- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05122598
Development and Evaluation of Computerized Olfactory Training Program for Cognitive Decline in Early Alzheimer's Disease
Development and Evaluation of Computerized Olfactory Training Program (COT) for Cognitive Decline in Early Alzheimer's Disease (AD)
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Evaristus Nwulia, MD
- Phone Number: 410-227-2005
- Email: enwulia@evonmedics.org
Study Contact Backup
- Name: Maria Hipolito, MD
- Phone Number: 571-241-2766
- Email: mhipolito@evonmedics.org
Study Locations
-
-
District of Columbia
-
Washington, District of Columbia, United States, 20002
- Recruiting
- Clinics of Dr. Edwin Chapman @ MHDG
-
Contact:
- Edwin Chapman, MD
- Phone Number: 202-396-8550
- Email: echap1647@aol.com
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Washington, District of Columbia, United States, 20020
- Recruiting
- Family and Medical Counseling Service, Inc
-
Contact:
- Michael Serlin, MD
- Phone Number: 573 202-889-7900
- Email: mserlin@fmcsinc.org]
-
Washington, District of Columbia, United States, 20060
- Recruiting
- Howard University (HU)
-
Contact:
- Thomas O Obisesan, MD
- Phone Number: 202-865-6100
- Email: tobisesan@howard.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age 55-95 years; female must be post-menopausal for ≥ 2 consecutive years
- Probable mild AD according to the core clinical criteria outlined in the National Institute on Aging/Alzheimer's Association (NIA-AA) Guidelines
- MMSE score between the range of 21 to 27; CDR score of 1.0 (mild AD); scores on Logical Memory II subscale (Delayed Recall) from the Wechsler Memory Scale-Revised (WMS) within the recommended education-adjusted ranges
- Have either cerebrospinal fluid (CSF) Aβ42 levels that are consistent with Alzheimer's disease as measured via mass spectrometry by C2N, or document elevated amyloid burden consistent with Alzheimer's disease from positron emission tomography (PET) imaging
- Screening MRI without evidence of infection, infarction, or other focal lesions of neurological disease; and no significant nasal disease.
- All participants must have a study partner with normal cognitive function.
Exclusion Criteria:
- Any significant neurologic disease
- Major psychiatric disorder within the past 2 years
- Substance use disorder within the past 2 years
- Any unstable medical condition
- Contraindications to MRI
- Any Alzheimer's disease modifying therapy (DMT) in the past 6 months
- Antipsychotics, anticholinergics, anticonvulsants, and other antidepressants, benzodiazepines, or other psychotropic medications and blood thinners, except for aspirin at a prophylactic dose or less.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Computerized Olfactory Training (COT) Device with olfactory stimulants
COT device with olfactory stimulants consists of daily 40 cycles of intervention with a combination of olfactory stimulation and training tasks, lasting ~45 minutes, delivered once daily over 6 months period by the participant or their partner/caregiver.
|
The COT with proprietary odorant molecules is designed to stimulate olfactory neural activity over long periods of time combined with orbitofrontal cortex (OFC) dependent olfactory tasks.
Other Names:
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Sham Comparator: Sham/COT Device
This is COT device that uses compressed room air scented with phenylethylamine (rose scent) instead of olfactory stimulants and has shape pattern matching tasks instead of cognitive tasks, in order to blind users to their treatment assignment.
Similar to the COT, sham COT will be used daily for 45 minutes.
|
Sham COT uses artificially scented compressed room air instead of olfactory stimulants and has control cognitive olfactory tasks.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Logical Memory II subscale (Delayed Paragraph Recall)
Time Frame: Baseline
|
Measures patient's ability to recall information after a 20 to 30 minutes delay for story b from the Wechsler Memory Scale-IV (0-25).
Higher scores indicate better performance.
This is use for evaluation of forgetting or memory decay.
|
Baseline
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Logical Memory II subscale (Delayed Paragraph Recall)
Time Frame: 6 months
|
Measures patient's ability to recall information after a 20 to 30 minutes delay for story b from the Wechsler Memory Scale-IV (0-25).
