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Efficacy and Safety of 3 Doses of S47445 Versus Placebo in Patients With Alzheimer's Disease at Mild to Moderate Stages With Depressive Symptoms

Code de protocole Servier: CL2-47445-011 Sponsor: Institut de Recherches Internationales Servier Identifiant Clinicaltrials.gov: NCT02626572 Numéro EudraCT: 2014-001519-38

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Comment participer à cette étude
Si vous pensez être éligible pour cette étude (voir
critères d'éligibilité
ci-dessous), vous pouvez identifier le site le plus proche de chez vous et le contacter directement. Si vous ne trouvez pas de site près de chez vous, veuillez contacter l'Institut de Recherches Internationales Servier (I.R.I.S.).
Nom: Institut de Recherches Internationales Servier, Département des études cliniques
Numéro de téléphone: +33 1 55 72 60 00
L'étude a 78 centres

Description de l'étude

The purpose of this trial is to assess the efficacy and safety of S47445 versus placebo in patients with Alzheimer's disease at mild to moderate stages with depressive symptoms. An optional 28-week extension period will be performed to evaluate safety/tolerance and efficacy of S47445 in co-administration with donepezil.
Titre officiel: Efficacy and Safety of 3 Doses of S47445 Versus Placebo in Patients With Alzheimer's Disease at Mild to Moderate Stages With Depressive Symptoms. A 24-week International, Multi-centre, Randomized, Double-blind, Placebo-controlled Phase II Study in Monotherapy Followed by an Optional 28-week Extension Period in Co-administration With Donepezil.
Indications
Alzheimer's Disease
Interventions / Traitements
  • S47445 5mg
  • S47445 15mg
  • S47445 50mg
  • Placebo
Autres numéros d'identification
  • CL2-47445-011

Critères d'éligibilité

Age éligible pour l’étude

55 ans à 85 ans (Adulte, Adulte plus âgé)

Sexe

Homme/Femme

Accepte les volontaires en bonne santé

Non

  • * Out-patients
  • * Able to perform neuropsychological tests
  • * Have a responsible informant
  • * DSM-IV-TR criteria for Dementia of the Alzheimer's Disease Type
  • * Mini mental State Examination (MMSE) = 15-24 both inclusive
  • * National Institute of Mental Health (NIMH) provisional criteria for depression in AD (NIMH-dAD)
  • * Cornell Scale for Depression in Dementia total score > or = 8
  • * Patients who have never been treated with AD treatments or patients who have stopped AD treatment whatever the reason
  • * Patients either not currently treated with an antidepressant or patients being treated with an antidepressant at the recommended dose for at least 8 weeks without clinical efficacy, who can stop this treatment according to the investigator's opinion.

  • * Patients not able to read or write
  • * Patients having participated in a study testing disease modifying therapy for AD, or in another study with administration of investigational drug or device within the previous 3 months prior to selection visit
  • * Depressive symptoms that, in investigator's judgment, are clearly due to a medical condition other than AD, or are a direct result of non-mood related dementia symptoms
  • * History of epilepsy or solitary seizure
  • * Medical history of Major Depressive Disorder more than 3 years before onset of the disease, treated with antidepressive drugs or electroconvulsive therapy
  • * Severe or unstable disease of any type that could interfere with safety and efficacy assessments
  • * Alcohol abuse or drug abuse or addiction, as judged by the clinician (excluding nicotine)
  • * Clinically relevant lactose intolerance
  • * Antidepressant treatment not stopped for at least 3 weeks before inclusion
  • * Significant worsening of depressive symptoms or high suicidal risk according to investigator's judgment
  • * For optional extension phase: medically instable Chronic Obstructive Pulmonary Disease and asthma, known hypersensitivity to donepezil hydrochloride or piperidine derivatives

Comment l'étude est-elle conçue ?

Allocation
Randomisé
Modèle d'étude interventionnelle
Parallèle
Groupe de participants / Bras de traitement
Expérimental: S47445 5mg
Intervention / Traitement
Traitement: S47445 5mg
S47445 5 mg tablets taken orally once a day during breakfast, starting the day after inclusion visit and ending the day of the W024 visit (main period) or starting the day after inclusion visit and ending the day of the W052 visit (period including main period and optional extension period).
Groupe de participants / Bras de traitement
Expérimental: S47445 15mg
Intervention / Traitement
Traitement: S47445 15mg
S47445 15 mg tablets taken orally once a day during breakfast, starting the day after inclusion visit and ending the day of the W024 visit (main period) or starting the day after inclusion visit and ending the day of the W052 visit (period including main period and optional extension period).
Groupe de participants / Bras de traitement
Expérimental: S47445 50mg
Intervention / Traitement
Traitement: S47445 50mg
S47445 50 mg tablets taken orally once a day during breakfast, starting the day after inclusion visit and ending the day of the W024 visit (main period) or starting the day after inclusion visit and ending the day of the W052 visit (period including main period and optional extension period).
Groupe de participants / Bras de traitement
Comparaison avec le placebo: Placebo
Intervention / Traitement
Traitement: Placebo
Placebo tablets taken orally once a day during breakfast, starting the day after inclusion visit and ending the day of the W024 visit (main period) or starting the day after inclusion visit and ending the day of the W052 visit (period including main period and optional extension period).

Mots clés

Autres termes
Alzheimer Disease