Search Results
within category "Aging & Geriatrics"
Here are the studies that match your search criteria. If you are interested in participating, please reach out to the contact listed for the study. If no contact is listed, contact us and we'll help you find the right person.
Interventions for Patients With Alzheimer's Disease and Dysphagia
The overall purpose of this project is to develop effective dysphagia rehabilitative
interventions for patients with Alzheimer's Disease and related dementias at risk for
pneumonia development.
Nicole Rogus-Pulia, PhD
All
50 Years to 99 Years old
N/A
This study is NOT accepting healthy volunteers
NCT03682081
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Inclusion criteria (patients):
• Age 50-99
• English speaking
• Diagnosis of dementia or cognitive impairment or memory loss
• Clinical Dementia Rating (CDR) scale score between 0.5 and 2.0
• Actively involved caregiver
• Resides at home, assisted living facility, or long-term care facility
Inclusion criteria (caregivers)
• English speaking
• Age 18 and older
• Contact with patient at least 1 time a week
• Has access to a working telephone
Exclusion criteria (patients):
• Dementia due to cerebrovascular disease as primary cause
• History of head and neck cancer or other structural deformity that can affect
swallowing
• Allergy to barium
• Currently breastfeed or pregnant or planning to become pregnant
Exclusion criteria (caregivers):
• Lacks ability to give consent
Dementia, Dysphagia, Alzheimer Disease, Alzheimer's disease, Aphagia and dysphagia, Dementia in other diseases classified elsewhere, Mild Cognitive Impairment, Unspecified dementia, Other, Aging & Geriatrics, Food & Nutrition
The LUCINDA Trial: LeUprolide Plus Cholinesterase Inhibition to Reduce Neurological Decline in Alzheimer's (LUCINDA)
The LUCINDA Trial is a three-site, phase II, randomized, double-blind, placebo-controlled
study of leuprolide acetate (Eligard) in women with Mild Cognitive Impairment or Alzheimer's
Disease taking a stable dose of a cholinesterase inhibitor medication like donepezil. Its
objective is to assess the efficacy of a 48-week regimen of leuprolide (22.5 mg per 12 weeks)
compared to placebo on cognitive function, global function and plasma and neuroimaging
biomarkers.
Craig Atwood
Female
65 Years to 120 Years old
Phase 2
This study is NOT accepting healthy volunteers
NCT03649724
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Inclusion Criteria:
• Female, post-menopausal
• Probable AD or MCI due to AD according to NIA-AA criteria
• Taking a stable dose of a cholinesterase inhibitor such as donepezil/Aricept and
dosage likely to remain stable throughout the trial
• MOCA > 11 or blind MOCA > 8 (inclusive) at screening visit
• Hachinski score <5 supporting clinical judgment that dementia is not of vascular
origin
• Fluent in English
• has a study partner / caregiver who interacts with the subject for at least 5 hours
per week on average and can participate in evaluations
Exclusion Criteria:
• Presence based on exam, history or MRI of significant brain disease other than AD such
as schizophrenia, epilepsy, Parkinson's disease or large territory stroke
• Current substance abuse in accord with DSM V criteria
• Significantly depressed (Geriatric Depression Scale > 10)
• Physical or psychological MRI contraindications, or likely unable to tolerate
neuroimaging
• Taking other medications known to affect serum sex hormone or gonadotropin
concentrations such as estrogen and/or progesterone for hormone replacement therapy,
goserelin or danazol
• Presence of significant systemic illness likely to interfere with participation in or
completion of the study or to affect study results such as cancer within 5 years
(other than non-melanoma skin cancer), autoimmune disease, recent myocardial
infarction, signs/symptoms of organ failure based on history, ECG, screening
laboratory and/or physical exams
• Receiving other investigational drugs within 30 days or 5 half-lives prior to
randomization, whichever is longer
• Ever treated with active or passive immunization for AD (e.g. Lecanemab) due to
unknown alterations in systemic and brain inflammation, which may confound results
Antecedent Metabolic Health and Metformin Aging Study (ANTHEM)
Aging is the number one risk factor for the majority of chronic diseases. There are no
