A Study of the Safety and Tolerability of AZD5213 Effect on Sleep for Patients With Alzheimer's/Cognitive Impairment

Sponsor
AstraZeneca (Industry)
Overall Status
Completed
CT.gov ID
NCT01548287
Collaborator
(none)
164
13
4
9
12.6
1.4

Study Details

Study Description

Brief Summary

This is a study where AZD5213 or placebo is given to patients with Mild Alzheimer's Disease or Mild Cognitive Impairment in a blinded and random assignment. The main study objective is to estimate the relationship of sleep duration versus dose after 4 weeks of treatment.

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

A Phase IIa Safety and Tolerability Study to Investigate the Effect on Sleep of 3 Doses of AZD5213 and Placebo in Patients with Mild Alzheimer's Disease and Mild Cognitive Impairment During 4 Weeks of Treatment, Designed as a Randomized, Double-Blind, Multi-Center, Parallel Group, Placebo-Controlled Study

Study Design

Study Type:
Interventional
Actual Enrollment :
164 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase IIa Safety and Tolerability Study to Investigate the Effect on Sleep of 3 Doses of AZD5213 and Placebo in Patients With Mild Alzheimer's Disease and Mild Cognitive Impairment During 4 Weeks of Treatment, Placebo-Controlled
Study Start Date :
Apr 1, 2012
Actual Primary Completion Date :
Jan 1, 2013
Actual Study Completion Date :
Jan 1, 2013

Arms and Interventions

Arm Intervention/Treatment
Experimental: AZD5213 doseA

AZD5213 doseA daily

Drug: AZD5213
AZD5213 doseA daily

Experimental: AZD5213 doseB

AZD 5213 doseB daily

Drug: AZD5213
AZD5213 doseB daily

Experimental: AZD5213 doseC

AZD5213 doseC daily

Drug: AZD5213
AZD5213 doseC daily

Placebo Comparator: Placebo

Placebo daily

Other: Placebo
Placebo tablet daily

Outcome Measures

Primary Outcome Measures

  1. Change From Baseline in Total Sleep Time (TST) After 4 Weeks of Treatment, Based on PSG Measurement. [Baseline and Week 4.]

    Total sleep time (TST) is defined as the total time in minutes, that subjects were determined to be in a sleep state by polysomnography (PSG) measurement.

Secondary Outcome Measures

  1. Change From Baseline in Sleep Efficiency After 4 Weeks of Treatment, Based on PSG Measurements. [Baseline and Week 4.]

  2. Change From Baseline in Latency to Persistent Sleep After 4 Weeks of Treatment, Based on PSG Measurements. [Baseline and Week 4.]

  3. Change From Baseline in Night Total Sleep Time After 4 Weeks of Treatment, Based on Actigraphy Recording. [Baseline and Week 4.]

    Change from baseline in night total sleep time after 4 weeks of treatment: assessed if valid baseline and week 4 actigraphy data

  4. Change From Baseline in Latency of Persistent Sleep After 4 Weeks of Treatment, Based on Actigraphy Recording. [Baseline and Week 4.]

    Change from baseline in latency of persistent sleep after 4 weeks of treatment, based on participants with valid baseline and week 4 actigraphy data

  5. Change From Baseline in Sleep Efficiency After 4 Weeks of Treatment, Based on Actigraphy Recording. [Baseline and Week 4.]

    Change from baseline in sleep efficiency after 4 weeks of treatment, based on participants with valid baseline and week 4 actigraphy data

Eligibility Criteria

Criteria

Ages Eligible for Study:
50 Years to 85 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Patient and study partner to sign informed consent before initiation of any study-related procedures.

  • Clinical diagnosis of Alzheimers (AD) or mild cognitive impairment (MCI) disease.

  • Single caregiver for at least 6 months prior to Screening, capable of accompanying the patient on clinic visits as needed. The caregiver must either be living with or visiting the patient at least 10 hours per week, split over multiple (at least 2) days, for the duration of the study.

