UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000027312
Receipt number R000031278
Scientific Title The efficacy of Zonisamide for BPSD in Dementia with Lewy bodies
Date of disclosure of the study information 2017/05/12
Last modified on 2024/11/19 12:29:51

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Basic information

Public title

The efficacy of Zonisamide for BPSD in Dementia with Lewy bodies

Acronym

DLB-Z

Scientific Title

The efficacy of Zonisamide for BPSD in Dementia with Lewy bodies

Scientific Title:Acronym

DLB-Z

Region

Japan


Condition

Condition

Dementia with Lewy bodies

Classification by specialty

Neurology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We investigate the superiority of Zonisamide over placebo on BPSD(Behavioral and Psychological Symptoms of Dementia)in patient with DLB(Dementia with Lewy bodies)

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

Neuropsychiatric Inventory

Key secondary outcomes

Mini Mental State Examination
Cognitive Fluctuation Inventory
Unified parkinson's Disease Rating Scale part3
Rescue medicine


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

excegran(zonisamide)powdered + lactose

Interventions/Control_2

lactose

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

55 years-old <=

Age-upper limit

84 years-old >=

Gender

Male and Female

Key inclusion criteria

1 Probable DLB with the criteria of DLB workshop 2005
2 BPSD is present on NPI
3 MMSE score 10 26
4 WBC platelet Serum AST ALT ALP GTP level should be in normal range
5 Have a study partner able to provide an independent evaluation of functioning
6 Agreement to sign an informed consent

Key exclusion criteria

1 Patient with non DLB.
2 No focal lesion exists in brain MRI.
3 Has current serious illness, psychiatric problem or drug abuse.
4 Those who have used Zonisamide over before.
5 Those who have joined any clinical trial within 3 month.
6 Those who have received medications that affected the central nervous system within 4 weeks.
7 Dose of chronic medications that affect CNS should be stable for at least 4 weeks before Visit0.
8 Those who are judged inadequate by their doctor.

Target sample size

90


Research contact person

Name of lead principal investigator

1st name Yukihiko
Middle name
Last name Washimi

Organization

National Center for Geriatrics and Gerontology

Division name

Deputy Director

Zip code

474-8511

Address

7-430, Morioka, Obu, Aichi 474-8511 Japan

TEL

0562-46-2311

Email

washimi@ncgg.go.jp


Public contact

Name of contact person

1st name Mayumi
Middle name
Last name Maeda

Organization

Clinical Research Network for Dementia

Division name

Innovation Center for Clinical Research

Zip code

474-8511

Address

7-430 , Morioka, Obu, Aichi 474-8511 Japan

TEL

0562-46-2311

Homepage URL

http://www.crnd.jp

Email

crndinfo@ncgg.go.jp


Sponsor or person

Institute

National Center for Geriatrics and Gerontology

Institute

Department

Personal name



Funding Source

Organization

National Center for Geriatrics and Gerontology

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagoya University Clinical Research Review Board

Address

65 Tsurumai-cho Showa-ku Nagoya Aichi,Japan, Aichi

Tel

052-744-2479

Email

ethics@med.nagoya-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

国立研究開発法人国立長寿医療研究センター(愛知県)
弘前大学医学部附属病院(青森県)
東京医科大学病院 (東京都)
浜松医療センター (静岡県)
独立行政法人 国立病院機構 広島西医療センター(広島県)
川崎医科大学附属病院(岡山県)
片山内科クリニック(岡山県)
独立行政法人 国立病院機構 まつもと医療センター(長野県)
名古屋大学医学部附属病院(愛知県)


Other administrative information

Date of disclosure of the study information

2017 Year 05 Month 12 Day


Related information

URL releasing protocol

https://jrct.niph.go.jp/latest-detail/jRCTs041180125

Publication of results

Published


Result

URL related to results and publications

https://jrct.niph.go.jp/latest-detail/jRCTs041180125

Number of participants that the trial has enrolled

25

Results

The results of the present study showed no trend for improvement in the BPSD of DLB with zonisamide, which was seen in our exploratory study, based on the amount of change in NPI after 2 and 4 weeks, and zonisamide was not shown to be effective against the BPSD of DLB.

Results date posted

2024 Year 11 Month 19 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

There were no differences between the two groups in the background factors of age (years), height (cm), weight (kg), BMI (kg/m2), diastolic blood pressure (mmHg), systolic blood pressure (mmHg), disease duration (months), NPI, MMSE, Cognitive Fluctuation Inventory, score on part 3 of the UPDRS, presence/absence of complications, remarkable medical history, use of prohibited concomitant medications before the start of the trial, use of restricted concomitant medications, use of medications for complications, and type of examinations (outpatient, inpatient) for concomitant treatment other than the drug therapy.
The active drug group had 4 men (33.3%) and 8 women (66.7%), and the placebo group had 6 men (50.0%) and 6 women (50.0%).

Participant flow

In this study, 35 subjects gave informed consent, of whom 25 (13 zonisamide group, 12 placebo group)were enrolled in the study, and 1 patient(zonisamide group) was discontinued.

Adverse events

Of the 25 patients enrolled in the study, 15 adverse events occurred, 3 of which were causally related. In addition, one serious adverse event (hospitalization due to dehydration) occurred, but the causal relationship was judged to be "unlikely related".

Outcome measures

The score for the primary endpoint showed a somewhat improving trend in the placebo group at both 2 and 4 weeks, but there were no significant differences. No significant differences were seen between the zonisamide group and the placebo group in the four secondary endpoints.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 01 Month 05 Day

Date of IRB

2019 Year 02 Month 27 Day

Anticipated trial start date

2017 Year 02 Month 07 Day

Last follow-up date

2021 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 05 Month 12 Day

Last modified on

2024 Year 11 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031278