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AzTrials

Alzheimer DiseasePhase 2NCT05538507

Efficacy of Chinese Traditional Medicine "Smart Soup" in Cognition and Behavior Regulation in Alzheimer's Disease

A Phase 2 study testing smart soup, Donepezil and Memantine in people with Alzheimer Disease and Mild Cognitive Impairment, run by Peking Union Medical College Hospital at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

It is a prospective interventional randomized controlled single center trial. The goal of the trial is to evaluate the efficacy of smart soup on cognition, behavior, biomarkers and safety in Alzheimer's disease (aMCI and dementia). Read more about this study

Who is it for?
Ages 40 to 90 years
Conditions the study is for
Alzheimer Disease, Mild Cognitive Impairment
What is being tested?
smart soup, Donepezil and Memantine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
180 participants
Where
1 siteChina
Study dates
1 Jun 2022to Jun 2024
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 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • NIA-AA 2011 AD probable Alzheimer's disease, mild to moderate, stable use donepezil 10mg/d for 3 months
  • NIA-AA 2011 AD probable Alzheimer's disease, severe, stable use donepezil 10mg/d and memantine 20mg/d for 3 months
  • NIA-AA 2011 MCI probable criteria
  • stable care giver
  • Traditional Chinese medicine diagnosis: pixu tanzhuo

Who cannot join

  • Severe systemic disease (heart, liver ,kidney function failure)
  • contradictions of MRI examination

Trial locations and contacts

1 site in 1 country.

Jing Gao, MD contact

+86-010-69151389

gj107@163.com

China1 site, 1 recruiting
  • Peking Union Medical College Hospital

    Beijing

    Chenhui Mao, Doctor, maochenhui@pumch.cn

    Jing Gao, Doctor, gj107@163.com

    Recruiting

Other trials in China

About this study

It is a prospective interventional randomized controlled single center trial. The goal of the trial is to evaluate the efficacy of smart soup on cognition, behavior, biomarkers and safety in Alzheimer's disease (aMCI and dementia).

Read the detailed description

Alzheimer's disease (AD) is the most common cause of dementia and places a heavy burden on patients, families, society and healthcare. The drugs that have been marketed worldwide for the treatment of AD so far can only delay but not reverse the course of the disease, and the current drug development is all directed at a single target, while the onset of AD is the result of a combination of multiple factors, which is an important reason why so many drugs have faltered. The investigators need to find new multi-target intervention pathways from another perspective.

The advantage of Chinese medicine is multi-target and multi-factor regulation, which has advantages in treating complex diseases. The combination of ancient smart soup with donepezil was able to significantly improve the cognitive function in demented animals. Smart Soup is prepared from three herbs: Rhizoma Acori Tatarinowii, Poria cum Radix Pini, Radix Polygalae. These three herbs are each 15 grams and ground into a very fine powder. This approach reduced the formation of characteristic pathological changes at the pathological level, therefore, the combination of ancient Chinese medicine formulae with modern medical treatment may bring new hope to the treatment of demented patients.

The main design of this study are following: Patients over 40 years of age and eligible for NIA-AA 2011 probable AD and probable MCI were included in this study and were divided into 6 groups of 30 patients each. Group I AD patients were given donepezil 10 mg, memantine 20 mg and smart soup, group II AD patients were given donepezil 10 mg, memantine 20 mg and placebo; group III AD patients were given donepezil 10 mg and smart soup, group IV AD patients were given donepezil 10 mg and placebo; group V mild cognitive impairment (MCI) patients were given smart soup, and group VI MCI patients were given placebo.

Evaluations were set before enrollment, every three months till one year and the evaluators were single-blind. The scales involved in the evaluation of cognitive function and quality of life, sleep condition, and emotional behavior included ADAS-cog, MMSE, CDR, ADL, CMAI, NPI, and EQ-5D, which were evaluated five times. MRI, EEG, blood oxidative stress indicators, and biological markers were collected at the same time at enrollment and at the end of the study. Genotype collection was completed at enrollment. Safety was also evaluated with monthly testing of ECG, routine blood, liver and kidney function, urinary routine, and recording of side effects.

Being tested
smart soup, Donepezil, Memantine, Placebo
Keywords
Alzheimer's disease, Traditional Chinese Medicine, Smart soup
Medical subject headings
Alzheimer Disease, Cognitive Dysfunction

What participants receive

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

  • smart soupDrug

    Also called traditional chinese medicine

    Severe AD, mild or moderate AD and MCI will be given smart soup

  • DonepezilDrug

    Also called donepezil pill

    Severe AD and mild or moderate AD will be given donepezil

  • MemantineDrug

    Also called Memantine Pill

    Severe AD will be given memantine

  • PlaceboDrug

    patients with MCI will be given placebo

Study groups in NCT05538507
Study groupRoleWhat they receive
Group I severe ADActive comparatorPatients over 40 years of age and eligible for NIA-AA 2011 probable severe AD will be given donepezil 10 mg, memantine 20 mg and smart soup
Receives: Drug: smart soup; Drug: Donepezil; Drug: Memantine
Group II severe ADSham comparatorPatients over 40 years of age and eligible for NIA-AA 2011 probable severe AD will be given donepezil 10 mg, memantine 20 mg and placebo
Receives: Drug: Donepezil; Drug: Memantine; Drug: Placebo
Group III Mild or moderate ADActive comparatorPatients over 40 years of age and eligible for NIA-AA 2011 probable mild or moderate AD will be given donepezil 10 mg and smart soup
Receives: Drug: smart soup; Drug: Donepezil
Group IV Mild or moderate ADSham comparatorPatients over 40 years of age and eligible for NIA-AA 2011 probable mild or moderate AD will be given donepezil 10 mg and placebo
Receives: Drug: Donepezil; Drug: Placebo
Group V MCIActive comparatorPatients over 40 years of age and eligible for NIA-AA 2011 probable MCI will be given smart soup
Receives: Drug: smart soup
Group VI MCISham comparatorPatients over 40 years of age and eligible for NIA-AA 2011 probable MCI will be given placebo
Receives: Drug: Placebo

