A Phase II, Double Blind, Placebo-controlled, Randomized, Multi-Center, Parallel Group Dose Exploring Study to Evaluate the Efficacy and Safety of Octohydroaminoacridine Succinate Tablets in Patient With Mild to Moderate Alzheimer's Disease
试验速览
- 阶段
- 2 期
- 发起方
- 入组人数
- 288
- 试验地点
- 13
- 主要终点
- Alzheimer's Disease Assessment Scale - Cognitive Subscale
研究概览
简要总结
The main purpose of this study is to evaluate the safety and efficacy of Octohydroaminoacridine Succinate tablets and find the optimal dose in patients with mild to moderate Alzheimer's Disease.
详细描述
The purpose of this study is a preliminary assessment of the Octohydroaminoacridine Succinate tablets in the treatment of mild to moderate Alzheimer's disease and explore the efficacy and safety of the best dose. The 288 patients were randomly assigned to four groups: high dose (4mg / time), moderate dose (2mg / time), low dose (1mg / time) and the placebo group, including four weeks of the trial screening period following 16 weeks double-blind treatment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 85 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinical diagnosis of probable AD based on DSM-IV and the NINCDS-ADRDA criteria.
- •Male/female patient aged between 50 and
- •mild to moderate probable AD :Middle school or above: 11 ≤MMSE ≤ 25, elementary school: 8 ≤ MMSE ≤ 20, illiteracy: 5 ≤ MMSE ≤
- •CT or MRI scan excluding another structural brain disease in one year.
- •Neurologic examination no significant abnormalities.
- •Hachinski Ischemic Score < 4;Hamilton Depression Scale ≤
- •Able to complete the test procedure, audio-visual and physical ability to act to complete the neuropsychological measure.
- •Stable chaperone, more than 2 hours a day together with the patient or accumulated fewer than 14 hours per week.
- •Informed consent of the patient (or legal representative) and of the caregiver agreeing to take part in the study.
排除标准
- •Proven or clinically suspected other type of dementia such as vascular dementia, Lewy body dementia, Parkinson's disease, frontotemporal dementia, g - Jakob disease (spastic pseudo-sclerosis), normal pressure hydrocephalus etc.
- •Sudden onset of early dementia or with gait disorders, seizures and behavioral changes.
- •Clinical manifestations of focal neurological signs (hemiparesis, sensory loss, visual field defect) or early extrapyramidal tract signs.
- •History of cerebrovascular disease and stroke.
- •Serious lack of folic acid and VitB12, syphilis antibody positive or thyroid dysfunction.
- •Mechanical intestinal obstruction patient ,Resting pulse less than 60,Severe liver or renal disease.
- •Patients with mechanical intestinal obstruction.
- •History of bone marrow transplantation.Mental illness, such as severe depression.
- •Cognitive damage caused by alcohol or drug abuse. Disable to correctly evaluate the cognitive function.
- •Critical condition, disable to make the exact evaluation of the efficacy and safety of new drug.
- •Use of any agent for the treatment of dementia within 4 weeks of randomization.
- •Be sensitive to ACHEI.
- •Be sensitive to two or more foods/drugs.
- •Use of another investigational agent within one months of screening.
研究组 & 干预措施
low dose
1mg, tid
干预措施: Octohydroaminoacridine succinate Tablets (Drug)
Moderate dose
2mg,tid
干预措施: Octohydroaminoacridine succinate Tablets (Drug)
High dose
4mg,tid
干预措施: Octohydroaminoacridine succinate Tablets (Drug)
Placebo
0 mg, tid
干预措施: Placebo (Drug)
结局指标
主要结局
Alzheimer's Disease Assessment Scale - Cognitive Subscale
时间窗: 20weeks
次要结局
- Clinician's Interview Based Impression of Change, plus caregiver input(20weeks)
- Activities of Daily Living:Activities of Daily Living Scale(ADL)(20weeks)
- Mental behavior: neuropsychiatric questionnaire (NPI)(20weeks)
