Randomized, Double Blind, Placebo Controlled Prospective Study, to Evaluate the Effect of Freshly-Pressed Extra Virgin Olive Oil in the Disease's Progression in Patients Diagnosed With Mild Cognitive Impairment
试验速览
- 阶段
- 2 期
- 发起方
- 入组人数
- 150
- 试验地点
- 2
- 主要终点
- Logical Memory test- Measurements to Assess General Cognitive Function
研究概览
简要总结
There is accumulating evidence suggesting that olive oil may have a positive impact on conditions involving cognitive deficits, such as MCI and AD. More specifically, these beneficial effects are mostly attributed to some phenolic compounds in olive oil, such as oleocanthal, oleuropein and ligstroside. Oleocanthal is deeper studied than the rest of olive oil phenol components and it shows promising results in neuroprotection against AD through various suggested mechanisms, such as the enhancement of amyloid-beta clearance in the brain and the inhibition of neurofibrillary tangles formation. For this reason, it would be interesting to study the effects of freshly-pressed extra virgin olive oil, as it is known that it contains oleocanthal in higher concentrations than the normal extra virgin olive oil. The aim of the study is to evaluate the beneficial effect of extra virgin olive oil in comparison to freshly-pressed extra virgin olive oil on patients diagnosed with mild cognitive impairment (MCI).
Study Type: Interventional Study Design: Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Prevention
详细描述
OBJECTIVES OF THE TRIAL
The objectives of this study are:
- To investigate the efficacy of freshly pressed EVOO as a disease course modifying treatment for mild cognitive impairment in a phase III double-blind placebo-controlled study.
- To investigate the effects in objective measurements in patients with mild cognitive impairment.
STUDY DESIGN This is a Greek, randomized, double-blind, placebo-controlled study group of EVOO compared with placebo. Qualifying patients will be randomly assigned to receive 50mL of freshly-pressed EVOO or placebo (EVOO) or mediterranean dietary protocol on a daily basis for 24 months. Patients undergo assessments at baseline,12 and 24 months +/- 7 days after beginning treatment.
Duration The total study duration will be 30 months. Patients will receive study medication for 24 months.
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
- Single (Participant)
入排标准
- 年龄范围
- 55 Years 至 85 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Memory Complaints
- •Abnormal memory function documented by scoring 1 SD below the age-adjusted mean on the Logical Memory II subscale, (Delayed Paragraph Recall) from the Wechsler Memory Scale-R.
- •MMSE 24-30
- •CDR(sum of boxes) >= 0,5
- •Diagnosis: Mild Cognitive Impairment (amnestic plus multi-domain)
- •Geriatric Depression Scale (GDS) <6
- •Hachinski Modified Ischemic scale <= 4
- •Stability of Permitted Medications for 4 weeks
- •Years of education: >= 5
- •Proficient language fluency
- •Have a study partner with 10+ hr/wk contact (can be in person and telephone), accompanies to visits
- •Compliance
排除标准
- •Visual and auditory acuity inadequate for neuropsychological testing
- •Enrollment in other trials or studies not compatible with MICOIL
- •History of significant neurological or psychiatric illnesses or presence of other diseases precluding enrollment.
- •Use of forbidden medications (listed below)
- •Ferromagnetic implants and devices (including implants or devices held in place by sutures, granulation or ingrowth of tissue, fixation devices, or by other means) not eligible for MRI scanning. Brain malformation or other conditions that may complicate lumbar puncture
- •Medications across the study
- •Excluded Medication:
- •Antidepressants with anti-cholinergic properties.
- •Regular use of narcotic analgesics (>2 doses per week) within 4 weeks of screening.
- •Use of neuroleptics with anti-cholinergic properties (e.g., chlorpromazine, thioridazine) within 4 weeks of screening.
- •Chronic use of other medications with significant central nervous system anticholinergic activity within 4 weeks of screening (e.g., diphenhydramine).
- •Use of Anti-Parkinsonian medications (including Sinemet, amantadine, bromocriptine, pergolide, selegeline) within 4 weeks of screening.
- •Participation in any other investigational drug study within 4 weeks of screening (individuals may not participate in any drug study while participating in this protocol).
结局指标
主要结局
Logical Memory test- Measurements to Assess General Cognitive Function
时间窗: baseline, 12 and 24 months
Changes in the Logical Memory test
FUCAS-Measurements to Assess Daily Functionality
时间窗: baseline, 12 and 24 months
Changes in Functional cognitive assessment scale (FUCAS) score
Letter & Category Fluency Test- Measurement to Assess Verbal Fluency and Learning
时间窗: baseline, 12 and 24 months
Changes in the Letter \& Category Fluency Test
MoCA- Measurements to Assess General Cognitive Function
时间窗: baseline, 12 and 24 months
Changes in Montreal Cognitive Assessment (MoCA)
Clock Drawing test- Measurements to Assess General Cognitive Function
时间窗: baseline, 12 and 24 months
Changes in the Clock Drawing test
CDR- Measurements to Assess General Cognitive Function
时间窗: baseline, 12 and 24 months
Changes in Global Clinical Dementia Rating (CDR) score (sum of boxes)
TMT part A and B- Measurements to Assess General Cognitive Function
时间窗: baseline, 12 and 24 months
Changes in the Trail Making Test
Neuropsychological Assessment- Measurements to Assess General Cognitive Function
时间窗: baseline, 12 and 24 months
Changes in Mini-Mental State Examination (MMSE) score
CANTAB- Measurements to Assess General Cognitive Function
时间窗: baseline, 12 and 24 months
Changes in Cambridge Neuropsychological Test Automated Battery (CANTAB)
Boston Naming Test- Measurement to Assess Verbal Fluency and Learning
时间窗: baseline, 12 and 24 months
Changes in the Boston Naming Test
Digit Span Forward & Backward test- Measurements to Assess General Cognitive Function
时间窗: baseline, 12 and 24 months
Changes in the Digit Span Forward \& Backward test
WAIS-R Digit Symbol- Measurements to Assess General Cognitive Function
时间窗: baseline, 12 and 24 months
Changes in the WAIS-R Digit Symbol Substitution Test
ADASCog-Measurements to Assess Daily Functionality
时间窗: baseline, 12 and 24 months
Changes in Alzheimer's Disease Assessment Scale-Cognitive (ADASCog)
Auditory Verbal Learning Test- Measurement to Assess Verbal Fluency and Learning
时间窗: baseline, 12 and 24 months
Changes in the Auditory Verbal Learning Test
Functional Rating Scale for Dementia-Measurements to Assess Daily Functionality
时间窗: baseline, 12 and 24 months
Changes in Functional Rating Scale for Dementia (FRSSD)
次要结局
- Electroencephalography recording(baseline, 12 and 24 months)
- CSF - beta amyloid(baseline and 24 months)
- NeuroImaging(baseline and 24 months)
- CSF TAU-protein(baseline and 24 months)
- Neurophysiology and ERPs(baseline, 12 and 24 months)