  • Single study partner, for at least several months prior to Screening, capable of accompanying the patient on clinic visits as needed. The study partner must either be living with or visiting the patient at least 3 days per week for the duration of the study.

  • A body mass index (BMI=weight/height2) of 18 kg/m2 to 32 kg/m2.

Exclusion Criteria:
  • Significant neurological disease or dementia other than AD or MCI.

  • Current episode or symptoms of major depressive disorder or other major psychiatric disorder.

  • History of self-reported sleep duration of less than 4 hours per night or less than 4 hours average total sleep time per night during Baseline PSG assessment.

  • History or present symptoms of a sleeping disorder such as sleep apnea.

  • History of cancer in the last 5 years.

  • Use of anti-AD drugs (including off-label drugs and herbal medications) with the exception of donepezil, memantine, and/or rivastigmine transdermal system, as monotherapy or in combination in the following conditions: treatment with donepezil (5 mg to 10 mg daily), memantine, and/or rivastigmine transdermal system or combination regimens for at least 3 months and a stable dose(s) for the last 2 months prior to randomization is allowed.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Research Site Phoenix Arizona United States
2 Research Site Indio California United States
3 Research Site Lomita California United States
4 Research Site San Francisco California United States
5 Research Site Delray Beach Florida United States
6 Research Site Fort Myers Florida United States
7 Research Site Hallandale Beach Florida United States
8 Research Site Orlando Florida United States
9 Research Site Tampa Florida United States
10 Research Site Eatontown New Jersey United States
11 Research Site Brooklyn New York United States
12 Research Site New York New York United States
13 Research Site Salt Lake City Utah United States

Sponsors and Collaborators

  • AstraZeneca

Investigators

  • Study Director: Robert C. Alexander, MD, AstraZeneca Research & Development, Neuroscience iMed, 141 Portland Street, Cambridge, MA 02139
  • Study Director: Roza Hayduk, MD, Quintiles 10201 Wateridge Circle San Diego, CA

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
AstraZeneca
ClinicalTrials.gov Identifier:
NCT01548287
Other Study ID Numbers:
  • D3030C00005
First Posted:
Mar 8, 2012
Last Update Posted:
Feb 7, 2017
Last Verified:
Dec 1, 2016
Keywords provided by AstraZeneca
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail 164 subjects signed informed consent and 83 failed to qualify at the first screening visit for participation in the study.
Arm/Group Title AZD5213 Dose A AZD5213 Dose B AZD5213 Dose C Placebo Screening Only
Arm/Group Description AZD5213 AZD 0.5 mg daily AZD 5213 2.0 mg daily AZD5213 6.0 mg daily Placebo daily Screening period only, not randomized
Period Title: Screening
STARTED 19 22 20 20 83
COMPLETED 19 22 20 20 0
NOT COMPLETED 0 0 0 0 83
Period Title: Screening
STARTED 19 22 20 20 0
COMPLETED 19 20 13 20 0
NOT COMPLETED 0 2 7 0 0

Baseline Characteristics

Arm/Group Title AZD5213 Dose A AZD5213 Dose B AZD5213 Dose C Placebo Total
Arm/Group Description AZD5213 AZD 0.5 mg daily AZD 5213 2.0 mg daily AZD5213 6.0 mg daily Placebo daily Total of all reporting groups
Overall Participants 19 22 20 20 81
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
66.1
(8.02)
65.1
(8.04)
69.3
(10.32)
64.2
(7.62)
66.1
(8.62)
Gender (Count of Participants)
Female
12
63.2%
16
72.7%
13
65%
15
75%
56
69.1%
Male
7
36.8%
6
27.3%
7
35%
5
25%
25
30.9%
Mini-Mental State Examination (Scores on scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Scores on scale]
27.2
(1.38)
27.0
(2.01)
26.1
(1.62)
27.0
(1.88)
26.8
(1.77)
Alzheimers disease (AD)/Mild cognitive impairment (MCI) (Number) [Number]
AD
3
15.8%
6
27.3%
5
25%
5
25%
19
23.5%
MCI
16
84.2%
16
72.7%
15
75%
15
75%
62
76.5%
Concomitant donepezil administration (Number) [Number]
Yes
2
10.5%
1
4.5%
3
15%
3
15%
9
11.1%
No
17
89.5%
21
95.5%
17
85%
17
85%
72
88.9%

