Ignite Creation Date:
2025-12-25 @ 4:18 AM
Ignite Modification Date:
2025-12-26 @ 3:18 AM
Study NCT ID:
NCT00842920
Status:
UNKNOWN
Last Update Posted:
2020-01-27
First Post:
2009-02-11
Is NOT Gene Therapy:
False
Has Adverse Events:
False
Brief Title:
Trial of Simvastatin in Amnestic Mild Cognitive Impairment (MCI) Patients
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D060825', 'term': 'Cognitive Dysfunction'}], 'ancestors': [{'id': 'D003072', 'term': 'Cognition Disorders'}, {'id': 'D019965', 'term': 'Neurocognitive Disorders'}, {'id': 'D001523', 'term': 'Mental Disorders'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'D019821', 'term': 'Simvastatin'}], 'ancestors': [{'id': 'D008148', 'term': 'Lovastatin'}, {'id': 'D009281', 'term': 'Naphthalenes'}, {'id': 'D011084', 'term': 'Polycyclic Aromatic Hydrocarbons'}, {'id': 'D006841', 'term': 'Hydrocarbons, Aromatic'}, {'id': 'D006844', 'term': 'Hydrocarbons, Cyclic'}, {'id': 'D006838', 'term': 'Hydrocarbons'}, {'id': 'D009930', 'term': 'Organic Chemicals'}, {'id': 'D011083', 'term': 'Polycyclic Compounds'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE4'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'QUADRUPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}, 'primaryPurpose': 'PREVENTION', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 520}}, 'statusModule': {'overallStatus': 'UNKNOWN', 'lastKnownStatus': 'ACTIVE_NOT_RECRUITING', 'startDateStruct': {'date': '2008-12', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2020-01', 'completionDateStruct': {'date': '2021-02-28', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2020-01-22', 'studyFirstSubmitDate': '2009-02-11', 'studyFirstSubmitQcDate': '2009-02-11', 'lastUpdatePostDateStruct': {'date': '2020-01-27', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2009-02-12', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2020-08-31', 'type': 'ESTIMATED'}}, 'outcomesModule': {'otherOutcomes': [{'measure': 'Change in CDR-SOB at Long-Term Follow-Up', 'timeFrame': '2-11 years'}], 'primaryOutcomes': [{'measure': 'Change in CDR-SOB at 24 months of treatment', 'timeFrame': '24 month', 'description': 'Clinical dementia rating - sum of boxes'}], 'secondaryOutcomes': [{'measure': "Change in Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-Cog) score", 'timeFrame': '24 month'}, {'measure': 'Change in Free and Cued Selective Reminding Test (FCSRT) score', 'timeFrame': '24 month'}, {'measure': 'Length of conversion-free interval, starting at the time of randomization, with conversion being defined as an increase of the CDR score beyond 0.5', 'timeFrame': '24 months'}]}, 'oversightModule': {'oversightHasDmc': True}, 'conditionsModule': {'keywords': ['amnestic MCI'], 'conditions': ['Mild Cognitive Impairment']}, 'descriptionModule': {'briefSummary': 'Probands with MCI are at high risk to develop Alzheimer´s dementia (AD). Simvastatin may lower the production of Amyloid, a hallmark of AD in the brain. The primary hypothesis of the study is that 60 mg Simvastatin significantly reduces the Clinical Dementia Rating -Sum of boxes (CDR-SOB) in individuals with MCI as compared to MCI receiving placebo or 20 mg Simvastatin', 'detailedDescription': 'This is a national multicenter, double-blind, randomized placebo-controlled trial allowing for a minimum follow-up time of 24 months in conversion-free patients. Randomization will be stratified by prior use of statins.