JRCT ID: jRCTs041190126
Registered date:10/03/2020
Study on efficacy and safety of zonisamide in at-risk subjects of Lewy body disease
Basic Information
Recruitment status | Not Recruiting |
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Health condition(s) or Problem(s) studied | Lewy body disease (Parkinson's disease and dementia with Lewy bodies) |
Date of first enrollment | 22/02/2021 |
Target sample size | 30 |
Countries of recruitment | |
Study type | Interventional |
Intervention(s) | Arm zonisamide: 1.Two tablets of zonisamide 25mg after breakfast for 4 weeks 2.Four tablets of zonisamide 25mg after breakfast for 92 weeks Arm placebo: 1.Two tablets of placebo after breakfast for 4 weeks 2.Four tablets of placebo after breakfast for 92 weeks |
Outcome(s)
Primary Outcome | Change of the average of SBR in the right and left sides in DaT SPECT from week 0 |
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Secondary Outcome | 1. Change of the following measures from 0 week: Change of SBR of each side in DaT SPECT MDS-UPDRS MoCA-J Trail making test Stroop test Line orientation test pareidolia test H/M ratio on cardiac MIBG scintigraphy OSIT-J Schellong test CVR-R on electrocardiogram PASE SCOPA-AUT-J RBDSQ-J PDQ-39 BDI-II SAOQ JESS QUIP-Current-Short 2. Subjects who fulfill the diagnostic criteria for Parkinson's disease or dementia with Lewy bodies |
Key inclusion & exclusion criteria
Age minimum | >= 50age old |
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Age maximum | < 80age old |
Gender | Both |
Include criteria | 1. Subjects whose age is between 50 and 80 years old 2. Subjects who have two or more prodromal symptoms: SCOPA-AUT: 10 or more RBDSQ: 5 or more, or REM sleep without atonia (RWA) finding of polysomnography OSIT-J: 7 or less, or SAOQ: 90% or less 3. Subjects who fulfill one of the following criteria: In cardiac MIBG scintigraphy, H/M ratio is less than 2.2 in early-phase and/or delayed-phase In DaT SPECT, SBR is lower than the limit of z-score for each age using DaTVIEW analysis (left and/or right side), or DAT deficiency in the striatum 4. Subjects who can make an outpatient visit regularly 5. Subjects who agree to participate in this study |
Exclude criteria | 1. Subjects who received zonisamide within 4 weeks from screening 2. Subjects with hypersensitivity to TRERIEF 3. Subjects who take medicine which affect blood concentration of zonisamide: strong inhibitors of CYP3A 4. Subjects with severe heart disease (myocardial infarction, angina, etc) 5. Subjects with severe hepatic or renal dysfunction 6. Subjects diagnosed with Parkinson's disease or dementia with Lewy body 7. Subjects with mental or neurological disorders other than depression 8. Subjects with other severe complications 9. Female subjects who are pregnant or breast-feeding, those with positive urine hCG pregnancy test 10. Subjcets who disagree with contraception during the study period 11. Subjects diagnosed with dementia or other neurological disorders using brain MRI at screening 12. Subjects who are inappropriate to participate in the study 13. Subjects who received other investigational drugs within 1 year 14. Subjects who participate in other clinical trials. Prospective study on early diagnosis of Parkinson's disease in medical checkup examinees with non-motor symptoms (NaT-PROBE) is excluded. |
Related Information
Primary Sponsor | Katsuno Masahisa |
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Secondary Sponsor | Japan Agency for Medical Research and Development |
Source(s) of Monetary Support | Sumitomo Pharma Co., Ltd. |
Secondary ID(s) |
Contact
Public contact | |
Name | Keita Hiraga |
Address | 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, Japan Aichi Japan 466-8550 |
Telephone | +81-52-744-2391 |
hiraga@med.nagoya-u.ac.jp | |
Affiliation | Nagoya University Graduate School of Medicine |
Scientific contact | |
Name | Masahisa Katsuno |
Address | 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, Japan Aichi Japan 466-8550 |
Telephone | +81-52-744-2391 |
ka2no@med.nagoya-u.ac.jp | |
Affiliation | Nagoya University Graduate School of Medicine |