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Trial registered on ANZCTR
Registration number
ACTRN12615000677505
Ethics application status
Approved
Date submitted
17/06/2015
Date registered
30/06/2015
Date last updated
24/09/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Imaging of Retinal Amyloid Plaques in Alzheimer’s disease - Middle aged Controls Study
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Scientific title
A study to evaluate retinal amyloid plaques in a middle-aged control cohort, utilizing a retinal imaging system and curcumin labeling
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Secondary ID [1]
286915
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NVI003.B
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Alzheimer's Disease
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Condition category
Condition code
Neurological
295603
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0
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Alzheimer's disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Suitable participants will receive a 7 day course of Curcumin and an 8 day course of over the counter Vitamin E 500IU (taken as one capsule once per day)
Curcumin will be supplied in the form of Longvida (Registered Trademark) sachets. Participants will take 20 grams of Longvida (Registered Trademark) each morning before breakfast for 7 days. This is equivalent to taking 4 grams of Curcumin per day. The sachets may be mixed with a low-lactose drink (supplied). Longvida, (Registered Trademark), is currently not registered for this indication in Australia and is therefore considered an investigational or experimental product.
At each clinic visit, participants will have a blood test and have photos taken of their eye retina's. To take the photos, pupil dilating eye drops will be instilled into the eyes. Photos will be taken with a scanning laser opthalmoscope.
In addition, participants will be asked to complete a medication diary during the course of the Curcumin/Vitamin E to record all the medication intake. All Curcumin and Vitamin E containers should be returned to the clinic even if they are empty.
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Intervention code [1]
292101
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Early detection / Screening
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Comparator / control treatment
All suitable participants will receive Curcumin and Vitamin E.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The primary endpoint is to investigate whether retinal amyloid plaques are evident in a younger control cohort, utilizing a retinal imaging system and curcumin labeling in participants.
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Assessment method [1]
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Timepoint [1]
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Participants will be screened for the presence or absence of retinal amyloid plaques after 7 days of taking the investigational product. Baseline images will be collected at day 0, then more images taken after 7 days of curcumin dosing.
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Secondary outcome [1]
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The second objective is to compare retinal Amyloid Beta protein plaque burden with brain Amyloid Beta protein plaque burden.
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Assessment method [1]
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Timepoint [1]
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Comparison will be made between the retinal images (day 7) and the participant's most recent PET scan (PET scan will be conducted as part of the AIBL study). The AIBL study is not registered
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Secondary outcome [2]
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The effect of other parameters on the retina-brain amyloid association, including ocular history, blood pharmacokinetics, demographics, and APOE genotype. Participant's details regarding demographics and ocular hsitory will be collected by interview with a study doctor at visit 1 (day 0). APOE gentoype information was collected in the AIBL study from a blood test. Pharmacokinetic information will be obtained from the blood tests conducted during this study with blood collection occurring at day 0 (visit 1) and day 7 (visit 2)
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Assessment method [2]
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Timepoint [2]
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Details of other parameters will be collected at visit 1 (day 0, also known as baseline) and visit 2 (after 7 days of curcumin dosing) of this study. APOE gentoype information and brain plaque burden is collected during the course of the AIBL study.
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Eligibility
Key inclusion criteria
1. Participant must be cognitive normal (as assessed in the AIBL study).
2. Participant must be able to provide written informed consent in English.
3. Male or Female age 40-60 years.
4. Participants must have had a brain amyloid imaging (PET scan) or plan to undertake a PET scan as part of the AIBL study within 6 months of completing the NVI003.B study.
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Minimum age
40
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. The participant has advanced retinal disease, advanced cataracts or other advanced ocular conditions that in the opinion of the investigator are likely to affect obtaining clear images of the retina.
2. Participant has had prior ocular surgery within 2 months of planned retinal imaging, or is still taking post-operative ocular medications at first day of retinal imaging.
