Trial Outcomes & Findings for Nicotine Treatment of Cognitive Decline in Down Syndrome (NCT NCT01778946)

NCT ID: NCT01778946

Last Updated: 2022-05-10

Results Overview

Maximum transdermal nicotine dosage able to be maintained stably by participants.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

7 participants

Primary outcome timeframe

1 Month

Results posted on

2022-05-10

Participant Flow

Participant milestones

Participant milestones
Measure
Nicotine
Low Dose Nicotine (7mg) Moderate Dose Nicotine (14mg) All participants in study will begin with the 7mg patch, titrating from 2 hours/day to a full 16 hours/day over the course of the first 7 days (based on individual tolerance). Day 7 - Day 28 of the study, participants will apply a new nicotine patch daily. Depending on tolerance, some participants may increase to the moderate dose (14mg) patch. All participants will apply a new patch daily for a total of 28 days (1 month) Low Dose Nicotine (7mg) Moderate Dose Nicotine (14mg)
Overall Study
STARTED
7
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nicotine Treatment of Cognitive Decline in Down Syndrome

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nicotine
n=7 Participants
Low Dose Nicotine (7mg) Moderate Dose Nicotine (14mg) All participants in study will begin with the 7mg patch, titrating from 2 hours/day to a full 16 hours/day over the course of the first 7 days (based on individual tolerance). Day 7 - Day 28 of the study, participants will apply a new nicotine patch daily. Depending on tolerance, some participants may increase to the moderate dose (14mg) patch. All participants will apply a new patch daily for a total of 28 days (1 month) Low Dose Nicotine (7mg) Moderate Dose Nicotine (14mg)
Age, Continuous
40.9 years
STANDARD_DEVIATION 11.9 • n=99 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
Sex: Female, Male
Male
6 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
6 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Region of Enrollment
United States
7 participants
n=99 Participants
BMI
24.9 Kg/m^2
STANDARD_DEVIATION 3.6 • n=99 Participants

PRIMARY outcome

Timeframe: 1 Month

Maximum transdermal nicotine dosage able to be maintained stably by participants.

Outcome measures

Outcome measures
Measure
Nicotine
n=4 Participants
Low Dose Nicotine (7mg) Moderate Dose Nicotine (14mg) All participants in study will begin with the 7mg patch, titrating from 2 hours/day to a full 16 hours/day over the course of the first 7 days (based on individual tolerance). Day 7 - Day 28 of the study, participants will apply a new nicotine patch daily. Depending on tolerance, some participants may increase to the moderate dose (14mg) patch. All participants will apply a new patch daily for a total of 28 days (1 month) Low Dose Nicotine (7mg); Moderate Dose Nicotine (14mg)
Tolerability of Nicotine Intervention
7 mg
1 Participants
Tolerability of Nicotine Intervention
14 mg
3 Participants

SECONDARY outcome

Timeframe: 4 time-points over the 6-week testing period: at baseline, day 14, day 28 (end of treatment), and 2-weeks post-treatment on day 42.

Psychomotor speed was measured by the performance on the CANTAB simple reaction time task

Outcome measures

Outcome measures
Measure
Nicotine
n=4 Participants
Low Dose Nicotine (7mg) Moderate Dose Nicotine (14mg) All participants in study will begin with the 7mg patch, titrating from 2 hours/day to a full 16 hours/day over the course of the first 7 days (based on individual tolerance). Day 7 - Day 28 of the study, participants will apply a new nicotine patch daily. Depending on tolerance, some participants may increase to the moderate dose (14mg) patch. All participants will apply a new patch daily for a total of 28 days (1 month) Low Dose Nicotine (7mg); Moderate Dose Nicotine (14mg)
Cognitive Improvement - Simple Response Time
Baseline
760.08 ms
Standard Deviation 542.96
Cognitive Improvement - Simple Response Time
Day 14
737.13 ms
Standard Deviation 566.94
Cognitive Improvement - Simple Response Time
Day 28
695.52 ms
Standard Deviation 344.87
Cognitive Improvement - Simple Response Time
Day 42
772.79 ms
Standard Deviation 552.51

SECONDARY outcome

Timeframe: 4 time-points over the 6-week testing period: at baseline, day 14, day 28 (end of treatment), and 2-weeks post-treatment on day 42.

