A Study Comparing Long-acting Methylphenidate (ConcertaTM) vs. Placebo in the Treatment of Memory Loss Due to HIV
Phase III, Placebo-Controlled, Double-Blind Crossover Study of Slow-Release Methylphenidate (Concerta ™) for Treatment of HIV Associated Neurocognitive Disorder
This date has not been verified as actual or estimated.
Primary Completion
May 2014
Estimated (date passed)
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Study Completion
September 2014
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Brief Summary
This study is being done to see if a drug called long acting methylphenidate (Concerta) is safe and effective as a treatment for problems with mental function in adults infected with HIV.
A subset of patients with HIV-associated memory loss have a defect in the speed with which they learn and process information. Methylphenidate drugs, such as Ritalin or Concerta, have been shown on tests to improve the ability to rapidly absorb information; these tests are called "reaction time tests". These drugs are already FDA-approved to treat Attention Deficit Disorders: ADD or ADHD.
At baseline, all subjects get tests of memory and brain function; then they are split into two groups. One group on this study will receive Concerta for 2 weeks, and a second group will receive a placebo x 2 weeks. After that period both groups will receive memory and other tests of brain function, and then the groups will switch. The first group will receive placebo and the second will receive Concerta x 2 weeks, followed by more memory and neurological tests. After that all subjects will have the option to receive Concerta for free for 8 more weeks. At the last visit all subjects get memory and brain tests again.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
unknown
Estimated enrollment
40 participants
Study completion date
September 2014
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Listed locations
1 countries · 1 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
May 2012
Date type not reported
This date has not been verified as actual or estimated.
First Submitted
May 7, 2012
Actual (reported)
First Posted
May 16, 2012
Actual (reported)
Primary Completion
May 2014
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
September 2014
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor of Medicine
Study Record Dates
First Submitted
May 7, 2012
First Posted
May 16, 2012
Study Start
May 2012
Date type not reported
This date has not been verified as actual or estimated.
Primary Completion
NCT00000702
A Multicenter Placebo-Controlled Double-Blind Trial to Evaluate Azidothymidine (AZT) Treatment of the AIDS Dementia Complex and Central Nervous System (CNS) Human Immunodeficiency Virus (HIV) Infection
Also known as: Matched placebo as supplied by Johnson and Johnson
Group B: Matched placebo, 2 tabs daily
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
HIV infected on stable ART regimen for 5 months or greater, and not likely to change regimen for the duration of the study.
Significant dementia but able to give consent (International HIV Dementia Scale score \<10).
Significant cognitive slowing on screening, defined as 1 SD below normal (t-score \>60) on the Conner's CPT-II reaction time test.
Beck Depression Inventory score \<16.
Documented HIV-1 RNA PCR \<50 copies/mL and documented CD4 count \>200 within 3 months of entry visit.
Baseline CBC and chemistry panel Grade 1 or normal.
For females of reproductive potential (women who have not been post-menopausal for at least 24 consecutive months, i.e., who have had menses within 24 months prior to study entry), or women who have not undergone surgical sterilization, specifically hysterectomy or bilateral oophorectomy or tubal ligation) will require a negative serum or urine pregnancy test within 48 hours prior to entry.
NOTE: Subject reported history is considered acceptable documentation of hysterectomy, bilateral oophorectomy, tubal ligation, tubal micro-inserts, menopause, and vasectomy/azoospermia.
All subjects must agree not to participate in the conception process (e.g., active attempt to become pregnant or to impregnate, sperm donation, in vitro fertilization), and if participating in sexual activity that could lead to pregnancy, the subject/partner must use at least two reliable methods of contraception, (condoms, without a spermicidal agent; a diaphragm or cervical cap without spermicide; an IUD; or hormone-based contraceptive), for 2 weeks before study treatment, while receiving study treatment, and for 6 weeks after receiving study treatment.
Ability and willingness of subject to provide informed consent.
You may not qualify if:
Inability to give informed consent. No proxy consent allowed.
Uncontrolled hypertension (SBP \>140 and DBP \>90 at screening and baseline).
Untreated hypogonadism, hypothyroidism or hyperthyroidism.
Initiation of antidepressants, thyroid medication or anabolic steroids within 6 weeks of screening visit.
Pregnancy or breast feeding.
Clinically significant EKG abnormalities at screening.
History of coronary artery disease, atherosclerotic disease, left ventricular hypertrophy, cardiomegaly, syncope, congestive heart failure, myocardial infarction, pacemaker, clinically significant arrhythmia, angina, history of treatment for arrhythmia.
Brain related opportunistic infections, stroke, intracranial lesions/disease, or meningitis.
History of epilepsy.
Untreated depression.
Uncontrolled diabetes (glucose \<70 or \>200 at screening).
Use of interferon or ribavirin during study and for 1 month prior to screening.
History of bipolar disorder, Alzheimer's dementia, ALS, Parkinson's disease or other medical dementias other than HIV-related.
History of schizophrenia, mania or other serious mental illness.
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
September 2014
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
May 16, 2012
Record last verified: 2012-05
Source record
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Source: ClinicalTrials.gov.
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