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TNF-Alpha Inhibition for Treatment of Alzheimer's Disease

This study has been completed.
Study NCT00203359.   Last updated on April 20, 2006.   Information provided by Tobinick, Edward Lewis, M.D.

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Descriptive Information Fields
Brief Title  TNF-Alpha Inhibition for Treatment of Alzheimer's Disease
Official Title  Etanercept for Alzheimer's-Type Memory Loss Pilot Study
Brief Summary

It is widely believed that inflammation contributes to the pathogenesis of AD. TNF has been implicated in both AD and neurological inflammation. Anti-TNF therapy is therefore surmised to be of potential benefit for treating AD.

Detailed Description

Etanercept, a biologic anti-TNF fusion protein, will be administered weekly or biweekly by perispinal injection to a maximum of 15 study subjects for a period of one month, followed by a 5 month and a 6 month possible study extension, with serial testing of cognition and function monthly.

Study Phase Phase I
Study Type  Interventional
Study Design  Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study
Primary Outcome Measure  ADAS-Cog
SIB
MMSE
Secondary Outcome Measure  Category fluency
other neuropsychological tests
Condition  Alzheimer's Disease
Intervention  Drug: etanercept given by perispinal administration
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Completed
Enrollment  15
Start Date  September 2004
Completion Date April 2006
Eligibility Criteria 

Inclusion Criteria:

  • NINCDS-ADRDA Criteria for Alzheimer’s disease
  • CT or MRI consistent with AD

Exclusion Criteria:

  • active infection
  • CHF
  • demyelinating disease
  • uncontrolled diabetes mellitus
  • vascular dementia
  • clinically significant neurologic disease other than AD
  • Hachinski >4
  • history of lymphoma
  • TBC
  • wbc<2500
  • platelets<100,000
  • HCT<30
  • pregnancy
  • premenopausal, fertile not on acceptable birth control
  • change in neuroactive medication within 4 weeks of study initiation
Gender Both
Ages
Accepts Healthy Volunteers No
Contacts ††
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00203359
Organization ID 10005
Secondary IDs ††
Study Sponsor  Tobinick, Edward Lewis, M.D.
Collaborators ††
Investigators 
Principal Investigator:     Edward L Tobinick, MD     unaffiliated (Assistant Clinical Professor of Medicine, David Geffen School of Medicine at UCLA)    
Information Provided By Tobinick, Edward Lewis, M.D.
Verification Date April 2006
First Received Date  September 12, 2005
Last Updated Date April 20, 2006

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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