Alzheimer's Disease: Therapeutic Potential of Estrogen

NCT ID: NCT00066157

Last Updated: 2018-08-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-09-30

Study Completion Date

2007-12-31

Brief Summary

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This is a 15-month study to determine the effectiveness of hormone replacement therapy in improving memory and the ability to live independently in postmenopausal women with Alzheimer's disease.

Detailed Description

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Estrogen is a naturally occurring hormone produced in a woman's body. The purpose of this 15-month study is to determine the effectiveness of hormone replacement therapy in improving memory and the ability to live independently in postmenopausal women with Alzheimer's disease and without other dementias.

Patients who volunteer for this study will either receive a patch containing 17-ß-estradiol or will receive an inactive placebo patch. In addition, patients will be given either medroxyprogesterone or an inactive placebo pill. Neither the volunteers nor the study staff will know which type of patch or pill a patient receives. Patients must be generally healthy and have mild-to-moderate dementia. There must be a patient caregiver who can watch for side effects and ensure that the patient takes the study medications on schedule. Patients will undergo neuropsychological tests and an evaluation of the ability to live independently at each visit as well as laboratory evaluations, such as the taking of blood. Each visit will last approximately 3 hours. A total of 160 participants are being recruited.

Conditions

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Alzheimer Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

estradiol patch and medroxyprogesterone

Group Type EXPERIMENTAL

Transdermal estradiol

Intervention Type DRUG

50 micrograms (low-dose) or 100 micrograms (high-dose) transdermal 17-ß-estradiol patch, changed every 3 days, for 12 months

Medroxyprogesterone

Intervention Type DRUG

2.5mg tablet daily for 12 months

2

estradiol patch and placebo pill

Group Type ACTIVE_COMPARATOR

Transdermal estradiol

Intervention Type DRUG

50 micrograms (low-dose) or 100 micrograms (high-dose) transdermal 17-ß-estradiol patch, changed every 3 days, for 12 months

Placebo

Intervention Type DRUG

Placebo tablet daily for 12 months

3

placebo patch and medroxyprogesterone

Group Type ACTIVE_COMPARATOR

Medroxyprogesterone

Intervention Type DRUG

2.5mg tablet daily for 12 months

Placebo Patch

Intervention Type DRUG

Transdermal placebo patch, changed every 3 days, for 12 months

4

placebo patch and placebo pill

Group Type PLACEBO_COMPARATOR

Placebo Patch

Intervention Type DRUG

Transdermal placebo patch, changed every 3 days, for 12 months

Placebo

Intervention Type DRUG

Placebo tablet daily for 12 months

Interventions

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Transdermal estradiol

50 micrograms (low-dose) or 100 micrograms (high-dose) transdermal 17-ß-estradiol patch, changed every 3 days, for 12 months

Intervention Type DRUG

Medroxyprogesterone

2.5mg tablet daily for 12 months

Intervention Type DRUG

Placebo Patch

Transdermal placebo patch, changed every 3 days, for 12 months

Intervention Type DRUG

Placebo

Placebo tablet daily for 12 months

Intervention Type DRUG

Other Intervention Names

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17 (beta) estradiol transdermal patch Estrogen replacement therapy progesterone

Eligibility Criteria

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Inclusion Criteria

* Postmenopausal women with Alzheimer's disease and without other dementias (diagnosed by study staff or from an outside clinic)
* Mini Mental State Examination score greater than 15/30

Exclusion Criteria

* History of cancer of reproductive tissues
* History of deep vein thrombosis or blot clots
* Diabetes
* Heart disease or stroke
* Liver problems including hepatitis
* Severe vision or hearing problems
* Tobacco use
* Lack of an adequate caregiver
* inability to perform psychometric testing
Minimum Eligible Age

55 Years

Maximum Eligible Age

90 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Aging (NIA)

NIH

Sponsor Role collaborator

University of Wisconsin, Madison

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sanjay Asthana, MD

Role: PRINCIPAL_INVESTIGATOR

University of Wisconsin - Madison, William S. Middleton VA Hospital

Locations

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University of Wisconsin Memory Research Program

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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Cholerton B, Gleason CE, Baker LD, Asthana S. Estrogen and Alzheimer's disease: the story so far. Drugs Aging. 2002;19(6):405-27. doi: 10.2165/00002512-200219060-00002.

Reference Type BACKGROUND
PMID: 12149049 (View on PubMed)

Asthana S, Baker LD, Craft S, Stanczyk FZ, Veith RC, Raskind MA, Plymate SR. High-dose estradiol improves cognition for women with AD: results of a randomized study. Neurology. 2001 Aug 28;57(4):605-12. doi: 10.1212/wnl.57.4.605.

Reference Type BACKGROUND
PMID: 11524467 (View on PubMed)

Asthana S, Craft S, Baker LD, Raskind MA, Birnbaum RS, Lofgreen CP, Veith RC, Plymate SR. Cognitive and neuroendocrine response to transdermal estrogen in postmenopausal women with Alzheimer's disease: results of a placebo-controlled, double-blind, pilot study. Psychoneuroendocrinology. 1999 Aug;24(6):657-77. doi: 10.1016/s0306-4530(99)00020-7.

Reference Type BACKGROUND
PMID: 10399774 (View on PubMed)

Other Identifiers

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R01AG017196-03

Identifier Type: NIH

Identifier Source: secondary_id

View Link

FDA IRB approval M1285

Identifier Type: -

Identifier Source: secondary_id

NIH grant AG17196-03

Identifier Type: -

Identifier Source: secondary_id

IA0048

Identifier Type: OTHER

Identifier Source: secondary_id

2001-477

Identifier Type: -

Identifier Source: org_study_id

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