Outcome Measures

1. Primary Outcome
Title Change From Baseline in Total Sleep Time (TST) After 4 Weeks of Treatment, Based on PSG Measurement.
Description Total sleep time (TST) is defined as the total time in minutes, that subjects were determined to be in a sleep state by polysomnography (PSG) measurement.
Time Frame Baseline and Week 4.

Outcome Measure Data

Analysis Population Description
Primary analysis set
Arm/Group Title AZD5213 Dose A AZD5213 Dose B AZD5213 Dose C Placebo
Arm/Group Description AZD5213 AZD 0.5 mg daily AZD 5213 2.0 mg daily AZD5213 6.0 mg daily Placebo daily
Measure Participants 19 20 13 20
Least Squares Mean (90% Confidence Interval) [Minutes]
6.43
-12.53
-19.41
14.48
2. Secondary Outcome
Title Change From Baseline in Sleep Efficiency After 4 Weeks of Treatment, Based on PSG Measurements.
Description
Time Frame Baseline and Week 4.

Outcome Measure Data

Analysis Population Description
Primary analysis set
Arm/Group Title AZD5213 Dose A AZD5213 Dose B AZD5213 Dose C Placebo
Arm/Group Description AZD5213 AZD 0.5 mg daily AZD 5213 2.0 mg daily AZD5213 6.0 mg daily Placebo daily
Measure Participants 19 20 13 20
Least Squares Mean (90% Confidence Interval) [% change]
0.08
-1.51
-2.82
0.96
3. Secondary Outcome
Title Change From Baseline in Latency to Persistent Sleep After 4 Weeks of Treatment, Based on PSG Measurements.
Description
Time Frame Baseline and Week 4.

Outcome Measure Data

Analysis Population Description
Primary analysis set
Arm/Group Title AZD5213 Dose A AZD5213 Dose B AZD5213 Dose C Placebo
Arm/Group Description AZD5213 AZD 0.5 mg daily AZD 5213 2.0 mg daily AZD5213 6.0 mg daily Placebo daily
Measure Participants 19 20 13 20
Least Squares Mean (90% Confidence Interval) [Rank transformed duration (minutes)]
-2.23
14.48
-5.84
-5.68
4. Secondary Outcome
Title Change From Baseline in Night Total Sleep Time After 4 Weeks of Treatment, Based on Actigraphy Recording.
Description Change from baseline in night total sleep time after 4 weeks of treatment: assessed if valid baseline and week 4 actigraphy data
Time Frame Baseline and Week 4.

Outcome Measure Data

Analysis Population Description
Subset of Primary Analysis Set with valid actigraphy data
Arm/Group Title AZD5213 Dose A AZD5213 Dose B AZD5213 Dose C Placebo
Arm/Group Description AZD5213 AZD 0.5 mg daily AZD 5213 2.0 mg daily AZD5213 6.0 mg daily Placebo daily
Measure Participants 17 19 11 17
Least Squares Mean (90% Confidence Interval) [Minutes]
7.07
-12.42
-18.97
-7.51
5. Secondary Outcome
Title Change From Baseline in Latency of Persistent Sleep After 4 Weeks of Treatment, Based on Actigraphy Recording.
Description Change from baseline in latency of persistent sleep after 4 weeks of treatment, based on participants with valid baseline and week 4 actigraphy data
Time Frame Baseline and Week 4.

