Allopregnanolone for Mild Cognitive Impairment Due to Alzheimer's Disease or Mild AD



Status:Completed
Conditions:Alzheimer Disease, Cognitive Studies
Therapuetic Areas:Neurology, Psychiatry / Psychology
Healthy:No
Age Range:55 - Any
Updated:6/6/2018
Start Date:August 2014
End Date:February 2018

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Allopregnanolone Regenerative Therapeutic for MCI/AD: Dose Finding Phase 1

The purpose of this study is to evaluate the safety and tolerability of allopregnanolone, a
naturally occurring brain steroid, in mild cognitive impairment and early Alzheimer's disease
participants. The primary goal is to determine the maximally tolerated dose.

1) Each dose group will be comprised of 8 participants (6 randomized to allopregnanolone; 2
randomized to placebo) administered one dose of allopregnanolone or placebo once per week for
12 weeks. A higher dose will be administered to the next group of participants when the lower
dose is shown to be safe and tolerable. 2) Pharmacokinetic analyses will be conducted on
blood samples taken from participants at the beginning and end of the trial. 3) The trial
will assess safety including via MRI brain imaging.

Inclusion Criteria:

- Men or postmenopausal women

- 55 years of age or older

- Diagnosis of MCI due to AD or mild AD

- MMSE > 20 at screen

- Capacity to provide informed consent

- Residing in the community with a caregiver able to accompany the patient to clinic
visits

- No medical contraindications to participation

- Willingness to comply with study procedures

Exclusion Criteria:

- Use of benzodiazepines, sedative/hypnotics, anticonvulsants, antipsychotics, and other
drugs that might interact with the GABA-A receptor complex

- Seizure disorder, history of stroke, focal brain lesion, traumatic brain injury,
substance abuse, malignancy

- Clinically significant laboratory or ECG abnormality

- MRI indicative of any other significant abnormality, including but not limited to
evidence of a cerebral contusion, encephalomalacia, aneurysms, vascular malformations,
subdural hematoma, or space occupying lesions

- Any condition that would contraindicate an MRI such as the presence of metallic
objects in the eyes, skin, heart, or body
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