About this trial
The TZ-DLB trial will be a 3:2 (active:placebo) randomized, double-blind, placebo-controlled Pilot trial to evaluate the tolerability of terazosin for the treatment of dementia with Lewy bodies.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Men or women with the diagnosis of dementia with Lewy Bodies per 2017 DLB Consortium criteria.
Baseline MOCA 18 or above. On stable AChEI and/or memantine treatment regimen for ≥4 weeks prior to baseline.
Disqualifiers
Subjects unwilling or unable to give informed consent
No confounding acute or unstable medical, psychiatric, orthopedic condition. Subjects who have hypertension, diabetes mellitus, depression, or other common age-related illness will be included if their disease under control with stable treatment regimen for at least 30 days.
Orthostatic hypotension defined as symptomatic decrease in BP > 20mmHg systolic or > 10mmHg diastolic on supine to sitting or standing, or a sitting blood pressure of ≤90/60.
Clinically significant traumatic brain injury or post-traumatic stress disorder
Trial design
Parallel
Treatments tested in this trial
Terazosin Hydrochloride
DrugIn this double blind, randomized, placebo controlled phase I clinical trial, subjects randomized into the Terazosin group will receive Terazosin hydrochloride treatment for 15 weeks. Participants will start at 1mg daily for the first 6 week, then the dosage will be increased to 5mg daily over 3 weeks, and continued for the last 6 weeks.
Placebo
Other interventionIn this double blind, randomized, placebo controlled phase I clinical trial, subjects randomized into the control group will receive placebo for 15 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of intervention-related adverse events between treatment arms
All patient-reported adverse events will be compared.
Frequency of drop-out/discontinuation of study intervention for any reason
The number of participants in each group who drop out of the study for any reason will be compared.
Brain [ATP] as measured by 31P-Magnetic Resonance Spectroscopy
Brain \[ATP\] as measured by 31P-Magnetic Resonance Spectroscopy
Secondary outcomes
To assess the mean change in systolic and diastolic blood pressures
Blood pressure will be evaluated at baseline, 2 weeks, 6 weeks and 12 weeks
Unified Parkinson Disease Rating Scale (UPDRS) part III Motor examination
Unified Parkinson Disease Rating Scale (UPDRS) part III will be evaluated at baseline, 2 weeks, 6 weeks and 12 weeks
Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog)
Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog) will be evaluated at baseline and 12 weeks
Montreal Cognitive Assessment
Montreal Cognitive Assessment
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Qiang Zhang
Lead sponsor
University of Iowa
Sponsor institution
This trial is not recruiting at the moment. You can still explore other options: