BONSAI: Biomarkers of Nonsteroidal Anti-Inflammatories

NCT ID: NCT00239746

Last Updated: 2009-04-29

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

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-10-31

Study Completion Date

2009-08-31

Brief Summary

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The purpose of this study is to test the effect of ibuprofen on the levels of a number of different proteins (called biomarkers) in cerebrospinal fluid (CSF), blood, and urine to see whether ibuprofen can influence certain biomarkers associated with the progression of Alzheimer's Disease.

Detailed Description

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The hypothesis to be tested is that the possible role of ibuprofen in preventing AD can be detected in changes in biomarkers of AD.

Eligible participants will complete an enrollment visit to include: a physical exam, a neurological exam, neuropsychological testing, and a minor blood draw. At the second visit, approximately 2 weeks later, participants will undergo a baseline lumbar puncture, and will be issued either ibuprofen or placebo to take once daily for 6-12 weeks. Both the participants and the clinicians will be masked to treatment assignment. After 6-12 weeks, the participants will undergo a second, and final, lumbar puncture. This will complete participant involvement in the study.

Conditions

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Alzheimer's 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

Group Type EXPERIMENTAL

Ibuprofen

Intervention Type DRUG

200mg taken orally daily for 6-12 weeks

2

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

200mg matched placebo taken orally daily for 6-12 weeks

Interventions

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Ibuprofen

200mg taken orally daily for 6-12 weeks

Intervention Type DRUG

Placebo

200mg matched placebo taken orally daily for 6-12 weeks

Intervention Type DRUG

Other Intervention Names

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Advil, Motrin

Eligibility Criteria

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Inclusion Criteria

* Age 59 years or older at time of the first visit
* Family history of one or more first-degree relatives with Alzheimer-like dementia
* Fluency in written and spoken English
* Willingness to limit use of Vitamin E (\<600 IU per day), Non-aspirin NSAIDs, Aspirin (\<81mg per day), Histamine H2 receptor antagonists, and Gingko biloba extract for the duration of the study
* Ability and intention to participate in regular study visits
* Provision of informed consent

Exclusion Criteria

* History of peptic ulcer disease complicated by perforation, hemorrhage or obstruction
* History of uncomplicated peptic ulcer with symptoms in the 28 days prior to the first visit
* Clinically significant hypertension, anemia, liver disease, or kidney disease
* Hypersensitivity to aspirin or other NSAIDS
* Concurrent use of warfarin, ticlopidine, or any other type of anti-coagulant
* Concurrent use of systemic corticosteroids
* Use of ≥ 4 doses per week of either of the following in the 14 days prior to the first visit: Non-aspirin NSAIDs, Aspirin (\>81mg per day), or Histamine H2 receptor antagonists
* Current plasma creatinine ≥1.5mg/dL
* Enrollment in any trial that is likely to interfere with BONSAI procedures or affect treatment outcomes
* Cognitive impairment or dementia
Minimum Eligible Age

59 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Aging (NIA)

NIH

Sponsor Role lead

Responsible Party

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University of Washington/VA Puget Sound Health Care System

Principal Investigators

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John Breitner, MD

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Locations

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Layton Aging & Alzheimer's Disease Center

Portland, Oregon, United States

Site Status

Countries

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United States

References

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Weggen S, Eriksen JL, Das P, Sagi SA, Wang R, Pietrzik CU, Findlay KA, Smith TE, Murphy MP, Bulter T, Kang DE, Marquez-Sterling N, Golde TE, Koo EH. A subset of NSAIDs lower amyloidogenic Abeta42 independently of cyclooxygenase activity. Nature. 2001 Nov 8;414(6860):212-6. doi: 10.1038/35102591.

Reference Type BACKGROUND
PMID: 11700559 (View on PubMed)

McAdam BF, Catella-Lawson F, Mardini IA, Kapoor S, Lawson JA, FitzGerald GA. Systemic biosynthesis of prostacyclin by cyclooxygenase (COX)-2: the human pharmacology of a selective inhibitor of COX-2. Proc Natl Acad Sci U S A. 1999 Jan 5;96(1):272-7. doi: 10.1073/pnas.96.1.272.

Reference Type BACKGROUND
PMID: 9874808 (View on PubMed)

Montine TJ, Sidell KR, Crews BC, Markesbery WR, Marnett LJ, Roberts LJ 2nd, Morrow JD. Elevated CSF prostaglandin E2 levels in patients with probable AD. Neurology. 1999 Oct 22;53(7):1495-8. doi: 10.1212/wnl.53.7.1495.

Reference Type BACKGROUND
PMID: 10534257 (View on PubMed)

Zandi PP, Anthony JC, Hayden KM, Mehta K, Mayer L, Breitner JC; Cache County Study Investigators. Reduced incidence of AD with NSAID but not H2 receptor antagonists: the Cache County Study. Neurology. 2002 Sep 24;59(6):880-6. doi: 10.1212/wnl.59.6.880.

Reference Type BACKGROUND
PMID: 12297571 (View on PubMed)

Related Links

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http://www.ohsu.edu/research/alzheimers/index.htm

Layton Aging \& Alzheimer's Disease Center

Other Identifiers

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R01AG024010

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IA0086

Identifier Type: -

Identifier Source: org_study_id

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