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DementiaPhase 1NCT01181310

Placebo-Controlled Crossover Study to Evaluate Donepezil and MK-3134 for Reversal of Cognitive Impairment Associated With Scopolamine Administration (3134-005)(COMPLETED)

A Phase 1 study testing C: MK-3134 25 mg + Scopolamine 0.5 mg, D: Donepezil 10 mg + Scopolamine 0.5 mg and E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg in people with Dementia, run by Merck Sharp & Dohme LLC.

Completed

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

Official record
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Trial summary

The drug, scopolamine, can result in short-term impairments of cognitive function, attention, and memory that resemble those seen in aging and Alzheimer's disease. This study tested the capability of both individual and combined doses of MK-3134 and the current standard treatment: donepezil (Aricept), to reverse such… Read more about this study

Who is it for?
Ages 18 to 40 years, men onlyHealthy volunteers can take part
Conditions the study is for
Dementia
What is being tested?
C: MK-3134 25 mg + Scopolamine 0.5 mg, D: Donepezil 10 mg + Scopolamine 0.5 mg and E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
31 participants
Where
No sites listed yet
Study dates
Jun 2007to Oct 2007
Phase
Phase 1
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 18 to 40 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Participants were eligible for inclusion in the study who were:

  • Male between 18 and 40 years of age.
  • Non-smokers, in good health (as defined in protocol), and were willing to follow study-related procedures.

Participants were not eligible for inclusion in the study if they:

  • Had a history of illness that, in the opinion of the study investigator or as specified in protocol, might confound the results of the study or posed an potential, additional risk to the participant if they were to participate in the study.
  • Were taking any medication (prescription, nonprescription, vitamin supplements or herbal, illicit or legitimate) except for acetaminophen.
  • Had a history of any significant head injury/trauma.

About this study

Official title: A Five-Period, Placebo-Controlled, Crossover Study to Evaluate the Effect of Donepezil and MK-3134 on Reversal of Cognitive Impairment Associated With a Single-Dose of Scopolamine.

The drug, scopolamine, can result in short-term impairments of cognitive function, attention, and memory that resemble those seen in aging and Alzheimer's disease. This study tested the capability of both individual and combined doses of MK-3134 and the current standard treatment: donepezil (Aricept), to reverse such impairments, following a single dose of scopolamine. Participants were evaluated after each of 5 different treatment periods (in a cross-over, double-dummy design): A: placebo to match both donepezil (oral [PO]) and MK-3134 (PO) followed by placebo scopolamine (subcutaneous [SQ]); B: placebo to match both donepezil (PO) and MK-3134 (PO), followed by scopolamine SQ; C: MK-3134 (PO) followed by scopolamine SQ; D: donepezil (PO) followed by scopolamine SQ; E: MK-3134 (PO) and donepezil (PO) followed by scopolamine SQ. The doses of MK3134, donepezil, and scopolamine were the same over all treatment arms in which the specified drug was administered. There were 8 total visits for each treatment period, including 5 Treatment Visits requiring 14-day intervals between visits for study-drug washout. Participants were assessed for cognitive function before and after each treatment period during the Treatment Visits.

Conditions
Dementia
Being tested
A: Placebo to match Donepezil and MK-3134 + Placebo to match Scopolamine, B: Placebo to match Donepezil and MK-3134 + Scopolamine 0.5 mg, C: MK-3134 25 mg + Scopolamine 0.5 mg, D: Donepezil 10 mg + Scopolamine 0.5 mg, E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg
Keywords
dementia, cognitive impairment, neurodegeneration, Alzheimer's, acetylcholine, AchE
Medical subject headings
Dementia, Cognitive Dysfunction, Nerve Degeneration, Pain

What participants receive

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

  • A: Placebo to match Donepezil and MK-3134 + Placebo to match ScopolamineDrug

    Single doses of placebo to match both donepezil and MK-3134 PO, plus a single dose of placebo to match scopolamine SQ.

  • B: Placebo to match Donepezil and MK-3134 + Scopolamine 0.5 mgDrug

    Single doses of placebo to match both donepezil and MK-3134 PO, plus a single dose of scopolamine 0.5 mg SQ.

