addiction or alcohol addiction. Patients with or with a history of epilepsy. Patients with implants such as coils, electrodes and stents in the skull. Patients within 5 years after brain surgery (including endovascular treatment). Patients who are pregnant or wish to become pregnant. Patients participating in other clinical studies (excluding non-interventional observational studies) or clinical trials. Patients who are otherwise judged to be ineligible by the investigator.

Sites / Locations

  • Nagoya University Hospital
  • Fujita Health University Hospital
  • National Center for Geriatrics and Gerontology
  • IUHW Narita Hospital
  • Sapporo Medical University Hospital
  • Memory Clinic TorideRecruiting
  • Kanazawa University Hospital
  • National Cerebral and Cardiovascular Center
  • Memory Clinic OchanomizuRecruiting
  • The University of Tokyo Hospital
  • Tokyo Metropolitan Geriatrics Hospital
  • Tottori University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

LIPUS-Brain

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Changes in ADAS-J-cog-14 scores from baseline to Week 72

Secondary Outcome Measures

Changes in ADAS-J-cog-14 scores from baseline to Week 24 and 48
Changes in CDR-SB from baseline to Week 48 and 72
Changes in NPIQ-J scores from baseline to Week 24, 48 and 72
Changes in J-ZBI scores from baseline to Week 24, 48 and 72
Changes in WMS-R scores from baseline to Week 24, 48 and 72
Changes in MMSE-J scores from baseline to Week 24, 48 and 72
Changes in FAQ scores from baseline to Week 24, 48 and 72
Changes in EQ-5D-5L scores from baseline to Week 24, 48 and 72
Changes in ABC Dementia scale scores from baseline to Week 24, 48 and 72
Changes in each 14 item of ADAS-J-cog-14 score from baseline to Week 24, 48 and 72
Prevalence of responders at Week 24, 48, and 72 defined as those with no deterioration or even improvement in ADAS-J-cog-14 scores
Transition rate from MCI due to AD to AD at Week 72
Termination due to aggravation of dementia symptoms
If medication needs to be started or changed, dementia is considered worsening.

Full Information

First Posted
July 18, 2023
Last Updated
August 22, 2023
Sponsor
Sound Wave Innovation CO., LTD.
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1. Study Identification

Unique Protocol Identification Number
NCT05983575
Brief Title
A Pivotal Study of LIPUS-Brain in Patients With Early Alzheimer's Disease
Official Title
A Study to Evaluate the Efficacy and Safety of LIPUS-Brain Transcranial Low-intensity Pulsed-wave Ultrasound Device in Patients With Early Alzheimer's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 2023 (Anticipated)
Primary Completion Date
January 31, 2026 (Anticipated)
Study Completion Date
July 31, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sound Wave Innovation CO., LTD.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This study is a multicenter, randomized, double-blinded, placebo-controlled Phase 3 study comparing LIPUS-Brain transcranial low-intensity pulsed-wave ultrasound device to placebo in patients with Early Alzheimer's Disease. The primary objective of the study is to assess changes in ADAS-J-cog-14 scores from baseline to 72 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer Disease, Early Onset

