The Dose Finding Study of DAOIB Added to tDCS for AD
Study Details
Study Description
Brief Summary
This is a 26-week randomized, double-blind, placebo-controlled trial. We will enroll patients with aMCI or mild AD. All patients will receive 2 weeks of tDCS (5 sessions per week, 10 sessions in total) during the first 2 weeks of the study, and will also be allocated randomly to either of 4 treatment groups for 24 weeks: (1) Dose A group; (2) Dose B group; (3) Dose C group; (4) placebo group. We will assess the patients every 8 weeks during the treatment period (weeks 0, 10, 18, and 26). We hypothesize that augmentation with certain dose of DAOIB will yield better effect than tDCS alone in improving the cognitive function, global functioning and quality of life in patients with aMCI or mild AD.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: tDCS+Dose A Drug: DAOIB at dose A The DAOIB dose will be fixed during the 24 weeks duration. Device: tDCS tDCS |
Drug: DAOIB
The DAOIB dose in each group will be fixed during the 24 weeks duration
|
Experimental: tDCS+Dose B Drug: DAOIB at dose B The DAOIB dose will be fixed during the 24 weeks duration. Device: tDCS tDCS |
Drug: DAOIB
The DAOIB dose in each group will be fixed during the 24 weeks duration
|
Experimental: tDCS+Dose C Drug: DAOIB at dose C The DAOIB dose will be fixed during the 24 weeks duration. Device: tDCS tDCS |
Drug: DAOIB
The DAOIB dose in each group will be fixed during the 24 weeks duration
|
Placebo Comparator: tDCS+placebo Drug: Placebo Placebo Device: tDCS tDCS |
Drug: DAOIB
The DAOIB dose in each group will be fixed during the 24 weeks duration
|
Outcome Measures
Primary Outcome Measures
- Change from baseline in the Alzheimer's disease assessment scale - cognitive subscale at week 10, 18 and 26 [week 0, 10, 18, 26]
Alzheimer's disease assessment scale-cognitive subscale scores range from 0 (best) to 70 (worst)
Secondary Outcome Measures
- Change from baseline in Clinician's Interview-Based Impression of Change plus Caregiver Input score at week 10, 18 and 26 [week 10, 18, 26]
Change from baseline in Clinician's Interview-Based Impression of Change plus Caregiver Input score at week 10, 18 and 26
- Change from baseline in Mini-Mental Status examination score at week 10, 18 and 26 [week 0, 10, 18, 26]
Change from baseline in Mini-Mental Status examination score at week 10, 18 and 26
- Change from baseline in Alzheimer's disease Cooperative Study scale for ADL in MCI (ADCS-MCI-ADL) score at week 10, 18 and 26 [week 0, 10, 18, 26]
The assessment appears to be a suitable instrument for evaluating activities of daily living in early-phase dementia. Its scores range from 0 (worst) to 78 (best)
- Change from baseline in Quality of life score at week 10, 18 and 26 [week 0, 10, 18, 26]
Quality of life will be assessed by Medical Outcomes Study Short-Form-36 (SF-36). The SF-36 consists of eight sections: (1) vitality, (2) physical functioning, (3) bodily pain, (4) general health perceptions, (5) physical role functioning, (6) emotional role functioning, (7) social role functioning, and (8) mental health.
- Change from baseline in the composite score of a battery of additional cognitive tests at week 26 [week 0, 26]
The battery of additional cognitive tests include speed of processing (Category Fluency), working memory (Wechsler Memory Scale, Spatial Span), verbal/nonverbal learning and memory tests (Wechsler Memory Scale, Word Listing).
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Clinical diagnosis of Alzheimer's disease or mild cognitive impairment
-
MMSE between 10-26
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CDR 1 or 0.5
Exclusion Criteria:
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Hachinski Ischemic Score > 4
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Substance abuse/dependence
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Parkinson disease, epilepsy, dementia with psychotic features
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Major depressive disorder
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Major physical illnesses
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Severe visual or hearing impairment
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Kaohsiung Chang Gung Memorial Hospital | Kaohsiung | Taiwan | 886 |
Sponsors and Collaborators
- Chang Gung Memorial Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 202002208A0