Clinical trial • Phase II • Neurology

DONEPEZIL HYDROCHLORIDE for Neurological disorders

Phase II trial of DONEPEZIL HYDROCHLORIDE for Neurological disorders.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Neurological disorders
Trial Stage
Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
02-05-2024
First CTIS Authorization Date
16-07-2024

Trial design

Randomised, placebo to match donepezil (matching placebo); donepezilhydrochlorid heumann 5 mg film-coated tablets, single 5 mg acute dose (active comparator)-controlled Phase II trial across 1 site in Germany.

Randomised
Yes
Comparator
Placebo to match Donepezil (matching placebo); Donepezilhydrochlorid Heumann 5 mg film-coated tablets, single 5 mg acute dose (active comparator)
Target Sample Size
50

Eligibility

Recruits 50 No vulnerable populations selected (isVulnerablePopulationSelected = false). Participants must be able to provide written informed consent and have the capacity to understand the nature, significance and consequences of the trial and the trial related procedures (see inclusion criteria). Subject information and informed consent forms (L1_SIS and ICF documents) are provided; no assent procedures for minors are applicable because only adults aged ≥ 50 years are eligible..

Pregnancy Exclusion
Current or planned pregnancy, nursing period
Vulnerable Population
No vulnerable populations selected (isVulnerablePopulationSelected = false). Participants must be able to provide written informed consent and have the capacity to understand the nature, significance and consequences of the trial and the trial related procedures (see inclusion criteria). Subject information and informed consent forms (L1_SIS and ICF documents) are provided; no assent procedures for minors are applicable because only adults aged ≥ 50 years are eligible.

Inclusion criteria

  • {"criterion_text":"- Healthy volunteers"}
  • {"criterion_text":"- Male or female aged ≥ 50 years without upper age limit"}
  • {"criterion_text":"- Right-handed"}
  • {"criterion_text":"- BMI 18 - 32 kg/m2"}
  • {"criterion_text":"- Suitable for MRI"}
  • {"criterion_text":"- Written informed consent obtained according to international guidelines and local laws"}
  • {"criterion_text":"- Capacity to understand the nature, significance and consequences of the trial and the trial related procedures and to comply with them"}

Exclusion criteria

  • {"criterion_text":"- Known clinically significant cardiovascular, pulmonary, hepatic, renal, gastrointestinal, urological, immunologic, neurologic, oncologic or psychiatric disease or other condition that, in the opinion of the investigator, would jeopardize the safety of the subject or the validity of the study results"}
  • {"criterion_text":"- Planned surgery within the study and follow-up period"}
  • {"criterion_text":"- Metal implants and/or components on the body that cannot be removed"}
  • {"criterion_text":"- Participation in any other interventional clinical trial within the last 30 days before the start of this trial and/or simultaneous participation in other interventional trials which could interfere with this trial; simultaneous participation in registry and diagnostic trials is allowed"}
  • {"criterion_text":"- Previous participation in this trial"}
  • {"criterion_text":"- Known abuse of medication, drugs or alcohol"}
  • {"criterion_text":"- Person who is in a relationship of dependence/employment with the Sponsor or the Principle Investigator"}
  • {"criterion_text":"- Person who lack of sufficient communication skills in the German language"}
  • {"criterion_text":"- Person who is institutionalised by court or official order"}
  • {"criterion_text":"- Current or planned pregnancy, nursing period"}
  • {"criterion_text":"- Failure to use one of the following safe methods of contraception: female condoms, diaphragm or coil, each used in combination with spermicides; intra-uterine device; hormonal contraception in combination with a mechanical method of contraception"}
  • {"criterion_text":"- Known QTc prolongation and/or family history of QTc prolongation"}
  • {"criterion_text":"- Known electrolyte imbalance (hypokalemia, hypomagnesemia)"}
  • {"criterion_text":"- Known claustrophobia"}
  • {"criterion_text":"- Known defective vision of > +/- 6 dioptres if not corrected by contact lenses"}
  • {"criterion_text":"- Known hypersensitivity to the active substances, piperidine derivatives or any of the excipients of the IMP / Placebo according to the SmPc"}
  • {"criterion_text":"- Current use and/or use up to 30 days prior to study entry of: 1. Nicotine; 2. Substances that influence the QTc interval according to SmPC; 3. Non-steroidal anti-inflammatory drugs (NSAIDs) on a regular long-term basis; 4. Donepezil hydrochloride or related drugs with anti- and cholinergic activity and neuromuscular blocking agents according to SmPc; 5. CYP3A4 and 2D6 inhibitory and inducing substances according to SmPc: chinidin, itraconazole, erythromycin, fluoxetine, rifampicin, phenytoin, carbamazepine, systemic use of ketoconazole; 6. Beta blockers"}
  • {"criterion_text":"- After at least 3 minutes of rest in a sitting position, subjects should be excluded from the study if they have the following vital signs at screening: 1. systolic blood pressure outside the range of 90-145 mmHg, or 2. diastolic blood pressure outside the range of 50-90 mmHg, or 3. resting heart rate outside the range of 40-100 beats per minute"}
  • {"criterion_text":"- Abnormal ECG values during screening"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Dual-task costs (DTC): calculated as the difference between the scores of the dual-task and single-task performances and measured as reaction time (ms) in the cognitive task and motor pedaling speed (ms) in the motor task after donepezil or placebo administration, respectively, at V1 and 2","definition_or_measurement_approach":"Calculated as difference between dual-task and single-task performance; measured as reaction time (ms) in cognitive task and motor pedaling speed (ms) in motor task after donepezil or placebo at visits 1 and 2"}