Higher scores indicate better performance.
This is use for evaluation of forgetting or memory decay.
|
6 months
|
Logical Memory II subscale (Delayed Paragraph Recall)
Time Frame: 9 months
|
Measures patient's ability to recall information after a 20 to 30 minutes delay for story b from the Wechsler Memory Scale-IV (0-25).
Higher scores indicate better performance.
This is use for evaluation of forgetting or memory decay.
|
9 months
|
ADCS-PACC composite score
Time Frame: Baseline
|
Combines tests that assess episodic memory, timed executive function and global cognition.
Alzheimer's Disease Cooperative Study (ADCS) PACC (ADAS-PACC) is a composite score of: The Total Recall score from the Free and Cued Selective Reminding Test (FCSRT) (range from 0-48 points), The Delayed Recall score on the Logical Memory IIa subtest from the Wechsler Memory Scale (range from 0-25 points), the Digit Symbol Substitution Test score from the Wechsler Adult Intelligence Scale-Revised (range from 0-93 points), and the MMSE score (range from 0-30 points).
Each of the component change scores is divided by the baseline sample standard deviation of that component, to form standardized z scores.
These z scores are summed to form the composite.
Z Scores could range from -5 to +5 with higher scores indicating less deficit and lower scores indicating greater deficit.
|
Baseline
|
ADCS-PACC composite score
Time Frame: 6 months
|
Combines tests that assess episodic memory, timed executive function and global cognition.
Alzheimer's Disease Cooperative Study (ADCS) PACC (ADAS-PACC) is a composite score of: The Total Recall score from the Free and Cued Selective Reminding Test (FCSRT) (range from 0-48 points), The Delayed Recall score on the Logical Memory IIa subtest from the Wechsler Memory Scale (range from 0-25 points), the Digit Symbol Substitution Test score from the Wechsler Adult Intelligence Scale-Revised (range from 0-93 points), and the MMSE score (range from 0-30 points).
Each of the component change scores is divided by the baseline sample standard deviation of that component, to form standardized z scores.
These z scores are summed to form the composite.
Z Scores could range from -5 to +5 with higher scores indicating less deficit and lower scores indicating greater deficit.
|
6 months
|
ADCS-PACC composite score
Time Frame: 9 months
|
Combines tests that assess episodic memory, timed executive function and global cognition.
Alzheimer's Disease Cooperative Study (ADCS) PACC (ADAS-PACC) is a composite score of: The Total Recall score from the Free and Cued Selective Reminding Test (FCSRT) (range from 0-48 points), The Delayed Recall score on the Logical Memory IIa subtest from the Wechsler Memory Scale (range from 0-25 points), the Digit Symbol Substitution Test score from the Wechsler Adult Intelligence Scale-Revised (range from 0-93 points), and the MMSE score (range from 0-30 points).
Each of the component change scores is divided by the baseline sample standard deviation of that component, to form standardized z scores.
These z scores are summed to form the composite.
Z Scores could range from -5 to +5 with higher scores indicating less deficit and lower scores indicating greater deficit.
|
9 months
|
Olfactory Psychophysical Tasks scores
Time Frame: Baseline
|
Using Sniffin' sticks, defines patient's olfactory threshold (T), discrimination (D) and identification (I).
Scores: Male and Female threshold score (1-16); Male and Female discrimination score (4-16); Identification score (male: 3-16; female: 4-16); Threshold Discrimination Identification (TDI) composite score (male: 9-44; female: 11-43).
Higher score indicates better olfactory performance.
|
Baseline
|
Olfactory Psychophysical Tasks scores
Time Frame: 6 months
|
Using Sniffin' sticks, defines patient's olfactory threshold (T), discrimination (D) and identification (I).
Scores: Male and Female threshold score (1-16); Male and Female discrimination score (4-16); Identification score (male: 3-16; female: 4-16); TDI composite score (male: 9-44; female: 11-43).
Higher score indicates better olfactory performance.
|
6 months
|
Olfactory Psychophysical Tasks scores
Time Frame: 9 months
|
Using Sniffin' sticks, defines patient's olfactory threshold (T), discrimination (D) and identification (I).
