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D000544: Alzheimer Disease

Developed by Shray Alag, The Harker School
Sections: Correlations, Clinical Trials, and HPO

Correlations computed by analyzing all clinical trials.

Navigate: Clinical Trials and HPO


Correlated Drug Terms (27)


Name (Synonyms) Correlation
drug472 BIIB133 (Dapirolizumab pegol) Wiki 0.35
drug475 BIO101 Wiki 0.35
drug489 BMS-986337 Wiki 0.35
Name (Synonyms) Correlation
drug2211 Lumbar Puncture Wiki 0.35
drug32 18F-Florbetaben Wiki 0.35
drug479 BLD-2660 Wiki 0.35
drug25 11C-ER176 Wiki 0.35
drug3911 Technology based social interactions Wiki 0.35
drug487 BMS-986322 Wiki 0.35
drug113 ALZT-OP1 (cromolyn and ibuprofen) ALZT-OP1a (cromolyn) and ALZT-OP1b (ibuprofen) Wiki 0.35
drug433 BAN2401 Wiki 0.35
drug2588 No research related technology based social interactions Wiki 0.35
drug34 18F-MK-6240 Wiki 0.35
drug471 BIIB107 Wiki 0.35
drug4486 famotidine Wiki 0.35
drug2138 Lifestyle medicine Wiki 0.35
drug3804 Sumifilam (PTI-125), 100 mg tablet Wiki 0.35
drug488 BMS-986322 Placebo Wiki 0.35
drug1594 GENUS device (Sham Settings) Wiki 0.35
drug2378 Milk of magnesia Wiki 0.35
drug483 BMS program Wiki 0.35
drug1593 GENUS device (Active Settings) Wiki 0.35
drug485 BMS-986256 Wiki 0.35
drug490 BMS-986337 Placebo Wiki 0.35
drug4066 Transcranial direct current stimulation (tDCS) Soterix Medical Inc. tDCS unit Wiki 0.25
drug1508 Famotidine Wiki 0.18
drug2916 Placebo Wiki 0.05

Correlated MeSH Terms (2)


Name (Synonyms) Correlation
D008569 Memory Disorders NIH 0.35
D060825 Cognitive Dysfunction NIH 0.18

Correlated HPO Terms (3)


Name (Synonyms) Correlation
HP:0002511 Alzheimer disease HPO 1.00
HP:0002354 Memory impairment HPO 0.35
HP:0001268 Mental deterioration HPO 0.18

Clinical Trials

Navigate: Correlations   HPO

There are 8 clinical trials


1 Promoting Adaptive Neuroplasticity in Mild Cognitive Impairment

The aging US population threatens to overwhelm our healthcare infrastructure, especially since the rate of Alzheimer's disease (AD) alone is expected to triple in the coming decades. Memory cause functional impairment, reduced quality of life, increased caregiver burnout, and eventual institutionalization. The diagnosis of mild cognitive impairment (MCI) identifies those with memory deficits but who remain relatively independent in everyday life. MCI provides a window for interventions that target memory functioning. The proposed study focuses specifically on a groundbreaking combination of mnemonic rehabilitation and non-invasive brain stimulation. The main idea is that brain stimulation can enhance functioning in the specific brain regions/networks, thereby increasing the patients' ability to benefit from different types of memory rehabilitation. This will be a randomized, double-blind study (active vs. fake brain stimulation), that provides multiple treatment session. Outcome will be examined using both laboratory-based and real-world memory testing as well as brain imaging. This first-of-its-kind study has the potential to meaningfully translate more "basic" science findings into neuroanatomically targeted and functionally meaningful treatments for our aging population.

NCT02155946
Conditions
  1. Mild Cognitive Impairment
  2. Alzheimer's Disease
Interventions
  1. Device: Transcranial direct current stimulation (tDCS) Soterix Medical Inc. tDCS unit
  2. Device: Transcranial direct current stimulation (tDCS) Soterix Medical Inc. tDCS unit
MeSH:Alzheimer Disease Cognitive Dysfunction
HPO:Alzheimer disease Cognitive impairment Mental deterioration

Primary Outcomes

Description: Changes in task related and resting state BOLD activation.

Measure: Functional MRI

Time: 3 months

Description: Performance measured using percent correct

Measure: Face-name memory test performance

Time: change from baseline

Description: Performance measured using deviation from target position

Measure: Object Location Association memory test performance

Time: change from baseline

Description: Changes in task related and resting state BOLD activation.

Measure: fMRI

Time: change from baseline to 3 months

Description: Performance measured using percent correct

Measure: Face-name memory test performance

Time: change from baseline to 3 months

Description: Performance measured using deviation from target position

Measure: Object Location Association memory test performance

Time: change from baseline to 3 months

Secondary Outcomes

Description: Performance on prose (medical instructions) and spatial (navigation) memory tasks

Measure: Objective memory test performance

Time: 3 months

Description: Changes on the Multifactorial Memory Questionnaire

Measure: Subjective memory test performance on the MMQ

Time: 3 months

Description: Performance on prose (medical instructions) and spatial (navigation) memory tasks

Measure: Objective memory test performance

Time: change from baseline to 3 months

Description: Changes on the Multifactorial Memory Questionnaire

Measure: Subjective memory test performance on the MMQ

Time: change from baseline to 3 months

Other Outcomes

Description: Planned analyses to examine patient specific characteristics that affect treatment efficacy and would be vital for clinical translation at the individual patient level. These include: Neuropsychological test scores, brain volumes/cortical thickness, and other possible MRI factors.

Measure: Planned (tertiary) analyses of patient-specific characteristics that affect treatment outcome

Time: post treatment (within ~ 96 hours) & 3 months
2 A Placebo-Controlled, Double-Blind, Parallel-Group, 18-Month Study With an Open-Label Extension Phase to Confirm Safety and Efficacy of BAN2401 in Subjects With Early Alzheimer's Disease

This study will be conducted to evaluate the efficacy of BAN2401 in participants with early Alzheimer's disease (EAD) by determining the superiority of BAN2401 compared with placebo on the change from baseline in the Clinical Dementia Rating-Sum of Boxes (CDR-SB) at 18 months of treatment in the Core Study. This study will also evaluate the long-term safety and tolerability of BAN2401 in participants with EAD in the Extension Phase and whether the long-term effects of BAN2401 as measured by the CDR-SB at the end of the Core Study is maintained over time in the Extension Phase.

NCT03887455
Conditions
  1. Early Alzheimer's Disease
Interventions
  1. Drug: BAN2401
  2. Drug: Placebo
MeSH:Alzheimer Disease
HPO:Alzheimer disease

Primary Outcomes

Measure: Core Study: Change from Baseline in the CDR-SB at 18 Months

Time: Baseline, 18 months

Description: Here MRI means magnetic resonance imaging, ECG means electrocardiogram, and ADAs means antidrug antibodies.

Measure: Extension Phase: Number of Participants With Adverse Events (AEs), Clinically Significant Change From Baseline in Vital Signs Values, Abnormal MRI and ECG Values, Clinically Significant Findings in Laboratory Values, Positive ADAs, and any Suicidality

Time: Month 18 up to Month 45

Measure: Extension Phase: Change from Core Study Baseline in CDR-SB

Time: Baseline up to Month 45

Secondary Outcomes

Measure: Core Study: Change from Baseline in the Amyloid Positron Emission Tomography (PET) Standardized Uptake Value Ratio (SUVR) Composite at 18 Months

Time: Baseline, 18 months

Measure: Core Study: Change from Baseline in Alzheimer's Disease Composite Score (ADCOMS) at 18 Months

Time: Baseline, 18 months

Measure: Core Study: Change from Baseline in Alzheimer Disease Assessment Scale - Cognitive Subscale 14 (ADAS-cog14) at 18 Months

Time: Baseline, 18 months
3 Chronic Treatment of Alzheimer's Disease With Gamma Frequency Stimulation

In this trial, the safety and effect of daily exposure to light and sound stimulation on people with mild Alzheimer's Disease (AD) will be studied. COVID-19 Amendment: Due to the ongoing suspension of all in-person humans subject research across MIT in response to the COVID-19 pandemic, all enrolled participants who have not completed their 6-month visit will have their visit postponed to 9 months with a follow up at 18 months. Subjects who have completed their 6-month visit will still be instructed to continue and return at Month 12 for an evaluation. OPTIONAL: If the subject would like to come in for an evaluation between Month 9 and 18, we will invite participants to come on Month 12 to complete cognitive testing and EEG.

NCT04055376
Conditions
  1. Alzheimer Disease
  2. Alzheimer Dementia
Interventions
  1. Device: GENUS device (Active Settings)
  2. Device: GENUS device (Sham Settings)
MeSH:Alzheimer Disease
HPO:Alzheimer disease

Primary Outcomes

Description: Feasibility of daily at-home light and sound stimulation will be assessed by keeping track of the amount of time the GENUS device is used per day. The device will automatically log the start and end times of the device usage. The log data will be collected and assessed at the interim analysis time points (Month 1, Month 3) and later time points (Month 6 or 9 and Month 12 or 18).

Measure: Feasibility of at-home light and sound stimulation: amount of time of device usage per day

Time: Over 6 or 9 months (or over 12 or 18 months for subjects who choose to continue the daily device usage for 6 or 9 additional months)

Description: Safety of daily at-home light and sound stimulation will be assessed by using a daily questionnaire that asks for any adverse effects of the stimulation. The daily questionnaires will be collected and assessed at the interim analysis time point (Month 1) and later time points (Month 6 or 9 and Month 12 or 18).

Measure: Safety of daily at-home light and sound stimulation: questionnaire

Time: Over 6 or 9 months (or over 12 or 18 months for subjects who choose to continue the daily device usage for 6 or 9 additional months)

Other Outcomes

Description: The Alzheimer's Disease Assessment Scale - Cognitive subscale (ADAS-cog) is a 11-item neuropsychological test that assesses the severity of cognitive impairment. The items determine the patient's orientation, memory, language, and praxis. Total score of the 11 items ranges from 0 to 70 (lower score indicates lower cognitive impairment).

Measure: Change in Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-cog) score

Time: Baseline, Month 1, Month 3, Month 6 , and either Month 7 or Month 12 and Month 13. COVID-19 Amendment:Baseline, Month 1, Month 3, Month 9, and either Month 10 or Month 18 and Month 19.

Description: The Mini Mental State Examination (MMSE) is an 11-item test that assesses the cognitive aspects of mental function. The items assess orientation, memory, attention, language, and visual construction. Total score of the 11 items ranges from 0 to 30 (lower score indicates greater cognitive impairment).

Measure: Change in Mini Mental State Examination (MMSE) score

Time: Baseline, Month 1, Month 3, Month 6, and either Month 7 or Month 12 and Month 13. COVID-19 Amendment:Baseline, Month 1, Month 3, Month 9, and either Month 10 or Month 18 and Month 19.

Description: Montreal Cognitive Assessment (MoCA) Test is a 30-question test that assesses the cognitive aspects of mental function. The questions assess visuospatial/executive function, naming, memory, attention, language, abstraction, delayed recall, and orientation. Total score ranges from 0 to 30 (lower score indicates greater cognitive impairment).

Measure: Change in Montreal Cognitive Assessment (MoCA) Test score

Time: Baseline, Month 1, Month 3, Month 6, and either Month 7 or Month 12 and Month 13. COVID-19 Amendment:Baseline, Month 1, Month 3, Month 9, and either Month 10 or Month 18 and Month 19.

Description: The National Alzheimer's Coordinating Center Uniform Data Set Neuropsychological Battery (UDS V3) assesses cognitive performance in dementia and mild cognitive impairment due to Alzheimer's Disease. The battery includes Craft Story 21 Recall (immediate and delayed), Benson Complex Figure Copy (immediate and delayed), Number Span Tests, Category Fluency, Trail Making Test A/B, Multilingual Naming Test (MINT), and the Verbal Fluency: Phonemic Test.

Measure: Change in National Alzheimer's Coordinating Center Uniform Data Set Neuropsychological Battery (UDS V3) score

Time: Baseline and Month 6 (and Month 12 for subjects who choose to continue the daily device usage for 6 additional months). COVID-19 Amendment:Baseline and Month 9 (and Month 18 for subjects who continue the daily device usage for 9 additional months.

Description: The Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) evaluates cognitive function and is scored in 6 domains of functioning: memory, orientation, judgment and problem solving, community affairs, home and hobbies, and personal care. Each domain is rated on a 5-point scale of functioning as follows: 0, no impairment; 0.5, questionable impairment; 1, mild impairment; 2, moderate impairment; and 3, severe impairment (personal care is scored on a 4-point scale without a 0.5 rating available). The total score of the CDR-SB is obtained by summing each of the domain box scores, with scores ranging from 0 to 18 (higher score indicates greater cognitive impairment).

Measure: Change in Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB)

Time: Baseline, Month 1, Month 3, Month 6, and either Month 7 or Month 12 and Month 13. COVID-19 Amendment:Baseline, Month 1, Month 3, Month 9, and either Month 10 or Month 18 and Month 19.

Description: The National Alzheimer's Coordinating Center Functional Assessment Scale (FAS) is a 10-item questionnaire that assesses whether subjects had a difficulty or needed help with activities of daily living in the past 4 weeks at the time of assessment.

Measure: Change in Functional Assessment Scale (FAS)

Time: Baseline and Month 6 (and Month 12 for subjects who choose to continue the daily device usage for 6 additional months). COVID-19 Amendment:Baseline and Month 9 (and Month 18 for subjects who continue the daily device usage for 9 additional months.

Description: The Geriatric Depression Scale (GDS): Short Form is a brief, 15-item questionnaire in which participants are asked to respond by answering "yes" or "no" in reference to how they felt over the past week. For each item, the answer indicating depression is given one point. Total score of the 15 items ranges from 0 to 15, with scores 0 - 4 considered normal, depending on age, education, and complaints; 5-8 indicating mild depression; 9-11 indicating moderate depression; and 12-15 indicating severe depression.

Measure: Change in Geriatric Depression Scale (GDS)

Time: Baseline and Month 6 (and Month 12 for subjects who choose to continue the daily device usage for 6 additional months). COVID-19 Amendment:Baseline and Month 9 (and Month 18 for subjects who continue the daily device usage for 9 additional months.

Description: The Neuropsychiatric Inventory Questionnaire (NPI-Q) is a 12-item structured interview with a caregiver to assess behavioral disturbances. Each item consists of a screening question and sub-questions that are rated "no" (not present) or "yes" (present). Each item is then rated for severity on a 3-point scale including 1 (mild), 2 (Moderate) and 3 (Severe).

Measure: Change in Neuropsychiatric Inventory Questionnaire (NPI-Q)

Time: Baseline and Month 6 (and Month 12 for subjects who choose to continue the daily device usage for 6 additional months). COVID-19 Amendment:Baseline and Month 9 (and Month 18 for subjects who continue the daily device usage for 9 additional months.

Description: Change in blood biomarkers for Alzheimer's Disease, as assessed by measuring levels of amyloid, tau, and neurofilament light chain in the subject's blood sample.

Measure: Change in blood biomarkers for Alzheimer's Disease

Time: Baseline and Month 6. COVID-19 Amendment: Baseline and Month 9.

Description: Change in gene expression in peripheral white blood cells, as assessed by profiling the transcriptome of peripheral white blood cells via ribonucleic acid (RNA) sequencing. The peripheral white blood cells will be isolated and collected from the subject's blood sample.

Measure: Change in gene expression in peripheral white blood cells: ribonucleic acid (RNA) sequencing

Time: Baseline and Month 6. COVID-19 Amendment: Baseline and Month 9.

Description: Change in brain waves in the Delta, Theta, Alpha, Beta, and Gamma frequency bands, as assessed by analyzing the electroencephalography (EEG) signals recorded from the subject.

Measure: Change in electroencephalography (EEG) signals

Time: Baseline, Month 3, Month 6, and either Month 7 or Month 12 and Month 13. COVID-19 Amendment: Baseline, Month 3, Month 9, and either Month 10 or Month 18 and Month 19.

Description: Change in functional connectivity and structure of the brain, as assessed by analyzing the functional Magnetic Resonance Imaging (fMRI) signals recorded from the subject.

Measure: Change in functional Magnetic Resonance Imaging (fMRI) signals

Time: Baseline, Month 3, and Month 6 (and Month 12 for subjects who choose to continue the daily device usage for 6 additional months). COVID-19 Amendment:Baseline, Month 3, Month 9 (and Month 18 for subjects who continue the daily device usage for 9 months).

Description: Total sleep time, as assessed by analyzing the sleep data reported by an Actigraph activity monitor. The activity monitor will be attached to a wristband and worn by the subject through the study completion. The data from the activity monitor will be collected and assessed at the interim analysis time point (Month 1, Month 3) and later time points (Month 6 and either Month 7 or Month 12 and Month 13). COVID Amendment: Data will be collected once every 3-4 months via mail past Month 3 visit.