pharmaceutical treatments to slow aging and prolong healthspan. The anti-diabetic drug
metformin is considered a likely pharmaceutical candidate to slow aging. In this study, the
investigators hypothesize that metformin treatment in subjects free of type 2 diabetes will
improve insulin sensitivity and glucoregulation in insulin resistant individuals, but will
decrease insulin sensitivity and glucoregulation in insulin sensitive subjects. Further, the
investigators hypothesize that long-term metformin treatment will remodel mitochondria in a
way that decreases mitochondrial function in subjects that are insulin sensitive, but
improves mitochondrial function in subjects that are insulin resistant. The investigators
will use a dual-site, 12- week drug intervention trial performed in a double-blind,
placebo-controlled manner on 148 subjects recruited from two separate sites (Oklahoma Medical
Research Foundation (OMRF) and University of Wisconsin-Madison (UWM)). After consent and
initial subject screening for chronic disease, subjects will be stratified to insulin
sensitive (IS) or insulin resistant (IR) groups. Over a 12- week intervention, half of each
group will take metformin and half will take a placebo. Pre- and post--intervention, subjects
will complete a series of procedures to assess insulin sensitivity, glucose regulation, and
biomarkers of aging. The same subjects will provide a skeletal muscle biopsy pre-- and
post-intervention to assess the change in mitochondrial function and mitochondrial remodeling
with and without metformin treatment. By completion of this project, the investigators expect
to provide evidence that helps further delineate who may benefit from metformin treatment to
slow aging.
Adam Konopka
All
40 Years to 75 Years old
Phase 3
This study is also accepting healthy volunteers
NCT04264897
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Inclusion Criteria:
• 40-75 years of age (inclusive)
• Free of chronic disease
• Comprehension of the protocol as indicated by an ability to respond to questions about
the study after reading the consent form.
• Able to use and be contacted by telephone.
• Able to speak, read, and understand English, and complete a questionnaire in English
• Independently mobile
Exclusion Criteria:
• Pregnancy
• Heart disease (history, abnormal ECG, abnormal stress ECG)
• Cerebrovascular disease (history)
• Cancer (history)
• Chronic respiratory disease (history, forced expiratory volume at one second/forced
vital capacity [FEV1/FVC] < 70, FEV1 < 80% predicted)
• Chronic liver disease (history, alanine transaminase [ALT] > 52 IU/L)
• Diabetes (history, HbA1C ≥ 6.5, fasting blood glucose≥126 mg/dl, oral glucose
tolerance test [OGTT] ≥ 200 mg/dl at 2 hrs)
• Impaired kidney function (eGFR ,45 mL/min)
• B12 lab values outside of normal range (<193 or >982 pg/mL)
• Alzheimer's (history)
• Chronic kidney disease (history, abnormal blood kidney panel including serum
creatinine > 1.4)
• Problems with bleeding, on medication that prolongs bleeding time (if subject cannot
safely stop prior to biopsy)
• Those on glucose lowering drugs
• Those planning to have imaging that requires intravenous contrast dye (within 6 weeks)
or are on any of the following medications since they are contraindicated with the use
of metformin: Dofetilide, Lamotrigine, Pegvisomant, Somatropin, Trimethoprim,
Trospium, Gatifloxacin, Cephalexin, Cimetidine, Dalfampridine
• Tobacco use
• Allergies to lidocaine or metformin
AHEAD 3-45 Study: A Study to Evaluate Efficacy and Safety of Treatment With Lecanemab in Participants With Preclinical Alzheimer's Disease and Elevated Amyloid and Also in Participants With Early Preclinical Alzheimer's Disease and Intermediate Amyloid
The primary purpose of this study is to determine whether treatment with lecanemab is
superior to placebo on change from baseline of the Preclinical Alzheimer Cognitive Composite
5 (PACC5) at 216 weeks of treatment (A45 Trial) and to determine whether treatment with
lecanemab is superior to placebo in reducing brain amyloid accumulation as measured by
amyloid positron emission tomography (PET) at 216 weeks of treatment (A3 Trial). This study
will also evaluate the long-term safety and tolerability of lecanemab in participants
enrolled in the Extension Phase.
