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Alzheimer's DiseasePhase 3DHANCT00440050

DHA (Docosahexaenoic Acid), an Omega 3 Fatty Acid, in Slowing the Progression of Alzheimer's Disease

A Phase 3 study testing DHA (Docosahexaenoic Acid) in people with Alzheimer's Disease, run by Alzheimer's Disease Cooperative Study (ADCS) at 51 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to determine whether chronic DHA (Docosahexaenoic Acid) supplementation slows the progression of cognitive and functional decline in mild to moderate Alzheimer's disease (AD). Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Alzheimer's Disease
What is being tested?
DHA (Docosahexaenoic Acid)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
402 participants
Where
51 sitesUnited States
Study dates
Feb 2007to May 2009
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female
  • 50 years of age or older
  • Residing in the community at baseline (includes assisted living facilities, but excludes long-term care nursing facilities)
  • MMSE (Mini-Mental State Examination) at screen of 14-26 (inclusive)
  • No medical contraindications to study participation
  • Fluent in English or Spanish
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  • Corrected vision and hearing sufficient for compliance with testing procedures
  • Supervision available for study medication
  • Caregiver/study partner to accompany participant to all visits
  • Study partner must have direct contact with the participant more than 2 days/week
  • Able to ingest oral medication
  • Daily DHA consumption less than or equal to 200 mg/day in prior two months estimated by an abbreviated DHA food frequency questionnaire
  • Neuroimaging consistent with the diagnosis of AD at some time after the onset of the memory decline
  • Clinical laboratory values must be within normal limits or, if abnormal, must be judged to be clinically insignificant by the investigator
  • Stable use of cholinesterase inhibitors and memantine is permitted if doses are stable for 4 months prior to enrollment

Who cannot join

  • Non-AD dementia
  • Residence in a long-term care facility at baseline
  • History of clinically significant stroke
  • Modified Hachinski Ischemia score ≥ 4
  • Current evidence or history in past two years of epilepsy, seizure, focal brain lesion, head injury with loss of consciousness or DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) criteria for any major psychiatric disorder including psychosis, major depression, bipolar disorder, alcohol or substance abuse
  • Sensory impairment which would prevent subject from participating in or cooperating with the protocol
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  • Use of another investigational agent within two months
  • Evidence of any significant clinical disorder or laboratory finding that renders the participant unsuitable for receiving an investigational new drug including clinically significant or unstable hematologic, hepatic, cardiovascular (including history of ventricular fibrillation or ventricular tachycardia), pulmonary, gastrointestinal, endocrine, metabolic, renal, or other systemic disease or laboratory abnormality
  • Active neoplastic disease (skin tumors other than melanoma may be included; participants with stable prostate cancer may be included at the discretion of the Project Director)

Trial locations and contacts

51 sites in 1 country.

51 sites in 1 country

United States51 sites
  • Albany Medical College

    Albany, New York, 12208

  • Dent Neurological Institute

    Amherst, New York, 14226

  • University of Michigan Dept. of Neurology

    Ann Arbor, Michigan, 48105

  • Emory University Dept. of Psychiatry

    Atlanta, Georgia, 30322

  • Johns Hopkins University Division of Cognitive Neuroscience

    Baltimore, Maryland, 20205

  • The Memory Clinic

    Bennington, Vermont, 05201

  • University of Alabama, Birmingham

    Birmingham, Alabama, 35294

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Boston University Alzheimer's Disease Clinical and Research Program

    Boston, Massachusetts, 02118

  • Northwestern University Cognitive Neurology and Alzheimer Disease Center

    Chicago, Illinois, 60611

  • Rush Alzheimer's Disease Center

    Chicago, Illinois, 60612

  • Case Western Reserve University Memory and Aging Center

    Cleveland, Ohio, 44120

  • The Ohio State University

    Columbus, Ohio, 43210

  • University of Texas Southwestern-Memory Research Unit

    Dallas, Texas, 75390

  • Saint Mary's Health Care

    Grand Rapids, Michigan, 49503

  • Baylor University Department of Neurology

    Houston, Texas, 77030

  • Indiana University

    Indianapolis, Indiana, 46202

  • University of California Irvine

    Irvine, California, 92697

  • Mayo Clinic, Jacksonville

    Jacksonville, Florida, 32224

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • UCSD Shiley-Marcos Alzheimer's Research Center

