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ALADDIN Study - Phase III: Antigonadotropin-Leuprolide in Alzheimer's Disease Drug INvestigation (VP-AD-301)

Phase 3
Completed
Conditions
Alzheimer's Disease
Registration Number
NCT00231946
Lead Sponsor
Voyager Pharmaceutical Corporation
Brief Summary

The study is designed to investigate the activity of the hormone drug leuprolide acetate in stabilizing cognitive function in mild-to-moderate AD patients.

Detailed Description

VP4896 is a gonadotropin releasing hormone (GnRH) agonist that binds to and inactivates GnRH receptors on the pituitary gland. This decreases the amount of luteinizing hormone released by the pituitary. The hypothesis upon which this trial is designed is that luteinizing hormone is the cause of Alzheimer's disease. VP4896 decreases the amount of luteinizing hormone in the body and, therefore, may decrease or halt the progression of Alzheimer's disease.

This is a double-blind, placebo-controlled, study designed to assess the safety and efficacy of VP4896 (a novel formulation of leuprolide acetate) in the treatment of subjects with mild-to-moderate AD. The study duration is 56 weeks. Approximately 555 participants will be recruited from approximately 80 sites in the United States, Canada, and South America.

The study drug will be administered every eight weeks over a 48 week period. Male subjects randomized to active treatment will also receive testosterone replacement gel.

The change from baseline in ADAS-Cog (cognitive test) score at Week 50 and ADCS-CGIC (global cognitive and behavioral measure) at Week 50 will be the primary efficacy endpoints. Safety will be assessed at all visits and by phone at Week 1.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
555
Inclusion Criteria
  • 60 years of age or older
  • Diagnosis of probable mild-to-moderate Alzheimer's Disease
  • On a stable dose of an acetylcholinesterase inhibitor (including, but not limited to: donepezil, galantamine, rivastigmine, and tacrine) for at least 120 days prior to baseline and will likely remain on the drug throughout the trial; all participants must be on acetylcholinesterase inhibitors
  • No other significant or interfering medical conditions
Exclusion Criteria
  • Significant neurological disease affecting the brain or psychiatric disease other than AD, such as current untreated major depression, schizophrenia, epilepsy, Parkinson's disease, Creutzfeldt-Jakob's disease, or clinical episode of stroke
  • Laboratory or clinical signs of untreated, clinically significant abnormal thyroid function, in the Investigator's opinion
  • Received other investigational drugs within 30 days or 5 half-lives prior to baseline, whichever is longer
  • Taking other medications, with the exception of estrogen, known to affect serum gonadotropin (Gn) concentrations, including but not limited to goserelin, danazol, or leuprolide
  • Other exclusion criteria exist--eligibility can be assessed by the trial site

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Cognitive assessment and Caregiver's impression of change at baseline and at weeks 8, 24, 34, and 50.
Secondary Outcome Measures
NameTimeMethod
Ability to perform Activities of Daily Living (ADL) at baseline and weeks 8, 24, 34, and 50. Impression of disease severity assessment at week 50.

Trial Locations

Locations (53)

Pivotal Research Centers

πŸ‡ΊπŸ‡Έ

Royal Oak, Michigan, United States

Palm Beach Neurological Group

πŸ‡ΊπŸ‡Έ

West Palm Beach, Florida, United States

Quantum Laboratories

πŸ‡ΊπŸ‡Έ

West Palm Beach, Florida, United States

Booker, J. Gary, MD, APMC

πŸ‡ΊπŸ‡Έ

Shreveport, Louisiana, United States

The Medical Arts Health Research Group

πŸ‡¨πŸ‡¦

Penticton, British Columbia, Canada

Ohio State University Medical Center

πŸ‡ΊπŸ‡Έ

Columbus, Ohio, United States

ICPS Group

πŸ‡ΊπŸ‡Έ

Boston, Massachusetts, United States

University of Texas Health Science Center at Houston

πŸ‡ΊπŸ‡Έ

Houston, Texas, United States

Bexar Diagnostic Medicine Associates

πŸ‡ΊπŸ‡Έ

San Antonio, Texas, United States

San Francisco Clinical Research Center

πŸ‡ΊπŸ‡Έ

San Francisco, California, United States

IPS Research Company

πŸ‡ΊπŸ‡Έ

Oklahoma City, Oklahoma, United States

Radiant Research

πŸ‡ΊπŸ‡Έ

Denver, Colorado, United States

Colorado Neurology & Headache Center

πŸ‡ΊπŸ‡Έ

Denver, Colorado, United States

Memory Research Institute

πŸ‡ΊπŸ‡Έ

East Providence, Rhode Island, United States

Butler Hospital

πŸ‡ΊπŸ‡Έ

Providence, Rhode Island, United States

Norman Gordon, MD

πŸ‡ΊπŸ‡Έ

Providence, Rhode Island, United States

North County Neurology Assoc.

