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Cholesterol Lowering Agent to Slow Progression (CLASP) of Alzheimer's Disease Study



Cholesterol Lowering Agent to Slow Progression (CLASP) of Alzheimer's Disease Study

For Condition: Alzheimer Disease
Status: Recruiting
Sponsor(s): National Institute on Aging (NIA) ,
Synopsis: CLASP is a research study to investigate the safety and effectiveness of simvastatin (a cholesterol lowering drug or statin) to slow the progression of Alzheimer's disease (AD). Statins are commonly used to treat high cholesterol levels, which increase the risk of heart disease and stroke.
Details: In earlier studies in animals and humans, researchers found that lowering cholesterol levels with statins seems to have a positive impact on brain function and reduces the risk of AD. The CLASP trial will test the link between using a cholesterol lowering medication and slowing disease progress in people with mild to moderate Alzheimer's disease (AD). CLASP is a research study to investigate the safety and effectiveness of simvastatin (a cholesterol lowering drug or statin) to slow the progression of AD. The clinical trial will include the treatment of patients with mild to moderate AD, and the objective is to evaluate the safety and efficacy of simvastatin to slow the progression of AD, as measured by the cognitive portion of the AD Assessment Scale. Measures of clinical global change (ADCS-CGIC), mental status, functional ability, behavioral disturbances, quality of life and economic indicators will be made also. The study design is randomized, double-blind, placebo-controlled, parallel group design with equal randomization to drug and placebo. Randomization will be stratified and blocked to ensure balanced assignment within site. Sample size will include 400 participants enrolled from approximately 40 sites with a goal of 10 to 15 volunteers enrolled at each site. Study medication will be as follows: 20 mg of simvastatin or matching placebo to be given for 6 weeks, followed by 40 mg of simvastatin or matching placebo for the remainder of the 18-month study period. Participants will be instructed to take the medication once a day in the evening. Safety parameters to be checked will include adverse events, symptom checklists, vital signs, physical and neurological examinations, and laboratory tests.
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study
Minimum Age/Maximum Age: 50 Years/
Genders: Both
Protocol Entry Criteria: - Mild to moderate patients with AD who are free of life-threatening disease and who do not require lipid-lowering treatment according to current guidelines. - NINCDS/ADRDA criteria for probable AD. - Mini-Mental-State-Exam (MMSE) score between 12 and 26. - Stable medical condition for 3 months prior to the screening visit. - Age greater than or equal to 50 years, and no upper age limit. - Lives in a community dwelling, not in a nursing home. - Stable doses of (non-excluded) medications with central nervous system activity for 4 weeks prior to the screening visit. - Physical condition acceptable for the study as confirmed by medical history, physical exam, neurologic exam and clinical laboratory tests. - Informant/study partner available and willing to accompany participant to all scheduled visits and complete informant-based assessments and to supervise administration of study medications. - Fluent in English or Spanish. - Modified Hachinski is less than or equal to 4. Exclusion criteria: - Coronary heart disease (CHD) including angina, or peripheral vascular disease including symptomatic carotid artery disease, or stroke or TIA, as these individuals are likely to require treatment with lipid-lowering drugs. - Serious renal disease. - Uncontrolled diabetes. - Triglycerides are greater than 500 mg/dL. - LDL-Cholesterol below 80 mg/dL - Upper limit for the National Cholesterol Education Program (NCEP) guidelines for LDL-Cholesterol is 130-190 mg/dL, depending on age and other cardiovascular risk factors. - Other indication for the need to treat with lipid-lowering drug. - Active liver disease or persistent elevation in serum transaminase. - Active neoplastic disease (skin tumors other than melanoma are not exclusionary; subjects with stable prostate cancer may be included at the discretion of the Project Director). - Use of another investigational agent within 2 months of the screening visit. - History of clinically significant stroke. - Current evidence or history in the past 2 years of seizures, head injury with loss of consciousness and/or immediate confusion after the injury. - Current DSM-IV criteria based diagnosis for major psychiatric disorder including psychosis, major depression, bipolar disorder, alcohol or substance abuse. - Blindness, deafness, language difficulties or any other disability which may prevent the subject from participating or cooperating in the protocol.
Total Enrollment: 400

Location and Contact Information:

Overall Study Official:
LeonThal,  Principal Investigator,  University of California, San Diego

University of California, Irvine *Recruiting*
Irvine,  California,  92697-7016
United States
Recruiting Catherine  McAdams-Ortiz 949-824-8726

University of California, Davis *Recruiting*
Sacramento,  California,  95817
United States
Recruiting Barbara  Henk 916-734-6750

SUNY Downstate *Recruiting*
Brooklyn,  New York,  11203
United States
Recruiting Anne  Ganzer 718-270-7319

Yale University, Yale Medical Group *Recruiting*
New Haven,  Connecticut,  06511
United States
Recruiting Martha  MacAvoy 203-764-8100

University of Rochester *Recruiting*
Rochester,  New York,  14642
United States
Recruiting Elizabeth  Smith 585-760-6564

University of Washington at Seattle *Recruiting*
Seattle,  Washington,  98108
United States
Recruiting Linda  Mandelco 206-277-3742

Medical University of South Carolina *Recruiting*
North Charleston,  South Carolina,  29406
United States
Recruiting Don  Bagwell 843-740-1592

Baylor College of Medicine, Alzheimer's Disease Research Center *Recruiting*
Houston,  Texas,  77030
United States
Recruiting Jamie  Sims 713-798-5325

University Memory and Aging Center, Case Western Reserve University/University Hospitals of Cleveland *Recruiting*
Cleveland,  Ohio,  44120
United States
Recruiting Elaine  Ziol 800-252-5048

