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Phase 1 N=27 Randomized Quadruple-blind Treatment

Roflumilast and Donepezil to Reverse Scopolamine Induced Cognitive Deficits in Healthy Adults

Memory Impairment · Alzheimer's Disease

Enrolled (actual)
27
Serious AEs
1.0%
Results posted
Aug 2015
Primary outcome: Primary: Change From Baseline in the Verbal Recall Memory (VRM) Total Number of Correct Responses for Delayed Recall at 1 Hour After Scopolamine Administration — -6.7; -7.0; -7.4; -6.6 correct responses — p=0.573

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
Roflumilast (Drug); Roflumilast placebo (Drug); Donepezil (Drug); Donepezil placebo (Drug); Scopolamine (Drug)
Age
Adult · 18+ yrs
Sex
Male
Sponsor
AstraZeneca
Primary completion
May 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in the Verbal Recall Memory (VRM) Total Number of Correct Responses for Delayed Recall at 1 Hour After Scopolamine Administration
-6.7; -7.0; -7.4; -6.6 0.573
PRIMARY
Change From Baseline in the Verbal Recall Memory (VRM) Total Number of Correct Responses for Immediate Recall at 1 Hour After Scopolamine Administration
-9.8; -7.7; -10.6; -7.7 0.057
SECONDARY
Change From Baseline in the Verbal Recall Memory (VRM) Total Number of Correct Responses for Immediate and Delayed Recall at 2 and 4 Hours After Scopolamine Administration
-10.1; -7.3; -9.9; -6.5; -8.3; -7.6
SECONDARY
Change From Baseline in the Paired Associates Learning (PAL) Total Number of Errors Adjusted at All Time-points Assessed After Scopolamine Administration
8.0; 11.5; 1.6; 7.5; 3.0; 3.0
SECONDARY
Change From Baseline in the Rapid Visual Information Processing (RVP) A Prime Signal Detection at All Time-points Assessed After Scopolamine Administration
-0.0184; -0.0107; -0.0290; -0.0157; -0.0297; -0.0151
SECONDARY
Change From Baseline in the Rapid Visual Information Processing (RVP) Median Latency at All Time-points Assessed After Scopolamine Administration
10.63; -7.35; 5.62; 2.59; 10.83; -4.89
SECONDARY
Change From Baseline in the Spatial Working Memory (SWM) Total Number of Between Errors at the 10-Box Stage and the 12-Box Stage at All Time-points Assessed After Scopolamine Administration
23.8; 25.7; 31.7; 16.5; 28.4; 13.4
SECONDARY
Percentage of Participants Who Experience at Least 1 Treatment Emergent Adverse Event (TEAE)
30.4; 65.2; 24.0; 51.9
SECONDARY
Percentage of Participants With Markedly Abnormal Safety Laboratory Tests
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Participants With Markedly Abnormal Vital Sign Measurements at Least Once Post-dose
26.1; 21.7; 28.0; 33.3; 0; 0
SECONDARY
Percentage of Participants With Markedly Abnormal Criteria for Safety Electrocardiogram (ECG) Parameters at Least Once Post-Dose
0; 0; 0; 0

Summary

The purpose of this study is to determine whether scopolamine-induced cognitive impairment is attenuated by the administration of roflumilast in combination with donepezil.

Eligibility Criteria

Inclusion Criteria

  • In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements.
  • The participant or, when applicable, the participant's legally acceptable representative signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures.
  • Is a healthy adult male.
  • Is aged 18 to 45 years, inclusive, at the time of informed consent.
  • Weighs at least 60 kg and has a body mass index (BMI) between 18 and 32 kg/m^2 inclusive at Screening.
  • A male participant who is nonsterilized and sexually active with a female partner of childbearing potential agrees to use adequate contraception from signing of informed consent throughout the duration of the study and for 12 weeks after last dose.
  • Has clinical laboratory evaluations (including clinical chemistry, hematology and complete urinalysis) within the reference range for the testing laboratory, unless the results are deemed not to be clinically significant (CS) by the investigator at screening and Day -1 (Check-in) of Period 1.

Exclusion Criteria

  • Has received any investigational compound within 3 months prior to the first dose of study medication.
  • Has received roflumilast, donepezil, or scopolamine in a previous clinical study or as a therapeutic agent.
  • Is an immediate family member, study site employee, or in a dependant relationship with a study site employee who is involved in the conduct of this study (eg, spouse, parent, child, sibling) or may consent under duress.
  • Has uncontrolled, clinically significant neurologic, cardiovascular, pulmonary, hepatic, renal, metabolic, gastrointestinal, or endocrine disease or other abnormality which may impact the ability of the participant to participate or potentially confound the study results.
  • Contraindications to scopolamine: hypersensitivity to scopolamine and other belladonna alkaloids, and/or any component of the formulation, serious allergic reactions, wide and narrow angle glaucoma, gastrointestinal motility disorders (such as constipation, gastroesophageal reflux disease, irritable bowel syndrome), benign prostatic hyperplasia with urinary retention, asthma, chronic obstructive pulmonary disease (COPD), seizures, coronary artery disease, hypertension, and congestive heart failure.
  • Participants with existing psychiatric disease/condition including psychosis, affective disorder, anxiety disorder, borderline state and personality disorder according to the criteria in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, as assessed by the Mini International Neuropsychiatric Interview (MINI) or acute psychiatric episode within 6 months of Screening.
  • Has a known hypersensitivity to any component of the formulation of roflumilast, donepezil, scopolamine, or related compounds.
  • Has a positive urine drug result for drugs of abuse at Screening or Day -1 (Check-in) of each Period.
  • Has a history of drug abuse (defined as any illicit drug use) or a history of alcohol abuse within 1 year prior to the screening visit or is unwilling to agree to abstain from drug use or excessive alcohol use throughout the study.
  • Has taken any excluded medication, supplements, or food products listed in the Excluded Medications and Dietary Products.
  • Intends to donate sperm during the course of this study or for 12 weeks thereafter.
  • Any finding in the participant's medical history, physical examination, or safety laboratory tests giving reasonable suspicion of a disease that would contraindicate taking roflumilast, donepezil, scopolamine, or a similar drug in the same class, or that might interfere with the conduct of the study. This includes, but is not limited to, peptic ulcer disease, seizure disorders, and cardiac arrhythmias.
  • Has current or recent (within 6 months) gastrointestinal disease that would be expected to influence the absorption of drugs (ie, a hi
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02051335). 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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