Alzheimer's Disease, Mild Cognitive Impairment
Conditions
Keywords
Alzheimer's disease, mild cognitive impairment, NMDA
Brief summary
NMDA activation plays an important role in learning and memory. NMDA receptors were found to decrease in the frontal lobe and hippocampus of Alzheimer's disease and mild cognitive function impairment. This study is a randomized, double-blind, placebo-controlled drug trial. All patients will be allocated randomly to 2 groups: (1) NMDA enhancer: DAOI-B group (starting dose: 250-500 mg/d); (2) placebo group. The study period is 24 weeks. The investigators hypothesize that DAOI-B may yield better efficacy than placebo for cognitive function in patients with mild cognitive impairment or mild Alzheimer's disease.
Interventions
250-1500 mg/day, oral, for 24 weeks
placebo, oral, for 24 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of mild cognitive impairment or mild Alzheimer's * MMSE between 17-26 * CDR 0.5 or 1
Exclusion criteria
* Hachinski Ischemic Score \> 4 * substance abuse/dependence * Parkinson disease * epilepsy * major depressive disorder * dementia with psychotic features * major physical illnesses * severe visual or hearing impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in Alzheimer's disease assessment scale-cognitive subscale in week 8, 16 and 24 | Week 0, 8, 16, 24 |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in Mini Mental Status Examination at week 8, 16 and 24 | Week 0, 8, 16, 24 |
| Change from baseline in Instrumental Activities of Daily Living at week 8, 16 and 24 | Week 0, 8, 16, 24 |
| Change from baseline in Verbal learning and memory at week 24 | Week 0, 24 |
| Change from baseline in Digit Span subtest of the Wechsler Memory Scale at week 24 | Week 0, 24 |
Countries
Taiwan