Down's Syndrome MedDRA version: 14.0 Level: LLT Classification code 10013616 Term: Down's syndrome System Organ Class: 10010331 - Congenital, familial and genetic disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Individuals with Down Syndrome • Over the age of 18 years • Able to provide informed consent or have a legal representative to consent on their behalf if they lack capacity • Able to communicate with the investigator and to comply with requirements of the study • Has carer support Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 34 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range 0
Exclusion criteria
Exclusion criteria: • Individuals with contraindications to lithium treatment • Individuals with contraindications to undergoing a magnetic resonance scan • Non-compliance with taking of the tablets between baseline and the 4-week assessment • Treatment with lithium within the last 6 months • Evidence of dementia • Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Our primary objective is to determine if brain myo-inositol concentration is significantly reduced in non-demented DS individuals by brief 4 week treatment with lithium carbonate at normal therapeutic doses with full monitoring of potential side effects in all participants. ;Secondary Objective: Our secondary objectives are to: • Investigate the association of clinical and biomarker measures to any changes in brain myo-inositol concentrations • Determine whether lithium has a differential impact on different genotypes that confer additional risk of AD in DS e.g. tau haplotypes, ApoE4 and other polymorphisms that affect amyloid processing e.g. intron 7 repeat of APP • Also look at broader range of biomarkers to determine the impact of lithium on the brains of individuals with DS, including markers of amyloid oxidative stress and systemic inflammation ;Primary end point(s): Our primary objective is to determine if brain myo-inositol concentration is significantly reduced in non-demented DS individuals by brief 4 week treatment with lithium carbonate at normal therapeutic doses with full monitoring of potential side effects in all participants;Timepoint(s) of evaluation of this end point: 8 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Our secondary objectives are to: • Investigate the association of clinical and biomarker measures to any changes in brain myo-inositol concentrations • Determine whether lithium has a differential impact on different genotypes that confer additional risk of AD in DS e.g. tau haplotypes, ApoE4 and other polymorphisms that affect amyloid processing e.g. intron 7 repeat of APP • Also look at broader range of biomarkers to determine the impact of lithium on the brains of individuals with DS, including markers of amyloid oxidative stress and systemic inflammation ;Timepoint(s) of evaluation of this end point: 8 weeks | — |
Countries
United Kingdom
Contacts
Kings College London