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Alzheimer's DiseasePhase 1NCT00874939

A Study to Evaluate the Effects of MK-0249 and an Alzheimer's Disease Medication on Cognitive Function in Adults With Alzheimer's Disease (MK-0249-023)

A Phase 1 study testing MK-0249 7.5 mg, MK-0249 25 mg and Donepezil 5mg in people with Alzheimer's Disease and Dementia, run by Merck Sharp & Dohme LLC.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study will evaluate acute symptomatic improvements in cognitive performance in healthy elderly participants with mild-to-moderate Alzheimer's disease. A four-week pilot study will first evaluate the CogState computerized cognitive battery in participants who are not receiving treatment. Read more about this study

Who is it for?
Ages 65 years and olderHealthy volunteers can take part
Conditions the study is for
Alzheimer's Disease, Dementia
What is being tested?
MK-0249 7.5 mg, MK-0249 25 mg and Donepezil 5mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
4 participants
Where
No sites listed yet
Study dates
6 Apr 2009to 20 Apr 2009
Phase
Phase 1
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 65 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • Patient Specific:
  • Female is not of reproductive potential
  • Male who has a female partner(s) of child bearing potential, agrees to use acceptable method of contraception during the study
  • Has at least 10 years of education or work history
  • Has been a nonsmoker or has not used nicotine for at least 6 months
  • Has a diagnosis of mild-to-moderate Alzheimer's Disease
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  • Has a reliable caregiver who consents to accompany the patient to all clinic visits, provide information to the study staff, and return for follow-up visits and procedures
  • Healthy Elderly Volunteer Specific:
  • Is in good general health
  • Has no clinically significant abnormality on electrocardiogram (ECG)

Who cannot join

  • Participant Specific:
  • Has a history of a neurological disorder other than Alzheimer's disease
  • Is living in a nursing home
  • Has a history of stroke
  • Has a history of psychotic disorder, an active major depressive disorder, or history of schizophrenia
  • Has a history of a sleep disorder
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  • Has a history of a cardiovascular disorder
  • Has a history of malignancy
  • Is participating or has participated in a study with an investigational compound, device, or vaccine for Alzheimer's disease
  • Consumes greater than 6 servings of caffeine (coffee, tea or cola etc.) per day
  • Consumes greater than 3 alcoholic beverages per day
  • Has had major surgery, donated or loss blood in past 8 weeks
  • Healthy Elderly Volunteer Specific:
  • Is mentally or legally incapacitated, has significant emotional problems, or has a history of a psychiatric disorder over the last 5-10 years

About this study

Official title: A Randomized Clinical Trial To Evaluate the Single Dose Acute Effects of MK-0249 and Donepezil On Cognitive Function In Adult Patients With Alzheimer's Disease

This study will evaluate acute symptomatic improvements in cognitive performance in healthy elderly participants with mild-to-moderate Alzheimer's disease. A four-week pilot study will first evaluate the CogState computerized cognitive battery in participants who are not receiving treatment. After completion of the pilot study, participants will be randomized to receive Placebo, Donepezil 5 mg, MK-0249 7.5 mg, and MK-0249 25 mg. After each drug administration the participants will be given the CogState computerized cognitive battery to assess cognitive performance. The primary hypotheses are that cognitive performance in participants with Alzheimer's disease, or in healthy participants, is improved by the administration of a single oral 5 mg dose of Donepezil as compared to placebo.

Being tested
MK-0249 7.5 mg, MK-0249 25 mg, Donepezil 5mg, Placebo to MK-0249, Placebo to Donepezil
Medical subject headings
Alzheimer Disease, Dementia

What participants receive

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

  • MK-0249 7.5 mgDrug

    4 tablets (1 x 0.5 mg + 2 x 1 mg + 1 x 5 mg) totaling 7.5 mg, single oral dose during each crossover period