What is being measured

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

  1. Changes of cognitive screening

    Using the neuropsychological scale, mini-mental state examination (MMSE,0-30), to assess every three months after trial entry

    Measured: Through study completion, an average of 1 years

  2. Changes of comprehensive cognitive assessment

    Use the neuropsychological scales, Alzheimer's Disease Assessment Scale-Cognitive section (ADAS-cog 0-75), to assess every three months after trial entry

    Measured: Through study completion, an average of 1 years

  3. Changes in the degree of dementia

    Use the neuropsychological scales, CDR(0-3), to assess every three months after trial entry

    Measured: Through study completion, an average of 1 years

  4. Changes in behavior

    Use the Cohen-Mansfield Agitation Inventory (CMAI,29-203) to assess every three months after trial entry

    Measured: Through study completion, an average of 1 years

  5. Changes in Psychiatric symptoms

    Use the Neuropsychiatric Index (NPI) to assess every three months after trial entry

    Measured: Through study completion, an average of 1 years

  6. Changes of daily living skills

    Use Activity of Daily Living Scale(ADL,20-80)to assess every three months after trial entry

    Measured: Through study completion, an average of 1 years

  7. Changes in health status

    Use EuroQoL 5-dimension (EQ-5D,0-100) to assess every three months after trial entry

    Measured: Through study completion, an average of 1 years

  8. Tau and Beta-amyloid biomarkers in CSF and plasma

    Concentration ( pg/mL) of beta-amyloid, tau and phospho-tau in cerebrospinal fluid (CSF) and plasma of patients with dementia and controls

    Measured: Through study completion, an average of 1 years

  9. Magnetic resonance imaging and Electroencephalogram(EEG)

    Evaluate the imaging and EEG changes of dementia patients. Specifically, EEG can be used to monitor the activity of brain waves in different parts of the cerebral cortex (e.g. power in alpha band, distribution and power of slow theta/delta waves etc.)

    Measured: Through study completion, an average of 1 years

  10. Oxidative stress markers in blood

    Concentration of Dopamine in blood of patients with dementia and controls

    Measured: Through study completion, an average of 1 years

  11. Alterations of neurotransmitters in the blood

    Concentration (ng/ml) of 5-hydroxy tryptamine (HT) in blood of patients with dementia and controls

    Measured: Through study completion, an average of 1 years

Timeline

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

  1. First posted14 Sep 2022
  2. Study start1 Jun 2022
  3. Primary completionJun 2024 (estimated)
  4. Study completionJun 2024 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Patients were divided into 6 groups according to the enrollment criteria, with 30 cases in each group. Group I AD patients were given donepezil 10 mg, memantine 20 mg and smart soup, group II AD patients were given donepezil 10 mg, memantine 20 mg and placebo; group III AD patients were given donepezil 10 mg and smart soup, group IV AD patients were given donepezil 10 mg and and placebo; group V MCI patients were given smart soup, and group VI MCI patients were given placebo.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
180 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05538507
Sponsor's protocol ID
Smart Soup
Status last verified
Sep 2022
First submitted
12 Apr 2022
Last updated
14 Sep 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Hou Y, Wang Y, Zhao J, Li X, Cui J, Ding J, Wang Y, Zeng X, Ling Y, Shen X, Chen S, Huang C, Pei G. Smart Soup, a traditional Chinese medicine formula, ameliorates amyloid pathology and related cognitive deficits. PLoS One. 2014 Nov 11;9(11):e111215. doi: 10.1371/journal.pone.0111215. eCollection 2014.

    PubMed 25386946
  • Wang Y, Wang Y, Sui Y, Yu H, Shen X, Chen S, Pei G, Zhao J, Ding J. The combination of aricept with a traditional Chinese medicine formula, smart soup, may be a novel way to treat Alzheimer's disease. J Alzheimers Dis. 2015;45(4):1185-95. doi: 10.3233/JAD-143183.

    PubMed 25690664
  • Ling Y, Li Z, Chen M, Sun Z, Fan M, Huang C. Analysis of multiple constituents in Cong-Ming-Tang, a Chinese herbal formula for the treatment of amnesia, by high-performance liquid chromatography with quadrupole time-of-flight mass spectrometry. Phytochem Anal. 2013 Nov-Dec;24(6):677-88. doi: 10.1002/pca.2454. Epub 2013 Jul 9.

    PubMed 23839964
  • McKhann GM, Knopman DS, Chertkow H, Hyman BT, Jack CR Jr, Kawas CH, Klunk WE, Koroshetz WJ, Manly JJ, Mayeux R, Mohs RC, Morris JC, Rossor MN, Scheltens P, Carrillo MC, Thies B, Weintraub S, Phelps CH. The diagnosis of dementia due to Alzheimer's disease: recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease. Alzheimers Dement. 2011 May;7(3):263-9. doi: 10.1016/j.jalz.2011.03.005. Epub 2011 Apr 21.

    PubMed 21514250

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing smart soup, Donepezil and Memantine in people with Alzheimer Disease and Mild Cognitive Impairment, run by Peking Union Medical College Hospital at 1 site in China.

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 5 inclusion and 2 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: status not confirmed, as of the sponsor's last update on 14 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Chenhui Mao, MD (+86-010-69151389, maochenhui@pumch.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes of cognitive screening (time frame: Through study completion, an average of 1 years). The study lists 11 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 NCT05538507, which also lists 4 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 14 Sep 2022.

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