Trial Outcomes & Findings for Low Dose RT to Reduce Cerebral Amyloidosis in Early Alzheimer's (NCT NCT02769000)

NCT ID: NCT02769000

Last Updated: 2021-12-16

Results Overview

Evaluate the toxicity associated with the delivery of low dose fractionated whole brain irradiation in subjects with early Alzheimer's dementia using the CTCAE toxicity grading system. The scale is 0 - 5 with 0 being no toxicity and 5 being fatal.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

5 participants

Primary outcome timeframe

48 months

Results posted on

2021-12-16

Participant Flow

Participant milestones

Participant milestones
Measure
Subjects 1-15
10 GY in 5 daily fractions: Subjects 1-15 10 GY in 5 daily fractions
Subjects 16 - 30
20 GY in 10 daily fractions: Subjects 16-30 20 GY in 10 daily fractions
Overall Study
STARTED
5
0
Overall Study
COMPLETED
5
0
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Low Dose RT to Reduce Cerebral Amyloidosis in Early Alzheimer's

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Subjects 1-15
n=5 Participants
10 GY in 5 daily fractions: Subjects 1-15 10 GY in 5 daily fractions
Subjects 16 - 30
20 GY in 10 daily fractions: Subjects 16-30 20 GY in 10 daily fractions
Total
n=5 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
0 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
0 Participants
n=7 Participants
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 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
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
0 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
5 participants
n=5 Participants
5 participants
n=5 Participants

PRIMARY outcome

Timeframe: 48 months

Evaluate the toxicity associated with the delivery of low dose fractionated whole brain irradiation in subjects with early Alzheimer's dementia using the CTCAE toxicity grading system. The scale is 0 - 5 with 0 being no toxicity and 5 being fatal.

Outcome measures

Outcome measures
Measure
Subjects 1-15
n=5 Participants
10 GY in 5 daily fractions: Subjects 1-15 10 GY in 5 daily fractions
Evaluate Toxicity Associated With Delivery of Low Dose Fractionated Whole Brain Irradiation in Subjects With Early Alzheimer's Dementia According to ADRDA Criteria.
Skin toxicity
2 grade of toxicity
Interval 0.0 to 2.0
Evaluate Toxicity Associated With Delivery of Low Dose Fractionated Whole Brain Irradiation in Subjects With Early Alzheimer's Dementia According to ADRDA Criteria.
Eye toxicity
0 grade of toxicity
Interval 0.0 to 2.0
Evaluate Toxicity Associated With Delivery of Low Dose Fractionated Whole Brain Irradiation in Subjects With Early Alzheimer's Dementia According to ADRDA Criteria.
Ear toxicity
0 grade of toxicity
Interval 0.0 to 2.0
Evaluate Toxicity Associated With Delivery of Low Dose Fractionated Whole Brain Irradiation in Subjects With Early Alzheimer's Dementia According to ADRDA Criteria.
Central Nervous System toxicity
2 grade of toxicity
Interval 2.0 to 3.0
Evaluate Toxicity Associated With Delivery of Low Dose Fractionated Whole Brain Irradiation in Subjects With Early Alzheimer's Dementia According to ADRDA Criteria.
Other toxicity
1 grade of toxicity
Interval 0.0 to 2.0

SECONDARY outcome

Timeframe: Baseline to 12 months

Population: Due to low power because of the small number of participants enrolled, change scores have not been calculated. Baseline and 12 month median scores and ranges are reported.

Patients will complete the Hopkins Verbal Learning Test-Revised (HVLT-R) which is a paper and pencil assessment. Overall scores will be reported. Scores range from 0 to 26 with higher scores indicating better functioning.

Outcome measures

Outcome measures
Measure
Subjects 1-15
n=5 Participants
10 GY in 5 daily fractions: Subjects 1-15 10 GY in 5 daily fractions
Neurocognitive Function: Verbal Learning and Memory
Baseline
18 score on a scale
Interval 8.0 to 21.0
Neurocognitive Function: Verbal Learning and Memory
12 months
15 score on a scale
Interval 4.0 to 20.0

SECONDARY outcome

Timeframe: Baseline to 12 months

Population: Due to low power because of the small number of participants enrolled, change scores have not been calculated. Baseline and 12 month median scores and ranges are reported.

Patients will complete the Brief Visuospatial Memory Test-revised which is a paper and pencil assessment. Overall scores will be reported. Scores range from 0 to 36 with higher scores indicating better functioning.