Cynthia Carlsson, MD
All
55 Years to 80 Years old
Phase 3
This study is NOT accepting healthy volunteers
NCT04468659
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Inclusion criteria:
Participants must meet all of the following criteria to be included in this study:
1. Male or female, age 55 to 80 years inclusive at the time of informed consent, with a
plasma biomarker result that is predictive of intermediate or elevated brain amyloid
at Screening or known before Screening to have elevated or intermediate amyloid
according to previous PET, cerebrospinal fluid (CSF), or plasma testing
• Those 55 to 64 must have 1 of the following additional risk factors, given the
relatively low rates of amyloid positivity less than (<) 65 years, before screening:
• First degree relative diagnosed with dementia onset before age 75, or
• Known to possess at least 1 apolipoprotein E4 variant (APOE4) allele, or
• Known before screening to have elevated brain amyloid according to previous
plasma biomarker results, PET imaging, or CSF testing
2. Global Clinical Dementia Rating (CDR) score of 0 at screening
3. Mini Mental State Examination score greater than or equal to (>=) 27 (with educational
adjustments) at screening.
4. Wechsler Memory Scale-Revised Logical Memory subscale II (WMS-R LM II) score at
screening of >=6
5. A45 Trial: Elevated brain amyloid pathology by amyloid PET: defined as approximately
greater than (>) 40 Centiloids on screening scan A3 Trial: Intermediate levels of
brain amyloid pathology by amyloid PET: defined as approximately 20 to 40 Centiloids
on screening scan
6. Has a study partner that is willing to participate as a source of information and has
approximately weekly contact with the participant (contact can be in-person, via
telephone or electronic communication). The study partner must have sufficient contact
such that the investigator feels the study partner can provide meaningful information
about the participant's daily function
7. Provide written (or electronic, if allowed per country-specific regulations) informed
consent
8. Willing and able to comply with all aspects of the protocol
For extension phase :
1. Completed the Core Study, or meet the following progression criteria during the Core
Study:
• Two consecutive CDR visits with Global Scores > zero when measured at least 6
months apart within the Core Study
• The principal investigator's confirmation that the participant has clinically
declined consistent progression to EAD
2. Must continue to have a study partner who is willing and able to provide follow-up
information on the participant throughout the course of the Extension Phase. The study
partner must provide separate written informed consent for the Extension Phase. Study
partners must continue to have sufficient contact such that the investigator feels the
study partner can provide meaningful information about the participant's daily
functions
3. Provide written informed consent for the Extension Phase. If a participant lacks
capacity to consent in the investigator's opinion, the participant's assent should be
obtained, if required and in accordance with local laws, regulations, and customs,
plus the written informed consent of a legal representative (capacity to consent and
the definition of a legal representative should be determined in accordance with
applicable local laws and regulations). In countries where local laws, regulations,
and customs do not permit participants who lack capacity to consent to participate in
this study (example, Spain), they will not be enrolled
4. Willing and able to comply with all aspects of the protocol
Exclusion criteria:
Participants who meet any of the following criteria will be excluded from this study:
1. Females who are breastfeeding or pregnant at screening or baseline
2. Females of childbearing potential who:
• Within 28 days before study entry, did not use a highly effective method of
contraception For sites outside of Europe, it is permissible that if a highly
effective method of contraception is not appropriate or acceptable to the participant,
then the participant must agree to use a medically acceptable method of contraception
3. History of transient ischemic attacks (TIA), stroke, or seizures within 12 months of
screening
4. Current or history within the past 2 years of psychiatric diagnosis or symptoms that,
in the opinion of the investigator, could interfere with study procedures
5. Contraindications to 3 Tesla magnetic resonance imaging (MRI) scanning, including
cardiac pacemaker/defibrillator, ferromagnetic metal implants (example, in-skull and
cardiac devices other than those approved as safe for use in MRI scanners), or exhibit
other significant pathological findings on brain MRI at Screening
6. Hypersensitivity to any monoclonal antibody treatment
7. Any immunological disease which is not adequately controlled, or which requires
treatment with immunoglobulins, systemic monoclonal antibodies (or derivatives of
monoclonal antibodies), systemic immunosuppressants, or plasmapheresis during the
study
8. Bleeding disorder that is not under adequate control (including a platelet count
<50,000 or international normalized ratio [INR] >1.5) at screening
9. Results of laboratory tests conducted during screening that are outside the following
limits:
• Thyroid stimulating hormone (TSH) above normal range
• Abnormally low (below lower limit of normal [LLN]) serum vitamin B12 levels for
the testing laboratory (if participant is taking vitamin B12 injections, level
should be at or above the LLN for the testing laboratory). A low vitamin B12 is
exclusionary, unless the required follow-up labs (homocysteine and methylmalonic
acid [MMA]) indicate that it is not physiologically significant
10. Known to be human immunodeficiency virus (HIV) positive
11. Any other clinically significant abnormalities that in the opinion of the investigator
require further investigation or treatment or may interfere with study procedures or
safety
12. Malignant neoplasms within 3 years of screening (except for basal or squamous cell
carcinoma in situ of the skin, or localized prostate cancer in male participants with
treatment cycles completed at least 6 months before screening). Participants who had
malignant neoplasms but who have had at least 3 years of documented uninterrupted
remission before screening need not be excluded
13. Answer "yes" to Columbia-Suicide Severity Rating Scale (C-SSRS) suicidal ideation Type
4 or 5, or any suicidal behavior assessment within 6 months before screening, at
screening, or at baseline, or has been hospitalized or treated for suicidal behavior
in the past 5 years before screening
14. Known or suspected history of drug or alcohol abuse or dependence within 2 years
before screening or a positive urine drug test at screening. Participants who test
positive for benzodiazepines, opioids, or tetrahydrocannabinol (THC) in urine drug
testing need not be excluded unless in the clinical opinion of the investigator this
is due to potential drug abuse
15. Taking prohibited medications
16. Participation in a clinical study involving:
• Any anti-amyloid plaque lowering immunotherapy (example, therapeutic monoclonal
antibody or active anti-amyloid vaccine) at any time, unless it can be documented
that the participant was randomized to placebo or never received study drug
• Any immunoglobulin therapy, or vaccine within 6 months before Screening, unless
it can be documented that the participant was randomized to placebo or never
received study drug
• Lecanemab
• Any new chemical entities or investigational drug for AD within 6 months before
randomization unless it can be documented that the participant received only
placebo
• Any other investigational medication or device study in the 8 weeks or 5
half-lives (whichever is longer) of the medication before randomization unless it
can be documented that the participant was in a placebo treatment arm
17. Planned surgery during the pre-randomization phase or within 3 months of
randomization, which requires general anesthesia
For extension phase:
1. Discontinued from the Core Study or from study treatment
2. Under study drug interruption due to ARIA or other AE at the time of transition to the
extension phase
PROACTIVE-HF IDE Trial Heart Failure NYHA Class III (PROACTIVE-HF)
This is a prospective, open- label, single arm, multicenter clinical trial to evaluate the
safety and effectiveness of the Cordella PA Sensor System in NYHA Class III Heart Failure
Patients compared to a Performance Goal (PG).
Farhan Raza
All
18 Years and over
N/A
This study is NOT accepting healthy volunteers
NCT04089059
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Inclusion Criteria
1. Subject has given written informed consent
2. Male or female, at least 18 years of age
3. Diagnosis and treatment of HF (regardless of left ventricular ejection fraction
(LVEF)) for ≥ 3 months and NYHA Class III HF at time of Screening
4. Subjects should be on stable, optimally titrated medical therapy for at least 30 days,
as recommended according to current American Heart Association (AHA)/American College
of Cardiology (ACC) guidelines as standard-of-care for HF therapy in the United
States, or current European Society of Cardiology (ESC) guidelines for HF treatment in
Europe, with any intolerance documented.
5. HF related hospitalization, HF treatment in a hospital day-care setting, or urgent
outpatient clinic HF visit for IV diuretics within 12 month (last hospitalization
should be 30 days before Screening/Enrollment) and/or N-terminal pro B-type
Natriuretic Peptide (NT proBNP) at time of Screening/ Enrollment defined as:
1. Subjects with LVEF ≤ 50%: NT-proBNP ≥ 1500 pg/mL.
2. Subjects with LVEF > 50%: NT-proBNP ≥ 800 pg/mL . Thresholds for NT-proBNP (for
both LVEF ≤ 50% and LVEF > 50%) will be corrected for body mass index (BMI) using
a 4% reduction per BMI unit over 25 kg/m2
6. Subjects should be on diuretic therapy
7. Subjects who are physically able to hold the myCordella™ Patient Reader unit
(approximate weight 1.3lb) against the ventral thoracic surface for up to 2 minutes
per day while in a seated position, as well as dock and undock the myCordella™ Patient
Reader
8. Subjects with sufficient eyesight, hearing, and mental capacity to respond to the
myCordella™ Patient Reader's audio/visual cues and operate the myCordella™ Patient
Reader
9. Subject has sufficient Cellular and/ or Wi- Fi Internet coverage at home
10. Subject agrees to return to the treating Investigator for all scheduled follow up
visits and can return to the hospital for follow up
Exclusion Criteria
1. Intolerance to all neuro-hormonal antagonists (i.e., intolerance to ACE-I, ARB, ARNI,
and beta-blockers) due to hypotension or renal dysfunction
2. ACC/AHA Stage D refractory HF (including having received or currently receiving
pharmacologic circulatory support with inotropes)
3. Subjects with history of recurrent pulmonary embolism ( ≥2 episodes within 5 years
prior to Screening Visit) and/or deep vein thrombosis (< 3 month prior to Screening
Visit)
4. Subjects who have had a major cardiovascular (CV) event (e.g. myocardial infarction,
stroke) within 3 months of the Screening Visit
5. Unrepaired severe valvular disease
6. Subjects with significant congenital heart disease that has not been repaired and
would prevent implantation of the Cordella PA sensor or mechanical/tissue right heart
valve(s)
7. Subjects with known coagulation disorders
8. Subjects with a hypersensitivity or allergy to platelet aggregation inhibitors
including aspirin, clopidogrel, prasugrel, and ticagrelor; or patients unable to take
dual antiplatelet or anticoagulants for one-month post implant
9. Known history of life threatening allergy to contrast dye
10. Subjects whereby RHC is contraindicated
11. Subjects with an active infection at the Sensor Implant Visit
12. Subjects with a Glomerular Filtration Rate (GFR) <25 ml/min or who are on chronic
renal dialysis
13. Implanted with Cardiac Resynchronization Therapy (CRT)-Pacemaker (CRT-P) or
CRT-Defibrillator (CRT-D) for less than 90 days prior to screening visit
14. Received or are likely to receive an advanced therapy (e.g. mechanical circulatory
support or lung or heart transplant) in the next 12 months
15. Subjects who are pregnant or breastfeeding
16. Subjects who are unwilling or deemed by the Investigator to be unwilling to comply
with the study protocol, or subjects with a history of non-compliance
17. Severe illness, other than heart disease, which would limit survival to <1 year
18. Subjects whose clinical condition, in the opinion of the Investigator, makes them an
unsuitable candidate for the study
19. Subjects enrolled in another investigational trial with an active treatment arm
20. Subject who is in custody by order of an authority or a court of law
Heart Failure NYHA Class III, Other, Heart & Vascular, Aging & Geriatrics
The purpose of this research study is to figure out if there are physical factors such as
cognition level, nutrition status, walking speed, and handgrip strength that are associated
with the development of swallowing problems. Investigators want to better understand how
swallowing problems develop in older adults with and without frailty. Identifying factors
that contribute to swallowing problems, can develop therapies in the future to improve
swallowing outcomes for older adults.