Scores: Male and Female threshold score (1-16); Male and Female discrimination score (4-16); Identification score (male: 3-16; female: 4-16); TDI composite score (male: 9-44; female: 11-43).
Higher score indicates better olfactory performance.
|
9 months
|
Changes in cortical thickness and grey matter volumes
Time Frame: Baseline and 9 months
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Defines as MRI imaging changes of the hippocampus and entorhinal cortex
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Baseline and 9 months
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Changes in subfield segmentations of the hippocampus and entorhinal cortex
Time Frame: Baseline and 9 months
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Using the Automatic Segmentation of Hippocampal subfields looking for changes in the hippocampus and entorhinal cortex
|
Baseline and 9 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in the scores of Neuropsychological Test Battery (NTB)
Time Frame: Baseline, 6 months and 9 months
|
Neuropsychological Test Battery (NTB) is a combination of widely used clinical neuropsychological tests measuring memory and executive function.
he total Neuropsychological Test Battery (NTB) executive function is a composite score obtained from averaging the following three z-scores from the NTB: Wechsler Memory Scale Digit Span, Controlled Word Association Test (COWAT), and Category Fluency Test (CFT).
The range in z scores is from -3 to 3; higher scores indicating less executive function deficit.
|
Baseline, 6 months and 9 months
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Changes in the scores of Mini Mental State Examination (MMSE)
Time Frame: Baseline, 6 months and 9 months
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Mini Mental State Examination (MMSE) measures cognitive function and includes tests of orientation, attention, memory, language and visual-spatial skills.
MMSE range 0 - 30; higher scores indicating less deficit.
|
Baseline, 6 months and 9 months
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Changes in the scores of CDR scale (CDR)
Time Frame: Baseline, 6 months and 9 months
|
Clinical Dementia Rating Scale (CDR) is a 5- point scale used to characterize six domains of cognitive and functional performance (Memory, Orientation, Judgment & Problem Solving, Community Affairs, Home & Hobbies, and Personal Care) applicable to Alzheimer's disease and related dementias. CDR Score is the sum of boxes scores range from 0 - 18; higher scores indicating worse deficit. |
Baseline, 6 months and 9 months
|
Changes in the scores of Global Deterioration Scale(GDS)
Time Frame: Baseline, 6 months and 9 months
|
GDS provides an overview of the stages of cognitive function for those suffering from primary degenerative dementia such as Alzheimer's disease.
Geriatric Depression Scale (GDS) scores range from 0 - 30; higher scores indicating worse depression.
|
Baseline, 6 months and 9 months
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Changes in the scores of Activities of Daily Living (ADCS-ADL)
Time Frame: Baseline, 6 months and 9 months
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ADCS-ADL is used for assessment of patient's ability to perform activities of daily living.
ADCS-ADL is a 23-item activities of daily with score range from 0 - 78; lower scores indicating greater impairment.
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Baseline, 6 months and 9 months
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Changes in the scores of Quality of Life scale (QOL)
Time Frame: Baseline, 6 months and 9 months
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QOL measures satisfaction, perceptions of control, involvement, commitment and work-life balance, in terms of one's personal perception.
QOL-AD score ranges from 13 - 52; higher scores indicating less deficit.
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Baseline, 6 months and 9 months
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Changes in odor discrimination scores
Time Frame: Baseline, 9 months
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Odor discrimination score defines patient's ability to detect differences between odors.
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Baseline, 9 months
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Changes in the grey matter volumes of other structures of the primary olfactory cortex
Time Frame: Baseline, 9 months
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Primary olfactory region images will use MPRAGE MRI sequence for grey matter volume
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Baseline, 9 months
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Changes in the cortical thickness of other structures of the primary olfactory cortex
Time Frame: Baseline, 9 months
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Primary olfactory region images will use MPRAGE MRI sequence for cortical thickness
|
Baseline, 9 months
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Evaristus Nwulia, MD, Evon Medics LLC
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- COTAG061981
- 2R44AG061981-03 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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