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N/A Completed N=51,533

Data Analysis for Drug Repurposing for Effective Alzheimer's Medicines (DREAM) - Montelukast vs Fluticasone

Source: ClinicalTrials.gov NCT05457855 ↗
Enrolled (actual)
51,533
Serious AEs
Results posted
Aug 2025
Primary outcomePrimary: Time to Dementia Onset — 9.1; 5.6; 14.5; 14.2 Incidence rate per 1000 person year

Summary

This study aims to evaluate the comparative risk of dementia/Alzheimer's disease onset between patients treated with medications that target specific metabolic pathways and patients treated with alternative medications for the same indication.

Outcome Measures

OutcomeResultp-value
PRIMARY
Time to Dementia Onset
9.1; 5.6; 14.5; 14.2; 11.4; 8.6

Eligibility Criteria

Please see https://docs.google.com/spreadsheets/d/1u8YFpnMHI5HprhyuY14tIgd1COZcsAWKFlbYCT7aL\_A/edit?usp=sharing or Appendix A (https://drive.google.com/file/d/1uC\_G8TJ1ujoJbas1p1gFaYFzY7Hw7xMq/view?usp=sharing) for full code and algorithm definitions.

Medicare timeframe: 2008 to 2018 (end of data availability).

Inclusion Criteria

  • 1. Aged >/= 65 years on the index date
  • 2. No prior use of Montelukast and Fluticasone anytime prior to cohort entry date
  • 3. Enrollment in Medicare Part A, B, and D with no HMO coverage for 365 days prior to and including cohort entry date
  • 4. At least two claims with asthma diagnosis measured 365 days prior to drug init

Exclusion Criteria

  • 1. Prior history of dementia measured anytime prior to cohort entry date
  • 2. Prior history of nursing home admission in the 365 days prior to the cohort entry date
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05457855). 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. Informational only — not medical advice.

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