File(s) not publicly available
Efficacy of probucol on cognitive function in Alzheimer's disease: Study protocol for a double-blind, placebo-controlled, randomised phase II trial (PIA study)
journal contribution
posted on 2023-02-10, 02:49 authored by V Lam, R Clarnette, R Francis, M Bynevelt, G Watts, L Flicker, CF Orr, P Loh, N Lautenschlager, CM Reid, JK Foster, SS Dhaliwal, Suzanne RobinsonSuzanne Robinson, E Corti, M Vaccarezza, B Horgan, R Takechi, J MamoIntroductionPreclinical, clinical and epidemiological studies support the hypothesis that aberrant systemic metabolism of amyloid beta (Aβ) in the peripheral circulation is causally related to the development of Alzheimer’s disease (AD). Specifically, recent studies suggest that increased plasma concentrations of lipoprotein-Aβ compromise the brain microvasculature, resulting in extravasation and retention of the lipoprotein-Aβ moiety. The latter results in an inflammatory response and neurodegeneration ensues. Probucol, a historic cholesterol-lowering drug, has been shown in murine models to suppress lipoprotein-Aβ secretion, concomitant with maintaining blood–brain-barrier function, suppressing neurovascular inflammation and supporting cognitive function. This protocol details the probucol in Alzheimer’s study, a drug intervention trial investigating if probucol has potential to attenuate cognitive decline, delay brain atrophy and reduce cerebral amyloid burden in patients with mild-to-moderate AD.Methods and analysisThe study is a phase II, randomised, placebo-controlled, double-blind single-site clinical trial held in Perth, Australia. The target sample is 314 participants with mild-to-moderate AD. Participants will be recruited and randomised (1:1) to a 104-week intervention consisting of placebo induction for 2 weeks followed by 102 weeks of probucol (Lorelco) or placebo. The primary outcome is changed in cognitive performance determined via the Alzheimer’s Disease Assessment Scales-Cognitive Subscale test between baseline and 104 weeks. Secondary outcomes measures will be the change in brain structure and function, cerebral amyloid load, quality of life, and the safety and tolerability of Lorelco, after a 104week intervention.Ethics and disseminationThe study has been approved by the Bellberry Limited Human Research Ethics Committee (approval number: HREC2019-11-1063; Version 4, 6 October 2021). Informed consent will be obtained from participants prior to any study procedures being performed. The investigator group will disseminate study findings through peer-reviewed publications, key conferences and local stakeholder events.Trial registration numberAustralian New Zealand Clinical Trials Registry (ACTRN12621000726853).
History
Journal
BMJ OpenVolume
12Article number
ARTN e058826Location
EnglandPublisher DOI
ISSN
2044-6055eISSN
2044-6055Language
EnglishPublication classification
C1.1 Refereed article in a scholarly journalIssue
2Publisher
BMJ PUBLISHING GROUPUsage metrics
Categories
Keywords
Science & TechnologyLife Sciences & BiomedicineMedicine, General & InternalGeneral & Internal Medicineneurologyneurobiologydementianeuropathologyclinical trialsSATURATED FATPERFORMANCEIMPAIRMENTDEMENTIARECALLSCALEAlzheimer DiseaseAmyloid beta-PeptidesAnimalsAustraliaClinical Trials, Phase II as TopicCognitionDouble-Blind MethodHumansMiceProbucolQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeAgingAlzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)NeurosciencesNeurodegenerativeAlzheimer's DiseaseClinical ResearchClinical Trials and Supportive ActivitiesDementiaBrain DisordersAcquired Cognitive Impairment6 Evaluation of treatments and therapeutic interventions6.1 PharmaceuticalsNeurologicalPublic Health and Health Services not elsewhere classifiedMedical and Health Sciences not elsewhere classifiedClinical Sciences not elsewhere classified
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC