Effects of Sulforaphane in Patients With Prodromal to Mild Alzheimer's Disease
NCT ID: NCT04213391
Last Updated: 2020-05-12
Study Results
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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UNKNOWN
NA
160 participants
INTERVENTIONAL
2020-05-10
2022-12-01
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Study Groups
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sulforaphane group
The patients will take sulforaphane for 24 weeks, 2550mg once a day.
sulforaphane
Sulforaphane take 2550mg once a day.
Placebo group
The patients will take placebo for 24 weeks, 2550mg once a day.
Placebo
Placebo take 2550mg once a day.
Interventions
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sulforaphane
Sulforaphane take 2550mg once a day.
Placebo
Placebo take 2550mg once a day.
Eligibility Criteria
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Inclusion Criteria
* 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
* 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.
50 Years
75 Years
ALL
No
Sponsors
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Second Affiliated Hospital, School of Medicine, Zhejiang University
OTHER
Responsible Party
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Locations
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Second Affiliated Hospital,Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
Countries
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Central Contacts
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Facility Contacts
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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.
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.
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.
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.
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.
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.
Other Identifiers
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Wulab-AD sulforaphane
Identifier Type: -
Identifier Source: org_study_id
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