Overview
MCLENA-2: A Phase II Clinical Trial for the Assessment of Lenalidomide in Patients With Mild Cognitive Impairment Due to Alzheimer's Disease
Status:
Not yet recruiting
Not yet recruiting
Trial end date:
2027-01-02
2027-01-02
Target enrollment:
0
0
Participant gender:
All
All
Summary
This is a randomized, double-blind, placebo-controlled, parallel group study. The use of placebo is appropriate to minimize bias related to treatment expectations of the subject, study partner, and site investigator, as well as to changes in the relationship between the subject and study partner that might occur with the initiation of treatment and expectation of improvement in motor symptoms or cognition. Changes in subject/study partner interactions can impact subject mood and might introduce biases that cannot be quantified. The double-blind use of placebo will also prevent bias in the clinical and scientific assessments.Phase:
Phase 2Accepts Healthy Volunteers?
Accepts Healthy VolunteersDetails
Lead Sponsor:
St. Joseph's Hospital and Medical Center, PhoenixCollaborator:
Texas Tech UniversityTreatments:
Lenalidomide
Criteria
In order to be eligible for this study, subjects must meet the following inclusioncriteria:
Inclusion Criteria:
1. Male or female outpatients.
2. At least 50 years of age, but less than 90 (89 at time of screening)
3. Females must be surgically sterile (bilateral tubal ligation, oophorectomy, or
hysterectomy) or postmenopausal for 2 years (no women at risk of pregnancy will be
accepted in this study).
4. Must have been diagnosed with amnestic MCI based on the most recent NIA-AA criteria
(Albert et al., 2011), i.e. at both the screening and baseline visits (visits 1 and 2)
have a documented Mini Mental State Exam (MMSE) score between 22-28.
5. CT or MRI scan of the brain obtained during the course of the dementia must be
consistent with the diagnosis and show no evidence of significant focal lesions or of
pathology which could contribute to dementia. If neither a CT nor an MRI scan is
available from the past 12 months, a CT scan fulfilling the requirements must be
obtained before randomization.
6. Vision and hearing must be sufficient to comply with study procedures.
7. Be able to take oral medications.
8. Hachinski ischemic score must be ≤ 4.
9. Geriatric depression scale must be ≤ 10.
10. Can be on stable doses of a cholinesterase inhibitor and/or memantine as long as it is
stable for at least 90 days before screening and is expected to remain on a stable
dose for the remainder of the study period; or have demonstrated intolerance to or
lack of efficacy from these medications.
11. Must have a collateral informant/study partner who has significant direct contact with
the patient at least 10 hours per week and who is willing to accompany the patient to
specified clinic visits, supervise administration of all study medication, and be
available for telephone visits/interviews.
12. If the patient has a legally authorized representative (LAR), the LAR must review and
sign the informed consent form. If the patient does not have an LAR, the patient must
appear able to provide informed consent and must review and sign the informed consent
form. In addition, the patient's informant/study partner (as defined above) must sign
an informed consent form. If the LAR and the patient's informant /study partner is the
same individual, he/she should sign under both designations.
13. Must reside in the community.
14. Patients with stable prostate cancer may be included at the discretion of the Medical
Monitor.
15. Positivity for amyloid brain scan: Amyloid PET positive at SUVr of 1.05
Exclusion Criteria:
Subjects will be excluded if they have any of the condition listed below:
1. Current evidence or history within the last 3 years of a neurological or psychiatric
illness that could contribute to dementia, including (but not limited to) epilepsy,
focal brain lesion, Parkinson's disease, seizure disorder, head injury with loss of
consciousness
2. DSM IV criteria for any major psychiatric disorder including psychosis, major
depression and bipolar disorder.
3. Unwilling or unable to undergo a Lumbar Puncture.
4. Known history or self-reported alcohol or substance abuse.
5. Living alone.
6. Poorly controlled hypertension. 7 .History of myocardial infarction or signs or
symptoms of unstable coronary artery disease within the last year (including
revascularization procedure/angioplasty).
8. Severe pulmonary disease (including chronic obstructive pulmonary disease) requiring
more than 2 hospitalizations within the past year.
9. Untreated sleep apnea. 10. Any thyroid disease (unless euthyroid on treatment for at
least 6 months prior to screening).
11. Active neoplastic disease (except for skin tumors other than melanoma) within five
years.
12. History of multiple myeloma. 13. Absolute neutropenia of <750/mm3, or a history of
neutropenia. 14. History of or current thromboembolism (including deep venous thrombosis).
15. Any clinically significant hepatic or renal disease (including presence of Hepatitis B
or C antigen/antibody or an elevated transaminase levels of greater than two times the
upper limit of normal (ULN) or creatinine greater than 1.5 x ULN).
16. Clinically significant hematologic or coagulation disorder including any unexplained
anemia or a platelet count less than 100,000/μL at screening.
17. Use of any investigational drug within 30 days or within five half-lives of the
investigational agent, whichever is longer.
18. Use any investigational medical device within two weeks before screening or after end
of the present study.
19. Females who are at risk of pregnancy or are of child bearing age. 20. Unwilling or
unable to undergo MRI and PET imaging. 21. Cardiac pacemaker or defibrillator or other
implanted device. 22. In the opinion of the investigator, participation would not be in the
best interest of the subject