Measure: Total sleep time: Actigraph activity monitor

Time: Over 7 months (or over 13 months for subjects continuing the daily device usage for 6 additional months). COVID-19 Amendment: Over 10 months (or over 19 months for subjects continuing the daily device usage for 9 additional months)

Description: Sleep efficiency, as assessed by analyzing the sleep data reported by an Actigraph activity monitor. The activity monitor will be attached to a wristband and worn by the subject through the study completion. The data from the activity monitor will be collected and assessed at the interim analysis time points (Month 1, Month 3) and later time points (Month 6 and either Month 7 or Month 12 and Month 13). COVID Amendment: Data will be collected once every 3-4 months via mail past Month 3 visit.

Measure: Sleep efficiency: Actigraph activity monitor

Time: Over 7 months (or over 13 months for subjects continuing the daily device usage for 6 additional months). COVID-19 Amendment: Over 10 months (or over 19 months for subjects continuing the daily device usage for 9 additional months)

Description: Physical activity level, as assessed by analyzing the activity level data reported by an Actigraph activity monitor. The activity monitor will be attached to a wristband and worn by the subject through the study completion. The data from the activity monitor will be collected and assessed at the interim analysis time point (Month 1, Month 3) and later time points (Month 6 and either Month 7 or Month 12 and Month 13). COVID Amendment: Data will be collected once every 3-4 months via mail past Month 3 visit.

Measure: Physical activity level: Actigraph activity monitor

Time: Over 7 months (or over 13 months for subjects continuing the daily device usage for 6 additional months). COVID-19 Amendment: Over 10 months (or over 19 months for subjects continuing the daily device usage for 9 additional months)
4 A 12-Month, Open-Label Safety Study of PTI-125 in Mild-to-moderate Alzheimer's Disease Patients

An Open-label study for patients who completed the previous studies, PTI-125-02 or PTI-125-03. Additional new patients will be included for a total of 100 patients enrolled for this study.

NCT04388254
Conditions
  1. Alzheimer Disease
Interventions
  1. Drug: Sumifilam (PTI-125), 100 mg tablet
MeSH:Alzheimer Disease
HPO:Alzheimer disease

Primary Outcomes

Description: Safety and tolerability of Sumifilam (PTI-125)

Measure: Safety and Tolerability

Time: Day 1 to Month 12

Description: Biomarkers of AD pathology, neurodegeneration and neuroinflammation

Measure: Cerebrospinal fluid P-tau, neurofilament light chain, neurogranin, Total Tau, YKL-40, Abeta42 (pg/mL)

Time: Screening to Month 12

Description: Assess cognitive symptoms of dementia

Measure: Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog-11)

Time: Day 1 to Month 12

Description: Assess behavioral symptoms

Measure: Neuropsychiatric Index (NPI)

Time: Day 1 to Month 12
5 Impact of Frequent Social Interaction Through Communication Technologies in the Cognitive Status of Socially-isolated Older Adults With and Without Cognitive Impairment

The current study will examine the impact of frequent social interaction through communication technologies during COVID-19 pandemic in the cognitive status of socially-isolated older adults with and without cognitive impairment. Patients will take place in an experimental crossover study, participants will complete one month of an intervention and one month of as passive control. The goal of this study is to determine: A.) if frequent social interaction through ICT during COVID-19 pandemic will have a significant positive impact in cognitive performance on testing, and B.) how social isolation and cognitive status influence misconceptions around the current pandemic.

NCT04480112
Conditions
  1. Memory Disorders
  2. Alzheimer Disease
  3. Mild Cognitive Impairment
Interventions
  1. Behavioral: Technology based social interactions
  2. Other: No research related technology based social interactions
MeSH:Alzheimer Disease Memory Disorders Cognitive Dysfunction
HPO:Alzheimer disease Cognitive impairment Memory impairment Mental deterioration

Primary Outcomes

Description: The Oral Trail Making Test B (TMT-B) will be used to assess memory performance. It is a neuropsychological measure that provides an assessment of sequential set-shifting. Participants are asked to count from 1 to 25 switching between number and letter, eg 1-A-2-B-3-C, until stopped.

