Trial Outcomes & Findings for Health Evaluation in African Americans Using RAS Therapy (NCT NCT02471833)

NCT ID: NCT02471833

Last Updated: 2024-05-23

Results Overview

The cerebrospinal fluid renin-angiotensin system (RAS) was assessed by measuring levels of angiotensin metabolites in a 1 milliliter (mL) sample of cerebrospinal fluid (CSF). ACE 1 helps to regulate blood pressure by converting angiotensin I to angiotensin II.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

61 participants

Primary outcome timeframe

Baseline, Month 8

Results posted on

2024-05-23

Participant Flow

Participants were recruited from the Wesley Woods Health Center, Emory Alzheimer's Clinical Research Unit (ACRU), and the Emory Brain Health Center in Atlanta, Georgia, USA. Participant enrollment began April 2015 and all follow-up assessments were completed by April 15, 2022.

Participant milestones

Participant milestones
Measure
Telmisartan 20mg
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease (AD) who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Overall Study
STARTED
19
18
24
Overall Study
Completed 8 Months of Study Treatment
12
16
17
Overall Study
COMPLETED
16
17
19
Overall Study
NOT COMPLETED
3
1
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Telmisartan 20mg
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease (AD) who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Overall Study
Lost to Follow-up
1
0
0
Overall Study
Withdrawal by Subject
2
1
5

Baseline Characteristics

Health Evaluation in African Americans Using RAS Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Telmisartan 20mg
n=19 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=18 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=24 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Total
n=61 Participants
Total of all reporting groups
Age, Continuous
57.79 years
STANDARD_DEVIATION 8.85 • n=5 Participants
60.44 years
STANDARD_DEVIATION 7.48 • n=7 Participants
60.54 years
STANDARD_DEVIATION 8.65 • n=5 Participants
59.66 years
STANDARD_DEVIATION 8.48 • n=4 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
16 Participants
n=7 Participants
19. Participants
n=5 Participants
51 Participants
n=4 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
10 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
n=5 Participants
18 Participants
n=7 Participants
24 Participants
n=5 Participants
61 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
19 Participants
n=5 Participants
18 Participants
n=7 Participants
24 Participants
n=5 Participants
61 Participants
n=4 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
19 Participants
n=5 Participants
18 Participants
n=7 Participants
24 Participants
n=5 Participants
61 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

The cerebrospinal fluid renin-angiotensin system (RAS) was assessed by measuring levels of angiotensin metabolites in a 1 milliliter (mL) sample of cerebrospinal fluid (CSF). ACE 1 helps to regulate blood pressure by converting angiotensin I to angiotensin II.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=10 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=15 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Concentration of Angiotensin Converting Enzyme (ACE 1)
Baseline
4043.15 ng/mL
Standard Deviation 1425.34
4028.17 ng/mL
Standard Deviation 1509.02
3836.31 ng/mL
Standard Deviation 1627.50
Concentration of Angiotensin Converting Enzyme (ACE 1)
Month 8
3305.21 ng/mL
Standard Deviation 764.54
4102.96 ng/mL
Standard Deviation 1498.07
3696.71 ng/mL
Standard Deviation 1309.61

PRIMARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

The cerebrospinal fluid renin-angiotensin system (RAS) was assessed by measuring levels of angiotensin metabolites in a 1 milliliter (mL) sample of cerebrospinal fluid (CSF). ACE 2 regulates levels of circulating angiotensin II. ACE 2 increases during illness and with Alzheimer's disease.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=9 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=14 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Concentration of Angiotensin Converting Enzyme 2 (ACE 2)
Baseline
889.06 ng/mL
Standard Deviation 870.83
566.43 ng/mL
Standard Deviation 700.13
783.72 ng/mL
Standard Deviation 998.95
Concentration of Angiotensin Converting Enzyme 2 (ACE 2)
Month 8
231.86 ng/mL
Standard Deviation 47.66
274.17 ng/mL
Standard Deviation 84.74
264.83 ng/mL
Standard Deviation 109.40

PRIMARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

Levels of amyloid β40 (Aβ40) in the cerebrospinal fluid were measured using LUMIPULSE® technology. The relationship between Aβ40 is non-linear with moderate levels showing the highest risk of future cognitive decline in some studies.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=11 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Cerebrospinal Fluid Amyloid β40
Baseline
7704.82 picograms per milliliter (pg/mL)
Standard Deviation 2237.94
9121.62 picograms per milliliter (pg/mL)
Standard Deviation 3174.21
8259.13 picograms per milliliter (pg/mL)
Standard Deviation 2176.62
Cerebrospinal Fluid Amyloid β40
Month 8
8011.44 picograms per milliliter (pg/mL)
Standard Deviation 2688.34
8820.08 picograms per milliliter (pg/mL)
Standard Deviation 2514.47
8300.67 picograms per milliliter (pg/mL)
Standard Deviation 2623.31

PRIMARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

Levels of amyloid β42 (Aβ42) in the cerebrospinal fluid were measured using LUMIPULSE® technology. Decreases in concentrations of amyloid β42 are indicative of a decrease in cognitive function.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=11 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Levels of Cerebrospinal Fluid Amyloid β42
Baseline
611.91 pg/mL
Standard Deviation 138.51
614.54 pg/mL
Standard Deviation 193.54
578.31 pg/mL
Standard Deviation 190.75
Levels of Cerebrospinal Fluid Amyloid β42
Month 8
620.89 pg/mL
Standard Deviation 256.43
665.42 pg/mL
Standard Deviation 278.00
599.25 pg/mL
Standard Deviation 204.17

PRIMARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

Levels of T-tau in the cerebrospinal fluid were measured using LUMIPULSE® technology. Increases in concentrations of T-tau are indicative of a decrease in cognitive function.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=11 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Levels of Cerebrospinal Fluid T-tau
Baseline
347.73 pg/mL
Standard Deviation 371.85
281.23 pg/mL
Standard Deviation 89.72
248.94 pg/mL
Standard Deviation 107.67
Levels of Cerebrospinal Fluid T-tau
Month 8
393.11 pg/mL
Standard Deviation 404.35
266.58 pg/mL
Standard Deviation 83.23
244.58 pg/mL
Standard Deviation 67.04

PRIMARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

Levels of P-tau in the cerebrospinal fluid were measured using LUMIPULSE® technology. Increases in concentrations of P-tau are indicative of a decrease in cognitive function.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=11 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Levels of Cerebrospinal Fluid P-tau
Baseline
29.75 pg/mL
Standard Deviation 12.88
36.55 pg/mL
Standard Deviation 11.24
31.58 pg/mL
Standard Deviation 13.24
Levels of Cerebrospinal Fluid P-tau
Month 8
30.48 pg/mL
Standard Deviation 10.16
35.68 pg/mL
Standard Deviation 13.67
30.48 pg/mL
Standard Deviation 10.30

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

The inflammatory marker IL-6 in CSF was examined.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=8 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=12 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Interleukin-6 (IL-6) Frequency
Baseline
9.41 pg/mL
Standard Deviation 3.25
10.65 pg/mL
Standard Deviation 6.77
8.62 pg/mL
Standard Deviation 3.08
Interleukin-6 (IL-6) Frequency
Month 8
8.51 pg/mL
Standard Deviation 4.73
8.69 pg/mL
Standard Deviation 4.14
8.19 pg/mL
Standard Deviation 3.23

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

The inflammatory marker IL-7 in CSF was examined.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=9 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Interleukin-7 (IL-7) Frequency
Baseline
1.88 pg/mL
Standard Deviation 1.77
1.70 pg/mL
Standard Deviation 1.57
1.77 pg/mL
Standard Deviation 1.17
Interleukin-7 (IL-7) Frequency
Month 8
2.06 pg/mL
Standard Deviation 1.84
1.16 pg/mL
Standard Deviation 0.66
1.03 pg/mL
Standard Deviation 1.01

