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    The EU Clinical Trials Register currently displays   44334   clinical trials with a EudraCT protocol, of which   7366   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

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    Summary
    EudraCT Number:2005-002744-25
    Sponsor's Protocol Code Number:RK100.1
    National Competent Authority:Ireland - HPRA
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2006-01-11
    Trial results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedIreland - HPRA
    A.2EudraCT number2005-002744-25
    A.3Full title of the trial
    An open label evaluation of the safety and efficacy of nilvadipine in mild to moderate Alzheimer's Disease
    A.3.2Name or abbreviated title of the trial where available
    St. James's Hospital Nivadil Trial
    A.4.1Sponsor's protocol code numberRK100.1
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorRoskamp Institute
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorNon-Commercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Information not present in EudraCT
    D.2.1.1.1Trade name Nivadil
    D.2.1.1.2Name of the Marketing Authorisation holderKlinge Pharma GmbH
    D.2.1.2Country which granted the Marketing AuthorisationIreland
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameNivadil
    D.3.2Product code Nilvadipine
    D.3.4Pharmaceutical form Prolonged-release capsule, hard
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPBuccal use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNNilvadipine
    D.3.9.1CAS number 75530-68-6
    D.3.9.2Current sponsor codeRK100
    D.3.9.3Other descriptive nameNivadil
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number8
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product Information not present in EudraCT
    D.3.11.8Extractive medicinal product Information not present in EudraCT
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product Information not present in EudraCT
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Alzheimer's disease
    MedDRA Classification
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To investigate the safety and efficacy of nilvadipine and its effects on the serum and plasma levels of the protein beta-amyloid.
    E.2.2Secondary objectives of the trial
    To examine the effects of nilvadipine on cerebrovascular and peripheral haemodynamics in patients with Alzheimer’s disease.
    E.2.3Trial contains a sub-study Information not present in EudraCT
    E.3Principal inclusion criteria
    1. Age range: Adult subjects between the ages of 60 and 90 years-old.
    2. Sex distribution: both men and women.
    3. Prior diagnosis of mild to moderate AD based on NINCDS-ADRDA criteria and an MMSE score > 14 and < 27 and CDR-SB score between 1 and 2.
    4. Health: vision and hearing (corrective lenses and hearing aid permissible) sufficient for compliance with testing procedures.
    5. A collateral informant such as a spouse, family member, close friend, etc. The informant must have daily contact with the subject and agree to monitor/manage study drug adherence, observe for possible adverse events, assist with psychometric measures requiring informant information, and accompany the subject to all evaluation visits. The subject’s collateral or designee will record blood pressure measurements each day.
    6. Fluency in relevant language sufficient to reliably complete all study assessments.
    7. Prior brain imaging (CT or MRI) scan consistent with a diagnosis of Alzheimer’s Disease.
    8. Systolic BP 120+ and a diastolic BP of 75+.
    E.4Principal exclusion criteria
    • Subjects with co-morbid dementia or other neurologic disorders such as Parkinson's disease, vascular dementia, Huntington's disease, Pick's disease, Creutzfeldt-Jakob disease, normal pressure hydrocephalus, brain tumor, progressive supranuclear palsy, seizure disorder, subdural hematoma, or multiple sclerosis, as well as subjects with HIV disease, neurosyphilis, history of significant head trauma with loss of consciousness followed by persistent neurologic deficits, known structural brain abnormalities, or any other condition with known interference with cognitive function.
    • History of hemodynamically significant coronary artery disease.
    • History of chronic heart failure.
    • Syncope within the past year.
    • History or finding on examination of significant valvular heart disease i.e severe aortic and mitral stenosis.
    • History or finding on examination of significant outflow tract obstruction i.e loud murmurs on physical exam.
    • History or finding on examination of hemodynamically significant tachycardia.
    • History of symptomatic orthostatic hypotension within the last year
    • Call PI/Medical Monitor for consultation regarding subjects on Cardiac medications including Antiarrhythmics and Digoxin.
    • Currently taking any calcium channel blocker or other antihypertensive medications for any reason.
    • Presence of hepatitis B or C antigen or laboratory values of liver enzymes > 2.0 x normal.
    • Subjects who have been diagnosed with hepatic function disorder to include elevated AST (GOT), ALT (GPT), or -GT levels at levels 2x normal.
    • Current diagnosis of clinical psychopathology such as schizophrenia, bipolar disorder, somataform disorder, etc.
    • Subjects who are currently or who have within the past year met criteria for drug or alcohol abuse or dependence.
    • Subjects with suspected incomplete hemostasis following intracranial hemorrhage.
    • Subjects with elevated intracranial pressure during the acute stage of cerebral stroke.
    • Pregnant women or women who may possibly become pregnant.
    • Subjects with a history of hypersensitivity to nilvadipine (Nivadil).
    • Subjects who have suffered a severe infection or a major surgical procedure within six months prior to screening.
    • Subjects who have taken an investigational or other unapproved drug during the 30 days or five half-lives, which ever is longer, prior to baseline.
    • Subjects who are taking or have taken within the past 30 days any of the unacceptable concomitant drugs listed in Appendix C.
    • Compromised kidney function as assessed by laboratory values (less than 75%) or any condition which would make the subject, in the opinion of the investigator, unsuitable for the study.
    • Subjects who, in the opinion of the investigator, may not be able to comply with the protocol.
    E.5 End points
    E.5.1Primary end point(s)
    The primary endpoint of the study will be the completion of study patients on 6 weeks of nilvadipine treatment with cognitive assessment and measurement of serum and plasma levels of beta-amyloid throughout the study.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Information not present in EudraCT
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others Information not present in EudraCT
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) Yes
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo No
    E.8.2.3Other Yes
    E.8.2.3.1Comparator description
    The comparator group will consist of those patients not taking study medication.
    E.8.3 The trial involves single site in the Member State concerned Yes
    E.8.4 The trial involves multiple sites in the Member State concerned No
    E.8.5The trial involves multiple Member States No
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.7Trial has a data monitoring committee Information not present in EudraCT
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    The trial will conclude after the last visit of the last subject undergoing the trial.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years2
    E.8.9.1In the Member State concerned months
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years2
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero Information not present in EudraCT
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) Information not present in EudraCT
    F.1.1.3Newborns (0-27 days) Information not present in EudraCT
    F.1.1.4Infants and toddlers (28 days-23 months) Information not present in EudraCT
    F.1.1.5Children (2-11years) Information not present in EudraCT
    F.1.1.6Adolescents (12-17 years) Information not present in EudraCT
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) Yes
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Information not present in EudraCT
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Information not present in EudraCT
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally Yes
    F.3.3.6.1Details of subjects incapable of giving consent
    The presence of a primary caregiver is requested for all study visits and the primary caregiver, if legally allowed, will be able to provide consent for the patients enrollment into the study.
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state150
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 0
    F.4.2.2In the whole clinical trial 150
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Subject will continue with normal treatment for their condition
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2006-03-03
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2006-06-29
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2009-03-03
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