Measure: Change in memory performance

Time: Baseline,1 month

Description: Repeatable Battery for the Assessment of Neuropsychological Status (R-BANS) will be administered to assess cognitive decline or improvement. The 12 items on the RBANS assess five cognitive domains: immediate memory, visuospatial/constructional abilities, language, attention, and delayed memory. Scores can range from 0-160 and are interpreted as: 130 and above- very superior; 120-129 - superior; 110-119- high average; 90-109- average; 80-89- low average; 70-79- borderline; 60 and below extremely low.

Measure: Change in cognition

Time: Baseline, 1 month

Description: Phonemic fluency will be assessed by asking participants to produce orally as many words as possible beginning with a specific letter or for a specific category (eg animals, fruits, etc). The test consists of three trials, of 1 min each. The higher the number of words provided, the greater the verbal fluency.

Measure: Change in phonemic fluency

Time: Baseline, 1 month

Secondary Outcomes

Description: The 6-item version of the Lubben Social Network scale (LSNS-6) will be used to assess social isolation. For each of the 6 questions the participant rates from 0 to 5 their perceived social engagement where 0=less social engagement and 5= more social engagement. The summed total score ranges between 0 and 30. Lower total scores indicate more social isolation.

Measure: Social isolation

Time: 1 month

Description: Loneliness will be assessed using the UCLA loneliness scale. Participants rate each item as either O ("I often feel this way"= 3),S ("I sometimes feel this way"=2), R ("I rarely feel this way"=1), N ("I never feel this way"=0). A total score is computed by adding up the response to each question and can range from 0 to 60. The average loneliness score on the measure is 20. A score of 25 or higher reflects a high level of loneliness. A score of 30 or higher reflects a very high level of loneliness.

Measure: Loneliness

Time: 1 month

Description: The Geriatric Depression Scale (GDS) will be used to assess depression. It consists of 15 questions- 10 indicate the presence of depression when answered positively, while the rest (question numbers 1, 5, 7, 11, 13) indicate depression when answered negatively. Scores of 0-4 are considered normal, depending on age, education, and complaints; 5-8 indicate mild depression; 9-11 indicate moderate depression; and 12-15 indicate severe depression.

Measure: Depressive symptoms

Time: 1 month

Description: An investigator developed questionnaire based on survey results published by Geldsetzer P in Annals of Internal Medicine, 3-2020 will be used to assess Covid-19 misinformation.

Measure: Misinformation about Covid-19

Time: 1 month
6 A Phase I/II Randomized, Open-Labeled Study to Evaluate Pharmacokinetic and Pharmacodynamic Effects and Safety of ALZT-OP1 in Subjects With Alzheimer's Disease and Normal Healthy Volunteers

This is a randomized, open-label, cross-over, pharmacokinetic and pharmacodynamic PK/PD study. (Part A)The PK portion of the study is designed to evaluate the pharmacokinetics of ALZT-OP1 (a combination drug therapy) designated as ALZT-OP1a and ALZT-OP1b, in both plasma and CSF, following co-administration of the two active investigational products, in healthy volunteers and Alzheimer subjects aged 55-79 and in good health. (Part B) The PD portion of the study will evaluate the pharmacodynamics of ALZT- OP1, using both plasma and CSF biomarkers, following 60 days of consecutive daily treatment, in AD subjects only.

NCT04570644
Conditions
  1. Healthy Volunteers
  2. Alzheimer Disease
Interventions
  1. Drug: ALZT-OP1 (cromolyn and ibuprofen) ALZT-OP1a (cromolyn) and ALZT-OP1b (ibuprofen)
MeSH:Alzheimer Disease
HPO:Alzheimer disease

Primary Outcomes

Description: • PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF

Measure: Part A Non-compartmental PK parameters will be calculated and reported for ALZT-OP1a and ALZT-OP1b

Time: • 2 Days

Description: Evaluation AUC 0-∞ (area under the curve from 0 to infinity)

Measure: PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF AUC 0-∞

Time: 2 Days

Description: Evaluation AUC 0-t (area under the curve from 0 to t hours where t is the last measured concentration)

Measure: PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF AUC 0-t

Time: 2 Days

Description: Evaluation AUCPLASMA/AUCCSF (ratio at 60 min, 120 min, 240 min, 360 min and 480 min)

