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Study to Evaluate Safety, Tolerability, and Effect of AL208 on Mild Cognitive Impairment Following Coronary Artery Bypass Graft Surgery

Phase 2
Completed
Conditions
Mild Cognitive Impairment
Interventions
Drug: Placebo
Registration Number
NCT00404014
Lead Sponsor
Allon Therapeutics
Brief Summary

The primary objective is to compare mild cognitive impairment in the AL-208 group with the placebo group at 14 + - 3 days after CABG surgery

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
234
Inclusion Criteria
  1. Males and females (of non-childbearing potential), 50 to 79 years of age.
  2. Undergoing CABG surgery with the use of extracorporeal circulation.
  3. Willing and able to complete cognitive testing.
  4. Score < 16 on the Center for Epidemiological Studies in Depression scale (CES-D).
  5. Score > or = 28 on the Mini-Mental State Examination (MMSE).
  6. Willing and able to provide informed consent to participate in this study
  7. Fluency in written and spoken English.
Exclusion Criteria
  1. Presence of any severe mental illness that could affect interpretation of efficacy data, such as schizophrenia or bipolar affective disorder; any untreated or unstable psychiatric condition including depressive disorder or anxiety disorder.
  2. History of stroke or other significant neurological disorder
  3. Transient ischemic attack (TIA) with ongoing cognitive sequelae
  4. Chronic atrial fibrillation or uncontrolled atrial fibrillation prior to surgery
  5. Myocardial infarction (MI) within the last 8 weeks and/or previous history of more than 3 MIs
  6. History of liver dysfunction with ongoing sequelae (including but not limited to liver enzymes > 2.5 x upper limit or normal (ULN) at screening).
  7. History of renal dysfunction with ongoing sequelae (including but not limited to creatinine value > 2.5 mg/dL at screening).
  8. Known active alcohol or drug abuse.
  9. Concurrent use of prescription medications known to enhance memory
  10. General anesthesia (defined as anesthesia requiring intubation or ventilatory support) within 3 months prior to randomization.
  11. Cardiopulmonary bypass or thoracotomy within 2 years prior to randomization.
  12. Undergoing valvular repair or replacement during scheduled CABG surgery.
  13. Chronic obstructive pulmonary disease (COPD) requiring oxygen therapy.
  14. Decompensating congestive heart disease
  15. Subjects on immunosuppressive drugs, such as azathioprine, chemotherapeutic agents, mycophenolate, monoclonal antibodies, or more than 20 mg/day prednisone, within the previous 3 months
  16. Receipt of any investigational agent or device within 30 days of screening.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
AL-208AL-2081 dose of 300 mg
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
The primary objective of this study was to compare mild cognitive impairment in the AL-208 group with the placebo group at 14±3 days after coronary artery bypass graft (CABG) surgery.14 days

The primary objective of this study was to compare mild cognitive impairment in the AL-208 group with the placebo group at 14±3 days after coronary artery bypass graft (CABG) surgery.

Secondary Outcome Measures
NameTimeMethod
The safety profile of AL-208 in subjects undergoing CABG surgery14 days

The safety profile of AL-208 in subjects undergoing CABG surgery

The effect of treatment with AL-208 on postoperative personality changes in subjects undergoing CABG surgery14 days

The effect of treatment with AL-208 on postoperative personality changes in subjects undergoing CABG surgery

Concentration of AL-208 in plasma in subjects undergoing CABG surgery14 days

Concentration of AL-208 in plasma in subjects undergoing CABG surgery

Trial Locations

Locations (28)

Cardiac and Thoracic Surgical Associates, Ltd.

🇺🇸

Mechanicsville, Virginia, United States

Clinical Cardiovascular Research Center

🇺🇸

Dallas, Texas, United States

Toronto General Hospital

🇨🇦

Toronto, Ontario, Canada

London health Sciences Centre

🇨🇦

London, Ontario, Canada

Inova Fairfax Hospital

🇺🇸

Falls Church, Virginia, United States

Piedmont Hospital Research Institute

🇺🇸

Atlanta, Georgia, United States

The Atlanta Heart and Vascular Research Group

🇺🇸

Atlanta, Georgia, United States

Rush University Medical Center

🇺🇸

Chicago, Illinois, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

St. Luke's Episcopal Hospital

🇺🇸

Houston, Texas, United States

Vanderbilt University

🇺🇸

Nashville, Tennessee, United States

Physicians Clinical Research Corp.

🇺🇸

Laguna Hills, California, United States

Sacramento Heart and Vascular Research Center

🇺🇸

Sacramento, California, United States

Miami Research Associates

🇺🇸

South Miami, Florida, United States

Chicago Heart Institute and Vein Clinic

🇺🇸

Elk Grove Village, Illinois, United States

Cardiothoracic Associates

🇺🇸

Flint, Michigan, United States

NYU Medical Center

🇺🇸

New York, New York, United States

Illinois Heart and Vascular Foundation

🇺🇸

Hindsdale, Illinois, United States

Indiana/Ohio Heart Cardiothoracic and Vascular Surgeons

🇺🇸

Ft. Wayne, Indiana, United States

St. Vincent Mary Medical Center

🇺🇸

Toledo, Ohio, United States

Memory Assessment and Research Services

🇺🇸

Wilmington, North Carolina, United States

Consultants in Cardiovascular Diseases Inc.

🇺🇸

Erie, Pennsylvania, United States

Carolina Cardiovascular Surgical Associates, PA

🇺🇸

Raleigh, North Carolina, United States

Tulsa Clinical Resesarch, LLC

🇺🇸

Tulsa, Oklahoma, United States

Multicare Health Systems

🇺🇸

Tacoma, Washington, United States

Jacksonville Center for Clinical Research

🇺🇸

Jacksonville, Florida, United States

Brigham & Women's Hospital

🇺🇸

Boston, Massachusetts, United States

Clinical Research Solutions, PC

🇺🇸

Knoxville, Tennessee, United States

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