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Study of IGC-AD1 in Subjects With Dementia Due to Alzheimer's Disease

Primary Purpose

Dementia of Alzheimer Type

Status
Completed
Phase
Phase 1
Locations
Puerto Rico
Study Type
Interventional
Intervention
IGC AD1
Placebo
Sponsored by
IGC Pharma LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dementia of Alzheimer Type

Eligibility Criteria

60 Years - 99 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patient and/or study partner (relative) must provide a signed and dated Informed Consent form prior to any study procedures which will be discussed with the Study Coordinator.
  2. Provision of a letter from the Neurologist/Psychiatrist/Internal Medicine Physician certifying the diagnosis of Alzheimer's Dementia and patient's ability to consent. If patient is unable to consent, only the legal guardian/tutor of the patient could consent in his/her behalf. The guardian/tutor will be required to present the pertinent legal documentation.
  3. Must have a study partner who is able and willing to comply with all required study procedures.
  4. Patient should meet NIA-AA criteria for Alzheimer's disease, any stage.
  5. At least 3 months evolution of behavioral symptoms at screening visit.
  6. Negative drug screen, except for benzodiazepines if patient has been using them in stable doses for at least 3 months before screening.
  7. All medications used for behavioral symptoms should be in stable doses for at least 3 months before screening.
  8. All medications used for other conditions besides behavioral symptoms should be at stable doses for at least 30 days before screening.
  9. Women must be postmenopausal (defined as cessation of menses for at least 1 year) or surgically sterile (hysterectomy, oophorectomy or bilateral tubal ligation) at the time of screening.

Exclusion Criteria:

  1. Prior adverse reaction to cannabinoids.
  2. Prior contraindication or allergy to any component of study product (IGC-AD1): melatonin, honey, curcumin, ethyl alcohol, vitamin-E TPGS, ascorbic acid, water, tween-80, and rutin.
  3. History of stroke, multiple sclerosis (MS), or epilepsy. History of gastrointestinal dysfunction not related to Alzheimer's disease (e.g., inflammatory bowel disease or gastrointestinal cancer)
  4. Any clinically relevant neurological disorder capable of producing a dementia syndrome including Parkinson's disease, stroke, vascular dementia, dementia with Lewy bodies, frontotemporal dementia, and others.
  5. Other possible causes of dementia as: infections of the CNS (e.g. HIV, syphilis) or Creutzfeldt Jakob disease, subdural hematoma, communicating hydrocephalus, brain tumors, drug intoxication, alcohol intoxication, thyroid disease, parathyroid disease, and vitamin B12 or other deficiencies
  6. Use of contraindicated medication (see section 6).
  7. History of myocardial infarction, severe congestive heart failure, unstable angina, significant valvular disease, or cardiomyopathy within 1 year of screening.
  8. History of cardiac arrhythmias, second or third-degree AV block.
  9. History of seizures, schizophrenia, or bipolar disorder.
  10. Other condition or clinically important abnormality on vital signs, physical examination, neurologic examination, laboratory results or electrocardiogram (ECG) examination that could compromise the study efficacy interpretation or safety of the subject.
  11. Have participated in an investigational drug or device study within 30 days prior to study start.
  12. TCA or opioid use within 30 days before the enrollment.
  13. History of alcohol and drug abuse within 2 years of screening.
  14. Elevated liver enzymes (AST or ALT ≥3 times upper limit of normal, Total bilirubin≥1.5 times ULN or ALP≥1.5 times ULN).
  15. Urine drug screen positive for drug use, except for benzodiazepines if patient was using them previously and their dose had remained stable for at least 3 months before screening

Sites / Locations

  • Puerto Rico

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Active

Placebo

Arm Description

IGC AD1

IGC AD1 Placebo

Outcomes

Primary Outcome Measures

Incidence of treatment-emergent adverse events in IGC-AD1 as compared to placebo [Safety and Tolerability]
Evaluate safety and tolerability of IGC AD1 10 participants will be administered the investigational drug and two will be administered placebo. Incidence of treatment emergent adverse events will be assessed to determine safety and tolerability of IGC-AD1.

Secondary Outcome Measures

Measurement of efficacy using Neuropsychiatric Inventory (NPI) scale
Secondary Outcome: Comparison of the measurement of Neuropsychiatric Inventory (NPI) scale changes from baseline using the Suicide Severity Rating Scale (C-SSRS)

Full Information

First Posted
December 29, 2020
Last Updated
September 14, 2022
Sponsor
IGC Pharma LLC
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1. Study Identification

Unique Protocol Identification Number
NCT04749563
Brief Title
Study of IGC-AD1 in Subjects With Dementia Due to Alzheimer's Disease
Official Title
A Phase I Randomized Placebo Controlled MAD Study to Evaluate Safety and Tolerability of IGC-AD1 in Subjects With Dementia Due to Alzheimer's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Completed
Study Start Date
January 11, 2021 (Actual)
Primary Completion Date
June 20, 2021 (Actual)
Study Completion Date
June 20, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
IGC Pharma LLC