Measure: PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF AUCPLASMA/AUCCSF

Time: 2 Days

Description: Evaluation CL/F (apparent total body clearance)

Measure: PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF CL/F

Time: 2 Days

Description: Evaluation Cmax (maximum plasma and CSF concentration observed)

Measure: PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF Cmax

Time: 2 Days

Description: Evaluation t½ (half-life)

Measure: PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF t½ (half-life)

Time: 2 Days

Description: Evaluation tmax (sampling time at which Cmax occurred)

Measure: PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF tmax

Time: 2 Days

Description: Evaluation Vd/F (apparent volume of distribution)

Measure: PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF Vd/F

Time: 2 Days

Secondary Outcomes

Description: Evaluation Beta Amyloid (Αβ-42)

Measure: Biomarker Beta Amyloid (Αβ-42) Sample Analysis plasma and CSF Day 1 to 60 Days

Time: Day 1 to Day 60

Description: Evaluation Beta Amyloid (Αβ-40)

Measure: Biomarker Beta Amyloid (Αβ-40) Sample Analysis plasma and CSF Day 1 to 60 Days

Time: Day 1 to Day 60

Description: Evaluation Beta Amyloid (Αβ-38)

Measure: Biomarker Beta Amyloid (Αβ-38) Sample Analysis plasma and CSF Day 1 to 60 Days

Time: Day 1 to Day 60

Description: Evaluation Total Tau

Measure: Biomarker Total Tau Sample Analysis plasma and CSF Day 1 to 60 Days

Time: Day 1 to Day 60

Description: Evaluation Neurofilament light (Nf-L)

Measure: Biomarker Neurofilament light (Nf-L) Sample Analysis plasma and CSF Day 1 to 60 Days

Time: Day 1 to Day 60

Description: Evaluation Glial Fibrillary Acidic Protein (GFAP)

Measure: Biomarker Glial Fibrillary Acidic Protein (GFAP) Sample Analysis plasma and CSF Day 1 to 60 Days

Time: Day 1 to Day 60

Description: Evaluation P-Tau (Thr 231)

Measure: Biomarker P-Tau (Thr 231) Sample Analysis plasma and CSF Day 1 to 60 Days

Time: Day 1 to Day 60

Description: Evaluation Interferon-γ (IFN-γ)

Measure: Biomarker Interferon-γ (IFN-γ) Sample Analysis plasma and CSF Day 1 to 60 Days

Time: Day 1 to Day 60

Description: Evaluation Tumor Necrosis Factor-α (TNF-α)

Measure: Biomarker Tumor Necrosis Factor-α (TNF-α) Sample Analysis plasma and CSF Day 1 to 60 Days

Time: Day 1 to Day 60

Description: Evaluation Transforming Growth Factor-β1 (TGF-β1)

Measure: Biomarker Transforming Growth Factor-β1 (TGF-β1) Sample Analysis plasma and CSF Day 1 to 60 Days

Time: Day 1 to Day 60

Description: Evaluation CD33

Measure: Biomarker CD33 Sample Analysis plasma and CSF Day 1 to 60 Days

Time: Day 1 to Day 60

Description: Evaluation Triggering Receptor Expressed on Myeloid Cells-2 (TREM2)

Measure: Biomarker Triggering Receptor Expressed on Myeloid Cells-2 (TREM2) Sample Analysis plasma and CSF Day 1 to 60 Days

Time: Day 1 to Day 60

Description: Evaluation Neurogranin

Measure: Biomarker Neurogranin Sample Analysis plasma and CSF Day 1 to 60 Days

Time: Day 1 to Day 60

Other Outcomes

Description: Safety will be evaluated based on the number, type, and frequency of treatment emergent adverse events. They will be individually presented for all subjects in data listings, and summarized in tables by treatment group and by treatment assignment. The AEs will be summarized and reported collectively based on information obtained through physical examination, ECG, and laboratory findings captured after dosing was initiated.