\n\nThe two strata are:\n\n1. "no-statins": patients without treatment with a statins and no indication for treatment (according to the guidelines of the German Society of Cardiology for the primary prevention of cardiovascular disease); patients will be randomly assigned to one of 2 treatment (1) Simvastatin (60 mg) one tablet/day (2) Placebo one tablet/day.\n2. "low-statins": patients treated with low doses of Statins; patients will be randomly assigned to one of 2 treatment (1) Simvastatin (60 mg) one tablet/day (2) 20 mg Simvastatin one tablet/day.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'maximumAge': '90 Years', 'minimumAge': '55 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n1. Self and informant report of gradually increasing memory impairment for at least six months.\n2. Objective memory impairment\n3. Intact basic activities of daily living\n4. Preserved general cognitive function, not demented\n5. Absence of a detectable cause of memory disorder\n6. Age 55 to 90.\n7. Females without childbearing potential\n8. A total cholesterol ≥90 mg/dl\n9. LDL-cholesterol ≥ 160 mg/dl and ≤ 3 risk factors or ≥ 190 mg/dl and ≤ 2 risk factors including age\n10. Informed consent (according german medicinal products act, AMG §40 (1) 3b)\n11. No participation in other clinical trials 2 months before and after participation in this study\n12. Probands should only recruited for the clinical trial, when they are able to perform the informed consent; due to worsening of "memory function" in the course of the clinical trial, probands should not longer participate the clinical trial, when they is evidence, that participants were not longer able to give full informed consent.\n\nExclusion Criteria:\n\n1. Hypersensitivity against Simvastatin, active liver disease or lasting increase of serum transaminases for unclear reason\n2. Unstable medical, neurological or psychiatric disease\n3. Lack of a spouse or a close relative\n4. Use of a registered anti-dementia drug or a nootropic\n5. Chronic use of anti-inflammatory drugs\n6. History of stroke or myocardial infarction\n7. LDL-cholesterol 130-160 mg/dl and \\> 3 risk factors or 160-190 mg/dl and \\> 2 risk factors including age.\n8. LDL-cholesterol \\>190 mg/dl\n9. Comedication with Diltiazem, Verapamil, Amiodarone, Itraconazole, Ketoconazole, Erythromycin, Clarithromycin, Telithromycin, Ciclosporin, Gemfibrozil, Nefazodone, HIV-protease inhibitors, Benzodiazepines, Tricyclic antipsychotics or other anticholinergic drugs\n10. Comedication of other statins in high doses; low doses equivalent to 20 mg Simvastatin are allowed if taken for max. 2 years before randomization'}, 'identificationModule': {'nctId': 'NCT00842920', 'acronym': 'SIMaMCI', 'briefTitle': 'Trial of Simvastatin in Amnestic Mild Cognitive Impairment (MCI) Patients', 'organization': {'class': 'OTHER', 'fullName': 'Charite University, Berlin, Germany'}, 'officialTitle': 'Randomized Controlled Trial of Simvastatin in Amnestic MCI Patients', 'orgStudyIdInfo': {'id': 'EudraCT 2008-002226-11'}, 'secondaryIdInfos': [{'id': 'BMBF grant, 01KG0822'}]}, 'armsInterventionsModule': {'armGroups': [{'type': 'PLACEBO_COMPARATOR', 'label': 'Placebo', 'description': 'Placebo or 20 mg Simvastatin (stratified by prior use of statins)', 'interventionNames': ['Drug: Placebo']}, {'type': 'EXPERIMENTAL', 'label': 'Simvastatin 60 mg', 'description': 'Simvastatin 60 mg once daily', 'interventionNames': ['Drug: Simvastatin 60 mg']}, {'type': 'EXPERIMENTAL', 'label': 'Simvastatin 20 mg', 'description': 'Simvastatin 