Alzheimer DiseasePhase 2NCT00153010
An Evaluation of Three Doses of NS 2330 in Patients With Mild to Moderate Dementia of the Alzheimer's Type
A Phase 2 study testing NS 2330 (Tesofensine) in people with Alzheimer Disease, run by Boehringer Ingelheim at 87 sites in 2 countries.
Trial summary
Objectives: The objective of this study will be to determine the safety, tolerability, drug blood levels, and efficacy of each of three doses of NS 2330 (Tesofensine) given once daily compared with placebo in patients with mild to moderate Dementia of the Alzheimer's Type. Read more about this study
- Who is it for?
- Ages 40 to 85 years
- Conditions the study is for
- Alzheimer Disease
- What is being tested?
- NS 2330 (Tesofensine)
- How many people
- 430 participants
- Where
- 87 sitesin 2 countries
- Study dates
- Feb 2003to Mar 2005
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients may be included in this study if they meet all of the following criteria:
- Male, and female without child bearing potential between 40 and 85 years of age, inclusive. Women who have been postmenopausal for less than 2 years must have a negative pregnancy test at screening.
- Diagnosis of probable mild to moderate Dementia of the Alzheimer's Type as defined by National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association (NINCDS ADRDA) guidelines.9
- Mini-Mental State Examination (MMSE) score of 10-24 and Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) score greater than 12 at screening.
- Modified Hachinski Scale10 score no greater than 4.
- Central nervous system imaging (CT or MRI scan of brain) compatible with Dementia of the Alzheimer's Type within the past year (also see exclusion criteria).
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- Exhibits reliability and physiologic capability sufficient to comply with all protocol procedures. Patient must be familiar with and fluent in English (i.e., sufficient to complete all study assessments from the language perspective).
- Patients and/or a legal representative and their caregivers must have given informed consent. The legal representative and caregiver may be the same person.
- Patient must have a reliable caregiver that is in frequent or daily contact with the patient, who will accompany the patient to the office and who will monitor the administration of prescribed medications. The caregiver will be able to communicate in English and be willing to comply with protocol requirements.
Who cannot join
- Patients must be excluded from this study if they meet any of the following criteria:
- Secondary disorders inducing dementia such as neurosyphilis, craniocerebral trauma (CT/MRI), hyperthyroidism, or folic acid deficiency.
- History of malignancy within 3 years, except for basal cell carcinoma.
- History or diagnosis of symptomatic and/or unstable/uncontrolled:
- Cardiovascular illnesses such as chronic congestive heart failure (with or without edema), arrhythmias, labile hypertension, ischemic heart disease, myocardial infarction (with residual angina), orthopnea, conduction defects (ECG), or other heart disease classified NYHA III or IV.
- Liver disease such as cirrhosis, hepatitis B, hepatitis C, or primary or metastatic neoplasm.
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- Gastrointestinal disorder such as GI bleeding, malabsorption syndromes, post-gastrectomy, or active peptic ulcer disease.
- Renal disease (primary or secondary) such as chronic renal failure (CLCR < 30 mL/min).
- Endocrine disease such as diabetes mellitus or hypothyroidism.
- Neurological disease (other than Dementia of the Alzheimer's Type such as Huntington's disease, Parkinson's disease, encephalitis, epilepsy, stroke, or multiple sclerosis) and psychiatric disorders such as schizophrenia, major depression, or mental retardation.
- Significant pulmonary disease predisposing to hypoxia.
- Immunological disorder such as clinically significant allergies, Lupus erythematosis, or scleroderma.
- Hematological disease (regardless of cause) such as refractory anemia or refractory myelosuppression.
- Organ system diseases which, in the opinion of the investigator, would impact on the primary and secondary endpoints of the trial such as dehydration (hematocrit >48%) or hypothyroidism.
- Significant history of drug dependence or abuse (including alcohol, as defined in DSM IV or in the opinion of the investigator) within two years, or a positive urine drug screen for cocaine, heroin, or marijuana.
- HIV positive.
- Presence of Hepatitis C antibody.
