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Alzheimer's Disease: Therapeutic Potential of Estrogen - Article


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Medroxyprogesterone acetate and Estradiol cypionate injection

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Clinical Trial: Alzheimer's Disease: Therapeutic Potential of Estrogen

This study is currently recruiting patients.

Sponsored by: National Institute on Aging (NIA)
Information provided by: National Institute on Aging (NIA)

Purpose

This is a 15-month study to determine the effectiveness of hormone replacement therapy in improving memory and the ability to live independently in postmenopausal women with Alzheimer's disease.

Condition Treatment or Intervention Phase
Alzheimer Disease
 Drug: Transdermal 17-ß-estradiol
 Drug: Medroxyprogesterone
Phase II
Phase III

MedlinePlus related topics:  Alzheimer's Caregivers;   Alzheimer's Disease
Genetics Home Reference related topics:  Alzheimer disease

Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study

Further Study Details: 

Expected Total Enrollment:  160

Study start: September 2001;  Expected completion: September 2006

Estrogen is a naturally occurring hormone produced in a woman's body. The purpose of this 15-month study is to determine the effectiveness of hormone replacement therapy in improving memory and the ability to live independently in postmenopausal women with Alzheimer's disease and without other dementias.

Patients who volunteer for this study will either receive a patch containing 17-ß-estradiol or will receive an inactive placebo patch. In addition, patients will be given either medroxyprogesterone or an inactive placebo pill. Neither the volunteers nor the study staff will know which type of patch or pill a patient receives. Patients must be generally healthy and have mild-to-moderate dementia. There must be a patient caregiver who can watch for side effects and ensure that the patient takes the study medications on schedule. Patients will undergo neuropsychological tests and an evaluation of the ability to live independently at each visit as well as laboratory evaluations, such as the taking of blood. Each visit will last approximately 3 hours. A total of 160 participants are being recruited.

Eligibility

Ages Eligible for Study:  55 Years   -   90 Years,  Genders Eligible for Study:  Female

Criteria

Inclusion:

  • Postmenopausal women with Alzheimer's disease and without other dementias (diagnosed by study staff or from an outside clinic),
  • Mini Mental State Examination score greater than 15/30.

Exclusion:

  • History of cancer of reproductive tissues,
  • History of deep vein thrombosis or blot clots,
  • Diabetes,
  • Heart disease or stroke,
  • Liver problems including hepatitis,
  • Severe vision or hearing problems,
  • Tobacco use,
  • Lack of an adequate caregiver, inability to perform psychometric testing.

Location and Contact Information

Memory Research Program Study Coordinator      1-866-636-7764    memory-research@medicine.wisc.edu
Memory Research Program Study Coordinator      608-263-2582    memory-research@medicine.wisc.edu

Wisconsin
      University of Wisconsin Memory Research Program, Madison,  Wisconsin,  53705,  United States; Recruiting
Memory Research Program Study, Coordinator  866-636-7764    memory-research@medicine.wisc.edu 
Memory Research Program Study, Coordinator  608-263-2582    memory-research@medicine.wisc.edu 
Sanjay Asthana, MD,  Principal Investigator

Study chairs or principal investigators

Sanjay Asthana, MD,  Principal Investigator,  University of Wisconsin - Madison, William S. Middleton VA Hospital   

More Information

University of Wisconsin Memory Research Program

Publications

Cholerton B, Gleason CE, Baker LD, Asthana S. Estrogen and Alzheimer's disease: the story so far. Drugs Aging. 2002;19(6):405-27. Review.

Asthana S, Baker LD, Craft S, Stanczyk FZ, Veith RC, Raskind MA, Plymate SR. High-dose estradiol improves cognition for women with AD: results of a randomized study. Neurology. 2001 Aug 28;57(4):605-12.

Asthana S, Craft S, Baker LD, Raskind MA, Birnbaum RS, Lofgreen CP, Veith RC, Plymate SR. Cognitive and neuroendocrine response to transdermal estrogen in postmenopausal women with Alzheimer's disease: results of a placebo-controlled, double-blind, pilot study. Psychoneuroendocrinology. 1999 Aug;24(6):657-77.

Study ID Numbers:  IA0048; FDA IRB approval M1285; NIH grant AG17196-03
Record last reviewed:  October 2004
Last Updated:  October 22, 2004
Record first received:  August 4, 2003
ClinicalTrials.gov Identifier:  NCT00066157
Health Authority: United States: Federal Government
ClinicalTrials.gov processed this record on 2005-04-08


Source: ClinicalTrials.gov
Cache Date: April 8, 2005


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November 18, 2008



Page Updated: June 1, 2005
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