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Trial registered on ANZCTR
Registration number
ACTRN12611001200976
Ethics application status
Approved
Date submitted
21/05/2009
Date registered
22/11/2011
Date last updated
23/11/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
A phase IIa clinical trial of VEL015 (sodium selenate) in mild to moderate Alzheimer's Disease
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Scientific title
A Randomised, Double-Blind, Placebo-Controlled Trial to Evaluate the Safety, Tolerability and the Biological and Cognitive Effects of VEL015 (Sodium Selenate) in Patients with Mild to Moderate Alzheimer’s Disease – a Pilot Study
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Secondary ID [1]
273409
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Velacor002
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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:
Mild to Moderate Alzheimer's Disease
4832
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Condition category
Condition code
Neurological
237175
237175
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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
sodium selenate
oral capsule
24 weeks treatment
Arm 1: 320 mcg three time per day
Arm2: 10mg three time per day
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Intervention code [1]
4611
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Treatment: Drugs
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Comparator / control treatment
placebo
sugar pill
oral capsule
24 weeks treatment
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Safety & Tolerability- adverse events, vital signs, physical and
neurological examination, laboratory evaluations, ECG
Examples of possible adverse events:
Fatigue
Muscle spasms (cramping)
Alopecia
Nail disorders
Nausea
Diarrhoea
Decreased appetite
Lethargy
Dizziness
Vomiting
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Assessment method [1]
237993
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Timepoint [1]
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24 weeks after commencement of treatment and 4 weeks after last dose of treatment
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Secondary outcome [1]
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Changes to Alzheimer's Disease biomarkers in the cerebrospinal fluid
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Assessment method [1]
242123
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Timepoint [1]
242123
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24 weeks after commencing treatment
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Secondary outcome [2]
242124
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Effects on cognition as measured by Alzheimer's Disease Assessment Scale Cognitive Sub-scale, Mini Mental State Examination, Cogstate test and components of the Neuropsychological Test Battery
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Assessment method [2]
242124
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Timepoint [2]
242124
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24 weeks after commencing treatment
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Secondary outcome [3]
242125
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Effect on atrophy of structures in the temporal lobe as determined by Magnetic Resonance Imaging and on the regional cerebral metabolic rate for glucose as determined by Fludeoxyglucose-Positron Emission Tomography
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Assessment method [3]
242125
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Timepoint [3]
242125
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24 weeks after commencing treatment
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Eligibility
Key inclusion criteria
Modified Hachinski Ischaemia Score of 4 or less
MMSE between 12-26
Acetylcholine esterase inhibitor (AChEI) treatment on a stable dose for at least 4mths
Living in the community with access to a carer
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Minimum age
55
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Treatment with memantine
Serious chronic uncontrolled disease other than Alzheimer's disease
Neurological illness that could contribute to non-Alzheimer's disease dementia
Epilepsy
Diabetes
Familial history of Alzheimer's Disease
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
During the treatment period, subjects will be randomised to receive sodium selenate (VEL015 10 mg tds [total of 30 mg daily]), VEL015 320 mcg tds [total 960 mcg daily] or or placebo tds in a ratio of 2 to 1 to 1 respectively. Subjects will be randomised on Day 0 (Visit 2). At the time of randomisation, the subject will be assigned a unique Randomisation Number, which will be allocated in ascending order of random numbers based on the predetermined randomisation schedule, and according to their chronological order of inclusion in the study. Subjects will then be allocated a corresponding treatment kit labelled with the same treatment number.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computer generated randomisation schedule will be prepared by a statistician prior to the start of the study.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
16/11/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
4742
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3050
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Recruitment postcode(s) [2]
4743
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3128
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Recruitment postcode(s) [3]
4744
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3162
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Recruitment postcode(s) [4]
4745
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3065
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Funding & Sponsors
Funding source category [1]
4991
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Commercial sector/Industry
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Name [1]
4991
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Velacor Therapeutics