Outcome measures

Outcome measures
Measure
Subjects 1-15
n=5 Participants
10 GY in 5 daily fractions: Subjects 1-15 10 GY in 5 daily fractions
Neurocognitive Function: Visuospatial Memory
Baseline
12 score on a scale
Interval 5.0 to 17.0
Neurocognitive Function: Visuospatial Memory
12 months
10 score on a scale
Interval 4.0 to 22.0

SECONDARY outcome

Timeframe: Baseline to 12 months

Population: Due to low power because of the small number of participants enrolled, change scores have not been calculated. Baseline and 12 month median scores and ranges are reported.

Patients will complete the Mini-Mental State Exam (MMSE) which is an interview style assessment. Overall scores will be reported. Scores range from 0 to 30 with higher scores indicating better functioning.

Outcome measures

Outcome measures
Measure
Subjects 1-15
n=5 Participants
10 GY in 5 daily fractions: Subjects 1-15 10 GY in 5 daily fractions
Neurocognitive Function: Cognitive Function
Baseline
25 score on a scale
Interval 22.0 to 25.0
Neurocognitive Function: Cognitive Function
12 months
26 score on a scale
Interval 13.0 to 29.0

SECONDARY outcome

Timeframe: Baseline to 12 months

Population: Due to low power because of the small number of participants enrolled, change scores have not been calculated. Baseline and 12 month median scores and ranges are reported.

Patients will complete the PHQ-9 (Patient Health Questionnaire-9) which is an interview style assessment. Overall scores will be reported. Scores range from 0 to 27 with lower scores indicting lower depression.

Outcome measures

Outcome measures
Measure
Subjects 1-15
n=5 Participants
10 GY in 5 daily fractions: Subjects 1-15 10 GY in 5 daily fractions
Psychological Functioning: Depression
Baseline
2 score on a scale
Interval 0.0 to 2.0
Psychological Functioning: Depression
12 Months
3 score on a scale
Interval 1.0 to 8.0

SECONDARY outcome

Timeframe: Baseline to 12 months

Population: Due to low power because of the small number of participants enrolled, change scores have not been calculated. Baseline and 12 month median scores and ranges are reported.

Patients will complete the GAD-7 (General Anxiety Disorder-7) which is an interview style assessment. Overall scores will be reported. Scores range from 0 to 21 with lower scores indicating lower levels of anxiety.

Outcome measures

Outcome measures
Measure
Subjects 1-15
n=5 Participants
10 GY in 5 daily fractions: Subjects 1-15 10 GY in 5 daily fractions
Psychological Functioning: Anxiety
Baseline
3 score on a scale
Interval 1.0 to 3.0
Psychological Functioning: Anxiety
12 Months
1 score on a scale
Interval 0.0 to 6.0

SECONDARY outcome

Timeframe: Baseline to 12 months

Population: Due to low power because of the small number of participants enrolled, change scores have not been calculated. Baseline and 12 month median scores and ranges are reported.

Patients will complete the Quality of Life in Alzheimer's Disease (QOL-AD) which is an interview style assessment. The QOL-AD is a 13-item questionnaire designed to provide both a patient and a caregiver report of the quality of life (QOL) for patients who have been diagnosed with Alzheimer Disease. Overall scores will be reported. Scores range from 13 to 52 with higher scores indicating better quality of life.

Outcome measures

Outcome measures
Measure
Subjects 1-15
n=5 Participants
10 GY in 5 daily fractions: Subjects 1-15 10 GY in 5 daily fractions
Quality of Life in Alzheimer's Disease
Baseline
46 score on a scale
Interval 34.0 to 46.0
Quality of Life in Alzheimer's Disease
12 Months
40 score on a scale
Interval 39.0 to 46.0

SECONDARY outcome

Timeframe: Baseline to 12 months

Population: Due to low power because of the small number of participants enrolled, change scores have not been calculated. Baseline and 12 month median scores and ranges are reported.

Patients will complete the Everyday Cognition (ECog) which is an interview style assessment. Overall scores will be reported. Scores range from 39 to 156 with lower scores indicating less decline in cognition.

Outcome measures

Outcome measures
Measure
Subjects 1-15
n=5 Participants
10 GY in 5 daily fractions: Subjects 1-15 10 GY in 5 daily fractions
Cognitive and Functional Decline
Baseline
66 score on a scale
Interval 45.0 to 72.0
Cognitive and Functional Decline
12 Months
64 score on a scale
Interval 32.0 to 88.0

Adverse Events

Subjects 1-15

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Timothy Harris, MD

Virginia Commonwealth University

Phone: 804-828-7232

Results disclosure agreements

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