- Planned elective surgery requiring general anesthesia or hospitalization for more than 1 day during the study period.
- Previous participation in any NS 2330 study.
- Use of any investigational drug or procedure within 30 days before randomization.
- Use of any drug within 14 days prior to randomization unless:
- the dose of the drug and the condition being treated have been stable for at least 30 days and are expected to remain stable during the study
- neither the drug nor the condition being treated is expected to interfere with the study endpoints.
- Treatment with donepezil, galantamine, rivastigmine, or tacrine, is prohibited within 6 weeks before randomization.
- Treatment with drugs that inhibit CYP 450 3A4 (see Appendix II for a list of relevant drugs.) If they are needed under emergency conditions, the patient should discontinue the trial.
- Treatment with antipsychotics/neuroleptics is prohibited for 8 weeks prior to randomisation (see listing Appendix II).
- Treatment with monoamine oxidase inhibitors is prohibited for 8 weeks prior to randomization.
- Treatment with selective serotonin reuptake inhibitors is prohibited for 6 weeks prior to randomization.
- Tricyclic antidepressants and antihistamines are prohibited for 4 weeks prior to randomization.
Trial locations and contacts
87 sites in 2 countries.
87 sites in 2 countries
United States80 sites
Neurological Associates of Albany
Albany, New York
Upstate Clinical Research
Albany, New York
Albuquerque Neuroscience
Albuquerque, New Mexico
Dent Neurologic Institute
Amherst, New York
Atlanta Center for Medical Research
Atlanta, Georgia
North Coast Clinical Trials, Inc.
Beachwood, Ohio
The Memory Clinic/Southwestern Vermont Medical Center
Bennington, Vermont
Boehringer Ingelheim Investigational Site
Berkeley, California
Baumel-Eisner Neuromedical Institute
Boca Raton, Florida
UVA Dept. of Neurology
Charlottesville, Virginia
Peryam and Kroll Healthcare Research
Chicago, Illinois
Boehringer Ingelheim Investigational Site
Cincinnati, Ohio
University of Missouri
Columbia, Missouri
California Clinical Trials Medical Group
Culver City, California
Associated Neurologists PC - Danbury
Danbury, Connecticut
Midwest Clinical Research Center
Dayton, Ohio
Duke University Medical Center
Durham, North Carolina
Rhode Island Mood and Memory Research Institute
East Providence, Rhode Island
Oregon Center for Clinical Investigators, Inc.
Eugene, Oregon
PRO Research
Eugene, Oregon
Hartford Research Group
Florence, Kentucky
Baumel-Eisner Neuromedical Institute
Fort Lauderdale, Florida
Neurologic Consulting/PA
Fort Lauderdale, Florida
Clinical Physiology Associates Study Center
Fort Meyers, Florida
Margolin Brain Institute
Fresno, California
Care@ Granada Hills Community Hospital
Granada Hills, California
Center for Geriatric & Adult Psychiatry
Hamden, Connecticut
Berma Research Group
Hialeah, Florida
Sunrise Clinical Research
Hollywood, Florida
Baylor College of Medicine VA Medical Center
Houston, Texas
University of Texas Medical Science Institute
Houston, Texas
Agewell, Ltd.
Indianapolis, Indiana
University of Iowa College of Medicine
Iowa City, Iowa
The Clinical Trial Center, LLC
Jenkintown, Pennsylvania
Optimum Health Services
La Mesa, California
LaGrange Hospital
LaGrange, Illinois
University of Nevada School of Medicine
Las Vegas, Nevada
Associates in Neurology-Research
Lexington, Kentucky
Triangle Medical Research
Lexington Road, North Carolina
Caprock Clinical Trials Center
Lubbock, Texas
Pivotal Research Center
Mesa, Arizona
Baumel-Eisner Neuromedical Institute
Miami, Florida
Miami Jewish Home and Hospital for the Aged
Miami, Florida
Crosswords Counseling and Consulting Associates
Moon Township, Pennsylvania
Psychiatric Consultants
Nashville, Tennessee
Louisiana State University Medical Center
New Orleans, Louisiana
Eastside Comprehensive Medical Services
New York, New York
Social Psychiatry Research Institute
New York, New York
The Jewish Home and Hospital
New York, New York
Pearl Clinical Research, Inc.
Norristown, Pennsylvania
Medical Univ. of South Carolina, Alzheimer's Research
North Charleston, South Carolina
Segal Institute for Clinical Research
North Miami, Florida
Magnolia Research Group
Ocala, Florida
Optimum Health Services
Oceanside, California
Linden Research Consultants
Oklahoma City, Oklahoma
Pahl Brain Associates
Oklahoma City, Oklahoma
Pivotal Research Center
Peoria, Arizona
Xenoscience
Phoenix, Arizona
Memory Disorder Clinic
Pompano Beach, Florida
Attn: Valerie MacDonald
Portland, Oregon
Butler Hospital Dept. of Neurology
Providence, Rhode Island
Southwest Institute for Clinical Research
Rancho Mirage, California
Saginaw Cooperative Hosp. Inc./ Internal medicine
Saginaw, Michigan
Integra Clinical Research
San Antonio, Texas
Health Quest Clinical Trials
San Diego, California
Institute on Aging Research Center
San Francisco, California
Attn: M. Lannom, RN, MS
Sharon, Massachusetts
Future Care Studies
Springfield, Massachusetts
St. Louis University
St Louis, Missouri
Boehringer Ingelheim Investigational Site
Tampa, Florida
USF Suncoast Gerontology Center
Tampa, Florida
Neurology Center of Ohio
Toledo, Ohio
Atlantic Coast Research
Toms River, New Jersey
Torrance Clinical Research
Torrance, California
North Michigan Neurology
Traverse City, Michigan
Independent Psychiatric Consultants
Waukesha, Wisconsin
Palm Beach Neurology/Premier Research Institute
West Palm Beach, Florida
Grayline Clinical Drug Trials
Wichita Falls, Texas
Neurology Associates PA
Wilmington, Delaware
Boehringer Ingelheim Investigational Site
Winston-Salem, North Carolina
Canada7 sites
Clinical Research Consultant Group
Beaconsfield, Quebec
Boehringer Ingelheim Investigational Site
Greenfield Park, Quebec
Boehringer Ingelheim Investigational Site
London, Ontario
Infectious Disease
Moncton, New Brunswick
Pasqua Hospital
Regina, Saskatchewan
Boehringer Ingelheim Investigational Site
Vancouver, British Columbia
Boehringer Ingelheim Investigational Site
Winnipeg, Manitoba
About this study
Official title: A Phase II Double-Blind, Randomized, Dose-Ranging, Placebo-Controlled, Multicenter, Safety and Efficacy Evaluation of Three Doses of NS 2330 in Patients With Mild to Moderate Dementia of the Alzheimer's Type
Objectives: The objective of this study will be to determine the safety, tolerability, drug blood levels, and efficacy of each of three doses of NS 2330 (Tesofensine) given once daily compared with placebo in patients with mild to moderate Dementia of the Alzheimer's Type.
