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Table 1 Selected recent/ongoing and completed LBD clinical trials 2016–2020

From: Challenges and opportunities for improving the landscape for Lewy body dementia clinical trials

ClinicalTrials.gov identifier

Population

Drug/intervention

Mechanism

Trial design

Primary outcome

Results for primary outcome

NCT03305809

DLB or PDD

Mevidalen

D1 positive allosteric modulator (D1PAM)

Phase 2, DB-PC

CDR computerized cognition battery continuity of attention composite score

Ongoing

NCT03413384

PDD

Ceftriaxone

Glutamatergic activity, excitotoxicity reduction

Phase 2, DB-PC

ADAS-Cog

Ongoing

NCT02914366

PDD

Ambroxol

Raise beta-Gcase, lower α-synuclein

Phase 2, DB-PC

ADAS-Cog, ADCS-CGIC

Ongoing

NCT03774459

PDD

Anavex2-73

Cellular homeostasis restoration via sigma-1 and muscarinic receptors

Phase 2, DB-PC

CDR computerized cognition battery continuity of attention composite score, safety

Ongoing

NCT03713957

PDD or PD-MCI

GRF6021

Plasma-derived product

Phase 2, DB-PC

Safety

Ongoing

NCT03467152

DLB

E2027

Selective phosphodiesterase inhibitor type 9

Phase 2, DB-PC

MoCA, CIBIC+

Ongoing

NCT04002674

DLB

Nilotinib

Tyrosine kinase inhibitor

Phase 2, DB-PC

Safety, tolerability

Ongoing

NCT02669433

DLB

Intepiridine

5HT-6 antagonist

Phase 2, DB-PC

UPDRS Part 3

Negative

NCT01023672

DLB

Armodafinil

Unknown

Open-label, pilot

ESS, MWT

Positive

NCT01340001

DLB

DBS of nucleus basalis of Meynert

Neuromodulation

Open-label, pilot

Free recall on FCSRT

Completed no results yet

NCT02258152

PDD

SYN120

5HT-6/5HT-2A antagonist

Phase 2, DB-PC

CDR computerized cognition battery continuity of attention

Negative

NCT01701544

PDD

DBS of nucleus basalis of Meynert

Neuromodulation

Open-label, pilot

Abbreviated cognitive battery, safety

Safe but no cognitive improvement

NCT02640729

DLB or PDD with VH

Nelotanserin

5HT-2A antagonist

Phase 2, DB-PC, cross-over

Safety, UPDRS Part 3

Safe/well tolerated but no significant changes on endpoints

NCT03325556

DLB or PDD with psychosis

Pimavanserin

5HT-2A inverse agonist/antagonist

Phase 3, time to event

Time to relapse

Positive

NCT02708186

DLB or PDD with RBD

Nelotanserin

5HT-2A antagonist

Phase 2, DB-PC

RBD frequency

Negative

  1. Abbreviations: ADAS-Cog Alzheimer’s Disease Assessment Scale-Cognitive Subscale, ADCS-CGIC AD Cooperative Study-Clinical Global Impression of Change, CIBIC+ Clinician’s Interview-Based Impression of Change plus Caregiver Input, DB-PC double-blind, placebo controlled, DLB dementia with Lewy bodies, ESS Epworth Sleepiness Scale, FCSRT Free and Cued Selective Reminding Test, LBD Lewy body dementia, MoCA Montreal Cognitive Assessment, MWT Maintenance of Wakefulness Test, PDD Parkinson’s disease dementia, RBD REM sleep behavior disorder, UPDRS Unified Parkinson’s Disease Rating Scale, VH visual hallucinations