Alzheimer Disease
Conditions
Keywords
Alzheimer disease, nerve growth factors, Clinical Trial
Brief summary
The primary objective is to demonstrate that SR57667B at the dose of 4 mg/day, in comparison to placebo, decreases the decline in cognitive performance and the global clinical decline over 1 year in patients with mild to moderate AD. Secondary objectives are to assess the effect of SR57667B on functional decline and its safety/tolerability in patients with mild to moderate AD, and to document plasma concentrations of SR57667 in patients with mild to moderate AD.
Detailed description
Multinational, multicenter, randomized, parallel-group, double-blind, phase II study
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Male / female outpatients. * Age \> 50 years at screening. * Dementia of Alzheimer's Type (DSM-IV 290.0) according to DSM-IV criteria, Probable AD according to NINCDS-ADRDA criteria, Mini-Mental State Examination score \> 12 and \< 26. * Untreated or treated for a minimum of 6 months before randomization with a stable dose of the cholinesterase inhibitors * Generally healthy and ambulatory or ambulatory-aided (i.e., walker or cane). * Presence of a reliable caregiver. * Patient, identified caregiver and, if applicable, patient surrogate (primary relative, legal guardian, medical proxy) have given their informed written consent and are capable of following study procedures
Exclusion criteria
* Any cause of dementia not due to Alzheimer's disease, Delusions, delirium, psychosis, depression, or other significant psychiatric disorder. * Treatment with any registered or putative cognitive enhancer or disease modifier other than donepezil, rivastigmine or galantamine. * Females who are pregnant or breast-feeding. Females of child bearing potential (premenopausal female biologically capable of becoming pregnant) must have a confirmed negative serum b-HCG pregnancy test at the screening visit, and must use an acceptable method of birth control. * Severe or unstable cardiovascular, respiratory, renal, hematological, endocrinological, neurological or other somatic disease. * Use of CYP3A4 strong inhibitors * Evidence (detected by history, physical examination and / or laboratory / ECG tests) of any clinically significant or unstable medical disorder that could interfere with the subject's participation in the clinical trial; interfere with the absorption, metabolism or excretion of the study medication; or interfere with the evaluation of the study drug. Alterations of laboratory tests or ECG findings of potential clinical significance.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ADAS-cog, CDR measured at baseline and at 2, 6, 9 and 12 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| MMSE, CGIC, ADCS-ADL, NPI measured at baseline and at 2, 6, 9 and 12 months. | — |