- Conditions
- Alzheimer Disease
- Being tested
- NS 2330 (Tesofensine)
- Medical subject headings
- Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NS 2330 (Tesofensine)Drug
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog)
Measured: week 0, 4, 9, 14 and 20
Secondary outcomes (13)
Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change
Measured: weeks 0 and 14
Alzheimer's Disease Cooperative Study-Activities of Daily Living
Measured: weeks 0, 4, and 14
Neuropsychiatric Inventory
Measured: weeks 0, 4, and 14
Mini-Mental State Examination
Measured: weeks 0 and 14
ADAS-Cog Extension
Measured: weeks 0, 4, 9, 14 and 20
ADAS-Cog total score including Extension
Measured: weeks 0, 4, and 14
types and frequencies of adverse events
Measured: 20 weeks
proportion of patients discontinued from the trial because of adverse events
Measured: 20 weeks
changes from baseline in vital signs
Measured: 20 weeks
changes from baseline in laboratory measurements
Measured: 20 weeks
changes from baseline in ECG readings
Measured: 20 weeks
comparison of study groups for drug plasma concentrations
Measured: weeks 0, 4, 9, 14 and 20
population PK parameters
Measured: Weeks 0, 4, 9, 14 and 20
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Sep 2005 (estimated)
- Study startFeb 2003
- Primary completionMar 2005
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Alzheimer DiseaseStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Enrolment
- 430 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Boehringer Ingelheim Study Coordinator, Study chair, Boehringer Ingelheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00153010
- Sponsor's protocol ID
- 1198.52
- Status last verified
- Oct 2013
- First submitted
- 9 Sep 2005
- Last updated
- 29 Oct 2013
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Oct 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Double-Blind, Randomized, Dose-Ranging, Placebo-Controlled, Multicenter, Safety and Efficacy Evaluation of Three Doses of NS 2330 in Patients With Mild to Moderate Dementia of the Alzheimer's Type
- ClinicalTrials.gov ID
- NCT00153010
- Acronym / sponsor ID
- 1198.52
- Conditions
- Alzheimer Disease
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 430 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- Feb 2003
- Primary completion
- Mar 2005 (actual)
- First posted
- 12 Sep 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Objectives: The objective of this study will be to determine the safety, tolerability, drug blood levels, and efficacy of each of three doses of NS 2330 (Tesofensine) given once daily compared with placebo in patients with mild to moderate Dementia of the Alzheimer's Type.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
Who may qualify
- Ages
- 40 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Male, and female without child bearing potential between 40 and 85 years of age, inclusive. Women who have been postmenopausal for less than 2 years must have a negative pregnancy test at screening.
- Diagnosis of probable mild to moderate Dementia of the Alzheimer's Type as defined by National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association (NINCDS ADRDA) guidelines.9
- Mini-Mental State Examination (MMSE) score of 10-24 and Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) score greater than 12 at screening.
- Modified Hachinski Scale10 score no greater than 4.
- Central nervous system imaging (CT or MRI scan of brain) compatible with Dementia of the Alzheimer's Type within the past year (also see exclusion criteria).
Key exclusion criteria (29 listed)
- Secondary disorders inducing dementia such as neurosyphilis, craniocerebral trauma (CT/MRI), hyperthyroidism, or folic acid deficiency.
- History of malignancy within 3 years, except for basal cell carcinoma.
- History or diagnosis of symptomatic and/or unstable/uncontrolled:
- Significant history of drug dependence or abuse (including alcohol, as defined in DSM IV or in the opinion of the investigator) within two years, or a positive urine drug screen for cocaine, heroin, or marijuana.
- HIV positive.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NS 2330 (Tesofensine) | Drug | – |
Primary outcome
Changes in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog)
Time frame: week 0, 4, 9, 14 and 20
13 secondary outcomes
Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change
Time frame: weeks 0 and 14
Alzheimer's Disease Cooperative Study-Activities of Daily Living
Time frame: weeks 0, 4, and 14
Neuropsychiatric Inventory
Time frame: weeks 0, 4, and 14
Mini-Mental State Examination
Time frame: weeks 0 and 14
ADAS-Cog Extension
Time frame: weeks 0, 4, 9, 14 and 20
ADAS-Cog total score including Extension
Time frame: weeks 0, 4, and 14
types and frequencies of adverse events
Time frame: 20 weeks
proportion of patients discontinued from the trial because of adverse events
Time frame: 20 weeks
changes from baseline in vital signs
Time frame: 20 weeks
changes from baseline in laboratory measurements
Time frame: 20 weeks
changes from baseline in ECG readings
Time frame: 20 weeks
comparison of study groups for drug plasma concentrations
Time frame: weeks 0, 4, 9, 14 and 20
population PK parameters
Time frame: Weeks 0, 4, 9, 14 and 20
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Oct 2013.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Boehringer Ingelheim Study Coordinator study chair
Boehringer Ingelheim
87 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing NS 2330 (Tesofensine) in people with Alzheimer Disease, run by Boehringer Ingelheim at 87 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 29 Oct 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 87 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Changes in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog) (time frame: week 0, 4, 9, 14 and 20). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Oct 2013.