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Antiepileptic

Levetiracetam for Alzheimer's Disease (LeAD Trial)

Phase 2
Recruiting
Research Sponsored by Beth Israel Deaconess Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
On a stable dose of medications for memory loss including cholinesterase inhibitors (for example: donepezil, rivastigmine or memantine) as defined by 4 consecutive weeks of treatment at an unchanging dose
Positive amyloid status (as defined by cerebral spinal fluid biomarkers or amyloid positron emission tomography (PET) study.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from enrollment until the end of the treatment periods at 5 months
Awards & highlights

LeAD Trial Summary

This trial is testing whether the drug levetiracetam can help improve cognition in patients with Alzheimer's disease by reducing cortical hyperexcitability and abnormalities in brain network function.

Who is the study for?
This trial is for adults aged 50-90 with early Alzheimer's Disease (AD) or mild cognitive impairment, having a Mini Mental State Examination (MMSE) score of ≥20 and positive amyloid status. They must be on stable memory loss medication for at least four weeks. Excluded are those with epilepsy, significant neurological history, major psychiatric disorders, metal implants not cleared for MRI/TMS, severe kidney issues, or uncontrolled medical conditions.Check my eligibility
What is being tested?
The study tests if the antiepileptic drug Levetiracetam can normalize brain function and improve cognition in AD patients by reducing cortical hyperexcitability. Participants will either receive Levetiracetam or a placebo capsule to compare effects on cognitive dysfunction associated with AD.See study design
What are the potential side effects?
Levetiracetam may cause side effects such as drowsiness, weakness, infection risk increase due to immune system effect, coordination difficulties potentially affecting balance and movement control; mood changes including anxiety or depression; and possible allergic reactions.

LeAD Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I've been on a steady dose of memory loss medication for at least 4 weeks.
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My tests show positive for amyloid in my brain.
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I am between 50 and 90 years old.

LeAD Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from enrollment until the end of the treatment periods at 5 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and from enrollment until the end of the treatment periods at 5 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change in beta power after theta-burst stimulation
Change in motor evoked potential (MEP) amplitude
Default-mode network resting-state functional magnetic resonance imaging (fMRI) functional connectivity
+5 more
Other outcome measures
Interictal Epileptiform Discharges
Transcranial magnetic stimulation (TMS)-evoked N45 electroencephalogram (EEG) potential

Side effects data

From 2006 Phase 4 trial • 251 Patients • NCT00160654
30%
Somnolence
14%
Dizziness
6%
Sedation
6%
Fatigue
6%
Nausea
6%
Headache
2%
Convulsion
1%
Grand mal convulsion
100%
80%
60%
40%
20%
0%
Study treatment Arm
Levetiracetam

LeAD Trial Design

4Treatment groups
Experimental Treatment
Active Control
Placebo Group
Group I: Early Alzheimer's Disease Group Low DoseExperimental Treatment1 Intervention
Subjects with Alzheimer's Disease will undergo a four-week treatment period consisting of low-dose levetiracetam (125 mg twice daily)
Group II: Early Alzheimer's Disease Group High DoseExperimental Treatment1 Intervention
Subjects with Alzheimer's Disease will undergo a four-week treatment period consisting of high-dose levetiracetam (500mg twice daily).
Group III: Healthy Control GroupActive Control1 Intervention
A group of demographically similar subjects without Alzheimer's Disease will undergo baseline testing only, without any intervention
Group IV: Early Alzheimer's Disease Group PlaceboPlacebo Group1 Intervention
Subjects with Alzheimer's Disease will undergo a four-week treatment period consisting of placebo twice daily.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Levetiracetam
2017
Completed Phase 4
~3990

Find a Location

Who is running the clinical trial?

Beth Israel Deaconess Medical CenterLead Sponsor
837 Previous Clinical Trials
13,010,187 Total Patients Enrolled

Media Library

Levetiracetam (Antiepileptic) Clinical Trial Eligibility Overview. Trial Name: NCT03875638 — Phase 2
Alzheimer's Disease Research Study Groups: Early Alzheimer's Disease Group Low Dose, Early Alzheimer's Disease Group High Dose, Healthy Control Group, Early Alzheimer's Disease Group Placebo
Alzheimer's Disease Clinical Trial 2023: Levetiracetam Highlights & Side Effects. Trial Name: NCT03875638 — Phase 2
Levetiracetam (Antiepileptic) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03875638 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What past analyses have been conducted on the efficacy of Levetiracetam?

"Presently, 18 studies examining Levetiracetam are being conducted. 2 of these are Phase 3 trials and participants can be recruited from 40 different locations - most notably in Brisbane, Queensland."

Answered by AI

Is enrollment for this research endeavor currently available to participants?

"According to the clinicaltrials.gov website, this research is actively searching for participants. It was first published on August 22nd 2019 and its information was recently updated on November 3rd 2021."

Answered by AI

Are participants of over two decades old being incorporated into this trial?

"This medical trial only accepts patients aged between 50 and 90 years old. In comparison, 63 clinical trials are available for applicants younger than 18 while 1,122 studies cater to those above 65."

Answered by AI

How many individuals have opted in to this experiment?

"Affirmative. Clinicaltrials.gov data confirms that this clinical trial, initially posted on August 22nd 2019 is currently seeking patients. 85 participants must be recruited from 1 site for the study to continue."

Answered by AI

Who qualifies to be a participant in this experiment?

"This trial seeks 85 individuals diagnosed with Alzheimer's disease between the ages of 50 and 90. To be eligible, applicants must meet a strict set of requirements such as having taken certain medications for memory loss over four consecutive weeks, meeting NINCDS-ADRDA criteria to establish probable AD diagnosis, scoring higher than 20 on MMSE tests, demonstrating positive amyloid status via cerebral spinal fluid biomarkers or PET scans, receiving CDR scores ranging from 0.5 to 1.0 (for those in the early stages of AD), passing normal neurologic exams (healthy control subjects only) and registering greater than 28 points on Mini Mental State"

Answered by AI

Has the Food and Drug Administration authorized Levetiracetam for medical use?

"Considering the lack of evidence that supports levetiracetam's efficacy, it was assessed to have a safety rating of 2."

Answered by AI

What medical condition is Levetiracetam usually prescribed to treat?

"For patients suffering from juvenile myoclonic epilepsy, Levetiracetam is frequently prescribed. This medication has also been seen to provide relief for those with a body weight above 20kgs, epilepsies, and other types of myoclonic seizures."

Answered by AI

Who else is applying?

What state do they live in?
Pennsylvania
What portion of applicants met pre-screening criteria?
Did not meet criteria
How many prior treatments have patients received?
1
~8 spots leftby Oct 2024