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| ID | Type | Description | Link |
|---|---|---|---|
| 2022-A02556-37 | Registry Identifier | IDRCB number. French competent authority : Agence Nationale de sécurité du médicament et des produits de santé (ANSM) |
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| Name | Class |
|---|---|
| RCTs | INDUSTRY |
| University Hospital, Toulouse | OTHER |
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This is a controlled investigation, with randomization of the patients, which aims at demonstrating the efficacy of device RGn600 in treating patients with mild-to-moderate Alzheimer's disease (AD). RGn600 is a non-invasive medical device which is applied on the head (helmet) and on the abdomen (abdominal belt). It combines 2 technologies:
Considering previous investigations, this innovative technology could reduce inflammation on the brain-gut axis, implicated in the development of Alzheimer's disease.
This multicentric investigation is planned to include 108 patients in France who will be followed up to 52 weeks.
Patients meeting all eligibility criteria will be randomized on a 1: 1 ratio into one of the two following treatment groups: active RGn600 device or sham device (inactivated RGn600). The site investigation teams and patients/caregivers will be blinded. The device will be applied to the patients during 26 weeks through 20-min onsite sessions following the below pattern:
Follow-up will continue up to W52 ± 2 weeks
At inclusion visit, after verification of the eligibility criteria, data regarding patients will be collected: demographic data, date of AD diagnosis, comorbidities, concomitant medications, sociological data. A blood sample for APOE genotyping will be also performed.
Endpoints will be evaluated during 4 onsite visits at Day 0 (Inclusion, randomization to the active or sham group and first treatment session), W8 (last treatment session of), W26 (last treatment session of) and W52 ± 2 weeks. During these visits:
Within the context of this investigation, a biobank will be created based on blood, fecal and saliva samples of patients included by Toulouse University Hospital Gerontopole site:
The biobank will be located at the site. The objective of this biobank will be to perform subsequent analysis on blood samples of AD blood markers. Other analyses might be conducted on blood, fecal and saliva samples as well such as Inflammatory blood markers (iAGE), fecal microbiota and metabolome and salivary micro RiboNucleic Acid (microRNAs)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active RGn600 | Experimental | RGn600 with a 10 Hz-pulsed wave mode light emission |
|
| Sham | Sham Comparator | Inactivated RGn600 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RGn600 | Device | RGn600 with a 10 Hz-pulsed wave mode light emission |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Evolution of patient's cognition between Day 0 and Week 26 as measured with the AD Assessment Scale-cognitive subscale (ADAS-cog) score | Absolute change (Week 26-Day 0) in ADAS-cog score | Day 0, Week 26 |
| Measure | Description | Time Frame |
|---|---|---|
| Evolution of patient's cognition from Day 0 to Week 8, from Day 0 to Week 52 and from Week 26 to Week 52 as measured with the AD Assessment Scale-cognitive subscale (ADAS-cog) score | Day 0, Week 8, Week 26, Week 52 | |
| Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's cognitive functions |
| Measure | Description | Time Frame |
|---|---|---|
| [Exploratory endpoint from biobanking] Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's AD blood markers | Evolution of Aβ42/Aβ40 ratio | Day 0, Week 26, Week 52 |
| [Exploratory endpoint from biobanking] Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's AD blood markers |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Guillaume CHAMPLEBOUX | Contact | +33 649 813 454 | gchampleboux@regenlife.com |
| Name | Affiliation | Role |
|---|---|---|
| Guillaume BLIVET | REGEnLIFE SAS | Study Director |
| Jacques TOUCHON | Montpellier University | Study Chair |
| Julien DELRIEU |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHIC Castres Mazamet Site Autan | Recruiting | Castres | 81100 | France |
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| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| ID | Term |
|---|---|
| D003704 | Dementia |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
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An interventional, prospective, multicentric, randomized, comparative and double-blinded pivotal clinical investigation
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| RGn600 Sham |
| Device |
RGn600 inactivated |
|
Evolution of the score of the Mini Mental State Examination (MMSE)
| Day 0, Week 26, Week 52 |
| Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's cognitive functions | Evolution of the score of the Category Naming Test (CNT) | Day 0, Week 26, Week 52 |
| Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's cognitive functions | Evolution of the scores of the Digit Symbol Substitution Test (DSST) | Day 0, Week 26, Week 52 |
| Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's cognitive functions | Evolution of the score of the Trail Making Test part A and B (TMT A & B) | Day 0, Week 26, Week 52 |
| Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's cognitive functions | Evolution of the score of the Clinical Dementia Rating - Sum of Boxes (CDR-SB) scale | Day 0, Week 26, Week 52 |
| Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's cognitive functions | Evolution of the score of the AD Composite Score (ADCOMS) | Day 0, Week 26, Week 52 |
| Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's cognitive functions | Evolution of the score of the Digit span test | Day 0, Week 26, Week 52 |
| Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's autonomy | Evolution of the Instrumental Activities of Daily Living (IADL) questionnaire score | Day 0, Week 26, Week 52 |
| Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's Overall clinical response | Evolution of the Clinical Global Impression (CGI) scale score | Day 0, Week 26, Week 52 |
| Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's Quality of life | Evolution of the EuroQoL 5 Dimensions-5 Levels (EQ-5D-5L) score | Day 0, Week 26, Week 52 |
| Incidence of Adverse Events (AEs) | Proportion of subjects with at least one Adverse Event (AE) | Throughout the investigation (from Day 0 to Week 52) |
| Incidence of RGn600's Adverse Device Effects (ADEs) | Proportion of subjects with at least one Adverse Device Effect (ADE) | Throughout the investigation (from Day 0 to Week 52) |
| Incidence of RGn600's Device Deficiencies (DDs) | Proportion of subjects with at least one Device Deficiency (DD) | Throughout the investigation (from Day 0 to Week 52) |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of level of safety blood markers | Change from baseline (Day 0) of level of Complete blood count, including platelets | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of level of safety blood markers | Change from baseline (Day 0) of level of electrolytes, including calcium | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of level of safety blood markers | Change from baseline (Day 0) of level of Creatinine | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of level of safety blood markers | Change from baseline (Day 0) of level of creatinine clearance | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of level of safety blood markers | Change from baseline (Day 0) of level of urea | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of level of safety blood markers | Change from baseline (Day 0) of level of ASpartate AminoTransferase (ASAT) | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of level of safety blood markers | Change from baseline (Day 0) of level of ALanine AminoTransferase (ALAT) | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of level of safety blood markers | Change from baseline (Day 0) of level of Gamma-GT | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of level of safety blood markers | Change from baseline (Day 0) of level of ALkalyne Phosphatase (ALP) | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of level of safety blood markers | Change from baseline (Day 0) of level of bilirubin | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of Blood pressure | Measure of Blood pressure (mmHg) | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of Weight | Measure of Weight (Kg) | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of Heart rate | Measure of Heart rate (beats/min) | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of Temperature | Measure of Temperature (°C) | Day 0, Week 8, Week 26, Week 52 |
| Evolution from Day 0 to Week 8, Day 0 to Week 26 and from Day 0 to Week 52 of ElectroCardioGram (ECG) interpretation | ElectroCardioGram (ECG) interpretation (Normal / Abnormal - Abnormality description) | Day 0, Week 8, Week 26, Week 52 |
| Medico-economic interest of RGn600 treatment with regards to healthcare consumption | Resource Utilization in Dementia (RUD) questionnaire filled in by the patient/caregiver. | Day 0, Week 26 |
Evolution of level of Glial Fibrillary Acidic Protein (GFAP) |
| Day 0, Week 26, Week 52 |
| [Exploratory endpoint from biobanking] Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's AD blood markers | Evolution of level of NeuroFilament Light (NFL) protein | Day 0, Week 26, Week 52 |
| [Exploratory endpoint from biobanking] Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's AD blood markers | Evolution of level of Phosphorylated tau 217 (p-tau 217) | Day 0, Week 26, Week 52 |
| [Exploratory endpoint from biobanking] Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's microbiota | Evolution of microbiota | Day 0, Week 26, Week 52 |
| [Exploratory endpoint from biobanking] Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's metabolome | Evolution of metabolome | Day 0, Week 26, Week 52 |
| [Exploratory endpoint from biobanking] Evolution from Day 0 to Week 26 and from Day 0 to Week 52 of patient's AD saliva markers | Evolution of microRNAs | Day 0, Week 26, Week 52 |
| Toulouse University Hospital Gerontopole |
| Principal Investigator |
| CH Lavaur | Recruiting | Lavaur | 81500 | France |
|
| Hôpital Lariboisière | Not yet recruiting | Paris | 75010 | France |
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| Hôpital Broca | Not yet recruiting | Paris | 75013 | France |
|
| Hôpital de la Timone, | Not yet recruiting | Timone | 13005 | France |
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| Toulouse University Hospital Gerontopole | Recruiting | Toulouse | 31 000 | France |
|
| D001523 |
| Mental Disorders |