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

The inflammatory marker IL-8 in CSF was examined.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=9 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Interleukin-8 (IL-8) Frequency
Baseline
123.77 pg/mL
Standard Deviation 64.31
156.99 pg/mL
Standard Deviation 49.10
165.40 pg/mL
Standard Deviation 100.25
Interleukin-8 (IL-8) Frequency
Month 8
103.31 pg/mL
Standard Deviation 42.88
102.11 pg/mL
Standard Deviation 25.84
122.99 pg/mL
Standard Deviation 51.36

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

The inflammatory marker IL-9 in CSF was examined.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=9 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Interleukin-9 (IL-9) Frequency
Baseline
96.55 pg/mL
Standard Deviation 64.31
153.65 pg/mL
Standard Deviation 71.26
119.18 pg/mL
Standard Deviation 79.53
Interleukin-9 (IL-9) Frequency
Month 8
81.24 pg/mL
Standard Deviation 34.06
98.32 pg/mL
Standard Deviation 28.48
88.22 pg/mL
Standard Deviation 39.96

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

The inflammatory marker IL-10 in CSF was examined.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=9 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Interleukin-10 (IL-10) Frequency
Baseline
9.70 pg/mL
Standard Deviation 3.31
11.93 pg/mL
Standard Deviation 3.32
10.92 pg/mL
Standard Deviation 3.09
Interleukin-10 (IL-10) Frequency
Month 8
8.83 pg/mL
Standard Deviation 2.31
10.15 pg/mL
Standard Deviation 2.85
10.60 pg/mL
Standard Deviation 2.26

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

Monocyte chemoattractant protein 1 inflammatory markers in CSF were examined.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=9 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Monocyte Chemoattractant Protein 1 (MCP-1) Frequency
Baseline
3369.30 pg/mL
Standard Deviation 1180.22
3347.26 pg/mL
Standard Deviation 786.79
3606.96 pg/mL
Standard Deviation 1077.71
Monocyte Chemoattractant Protein 1 (MCP-1) Frequency
Month 8
2069.32 pg/mL
Standard Deviation 735.75
2343.98 pg/mL
Standard Deviation 487.36
2548.37 pg/mL
Standard Deviation 872.88

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

Macrophage derived protein 1 inflammatory markers in CSF were examined.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=9 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Macrophage Derived Protein 1 (MDC-1) Frequency
Baseline
23.68 pg/mL
Standard Deviation 30.61
13.12 pg/mL
Standard Deviation 22.27
30.88 pg/mL
Standard Deviation 67.71
Macrophage Derived Protein 1 (MDC-1) Frequency
Month 8
6.70 pg/mL
Standard Deviation 4.84
9.47 pg/mL
Standard Deviation 5.46
10.40 pg/mL
Standard Deviation 4.41

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

Transforming growth factor alpha inflammatory markers in CSF were examined.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=9 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Transforming Growth Factor Alpha (TGF-α) Frequency
Baseline
9.42 pg/mL
Standard Deviation 2.29
9.58 pg/mL
Standard Deviation 1.65
9.05 pg/mL
Standard Deviation 1.71
Transforming Growth Factor Alpha (TGF-α) Frequency
Month 8
7.56 pg/mL
Standard Deviation 2.08
7.07 pg/mL
Standard Deviation 1.61
7.25 pg/mL
Standard Deviation 1.25

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

Tumor necrosis factor alpha inflammatory markers in CSF were examined.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=9 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Tumor Necrosis Factor Alpha (TNF-α) Frequency
Baseline
4.54 pg/mL
Standard Deviation 4.12
6.72 pg/mL
Standard Deviation 4.68
5.17 pg/mL
Standard Deviation 3.28
Tumor Necrosis Factor Alpha (TNF-α) Frequency
Month 8
2.96 pg/mL
Standard Deviation 0.94
3.12 pg/mL
Standard Deviation 0.98
4.71 pg/mL
Standard Deviation 8.63

