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Vascular DementiaPhase 3NCT04552041

Prospekta in the Treatment of Cognitive, Behavioral and Psychiatric Disorders in Patients With Vascular Dementia.

A Phase 3 study testing Prospekta in people with Vascular Dementia, run by Materia Medica Holding at 33 sites in Russia.

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

Study purpose: evaluate clinical efficacy ands afety of Prospekta in the treatment of cognitive, behavioral and psychiatric disorders in patients with vascular dementia. Study objectives: evaluate and compare changes in cognitive functions, in behavioral and in psychiatric dementia symptoms in Prospekta and Placebo… Read more about this study

Who is it for?
Ages 60 to 85 years
Conditions the study is for
Vascular Dementia
What is being tested?
Prospekta
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
406 participants
Where
33 sitesRussia
Study dates
3 Dec 2020to 22 Sep 2022
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 60 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects aged 60-85 years old inclusively.
  • Subjects with verified diagnosis of vascular dementia.
  • Presence of all the vascular dementia criteria according to NINDS-AIREN:
  • Presence of dementia, which is defined as a decline in cognitive function relative to the previous level of functioning, manifested by impairments in memory and two or more cognitive domains (orientation, attention, language, visuospatial functions, executive functions, motor control and praxis), preferably established during a clinical trial and confirmed by neuropsychological testing.
  • The cognitive impairment must be so severe that it affects daily activity, reducing it independently of the physical consequences of the stroke.
  • The presence of cerebrovascular disease, confirmed by signs of focal damage on neurological examination, such as hemiparesis, lower facial weakness, Babinski sign, sensory deficit, hemianopsia or dysarthria associated with stroke (either a history of stroke or absence of such anamnestic information), and neuroimaging (CT or MRI) signs of cerebrovascular disease, including multiple infarcts in the territory of large vessels, or a single infarction in a strategically important area (angular gyrus, thalamus, basal ganglia, or the territory of the anterior or posterior cerebral arteries), as well as multiple lacunae in the region of the basal ganglia or white matter, or significant damage to the periventricular white matter, or a combination of the above lesions.
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  • There is an association between dementia and cerebrovascular disease as follows:
  • onset of dementia within 3 months of stroke;
  • sharp deterioration of cognitive functions; or fluctuating, stepwise progression of cognitive impairment.
  • Availability of permanent caregiver throughout the study (nurse or relatives).
  • Total Mini-Mental State Examination (MMSE) score - 10-24.
  • Total MoCA score <26.
  • Total NPI-C aggression and agitation domain score ≥14.
  • Аbsence of depression (total Cornell Scale for Depression in Dementia (CSDD) score ≤10).
  • Brain MRI confirming the diagnosis of vascular dementia within 1 year prior to enrollment (or brain MRI performed at enrollment visit).
  • Patients giving their consent to use reliable contraception throughout the study (for males).
  • Availability of signed patient information sheet and informed consent form for participation in the clinical trial.

Who cannot join

  • Signs of intracerebral hemorrhage, brain tumours causing dementia.
  • Alzheimer's disease, Parkinson disease, Lewy body dementia, multiple system atrophy, Jacob-Creutzfeld disease, Pick syndrome, corticobasal degeneration.
  • Injuries of head (S00-S09) associated with impaired consciousness, cerebral contusion or open craniocerebral traumas.
  • Toxicity-related dementia (including drug-induced), multiorgan failure or metabolic and toxic disorders (chronic hypothyroidism, decompensated diabetes mellitus, avitaminoses, etc.).
  • Other psychiatric diseases besides dementia: mental disorders and behavioral disorders due to use of psychoactive substances (F10-19) schizophrenia, schizotypal and delusional disorders (F20-29).
  • Mental retardation (F70-79).
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  • Inflammatory lesions of the brain with persistent neurological deficit.
  • Malignant neoplasms.
  • Previously diagnosed cardiovascular diseases with functional class IV (according to New York Heart Association, 1964).
  • Unstable angina pectoris, myocardial infarction or ischemic stroke within the last 6 months.
  • Female patients with childbearing potency.
  • Allergy/intolerance of any of the study drugs components including secondary to lactase deficiency.
  • Any conditions which, according to the investigator opinion, may interfere with the patient's participation in the study.
  • History of treatment noncompliance, mental diseases, alcoholism or drug abuse which will prevent from following the study procedures, according to investigator's opinion.
  • Participation in clinical trials for 3 months prior to enrollment in this study.
  • Use of any medications specified in "Prohibited concomitant medications" within 1 month before enrollment.
  • Patients who are related to any of the on-site research personnel directly involved in the conduct of the trial or are an immediate relative of the study investigator. 'Immediate relative' means husband, wife, parent, son, daughter, brother, or sister (regardless of whether they are natural or adopted).
  • Patients who work for OOO "NPF "Materia Medica Holding" (i.e. the company's employees, temporary contract workers, designated officials responsible for carrying out the research or any immediate relatives of the aforementioned).