Secondary endpoints

  • {"endpoint_text":"- Neuronal activity: measured after donepezil or placebo administration, respectively, by fMRI during task performance at visit 1 and 2","definition_or_measurement_approach":"Measured by functional MRI (fMRI) during task performance after donepezil or placebo at visits 1 and 2"}
  • {"endpoint_text":"- Relative cognitive and motor performances in other neuropsychological tests: 1. measured by reaction times (ms) and % correct responses in the sub-tests of TAP-M test battery and 2. measured by time (s) conducting the TUG-test variant, both after donepezil or placebo administration, respectively, at V1 and 2","definition_or_measurement_approach":"Measured by reaction times (ms) and percent correct responses in TAP-M sub-tests, and by time (s) to conduct TUG-test variant after donepezil or placebo at visits 1 and 2"}

Recruitment

Planned Sample Size
50
Recruitment Window Months
20
Consent Approach
Written informed consent obtained according to international guidelines and local laws. Participants must have capacity to understand the trial and procedures (see inclusion criteria). Subject information and informed consent forms are provided (documents: L1_SIS and ICF_CHOCOMO and related L1/L2 materials); optional accessory consent documents are available for additional data collection. No assent for minors (only adults ≥50 years eligible).

Geography

Total Number Of Sites
1
Total Number Of Participants
50

Germany

Earliest CTIS Part Ii Submission Date
01-07-2024
Latest Decision Or Authorization Date
12-03-2025
Processing Time Days
254
Number Of Sites
1
Number Of Participants
50

Sites

Site Name
Carl Von Ossietzky Universitaet Oldenburg
Department Name
Biological Psychology Lab
Contact Person Name
Karsten Witt
Contact Person Email
karsten.witt@uni-oldenburg.de
Number Of Participants
50

Sponsor

Primary sponsor

Full Name
Carl Von Ossietzky Universitaet Oldenburg
Organisation Type
Educational Institution
Country Of Registered Address
Germany

Third parties

  • {"country":"","full_name":"Deutsche Forschungsgemeinschaft (DFG)","duties_or_roles":"Source of monetary support","organisation_type":""}

Investigational products

Investigational Product Name
Donepezilhydrochlorid Heumann 5 mg Filmtabletten
Active Substance
DONEPEZIL HYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
ORAL
Route
oral
Authorisation Status
Authorised
Starting Dose
5 mg (single acute dose)
Dose Levels
5 mg
Frequency
single dose
Maximum Dose
5 mg
Investigational Product Name
Placebo to match Donepezil
Modality
Other

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