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

Intercellular adhesion molecule 1 inflammatory markers in CSF were examined.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=9 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Intercellular Adhesion Molecule 1 (ICAM-1) Frequency
Baseline
207.81 ng/mL
Standard Deviation 107.74
310.55 ng/mL
Standard Deviation 258.73
205.18 ng/mL
Standard Deviation 179.56
Intercellular Adhesion Molecule 1 (ICAM-1) Frequency
Month 8
472.01 ng/mL
Standard Deviation 385.47
461.41 ng/mL
Standard Deviation 290.66
591.69 ng/mL
Standard Deviation 494.44

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

Vascular cell adhesion molecule 1 inflammatory markers in CSF were examined.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=9 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=16 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Vascular Cell Adhesion Molecule 1 (VCAM-1) Frequency
Baseline
12585.04 ng/mL
Standard Deviation 10891.20
16838.79 ng/mL
Standard Deviation 9151.95
13807.56 ng/mL
Standard Deviation 8991.60
Vascular Cell Adhesion Molecule 1 (VCAM-1) Frequency
Month 8
12964.43 ng/mL
Standard Deviation 2893.44
172781.50 ng/mL
Standard Deviation 4513.46
19212.32 ng/mL
Standard Deviation 8557.18

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: MMP was not analyzed because since developing the protocol for this study much has been learned about inflammatory cytokines and chemokines as AD preclinical biomarkers. The biological assay menu options for group analyses changed to include only those that have been shown to be related to disease state and likelihood of progression. The marker MMP was removed from the preplanned menu of inflammatory markers by the manufacturer and having MMP analyzed independently was cost prohibitive.

Matrix metalloproteinase inflammatory markers will be examined in CSF.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: TIMP was not analyzed because since developing the protocol for this study much has been learned about inflammatory cytokines and chemokines as AD preclinical biomarkers. The biological assay menu options for group analyses changed to include only those that have been shown to be related to disease state and likelihood of progression. The marker TIMP was removed from the preplanned menu of inflammatory markers by the manufacturer and having TIMP analyzed independently was cost prohibitive.

Tissue inhibitor of metalloproteinase inflammatory markers will be examined in CSF.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, Month 8

Population: This analysis includes participants who completed 8 months of study treatment, attended the Month 8 study visit, and had a sufficient sample of CSF collected. The amount of CSF collected fluctuated and some samples were not of adequate quantity to be used for every lab measurement. In some cases, participants had an unsuccessful or inadequate lumbar puncture at Baseline and then had a successful lumbar puncture at the Month 8 visit.

Soluble Platelet-Derived Growth Factor Receptor Beta (sPDGFRβ) is a marker of breakdown in the blood brain barrier. Increased levels of sPDGFRβ indicate cognitive dysfunction.

Outcome measures

Outcome measures
Measure
Telmisartan 20mg
n=8 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=12 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=13 Participants
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
CSF-Soluble Platelet-Derived Growth Factor Receptor Beta (sPDGFRβ)
Baseline
600.30 pg/mL
Standard Deviation 299.60
432.02 pg/mL
Standard Deviation 210.85
403.74 pg/mL
Standard Deviation 156.44
CSF-Soluble Platelet-Derived Growth Factor Receptor Beta (sPDGFRβ)
Month 8
470.93 pg/mL
Standard Deviation 104.50
391.10 pg/mL
Standard Deviation 151.23
471.60 pg/mL
Standard Deviation 190.34

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Month 8

High-resolution anatomical images will be acquired using a 3D-Fast Spoiled Gradient Recalled Echo (FSPGR) Sequence. White Matter Hyperintensities (WMH) will be identified by a 3D T2 Fluid Attenuated Inversion Recovery (FLAIR) Fast Spin Echo sequence. The images will be co-registered using a within-subject inter-modal alignment between structural and perfusion images. T1-weighted Spoiled Gradient Recalled (SPGR) images will be used to identify cerebrospinal fluid and white and gray matter. Increased volumes of white matter hyperintensities indicate impaired cognitive function.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Month 8