Trial locations and contacts

33 sites in 1 country.

33 sites in 1 country

Russia33 sites
  • Northern State Medical University/Department of Family Medicine and Internal Medicine

    Arkhangelsk, 163000

  • Belgorod Regional Clinical Hospital of St. Joasaph/Neurological department

    Belgorod, 308007

  • Hospital "Russian Railways - Medicine" of the city of Bryansk/Medical rehabilitation department

    Bryansk, 241004

  • Engels Psychiatric Hospital

    Engel's, 413124

  • Kazan State Medical University/Department of Neurology and Rehabilitation

    Kazan', 420012

  • City Clinical Hospital named after V.M. Buyanov of the Moscow City Health Department/1st neurological department

    Moscow, 115516

  • Peoples' Friendship University of Russia/Department of Psychiatry, Psychotherapy and Psychosomatic Pathology

    Moscow, 117198

  • Central Clinical Hospital of the Russian Academy of Sciences/Treatment and Diagnostic Center

    Moscow, 117593

  • Psychiatric hospital # 1 named after P.P. Kashchenko

    Nikol’skoye, 188357

  • Privolzhsky Research Medical University/Department of Medical Rehabilitation

    Nizhny Novgorod, 603005

  • Nizhny Novgorod Regional Clinical Hospital. N. A. Semashko/Outpatient department

    Nizhny Novgorod, 603126

  • Orenburg Regional Clinical Psychiatric Hospital # 1/Psychoneurological dispensary

    Orenburg, 460006

  • Pyatigorsk City Clinical Hospital # 2/Neurological department

    Pyatigorsk, 357538

  • LLC "Treatment and reabilitation research center " PHOENIX "/Day hospital # 1

    Rostov-on-Don, 344000

  • Psychoneurological dispensary # 10/Medical rehabilitation department

    Saint Petersburg, 190121

  • St. Nicholas Psychiatric Hospital

    Saint Petersburg, 190121

  • St. Petersburg Research Institute of Emergency Medicine named after I.I. Janelidze/Medical Rehabilitation Department

    Saint Petersburg, 192242

  • Leningrad Regional Clinical Hospital/Neurological department

    Saint Petersburg, 194291

  • Psychoneurological dispensary # 5/Day hospital

    Saint Petersburg, 195176

  • Samara City Clinical Hospital # 1 named after N.I. Pirogov/Neurological department for patients with cerebrovascular accident # 24

    Samara, 443096

  • Saratov State Medical University V. I. Razumovsky/Department of Neurology named after K.N. Tretyakov

    Saratov, 410012

  • City Clinical Hospital # 2 named after V.I. Razumovsky

    Saratov, 410028

  • Saratov City Psychoneurological Dispensary

    Saratov, 410038

  • Regional Clinical Psychiatric Hospital of St. Sophia

    Saratov, 410060

  • Smolensk Regional Clinical Hospital

    Smolensk, 214018

  • Stavropol Regional Clinical Specialized Psychiatric Hospital # 1/Somatogeriatric department #19

    Stavropol, 355038

  • Republican Clinical Hospital named after G.G. Kuvatov

    Ufa, 450005

  • Bashkir State Medical University/Department of Neurology

    Ufa, 450008

  • Ulyanovsk Regional Clinical Hospital/Outpatient department

    Ulyanovsk, 432063

  • Regional Clinic Hospital

    Vladimir, 600023

  • Volgograd State Medical University/Department of Neurology, Neurosurgery with the Course of Medical Genetics

    Volgograd, 400131

  • Vsevolozhsk clinical interdistrict hospital/Neurological department

    Vsevolozhsk, 188643

  • Sverdlovsk Regional Clinical Psychiatric Hospital

    Yekaterinburg, 6620030

Other trials in Russia

About this study

Official title: Multicenter Double-blind Placebo-controlled Randomized Parallel-group Clinical Trial of Efficacy and Safety of Prospekta in the Treatment of Cognitive, Behavioral and Psychiatric Disorders in Patients With Vascular Dementia.

