Alzheimer DiseasePhase 2NCT01453569
Safety, Efficacy and Dose Titration of Sodium Oligo-mannurarate Capsule on Mild to Moderate Alzheimer's Disease
A Phase 2 study testing Sodium oligo-mannurarate 600mg and Sodium oligo-mannurarate 900mg in people with Alzheimer Disease and Cognitive Impairment, run by Shanghai Greenvalley Pharmaceutical Co., Ltd. at 24 sites in China.
Trial summary
The primary purpose of this study is to determine whether sodium oligo-mannurarate capsule is effective and safe in the treatment of mild to moderate alzheimer' disease, and to determine the best therapeutic dose of sodium oligo-mannurarate capsule. Read more about this study
- Who is it for?
- Ages 50 to 85 years
- Conditions the study is for
- Alzheimer Disease, Cognitive Impairment
- What is being tested?
- Sodium oligo-mannurarate 600mg and Sodium oligo-mannurarate 900mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 255 participants
- Where
- 24 sitesChina
- Study dates
- Oct 2011to Aug 2013
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- At least primarily educated.
- Accord with Probable Alzheimer disease of National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association(NINCDS-ADRDA)'s Criteria.
- 10 points ≤ Minimum Mean-Square Error(MMSE) ≤ 24 points.
- Hachinski ischemia scale <4 points.
- Hamilton depression scale ≤10 points.
- Should have stable accompanying person, or at least contact 2 hours per day, 4 days per week with accompanying person. The accompanying person should help the patient throughout the trial.
- Signed the information consent form.
Who cannot join
- Have been in other clinical trials within 30 days before this trial' start.
- women during pregnancy or lactation.
- Dementia caused by other diseases.
- previous nervous system diseases.
- Abnormal laboratory results.
- Uncontrolled hypertension.
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- Unstable or serious diseases of heart, lung, liver, kidney and blood.
- Visual or auditory handicap.
- Significant focal lesions revealed by electronic computer X-ray tomography(CT) or magnetic resonance imaging(MRI) in one year before enrollment.
- Alcohol abuse or drug abuse.
- psychotic, including patients with serious depression.
- Patients being in drug therapy of Alzheimer disease which cannot be stopped.
- In treatment of heparin, Polysaccharide sulfate, mannose ester 3 weeks before the recruitment.
- Investigator consider the patient cannot finish this trial for any reason.
- Relatives or employees of the investigators, staff of the investigate centers, contract research organization and sponsor.
Trial locations and contacts
24 sites in 1 country.
24 sites in 1 country
China24 sites
The Central Hospital of Baotou
Baotou, Inner Mongolia, 014040
Beijing Hospital
Beijing, Beijing Municipality, 100005
Hunan Provincial People's Hospital
Changsha, Hunan, 410005
West China Hospital, West China School of Medicine Sichuan University
Chengdu, Sichuan, 610041
Chongqing Medical University Second Affiliated Hospital
Chongqing, Chongqing Municipality, 400010
The First Affliated Hospital of Third Military Medical University
Chongqing, Chongqing Municipality, 400038
The Third Affliated Hospital of Third Military Medical University
Chongqing, Chongqing Municipality, 400042
Guangzhou Brain Hospital
Guangzho, Guangdong, 510170
Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
Guangzhou, Guangdong, 510120
Sir Run Run Shaw Hospital, Medical college of Zhejiang University
Hangzhou, Zhejiang, 310016
The First Affliated Hospital of Harbin Medical University
Harbin, Heilongjiang, 150001
Qilu Hospital of Shandong University
Jinan, Shandong, 250012
Shandong Provincial Hospital
Jinan, Shandong, 250021
The Second Hospital of Shandong University
Jinan, Shandong, 250033
The Affliated Brain Hospital of Nanjing Medical University
Nanjing, Jiangsu, 210029
The Ninth Hospital, Shanghai Jiao Tong University school of Medicine
Shanghai, Shanghai Municipality, 200011
Shanghai Mental Health Center , Shanghai Jiao Tong University school of Medicine
Shanghai, Shanghai Municipality, 200030
The First Affliated Hospital of Chinese Medical University
Shenyang, Liaoning, 110001
Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, 300052
Wuhan General Hospital of Guangzhou Military of People's Military Army
Wuhan, Hubei, 430070
Zhongnan Hospital of Wuhan University
Wuhan, Hubei, 430077
Wuxi Mental Health Center
Wuxi, Jiangsu, 214151
Tangdu Hospital of The Forth Military Medical University of PLA
Xi’an, Shanxi, 710038
The 251 Hospital of People's Liberation Army
Zhangjiakou, Hebei, 075000
About this study
Official title: Phase II Study of Sodium Oligo-mannurarate Capsule on Mild to Moderate Alzheimer Disease
The primary purpose of this study is to determine whether sodium oligo-mannurarate capsule is effective and safe in the treatment of mild to moderate alzheimer' disease, and to determine the best therapeutic dose of sodium oligo-mannurarate capsule.