This study will be done at the University of Wisconsin-Madison (UW-Madison). A total of about
69 people will participate in this study.
Raele Robison
All
65 Years and over
NA
This study is also accepting healthy volunteers
NCT04975815
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Inclusion Criteria:
• 65 years of age or older
• Ability to provide informed consent or the presence of a legally authorized
representative (LAR) who can consent on behalf of the patient
• Post-menopausal (female participants)
• Not pregnant
Exclusion Criteria:
• Allergy to barium
• Prior surgery to the head and neck region affecting swallowing-related structures
• Prior chemotherapy or radiation treatment to the head and neck region
• Prior cerebral vascular accident with resulting persistent dysphagia
• Non-English speaking
An Observational Study of the Progression of Intermediate Age-Related Macular Degeneration (HONU)
This is a multicenter prospective study in participants with intermediate age-related macular
degeneration (iAMD). One primary objective of this study is to assess iAMD disease
progression, by the timeline and rates of conversion for high-risk iAMD at baseline to more
advanced atrophic AMD stages. The other primary objective of this observational study is to
assess the feasibility of measuring the rate of photoreceptor loss as a potential clinical
endpoint. The study will consist of an observation period of approximately 3 years (~144
weeks) for participants.
Mihai Mititelu, MD, MPH
All
50 Years to 94 Years old
N/A
This study is NOT accepting healthy volunteers
NCT05300724
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Inclusion Criteria:
• For women of childbearing potential, agreement to remain abstinent (refrain from
heterosexual intercourse) or use contraception, during the study for at least 28 days
after the last fluorescein injection for the fluorescein angiography (FA)
administration
• Study eye: High-risk intermediate AMD
Exclusion Criteria:
• Macular disease in either eye with subretinal deposits not typical of AMD
• Pigmentary abnormalities of the retina in either eye not typical of AMD
• Atrophy in either eye due to causes other than AMD
• Study eye: Any concurrent or history of ocular or intraocular condition
• Study eye: Intraocular surgery, including cataract surgery, within 3 months prior to
Day 1
• Study eye: Retinal tears or peripheral retinal breaks within 3 months prior to Day 1
• Study eye: Concurrent or history of retinal laser photocoagulation or anti-vascular
endothelial growth factor (anti-VEGF) treatment for exudative MNV, diabetic macular
edema, retinal vein occlusion, or proliferative diabetic retinopathy
• Study eye: Presence of choroidal nevus with overlying drusen in the circle with a
radius 3600 micrometer centered on the fovea
• Study eye: Previous participation in interventional clinical trials for GA or early
stages of AMD, except for vitamins and minerals, regardless of the route of
administration within the last 6 months, except for sham-arm participants
• Study eye: History of glaucoma surgery, corneal transplant, retinal pigment epithelium
tear, retinal tear that involves the macula, retinal detachment
• Either eye: Uncontrolled progressive glaucoma
• Either eye: Moderate or severe non-proliferative diabetic retinopathy or proliferative
diabetic retinopathy
• Either eye: History of recurrent infectious or inflammatory ocular disease
• Any concurrent or history of taking medications that can induce retinal toxicity
The objective of this project is to determine if mTORC1 inhibition by 24 weeks of daily (0.5
mg/day) or weekly (5 mg/week) everolimus can safely improve physiological and molecular
hallmarks of aging in humans. Participants who are 55-80 years old and insulin resistant or
prediabetic will be randomized to treatment and can expect to be on study for up to
approximately 38 weeks. Participants aged 18-35 will not receive the intervention and can
expect to be on study for up to approximately 8 weeks.