The investigators will measure daily low-moderate dose nicotine treatment's changes to electrophysiological markers of memory performance using an incidental memory task. The incidental memory task consists of presenting participants with a series of 60 complex images, 50 of which are presented once, and 10 which are repeated 5 times each. The task measures the presence of the late positive potential (LPP), a positive deflection over the parietal cortex which is elevated for the repeated compared to the singly presented images. The presence of this potential is indicative of improved recognition memory.

Outcome measures

Outcome measures
Measure
Nicotine
n=4 Participants
Low Dose Nicotine (7mg) Moderate Dose Nicotine (14mg) All participants in study will begin with the 7mg patch, titrating from 2 hours/day to a full 16 hours/day over the course of the first 7 days (based on individual tolerance). Day 7 - Day 28 of the study, participants will apply a new nicotine patch daily. Depending on tolerance, some participants may increase to the moderate dose (14mg) patch. All participants will apply a new patch daily for a total of 28 days (1 month) Low Dose Nicotine (7mg); Moderate Dose Nicotine (14mg)
Exploratory - Event-Related Potentials
Baseline Repeated
7.95 µV
Standard Deviation 0.78
Exploratory - Event-Related Potentials
Day 14 Repeated
6.64 µV
Standard Deviation 5.44
Exploratory - Event-Related Potentials
Day 28 Repeated
6.64 µV
Standard Deviation 4.8
Exploratory - Event-Related Potentials
Day 42 Repeated
7.49 µV
Standard Deviation 3.1
Exploratory - Event-Related Potentials
Baseline Single
6.87 µV
Standard Deviation 2.03
Exploratory - Event-Related Potentials
Day 14 Single
6.76 µV
Standard Deviation 2.38
Exploratory - Event-Related Potentials
Day 28 Single
5.83 µV
Standard Deviation 3.3
Exploratory - Event-Related Potentials
Day 42 Single
5.09 µV
Standard Deviation 1.33

SECONDARY outcome

Timeframe: 4 time-points over the 6-week testing period: at baseline, day 14, day 28 (end of treatment), and 2-weeks post-treatment on day 42.

Performance on the Conners' Continuous Performance Test, which is a measure of sustained attention. The main outcome measure was commission errors, which measures attention failures. The commission errors are calculated as T-scores. Higher T-scores indicate worse performance, lower T-scores indicate better performance. Average performance is a score of 50, with a standard deviation of 10.

Outcome measures

Outcome measures
Measure
Nicotine
n=4 Participants
Low Dose Nicotine (7mg) Moderate Dose Nicotine (14mg) All participants in study will begin with the 7mg patch, titrating from 2 hours/day to a full 16 hours/day over the course of the first 7 days (based on individual tolerance). Day 7 - Day 28 of the study, participants will apply a new nicotine patch daily. Depending on tolerance, some participants may increase to the moderate dose (14mg) patch. All participants will apply a new patch daily for a total of 28 days (1 month) Low Dose Nicotine (7mg); Moderate Dose Nicotine (14mg)
Cognitive Improvement - Continuous Performance Test
Baseline
47.82 T-score
Standard Deviation 11.46
Cognitive Improvement - Continuous Performance Test
Day 14
49.23 T-score
Standard Deviation 6.41
Cognitive Improvement - Continuous Performance Test
Day 28
43 T-score
Standard Deviation 7.41
Cognitive Improvement - Continuous Performance Test
Day 42
42.95 T-score
Standard Deviation 8.2

SECONDARY outcome

Timeframe: 4 time-points over the 6-week testing period: at baseline, day 14, day 28 (end of treatment), and 2-weeks post-treatment on day 42.

Episodic memory performance was assessed by the Buschke Selective Reminding Task. The main outcome metric of this test was the total words correctly recalled.