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
220 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
LIPUS-Brain
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Device
Intervention Name(s)
LIPUS-Brain
Intervention Description
Transcranial low-power pulsed-wave ultrasound device
Intervention Type
Device
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Changes in ADAS-J-cog-14 scores from baseline to Week 72
Time Frame
Performed at Week 72
Secondary Outcome Measure Information:
Title
Changes in ADAS-J-cog-14 scores from baseline to Week 24 and 48
Time Frame
Performed at Week 24 and 48
Title
Changes in CDR-SB from baseline to Week 48 and 72
Time Frame
Performed at Week 48 and 72
Title
Changes in NPIQ-J scores from baseline to Week 24, 48 and 72
Time Frame
Performed at Week 24, 48 and 72
Title
Changes in J-ZBI scores from baseline to Week 24, 48 and 72
Time Frame
Performed at Week 24, 48 and 72
Title
Changes in WMS-R scores from baseline to Week 24, 48 and 72
Time Frame
Performed at Week 24, 48 and 72
Title
Changes in MMSE-J scores from baseline to Week 24, 48 and 72
Time Frame
Performed at Week 24, 48 and 72
Title
Changes in FAQ scores from baseline to Week 24, 48 and 72
Time Frame
Performed at Week 24, 48 and 72
Title
Changes in EQ-5D-5L scores from baseline to Week 24, 48 and 72
Time Frame
Performed at Week 24, 48 and 72
Title
Changes in ABC Dementia scale scores from baseline to Week 24, 48 and 72
Time Frame
Performed at Week 24, 48 and 72
Title
Changes in each 14 item of ADAS-J-cog-14 score from baseline to Week 24, 48 and 72
Time Frame
Performed at Week 24, 48 and 72
Title
Prevalence of responders at Week 24, 48, and 72 defined as those with no deterioration or even improvement in ADAS-J-cog-14 scores
Time Frame
Performed at Week 24, 48 and 72
Title
Transition rate from MCI due to AD to AD at Week 72
Time Frame
Performed at Week 72
Title
Termination due to aggravation of dementia symptoms
Description
If medication needs to be started or changed, dementia is considered worsening.
Time Frame
Performed up to 96 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
89 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Provide written informed consent to participate in the clinical trial from the patient and their legal representative. Mild AD or MCI due to AD patient aged greater than or equal to (>=) 50 and less than (<) 90 years, at the time of informed consent. Patients with the same partner/informant who meet all of the following conditions during the study period Living with or in contact with the patient It is possible to observe the patient's activities of daily living and physical condition. Being able to be present at all times during the efficacy evaluation specified in this clinical trial Person judged by an investigator to be able to manage administration of concomitant medications Patients who met the diagnostic criteria of Mild AD or MCI due to AD according to the NIA/AA 2018 diagnostic criteria at the time of informed consent and were diagnosed as positive by the amyloid PET imaging evaluation committee. Have a CDR global score of 0.5 (MCI due to AD) to 1.0 (Mild AD) at screening. Patients with her MMSE-J score >=20 at screening. No organic diseases such as symptomatic cerebral hemorrhage, symptomatic cerebral infarction, acute cerebral infarction, brain tumor, etc. within 48 weeks before obtaining informed consent or in head MRI images at screening, and in head MRA images, Patients evaluated by the imaging evaluation committee as not having severe stenosis/occlusion from the internal carotid artery to the middle cerebral artery. Patients who are receiving existing drug therapy for Mild AD or MCI due to AD and are not scheduled to change their medication within the past 4 weeks from obtaining consent and after obtaining consent. Exclusion Criteria: Patients judged by the investigator that it is difficult to continue the study treatment for 20 minutes. Patients judged by the investigator to be difficult to perform an MRI examination. Patients with impaired consciousness with a GCS score of 12 or less at the time of enrollment. Patients who have had symptomatic cerebral infarction or cerebral hemorrhage within 12 weeks prior to enrollment. Patients with a modified Hachinski Ischemic Scale score of 5 or more at enrollment. Patients with Lewy body dementia and frontotemporal dementia. Patients judged by the investigator to be difficult to participate in the clinical trial due to severe mental illness Poorly controlled serious systemic disease (heart failure, liver failure, renal failure, vitamin B12 deficiency, hypothyroidism, etc.) that makes it difficult for the investigator to participate in the study judged patient. Patients with uncontrolled diabetic retinopathy (with active fundus hemorrhage). Patients who have malignant tumor as a complication or who have been treated for malignant tumor within 5 years from the time of enrollment (excluding cured resected carcinoma in situ). Patients who are or have a history of drug addiction or alcohol addiction. Patients with or with a history of epilepsy. Patients with implants such as coils, electrodes and stents in the skull. Patients within 5 years after brain surgery (including endovascular treatment). Patients who are pregnant or wish to become pregnant. Patients participating in other clinical studies (excluding non-interventional observational studies) or clinical trials. Patients who are otherwise judged to be ineligible by the investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sound Wave Innovation CO., LTD.
Phone
+81-3-6661-2457
Email
Lipus-brain-trial@sw-innovation.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hiroaki Shimokawa
Organizational Affiliation
Sound Wave Innovation CO., LTD.
Official's Role
Study Director
Facility Information:
Facility Name
Nagoya University Hospital
City
Nagoya
State/Province
Aichi
ZIP/Postal Code
466-8560
Country
Japan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sound Wave Innovation CO., LTD.
Phone
+81-3-6661-2457
Email
Lipus-brain-trial@sw-innovation.com
Facility Name
Fujita Health University Hospital
City
Toyoake
State/Province
Aichi
ZIP/Postal Code
470-1192
Country
Japan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sound Wave Innovation CO., LTD.
Phone
+81-3-6661-2457
Email
Lipus-brain-trial@sw-innovation.com
Facility Name
National Center for Geriatrics and Gerontology
City
Ōbu
State/Province
Aichi
ZIP/Postal Code
474-8511
Country
Japan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sound Wave Innovation CO., LTD.
Phone
+81-3-6661-2457
Email
Lipus-brain-trial@sw-innovation.com
Facility Name
IUHW Narita Hospital
City
Narita
State/Province
Chiba
ZIP/Postal Code
286-8520
Country
Japan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sound Wave Innovation CO., LTD.
Phone
+81-3-6661-2457
Email
Lipus-brain-trial@sw-innovation.com
Facility Name
Sapporo Medical University Hospital
City
Sapporo
State/Province
Hokkaido
ZIP/Postal Code
060-8543
Country
Japan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sound Wave Innovation CO., LTD.
Phone
+81-3-6661-2457
Email
Lipus-brain-trial@sw-innovation.com
Facility Name
Memory Clinic Toride
City
Toride
State/Province
Ibaragi
ZIP/Postal Code
302-0004
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sound Wave Innovation CO., LTD.
Phone
+81-3-6661-2457
Email
Lipus-brain-trial@sw-innovation.com
Facility Name
Kanazawa University Hospital
City
Kanazawa
State/Province
Ishikawa
ZIP/Postal Code
920-8641
Country
Japan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sound Wave Innovation CO., LTD.
Phone
+81-3-6661-2457
Email
Lipus-brain-trial@sw-innovation.com
Facility Name
National Cerebral and Cardiovascular Center
City
Suita
State/Province
Osaka
ZIP/Postal Code
564-8565
Country
Japan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sound Wave Innovation CO., LTD.
Phone
+81-3-6661-2457
Email
Lipus-brain-trial@sw-innovation.com
Facility Name
Memory Clinic Ochanomizu
City
Bunkyō-Ku
State/Province
Tokyo
ZIP/Postal Code
113-0034
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sound Wave Innovation CO., LTD.
Phone
+81-3-6661-2457
Email
Lipus-brain-trial@sw-innovation.com
Facility Name
The University of Tokyo Hospital
City
Bunkyō-Ku
State/Province
Tokyo
ZIP/Postal Code
113-8655
Country
Japan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sound Wave Innovation CO., LTD.
Phone
+81-3-6661-2457
Email
Lipus-brain-trial@sw-innovation.com
Facility Name
Tokyo Metropolitan Geriatrics Hospital
City
Itabashi-ku
State/Province
Tokyo
ZIP/Postal Code
173-0015
Country
Japan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sound Wave Innovation CO., LTD.
Phone
+81-3-6661-2457
Email
Lipus-brain-trial@sw-innovation.com
Facility Name
Tottori University Hospital
City
Yonago
State/Province
Tottori
ZIP/Postal Code
683-8504
Country
Japan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sound Wave Innovation CO., LTD.
Phone
+81-3-6661-2457
Email
Lipus-brain-trial@sw-innovation.com

12. IPD Sharing Statement

Learn more about this trial

A Pivotal Study of LIPUS-Brain in Patients With Early Alzheimer's Disease

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