NCT00543855

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of E2020 in patients with Dementia with Lewy Bodies (DLB).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
167

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Nov 2007

Geographic Reach
1 country

43 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 4, 2007

Completed
11 days until next milestone

First Posted

Study publicly available on registry

October 15, 2007

Completed
17 days until next milestone

Study Start

First participant enrolled

November 1, 2007

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2010

Completed
3 years until next milestone

Results Posted

Study results publicly available

February 18, 2013

Completed
Last Updated

March 8, 2013

Status Verified

March 1, 2013

Enrollment Period

2.3 years

First QC Date

October 4, 2007

Results QC Date

January 16, 2013

Last Update Submit

March 5, 2013

Conditions

Keywords

Lewy Body DiseaseDementiaClinical TrialPhase IIE2020donepezil hydrochloride

Outcome Measures

Primary Outcomes (4)

  • Cognitive Function: Change From Baseline in Mini-mental State Examination (MMSE) Total at Week 12 Last Observation Carried Forward (LOCF)

    MMSE measured general cognitive functioning: orientation, memory, attention, calculation, language, visuospatial functions. Total score derived from sub-scores; total ranged from 0 - 30, where a higher score indicated better cognitive state. Change: mean score at Week 12 LOCF minus mean score at baseline. Values at final evaluation were imputed using a Last Observation Carried Forward (LOCF) method.

    Baseline and every 4 weeks up to 12 weeks

  • Psychiatric Symptoms: Change From Baseline in Neuropsychiatric Inventory (NPI) Total at Week 12 Last Observation Carried Forward (LOCF)

    NPI measured 10 different domains of psychiatric symptoms including delusion and hallucination. Each domain is scored for: present or absent, frequency, and severity. The score derived from sub-scores; total ranged from "0" to "120," higher score indicated "worse neuropsychiatric outcomes." Change: mean score at Week 12 LOCF minus mean score at baseline. Values at final evaluation were imputed using a Last Observation Carried Forward (LOCF) method.

    Baseline and every 4 weeks up to 12 weeks

  • Global Clinical Function: Clinician's Interview-Based Impression of Change Plus Caregiver Input (CIBIC-plus) Total at Week 12 Last Observation Carried Forward (LOCF)

    CIBIC plus is a clinician's interview-based impression of change plus the caregiver's input. It is a seven-point categorical assessment scale for evaluating global clinical function, ranging from "markedly improved" to "markedly worse". Percentage of participants in each category were reported. Values at final evaluation were imputed using a Last Observation Carried Forward (LOCF) method.

    Baseline and week 12

  • Burden on Caregiver: Change From Baseline in J-ZBI (Japanese- Zarit Caregiver Burden Interview) Total at Week 12 Last Observation Carried Forward (LOCF)

    J-ZBI is a Japanese version instrument to measure and assess the level of burden experienced by the principal caregivers of participants with dementia. ZBI contains 22 items, in which each statement is scored by the caregiver using a 5-point scale. Response options range from 0 (Never) to 4 (Nearly Always). Total score derived from sub-scores; total ranged from 0-88. Higher scores indicate greater burden. Change: mean score at Week 12 LOCF minus mean score at baseline. Values at final evaluation were imputed using a Last Observation Carried Forward (LOCF) method.

    Baseline and Week 12

Study Arms (4)

3 mg Donepezil hydrochloride

EXPERIMENTAL
Drug: 3 mg Donepezil hydrochloride

5 mg Donepezil hydrochloride

EXPERIMENTAL
Drug: 5 mg Donepezil hydrochloride

10 mg Donepezil hydrochloride

EXPERIMENTAL
Drug: 10 mg Donepezil hydrochloride

Placebo

PLACEBO COMPARATOR
Drug: Placebo

Interventions

Observation Period: Two Donepezil hydrochloride placebo tablets once daily by mouth after breakfast for 2 weeks. Treatment Period: One 3 mg Donepezil hydrochloride tablet by mouth plus one Donepezil hydrochloride placebo tablet by mouth, once daily for 12 weeks (Day 1- Day 84) after breakfast.

Also known as: Aricept, Donepezil hydrochloride, E2020
3 mg Donepezil hydrochloride

Observation Period: Two Donepezil hydrochloride placebo tablets once daily by mouth after breakfast for 2 weeks. Treatment Period: One 3 mg Donepezil hydrochloride tablet by mouth plus one Donepezil hydrochloride placebo tablet by mouth, once daily after breakfast for Day 1- Day 14 (2 weeks). Followed by one 5 mg Donepezil hydrochloride tablet by mouth plus one Donepezil hydrochloride placebo tablet by mouth, once daily after breakfast for Day 15- Day 84 (10 weeks).

Also known as: Aricept, Donepezil hydrochloride, E2020
5 mg Donepezil hydrochloride

Observation Period: Two Donepezil hydrochloride placebo tablets once daily by mouth after breakfast for 2 weeks. Treatment Period: One 3 mg Donepezil hydrochloride tablet by mouth plus one Donepezil hydrochloride placebo tablet by mouth, once daily after breakfast for Day 1- Day 14 (2 weeks). Followed by one 5 mg Donepezil hydrochloride tablet by mouth plus one Donepezil hydrochloride placebo tablet by mouth, once daily after breakfast for Day 15- Day 42 (4 weeks). Followed by two 5 mg Donepezil hydrochloride tablets (10 mg) by mouth, once daily after breakfast for Day 43 - Day 84 (6 weeks).

