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N/A N=1,479 Randomized Quadruple-blind Treatment

Rosiglitazone (Extended Release Tablets) As Adjunctive Therapy For Subjects With Mild To Moderate Alzheimer's Disease

Alzheimer's Disease

Enrolled (actual)
1,479
Serious AEs
10.6%
Results posted
Nov 2017
Primary outcome: Primary: Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) Total Score at Week 48 — 2.9; 1.6; 2.7; 3.1 Score on a scale — p=0.049

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Rosiglitazone Extended Release 2mg (Drug); Rosiglitazone Extended Release 8mg (Drug); Placebo (Other); Donepezil (Other)
Age
Adult, Older Adult · 50+ yrs
Sex
All
Sponsor
GlaxoSmithKline
Primary completion
Jan 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) Total Score at Week 48
2.9; 1.6; 2.7; 3.1; 2.1; 3.1 0.049 sig
PRIMARY
Change From Baseline in Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) at Week 48 for APOE E4
1.3; 0.8; 1.5; 1.5; 1.0; 1.7 =0.056
SECONDARY
Change From Baseline in Disability Assessment for Dementia Scale (DAD) Total Score
0.1; -0.5; -1.1; -1.6; -1.6; -2.1 =0.340
SECONDARY
Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score
-0.3; -0.7; -0.3; -0.3; -0.6; 0.1 =0.414
SECONDARY
Change From Screening in Mini Mental State Examination (MMSE) Total Score
-1.6; -1.6; -1.7 0.870
SECONDARY
Change From Baseline in the Domains of the Resource Utilization in Dementia Scale (RUD)
1.6; 2.4; -0.1; 10.7; 3.4; 7.0 0.789
SECONDARY
Change From Baseline in European Quality of Life-5 Dimensions Proxy Version (EQ-5D Proxy) Scale Total Score Assessed by Thermometer (Visual Analog Scale [VAS]) and Utility
0.5; 0.3; -0.5; 0.8; -1.6; -2.1 0.914
SECONDARY
Change From Baseline in ADAS-Cog Total Score for Observed Cases at Weeks 8, 16, 24, 36 and 48
-0.2; -0.6; -0.2; -0.1; -0.5; 0.1 0.105
SECONDARY
Change From Baseline in CDR-SB Score for Observed Cases at Weeks 12, 24, 36 and 48
0.4; 0.3; 0.3; 0.7; 0.5; 0.8 0.004 sig
SECONDARY
Change in ADAS-Cog Total Score for Observed Cases at Week 54 Compared to Week 48
0.7; 1.1; 1.1 0.292
SECONDARY
Change in CDR-SB Total Score at Week 54 Compared to Week 48
0.2; 0.2; 0.1 0.598
SECONDARY
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 48
0.14; 0.21; 0.18 0.006 sig
SECONDARY
Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
304; 273; 327; 62; 45; 50
SECONDARY
Mean Change From Baseline in Systolic and Diastolic Blood Pressure (BP)
-0.7; -1.0; -2.3; -0.3; -0.7; -2.9
SECONDARY
Mean Change From Baseline in Heart Rate
0.8; 1.1; 0.6; 1.5; 1.3; 1.0
SECONDARY
Mean Change From Baseline in Weight
0.1; 0.2; 0.3; 0.2; 0.3; 0.7
SECONDARY
Change From Baseline in Hemoglobin Values
-0.4; -2.5; -3.7; -0.6; -6.2; -11.9
SECONDARY
Change From Baseline in Hematocrit Values
-0.0007; -0.0068; -0.0115; -0.0003; -0.0174; -0.0339
SECONDARY
Mean Change From Baseline in Short Term Memory Assessment Score
-0.3; -0.4; -0.3; -0.4; -0.7; -0.4
SECONDARY
Change From Baseline in HbA1c at Week 12, Week 24 and Week 36
0.01; 0.14; 0.16; 0.07; 0.12; 0.06
SECONDARY
Number of Participants With Laboratory Potential Clinical Concern (PCC) Values
0; 3; 0; 2; 2; 5
SECONDARY
Change From Baseline in Alzheimer's Carer Quality of Life Instrument (ACQLI) Total Score
0.5; -0.2; -0.0; 1.0; 0.6; 0.6 0.027 sig

