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Palmitoylethanolamide Combined With Luteoline in Frontotemporal Dementia Patients. A Randomized Controlled Trial (PEA-FTD)

Primary Purpose

Frontotemporal Dementia

Status
Recruiting
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
PEA-LUT
PLACEBO
Sponsored by
I.R.C.C.S. Fondazione Santa Lucia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Frontotemporal Dementia focused on measuring dopamine, frontal cortex, GABA

Eligibility Criteria

40 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. The patient has a diagnosis of probable Frontotemporal dementia behavioural variant (bv-FTD) based on the International consensus clinical diagnostic criteria described by Rascovsky et al., 2011.
  2. The patient is a man or a woman, aged from 40 to 85 years.
  3. The patient has a Clinical Dementia Rating-FTD (CDR-FTD) total score of ≤2 at Screening.
  4. The patient has not been treated with acetylcholinesterase inhibitor (AChEI), i.e., donepezil, galantamine, or rivastigmine, at the time of screening.
  5. The patient is able to comply with the study procedures in the view of the investigator.
  6. Evidence of frontotemporal hypometabolism at PET imaging.
  7. Evidence of amyloid markers excluding Alzheimer's disease (cerebrospinal fluid Abeta/Tau dosages or amyloid PET imaging).

Exclusion Criteria:

  1. Significant neurodegenerative disorder of the central nervous system other than FTD e.g., Alzheimer's disease, Lewy body dementia, Parkinson's disease, multiple sclerosis, progressive supranuclear palsy, normal pressure hydrocephalus, Huntington's disease, any condition directly or indirectly caused by Transmissible Spongiform Encephalopathy (TSE), Creutzfeldt-Jakob Disease (CJD), variant Creutzfeldt-Jakob Disease (vCJD), or new variant Creutzfeldt-Jakob Disease (nvCJD)
  2. Significant intracranial focal or vascular pathology seen on brain MRI scan within a maximum of 6 months before Baseline leading to a diagnosis other than probable FTD.
  3. The patients has history of seizure (with the exception of febrile seizures in childhood).
  4. Metal implants in the head (except dental), pacemaker, cochlear implants, or any other non-removable items that are contraindications to MR imaging.
  5. Treatment currently or within 3 months before Baseline with any of the following medications: Typical and Atypical antipsychotics (i.e., Clozapine, Olanzapine); Antiepileptics drugs (i.e., Carbamazepine, Primidone, Pregabalin, Gabapentin); Antidepressants (i.e., Citalopram, Duolxetine, Paroxetine).

Sites / Locations

  • Giacomo KochRecruiting
  • Santa Lucia FoundationRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

PEA-LUT

PLACEBO

Arm Description

PEA-LUT administration at the oral dosage of 700 mg x 2/day for 24 weeks

PLACEBO administration at the oral dosage of 700 mg x 2/day for 24 weeks

Outcomes

Primary Outcome Measures

Clinical Dementia Rating Scale- Frontotemporal dementia Sumo of Boxes (CDR-FTD-SOB)
Battery to evaluate global disease severity

Secondary Outcome Measures

Frontal Assessment Battery (FAB)
Battery to evaluate executive functions
Screening for aphasia in Neurodegeneration (SAND)
battery to evaluate language functions
Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL)
battery to evaluate activities of daily living
Mini Mental State Examination (MMSE)
battery to evaluate global cognition
Long intracortical inhibition (LICI)
TMS protocol to evaluate GABA(B)ergic transmission
Sort intracortical inhibition (SICI)
TMS protocol to evaluate GABA(B)ergic transmission
TMS-EEG
power in beta-gamma band to evaluate prefrontal cortical oscillatory activity
Neuropsychiatric Inventory (NPI)
Battery to assess behavioral changes
Addenbrooke's Cognitive Examination Revised (ACE-R)
Battery to evaluate global cognition changes
Frontal Behavioural Inventory
Battery to evaluate behavioural functions

Full Information

First Posted
April 13, 2020
Last Updated
January 5, 2023
Sponsor
I.R.C.C.S. Fondazione Santa Lucia
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1. Study Identification

Unique Protocol Identification Number
NCT04489017
Brief Title
Palmitoylethanolamide Combined With Luteoline in Frontotemporal Dementia Patients. A Randomized Controlled Trial
Acronym
PEA-FTD
Official Title
Palmitoylethanolamide Combined With Luteoline in Frontotemporal Dementia Patients. A Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Recruiting
Study Start Date
June 1, 2019 (Actual)
Primary Completion Date
December 30, 2022 (Anticipated)
Study Completion Date
June 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
I.R.C.C.S. Fondazione Santa Lucia

4. Oversight

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

5. Study Description

Brief Summary
Frontotemporal dementia (FTD) is a devastating neurodegenerative disorder. It is the second most frequent cause of presenile neurodegenerative dementia in those less than 65 years of age. Currently, there is no effective pharmacological treatment to slow down the progression of FTD. Recently, it has been proposed that neuroinflammation could be involved in specific forms of FTD and that novel drugs targeting neuroinflammation could potentially be useful in FTD treatment. An available form of ultra-micronized PEA combined with luteoline (PEA-LUT) has gained attention for its proven anti-inflammatory and neuroprotective properties reported in neurodegenerative conditions related to FTD, such as Amyotrophic Lateral Sclerosis. The administration of PEA-LUT treatment may have a clinical impact in behavioural variant FTD (bv-FTD) patients. In particular, PEA-LUT treatment could be able to reduce behavioural disturbances, the more disabling symptoms in bv-FTD, with a related improvement of daily living activities of affected people. Moreover, a multimodal approach (cognitive/neurophysiological) can be used to assess the brain correlates related to the clinical improvement associated with PEA-LUT treatment, thus making remarkable strides in understanding how FTD affects the brain. Potentially the proposed project could provide a valid treatment for cognitive and behavioural dysfunction in FTD patients, with consistent impact for the National Health Systems and minimum cost for the patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Frontotemporal Dementia
Keywords
dopamine, frontal cortex, GABA

