Depression Clinical Trial
— IGC-AD1-P2Official title:
A Phase 2, Multicenter, Double-Blind, Randomized, Placebo-Controlled, Trial of the Safety and Efficacy of IGC-AD1 on Agitation in Participants With Dementia Due to Alzheimer's Disease
The purpose of this study is to assess the efficacy of an oral medication, IGC-AD1 that is a natural THC-based (Tetrahydrocannabinol) formulation, administered in micro doses, twice a day, on symptomatological Agitation, in patients with mild to severe dementia from Alzheimer's.
Status | Recruiting |
Enrollment | 164 |
Est. completion date | June 30, 2025 |
Est. primary completion date | June 30, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 60 Years and older |
Eligibility | To be eligible to participate in this study, the participant must meet all the following criteria: Inclusion Criteria 1. Participant and/or Caregiver must provide a signed and dated ICF prior to any study procedures. 2. Must have a Caregiver who is able and willing to comply with all required study procedures. 3. The Caregiver must be known to the Participant and must be able to use electronic devices such as a cell phone, video conference over a laptop or cell phone, weighing scale, and be able to learn to take blood pressure, among others. 4. Based on local practice, Participants that cannot consent may have Caregiver's consent provided the Caregiver has among others a) Power of Attorney, b) is a spouse, or c) a sibling or d) a child or e) a close relation. The practice of accepting consent must be consistent with established practice at the site and jurisdiction. 5. Participants must consent to CYP450 and apolipoprotein E (ApoE) genotyping, and pharmacokinetics. 6. Diagnosis of AD by NIA-AA criteria 7. Clinically significant Agitation assessed by: 1. NPI (Agitation) = 4 2. The presence of clinically significant, persistent Agitation based on the IPA definition (Appendix C) rather than those with recent onset and occasional symptoms, and 3. Agitation not attributable to another psychiatric disorder, suboptimal care conditions, other underlining medical condition, or the physiological effects of a substance. 8. Negative drug screen, except for benzodiazepines if Participant has been using them in stable doses for at least 3 months before screening. 9. All medications used for behavioral symptoms should be consistent for at least 3 months before screening, with allowance for dose changes up to 25%. 10. Women must be of no childbearing potential (postmenopausal, defined as cessation of menses for at least 12 months, without an alternative medical cause for amenorrhea) or surgically sterile (hysterectomy, bilateral oophorectomy, or bilateral tubal ligation)). An individual who meets any of the following criteria will be excluded from participation in this study: Exclusion Criteria 1. Prior adverse reaction to cannabinoids or to any component of Study Drug (IGC-AD1 and placebo): THC, melatonin, honey, curcumin, ethyl alcohol, vitamin-E TPGS, ascorbic acid, water, tween-80, and rutin. 2. Serious or unstable medical illness, including cardiovascular, hepatic, renal, respiratory, endocrine, neurologic, or hematologic disease, which might confound assessment of safety outcomes. 3. History of seizures, schizophrenia, or bipolar disorder. 4. Has participated in an investigational drug or device study within 30 days prior to study start. 5. Urine drug screen positive for drug use, except for benzodiazepines if Participant was using them previously and their dose had remained stable for at least 3 months before screening. 6. History of Alcohol and Drug use disorder, within one year prior to enrollment. 7. Hypertension: Participants with a history of uncontrolled hypertension as determined by the PI and Participants with a hypertensive crisis in the six months prior to enrollment. 8. Falls: Participants with a history of recurrent falls defined as more than two falls in the six-month period prior to enrollment and a history of falls resulting in injuries or associated with a new acute illness, loss of consciousness, fever, or abnormal blood pressure (Fuller et al., 2000). |
Country | Name | City | State |
---|---|---|---|
Canada | Site 300 | Montréal | Quebec |
Canada | Site 1000 | Toronto | Ontario |
Puerto Rico | Site 100 | Bayamón | |
Puerto Rico | Site 200 | Bayamón | |
Puerto Rico | Site 500 | Rio Piedras | |
United States | Site 900 | Amherst | New York |
United States | Site 400 | Baltimore | Maryland |
United States | Site 700 | Melbourne | Florida |
United States | Site 1200 | Miami | Florida |
United States | Site 800 | Newton | Massachusetts |
United States | Site 1100 | Port Charlotte | Florida |
Lead Sponsor | Collaborator |
---|---|
IGC Pharma LLC |
United States, Canada, Puerto Rico,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Agitation at week four | Change in mean Cohen Mansfield Agitation Inventory (CMAI) score | Baseline to week four | |
Other | Participant overall wellbeing | Change in the Clinical Global Impression Scale (CGI) | Baseline to weeks two and six | |
Other | Participant executive functions | Change in Mini-Mental State Examination (MMSE2) score | Baseline to week six | |
Other | Depression | Change in mean Cornell Scale for Depression in Dementia (CSDD) score | Baseline to weeks two, four, and six | |
Other | Neuropsychiatric symptoms | Change in mean Neuropsychiatric Inventory (NPI-12) score | Baseline to weeks two, four, and six | |
Other | Participant quality of life | Change in mean Quality of Life in Alzheimer's Disease (QOL-AD) score | Baseline to weeks two, four and six | |
Other | Caregiver burden | Change in mean Zarit Burden Interview (ZBI) score | Baseline to weeks two and six | |
Other | Psychotropic drugs | Change in type and dosage of psychotropic drugs | Baseline to six weeks | |
Other | CYP2C9 polymorphisms on agitation | Change in mean Cohen Mansfield Agitation Inventory (CMAI) score for each type of metabolizer group (*1/*1, *1/*3, etc.) | Baseline to weeks two, four and six | |
Primary | Agitation | Change in mean Cohen Mansfield Agitation Inventory (CMAI) score | Baseline to week six | |
Secondary | Acute Agitation | Change in mean Cohen Mansfield Agitation Inventory (CMAI) score | Baseline to week two |
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