Summary

Rosiglitazone (RSG) has been tested in clinical studies and is approved by the FDA as a treatment for type II diabetes mellitus, a disease that occurs when the body is unable to effectively use glucose. RSG XR, the investigational drug used in this study, is an extended-release form of RSG. This study tests whether RSG XR safely provides clinical benefit to people with mild to moderate Alzheimer's disease (AD) when combined with the currently approved AD medication, Aricept (donepezil). RSG XR is a new approach to AD therapy and this study tests a new way to treat AD by testing whether one's genetic makeup affects their response to the study drug. Clinical data suggesting that RSG may benefit AD patients was first seen in a small study performed at the University of Washington and then from a larger GSK study conducted in Europe and New Zealand. In the first study, subjects receiving RSG once daily for 6 months scored significantly better on 3 tests of memory and thought than those who did not receive RSG. In the GSK study, those that appeared to benefit most from treatment with RSG XR had a specific genetic pattern. They did not have the gene that caused them to produce the protein apolipoprotein E e4 (APOE e4). Subjects who have the APOE e4 gene may have two copies, one from each parent, or they may have only one APOE e4 gene meaning that they inherited either the APOE e2 or APOE e3 version of the gene, instead of APOE e4, from one of their parents. Subjects with one copy of the APOE e4 gene remained at their same level of thinking ability while those with two copies of the APOE e4 gene, continued to worsen during the 6-month treatment. The current study will more directly test the effectiveness or RSG XR on people who either have or lack the APOE e4 gene.

Eligibility Criteria

Inclusion criteria

  • A subject will be eligible for inclusion in this study only if all of the following criteria apply:
  • Male or female subject with a clinical diagnosis of probable Alzheimer's disease in accordance with NINCDS-ADRDA criteria.

(Note: National Institute of Neurological and Communicative Disorders and Stroke (NINCDS) and Alzheimer's Disease and Related Disorders Association (ADRDA).)

  • Subject has mild to moderate Alzheimer's disease as defined by a MMSE score 10 to 26 inclusive at Screening.
  • Hachinski Ischemia Score ≤ 4 at Screening.
  • Age ≥50 and ≤90 years.
  • At least 6 months of ongoing donepezil therapy for Alzheimer's disease, with stable dosing for at least the last 2 months (and with no intent to change for the duration of the study).
  • Current use of medication is in accordance with the criteria listed in Table 2 (Permitted Medications,).
  • Female subjects must be post-menopausal (i.e. >1 year without menstrual period), surgically sterile, or agree to use adequate method of contraception for the duration of the study. Female subjects who are pre-menopausal or who have been post-menopausal for 7, the Investigator should decide if the subject has depression in need of prescribed medication, and a CSDD >12 is considered a strong indicator that treatment is needed. Subjects will be allowed to re-screen after their depression has been adequately managed for >3 months.)
  • History or presence of gastro-intestinal, hepatic, or renal disease or other condition known to interfere with the absorption, distribution, metabolism, or excretion of drugs, or any other clinically relevant abnormality, medical or psychiatric condition, which, in the opinion of the Investigator, makes the subject unsuitable for inclusion in the study.
  • Clinically significant peripheral edema at the time of screening.
  • Current or recent drug or alcohol abuse or dependence (defined by DSM-IV criteria for substance-related disorders), or recent or remote history of the same if that could be a contributing factor to the dementia.
  • Systolic blood pressure >165 or 95 or 1.5 the upper limit of normal (ULN)).
  • ALT, AST, or alkaline phosphatase values >2.5 times the ULN, total bilirubin values >1.5 times the ULN, or history of severe hepatobiliary disease (e.g. hepatitis B or C, or cirrhosis, Child-Pugh Class B/C).

(Note: For subjects with a diagnosis of Gilberts Syndrome and an isolated increase in total bilirubin >1.5 ULN, fractionation should be performed. If all of the following conditions are met, the patient may enter or remain in the study, even if total bilirubin >1.5 ULN:

  • an elevated unconjugated (indirect) bilirubin;
  • the percentage of direct bilirubin <35%;
  • ALT, AST, and alkaline phosphatase <2.5 ULN if subject is in screening (<2.0 ULN for Canadian subjects only), or ≤3 ULN if subject is already randomized into the study)
  • History of a bone marrow transplant.
  • Subject is unable (with assistance, if appropriate) to take study medication as prescribed throughout the study or is at risk of non-compliance with study medication or procedures.
  • Subject is an immediate family member or employee of the participating Investigator, of any of the participating site staff, or of GSK.
  • In France, a subject is neither affiliated with nor a beneficiary of a social security category.
  • The French subject has participated in any study using an investigational drug during the previous 30 days or 5 half-lives (whichever is longer).
  • Cognitive tasks prescribed for cognitive rehabilitation and performed under medical supervision are prohibited for 6 months prior to Screening, as well as for the duration of the study.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00348309). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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