SUNY Stony Brook *Recruiting*
Stony Brook,  New York,  11794-8121
United States
Recruiting Dawn  Madigan 631-444-8121

University of South Florida *Recruiting*
Tampa,  Florida,  33617
United States
Recruiting Regina  Velasco 813-974-4355

Washington University, St. Louis School of Medicine *Recruiting*
St. Louis,  Missouri,  63108
United States
Recruiting Stacy  Stiening 314-286-2477

Mayo Clinic *Recruiting*
Rochester,  Minnesota,  55901
United States
Recruiting Mary  Botten 507-538-2475

University of Southern California *Recruiting*
Los Angeles,  California,  90093
United States
Recruiting Amber  Watts 323-442-3715

Rush Alzheimer's Disease Center *Recruiting*
Chicago,  Illinois,  60612
United States
Recruiting Raj  Shah 312-942-8264

McGowin Center for Neuroscience *Recruiting*
Gulfport,  Mississippi,  39500
United States
Recruiting Tracey  Henry 228-896-8992

University of Texas, Southwestern Medical School *Recruiting*
Dallas,  Texas,  75390
United States
Recruiting Carol  Moore 214-648-7468

Boston University School of Medicine *Recruiting*
Boston,  Massachusetts,  02118
United States
Recruiting Jane  Mwicigi 617-638-5670

University of Pennsylvania School of Medicine, Alzheimer's Disease Center *Recruiting*
Philadelphia,  Pennsylvania,  19104
United States
Recruiting Kris  Gravanda 215-349-5908

University of California, San Diego *Recruiting*
La Jolla,  California,  92093-0948
United States
Recruiting Susan  Johnson 858-622-5820

Brigham and Women's Hospital *Recruiting*
Boston,  Massachusetts,  02115
United States
Recruiting Kara  Campobasso 617-732-7992

University of Kentucky, Sanders-Brown Center on Aging *Recruiting*
Lexington,  Kentucky,  40536-0230
United States
Recruiting Marie  Smart 859-258-6601

Stanford University *Recruiting*
Palo Alto,  California,  94304
United States
Recruiting Lisa  Kinoshita 650-493-0571

Howard University *Recruiting*
Washington D.C.,  District of Columbia,  20060
United States
Recruiting Abayomi  Adediran 202-865-3776

Emory University *Recruiting*
Atlanta,  Georgia,  30329
United States
Recruiting Janet  Cellar 404-728-6453

Northwestern University *Recruiting*
Chicago,  Illinois,  60611
United States
Recruiting Catherine  Platt 312-695-2343

Oregon Health and Sciences University *Recruiting*
Portland,  Oregon,  97201
United States
Recruiting Joyce  Lear 503-494-7615

University of Pittsburgh *Recruiting*
Pittsburgh,  Pennsylvania,  15213
United States
Recruiting Carolyn  Rickard 412-692-2707

Mount Sinai School of Medicine *Recruiting*
New York City,  New York,  10029
United States
Recruiting Jessica  Stern 212-241-0438

University of Michigan at Ann Arbor *Recruiting*
Ann Arbor,  Michigan,  48109-0504
United States
Recruiting Joanne  Lord 734-615-3041

Columbia University *Recruiting*
New York City,  New York,  10032
United States
Recruiting Audrey  Bauzo 212-305-2077

Memorial Hospital of Rhode Island/Brown University *Recruiting*
Pawtucket,  Rhode Island,  02860
United States
Recruiting Susan  Lincoln 401-793-2975

Duke University Medical Center *Recruiting*
Durham,  North Carolina,  27705
United States
Recruiting Michelle  McCart 919-416-5387

Southwestern Vermont Medical Center *Recruiting*
Bennington,  Vermont,  05201
United States
Recruiting Betty  Hathaway 802-447-1409

Barrow Neurology Group *Recruiting*
Phoenix,  Arizona,  85013
United States
Recruiting Marci  Zomok 602-406-6267

University of California, Los Angeles *Recruiting*
Los Angeles,  California,  90095
United States
Recruiting Brad  Hutchinson 310-825-8908

University of Arizona *Recruiting*
Tucson,  Arizona,  85724-5023
United States
Recruiting Margie  Baldwin 520-626-7274

University of Alabama, Birmingham *Recruiting*
Birmingham,  Alabama,  35294-0017
United States
Recruiting JoAnn  Parrish 205-934-6223

Indiana University Alzheimer's Center *Recruiting*
Indianapolis,  Indiana,  46202
United States
Recruiting Martha  Mendez 317-278-9773

Mayo Clinic (Jacksonville) *Recruiting*
Jacksonville,  Florida,  32224
United States
Recruiting Francine  Parfitt 904-953-7103

New York University School Of Medicine *Recruiting*
New York City,  New York,  10016
United States
Recruiting Robin  Waters

Georgetown University, Memory Disorder Program *Recruiting*
Washington D.C.,  District of Columbia,  20057
United States
Recruiting Carolyn  Ward 202-784-6671


Additional Information:
Study ID Numbers:
  IA0038; 
Study Start Date: December 2002
Record last reviewed: April 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00053599

Other Alzheimer Disease Studies:
1. Agitation in Alzheimer's Disease

2. Alzheimer's Disease Genetics Study

3. Investigation into Delay to Diagnosis of Alzheimer's Disease with Exelon (InDDEx)

4. Serotonergic Pharmacotherapy for Agitation of Dementia

5. A Multicenter Trial of Rofecoxib and Naproxen in Alzheimer's Disease (NSAID Study).

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Cholesterol Lowering Agent to Slow Progression (CLASP) of Alzheimer's Disease Study

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