Alzheimer Disease Clinical Trial
Official title:
Randomized, Double Blind, Placebo Controlled Prospective Study, to Evaluate the Effect of a Vegetal Oil in the Disease's Natural Evolution in Patients Diagnosed With Cognitive Impairment or Mild to Moderate Alzheimer Disease.
The aim of the study is to evaluate the beneficial effect of a mixture of vegetal oils with a composition related to short, medium and long unsaturated chain fatty acids on patients with a diagnose of cognitive impairment or mild to moderate Alzheimer disease
Status | Recruiting |
Enrollment | 110 |
Est. completion date | July 2017 |
Est. primary completion date | April 2017 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 55 Years to 85 Years |
Eligibility |
Inclusion Criteria: - informed consents signed by patients and/or caretaker - The patient has to fulfil dementia clinical criteria. - Age between 55 and 85 years old. - MMSE score between 18 and 26. - The patient can fulfil all neuropsychologic test, according to investigator. - The patient has to be always with his/her caretaker during monitorization visits - The caretaker has to be in regular contact with the patient, knowing his/her situation and participation in the study. - The caretaker has to check four times per week, at least, the product intake, as well as the routine medication and his/her dietetic habits. - Both caretaker and patient have to be able to complete the product intake during all the length of the study, according to the main investigator. Exclusion Criteria: - Patient and/or caretaker not being able to understand and agree in writing their participation in the study. - Patient disability to oral intake of products. - Known allergy to any of the product components (active and placebo) - Evidence of suffering other neuropsychiatric disturbances apart of dementia as: Parkinson disease, psychotic disturbance, bipolar depression. - regular intake of alcohol higher than 45 g ethanol/day, during the year before study inclusion. - Any known concurrent malignant pathology in the moment of study inclusion, or severe metabolic, cardiovascular, renal, hepatic, or gastrointestinal disease that cannot allow the ending of the study according the investigator. - Any analytical abnormality during the screening, apart from: Creatinine no less than 1.7 mg/dL; low levels of Vitamin B12, and TSH abnormal values. |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Prevention
Country | Name | City | State |
---|---|---|---|
Spain | Hospital Universitario Vinalopó | Elche | Alicante |
Spain | Hospital Universitario de Torrevieja | Torrevieja, | Alicante |
Lead Sponsor | Collaborator |
---|---|
Team Foods Colombia S.A. | Biopolis S.L. |
Spain,
Bourre JM. Roles of unsaturated fatty acids (especially omega-3 fatty acids) in the brain at various ages and during ageing. J Nutr Health Aging. 2004;8(3):163-74. Review. — View Citation
Coronado M, et al. Los ácidos grasos omega-3 y omega-6: Nutrición, bioquímica y salud. REB 25(3) 2006: 72-79
Gillette Guyonnet S, Abellan Van Kan G, Andrieu S, Barberger Gateau P, Berr C, Bonnefoy M, Dartigues JF, de Groot L, Ferry M, Galan P, Hercberg S, Jeandel C, Morris MC, Nourhashemi F, Payette H, Poulain JP, Portet F, Roussel AM, Ritz P, Rolland Y, Vellas B. IANA task force on nutrition and cognitive decline with aging. J Nutr Health Aging. 2007 Mar-Apr;11(2):132-52. Review. — View Citation
Kueider AM, Parisi JM, Gross AL, Rebok GW. Computerized cognitive training with older adults: a systematic review. PLoS One. 2012;7(7):e40588. doi: 10.1371/journal.pone.0040588. Epub 2012 Jul 11. Review. — View Citation
Larrieu S, Letenneur L, Berr C, Dartigues JF, Ritchie K, Alperovitch A, Tavernier B, Barberger-Gateau P. Sociodemographic differences in dietary habits in a population-based sample of elderly subjects: the 3C study. J Nutr Health Aging. 2004;8(6):497-502. — View Citation
Lee LK, Shahar S, Chin AV, Yusoff NA. Docosahexaenoic acid-concentrated fish oil supplementation in subjects with mild cognitive impairment (MCI): a 12-month randomised, double-blind, placebo-controlled trial. Psychopharmacology (Berl). 2013 Feb;225(3):605-12. doi: 10.1007/s00213-012-2848-0. Epub 2012 Aug 30. — View Citation
Logan AC. Neurobehavioral aspects of omega-3 fatty acids: possible mechanisms and therapeutic value in major depression. Altern Med Rev. 2003 Nov;8(4):410-25. Review. — View Citation
Luck T, Luppa M, Briel S, Riedel-Heller SG. Incidence of mild cognitive impairment: a systematic review. Dement Geriatr Cogn Disord. 2010;29(2):164-75. doi: 10.1159/000272424. Epub 2010 Feb 11. Review. — View Citation
Swanson D, Block R, Mousa SA. Omega-3 fatty acids EPA and DHA: health benefits throughout life. Adv Nutr. 2012 Jan;3(1):1-7. doi: 10.3945/an.111.000893. Epub 2012 Jan 5. Review. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Changes in Mini-Mental State Examination (MMSE) score | baseline, 3 month, 6 month, 9 month, 12 month | No | |
Primary | Changes in Global Clinical Dementia Rating (CDR) score | baseline, 3 month, 6 month, 9 month, 12 month | No | |
Secondary | Changes in systemic oxidative parameters in periferic blood samples (Nitric Oxyde) | baseline, 12 month | No | |
Secondary | Changes in systemic oxidative parameters in periferic blood samples (Malondialdehyde (MDA)) | baseline, 12 month | No | |
Secondary | Changes in beta-amyloid protein concentration | Changes in mean values on high sensitivity beta-amyloid 1-40 and 1-42 protein and TAU-protein in cerebrospinal fluid on those patients with a new diagnose of mild to moderate cognitive impairment, that require an initial lumbar puncture and a new lumbar puncture to control evolution at the end of teh study. | baseline, 12 month | No |
Secondary | Changes in TAU-Protein concentration | Changes in mean values on high sensitivity beta-amyloid 1-40 and 1-42 protein and TAU-protein in cerebrospinal fluid on those patients with a new diagnose of mild to moderate cognitive impairment, that require an initial lumbar puncture and a new lumbar puncture to control evolution at the end of teh study. | baseline, 12 month | No |
Secondary | Changes in regular treatment for the cognitive impairment | baseline, 3 month, 6 month, 9 month, 12 month | No | |
Secondary | Changes in dietetic habits | baseline, 3 month, 6 month, 9 month, 12 month | No | |
Secondary | Changes in Barthel score | baseline, 3 month, 6 month, 9 month, 12 month | No | |
Secondary | Changes in Morisky-Green score | baseline, 3 month, 6 month, 9 month, 12 month | No | |
Secondary | changes in weight | baseline, 3 month, 6 month, 9 month, 12 month | No | |
Secondary | Number of adverse events | Number of adverse events related or nonrelated to the study or placebo products. | baseline, 3 month, 6 month, 9 month, 12 month | Yes |
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