Ambroxol in New and Early DLB, A Phase IIa Multicentre Randomized Controlled Double Blind Clinica… (NCT04588285) | Clinical Trial Compass
RecruitingPhase 2
Ambroxol in New and Early DLB, A Phase IIa Multicentre Randomized Controlled Double Blind Clinical Trial
Norway180 participantsStarted 2021-05-04
Plain-language summary
This is a confirmatory investigational medicinal product (IMP) study to investigate the effects on cognition, functional decline and on neuropsychiatric symptoms of the Glucocerebrosidase (GCase) enhancing chaperone ambroxol in participants diagnosed with prodromal and early dementia with Lewybodies (DLB).
Who can participate
Age range
50 Years – 85 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
. Male or female.
. Age ≥ 50 and ≤ 85 years of age.
. Confirmed diagnosis of Dementia with Lewy Bodies (DLB) or Mild Cognitive Impairment in DLB (DLB-MCI).
. MMSE score\>=15
. Able and willing to provide informed consent prior to any study related assessments and procedures at screening visit 1.
. Capable of complying with all study procedures.
. Willing to provide blood samples for genetic analyses of APOE and GBA.
. Willing and able to self-administer or administer by a caregiver oral ambroxol medication, from day 1 to study end (at 60 mg TID (day 1-7), 120 mg TID (day 8- 14), 315 BID (day 15-21), 315 mg TID (day 22-28) and 420 mg TID (day 29-550)).
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Change in the incidence, nature and severity of AE's and SAE's from baseline.
Timeframe: All patient visits including phonecalls trough study completion, planned duration 18 months
2
Change in the number of participants with treatment discontinuations and study discontinuation due to AEs from baseline.
Timeframe: All patient visits including phonecalls trough study completion, planned duration 18 months
3
Change in the number of participants with electrocardiogram (ECG) abnormalities.
Timeframe: Through study completion at the following visits: Screening, Baseline, week 4, week 24, week 36, week 52, month 15, and month 18.
4
Change in blood analyses from baseline over time abnormalities.
Timeframe: Through study completion at the following visits: Screening, week 4, week 8, week 24, week 36, week 52, month 15, and month 18.
5
Change in MMSE-NR3 (Mini Mental Status Examination, Norwegian revised version) over time.
Timeframe: Through study completion at the following visits: Screening, week 24, week 36, week 52, Month 18.
6
ADCS-CGIC (Clinician's Global Impression of Change)
. Current treatment with anticoagulants (e.g. warfarin) that might preclude safe completion in the opinion of the Investigator.
. Current use of investigational medicinal product or participation in another interventional clinical trial or who have done so within 30 days prior to the first dose in the current study.
. Exposure to more than three investigational medicinal products within 12 months prior to the first dose in the current study;
. Confirmed dysphagia that would preclude self-administration of ambroxol up to 6 tablets daily for the duration of day 1 to day 550/Month 18.
. Significant known lower spinal malformations or other spinal abnormalities that would preclude lumbar puncture.
. History of known sensitivity to the study medication, ambroxol or its excipients (lactose monohydrate, granulated microcrystalline cellulose, copovidone and magnesium stearate) in the opinion of the investigator that contraindicates their participation.
. History of known rare hereditary disorders of galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption.
. History of illegal substance abuse, drug abuse or alcoholism in the opinion of the Investigator that would preclude participation in the study.
Timeframe: Through study completion at the following visits: Screening, week 24, week 36, week 52, month 18.
7
Change in CDR-SB (Clinical Dementia Rating-Sum of Boxes).
Timeframe: Through study completion at the following visits: Screening, week 24, week 36 week 52, Month 18.
8
Change NPI (neuropsychiatric inventory)
Timeframe: Through study completion at the following visits: Screening, week 24, week 36, week 52, month 18.
9
GDS (geriatric depression scale) - 15 items
Timeframe: Through study completion at the following visits: Screening, week 24, week 36, week 52, month 18.