Ketasyn in Mild to Moderate Alzheimer's Disease
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
The purpose of this study is to evaluate the safety, tolerability and effectiveness of Ketasyn™ administered once a day for ninety days in subjects with mild to moderate, probable Alzheimer's disease.
| Condition | Intervention | Phase |
|---|---|---|
|
Alzheimer's Disease |
Drug: Ketasyn™ (AC-1202) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Safety, Tolerability and Efficacy Study of Ketasyn™ (AC-1202) Administered for Ninety Days in Subjects With Probable Alzheimer's Disease of Mild to Moderate Severity |
- Changes measured by Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) at all 5 visits
- Alzheimer's Disease Cooperative Study - Clinician's Global Impression of Change (ADCS-CGIC) at visits 2 through 5
- Mini-Mental State Exam (MMSE) at all 5 visits
- Changes measured by Electrocardiogram (ECG) at visits 1 and 5
- Beta-Hydroxybutyrate pre-dose levels at all 5 visits
- Beta-Hydroxybutyrate 2-hour post-dose levels at visits 2, 3, and 4
| Estimated Enrollment: | 100 |
| Study Start Date: | October 2004 |
| Estimated Study Completion Date: | March 2006 |
Substantial scientific evidence has shown that defects in glucose metabolism occur in Alzheimer's disease. Attempts to compensate for the reduced cerebral metabolic rates in AD have met with some success. Treatment of AD patients with high doses of glucose and insulin will raise cognitive scores. However, this effect is slight, and high doses of insulin can have adverse consequences. Administration of ketone bodies or their metabolic precursors such as medium chain triglycerides (MCTs) presents an attractive alternative to glucose and insulin. In a preliminary study, Ketasyn™, an MCT, demonstrated pharmacological activity and statistically significant efficacy in improving short-term memory and attention performance after a single dose.
Participants will be randomized to receive either Ketasyn™ or a matching placebo, administered once a day by mixing powder in a glass of liquid. The treatment period will last 90 days, followed by a 2-week washout period. Each patient will be seen 5 times: at screening, baseline, and post-baseline days 45, 90, and 104. The visits will include physical and/or neuropsychological examinations, electrocardiograms (ECGs) and laboratory tests.
Eligibility| Ages Eligible for Study: | 50 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Informed Consent Form signed by patient and caregiver
- Diagnosis of probably Alzheimer's disease of mild to moderate severity
- Age 50 or older
- If female, 2 years postmenopausal or surgically sterile
- Hearing, vision, and physical abilities adequate to perform assessments (corrective aids allowed)
- Caregiver to attend all visits, perform assessments, and supervise administration of study medication
- CT or MRI within 24 months prior to screening compatible with a diagnosis of probably Alzheimer's disease
- Modified Hachinski Ischemia Scale score of 4 or less
- ADAS-Cog score between 15 and 35 inclusive at screening
- MMSE score between 14 and 24 inclusive at screening
- Stable medical condition for 3 consecutive months immediately prior to baseline
- No clinically significant abnormal findings on the physical examination, medical history, or clinical laboratory results during screening
Exclusion Criteria:
- Any condition that would, in the opinion of the Principal Investigator, render the patient or the caregiver unsuitable for the study, or place them at substantial risk of adverse outcome
- Unwillingness or inability of the patient and/or caregiver to fulfill the requirements of the study
- Resident in a skilled nursing facility
- Any significant neurological disease other than probable AD (e.g. Parkinson's disease, Huntington's disease, brain tumor, normal pressure hydrocephalus, progressive supranuclear palsy, seizure disorder, subdural hematoma, multiple sclerosis, history of stroke, or history of head injury requiring hospitalization)
- An alternate cause for dementia other than AD as determined by a required CT or MRI scan within 24 months prior to screening