3. Participants with known current gallstones.
4. Participants who have undergone angioplasty in the last 3 months.
5 Participants who have had major surgery within 4 weeks of trial inclusion or planned surgical procedure during the trial period.
6. Significant haemorrhagic event (in past 12 months) or cardiovascular disease (ie, history of myocardial infarction within past 6 months of trial inclusion , congestive cardiac failure NYHA grade II ).
7. Participant with retinitis pigmentosa.
8. Participants with current bile duct obstruction (participants who have undergone a cholecystectomy will be considered eligible).
9. Participants with significant uncontrolled gastrointestinal disorders (including stomach ulcers and uncontrolled hyperacidity disorders) which in the opinion of the investigator will be aggravated by the intake of curcumin.
10. Participants with known allergy to Tropicamide eye drops, vitamin E or turmeric
11. Women who are of child bearing potential who do not agree to use reliable contraception from day 0 until at least 6 weeks after the last study drug administration. Pregnant or lactating females are not eligible. Women of childbearing potential must have a negative pregnancy test done prior to commencing study drug.
12. Participation in another clinical trial within 30 days prior to visit one (with the exception of the AIBL trial and behavioural interventions). Participants enrolled in clinical trials involving vitamins, herbal or dietary products may be eligible on a case-by-case following discussion with the medical monitor.
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/07/2015
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Actual
27/10/2015
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Date of last participant enrolment
Anticipated
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Actual
8/12/2015
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Date of last data collection
Anticipated
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Actual
20/01/2016
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Sample size
Target
40
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Accrual to date
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Final
40
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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McCusker Alzheimer's Research Foundation - Nedlands
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Recruitment postcode(s) [1]
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6009 - Nedlands
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Neuro Vision Inc
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Address [1]
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Suite 250
1395 Garden Highway
Sacramento CA 95833
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Country [1]
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United States of America
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Primary sponsor type
Charities/Societies/Foundations
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Name
McCusker Alzheimer's Disease Foundation
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Address
115 Monash Ave
Nedlands WA 6009
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Country
Australia
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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Neuro Vision Inc
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Address [1]
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Suite 250
1395 Garden Highway
Sacramento CA 95833
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Country [1]
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United States of America
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Secondary sponsor category [2]
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Government body
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Name [2]
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CSIRO
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Address [2]
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Business Development Manager
Neurodegenerative Diseases, Preventative Health Flagship
343 Royal Parade
PARKVILLE VIC 3052
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Country [2]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Hollywood Private Hospital Research Ethics Committee
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Ethics committee address [1]
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Monash Ave NEDLANDS WA 6009
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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02/06/2015
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Approval date [1]
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06/07/2015
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Ethics approval number [1]
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HPH425
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Summary
Brief summary
Alzheimer's Disease is characterised by the presence of beta-amyloid plaques in the brain. More recently, it has been proposed that these plaques may first appear in the retina, at the back of the eye before the plaques are detectable in the brain. Curcumin, found in the spice Tumeric, is a food additive that has molecular and optical properties that enhance the ability of the image amyloid plaques in the retina. Participants will be asked to have a eye imaging done before and after taking curcumin for 7 days. The presence/absence of plaques in the eye's retina will be correlated with the results obtained from participation in the AIBL study.
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Trial website
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
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Prof Roger Clarnette
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Address
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McCusker Alzheimer's Research Foundation
115 Monash Ave
Nedlands WA 6009
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Country
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Australia
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Phone
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+61 8 9389 6433
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Kevin Taddei
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Address
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McCusker Alzheimer's Research Foundation
2/142 Striling Highway
Nedlands WA 6009
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Country
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Australia
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Phone
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+61 8 6304 3966
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Shaun Frost
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Address
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CSIRO DPAS WA Australian e-Health Research Centre
Private bag 5
WEMBLEY WA 6913
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Country
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Australia
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Phone
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+61 8 9333 6137
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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