Read the detailed description
Alzheimer's disease is known for placing a great burden on caregivers which includes social, psychological, physical or economic aspects. Research indicates that the disease is associated with plaques and tangles in the brain. Currently used treatments offer a small symptomatic benefit. No treatments to delay or halt the progression of the disease are, as of yet, available. The investigators suppose sodium oligo-mannurarate capsule to be effective to halt the progression of the disease.
- Conditions
- Alzheimer Disease, Cognitive Impairment
- Being tested
- Sodium oligo-mannurarate 600mg, Sodium oligo-mannurarate 900mg, Placebo
- Medical subject headings
- Alzheimer Disease, Cognitive Dysfunction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Sodium oligo-mannurarate 600mgDrug
Also called Sodium oligo-mannurarate low dose
sodium oligo-mannurarate capsule 600mg twice a day for 24 weeks
Sodium oligo-mannurarate 900mgDrug
Also called Sodium oligo-mannurarate high dose
sodium oligo-mannurarate capsule 900mg twice a day for 24 weeks
PlaceboDrug
simulant of sodium oligo-mannurarate capsule
| Study group | Role | What they receive |
|---|---|---|
| sodium oligo-mannurarate 900mg | Experimental | Not described Receives: Drug: Sodium oligo-mannurarate 900mg |
| sodium oligo-mannurarate 600mg | Experimental | Not described Receives: Drug: Sodium oligo-mannurarate 600mg |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change of Alzheimer's Disease Assessment Scale-cognitive Subscale(ADAS-cog)/12 After 24 Wks Treatment of Sodium Oligo-mannurarate Capsule
Alzheimer's Disease Assessment Scale-cognitive Subscale(ADAS-cog)/12 is the most popular cognitive testing instrument used in clinical trials. It consists of 12 tasks measuring the disturbances of memory, language, praxis, attention and other cognitive abilities which are often referred to as the core symptoms of AD. The total score ranges 0-75, the higher score indicates more severity of the disease. Change after 24 wks treatment was calculated by the week 24 minus week 0 (baseline), and a negative change represents an improvement.
Measured: 24 weeks
Secondary outcomes (3)
Change of Clinician's Interview-Based Impression of Change Plus(CIBIC-plus) After 24 Wks Treatment of Sodium Oligo-mannurarate Capsule
Clinician's Interview-Based Impression of Change Plus(CIBIC-plus) is widely used in antidementia drug trials. It comprises Likert scales for disease severity and changes, and written accounts summarizing semistructured interviews evaluating behavior, cognition, and function. The results classified as 7 degrades as: Markedly improved, Moderately improved, Minimally improved, No change, Minimally worse, Moderately worse, and Markedly worse.
Measured: 24 weeks
Change of Alzheimer's Disease Cooperative Study/Activities of Daily(ADCS-ADL) After 24 Wks Treatment of Sodium Oligo-mannurarate Capsule
Alzheimer's Disease Cooperative Study/Activities of Daily (ADCS-ADL) is a scale assessed the daily activties of AD patients after interviewed the caregiver. The scale mainly assess the eating, walking, writing, bathing and reading, et al of the subject. The total score ranges 0-78, the higher score indicate improvement in daily activities. Change after 24 wks treatment was calculated by the week 24 minus week 0 (baseline), and a positive change represents an improvement.
Measured: 24 weeks
Change of Neuropsychiatric Inventory(NPI) After 24 Wks Treatment of Sodium Oligo-mannurarate Capsule
Neuropsychiatric Inventory (NPI) is a scale to obtain information on the presence of psychopathology in patient with brain disorders. The NPI was developed for application to patients with AD and other dementias, but it may be useful in the assessment of behavioral changes in other conditions. Twelve behavioral areas included in the NPI will be assessed in this trial: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety and elation/euphoria, et al. The total score ranges 0 to 120, the higher score indicates worse state of the AD patient. Change after 24wks treatmnt was calculated by the week 24 minus week 0 (baseline), and a negative change represents an improvement.
Measured: 24 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Oct 2011 (estimated)
- Study startOct 2011
- Primary completionAug 2013
- Study completionAug 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Alzheimer DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 255 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shanghai Greenvalley Pharmaceutical Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Shanghai Mental Health Center
- Responsible party
- Sponsor
- Investigators
- Shifu Xiao, M.D., Principal investigator, Shanghai Mental Health Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01453569
- Sponsor's protocol ID
- 9712011-1
- Status last verified
- Jan 2015
- First submitted
- 30 Sep 2011
- Last updated
- 27 Jan 2015
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Wang T, Kuang W, Chen W, Xu W, Zhang L, Li Y, Li H, Peng Y, Chen Y, Wang B, Xiao J, Li H, Yan C, Du Y, Tang M, He Z, Chen H, Li W, Lin H, Shi S, Bi J, Zhou H, Cheng Y, Gao X, Guan Y, Huang Q, Chen K, Xin X, Ding J, Geng M, Xiao S. A phase II randomized trial of sodium oligomannate in Alzheimer's dementia. Alzheimers Res Ther. 2020 Sep 14;12(1):110. doi: 10.1186/s13195-020-00678-3.
