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OpenTrials
Completed

NCT Number: NCT02361424

Pilot Study Assessing the Effects of PXT00864 in Patients With Mild Alzheimer Disease (AD)

The purpose of this study is to assess the safety and efficacy on cognitive impairment and functioning of several doses of PXT00864 (new fixed combination of acamprosate and baclofen at low dose) in patients with mild Alzheimer Disease.

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Key information

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

CMRR

Bordeaux, France

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female patients aged ≥ 60 years.
  • Patient with a diagnosis of probable AD
  • Progressive decline in cognition for more than six months which story is documented in patient medical records
  • A Mini-Mental State Examination (MMSE) score of 20-26
  • With a minimum of educational background
  • Naïve to anti-dementia treatment
  • MRI assessment which corroborates the clinical diagnosis (hippocampal atrophy) and excludes other potential causes of dementia especially cerebrovascular lesions
  • If available, Cerebral Spinal Fluid (CSF) classical biomarkers should be at levels which corroborate the clinical diagnosis
  • Ambulatory patient living at home with a caregiver available and living in the same household or interacting with the patient daily and available if necessary to ensure administration of the investigational product
  • Absence of major or severe depressive disease
  • Patient with a willingness to participate in this study and who have signed an informed consent form

Exclusion criteria

  • Early onset of dementia, i.e. before 60 years old to avoid hereditary AD forms
  • Significant neurological disease other than AD
  • Major psychiatric disorder or syndrome (schizophrenia or bipolar disorder)
  • Seizure disorders
  • Other infectious, metabolic or systemic diseases affecting central nervous system
  • Other active clinically significant illness
  • Hospitalization or change of chronic concomitant medications one month prior to screening
  • Patients with severe respiratory, hepatic or renal failure or with any other significantly potentially disabling abnormality detected during screening
  • Known hypersensitivity to the tested treatment including active substance and excipients.
  • Patients participating in another study and exposed to any investigational therapy within the 30 days prior to the entry in this study.
  • Patient without medical care insurance

Treatment and study plan

PXT00864

Drug

PXT00864 is a fixed-dose combination of baclofen and acamprosate

Placebo

Drug

Primary outcomes

  1. Change From Baseline in the total score of the 11-item Alzheimer´s Disease Assessment Scale- Cognitive Subscale (ADAS-Cog)

    Time frame: Visit V0 (train), V1 (baseline), and every 4 weeks (visits V2, V3 and V4)

    Scores on the ADAS-Cog range from 0-70 with higher scores indicating greater cognitive impairment.

  2. Number of Treatment Emergent Adverse Events (TEAEs)

    Time frame: throughout the 12-week study period.

Secondary outcomes

  1. Change From Baseline in the score of the Digit Symbol Substitution Test (DSST)

    Time frame: Visit V0 (train), V1 (baseline), and every 4 weeks (visits V2, V3 and V4)

    Scores on the DSST range from 0-93 with lower scores indicating greater impairment.

  2. Change From Baseline in the speed to perform the Zazzo's Cancellation Test

    Time frame: Visit V0 (train), V1 (baseline), and every 4 weeks (visits V2, V3 and V4)

  3. Change From Baseline in the score of the Zazzo's Cancellation Test

    Time frame: Visit V0 (train), V1 (baseline), and every 4 weeks (visits V2, V3 and V4)

  4. Change From Baseline in the score of the 15-second Isaacs Set Test

    Time frame: Visit V0 (train), V1 (baseline), and every 4 weeks (visits V2, V3 and V4)

  5. Change From Baseline in the time score of the Trail Making Test - part A

    Time frame: Visit V0 (train), V1 (baseline), and every 4 weeks (visits V2, V3 and V4)

  6. Change From Baseline in the time score of the Trail Making Test - part B

    Time frame: Visit V0 (train), V1 (baseline), and every 4 weeks (visits V2, V3 and V4)

  7. Change From Baseline in the score of the Free and Cued Selective Reminding Test (FCSRT)

    Time frame: 1 (baseline) and V4 (end of study, after 12 weeks of treatment)

    FCSRT is a memory test administered according to the procedure described by Gröber and Buschke modified with 16 verbal items.

  8. Change From Baseline in the score of the 4-item Instrumental Activities of Daily Living scale (IADL-PAQUID)

    Time frame: V0 (train), V1 (baseline), and every 4 weeks (V2, V3 and V4)

    The 4-item Instrumental Activities of Daily Living scale (IADL) concerns four routine daily functions (using transportation, managing finances, using the phone and managing medicines use). Scores on the IADL range from 4-15 with higher scores indicating greater impairment.

  9. Change From Baseline in the score of the Clinical Dementia Rating (CDR) scale

    Time frame: 1 (baseline) and V4 (end of study, after 12 weeks of treatment)

    The Sum of Boxes score of the CDR ranges from 0 to 18, with higher scores indicating greater impairment.

  10. Change From Baseline in the score of the Apathy Inventory (AI) scale

    Time frame: 1 (baseline) and V4 (end of study, after 12 weeks of treatment)

    Scores on the AI range from 0-12 with higher scores indicating greater impairment.

Other outcomes

  1. Change From Baseline in the cognitive Event Related Potential parameters (optional)

    Time frame: V1 (baseline), and every 4 weeks (V2, V3 and V4)

    Some cognitive Event Related Potentials (ERP) with auditory oddball paradigm are performed as an ancillary study.

Sponsors and collaborators

Lead sponsor

Pharnext S.C.A.

Other

Collaborators

  • Ascopharm Groupe Novasco

Registry information

Official study title

First Single-blind Sequential Placebo-controlled Prospective Phase IIA Pilot Study Assessing the Effects of PXT00864 in Mild AD Patients

Acronym: PLEODIAL-I

Important dates

Study start
2013
Primary completion
2015
Study completion
2015
First posted
Feb 11, 2015
Registry last updated
Feb 15, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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