Terazosin for Dementia With Lewy Bodies

Trial statusNot yet recruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age0-90
SponsorQiang Zhang

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Terazosin Hydrochloride

    Drug

    In 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 intervention

    In this double blind, randomized, placebo controlled phase I clinical trial, subjects randomized into the control group will receive placebo for 15 weeks.

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Placebo Control ArmPlacebo comparator 1 intervention
Group B: Terazosin ArmExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of intervention-related adverse events between treatment arms

All patient-reported adverse events will be compared.

Time frame
15 weeks
2

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.

Time frame
15 weeks
3

Brain [ATP] as measured by 31P-Magnetic Resonance Spectroscopy

Brain \[ATP\] as measured by 31P-Magnetic Resonance Spectroscopy

Time frame
at baseline, 6 weeks and 15 weeks

Secondary outcomes

1

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

Time frame
at baseline, 6 weeks and 15 weeks
2

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

Time frame
at baseline, 6 weeks and 15 weeks
3

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

Time frame
at baseline, 6 weeks and 15 weeks
4

Montreal Cognitive Assessment

Montreal Cognitive Assessment

Time frame
at baseline, 6 weeks and 15 weeks

Other outcomes

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: