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Subjective Cognitive DeclineAgilGinkgoNCT04121728

Modulation of Attention in Event Related Potential (ERPs) as a Marker of Early Cognitive Decline by Ginkgo Biloba

A study testing Ginkgo biloba extract in people with Subjective Cognitive Decline and Cognitive Performance, run by Jean-François Démonet at 1 site in Switzerland.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The objective of this study is to simultaneously establish the metrological characteristics of the new executive function markers (decision making and multiple flow management) derived from repeated ERP variations and to identify their ability to test whether a short treatment using Ginkgo biloba versus placebo… Read more about this study

Who is it for?
Ages 55 to 80 yearsHealthy volunteers can take part
What is being tested?
Ginkgo biloba extract
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
16 participants
Where
1 siteSwitzerland
Study dates
9 Sep 2019to 31 May 2024
Phase
Interventional
Are there results?
None posted in the registry

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 55 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Signed consent form
  • men and women
  • 60 to 80 years old
  • Diagnostic of Subjective complain
  • Understanding the 2 Hold-Release tasks in ERP

Who cannot join

  • Montreal Cognitive Evaluation Score (MoCA) <24
  • Overall Clinical Dementia Rating (CDR) score > 0.5
  • Scores of the Hospital Anxiety and Depression Scale (HADS): HADS-A (Anxiety) > 8 and/or HADS-D (Depression) > 8
  • Mild Cognitive Impairment (MCI) or dementia
  • Contraindication to MRI
  • Atrophy of any region of the brain as seen in the T1 volumetric MRI sequence
Show all 12Show fewer
  • Any uncontrolled somatic or psychiatric condition
  • Bleeding disorders, and/or taking medications that increase the risk of bleeding,
  • Hypersensitivity to Ginkgo biloba or any of its excipients
  • Lactose intolerance
  • Treatment with barbiturates and/or neuroleptics
  • Ongoing treatment with Ginkgo biloba derivatives (a period of 2 months without treatment before inclusion is required

Trial locations and contacts

1 site in 1 country.

Switzerland1 site
  • Centre Leenaards de la mémoire (CLM) CHUV

    Lausanne, Canton of Vaud, 1011

Other trials in Switzerland

About this study

Official title: Evaluation of the Modulation of Attention Explored in ERPs as a Marker of Early Cognitive Decline: Concept Validation on the Effect of Ginkgo Biloba Extracts. Randomized, Double-blind, Cross-over, Placebo-controlled Study

The objective of this study is to simultaneously establish the metrological characteristics of the new executive function markers (decision making and multiple flow management) derived from repeated ERP variations and to identify their ability to test whether a short treatment using Ginkgo biloba versus placebo extracts can modify the cognitive performance and functional capacity of patients in the very early stages of age-related cognitive decline. This trial, using subjects as their own control (cross-over) in repeated measurements will establish the reproducibility characteristics of the measurements and intra-individual variations of ERP over time in this population

Read the detailed description

This study is a single-center, randomized clinical trial testing the effects of Ginkgo biloba extracts versus placebo on event related potential ERP registration measurements in Electroencephalography (EEG) during neuropsychological tasks. The Hold-Release (HR) neuropsychological test allows the study of behavioral and neurofunctional correlates using several different techniques for online recording of brain activity. This test measures the engagement of focused attention and the loading of information into working memory, as opposed to the disengagement of attention.

The study will be carried out in a randomized cross-over design, with "Ginkgo" vs. Placebo", or inversely, for 170 days each (approximately 6 months), separated by an 8-weeks wash-out period. A follow-up visit will be held 3 months after the last treatment of the study.

The cross-over design uses each patient as its own control, which allows an easy comparison between the 2 groups "Placebo" vs. "Ginkgo" by limiting inter-patient variations. In addition, by doubling the number of patients per treatment compared to a classic study design in 2 groups, cross-over reduces the number of patients to be recruited, which facilitates recruitment on a single site.

The study requires the recruitment of sixteen (16) informative participants with cognitive complaints.

Being tested
Ginkgo biloba extract, Placebo
Keywords
metrological characteristics of EEG-ERP, Ginkgo Biloba

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ginkgo biloba extractDrug

    Also called Symfona®

    Symfona® commercial standardized Ginkgo biloba extracts are used in this study, at a rate of 2 capsules of 120 mg per day for 170 days.

  • PlaceboDrug

    Also called Placebo caps

    The placebo is presented in the form of capsules of identical mass, color and shape to those of the study product. It is composed of lactose, the excipients present in Symfona® 120 mg and colorants. The dosage is identical to that of the investigational product.

Study groups in NCT04121728
Study groupRoleWhat they receive
Group Ginkgo-PlaceboOtherCross-over design: In Group Ginkgo-Placebo participants are allocated first to the IMP Symfona® during 6 months and after 2 months of wash-out period are allocated to the placebo for 6 months.
Receives: Drug: Ginkgo biloba extract; Drug: Placebo
Group Placebo-GinkgoOtherCross-over design:In Group Placebo-Ginkgo participants are allocated first to the placebo during 6 months and after 2 months of wash-out period are allocated the IMP Symfona® for 6 months.
Receives: Drug: Ginkgo biloba extract; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Reproducibility of contingent negative variation (CNV) event-related potential (ERP) component amplitude (microV) during the Hold-Release (HR) neuropsychological test

    Reproducibility of CNV will be assessed by interclass correlation coefficient (ICC)

    Measured: through study completion, an average of 14 months

  2. Intra-individual variability of contingent negative variation (CNV) event-related potential (ERP) component amplitude (microV) during the Hold-Release (HR) neuropsychological test

    Intra-individual variability of CNV will be assessed by Interclass Coefficient Correlation (ICC)

    Measured: through study completion, an average of 14 months

  3. Reproducibility of P300/P300' event-related potential (ERP) component amplitude (microV) during the Hold-Release (HR) neuropsychological test

    Reproducibility of P300/P300' will be assessed by Interclass Coefficient Correlation (ICC)

    Measured: through study completion, an average of 14 months

  4. Intra-individual variability of P300/P300' event-related potential (ERP) component amplitude (microV) during the Hold-Release (HR) neuropsychological test

    Intra-individual variability of P300/P300' will be assessed by Interclass Coefficient Correlation (ICC)

    Measured: through study completion, an average of 14 months

  5. Change in cognitive performance as assessed by variation in amplitude (mivroV) of the CNV component measured during the Hold-Release (HR) neuropsychological test after 6 months of Ginkgo biloba treatment

    the statistical model of repeated measurements of variance analysis will be used

    Measured: through study completion, an average of 14 months

  6. Change in cognitive performance as assessed by variation in amplitude (mivroV) of the P300/P300' component measured during the Hold-Release (HR) neuropsychological test after 6 months of Ginkgo biloba treatment

    the statistical model of repeated measurements of variance analysis will be used

    Measured: through study completion, an average of 14 months

Secondary outcomes (11)
  1. Change in cognitive performance as assessed using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) test after 6 months of Ginkgo biloba treatment

    the statistical model of repeated measurements of variance analysis will be used

    Measured: 6 months

  2. Change in scores of categorical semantic verbal fluency after 6 months of Ginkgo biloba treatment

    the statistical model of repeated measurements of variance analysis will be used

    Measured: 6 months

  3. Change in scores of verbal fluency letter instruction after 6 months of Ginkgo biloba treatment

    the statistical model of repeated measurements of variance analysis will be used

    Measured: 6 months

  4. Change in anxiety and depression as assessed using the Hospital Anxiety and Depression Scale (HAD-A/D) after 6 months of Ginkgo biloba treatment

    the statistical model of repeated measurements of variance analysis will be used

    Measured: 6 months

  5. Change in reaction time (ms) during the Hold-Release (HR) neuropsychological test after 6 months of Ginkgo biloba treatment

    the statistical model of repeated measurements of variance analysis will be used

    Measured: 6 months

  6. Magnitude of repetition effects (Test-retest Reliability, TTR) on the contingent negative variation (CNV) event-related potential (ERP) component during the Hold-Release (HR) neuropsychological test.

    Combination of an analysis of variance (ANOVA) in repeated measurements and an analysis of variance (ANOVA) in correlation analysis will be used to assess respectively differences (microV) between measurement sessions and the existence of shared associations (correlation coefficient).

    Measured: through study completion, an average of 14 months

  7. Magnitude of repetition effects (Test-retest Reliability, TTR) on P300/P300' event-related potential (ERP) component during the Hold-Release (HR) neuropsychological test.

    Combination of an analysis of variance (ANOVA) in repeated measurements and an analysis of variance (ANOVA) in correlation analysis will be used to assess respectively differences (microV) between measurement sessions and the existence of shared associations (correlation coefficient).

    Measured: through study completion, an average of 14 months

  8. Association (correlation coefficient) between a transversal measurement of VPN event-related potential (ERP) component during the Hold-Release (HR) neuropsychological test and the conventional verbal fluency scores.

    a mixed linear model approach will be applied to assess prediction

    Measured: through study completion, an average of 14 months

  9. Association (correlation coefficient) between a transversal measurement of P300/P300' event-related potential (ERP) component during the Hold-Release (HR) neuropsychological test and the conventional verbal fluency scores.

    a mixed linear model approach will be applied to assess prediction

    Measured: through study completion, an average of 14 months

  10. Association (correlation coefficient) between a transversal measurement of VPN event-related potential (ERP) component during the Hold-Release (HR) neuropsychological test and evolution of its own value during the participant's follow-up

    a mixed linear model approach will be applied to assess prediction

    Measured: through study completion, an average of 14 months

  11. Association (correlation coefficient) between a transversal measurement of P300/P300' event-related potential (ERP) component during the Hold-Release (HR) neuropsychological test and evolution of its own value during the participant's follow-up

    a mixed linear model approach will be applied to assess prediction

    Measured: through study completion, an average of 14 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Oct 2019
  2. Study start9 Sep 2019
  3. Primary completion31 May 2024 (estimated)
  4. Study completion31 May 2024 (estimated)

Resources

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 N/A
Primary purpose
Diagnosis
Allocation
Randomised
Intervention model
Crossover
Model description
randomized double-blind crossover design
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04121728
Sponsor's protocol ID
2018-02134 BASEC
Other IDs
2018
Acronym
AgilGinkgo
Status last verified
Jan 2023
First submitted
18 Sep 2019
Last updated
11 Jan 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Amieva H, Le Goff M, Millet X, Orgogozo JM, Peres K, Barberger-Gateau P, Jacqmin-Gadda H, Dartigues JF. Prodromal Alzheimer's disease: successive emergence of the clinical symptoms. Ann Neurol. 2008 Nov;64(5):492-8. doi: 10.1002/ana.21509.

    PubMed 19067364
  • Luck T, Luppa M, Matschinger H, Jessen F, Angermeyer MC, Riedel-Heller SG. Incident subjective memory complaints and the risk of subsequent dementia. Acta Psychiatr Scand. 2015 Apr;131(4):290-6. doi: 10.1111/acps.12328. Epub 2014 Sep 9.

    PubMed 25201166
  • Thierry G, Doyon B, Demonet JF. ERP mapping in phonological and lexical semantic monitoring tasks: A study complementing previous PET results. Neuroimage. 1998 Nov;8(4):391-408. doi: 10.1006/nimg.1998.0371.

    PubMed 9811557
  • Martin CD, Thierry G, Demonet JF. ERP characterization of sustained attention effects in visual lexical categorization. PLoS One. 2010 Mar 25;5(3):e9892. doi: 10.1371/journal.pone.0009892.

    PubMed 20361039
  • Tan MS, Yu JT, Tan CC, Wang HF, Meng XF, Wang C, Jiang T, Zhu XC, Tan L. Efficacy and adverse effects of ginkgo biloba for cognitive impairment and dementia: a systematic review and meta-analysis. J Alzheimers Dis. 2015;43(2):589-603. doi: 10.3233/JAD-140837.

    PubMed 25114079
  • Kennedy DO, Scholey AB, Drewery L, Marsh VR, Moore B, Ashton H. Electroencephalograph effects of single doses of Ginkgo biloba and Panax ginseng in healthy young volunteers. Pharmacol Biochem Behav. 2003 Jun;75(3):701-9. doi: 10.1016/s0091-3057(03)00120-5.

    PubMed 12895688

Questions about this trial

What is this clinical trial studying?

A study testing Ginkgo biloba extract in people with Subjective Cognitive Decline and Cognitive Performance, run by Jean-François Démonet at 1 site in Switzerland.

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 5 inclusion and 12 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: status not confirmed, as of the sponsor's last update on 11 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Switzerland. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

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?

Reproducibility of contingent negative variation (CNV) event-related potential (ERP) component amplitude (microV) during the Hold-Release (HR) neuropsychological test (time frame: through study completion, an average of 14 months). The study lists 6 primary outcomes in all. 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 NCT04121728, which also lists 6 linked publications.

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 11 Jan 2023.

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