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Address [1]
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Level 2, 88 Collin Street, Melbourne, 3000, Victoria
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Country [1]
4991
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Velacor Therapeutics
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Address
Level 2, 88 Collin Street, Melbourne, 3000, Victoria
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
4514
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Country [1]
4514
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
7093
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Melbourne Health
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Ethics committee address [1]
7093
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Grattan Street, Parkville 3050, Victoria
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Ethics committee country [1]
7093
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Australia
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Date submitted for ethics approval [1]
7093
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10/10/2011
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Approval date [1]
7093
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04/11/2011
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Ethics approval number [1]
7093
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HREC/10/MH/5
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Summary
Brief summary
The two hallmark neuropathological features of Alzheimer's disease are extracellular amyloid deposits, and intracellular deposits of neurofibrilliary tangles comprised of abnormal tau protein. The clinical trial of amyloid therapies have been disappointing and this clinical trial represents the first trial of a therapy directed towards tau pathology in Australia to our knowledge. Everyone has a naturally occurring protein called tau in the brain and the fluid around their brain and spine (cerebrospinal fluid). There is a link between Alzheimer’s Disease and a reaction involving tau where too much phosphate is attached. This may cause brain cells to work less well or die. Further, protein phosphatase 2A (PP2A) which breaks down phosphate has been shown to be less active in people with Alzheimer’s. VEL015 works by increasing the activity of PP2A and therefore decreasing the available phosphate in the brain. Studies in animals have shown that VEL015 helps to prevent this reaction between tau and phosphate. We now want to find out if it will help to treat Alzheimer’s Disease in humans.
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Trial website
not available
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Trial related presentations / publications
van Eeersel et al., Sodium selenate mitigates tau pathology, neurodegeneration, and functional deficits in Alzheimer’s disease models. PNAS (2010) www.pnas.org/cgi/doi/10.1073/pnas.1009038107 Corcoran NM et al. Sodium selenate specifically activates PP2A phosphatase, dephosphorylates tau and reverses memory deficits in an Alzheimer’s disease model. J Clin Neurosci (2010), doi:10.1016/j.jocn.2010.04.020 Corcoran et al., Open-label, phase I dose-escalation study of sodium selenate, a novel activator of PP2A, in patients with castration-resistant prostate cancer. British Journal of Cancer (2010) 103, 462 – 468
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Grant Morley
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Address
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Level 2, 88 Collins Street, Melbourne, Vic, 3000
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Country
12878
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Australia
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Phone
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+61 (0)407 502 574
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Fax
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Email
12878
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[email protected]
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Contact person for scientific queries
Name
3806
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Grant Morley
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Address
3806
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Level 2, 88 Collins Street, Melbourne, Vic, 3000
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Country
3806
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Australia
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Phone
3806
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+61 (0)407 502 574
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Fax
3806
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Email
3806
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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
Source
Title
Year of Publication
DOI
Embase
A phase iia randomized control trial of VEL015 (sodium selenate) in mild-moderate Alzheimer's disease.
2016
https://dx.doi.org/10.3233/JAD-160544
Embase
Current Research Therapeutic Strategies for Alzheimer's Disease Treatment.
2016
https://dx.doi.org/10.1155/2016/8501693
Embase
Tau-targeting therapies for Alzheimer disease.
2018
https://dx.doi.org/10.1038/s41582-018-0013-z
Embase
Current and Emerging Pharmacological Targets for the Treatment of Alzheimer's Disease.
2019
https://dx.doi.org/10.3233/JAD-190744
Embase
Supranutritional Sodium Selenate Supplementation Delivers Selenium to the Central Nervous System: Results from a Randomized Controlled Pilot Trial in Alzheimer's Disease.
2019
https://dx.doi.org/10.1007/s13311-018-0662-z
Embase
Small molecule therapeutics for tauopathy in Alzheimer's disease: Walking on the path of most resistance.
2021
https://dx.doi.org/10.1016/j.ejmech.2020.112915
Embase
The Role of Dietary Antioxidants and Their Potential Mechanisms in Alzheimer's Disease Treatment.
2023
https://dx.doi.org/10.3390/metabo13030438
N.B. These documents automatically identified may not have been verified by the study sponsor.
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