Measure: Number of Treatment Emergent Adverse Events (TEAE)

Time: 2 Days Part A and 60Days Part B
7 Longitudinal Imaging of Microglial Activation in Different Clinical Variants of Alzheimer's Disease

The purpose of this study is to determine how inflammation is related to other changes in the brain that occur during the progression of Alzheimer's disease. The investigators are also studying how inflammation is related to the symptoms that first occur in patients with Alzheimer's disease (AD). For this reason, the investigators are asking people with different versions of Alzheimer's disease to participate. This includes patients with either: - Posterior cortical atrophy - a version of Alzheimer's disease with vision difficulties - Logopenic variant primary progressive aphasia - a version of Alzheimer's disease with language difficulties - Amnestic Alzheimer's disease - a "typical" version of Alzheimer's disease with memory difficulties - The investigators are also enrolling older adults with normal visual, language, and memory function.

NCT04576793
Conditions
  1. Alzheimer Disease
Interventions
  1. Drug: 11C-ER176
  2. Drug: 18F-MK-6240
  3. Drug: 18F-Florbetaben
  4. Procedure: Lumbar Puncture
MeSH:Alzheimer Disease
HPO:Alzheimer disease

Primary Outcomes

Description: The standardize uptake value ratio is the concentration of radioactivity measured from the 11C-ER176 PET scan in the cortex compared to the uptake in the cerebellum (pseudo-reference region).

Measure: 11C-ER176 Standardized Uptake Value Ratio

Time: Up to 24 months

Description: The standardize uptake value ratio is the concentration of radioactivity measured from the 18F-MK6240 PET scan in the cortex compared to the uptake in the cerebellum (pseudo-reference region).

Measure: 18F-MK6240 Standardized Uptake Value Ratio

Time: Up to 24 months
8 Lifestyle Intervention for Early Alzheimer's Disease

The objective of this study is to determine if comprehensive lifestyle changes may slow, stop, or reverse the progression of early-stage Alzheimer's disease.

NCT04606420
Conditions
  1. Alzheimer Disease
Interventions
  1. Behavioral: Lifestyle medicine
MeSH:Alzheimer Disease
HPO:Alzheimer disease

Primary Outcomes

Description: The ADAS-Cog test is one of the most frequently used tests to measure cognition in clinical trials. Patients obtain scores of 0 to 70; higher scores indicate poorer performance.

Measure: Change from Baseline in Alzheimer Disease Assessment Scale cognitive section (ADAS-Cog) score

Time: At baseline and also after 20 weeks, 40 weeks, and 2 years

Description: The CGIC test is often used in clinical trials of cognition. CGIC scores range from 1 (very much improved) through to 7 (very much worse).

Measure: Change from Baseline in Clinical Global Impression of Change (CGIC) score

Time: At baseline and also after 20 weeks, 40 weeks, and 2 years

Description: The CDR-SOB is a commonly used dementia staging instrument. The CDR-SOB score is obtained by summing each of the domain box scores, with scores ranging from 0 to 18 (lower is better).

Measure: Change from Baseline in Clinical Dementia Rating Scale Sum of Boxes (CDR-SOB) score

Time: At baseline and also after 20 weeks, 40 weeks, and 2 years

Secondary Outcomes

Description: This test measures the type and relative preponderance of gut organisms at Rob Knight's lab at UCSD. To assess whether this intervention is associated with a systematic signal in the gut microbiome, he will use 16S rRNA amplicon sequencing, metagenomic sequencing, and untargeted mass spectrometry to analyze stool samples of these study participants. This will provide the relative proportion of organisms in the microbiome of these patients at each time interval.

Measure: Changes from baseline in the microbiome

Time: At baseline and also after 20 weeks, 40 weeks, and 2 years

Description: The leukocyte telomere length assay from PBMCs will be performed in the laboratory of Dr. Elizabeth Blackburn at UCSF using the quantitative polymerase chain reaction method to measure telomere length relative to standard reference DNA, expressed as telomere to single-copy gene ratio (T/S).

Measure: Changes from baseline in telomere length

Time: At baseline and also after 20 weeks, 40 weeks, and 2 years

Description: These are measures of inflammation (C-reactive protein in mg/L), lipids (total cholesterol, LDL-cholesterol, triglycerides in mg/dl), blood pressure (mm Hg), and weight (pounds).

Measure: Changes from baseline in biomarkers

Time: At baseline and also after 20 weeks, 40 weeks, and 2 years

HPO Nodes


Reports

Data processed on September 26, 2020.

An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

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4,180 reports on interventions/drugs

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691 reports on MeSH terms

HPO

263 reports on HPO terms

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Alphabetical index of all Terms

Google Colab

Python example via Google Colab Notebook