Randomized, Double Blind, Placebo Controlled Prospective Study, to Evaluate the Effect of Aloe Vera and Crocus in Patiens With Mild Cognitive Impairment
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Neuropsychological Assessment- Measurements to Assess General Cognitive Function.
研究概览
简要总结
There is accumulating evidence suggesting that Aloe vera and Crocus (saffron) may have a positive impact on conditions involving cognitive deficits, such as Mild Cognitive Impairment (MCI) and AD. More specifically, aloe vera gel contains powerful antioxidants, which belong to a large family of substances known as polyphenols. Aloe has also been proven to possess cholinergic and cognitive enhancing capabilities. Crocus is deeper studied 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 combination of Aloe Vera and Crocus . The aim of the study is to evaluate the beneficial effect of Aloe Vera and Crocus (saffron) in comparison with Aloe (simple)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 Aloe Vera and Crocus as a disease course modifying treatment for MCI in a phase III double-blind placebo-controlled study.
To investigate the effects in objective measurements in patients with MCI.
STUDY DESIGN This is a Greek, randomised, double-blind, placebo-controlled study group of compared Aloe Vera and Crocus with placebo. Qualifying patients will be randomly assigned to receive 45 mL of Aloe Vera and Crocus or placebo (ALOE) or mediterranean dietary protocol on a daily basis for 24 months. Patients undergo assessments at baseline,12 and 24 months +/- 7 days after beginning of the 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
- Single (Participant)
盲法说明
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
- •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
- •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
Neuropsychological Assessment- Measurements to Assess General Cognitive Function.
时间窗: baseline, 12 and 24 months
Changes in Mini-Mental State Examination (MMSE) score
FUCAS-Measurements to Assess Daily Functionality
时间窗: baseline, 12 and 24 months
Changes in Functional cognitive assessment scale (FUCAS) score score scale:0-42,cut offs:\<42
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)
MoCA- Measurements to Assess General Cognitive Function
时间窗: baseline, 12 and 24 months
Changes in Montreal Cognitive Assessment (MoCA)
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)
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)
Clock Drawing test- Measurements to Assess General Cognitive Function
时间窗: baseline, 12 and 24 months
Changes in the Clock Drawing test
Logical Memory test- Measurements to Assess General Cognitive Function
时间窗: baseline, 12 and 24 months
Changes in the Logical Memory 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
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
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
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
次要结局
- CSF TAU-protein(baseline, 12 and 24 months)
- CSF - beta amyloid(baseline, 12 and 24 months)
- Electroencephalography recording(baseline, 12 and 24 months)
- NeuroImaging(baseline, 12 and 24 months)
研究者
Magda Tsolaki
MD, PhD, Professor, President of Greek Alzheimer's Association and Related Disorders
Aristotle University Of Thessaloniki
