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Study to Evaluate the Effect of a Vegetal Oil on Cognitive Impairment

2016年6月1日 更新者:Team Foods Colombia S.A.

Randomized, Double Blind, Placebo Controlled Prospective Study, to Evaluate the Effect of a Vegetal Oil in the Disease's Natural Evolution in Patients Diagnosed With Cognitive Impairment or Mild to Moderate Alzheimer Disease.

The aim of the study is to evaluate the beneficial effect of a mixture of vegetal oils with a composition related to short, medium and long unsaturated chain fatty acids on patients with a diagnose of cognitive impairment or mild to moderate Alzheimer disease

研究概览

详细说明

The cognitive impairment syndrome is defined as a decrease of the intellectual performance with respect to a previous step in time. The Cognitive impairment has to be considered as a functional alteration with a continuous and physiological evolution in which happen a set of different circumstances:

  • A increasing and normal reduction, that appears after the age of sixty, also known as Age-associated memory impairment (AAMI)
  • A mild cognitive impairment (MCI), with a recent and mild loss of memory, but higher to that expected because of patient's age and educational level.
  • A severe pathological decrease of the mental abilities, also known as, depending on its characteristics: Severe cognitive impairment (SCI), senile dementia and Alzheimer's disease (1).

In the next years it is expected that this disease will become one of the main health and aged-related problem in aged people.(2) Nowadays, there are 35,6 million people with any kind of dementia, and it is estimated that every year, 7,7 million of new patients are diagnosed. (3) The amount of people affected will probably duplicate every 20 years, if effective treatments to stop its evolution are not developed. The forecast estimate up to 81,1 million of patients in 2040, which make this disease in a XXI century real epidemic.(4)

Before reaching the level of dementia, SCI or Alzheimer's disease, the patient will suffer a progressive mild cognitive impairment. In this level, the disease can be early diagnosed and it would be worth to act on it.

Evidences of the Polyunsaturated oils use on the prevention and/or treatment of cognitive impairment.

Polyunsaturated fatty acids (PUFA) can help to improve the cognitive functions. Neuronal tissues, as the brain, retina and the neurone-covering membranes (myelin) include high levels of PUFA. (5) PUFA's act on the order transmission in the Nervous System. Population studies reported the beneficial effect of fish oil, with a high PUFA concentration, on the memory of patients suffering a mild cognitive impairment. (6) It can be also beneficial for Alzheimer's patients, as they are deficient in PUFA's. A diet rich in PUFA'S can improve the cognitive function on patients con cognitive impairment and Alzheimer's disease. (6-8) Epidemiological studies suggest that oils rich in short chain PUFA, should play a beneficial role stopping the initial progression of Alzheimer's disease.

The previous data confirm the possibility of a beneficial effect of the product to study (a mixture of vegetable oils, rich in triglyceride and lecithins) due to the common characteristic of the product with those PUFA's already marketed.

研究类型

介入性

注册 (预期的)

110

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习联系方式

研究联系人备份

学习地点

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

55年 至 85年 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

描述

Inclusion Criteria:

  • informed consents signed by patients and/or caretaker
  • The patient has to fulfil dementia clinical criteria.
  • Age between 55 and 85 years old.
  • MMSE score between 18 and 26.
  • The patient can fulfil all neuropsychologic test, according to investigator.
  • The patient has to be always with his/her caretaker during monitorization visits
  • The caretaker has to be in regular contact with the patient, knowing his/her situation and participation in the study.
  • The caretaker has to check four times per week, at least, the product intake, as well as the routine medication and his/her dietetic habits.
  • Both caretaker and patient have to be able to complete the product intake during all the length of the study, according to the main investigator.