Echoplanar T1 mapping scans will be used for image registration and a scout image of the head will be obtained in order to choose the appropriate location for spin labeling and flow imaging. Arterial Spin Labeling images will be acquired using a custom 3D stack of interleaved spirals fast spin echo sequences and will be averaged in order to improve the signal-to-noise ratio. Images will be interpolated and smoothed in a panel by using a 0.5-pixel, full-width, half-maximum Gaussian kernel. Regional perfusion will be quantified in each hemisphere and maps of cerebral vasoreactivity will be obtained by co-registration of perfusion and anatomical images.

Outcome measures

Outcome data not reported

Adverse Events

Telmisartan 20mg

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Telmisartan 40mg

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Telmisartan 20mg
n=19 participants at risk
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 20 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Telmisartan 40mg
n=18 participants at risk
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive 40 mg of telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Placebo
n=24 participants at risk
African American participants with untreated or treated hypertension and at high risk for Alzheimer's disease who were randomly assigned to receive a placebo to match telmisartan to be taken orally once a day before bedtime, for a duration of 8 months.
Gastrointestinal disorders
Abdominal pain
15.8%
3/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
8.3%
2/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Excessive swelling
5.3%
1/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
8.3%
2/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Cardiac disorders
Hypotension
10.5%
2/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Cardiac disorders
Postural hypotension
5.3%
1/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
11.1%
2/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
4.2%
1/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Persistent cough
21.1%
4/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
5.6%
1/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
4.2%
1/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Dizziness
15.8%
3/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
11.1%
2/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
8.3%
2/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Cardiac disorders
Angina pectoris
5.3%
1/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
8.3%
2/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Cardiac disorders
Angioedema
5.3%
1/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Gastrointestinal disorders
Nausea/vomiting
10.5%
2/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Syncope
0.00%
0/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Vertigo
15.8%
3/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
5.6%
1/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Renal and urinary disorders
Abnormal kidney function
0.00%
0/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Gastrointestinal disorders
Diarrhea
42.1%
8/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
11.1%
2/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
4.2%
1/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Musculoskeletal and connective tissue disorders
Unusual muscle aches
36.8%
7/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
27.8%
5/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
12.5%
3/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Fatigue
10.5%
2/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
5.6%
1/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Sore throat
5.3%
1/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Headache
5.3%
1/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
5.6%
1/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
8.3%
2/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Dry mouth
5.3%
1/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
11.1%
2/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Night sweats
5.3%
1/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Out of range labs
5.3%
1/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Infections and infestations
Cold symptoms
0.00%
0/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
5.6%
1/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Increased body temperature
0.00%
0/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
4.2%
1/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Gastrointestinal disorders
Acid reflux
0.00%
0/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
4.2%
1/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Trouble falling asleep
0.00%
0/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
4.2%
1/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Gastrointestinal disorders
Indigestion
0.00%
0/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
4.2%
1/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Difficulty swallowing
0.00%
0/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
4.2%
1/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Musculoskeletal and connective tissue disorders
Arthritis
0.00%
0/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
4.2%
1/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Cardiac disorders
Heart palpitations
0.00%
0/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
4.2%
1/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Low energy
0.00%
0/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
4.2%
1/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
Gastrointestinal disorders
Constipation
0.00%
0/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
4.2%
1/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
General disorders
Weight loss
0.00%
0/19 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
0.00%
0/18 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.
4.2%
1/24 • Information on adverse events was collected beginning at the baseline assessment and continued through the final assessment at Month 8.
Participants were asked if they had experienced specific, anticipated adverse events. There was also a field for reporting other adverse events that were not specified.

Additional Information

Whitney Wharton, PhD

Emory University

Phone: 404-712-7359

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place