An 18-week, multi-center, randomized, double-blind, placebo-controlled, parallel-group study of the efficacy, safety, and tolerability of donepezil HCl (E2020) in patients with CADASIL who have cognitive impairment. - Donepezil HCl in CADASI

Phase 1

• Conditions: Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL). CADASIL is a genetic disorder representing a minority of the patients who develop vascular dementia.; MedDRA version: 7.0 Level: PT Classification code 10057678

• Registration Number: EUCTR2004-001162-40-ES
• Lead Sponsor: Eisai Ltd

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2006-01-20
• Study Completion: 2006-10-20
• Last Update Posted: 30 June 2019

Recruitment & Eligibility

• Status: ot Recruiting
• Sex: Not specified
• Target Recruitment: 150

Inclusion Criteria

1)Age range: Adult patients, 25 to 70 years of age inclusive.
2)Gender distribution: men and women. Women of childbearing potential (<1 year post menopausal) must be practicing effective contraception and have a negative serum ß-HCG at Screening. Pregnant and/or lactating females are excluded. Patients who become pregnant during the study will be discontinued.
3)Diagnostic evidence of CADASIL either by (1) identification of a NOTCH3 mutation (excluding polymorphisms) or (2) presence of typical deposits on an electron microscopy of a skin biopsy.
4)Cognitive impairment: (1) Subjects or their study partners must give a description of cognitive problems and one of the following: (2a) MMSE score of 10 to 27 (inclusive) or (2b) Trails B score, 1.5 standard deviations below the mean after adjustment for age and education.
5)Head MRI: Evidence of disease consistent with CADASIL, and no evidence of another disease, which might account for cognitive impairment or dementia (as judged by the Investigator/physician at the site). (The latter may be determined with a CT head for eligibility purposes. The MRI would still be needed.) Must be obtained within 6 months of the Screening/Baseline visit. If no such head MRI had been previously obtained, a head MRI will be obtained as part of Screening/Baseline after all other inclusion and exclusion criteria (except clinical laboratory determinations) are satisfied. Patients in whom an MRI is contraindicated can have a CT instead, however, MRI is the preferred modality.
6)Race and ethnicity: any race and ethnic group.
7)Health: generally healthy, ambulatory or ambulatory-aided (i.e., walker, cane or wheelchair) outpatient. Speech, motor function, comprehension, and corrected vision and hearing must be sufficient for compliance with all testing procedures.
8)Clinical laboratory values must be within normal limits, or if abnormal, must be judged clinically insignificant by the Investigator/physician.
9)Patients with vitamin B12 deficiency who are on a stable dose of medication for at least 12 weeks prior to Screening/Baseline and who have normal serum B12 levels at Screening/Baseline will be eligible. Patient who might otherwise have been eligible can be re-screened when they meet this criterion. This stable dose of vitamin B12 must be maintained throughout the study.
10)Patients with hypothyroidism or hyperthyroidism who are on a stable dose of medication for at least 12 weeks prior to Screening, have a normal TSH and free T4 at screening, and are considered euthyroid will be eligible. Patient who might otherwise have been eligible can be re-screened when they meet this criterion. This stable dose must be maintained throughout the study.
11)Patients must have a reliable study partner who has regular contact with the patient (e.g, an average of 4 or more contacts per week), can observe for possible adverse events, and can accompany the patient to all visits.
12)Patients with a history of hypertension, cardiac disease, diabetes, or peripheral vascular disease, may be enrolled in the study provided that the following standards are met. Hypertension must be medication controlled (sitting SBP < 175, sitting DBP < 100 mm Hg) and cardiac disease (e.g. angina pectoris, congestive heart failure, right bundle bra

Exclusion Criteria

1)Neurological disorders affecting cognition or the ability to assess it that are not associated with CADASIL, such as Alzheimer’s Disease, Parkinson’s disease, normal pressure hydrocephalus, idiopathic seizure disorders, multiple sclerosis, cerebral vasculitis or infections of the central nervous system, subdural hematoma, as well as Human Immunodeficiency Virus (HIV) disease, a history of significant head trauma followed by persistent neurological deficits, sleep disorders affecting level of consciousness, or known structural brain abnormalities.
2)Psychiatric disorders affecting the ability to assess cognition that are not typically associated with CADASIL, such as schizophrenia.
3)Active drug or alcohol abuse or dependence in = 5 years by DSM-IV criteria.
4)Any active or clinically significant conditions affecting absorption, distribution, or metabolism of the study medication (e.g, inflammatory bowel disease, hepatic disease, or severe lactose intolerance).
5)Uncontrolled hypertension (sitting systolic = 175 mmHg and/or diastolic = 100 mmHg) as assessed by the Investigator regardless of whether the patient is taking antihypertensive medication.
6)Evidence of clinically significant, active gastrointestinal, renal, hepatic, respiratory, infectious, endocrine, or cardiovascular system disease. A patient so excluded, who subsequently becomes stable for 4 weeks, may become eligible for enrollment if all other criteria in Sections 8.2 and 8.3 are met. Patients with left bundle branch block are excluded.
7)History of malignant neoplasms (does not include basal or squamous cell carcinoma of the skin) treated within 2 years prior to study entry, current evidence of malignant neoplasm, or recurrent or metastatic disease.
8)Women who are pregnant or breast-feeding.
9)Patients and/or study partners who are unwilling or unable to fulfill the requirements of the study.
10)Known hypersensitivity to cholinesterase inhibitors or piperidine-containing drug.
11)Use of any unapproved prior or concomitant medications as defined in Sections 8.4 and Appendix 2 (This list is not exhaustive. If there area are questions, please ask the Medical Monitor.)
12)Any condition that would make the patient or study partner, in the opinion of the Investigator, unsuitable for the study.
13)Involvement in any other investigational trial in the preceding 12 weeks or likely involvement in any other investigational study drug trial during the course of this study. Prior to enrollment the study director must approve involvement in investigational trials that do not involve a study drug.
14)Patients with changes in doses of concomitant medication, not otherwise described, within the 6 weeks prior to enrollment.

Study & Design

• Study Type: Interventional clinical trial of medicinal product
• Study Design: Not specified