Exclusion Criteria:

  • Patient and/or caretaker not being able to understand and agree in writing their participation in the study.
  • Patient disability to oral intake of products.
  • Known allergy to any of the product components (active and placebo)
  • Evidence of suffering other neuropsychiatric disturbances apart of dementia as: Parkinson disease, psychotic disturbance, bipolar depression.
  • regular intake of alcohol higher than 45 g ethanol/day, during the year before study inclusion.
  • Any known concurrent malignant pathology in the moment of study inclusion, or severe metabolic, cardiovascular, renal, hepatic, or gastrointestinal disease that cannot allow the ending of the study according the investigator.
  • Any analytical abnormality during the screening, apart from: Creatinine no less than 1.7 mg/dL; low levels of Vitamin B12, and TSH abnormal values.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:预防
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:双倍的

武器和干预

参与者组/臂
干预/治疗
有源比较器:Lipidic Blend 1
Glass bottle with 45 ml of vegetal mixture oil. 1 bottle per day
daily intake of the content of one 45 mL bottle containing the product
有源比较器:Lipidic Blend 2
Glass bottle with 45 ml of vegetal mixture oil. 1 bottle per day
daily intake of the content of one 45 mL bottle containing the product
安慰剂比较:Placebo
Glass bottle with 45 ml of Olive oil. 1 bottle per day
daily intake of the content of one 45 mL bottle containing olive oil

研究衡量的是什么?

主要结果指标

结果测量
大体时间
Changes in Mini-Mental State Examination (MMSE) score
大体时间:baseline, 3 month, 6 month, 9 month, 12 month
baseline, 3 month, 6 month, 9 month, 12 month
Changes in Global Clinical Dementia Rating (CDR) score
大体时间:baseline, 3 month, 6 month, 9 month, 12 month
baseline, 3 month, 6 month, 9 month, 12 month

次要结果测量

结果测量
措施说明
大体时间
Changes in systemic oxidative parameters in periferic blood samples (Nitric Oxyde)
大体时间:baseline, 12 month
baseline, 12 month
Changes in systemic oxidative parameters in periferic blood samples (Malondialdehyde (MDA))
大体时间:baseline, 12 month
baseline, 12 month
Changes in beta-amyloid protein concentration
大体时间:baseline, 12 month
Changes in mean values on high sensitivity beta-amyloid 1-40 and 1-42 protein and TAU-protein in cerebrospinal fluid on those patients with a new diagnose of mild to moderate cognitive impairment, that require an initial lumbar puncture and a new lumbar puncture to control evolution at the end of teh study.
baseline, 12 month
Changes in TAU-Protein concentration
大体时间:baseline, 12 month
Changes in mean values on high sensitivity beta-amyloid 1-40 and 1-42 protein and TAU-protein in cerebrospinal fluid on those patients with a new diagnose of mild to moderate cognitive impairment, that require an initial lumbar puncture and a new lumbar puncture to control evolution at the end of teh study.
baseline, 12 month
Changes in regular treatment for the cognitive impairment
大体时间:baseline, 3 month, 6 month, 9 month, 12 month
baseline, 3 month, 6 month, 9 month, 12 month
Changes in dietetic habits
大体时间:baseline, 3 month, 6 month, 9 month, 12 month
baseline, 3 month, 6 month, 9 month, 12 month
Changes in Barthel score
大体时间:baseline, 3 month, 6 month, 9 month, 12 month
baseline, 3 month, 6 month, 9 month, 12 month
Changes in Morisky-Green score
大体时间:baseline, 3 month, 6 month, 9 month, 12 month
baseline, 3 month, 6 month, 9 month, 12 month
changes in weight
大体时间:baseline, 3 month, 6 month, 9 month, 12 month
baseline, 3 month, 6 month, 9 month, 12 month
Number of adverse events
大体时间:baseline, 3 month, 6 month, 9 month, 12 month
Number of adverse events related or nonrelated to the study or placebo products.
baseline, 3 month, 6 month, 9 month, 12 month

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

合作者

调查人员

  • 研究主任:Vicente Navarro-López, MD、Universidad Católica San Antonio de Murcia

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

一般刊物

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2016年3月1日

初级完成 (预期的)

2017年4月1日

研究完成 (预期的)

2017年7月1日

研究注册日期

首次提交

2016年5月8日

首先提交符合 QC 标准的

2016年5月17日

首次发布 (估计)

2016年5月20日

研究记录更新

最后更新发布 (估计)

2016年6月3日

上次提交的符合 QC 标准的更新

2016年6月1日

最后验证

2016年5月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

Lipidic Blend 1的临床试验

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