πŸ‡ΊπŸ‡Έ

Oceanside, California, United States

Anderson Clinical Research

πŸ‡ΊπŸ‡Έ

Loma Linda, California, United States

Pacific Research Network

πŸ‡ΊπŸ‡Έ

San Diego, California, United States

Geriatric and Adult Psychiatry

πŸ‡ΊπŸ‡Έ

Hamden, Connecticut, United States

Bay Area Research Institute

πŸ‡ΊπŸ‡Έ

Lafayette, California, United States

David Trader

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

Synergy Clinical Research

πŸ‡ΊπŸ‡Έ

National City, California, United States

Torrance Clinical Research

πŸ‡ΊπŸ‡Έ

Torrance, California, United States

Neurological Research Institute

πŸ‡ΊπŸ‡Έ

Santa Monica, California, United States

Brain Matters Research

πŸ‡ΊπŸ‡Έ

Delray Beach, Florida, United States

Berma Research Group

πŸ‡ΊπŸ‡Έ

Hialeah, Florida, United States

Hunterdon Medical Center

πŸ‡ΊπŸ‡Έ

Flemington, New Jersey, United States

Neurology Clinical Research, LLC

πŸ‡ΊπŸ‡Έ

Plantation, Florida, United States

Roskamp Institute

πŸ‡ΊπŸ‡Έ

Sarasota, Florida, United States

Neurology Center of Ohio

πŸ‡ΊπŸ‡Έ

Toledo, Ohio, United States

Medark Clinical Trials

πŸ‡ΊπŸ‡Έ

Morgantown, North Carolina, United States

Innovative Clinical Research Center

πŸ‡ΊπŸ‡Έ

Alexandria, Virginia, United States

Upstate Clinical Research, LLC

πŸ‡ΊπŸ‡Έ

Albany, New York, United States

Toronto Memory Program (Neurology Research Inc.)

πŸ‡¨πŸ‡¦

Toronto, Ontario, Canada

Pearl Clinical Research, Inc.

πŸ‡ΊπŸ‡Έ

Norristown, Pennsylvania, United States

Southwestern Vermont Medical Center

πŸ‡ΊπŸ‡Έ

Bennington, Vermont, United States

Grayline Clinical Drug Trials

πŸ‡ΊπŸ‡Έ

Wichita Falls, Texas, United States

Pharmacology Research Institute

πŸ‡ΊπŸ‡Έ

Riverside, California, United States

Margolin Brain Institute

πŸ‡ΊπŸ‡Έ

Fresno, California, United States

NeuroSpecialists, PLLC

πŸ‡ΊπŸ‡Έ

Tucson, Arizona, United States

Pharmaceutical Research-Oregon, Inc.

πŸ‡ΊπŸ‡Έ

Eugene, Oregon, United States

Comprehensive Neuroscience, Inc.

πŸ‡ΊπŸ‡Έ

Darien, Connecticut, United States

Clinical Trial Center, LLC.

πŸ‡ΊπŸ‡Έ

Jenkintown, Pennsylvania, United States

Radiant Research - Greer

πŸ‡ΊπŸ‡Έ

Greer, South Carolina, United States

Novabyss Inc.

πŸ‡¨πŸ‡¦

Sherbrooke, Quebec, Canada

Raleigh Neurology Associates, P.A.

πŸ‡ΊπŸ‡Έ

Raleigh, North Carolina, United States

Kuakani Medical Center

πŸ‡ΊπŸ‡Έ

Honolulu, Hawaii, United States

Meridien Research

πŸ‡ΊπŸ‡Έ

Tampa, Florida, United States

University of Nebraska Medical Center

πŸ‡ΊπŸ‡Έ

Omaha, Nebraska, United States

Albuquerque Neuroscience Inc.

πŸ‡ΊπŸ‡Έ

Albuquerque, New Mexico, United States

Piedmont Medical Research Associates

πŸ‡ΊπŸ‡Έ

Winston-Salem, North Carolina, United States

Queen Elizabeth II Health Sciences Centre

πŸ‡¨πŸ‡¦

Halifax, Nova Scotia, Canada

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