Outcome Measure Data

Analysis Population Description
Subset of Primary Analysis Set with valid actigraphy data
Arm/Group Title AZD5213 Dose A AZD5213 Dose B AZD5213 Dose C Placebo
Arm/Group Description AZD5213 AZD 0.5 mg daily AZD 5213 2.0 mg daily AZD5213 6.0 mg daily Placebo daily
Measure Participants 17 19 11 17
Least Squares Mean (90% Confidence Interval) [Minutes]
1.77
9.84
-6.85
2.70
6. Secondary Outcome
Title Change From Baseline in Sleep Efficiency After 4 Weeks of Treatment, Based on Actigraphy Recording.
Description Change from baseline in sleep efficiency after 4 weeks of treatment, based on participants with valid baseline and week 4 actigraphy data
Time Frame Baseline and Week 4.

Outcome Measure Data

Analysis Population Description
Subset of Primary Analysis Population with valid actigraphy data
Arm/Group Title AZD5213 Dose A AZD5213 Dose B AZD5213 Dose C Placebo
Arm/Group Description AZD5213 AZD 0.5 mg daily AZD 5213 2.0 mg daily AZD5213 6.0 mg daily Placebo daily
Measure Participants 17 19 11 17
Least Squares Mean (90% Confidence Interval) [% (efficiency=% of time asleep)]
-0.05
-3.20
-1.92
-1.83