Study purpose:

  • evaluate clinical efficacy ands afety of Prospekta in the treatment of cognitive, behavioral and psychiatric disorders in patients with vascular dementia.

Study objectives:

  • evaluate and compare changes in cognitive functions, in behavioral and in psychiatric dementia symptoms in Prospekta and Placebo groups after 24-weeks of treatment
  • evaluate and compare the frequency, severity and causal relationship of adverse events (AEs) with the type of therapy in Prospekta and Placebo groups (including central nervous system AEs during therapy, their relationship with the study drug and other characteristics).
Read the detailed description

Design: double-blind placebo-controlled randomized parallel-group clinical trial. The study will enroll male and female patients aged 60-85 years inclusively diagnosed with vascular dementia verified at Visit 1 according to the criteria of The National Institute of Neurological Disorders and Stroke National Institute of Neurological Disorders and Stroke-Association Internationale pour la Recherche et l'Enseignement en Neurosciences - NINDS-AIREN. Severity of vascular dementia should be moderate or mild (10-24 points according to Mini-Mental State Examination - MMSE), without signs of depression (total Cornell Scale for Depression in Dementia (CSDD) score ≤10).

After signing patient information sheet (informed consent form) to participate in the study, at Visit 1 (from day -14 to day 1) complaints and medical history will be collected, objective examination, recording vital signs (BP, RR, HR) will be performed and compliance of the subject's diagnosis with NINDS-AIREN vascular dementia criteria will be evaluated. The study investigator will assess cognitive disorders using Mini-Mental State Examination (MMSE) and Montreal Сognitive Assessment (МоСА). The investigator and the patient's caregiver will fill Neuropsychiatric Inventory Сlinician (NPI-С), and СSDD scales. The patient will undergo brain MRI (in the absence of brain MRI data within the previous 12 months before inclusion in the study).

Concomitant therapy and concomitant diseases and conditions will be recorded. If inclusion/exclusion criteria are met, the patient will be randomized to one of the two groups: group 1 will receive Prospekta 2 tablets twice daily; group 2 will receive Placebo using the study drug dosing regimen.

Treatment duration will be 24 weeks during which 6 Visits will be made. At visits 2 and 3 (week 4±3 days and week 8±3 days) the study investigator will make a phone call and collect the complaints, monitor the prescribed and concomitant therapy, evaluate therapeutic safety.

At visit 4 (week 12±7 days) the study investigator will collect complaints, record objective examination findings and vital signs, monitor the prescribed and concomitant therapy, evaluate therapeutic safety and compliance, dispense the study drug until the next visit. The study investigator and caregiver will fill NPI-C.

At visits 5 and 6 (week 16±3 days and week 20±3 days) the study investigator will make a phone call and collect the complaints, monitor the prescribed and concomitant therapy, evaluate therapeutic safety.

At visit 7 (week 24±7 days) the study investigator will collect complaints, perform objective examination, record vital signs, monitor the prescribed and concomitant therapy, evaluate therapeutic safety, evaluate compliance. The study investigator will fill MоСА and Clinical Global Impression Efficacy Index (CGI-EI). The study investigator and caregiver will fill NPI-C.

During the study the treatment for concomitant diseases will be allowed with the exception of the drugs specified in the section "Prohibited concomitant therapy".

Being tested
Prospekta, Placebo
Medical subject headings
Dementia, Vascular

What participants receive

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

  • ProspektaDrug

    Also called MMH-MAP

    Oral administration.

  • PlaceboDrug

    Oral administration.

Study groups in NCT04552041
Study groupRoleWhat they receive
ProspektaExperimentalTwo tablets per intake 2 times a day (approximately at the same time), outside of meal (between meals or 15 minutes prior to meal or drinking). The tablets should be held in mouth until completely dissolved. The overall duration of treatment is 24 weeks.
Receives: Drug: Prospekta
PlaceboPlacebo comparatorTwo tablets per intake 2 times a day (approximately at the same time), outside of meal (between meals or 15 minutes prior to meal or drinking). The tablets should be held in mouth until completely dissolved. The overall duration of treatment is 24 weeks.
Receives: Drug: Placebo

What is being measured

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

  1. Change in Mean Montreal Сognitive Assessment (MoCA) Score

    MoCA is the test for assessment of cognitive impairment. The score ranges between 0 and 30. A score of 26-30 is normal. A score less than 26 is considered as mild cognitive impairment. Higher values represent a better outcome.