Adam Konopka
All
18 Years to 80 Years old
Phase 2
This study is also accepting healthy volunteers
NCT05835999
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Inclusion Criteria:
Adults aged 55-80 years old
• Free of overt chronic disease
• Willing to provide informed consent
• Willing to comply with all study procedures and be available for the duration of the
study
• Able to use and be contacted by the telephone
• Ability to take oral medication
• Insulin Resistant defined by HOMA-IR greater than or equal to 1.5 or prediabetic
defined as:
• impaired fasting glucose (100-125 mg/dL)
• HbA1c (5.7-6.4 percent)
• glucose 2 hours after a 75 gram oral glucose tolerance test (140-199 mg/dL)
• previous diagnosis of prediabetes in the past year
• Not planning to change diet or physical activity status
• Adequate organ function as indicated by standard laboratory tests: hematology
(complete blood count), clinical chemistry and urinalysis
• Females of childbearing potential must have a negative urine pregnancy test before
DEXA and before the oral glucose tolerance test (OGTT). A female of child-bearing
potential is any woman (regardless of sexual orientation, having undergone a tubal
ligation, or remaining celibate by choice) who meets the following criteria:
• Has not undergone a hysterectomy or bilateral oophorectomy; or
• Has not been naturally postmenopausal for at least 12 consecutive months (i.e.,
has had menses at any time in the preceding 12 consecutive months)
• Women of childbearing potential in sexual relationships with men must use an
acceptable method of contraception from 30 days prior to enrollment until 4 weeks
after completing study visits. Males must agree to avoid impregnation of women during
and for four weeks after completing study visits through use of an acceptable method
of contraception.
• Note: Includes, but is not limited to, barrier with additional spermicidal foam
or jelly, intrauterine device, hormonal contraception (started at least 30 days
prior to study enrollment), intercourse with men who underwent vasectomy.
• Pregnancy or breastfeeding
• Heart disease
• Cerebrovascular disease
• Cancer or less than 5 years in remission
• Chronic respiratory disease
• Chronic liver disease
• Diabetes
• Alzheimer's
• Chronic kidney disease
• Problems with bleeding, on medication that prolongs bleeding time (if subject cannot
safely stop prior to biopsy)
• Taking strong or moderate CYP3A4 and/or P-glycoprotein (PgP) inhibitors
• Taking strong CYP3A4 activators
• Subjects who are not willing to restrict the use of grapefruit, grapefruit juice, and
other foods that are known to inhibit cytochrome P450 and PgP activity and may
increase everolimus exposures and should be avoided during treatment
• Subjects who are not willing to restrict the use of St. John's Wort (Hypericum
perforatum) because it may decrease everolimus exposure unpredictably
• Subjects who are not willing to avoid blood donations 8 weeks prior to the first visit
and 8 weeks after the last visit
• Contraindications with MRI which could include metal on your body
• Low white-blood cell count (<4,000 cell/µL)
• History of stomatitis or ulcers in the mouth
• Those on glucose lowering drugs
• Participating in intensive exercise training program (high to moderate intensity
exercise greater than 150 minutes per week) or planning to start new exercise program
during study period
• Tobacco use
• Allergies to lidocaine or everolimus
• Subjects currently enrolled in other clinical trials. Subjects may be eligible after a
washout period that will be reviewed on a case by case basis.
• Individuals with limited English proficiency
The objective of RAP PAC is to identify safe and effective weekly dose(s) for the mTOR
inhibitors sirolimus and everolimus that intervene on the underlying fundamental biology of
aging. Participants who are 55-89 years old that are free of overt chronic diseases will be
assigned to either 6 weeks of sirolimus or everolimus (5 mg, 10 mg, or 15 mg once per week).