Also known as: Aricept, Donepezil hydrochloride, E2020
10 mg Donepezil hydrochloride

Observation Period: Two Donepezil hydrochloride placebo tablets once daily by mouth after breakfast for 2 weeks. Treatment Period: Two Donepezil hydrochloride Placebo tablets by mouth, once daily for 12 weeks (Day 1- Day 84) after breakfast.

Placebo

Eligibility Criteria

Age50 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients diagnosed as probable Dementia With Lewy Bodies (DLB) according to the diagnostic criteria for DLB.
  • Participants having caregivers who submit written consent for cooperative involvement in this study, can routinely stay with participants 3 days a week (at least 4 hours a day), provide participants' information necessary for this study, assist treatment compliance, and escort participants on required visits to study institution.

You may not qualify if:

  • Participants with past experience of donepezil (Aricept) therapy at the same study institution.
  • Participants treated with donepezil in 3 months immediately before starting the observation period.
  • Participants with a complication of serious neuropsychiatric disease(s) such as stroke, brain tumor, schizophrenia, epilepsia, normal pressure hydrocephalus, mental retardation, brain trauma with unconsciousness, and/or experience of brain surgery causing unsolved deficiency.
  • Participants with severe complication of cardiovascular, hepatic, renal, hematological, or other diseases unable to secure the safety.
  • Pregnant or lactating women, or women who are willing to become pregnant no later than 1 month after the scheduled study completion
  • Participants with severe extrapyramidal disorders (Hoehn \& Yahr staging score is ≥IV)
  • Participants whose systolic blood pressure is \<90 mmHg or pulse rate is \<50 beats/min.
  • Participants suspected to have a complication of vascular dementia based upon neurological findings.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (43)

Unknown Facility

Nagoya, Aichi-ken, Japan

Location

Unknown Facility

Ōbu, Aichi-ken, Japan

Location

Unknown Facility

Toyokawa, Aichi-ken, Japan

Location

Unknown Facility

Akita, Akita, Japan

Location

Unknown Facility

Chiba, Chiba, Japan

Location

Unknown Facility

Fukui-shi, Fukui, Japan

Location

Unknown Facility

Fukuoka, Fukuoka, Japan

Location

Unknown Facility

Kurume, Fukuoka, Japan

Location

Unknown Facility

Omuta, Fukuoka, Japan

Location

Unknown Facility

Maebashi, Gunma, Japan

Location

Unknown Facility

Miyoshi, Hiroshima, Japan

Location

Unknown Facility

Ōtake, Hiroshima, Japan

Location

Unknown Facility

Himeji, Hyōgo, Japan

Location

Unknown Facility

Kobe, Hyōgo, Japan

Location

Unknown Facility

Tsukuba, Ibaraki, Japan

Location

Unknown Facility

Kahoku, Ishikawa-ken, Japan

Location

Unknown Facility

Morioka, Iwate, Japan

Location

Unknown Facility

Yokohama, Kanagawa, Japan

Location

Unknown Facility

Kochi, Kochi, Japan

Location

Unknown Facility

Nankoku, Kochi, Japan

Location

Unknown Facility

Kōshi, Kumamoto, Japan

Location

Unknown Facility

Kumamoto, Kumamoto, Japan

Location

Unknown Facility

Jōyō, Kyoto, Japan

Location

Unknown Facility

Kyoto, Kyoto, Japan

Location

Unknown Facility

Sendai, Miyagi, Japan

Location

Unknown Facility

Komoro, Nagano, Japan

Location

Unknown Facility

Kashihara, Nara, Japan

Location

Unknown Facility

Jōetsu, Niigata, Japan

Location

Unknown Facility

Sanjō, Niigata, Japan

Location

Unknown Facility

Yufu, Oita Prefecture, Japan

Location

Unknown Facility

Osaka, Osaka, Japan

Location

Unknown Facility

Sakai, Osaka, Japan

Location

Unknown Facility

Suita, Osaka, Japan

Location

Unknown Facility

Saitama, Saitama, Japan

Location

Unknown Facility

Izumo, Shimane, Japan

Location

Unknown Facility

Shizuoka, Shizuoka, Japan

Location

Unknown Facility

Bunkyo-ku, Tokyo, Japan

Location

Unknown Facility

Kodaira, Tokyo, Japan

Location

Unknown Facility

Koto-ku, Tokyo, Japan

Location

Unknown Facility

Ōta-ku, Tokyo, Japan

Location

Unknown Facility

Setagaya-ku, Tokyo, Japan

Location

Unknown Facility

Shinjuku-ku, Tokyo, Japan

Location

Unknown Facility

Ube, Yamaguchi, Japan

Location

MeSH Terms

Conditions

Lewy Body DiseaseDementia

Interventions

Donepezil

Condition Hierarchy (Ancestors)

Parkinsonian DisordersBasal Ganglia DiseasesBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesMovement DisordersSynucleinopathiesNeurodegenerative DiseasesNeurocognitive DisordersMental Disorders

Intervention Hierarchy (Ancestors)

IndansIndenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPiperidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsPolycyclic Compounds

Results Point of Contact

Title
Masaki Nakagawa, Study Director
Organization
Eisai Co., Ltd.

Study Officials

  • Masaki Nakagawa

    Neurosciences Clinical Development Section, Japan / Asia Clinical Research, Product Creation Unit, Eisai Product Creation System.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 4, 2007

First Posted

October 15, 2007

Study Start

November 1, 2007

Primary Completion

February 1, 2010

Study Completion

February 1, 2010

Last Updated

March 8, 2013

Results First Posted

February 18, 2013

Record last verified: 2013-03

Locations