  • MK-0249 25 mgDrug

    5 x 5 mg tablets totaling 25 mg, single oral dose during each crossover period

  • Donepezil 5mgDrug

    Also called Aricept

    One 5 mg tablet, single oral dose during each crossover period

  • Placebo to MK-0249Drug

    Five tablets, single oral dose during each crossover period

  • Placebo to DonepezilDrug

    One over-encapsulated capsule, single oral dose during each crossover period

Study groups in NCT00874939
Study groupRoleWhat they receive
PBO→MK-7.5→DON→MK-25ExperimentalTreatment by single oral dose with Placebo (PBO) in the first crossover period; MK-0249 7.5 mg (MK-7.5) in the second crossover period; Donepezil 5 mg (DON) in the third crossover period; and MK-0249 25 mg (MK-25) in the fourth crossover period.
Receives: Drug: MK-0249 7.5 mg; Drug: MK-0249 25 mg; Drug: Donepezil 5mg; Drug: Placebo to MK-0249; Drug: Placebo to Donepezil
MK-7.5→PBO→MK-25→DONExperimentalTreatment by single oral dose with MK-0249 7.5 mg in the first crossover period; Placebo in the second crossover period; MK-0249 25 mg in the third crossover period; and Donepezil 5 mg in the fourth crossover period.
Receives: Drug: MK-0249 7.5 mg; Drug: MK-0249 25 mg; Drug: Donepezil 5mg; Drug: Placebo to MK-0249; Drug: Placebo to Donepezil
DON→MK-25→PBO→MK-7.5ExperimentalTreatment by single oral dose with Donepezil 5 mg in the first crossover period; MK-0249 25 mg in the second crossover period; Placebo in the third crossover period; and MK-0249 7.5 mg in the fourth crossover period.
Receives: Drug: MK-0249 7.5 mg; Drug: MK-0249 25 mg; Drug: Donepezil 5mg; Drug: Placebo to MK-0249; Drug: Placebo to Donepezil
MK-25→DON→MK-7.5→PBOExperimentalTreatment by single oral dose with MK-0249 25 mg in the first crossover period; Donepezil 5 mg in the second crossover period; MK-0249 7.5 mg in the third crossover period; and Placebo in the fourth crossover period.
Receives: Drug: MK-0249 7.5 mg; Drug: MK-0249 25 mg; Drug: Donepezil 5mg; Drug: Placebo to MK-0249; Drug: Placebo to Donepezil
PBO→MK-25→MK-7.5→DONExperimentalTreatment by single oral dose with Placebo in the first crossover period; MK-0249 25 mg in the second crossover period; MK-0249 7.5 mg in the third crossover period; and Donepezil 5 mg in the fourth crossover period.
Receives: Drug: MK-0249 7.5 mg; Drug: MK-0249 25 mg; Drug: Donepezil 5mg; Drug: Placebo to MK-0249; Drug: Placebo to Donepezil
MK-7.5→DON→PBO→MK-25ExperimentalTreatment by single oral dose with MK-0249 7.5 mg in the first crossover period; Donepezil 5 mg in the second crossover period; Placebo in the third crossover period; and MK-0249 25 mg in the fourth crossover period.
Receives: Drug: MK-0249 7.5 mg; Drug: MK-0249 25 mg; Drug: Donepezil 5mg; Drug: Placebo to MK-0249; Drug: Placebo to Donepezil
DON→MK-7.5→MK-25→PBOExperimentalTreatment by single oral dose with Donepezil 5 mg in the first crossover period; MK-0249 7.5 mg in the second crossover period; MK-0249 25 mg in the third crossover period; and Placebo in the fourth crossover period.
Receives: Drug: MK-0249 7.5 mg; Drug: MK-0249 25 mg; Drug: Donepezil 5mg; Drug: Placebo to MK-0249; Drug: Placebo to Donepezil
MK-25→PBO→DON→MK-7.5ExperimentalTreatment by single oral dose with MK-0249 25 mg in the first crossover period; Placebo in the second crossover period; Donepezil 5 mg in the third crossover period; and MK-0249 7.5 mg in the fourth crossover period.
Receives: Drug: MK-0249 7.5 mg; Drug: MK-0249 25 mg; Drug: Donepezil 5mg; Drug: Placebo to MK-0249; Drug: Placebo to Donepezil
PBO→DON→MK-25→MK-7.5ExperimentalTreatment by single oral dose with Placebo in the first crossover period; Donepezil 5 mg in the second crossover period; MK-0249 25 mg in the third crossover period; and MK-0249 7.5 mg in the fourth crossover period.
Receives: Drug: MK-0249 7.5 mg; Drug: MK-0249 25 mg; Drug: Donepezil 5mg; Drug: Placebo to MK-0249; Drug: Placebo to Donepezil
MK-7.5→MK-25→DON→PBOExperimentalTreatment by single oral dose with MK-0249 7.5 mg in the first crossover period; MK-0249 25 mg in the second crossover period; Donepezil 5 mg in the third crossover period; and Placebo in the fourth crossover period.
Receives: Drug: MK-0249 7.5 mg; Drug: MK-0249 25 mg; Drug: Donepezil 5mg; Drug: Placebo to MK-0249; Drug: Placebo to Donepezil
DON→PBO→MK-7.5→MK-25ExperimentalTreatment by single oral dose with Donepezil 5 mg in the first crossover period; Placebo in the second crossover period; MK-0249 7.5 mg in the third crossover period; and MK-0249 25 mg in the fourth crossover period.
Receives: Drug: MK-0249 7.5 mg; Drug: MK-0249 25 mg; Drug: Donepezil 5mg; Drug: Placebo to MK-0249; Drug: Placebo to Donepezil
MK-25→MK-7.5→PBO→DONExperimentalTreatment by single oral dose with MK-0249 25 mg in the first crossover period; MK-0249 7.5 mg in the second crossover period; Placebo in the third crossover period; and Donepezil 5 mg in the fourth crossover period.
Receives: Drug: MK-0249 7.5 mg; Drug: MK-0249 25 mg; Drug: Donepezil 5mg; Drug: Placebo to MK-0249; Drug: Placebo to Donepezil