PubMed 32928279
Study at a glance
From the registry record, last updated by the sponsor on 27 Jan 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase II Study of Sodium Oligo-mannurarate Capsule on Mild to Moderate Alzheimer Disease
- ClinicalTrials.gov ID
- NCT01453569
- Acronym / sponsor ID
- 9712011-1
- Conditions
- Alzheimer Disease, Cognitive Impairment
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 255 participants (actual)
- Lead sponsor
- Shanghai Greenvalley Pharmaceutical Co., Ltd.Industry (pharma, biotech, devices)
- Collaborators
- Shanghai Mental Health Center
- Study start
- Oct 2011
- Primary completion
- Aug 2013 (actual)
- Study completion
- Aug 2013 (actual)
- First posted
- 18 Oct 2011 (estimated)
- Results
- Posted 27 Jan 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary purpose of this study is to determine whether sodium oligo-mannurarate capsule is effective and safe in the treatment of mild to moderate alzheimer' disease, and to determine the best therapeutic dose of sodium oligo-mannurarate capsule.
Detailed description
Alzheimer's disease is known for placing a great burden on caregivers which includes social, psychological, physical or economic aspects. Research indicates that the disease is associated with plaques and tangles in the brain. Currently used treatments offer a small symptomatic benefit. No treatments to delay or halt the progression of the disease are, as of yet, available. The investigators suppose sodium oligo-mannurarate capsule to be effective to halt the progression of the disease.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| sodium oligo-mannurarate 900mg | Experimental | Drug: Sodium oligo-mannurarate 900mg |
| sodium oligo-mannurarate 600mg | Experimental | Drug: Sodium oligo-mannurarate 600mg |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 50 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- At least primarily educated.
- Accord with Probable Alzheimer disease of National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association(NINCDS-ADRDA)'s Criteria.
- 10 points ≤ Minimum Mean-Square Error(MMSE) ≤ 24 points.
- Hachinski ischemia scale <4 points.
- Hamilton depression scale ≤10 points.
Key exclusion criteria (15 listed)
- Have been in other clinical trials within 30 days before this trial' start.
- women during pregnancy or lactation.
- Dementia caused by other diseases.
- previous nervous system diseases.
- Abnormal laboratory results.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Sodium oligo-mannurarate 600mgAlso: Sodium oligo-mannurarate low dosesodium oligo-mannurarate capsule 600mg twice a day for 24 weeks | Drug | sodium oligo-mannurarate 600mg |
| Sodium oligo-mannurarate 900mgAlso: Sodium oligo-mannurarate high dosesodium oligo-mannurarate capsule 900mg twice a day for 24 weeks | Drug | sodium oligo-mannurarate 900mg |
| Placebosimulant of sodium oligo-mannurarate capsule | Drug | Placebo |
Primary outcome
Change of Alzheimer's Disease Assessment Scale-cognitive Subscale(ADAS-cog)/12 After 24 Wks Treatment of Sodium Oligo-mannurarate Capsule
Time frame: 24 weeks
Alzheimer's Disease Assessment Scale-cognitive Subscale(ADAS-cog)/12 is the most popular cognitive testing instrument used in clinical trials. It consists of 12 tasks measuring the disturbances of memory, language, praxis, attention and other cognitive abilities which are often referred to as the core symptoms of AD. The total score ranges 0-75, the higher score indicates more severity of the disease. Change after 24 wks treatment was calculated by the week 24 minus week 0 (baseline), and a negative change represents an improvement.
3 secondary outcomes
Change of Clinician's Interview-Based Impression of Change Plus(CIBIC-plus) After 24 Wks Treatment of Sodium Oligo-mannurarate Capsule
Time frame: 24 weeks
Change of Alzheimer's Disease Cooperative Study/Activities of Daily(ADCS-ADL) After 24 Wks Treatment of Sodium Oligo-mannurarate Capsule
Time frame: 24 weeks
Change of Neuropsychiatric Inventory(NPI) After 24 Wks Treatment of Sodium Oligo-mannurarate Capsule
Time frame: 24 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jan 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32928279Wang T, Kuang W, Chen W, Xu W, Zhang L, Li Y, Li H, Peng Y, Chen Y, Wang B, Xiao J, Li H, Yan C, Du Y, Tang M, He Z, Chen H, Li W, Lin H, Shi S, Bi J, Zhou H, Cheng Y, Gao X, Guan Y, Huang Q, Chen K, Xin X, Ding J, Geng M, Xiao S. A phase II randomized trial of sodium oligomannate in Alzheimer's dementia. Alzheimers Res Ther. 2020 Sep 14;12(1):110. doi: 10.1186/s13195-020-00678-3.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Shifu Xiao, M.D. principal investigator
Shanghai Mental Health Center
24 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Sodium oligo-mannurarate 600mg and Sodium oligo-mannurarate 900mg in people with Alzheimer Disease and Cognitive Impairment, run by Shanghai Greenvalley Pharmaceutical Co., Ltd. at 24 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Jan 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 24 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 27 Jan 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change of Alzheimer's Disease Assessment Scale-cognitive Subscale(ADAS-cog)/12 After 24 Wks Treatment of Sodium Oligo-mannurarate Capsule (time frame: 24 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01453569, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jan 2015.