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Antiviral Therapy for Alzheimer's Disease

Phase 2
Waitlist Available
Led By Davangere Devanand, MD
Research Sponsored by Columbia University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
For patients diagnosed with Mild Cognitive Impairment and CDR score of 0.5, if these patients have biomarkers of AD neuropathology with either a positive amyloid PET scan, positive fluorodeoxyglucose (FDG) PET scan of the brain, or positive findings for AD in CSF, they will be eligible for the study.
Males and females. Females must be postmenopausal defined as 12 consecutive months without menstruation.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up week 0, week 12, week 26, week 52, week 78
Awards & highlights

Study Summary

This trial will study whether the U.S.A marketed generic anti-viral drug Valtrex (valacyclovir, 500mg oral tablet) can be repurposed to treat Alzheimer's disease.

Who is the study for?
This trial is for mild Alzheimer's patients who test positive for herpes simplex virus. They must be able to consent, have a caregiver, and not have severe medical conditions or other major neurological disorders. Participants should not have had significant radiation exposure in the last year or take high doses of benzodiazepines.Check my eligibility
What is being tested?
The study tests if Valacyclovir (an anti-viral drug) at 4 grams per day can treat Alzheimer's disease compared to a placebo over 18 months. It involves 130 participants with mild AD, split into two groups by chance, one receiving the drug and the other a placebo.See study design
What are the potential side effects?
Valacyclovir may cause side effects like headache, nausea, stomach pain, vomiting, dizziness. Rarely it might lead to serious issues such as kidney problems or increased risk of bleeding.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have mild memory issues and tests show signs of Alzheimer's disease.
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I am a man or a woman who has not had a period for at least 12 months.
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I have been diagnosed with Alzheimer's disease.
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I cannot have an MRI due to metal implants, a pacemaker, or severe claustrophobia.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~week 0, week 12, week 26, week 52, week 78
This trial's timeline: 3 weeks for screening, Varies for treatment, and week 0, week 12, week 26, week 52, week 78 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 Alzheimer's Disease Assessment Scale - Cognition (ADAS-COG11, modified version) scores from baseline to 78 weeks.
Secondary outcome measures
Change in Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL) scores from baseline to 78 weeks.
Change in total 18F-Florbetapir brain uptake from baseline to 78 weeks.
Change in total 18F-MK-6240 brain uptake from baseline to 78 weeks.

Trial Design

2Treatment groups
Active Control
Placebo Group
Group I: ValacyclovirActive Control1 Intervention
The oral valacyclovir will be distributed in 500mg caplets. Patients will take 8 caplets per day.
Group II: PlaceboPlacebo Group1 Intervention
The oral placebo (sugar pill) will be distributed in 500mg caplets. Patients will take 8 caplets per day.

Find a Location

Who is running the clinical trial?

Columbia UniversityLead Sponsor
1,431 Previous Clinical Trials
2,460,713 Total Patients Enrolled
New York State Psychiatric InstituteLead Sponsor
475 Previous Clinical Trials
153,787 Total Patients Enrolled
National Institute on Aging (NIA)NIH
1,669 Previous Clinical Trials
28,004,994 Total Patients Enrolled

Media Library

Placebo Clinical Trial Eligibility Overview. Trial Name: NCT03282916 — Phase 2
Alzheimer's Disease Research Study Groups: Placebo, Valacyclovir
Alzheimer's Disease Clinical Trial 2023: Placebo Highlights & Side Effects. Trial Name: NCT03282916 — Phase 2
Placebo 2023 Treatment Timeline for Medical Study. Trial Name: NCT03282916 — Phase 2

Frequently Asked Questions

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

Are there opportunities for new patients to enroll in this trial?

"The listing for this study on clinicaltrials.gov indicates that it is no longer recruiting patients. The trial was originally posted on February 12th, 2018 and was last edited on November 3rd, 2020. There are currently 601 other trials that are actively looking for participants."

Answered by AI

Does age restrict who can and cannot participate in this opportunity?

"According to the study's inclusion criteria, eligible participants must be between 50-95 years old."

Answered by AI

Are there any similar studies to compare this one to?

"Valacyclovir has been the focus of 13 clinical trials spread out over 4 countries and 125 cities. The first ever study was sponsored by Millennium Pharmaceuticals, Inc. in 2006 and only involved 46 people. It completed Phase 2 drug approval stages. A total of 18,341 have been completed since then."

Answered by AI

Could I potentially enroll in this experiment?

"This clinical trial is recruiting 120 patients with Alzheimer's disease between the ages of 50 and 95. The most important criteria for candidates are as follows: male or female, postmenopausal (defined as 12 consecutive months without menstruation), a diagnosis of probable Alzheimer's disease by NIA clinical diagnostic criteria, Folstein Mini Mental State (MMSE) score 18 to 28 out of 30, Clinical Dementia Rating (CDR) score of 1 (mild dementia), positive for serum antibodies to HSV1 or HSV2."

Answered by AI

For what medical purposes is Valacyclovir most often prescribed?

"Valacyclovir can be used to manage and treat symptoms associated with genital herpes, human immunodeficiency virus type 1 (hiv-1) infection, and herpes labialis."

Answered by AI

Could you provide a brief overview of other similar studies to Valacyclovir?

"Valacyclovir is being trialed in 13 separate ongoing studies, with one of them having reached Phase 3. Many of these trials are taking place in Montreal, but there are a total of 204 research centres running these clinical tests for Valacyclovir."

Answered by AI

Are there any known dangers of taking Valacyclovir?

"While Phase 2 trials are promising, as they offer some data supporting safety, there is currently a lack of evidence for efficacy. Therefore, our team has estimated a score of 2."

Answered by AI
~10 spots leftby Dec 2024