20 mg once daily', 'interventionNames': ['Drug: Simvastatin 20 mg']}], 'interventions': [{'name': 'Simvastatin 60 mg', 'type': 'DRUG', 'description': '60 mg once daily', 'armGroupLabels': ['Simvastatin 60 mg']}, {'name': 'Placebo', 'type': 'DRUG', 'description': 'one tablet once daily', 'armGroupLabels': ['Placebo']}, {'name': 'Simvastatin 20 mg', 'type': 'DRUG', 'description': '20 mg once daily', 'armGroupLabels': ['Simvastatin 20 mg']}]}, 'contactsLocationsModule': {'locations': [{'city': 'Berlin', 'country': 'Germany', 'facility': 'Department of Psychiatry and Psychotherapy, Charité-CBF', 'geoPoint': {'lat': 52.52437, 'lon': 13.41053}}, {'zip': '53105', 'city': 'Bonn', 'country': 'Germany', 'facility': 'Department of Psychiatry and Psychotherapy, University Bonn', 'geoPoint': {'lat': 50.73438, 'lon': 7.09549}}, {'zip': '91054', 'city': 'Erlangen', 'country': 'Germany', 'facility': 'Department of Psychiatry and Psychotherapy, University Erlangen', 'geoPoint': {'lat': 49.59099, 'lon': 11.00783}}, {'zip': '60528', 'city': 'Frankfurt am Main', 'country': 'Germany', 'facility': 'Department of Psychiatry and Psychotherapy, Johann Wolfgang Goethe-University', 'geoPoint': {'lat': 50.11552, 'lon': 8.68417}}, {'zip': '79106', 'city': 'Freiburg im Breisgau', 'country': 'Germany', 'facility': 'Center for Geriatrics and Gerontology, University Freiburg', 'geoPoint': {'lat': 47.9959, 'lon': 7.85222}}, {'zip': '37075', 'city': 'Göttingen', 'country': 'Germany', 'facility': 'Department of Psychiatry and Psychotherapy, Medical University Goettingen', 'geoPoint': {'lat': 51.53443, 'lon': 9.93228}}, {'zip': '06112', 'city': 'Halle', 'country': 'Germany', 'facility': 'Department for Psychiatry, Psychotherapy and Psychosomatic; Martin-Luther-University Halle-Wittenberg', 'geoPoint': {'lat': 51.48158, 'lon': 11.97947}}, {'zip': '69115', 'city': 'Heidelberg', 'country': 'Germany', 'facility': 'Department of Psychiatry, University Hospital Heidelberg', 'geoPoint': {'lat': 49.40768, 'lon': 8.69079}}, {'zip': '68072', 'city': 'Mannheim', 'country': 'Germany', 'facility': 'Department of Gerontopsychiatry, Central Institut of Mental Health, University Heidelberg', 'geoPoint': {'lat': 49.4891, 'lon': 8.46694}}, {'zip': '80336', 'city': 'Munich', 'country': 'Germany', 'facility': 'Department of Psychiatry and Psychotherapy, LMU I', 'geoPoint': {'lat': 48.13743, 'lon': 11.57549}}, {'zip': '81377', 'city': 'Munich', 'country': 'Germany', 'facility': 'Institute for Stroke and Dementia Research, LMU', 'geoPoint': {'lat': 48.13743, 'lon': 11.57549}}, {'city': 'Rostock', 'country': 'Germany', 'facility': 'Department of Psychiatry and Psychotherapy, University Rostock', 'geoPoint': {'lat': 54.0887, 'lon': 12.14049}}, {'zip': '89081', 'city': 'Ulm', 'country': 'Germany', 'facility': 'Neurologische Universitätsklinik Ulm', 'geoPoint': {'lat': 48.39841, 'lon': 9.99155}}], 'overallOfficials': [{'name': 'Isabella Heuser, MD, PhD', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Charité-CBF'}, {'name': 'Lutz Frölich, MD', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'CIMH Mannheim'}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Charite University, Berlin, Germany', 'class': 'OTHER'}, 'collaborators': [{'name': 'German Federal Ministry of Education and Research', 'class': 'OTHER_GOV'}], 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Prof. Dr.', 'investigatorFullName': 'Isabella Heuser', 'investigatorAffiliation': 'Charite University, Berlin, Germany'}}}}