Outcome measures

Outcome measures
Measure
Nicotine
n=4 Participants
Low Dose Nicotine (7mg) Moderate Dose Nicotine (14mg) All participants in study will begin with the 7mg patch, titrating from 2 hours/day to a full 16 hours/day over the course of the first 7 days (based on individual tolerance). Day 7 - Day 28 of the study, participants will apply a new nicotine patch daily. Depending on tolerance, some participants may increase to the moderate dose (14mg) patch. All participants will apply a new patch daily for a total of 28 days (1 month) Low Dose Nicotine (7mg); Moderate Dose Nicotine (14mg)
Cognitive Improvement - Buschke Selective Reminding Task
Baseline
33.75 Words Correctly Recalled
Standard Deviation 24.42
Cognitive Improvement - Buschke Selective Reminding Task
Day 14
41.5 Words Correctly Recalled
Standard Deviation 30.97
Cognitive Improvement - Buschke Selective Reminding Task
Day 28
54.5 Words Correctly Recalled
Standard Deviation 33.89
Cognitive Improvement - Buschke Selective Reminding Task
Day 42
45.5 Words Correctly Recalled
Standard Deviation 32.72

SECONDARY outcome

Timeframe: 4 time-points over the 6-week testing period: at baseline, day 14, day 28 (end of treatment), and 2-weeks post-treatment on day 42.

Arousal and vigilance were measured by the Critical Flicker Fusion task. The task used at perceptual performance on ascending and descending frequencies of the task.

Outcome measures

Outcome measures
Measure
Nicotine
n=4 Participants
Low Dose Nicotine (7mg) Moderate Dose Nicotine (14mg) All participants in study will begin with the 7mg patch, titrating from 2 hours/day to a full 16 hours/day over the course of the first 7 days (based on individual tolerance). Day 7 - Day 28 of the study, participants will apply a new nicotine patch daily. Depending on tolerance, some participants may increase to the moderate dose (14mg) patch. All participants will apply a new patch daily for a total of 28 days (1 month) Low Dose Nicotine (7mg); Moderate Dose Nicotine (14mg)
Cognitive Improvement - Critical Flicker Fusion Task
Baseline Descending Frequency
36.9 Hz
Standard Deviation 9.01
Cognitive Improvement - Critical Flicker Fusion Task
Day 14 Descending Frequency
31.3 Hz
Standard Deviation 4.23
Cognitive Improvement - Critical Flicker Fusion Task
Baseline Ascending Frequency
20.6 Hz
Standard Deviation 8.7
Cognitive Improvement - Critical Flicker Fusion Task
Day 14 Ascending Frequency
29.7 Hz
Standard Deviation 8.4
Cognitive Improvement - Critical Flicker Fusion Task
Day 28 Ascending Frequency
31.6 Hz
Standard Deviation 8.27
Cognitive Improvement - Critical Flicker Fusion Task
Day 42 Ascending Frequency
30 Hz
Standard Deviation 11.7
Cognitive Improvement - Critical Flicker Fusion Task
Day 28 Descending Frequency
26.3 Hz
Standard Deviation 6.51
Cognitive Improvement - Critical Flicker Fusion Task
Day 42 Descending Frequency
26.2 Hz
Standard Deviation 4.65

Adverse Events

Nicotine

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Nicotine
n=7 participants at risk
Low Dose Nicotine (7mg) Moderate Dose Nicotine (14mg) All participants in study will begin with the 7mg patch, titrating from 2 hours/day to a full 16 hours/day over the course of the first 7 days (based on individual tolerance). Day 7 - Day 28 of the study, participants will apply a new nicotine patch daily. Depending on tolerance, some participants may increase to the moderate dose (14mg) patch. All participants will apply a new patch daily for a total of 28 days (1 month) Low Dose Nicotine (7mg) Moderate Dose Nicotine (14mg)
Gastrointestinal disorders
Nausea
71.4%
5/7 • Number of events 5 • 6-weeks
Adverse events collected through query of subjects about any new or worsening problems or side effects, conducted at each contact.

Additional Information

Dr. Paul Newhouse

Vanderbilt University Medical Center

Phone: 6159360928

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place