  • C: MK-3134 25 mg + Scopolamine 0.5 mgDrug

    A single dose of MK-3134 PO 25 mg, plus a single dose of scopolamine SQ 0.5 mg.

  • D: Donepezil 10 mg + Scopolamine 0.5 mgDrug

    Also called Aricept (donepezil)

    A single dose of donepezil 10 mg PO, plus a single dose of scopolamine 0.5 mg SQ.

  • E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mgDrug

    Also called Aricept (donepezil)

    A combination of single doses of all active drugs: donepezil 10 mg and MK-3134 25 mg PO, plus scopolamine, SQ.

Study groups in NCT01181310
Study groupRoleWhat they receive
A, B, D, E, CExperimentalParticipants received treatment A, B, D, E, C for Periods 1, 2, 3, 4, and 5, respectively.
Receives: Drug: A: Placebo to match Donepezil and MK-3134 + Placebo to match Scopolamine; Drug: B: Placebo to match Donepezil and MK-3134 + Scopolamine 0.5 mg; Drug: C: MK-3134 25 mg + Scopolamine 0.5 mg; Drug: D: Donepezil 10 mg + Scopolamine 0.5 mg; Drug: E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg
B, C, E, A, DExperimentalParticipants received treatment B, C, E, A, D for Periods 1, 2, 3, 4, and 5, respectively.
Receives: Drug: A: Placebo to match Donepezil and MK-3134 + Placebo to match Scopolamine; Drug: B: Placebo to match Donepezil and MK-3134 + Scopolamine 0.5 mg; Drug: C: MK-3134 25 mg + Scopolamine 0.5 mg; Drug: D: Donepezil 10 mg + Scopolamine 0.5 mg; Drug: E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg
C, D, A, B, EExperimentalParticipants received treatment C, D, A, B, E for Periods 1, 2, 3, 4, and 5, respectively.
Receives: Drug: A: Placebo to match Donepezil and MK-3134 + Placebo to match Scopolamine; Drug: B: Placebo to match Donepezil and MK-3134 + Scopolamine 0.5 mg; Drug: C: MK-3134 25 mg + Scopolamine 0.5 mg; Drug: D: Donepezil 10 mg + Scopolamine 0.5 mg; Drug: E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg
D, E, B, C, AExperimentalParticipants received treatment D, E, B, C, A for Periods 1, 2, 3, 4, and 5, respectively.
Receives: Drug: A: Placebo to match Donepezil and MK-3134 + Placebo to match Scopolamine; Drug: B: Placebo to match Donepezil and MK-3134 + Scopolamine 0.5 mg; Drug: C: MK-3134 25 mg + Scopolamine 0.5 mg; Drug: D: Donepezil 10 mg + Scopolamine 0.5 mg; Drug: E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg
E, A, C, D, BExperimentalParticipants received treatment E, A, C, D, B for Periods 1, 2, 3, 4, and 5, respectively.
Receives: Drug: A: Placebo to match Donepezil and MK-3134 + Placebo to match Scopolamine; Drug: B: Placebo to match Donepezil and MK-3134 + Scopolamine 0.5 mg; Drug: C: MK-3134 25 mg + Scopolamine 0.5 mg; Drug: D: Donepezil 10 mg + Scopolamine 0.5 mg; Drug: E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg
A, C, B, E, DExperimentalParticipants received treatment A, C, B, E, D for Periods 1, 2, 3, 4, and 5, respectively.
Receives: Drug: A: Placebo to match Donepezil and MK-3134 + Placebo to match Scopolamine; Drug: B: Placebo to match Donepezil and MK-3134 + Scopolamine 0.5 mg; Drug: C: MK-3134 25 mg + Scopolamine 0.5 mg; Drug: D: Donepezil 10 mg + Scopolamine 0.5 mg; Drug: E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg
B, D, C, A, EExperimentalParticipants received treatment B, D, C, A, E for Periods 1, 2, 3, 4, and 5, respectively.
Receives: Drug: A: Placebo to match Donepezil and MK-3134 + Placebo to match Scopolamine; Drug: B: Placebo to match Donepezil and MK-3134 + Scopolamine 0.5 mg; Drug: C: MK-3134 25 mg + Scopolamine 0.5 mg; Drug: D: Donepezil 10 mg + Scopolamine 0.5 mg; Drug: E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg
C, E, D, B, AExperimentalParticipants received treatment C, E, D, B, A for Periods 1, 2, 3, 4, and 5, respectively.
Receives: Drug: A: Placebo to match Donepezil and MK-3134 + Placebo to match Scopolamine; Drug: B: Placebo to match Donepezil and MK-3134 + Scopolamine 0.5 mg; Drug: C: MK-3134 25 mg + Scopolamine 0.5 mg; Drug: D: Donepezil 10 mg + Scopolamine 0.5 mg; Drug: E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg
D, A, E, C, BExperimentalParticipants received treatment D, A, E, C, B for Periods 1, 2, 3, 4, and 5, respectively.
Receives: Drug: A: Placebo to match Donepezil and MK-3134 + Placebo to match Scopolamine; Drug: B: Placebo to match Donepezil and MK-3134 + Scopolamine 0.5 mg; Drug: C: MK-3134 25 mg + Scopolamine 0.5 mg; Drug: D: Donepezil 10 mg + Scopolamine 0.5 mg; Drug: E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg
E, B, A, D, CExperimentalParticipants received treatment E, B, A, D, C for Periods 1, 2, 3, 4, and 5, respectively.
Receives: Drug: A: Placebo to match Donepezil and MK-3134 + Placebo to match Scopolamine; Drug: B: Placebo to match Donepezil and MK-3134 + Scopolamine 0.5 mg; Drug: C: MK-3134 25 mg + Scopolamine 0.5 mg; Drug: D: Donepezil 10 mg + Scopolamine 0.5 mg; Drug: E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg

What is being measured

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

  1. CogState Early Phase Battery, Groton Maze Learning Test (GMLT) as measured by the number of errors on the GMLT over time (area under the GMLT-time curve) over hours 1-12.

    Participants learned a hidden pathway through a maze (10 x 10 grid of tiles on a computer touch screen) using step-by-step guess, with trial and error feedback after each step. Once the pathway was learned, participants repeated the same pathway four more times. The number of pathway errors was used to indicate the level of cognitive function.

    Measured: 1, 2, 3, 4, 6, 8, and 12 hours relative to administration of SQ scopolamine or SQ placebo

Timeline

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

  1. First posted13 Aug 2010 (estimated)
  2. Study startJun 2007
  3. Primary completionOct 2007
  4. Study completionOct 2007

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
31 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01181310
Sponsor's protocol ID
3134-005
Other IDs
2007-001894-27
Status last verified
Nov 2015
First submitted
12 Aug 2010
Last updated
6 Nov 2015
Results posted
No
Data monitoring committee
No

Publications

  • Cho W, Maruff P, Connell J, Gargano C, Calder N, Doran S, Fox-Bosetti S, Hassan A, Renger J, Herman G, Lines C, Verma A. Additive effects of a cholinesterase inhibitor and a histamine inverse agonist on scopolamine deficits in humans. Psychopharmacology (Berl). 2011 Dec;218(3):513-24. doi: 10.1007/s00213-011-2344-y. Epub 2011 Jun 7.

    PubMed 21644059

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing C: MK-3134 25 mg + Scopolamine 0.5 mg, D: Donepezil 10 mg + Scopolamine 0.5 mg and E: Combo: Donepezil 10 mg + MK-3134 25 mg + Scopolamine 0.5 mg in people with 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?

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 6 Nov 2015. 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?

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?

CogState Early Phase Battery, Groton Maze Learning Test (GMLT) as measured by the number of errors on the GMLT over time (area under the GMLT-time curve) over hours 1-12. (time frame: 1, 2, 3, 4, 6, 8, and 12 hours relative to administration of SQ scopolamine or SQ placebo). 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 NCT01181310, which also lists 1 linked publication.

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 6 Nov 2015.

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Clinical Trial NCT01181310 | AzTrials