    La Jolla, California, 92037

  • Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire, 03756

  • University of Kentucky, Lexington, Sanders-Brown Center on Aging/Neurology

    Lexington, Kentucky, 40536

  • University of Southern California Psychiatry and Behavioral Sciences

    Los Angeles, California, 90033

  • UCLA Neurology

    Los Angeles, California, 90095

  • University of Wisconsin Department of Medicine

    Madison, Wisconsin, 53705

  • Wien Center

    Miami Beach, Florida, 33140

  • Meharry Medical College

    Nashville, Tennessee, 37208

  • Yale University School of Medicine

    New Haven, Connecticut, 06510

  • New York University Medical Center

    New York, New York, 10016

  • Columbia University

    New York, New York, 10032

  • Medical University of South Carolina

    North Charleston, South Carolina, 29406

  • Palo Alto Institute for Research & Education

    Palo Alto, California, 94304

  • Banner Alzheimer's Institute

    Phoenix, Arizona, 85006

  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15213

  • Oregon Health and Science University Neurology

    Portland, Oregon, 97239

  • Rhode Island Hospital Neurology

    Providence, Rhode Island, 02903

  • Mayo Clinic Rochester, Alzheimer's Disease Research Center

    Rochester, Minnesota, 55905

  • University of Rochester Medical Center

    Rochester, New York, 14620

  • UC-Davis Alzheimer's Disease Center

    Sacramento, California, 95817

  • Pacific Research Network

    San Diego, California, 92103

  • University of Washington/Seattle Institute for Biomedical & Clinical Research

    Seattle, Washington, 98108

  • Saint Louis University, Department of Psychiatry

    St Louis, Missouri, 63104

  • Washington University ADRC-Memory and Aging Project

    St Louis, Missouri, 63108

  • Sun Health Research Institute/Arizona Consortium

    Sun City, Arizona, 85351

  • University of South Florida Suncoast Alzheimer's and Gerontology Center

    Tampa, Florida, 33617

  • Byrd Alzheimer's Institute

    Tampa, Florida, 33647

  • Mount Sinai School of Medicine

    The Bronx, New York, 10468

  • Georgetown University Medical Center, Dept. of Neurology

    Washington D.C., District of Columbia, 20057

  • Howard University College of Medicine

    Washington D.C., District of Columbia, 20060

  • Wake Forest University Health Services

    Winston-Salem, North Carolina, 27157

Other trials in United States

About this study

Official title: A Randomized Double-Blind Placebo-Controlled Trial Of The Effects Of Docosahexaenoic Acid (DHA) In Slowing The Progression Of Alzheimer's Disease

The purpose of this study is to determine whether chronic DHA (Docosahexaenoic Acid) supplementation slows the progression of cognitive and functional decline in mild to moderate Alzheimer's disease (AD).

Read the detailed description

Preliminary studies have shown a reduced risk of Alzheimer's disease (AD) in people consuming increased amounts of fish in their diets. Many of the health benefits of fish are attributed to the abundance of omega 3 fatty acids. Docosahexaenoic Acid (DHA) is the most abundant omega 3 fatty acid in the brain. Data from several animal models supports the hypothesis that DHA may be an effective treatment for AD by means of anti-amyloid, antioxidant, and neuroprotectant mechanisms.

In this study, 400 individuals with mild to moderate AD will participate at approximately 53 study sites throughout the US for 18 months. Participants will be randomized so that 60% will receive approximately 2 grams of DHA, divided into 4 capsules, 2 capsules taken twice a day, while 40% receive an identical placebo.

Potential participants will go to their study site for a screening visit, where eligibility is determined, and if accepted, for a baseline visit where cognitive status, behavioral status, functional status, and global severity of dementia will be assessed. Vital signs and biomarker labs will also be obtained. Subsequent visits will occur every three months for medication checks and, every 6 months, further assessments, physical exams, and labs.

Some participants will also take part in MRI (magnetic resonance imaging) and/or CSF (cerebrospinal fluid) sub-studies. For the MRI sub-study, scans will be done prior to beginning the study medication, and again after 18 months. Likewise, for the CSF sub-study, a lumbar puncture will be done prior to beginning the study medication, and again after 18 months.

Enrollment is restricted to individuals who consume no more than 200 mg of DHA per day, which is almost 300% of the average daily intake in an American diet. Individuals who take fish oil or omega 3 fatty acid supplements are also not eligible. Each visit will include completion of a very brief food frequency questionnaire to monitor dietary DHA levels.

Being tested
DHA (Docosahexaenoic Acid), Placebo
Keywords
fish oil, omega-3 fatty acids, EPA
Medical subject headings
Alzheimer Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DHA (Docosahexaenoic Acid)Drug

    Also called Neuromins

    950 mg soft-gel capsules which contain approximately 510 mg DHA, 2 capsules twice a day for 18 months

  • PlaceboDrug

    2 placebo capsules twice a day for 18 months

Study groups in NCT00440050
Study groupRoleWhat they receive
1.ExperimentalDHA
Receives: Drug: DHA (Docosahexaenoic Acid)
2.Placebo comparatorPlacebo
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rate of Change on the ADAS-Cog 11.

    ADAS-cog 11 = Alzheimer's Disease Assessment Scale, cognitive sub-scale in points per year. This is a psychometric measure sensitive to change in mild to moderate AD. The range of this instrument is 0 to 70 with higher numbers indicating greater impairment.

    Measured: Baseline, 6, 12, 18 months

  2. Rate of Change on CDR-SOB

    CDR-SOB = Clinical Dementia Rating, Sum of Boxes. This is a global rating of dementia severity based on the clinician's interpretation of the history and examination. The range of this instrument is 0 to 18 with higher numbers indicating greater impairment.