Adverse Events

Time Frame From first dose of study drug through the follow-up (up to 38 days total)
Adverse Event Reporting Description
Arm/Group Title AZD5213 Dose A AZD5213 Dose B AZD5213 Dose C Placebo
Arm/Group Description AZD5213 AZD 0.5 mg daily AZD 5213 2.0 mg daily AZD5213 6.0 mg daily Placebo daily
All Cause Mortality
AZD5213 Dose A AZD5213 Dose B AZD5213 Dose C Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
AZD5213 Dose A AZD5213 Dose B AZD5213 Dose C Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/19 (0%) 0/22 (0%) 1/20 (5%) 0/20 (0%)
Nervous system disorders
Transient ischemic attack 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Other (Not Including Serious) Adverse Events
AZD5213 Dose A AZD5213 Dose B AZD5213 Dose C Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 6/19 (31.6%) 11/22 (50%) 13/20 (65%) 8/20 (40%)
Ear and labyrinth disorders
Ear pruritus 0/19 (0%) 0 1/22 (4.5%) 1 0/20 (0%) 0 0/20 (0%) 0
Hyperacusis 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Vertigo 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Gastrointestinal disorders
Nausea 1/19 (5.3%) 1 1/22 (4.5%) 1 2/20 (10%) 2 1/20 (5%) 1
Dyspesia 0/19 (0%) 0 0/22 (0%) 0 2/20 (10%) 2 0/20 (0%) 0
Diarrhoea 0/19 (0%) 0 1/22 (4.5%) 1 0/20 (0%) 0 1/20 (5%) 1
Constipation 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Toothache 1/19 (5.3%) 1 0/22 (0%) 0 0/20 (0%) 0 0/20 (0%) 0
Vomiting 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Dental caries 0/19 (0%) 0 0/22 (0%) 0 0/20 (0%) 0 1/20 (5%) 1
General disorders
Feeling hot 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Irritability 0/19 (0%) 0 1/22 (4.5%) 1 0/20 (0%) 0 0/20 (0%) 0
Pyrexia 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Thirst 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Malaise 0/19 (0%) 0 0/22 (0%) 0 0/20 (0%) 0 1/20 (5%) 1
Injury, poisoning and procedural complications
Fall 1/19 (5.3%) 1 1/22 (4.5%) 1 0/20 (0%) 0 0/20 (0%) 0
Contusion 0/19 (0%) 0 1/22 (4.5%) 1 0/20 (0%) 0 0/20 (0%) 0
Excoriation 1/19 (5.3%) 1 0/22 (0%) 0 0/20 (0%) 0 0/20 (0%) 0
Laceration 1/19 (5.3%) 1 0/22 (0%) 0 0/20 (0%) 0 0/20 (0%) 0
Muscle strain 1/19 (5.3%) 1 0/22 (0%) 0 0/20 (0%) 0 0/20 (0%) 0
Investigations
Blood pressure increased 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 1/20 (5%) 1
Heart rate increased 0/19 (0%) 0 0/22 (0%) 0 0/20 (0%) 0 1/20 (5%) 1
Metabolism and nutrition disorders
Fluid retention 0/19 (0%) 0 0/22 (0%) 0 0/20 (0%) 0 1/20 (5%) 1
Musculoskeletal and connective tissue disorders
Back pain 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Muscle spasms 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Osteoporosis 0/19 (0%) 0 1/22 (4.5%) 1 0/20 (0%) 0 0/20 (0%) 0
Osteoarthritis 0/19 (0%) 0 0/22 (0%) 0 0/20 (0%) 0 1/20 (5%) 1
Nervous system disorders
Headache 1/19 (5.3%) 1 4/22 (18.2%) 4 5/20 (25%) 6 2/20 (10%) 2
Dizziness 0/19 (0%) 0 2/22 (9.1%) 3 1/20 (5%) 1 0/20 (0%) 0
Poor quality sleep 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 1/20 (5%) 1
Balance disorder 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Hypoasthesia 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Tremor 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Cognitive disorder 0/19 (0%) 0 0/22 (0%) 0 0/20 (0%) 0 1/20 (5%) 1
Psychiatric disorders
Insomnia 0/19 (0%) 0 4/22 (18.2%) 4 8/20 (40%) 9 0/20 (0%) 0
Abnormal dreams 0/19 (0%) 0 1/22 (4.5%) 1 1/20 (5%) 1 1/20 (5%) 1
Libido increased 0/19 (0%) 0 1/22 (4.5%) 1 1/20 (5%) 1 0/20 (0%) 0
Restlessness 0/19 (0%) 0 0/22 (0%) 0 2/20 (10%) 2 0/20 (0%) 0
Confusional state 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Euphoric mood 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Hypnagogic hallucination 0/19 (0%) 0 1/22 (4.5%) 1 0/20 (0%) 0 0/20 (0%) 0
Nightmare 0/19 (0%) 0 1/22 (4.5%) 1 0/20 (0%) 0 0/20 (0%) 0
Paranoia 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Reproductive system and breast disorders
Erection increased 0/19 (0%) 0 1/22 (4.5%) 1 0/20 (0%) 0 0/20 (0%) 0
Respiratory, thoracic and mediastinal disorders
Nasal congestion 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 2/20 (10%) 2
Oropharyngeal pain 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 1/20 (5%) 1
Dry throat 0/19 (0%) 0 1/22 (4.5%) 1 0/20 (0%) 0 0/20 (0%) 0
Dyspnoea 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0
Cough 0/19 (0%) 0 0/22 (0%) 0 0/20 (0%) 0 1/20 (5%) 1
Skin and subcutaneous tissue disorders
Night sweats 0/19 (0%) 0 0/22 (0%) 0 3/20 (15%) 3 0/20 (0%) 0
Hyperhidrosis 0/19 (0%) 0 1/22 (4.5%) 1 0/20 (0%) 0 0/20 (0%) 0
Pruritus 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 2 0/20 (0%) 0
Vascular disorders
Hot flush 0/19 (0%) 0 1/22 (4.5%) 2 1/20 (5%) 1 0/20 (0%) 0
Hypertension 1/19 (5.3%) 1 0/22 (0%) 0 0/20 (0%) 0 0/20 (0%) 0
Orthostatic hypotension 0/19 (0%) 0 0/22 (0%) 0 1/20 (5%) 1 0/20 (0%) 0

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Joel Posener, MD
Organization AstraZeneca Pharmaceuticals LP, Neuroscience iMed
Phone
Email clinicaltrialtransparency@astrazeneca.net
Responsible Party:
AstraZeneca
ClinicalTrials.gov Identifier:
NCT01548287
Other Study ID Numbers:
  • D3030C00005
First Posted:
Mar 8, 2012
Last Update Posted:
Feb 7, 2017
Last Verified:
Dec 1, 2016