What is being measured

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

  1. Time Weighted Average of the Change From Baseline After Single Dose Administration of Donepezil 5 mg or Placebo, Measured by Groton Maze Learning Test (GMLT) in Participants With Alzheimer's Disease

    The GMLT measures executive function and spatial problem solving on a computer touch screen where participants learn a hidden pathway through a maze consisting of a 10 x 10 grid of tiles. The number of errors made for five consecutive trials at a single session is totaled, where lower number of errors indicates better performance. A change from baseline that is positive indicates improved function.

    Measured: Baseline and 5-7 hours post-dose

  2. Time Weighted Average of the Change From Baseline After Single Dose Administration of Donepezil 5 mg or Placebo, Measured by Groton Maze Learning Test (GMLT) in Healthy Participants

    The GMLT measures executive function and spatial problem solving on a computer touch screen where participants learn a hidden pathway through a maze consisting of a 10 x 10 grid of tiles. The number of errors made for five consecutive trials at a single session is totaled, where lower number of errors indicates better performance. A change from baseline that is positive indicates improved function.

    Measured: Baseline and 5-7 hours post-dose

Secondary outcomes (2)
  1. Time Weighted Average of the Change From Baseline After Single Dose Administration of MK-0249, Measured by GMLT in Participants With Alzheimer's Disease.

    The GMLT measures executive function and spatial problem solving on a computer touch screen where participants learn a hidden pathway through a maze consisting of a 10 x 10 grid of tiles. The number of errors made for five consecutive trials at a single session is totaled, where lower number of errors indicates better performance. A change from baseline that is positive indicates improved function.

    Measured: Baseline and 5-7 hours post-dose

  2. Time Weighted Average of the Change From Baseline After Single Dose Administration of MK-0249, Measured by GMLT in Healthy Participants.

    The GMLT measures executive function and spatial problem solving on a computer touch screen where participants learn a hidden pathway through a maze consisting of a 10 x 10 grid of tiles. The number of errors made for five consecutive trials at a single session is totaled, where lower number of errors indicates better performance. A change from baseline that is positive indicates improved function.

    Measured: Baseline and 5-7 hours post-dose

Timeline

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

  1. First posted3 Apr 2009 (estimated)
  2. Study start6 Apr 2009
  3. Primary completion20 Apr 2009
  4. Study completion20 Apr 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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
4 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00874939
Sponsor's protocol ID
0249-023
Other IDs
MK-0249-023, 2009_572
Status last verified
Sep 2018
First submitted
2 Apr 2009
Last updated
17 Oct 2018
Data monitoring committee
No
Individual data sharing
Yes: https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MK-0249 7.5 mg, MK-0249 25 mg and Donepezil 5mg in people with Alzheimer's Disease and Dementia, run by Merck Sharp & Dohme LLC.

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 10 inclusion and 14 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: stopped early, as of the sponsor's last update on 17 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 8 Jun 2015). 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?

Time Weighted Average of the Change From Baseline After Single Dose Administration of Donepezil 5 mg or Placebo, Measured by Groton Maze Learning Test (GMLT) in Participants With Alzheimer's Disease (time frame: Baseline and 5-7 hours post-dose). 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?
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 17 Oct 2018.

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