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Completed

NCT Number: NCT02256306

The PLasma for Alzheimer SymptoM Amelioration (PLASMA) Study

The PLasma for Alzheimer SymptoM Amelioration (PLASMA) Study: Intravenously-Administered Plasma From Young Donors for Treatment of Mild-To-Moderate Alzheimer's Disease

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Key information

Age range

50 year–90 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Stanford University

Stanford, California, 94305, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Diagnosis of probable Alzheimer's disease (NIA-AA criteria)
  • Mini-Mental State Examination (MMSE) score 12-24
  • Availability of a study partner who knows the patient well and is willing to accompany the subject to all trial visits, to participate in questionnaires and to complete daily journal assessments

Exclusion criteria

  • Pregnancy or unwilling to use adequate birth control method for duration of and 6 months beyond study participation
  • Positive for Hepatitis B, Hepatitis C or HIV at screening
  • Any other condition or situation that the investigator believes may interfere with the safety of the subject or the intent and conduct of the study
  • Related to medical history:
  • Stroke
  • Anaphylaxis
  • Prior adverse reaction to any human blood product
  • Any history of a blood coagulation disorder or hypercoagulability
  • Congestive heart failure
  • Uncontrolled hypertension
  • Renal failure
  • Prior intolerance to intravenous fluids
  • Recent history of uncontrolled atrial fibrillation
  • IgA deficiency (by history)
  • Related to medications or other treatments:
  • Any concurrent use of an anticoagulant therapy. Antiplatelet drugs (e.g., aspirin or clopidogrel) are acceptable
  • Initiation or change in the dosage of a cholinesterase inhibitor or memantine during the trial. A participant already on a cholinesterase inhibitor or memantine must be on a stable dose for at least one month prior to Screening
  • Concurrent participation in another treatment trial for Alzheimer's disease. If there was prior participation, the last dose of the investigational agent must have been at least 6 months prior to Screening
  • Treatment with any human blood product, including intravenous immunoglobulin, during the 6 months prior to Screening or during the trial
  • Concurrent daily treatment with benzodiazepines, typical or atypical antipsychotics, long-acting opioids, or other medications that, in the investigator's opinion, interfere with cognition. Intermittent treatment with short-acting benzodiazepines or atypical antipsychotics may be permitted, provided that no dose is administered within the 72 hours preceding any cognitive assessment
  • Related to magnetic resonance imaging:
  • Claustrophobia
  • Any metallic surgical implant, like a pacemaker or clip that is incompatible with 3T MRI.

Certain metallic implants like joint replacements may be permitted, provided that specific manufacturer specifications are available and that the device is known to be safe for 3T MRI.

Treatment and study plan

Plasma

Other

1 unit of Plasma From Young Donors (Male, aged 30 or younger)

Primary outcomes

  1. Number of participants with adverse events as a measure of safety and tolerability, and number of subjects who comply with the research protocol as a measure of feasibility.

    Time frame: 9 weeks

Secondary outcomes

  1. Change on the 13-item ADAS-Cog

    Time frame: 9 weeks

  2. Change on the Trail-Making Test

    Time frame: 9 weeks

  3. Change on the Clinical Dementia Rating scale Sum of Boxes (CDR-SB)

    Time frame: 9 weeks

  4. Change on the Functional Activities Questionnaire (FAQ)

    Time frame: 9 weeks

  5. Change on the Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL)

    Time frame: 9 weeks

  6. Change on the Geriatric Depression Scale

    Time frame: 9 weeks

  7. Change on the Neuropsychiatric Inventory Questionnaire (NPI-Q)

    Time frame: 9 weeks

Other outcomes

  1. Change in functional connectivity in the default mode network as assessed by resting state functional MRI

    Time frame: 9 weeks

  2. Compositional assessment of plasma using in vitro analytical methods. The goal is to assess plasma components that might be associated with aging and/or Alzheimer's disease

    Time frame: 9 weeks

  3. In vivo assessment of plasma samples to determine their potential histological effects on the hippocampus and their potential behavioral effects in animal models of cognition

    Time frame: 9 weeks

  4. Differential effect of therapy on above outcomes as a function of ApoE genotype

    Time frame: 9 weeks

Sponsors and collaborators

Lead sponsor

Stanford University

Other

Collaborators

  • Alkahest, Inc.

Registry information

Official study title

The PLasma for Alzheimer SymptoM Amelioration (PLASMA) Study: Intravenously-Administered Plasma From Young Donors for Treatment of Mild-To-Moderate Alzheimer's Disease

Acronym: PLASMA

Important dates

Study start
2014
Primary completion
2017
Study completion
2017
First posted
Oct 3, 2014
Registry last updated
Oct 10, 2017

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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