    Measured: 18 months

Secondary outcomes (2)
  1. ADCS-ADL

    ADCS-ADL = Alzheimer's Disease Cooperative Study Activities of Daily Living Score. This is a structured questionnaire about activities of daily living, administered to the subject's caregiver/study partner. The range of this instrument is 0 to 6 with lower numbers indicating greater impairment.

    Measured: 18 months

  2. Neuropsychiatric Inventory (NPI)

    The Neuropsychiatric Inventory quantifies behavioral changes in dementia, including depression, anxiety, psychosis, agitation, sleep change, appetite change, and others. This is a structured questionnaire administered to the subject's caregiver/study partner. The range of this instrument is 0 to 120 with higher numbers indicating greater impairment.

    Measured: 18 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Feb 2007 (estimated)
  2. Study startFeb 2007
  3. Primary completionMay 2009
  4. Study completionMay 2009

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
402 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00440050
Sponsor's protocol ID
IA0099
Other IDs
1RC2AG036535, ADC-027-DHA
Acronym
DHA
Status last verified
Sep 2014
First submitted
22 Feb 2007
Last updated
25 Sep 2014
Data monitoring committee
Yes

Publications

  • Horrocks LA, Farooqui AA. Docosahexaenoic acid in the diet: its importance in maintenance and restoration of neural membrane function. Prostaglandins Leukot Essent Fatty Acids. 2004 Apr;70(4):361-72. doi: 10.1016/j.plefa.2003.12.011.

    PubMed 15041028
  • Kalmijn S, van Boxtel MP, Ocke M, Verschuren WM, Kromhout D, Launer LJ. Dietary intake of fatty acids and fish in relation to cognitive performance at middle age. Neurology. 2004 Jan 27;62(2):275-80. doi: 10.1212/01.wnl.0000103860.75218.a5.

    PubMed 14745067
  • Morris MC, Evans DA, Bienias JL, Tangney CC, Bennett DA, Wilson RS, Aggarwal N, Schneider J. Consumption of fish and n-3 fatty acids and risk of incident Alzheimer disease. Arch Neurol. 2003 Jul;60(7):940-6. doi: 10.1001/archneur.60.7.940.

    PubMed 12873849
  • Suzuki H, Morikawa Y, Takahashi H. Effect of DHA oil supplementation on intelligence and visual acuity in the elderly. World Rev Nutr Diet. 2001;88:68-71. doi: 10.1159/000059767. No abstract available.

    PubMed 11935973
  • Calon F, Lim GP, Yang F, Morihara T, Teter B, Ubeda O, Rostaing P, Triller A, Salem N Jr, Ashe KH, Frautschy SA, Cole GM. Docosahexaenoic acid protects from dendritic pathology in an Alzheimer's disease mouse model. Neuron. 2004 Sep 2;43(5):633-45. doi: 10.1016/j.neuron.2004.08.013.

    PubMed 15339646
  • Lim GP, Calon F, Morihara T, Yang F, Teter B, Ubeda O, Salem N Jr, Frautschy SA, Cole GM. A diet enriched with the omega-3 fatty acid docosahexaenoic acid reduces amyloid burden in an aged Alzheimer mouse model. J Neurosci. 2005 Mar 23;25(12):3032-40. doi: 10.1523/JNEUROSCI.4225-04.2005.

    PubMed 15788759
  • Jimenez-Maggiora GA, Donohue MC, Rafii MS, Raman R, Aisen PS. Artificial intelligence-enabled safety monitoring in Alzheimer's disease clinical trials. J Prev Alzheimers Dis. 2025 Jan;12(1):100002. doi: 10.1016/j.tjpad.2024.100002. Epub 2025 Jan 1.

    PubMed 39800465
  • Yassine HN, Rawat V, Mack WJ, Quinn JF, Yurko-Mauro K, Bailey-Hall E, Aisen PS, Chui HC, Schneider LS. The effect of APOE genotype on the delivery of DHA to cerebrospinal fluid in Alzheimer's disease. Alzheimers Res Ther. 2016 Jun 30;8:25. doi: 10.1186/s13195-016-0194-x.

    PubMed 27358067
  • Quinn JF, Raman R, Thomas RG, Yurko-Mauro K, Nelson EB, Van Dyck C, Galvin JE, Emond J, Jack CR Jr, Weiner M, Shinto L, Aisen PS. Docosahexaenoic acid supplementation and cognitive decline in Alzheimer disease: a randomized trial. JAMA. 2010 Nov 3;304(17):1903-11. doi: 10.1001/jama.2010.1510.

    PubMed 21045096

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing DHA (Docosahexaenoic Acid) in people with Alzheimer's Disease, run by Alzheimer's Disease Cooperative Study (ADCS) at 51 sites in United States.

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 15 inclusion and 9 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 25 Sep 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 51 sites in United States. 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 Aug 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Rate of Change on the ADAS-Cog 11. (time frame: Baseline, 6, 12, 18 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00440050, which also lists 9 linked publications.

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 25 Sep 2014.

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