The investigators will complete the everolimus arm first and then subsequently complete the
sirolimus arm of the study. Total time on study would be up to 17 weeks to complete baseline
and follow up visits.
Adam Konopka
All
55 Years to 89 Years old
Phase 1
This study is also accepting healthy volunteers
NCT05949658
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Inclusion Criteria:
• Middle-age adults free of overt chronic disease
• Willing to provide informed consent
• Willing to comply with all study procedures and be available for the duration of the
study
• Able to use and be contacted by telephone
• Ability to take oral medication
• Not planning to change diet or physical activity status
• Adequate organ function as indicated by standard laboratory tests: hematology
(complete blood count), and clinical chemistry
• Males must agree to avoid impregnation of women during and for four weeks after
completing study visits through use of an acceptable method of contraception
Exclusion Criteria:
• Heart disease (history, abnormal ECG)
• Cerebrovascular disease (history)
• Cancer or less than 5 years in remission (history)
• Chronic respiratory disease (history, FEV1/FVC < 70, FEV1 < 80% predicted)
• Chronic liver disease (history, abnormal blood liver panel, ALT >104 IU/L, AST >80
IU/L)
• Diabetes (history, HbA1C ≥ 6.5, fasting blood glucose≥126 mg/dl, OGTT ≥ 200 mg/dl at 2
hrs.)
• Alzheimer's (history)
• Chronic kidney disease (history, abnormal blood kidney panel including serum
creatinine>1.4, eGFR≤60 ml/min/1.73m2)
• Problems with bleeding, on medication that prolongs bleeding time (if subject cannot
safely stop prior to biopsy)
• Taking azathioprine (Imuran), cyclosporine (Gengraf, Neoral, Sandimmune),
dexamethasone (Decadron, Dexpak), methotrexate (Rheumatrex, Trexall), prednisolone
(Orapred, Pediapred, Prelone), prednisone (Sterapred), sirolimus (Rapamune), and
tacrolimus (Prograf) or other medications proposed to lower the immune system
• Taking strong or moderate CYP3A4 and/or P-glycoprotein (PgP) inhibitors such as
ketoconazole, itraconazole, clarithromycin, atazanavir, nefazodone, saquinavir,
telithromycin, ritonavir, indinavir, nelfinavir, voriconazole, amprenavir,
fosamprenavir, aprepitant, erythromycin, fluconazole, verapamil, diltiazem
• Taking strong CYP3A4 activators such as phenytoin, carbamazepine, rifampin, rifabutin,
rifapentine, phenobarbital
• Subjects who are not willing to restrict the use of grapefruit, grapefruit juice,
cannabidiol (CBD) and other foods/substances that are known to inhibit cytochrome P450
and PgP activity and may increase everolimus exposures and should be avoided during
treatment
• Subjects who are not willing to restrict the use of St. John's Wort (Hypericum
perforatum) because it may decrease everolimus exposure unpredictably.
• Subjects who are not willing to avoid blood donations 8 weeks prior to the first visit
and 8 weeks after the last visit
• Low white-blood cell count (<4,000 cell/µL)
• History of stomatitis or ulcers in the mouth
• Those on glucose lowering drugs
• Participating in intensive exercise training program (high to moderate intensity
exercise greater than 150 minutes per week) or planning to start new exercise program
during study period
• Tobacco use
• Allergies to lidocaine, sirolimus, or everolimus
• Subjects currently enrolled in other clinical trials. Subjects may be eligible after a
washout period that will be reviewed on a case-by-case basis.
• Individuals with limited English proficiency
• Subjects who are planning to have elective surgery 12 weeks prior to or during the
intervention
*Note: Email is generally not a secure way to communicate sensitive or health-related information as there are many ways for unauthorized users to access email. You should avoid sending sensitive, detailed personal information by email.