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderOutcomes Assessor
Allocation
Randomized
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
PEA-LUT
Arm Type
Experimental
Arm Description
PEA-LUT administration at the oral dosage of 700 mg x 2/day for 24 weeks
Arm Title
PLACEBO
Arm Type
Placebo Comparator
Arm Description
PLACEBO administration at the oral dosage of 700 mg x 2/day for 24 weeks
Intervention Type
Dietary Supplement
Intervention Name(s)
PEA-LUT
Intervention Description
PEA-LUT administration at the oral dosage of 700 mg x 2/day
Intervention Type
Dietary Supplement
Intervention Name(s)
PLACEBO
Intervention Description
PLACEBO administration at the oral dosage of 700 mg x 2/day
Primary Outcome Measure Information:
Title
Clinical Dementia Rating Scale- Frontotemporal dementia Sumo of Boxes (CDR-FTD-SOB)
Description
Battery to evaluate global disease severity
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
Frontal Assessment Battery (FAB)
Description
Battery to evaluate executive functions
Time Frame
24 weeks
Title
Screening for aphasia in Neurodegeneration (SAND)
Description
battery to evaluate language functions
Time Frame
24 weeks
Title
Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL)
Description
battery to evaluate activities of daily living
Time Frame
24 weeks
Title
Mini Mental State Examination (MMSE)
Description
battery to evaluate global cognition
Time Frame
24 weeks
Title
Long intracortical inhibition (LICI)
Description
TMS protocol to evaluate GABA(B)ergic transmission
Time Frame
24 weeks
Title
Sort intracortical inhibition (SICI)
Description
TMS protocol to evaluate GABA(B)ergic transmission
Time Frame
24 weeks
Title
TMS-EEG
Description
power in beta-gamma band to evaluate prefrontal cortical oscillatory activity
Time Frame
24 weeks
Title
Neuropsychiatric Inventory (NPI)
Description
Battery to assess behavioral changes
Time Frame
24 weeks
Title
Addenbrooke's Cognitive Examination Revised (ACE-R)
Description
Battery to evaluate global cognition changes
Time Frame
24 weeks
Title
Frontal Behavioural Inventory
Description
Battery to evaluate behavioural functions
Time Frame
24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The patient has a diagnosis of probable Frontotemporal dementia behavioural variant (bv-FTD) based on the International consensus clinical diagnostic criteria described by Rascovsky et al., 2011. The patient is a man or a woman, aged from 40 to 85 years. The patient has a Clinical Dementia Rating-FTD (CDR-FTD) total score of ≤2 at Screening. The patient has not been treated with acetylcholinesterase inhibitor (AChEI), i.e., donepezil, galantamine, or rivastigmine, at the time of screening. The patient is able to comply with the study procedures in the view of the investigator. Evidence of frontotemporal hypometabolism at PET imaging. Evidence of amyloid markers excluding Alzheimer's disease (cerebrospinal fluid Abeta/Tau dosages or amyloid PET imaging). Exclusion Criteria: Significant neurodegenerative disorder of the central nervous system other than FTD e.g., Alzheimer's disease, Lewy body dementia, Parkinson's disease, multiple sclerosis, progressive supranuclear palsy, normal pressure hydrocephalus, Huntington's disease, any condition directly or indirectly caused by Transmissible Spongiform Encephalopathy (TSE), Creutzfeldt-Jakob Disease (CJD), variant Creutzfeldt-Jakob Disease (vCJD), or new variant Creutzfeldt-Jakob Disease (nvCJD) Significant intracranial focal or vascular pathology seen on brain MRI scan within a maximum of 6 months before Baseline leading to a diagnosis other than probable FTD. The patients has history of seizure (with the exception of febrile seizures in childhood). Metal implants in the head (except dental), pacemaker, cochlear implants, or any other non-removable items that are contraindications to MR imaging. Treatment currently or within 3 months before Baseline with any of the following medications: Typical and Atypical antipsychotics (i.e., Clozapine, Olanzapine); Antiepileptics drugs (i.e., Carbamazepine, Primidone, Pregabalin, Gabapentin); Antidepressants (i.e., Citalopram, Duolxetine, Paroxetine).
Facility Information:
Facility Name
Giacomo Koch
City
Rome
ZIP/Postal Code
00179
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Giacomo Koch
Phone
0651501181
Email
g.koch@hsantalucia.it
Facility Name
Santa Lucia Foundation
City
Rome
ZIP/Postal Code
00179
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sonia Bonnì
Phone
00390651501180
Email
s.bonni@hsantalucia.it

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Palmitoylethanolamide Combined With Luteoline in Frontotemporal Dementia Patients. A Randomized Controlled Trial

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