Effects of Sulforaphane in Patients With Prodromal to Mild Alzheimer's Disease

NCT ID: NCT04213391

Last Updated: 2020-05-12

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

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-10

Study Completion Date

2022-12-01

Brief Summary

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In this proposed study, the investigators will evaluate the efficacy, safety and related mechanism of sulforaphane in treatment of Alzheimer's disease (AD). The study will recruit 160 AD patients, and then these patients will be randomized to sulforaphane group or placebo group (80 patients per arm) for 24 weeks clinic trial. Clinical efficacy and safety assessment will be done at screen/baseline, 4 week, 12 week, and 24 week. The specific aims are to compare sulforaphane versus placebo on: clinical core symptoms; biological samples also will be collected, and stored to research related mechanisms. During the study period, safety index including blood and urine routine, liver and kidney function, coagulation index and clinical effect index about neuropsychological scales will be recorded.

Detailed Description

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In this proposed study, the investigators will evaluate the efficacy, safety and related mechanism of sulforaphane in treatment of AD. The study will recruit 160 AD patients, then these patients will be randomized to sulforaphane group or placebo group (80 patients per arm) for 24 weeks clinic trial. Clinical efficacy and safety assessment will be done at screen/baseline, 4 week, 12 week, 24 week. The specific aims are to compare sulforaphane versus placebo on: 1) clinical core symptoms; The investigators hypothesize that (1) sulforaphane is superior to placebo in the treatment of clinical symptoms in patients with AD, measured by the ADAS-cog, MMSE Scale, Moca; (2) Biological samples will be collected, and stored so that the hypothesis sulforaphane may alter oxidative stress indexes or inflammatory biomarkers, and influence histone deacetylase inhibitor mechanism or inflammatory mechanism et al that may be significantly correlated with clinical improvement. (3) Safety index including blood and urine routine, liver and kidney function, coagulation index and clinical effect index about neuropsychological scales will be recorded.

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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sulforaphane group

The patients will take sulforaphane for 24 weeks, 2550mg once a day.

Group Type EXPERIMENTAL

sulforaphane

Intervention Type DIETARY_SUPPLEMENT

Sulforaphane take 2550mg once a day.

Placebo group

The patients will take placebo for 24 weeks, 2550mg once a day.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Placebo take 2550mg once a day.

Interventions

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sulforaphane

Sulforaphane take 2550mg once a day.

Intervention Type DIETARY_SUPPLEMENT

Placebo

Placebo take 2550mg once a day.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* 1\. Age range from 50 to 75 (including 50 and 75 years old), regardless of ethnic group or gender;
* 2\. The subjects should be able to complete the cognitive ability measurement and other tests specified in the protocol;
* 3\. Meeting the criteria for likely Alzheimer's Disease (AD) dementia (2011) by National Institute of Neurological Disorders and Strokes - Alzheimer's Disease and Related Diseases Association(NINCDS-ADRDA);
* 4\. Patients with mild dementia: the total score of Mini-Mental State Examination (MMSE) : ≥22 points; Clinical Dementia Rating scale (CDR)score \> or equal to 0.5 and \< or equal to1;The MMSE score provides evidence of mild disease severity and the CDR-GS score indicates that the patients have noticeable amnestic (pAD) or cognitive and functional (mAD) deficits
* 5\. The total score of the Hachinski Ischemic Score (HIS )was \< 4.
* 6\. Hamilton depression scale (17 items) total score ≤7 points;
* 7\. Brain MRI shows a high likelihood of AD;
* 8\. Before enrollment, patients should take a stable dose of dementia drugs (donepezil 5mg) ≥8 weeks;
* 9\. The expected survival time is \> 1 year;
* 10\. Subjects should have a stable and reliable caregiver, or at least have frequent contact with the caregiver (at least 3 days per week and at least 2 hours per day), who will help patients participate in the whole study; Caregivers must accompany the subjects to the visit and assist in completing the relevant scale.

Exclusion Criteria

* 1\. Refuse to sign the inform consent form;
* 2\. Other causes of dementia: known vascular, central nervous system infection ,Parkinson's disease, traumatic brain dementia, other physical and chemical factors; serious body disease , intracranial space-occupying lesions, endocrine system disease, such as thyroid disease, and a lack of vitamin B12, folic acid, or any other known causes of dementia.
* 3\. Central nervous system diseases (including stroke, optic neuromyelitis, Parkinson's disease, epilepsy, etc.);
* 4\. Obvious positive signs of nervous system examination;
* 5\. Psychotic patients, including schizophrenia or other disorders with bipolar disorder, major depression or delirium;
* 6\. Uncontrolled hypertension or hypotension during screening: systolic blood pressure ≥180(millimetres of mercury )mmHg or \< 90mmhg, or diastolic blood pressure ≥120mmHg or \< 60mmhg;
* 7\. Unstable or severe diseases of the heart, lung, liver, kidney and hematopoietic system according to the judgment of the researchers;
* 8\. Patients with incurable visual and auditory disorders that cannot complete neuropsychological tests and scales;
* 9\. Female subjects who are positive in pregnancy test or breast-feeding and who cannot take effective contraceptive measures or have a birth plan;
* 10\. Severe allergy, non-allergic drug reaction or multi-drug allergy history;
* 11\. Participated in other clinical trials within 3 months before screening visit;
* 12\. Taking any health care products related to brain and brain improvement currently and failing to keep the promise to stop using the above products;
* 13\. Other conditions are unsuitable for participating in this study according to the judgement of researchers.
Minimum Eligible Age

50 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Second Affiliated Hospital, School of Medicine, Zhejiang University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Second Affiliated Hospital,Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Qing-Qing tao, Ph.D

Role: CONTACT

+08613777820430

Facility Contacts

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Zhi-Ying Wu, MD&PhD

Role: primary

+86-571-87783569

References

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Lee S, Choi BR, Kim J, LaFerla FM, Park JHY, Han JS, Lee KW, Kim J. Sulforaphane Upregulates the Heat Shock Protein Co-Chaperone CHIP and Clears Amyloid-beta and Tau in a Mouse Model of Alzheimer's Disease. Mol Nutr Food Res. 2018 Jun;62(12):e1800240. doi: 10.1002/mnfr.201800240. Epub 2018 May 28.

Reference Type BACKGROUND
PMID: 29714053 (View on PubMed)

Hou TT, Yang HY, Wang W, Wu QQ, Tian YR, Jia JP. Sulforaphane Inhibits the Generation of Amyloid-beta Oligomer and Promotes Spatial Learning and Memory in Alzheimer's Disease (PS1V97L) Transgenic Mice. J Alzheimers Dis. 2018;62(4):1803-1813. doi: 10.3233/JAD-171110.

Reference Type BACKGROUND
PMID: 29614663 (View on PubMed)

Jhang KA, Park JS, Kim HS, Chong YH. Sulforaphane rescues amyloid-beta peptide-mediated decrease in MerTK expression through its anti-inflammatory effect in human THP-1 macrophages. J Neuroinflammation. 2018 Mar 12;15(1):75. doi: 10.1186/s12974-018-1112-x.

Reference Type BACKGROUND
PMID: 29530050 (View on PubMed)

Kim J, Lee S, Choi BR, Yang H, Hwang Y, Park JH, LaFerla FM, Han JS, Lee KW, Kim J. Sulforaphane epigenetically enhances neuronal BDNF expression and TrkB signaling pathways. Mol Nutr Food Res. 2017 Feb;61(2). doi: 10.1002/mnfr.201600194. Epub 2016 Nov 30.

Reference Type BACKGROUND
PMID: 27735126 (View on PubMed)

Zhao F, Zhang J, Chang N. Epigenetic modification of Nrf2 by sulforaphane increases the antioxidative and anti-inflammatory capacity in a cellular model of Alzheimer's disease. Eur J Pharmacol. 2018 Apr 5;824:1-10. doi: 10.1016/j.ejphar.2018.01.046. Epub 2018 Jan 31.

Reference Type BACKGROUND
PMID: 29382536 (View on PubMed)

Zhang R, Zhang J, Fang L, Li X, Zhao Y, Shi W, An L. Neuroprotective effects of sulforaphane on cholinergic neurons in mice with Alzheimer's disease-like lesions. Int J Mol Sci. 2014 Aug 18;15(8):14396-410. doi: 10.3390/ijms150814396.

Reference Type BACKGROUND
PMID: 25196440 (View on PubMed)

Other Identifiers

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Wulab-AD sulforaphane

Identifier Type: -

Identifier Source: org_study_id

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