4. Oversight

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

5. Study Description

Brief Summary
A single center, randomized, placebo controlled multiple ascending dose study of IGC AD1 to evaluate safety and tolerability in subjects with dementia due to Alzheimer's Disease (AD).
Detailed Description
This is a phase I Multiple Ascending Dose (MAD) study to evaluate safety and tolerability of IGC-AD1 in subjects with AD. Twelve subjects will be enrolled. Three different ascending doses of the study product will be given: low, medium and high doses. Each dose will be given for 2 weeks, followed by a washout period of 4 days. Given the vulnerability of the population, a safety cohort of 3 patients (2 active, 1 placebo) will start every dose one day ahead of the rest of the patients and will be followed for 24 hours for the development of Adverse Events (AEs). Objective criteria will be set after the safety cohort is evaluated.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dementia of Alzheimer Type

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
3 dose escalation cohorts in same 12 subjects (5:1 randomization (active:placebo)
Masking
ParticipantCare ProviderOutcomes Assessor
Masking Description
The study subjects will be blinded to the treatment
Allocation
Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Active
Arm Type
Active Comparator
Arm Description
IGC AD1
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
IGC AD1 Placebo
Intervention Type
Drug
Intervention Name(s)
IGC AD1
Intervention Description
IGC AD1 oral Solution
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo of IGC AD1 oral Solution
Primary Outcome Measure Information:
Title
Incidence of treatment-emergent adverse events in IGC-AD1 as compared to placebo [Safety and Tolerability]
Description
Evaluate safety and tolerability of IGC AD1 10 participants will be administered the investigational drug and two will be administered placebo. Incidence of treatment emergent adverse events will be assessed to determine safety and tolerability of IGC-AD1.
Time Frame
3 weeks
Secondary Outcome Measure Information:
Title
Measurement of efficacy using Neuropsychiatric Inventory (NPI) scale
Description
Secondary Outcome: Comparison of the measurement of Neuropsychiatric Inventory (NPI) scale changes from baseline using the Suicide Severity Rating Scale (C-SSRS)
Time Frame
3 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
60 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient and/or study partner (relative) must provide a signed and dated Informed Consent form prior to any study procedures which will be discussed with the Study Coordinator. Provision of a letter from the Neurologist/Psychiatrist/Internal Medicine Physician certifying the diagnosis of Alzheimer's Dementia and patient's ability to consent. If patient is unable to consent, only the legal guardian/tutor of the patient could consent in his/her behalf. The guardian/tutor will be required to present the pertinent legal documentation. Must have a study partner who is able and willing to comply with all required study procedures. Patient should meet NIA-AA criteria for Alzheimer's disease, any stage. At least 3 months evolution of behavioral symptoms at screening visit. Negative drug screen, except for benzodiazepines if patient has been using them in stable doses for at least 3 months before screening. All medications used for behavioral symptoms should be in stable doses for at least 3 months before screening. All medications used for other conditions besides behavioral symptoms should be at stable doses for at least 30 days before screening. Women must be postmenopausal (defined as cessation of menses for at least 1 year) or surgically sterile (hysterectomy, oophorectomy or bilateral tubal ligation) at the time of screening. Exclusion Criteria: Prior adverse reaction to cannabinoids. Prior contraindication or allergy to any component of study product (IGC-AD1): melatonin, honey, curcumin, ethyl alcohol, vitamin-E TPGS, ascorbic acid, water, tween-80, and rutin. History of stroke, multiple sclerosis (MS), or epilepsy. History of gastrointestinal dysfunction not related to Alzheimer's disease (e.g., inflammatory bowel disease or gastrointestinal cancer) Any clinically relevant neurological disorder capable of producing a dementia syndrome including Parkinson's disease, stroke, vascular dementia, dementia with Lewy bodies, frontotemporal dementia, and others. Other possible causes of dementia as: infections of the CNS (e.g. HIV, syphilis) or Creutzfeldt Jakob disease, subdural hematoma, communicating hydrocephalus, brain tumors, drug intoxication, alcohol intoxication, thyroid disease, parathyroid disease, and vitamin B12 or other deficiencies Use of contraindicated medication (see section 6). History of myocardial infarction, severe congestive heart failure, unstable angina, significant valvular disease, or cardiomyopathy within 1 year of screening. History of cardiac arrhythmias, second or third-degree AV block. History of seizures, schizophrenia, or bipolar disorder. Other condition or clinically important abnormality on vital signs, physical examination, neurologic examination, laboratory results or electrocardiogram (ECG) examination that could compromise the study efficacy interpretation or safety of the subject. Have participated in an investigational drug or device study within 30 days prior to study start. TCA or opioid use within 30 days before the enrollment. History of alcohol and drug abuse within 2 years of screening. Elevated liver enzymes (AST or ALT ≥3 times upper limit of normal, Total bilirubin≥1.5 times ULN or ALP≥1.5 times ULN). Urine drug screen positive for drug use, except for benzodiazepines if patient was using them previously and their dose had remained stable for at least 3 months before screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
IGC Pharma INC
Organizational Affiliation
IGC Pharma INC
Official's Role
Study Director
Facility Information:
Facility Name
Puerto Rico
City
San Juan
Country
Puerto Rico

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study of IGC-AD1 in Subjects With Dementia Due to Alzheimer's Disease

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