    Measured: Baseline, 24 weeks

Secondary outcomes (4)
  1. Change in Mean Neuropsychiatric Inventory-Clinician (NPI-С) Score

    NPI-C allows to evaluate severity of behavioural and mental disorders associated with dementia. The scale consists of 14 domains. Scoring for "delusional ideas" (8 items) is 0-24 points, for "hallucinations" (7 items) - 0-21, "agitation" (13 items) - 0-39, "aggression" (8 items) - 0-24, "dysphoria" (13 items) - 0-39, "anxiety" (14 items) - 0-42, "euphoria" (6 items) - 0-18, "apathy" (11 items) - 0-33, "disinhibition" (16 items) - 0-48, "irritability" (12 items) - 0-36 , "aberrant motor behaviour" (9 items) - 0-27, "sleep disorders" (8 items) - 0-24, "appetite disorders" (9 items) - 0-27, "aberrant vocalizations" (8 items) - 0-24. Each item is rated for frequency (a 4-point scale from 1 [occasionally] to 4 [very frequent]) and severity (a 3-point scale from 1 [mild] to 3 [marked]). The total NPI score is the frequency ratings multiplied by the severity ratings. Total maximum score for all domains is 426 (higher score indicates worse outcome).

    Measured: Baseline, 24 weeks

  2. Change in Mean Montreal Сognitive Assessment (MoCA) Score

    MoCA is the test for assessment of cognitive impairment. The score ranges between 0 and 30. A score of 26-30 is normal. A score less than 26 is considered as mild cognitive impairment. Higher values represent a better outcome.

    Measured: Baseline, 12 weeks

  3. Change in Mean Neuropsychiatric Inventory-Clinician (NPI-С) Score

    NPI-C allows to evaluate severity of behavioural and mental disorders associated with dementia. The scale consists of 14 domains. Scoring for "delusional ideas" (8 items) is 0-24 points, for "hallucinations" (7 items) - 0-21, "agitation" (13 items) - 0-39, "aggression" (8 items) - 0-24, "dysphoria" (13 items) - 0-39, "anxiety" (14 items) - 0-42, "euphoria" (6 items) - 0-18, "apathy" (11 items) - 0-33, "disinhibition" (16 items) - 0-48, "irritability" (12 items) - 0-36 , "aberrant motor behaviour" (9 items) - 0-27, "sleep disorders" (8 items) - 0-24, "appetite disorders" (9 items) - 0-27, "aberrant vocalizations" (8 items) - 0-24. Each item is rated for frequency (a 4-point scale from 1 [occasionally] to 4 [very frequent]) and severity (a 3-point scale from 1 [mild] to 3 [marked]). The total NPI score is the frequency ratings multiplied by the severity ratings. Total maximum score for all domains is 426 (higher score indicates worse outcome).

    Measured: Baseline, 12 weeks

  4. Mean Clinical Global Impression Efficacy Index (СGI-EI) Score

    Indicators of therapeutic and side effects, efficacy index on the scale of the general clinical impression CGI-EI (Clinical Global Impression Scale - Efficacy Index) after 24 weeks from the start of study therapy. Evaluation of the response to treatment should take into account both therapeutic efficacy and treatment-related side effects. Side effects value from 1 to 4. Therapeutic effect value as 0,4,8 or 12 points. The efficacy index is a sum. The minimum value is 1, the maximum value is 16. A lower score on the scales is the best outcome.

    Measured: After 24 weeks of the treatment.

Timeline

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

  1. First posted17 Sep 2020
  2. Study start3 Dec 2020
  3. Primary completion22 Sep 2022
  4. Study completion22 Sep 2022

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
Model description
double-blind placebo-controlled randomized
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
406 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04552041
Sponsor's protocol ID
MMH-MAP-003
Status last verified
Jan 2023
First submitted
10 Sep 2020
Last updated
28 Oct 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Prospekta in people with Vascular Dementia, run by Materia Medica Holding at 33 sites in Russia.

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 17 inclusion and 18 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 28 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 33 sites in Russia. 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 28 Oct 2024). 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?

Change in Mean Montreal Сognitive Assessment (MoCA) Score (time frame: Baseline, 24 weeks). 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 28 Oct 2024.

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