- Current history of major psychiatric disorder
- Major depression as determined by a Cornell Scale for Depression in Dementia
- Clinically significant hypothyroidism
- Clinically significant B12 deficiency
- Unstable or clinically significant cardiovascular disease
- Diabetes of any type
- History of tertiary syphilis
- Cancer within 3 years prior to baseline, with the exception of squamous and basal cell carcinoma
- Vital sign abnormalities
- Clinically significant renal disease or insufficiency
- Clinically significant hepatic disease or insufficiency
- Alcohol consumption greater than 2 oz of spirits per day or 14 oz per week (1 oz of spirits is equal to 6 oz of wine or 12 oz of beer)
- Current history of alcohol abuse or other substance abuse within 24 months prior to baseline
- Known HIV infection
- Use of any investigational compound within 30 days prior to screening
- Use of prohibited medications (contact site for details)
- Prior or current use of medium-chain triglycerides (MCTs) for medical purposes
- Known allergies to coconut oil
Contacts and Locations| United States, Arizona | |
| 21st Century Neurology, a division of Xenoscience Inc. | |
| Phoenix, Arizona, United States, 85013 | |
| United States, California | |
| Comprehensive NeuroScience | |
| Cerritos, California, United States, 90703 | |
| Pharmacology Research Institute | |
| Los Alamitos, California, United States, 90720 | |
| Pharmacology Research Institute | |
| Newport Beach, California, United States, 92660 | |
| Pharmacology Research Institute | |
| Northridge, California, United States, 91324 | |
| The Southwest Institute for Clinical Research | |
| Rancho Mirage, California, United States, 92270 | |
| Pharmacology Research Institute | |
| Riverside, California, United States, 92506 | |
| United States, Florida | |
| Baumel-Eisner Neuromedical Institute | |
| Boca Raton, Florida, United States, 33486 | |
| Meridien Research | |
| Brooksville, Florida, United States, 34613 | |
| Baumel-Eisner Neuromedical Institute, Inc. | |
| Ft. Lauderdale, Florida, United States, 33321 | |
| Sunrise Clinical Research | |
| Hollywood, Florida, United States, 33021 | |
| Comprehensive NeuroScience | |
| Melbourne, Florida, United States, 32935 | |
| Baumel-Eisner Neuromedical Institute | |
| Miami Beach, Florida, United States, 33154 | |
| Anchor Research Center | |
| Naples, Florida, United States, 34102 | |
| Renstar Medical Research | |
| Ocala, Florida, United States, 34471 | |
| Comprehensive NeuroScience | |
| St. Petersburg, Florida, United States, 33702 | |
| Meridien Research | |
| St. Petersburg, Florida, United States, 33709 | |
| Meridien Research | |
| Tampa, Florida, United States, 33609 | |
| United States, Illinois | |
| Radiant Research | |
| Chicago, Illinois, United States, 60610 | |
| United States, North Carolina | |
| Multi-Specialty Research Associates of North Carolina | |
| Raleigh, North Carolina, United States, 27609 | |
| United States, Oregon | |
| Radiant Research | |
| Portland, Oregon, United States, 97239 | |
| United States, Texas | |
| Radiant Research | |
| Dallas, Texas, United States, 75231 | |
| Research Across America | |
| Dallas, Texas, United States, 75234 | |
| Radiant Research | |
| San Antonio, Texas, United States, 78229 | |
| Grayline Clinical Drug Trials | |
| Wichita Falls, Texas, United States, 76309 | |
| Study Director: | Sam Henderson, PhD | Accera, Inc. |
More Information
Additional Information:
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00142805 History of Changes |
| Other Study ID Numbers: | IA0076 |
| Study First Received: | September 1, 2005 |
| Last Updated: | December 30, 2008 |
| Health Authority: | United States: Institutional Review Board United States: Federal Government |
Keywords provided by National Institute on Aging (NIA):
|
ketones Apolipoprotein E ApoE genotype cognitive function glucose metabolism |
Additional relevant MeSH terms:
|
Alzheimer Disease Dementia Brain Diseases Central Nervous System Diseases Nervous System Diseases |
Tauopathies Neurodegenerative Diseases Delirium, Dementia, Amnestic, Cognitive Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 16, 2013