ClinicalTrials.gg
TerminatedNCT03056495VostatAD01Updated Apr 10, 2024

Clinical Trial to Determine Tolerable Dosis of Vorinostat in Patients With Mild Alzheimer Disease

A Phase 1 interventional study of N-hydroxy-N'-phenyl-octanediamide (Vorinostat) in Alzheimer Disease, sponsored by German Center for Neurodegenerative Diseases (DZNE). Terminated at 2 sites in Germany. Open to participants aged 55 Years to 90 Years. Per ClinicalTrials.gov, last updated 2024-04-10.

Sponsored by German Center for Neurodegenerative Diseases (DZNE) · Phase 1, Interventional, and Basic science

Why this study was terminated
Insufficient Recruitment

From the registry’s dates

  • Primary completion was Mar 2024, 2 years 8 months ago, and no results have been posted to the registry.

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Phase
Phase 1
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
55 Years to 90 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 212 studies in Alzheimer Disease with a site in Germany — 25 open to participants now, 38 under way, 17 of them phase 3. Alzheimer Disease · Germany.

Enrollment
189th of 192
9 · median 350
Started
2017
with 9 others
Phase 1
16 of 212
none open now
Registered
124th of 212
by date

Among the 212 studies in Alzheimer Disease with a site in Germany, this one is the 189th largest by enrollment of the 192 interventional ones that give a count, is one of 10 that started in 2017, is one of 16 in phase 1, and was the 124th registered.

Alzheimer Disease

3,967 studies on the registry are indexed under Alzheimer Disease; 928 are open to participants now.

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Open to participants now

25 of the 212 studies in Alzheimer Disease with a site in Germany are open now. Recruiting first, the newest first:

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All 25 open studies →

A study can be open while its sites in Germany have not opened yet or have stopped. Only those recruiting at a site in Germany →

Who these studies take

Of the 642 Alzheimer Disease studies recruiting now, 283 (44%) set no upper age limit and 55 (9%) stop at 75 or younger; 34 take children under 18; 284 take healthy volunteers.

This study: 55 Years to 90 Years · all sexes · no healthy volunteers.

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02

Study summary

This Clinical Trial is an open, non-randomized Phase Ib study to determine the maximal tolerable dose (MTD) of Vorinostat in Alzheimer disease (AD) patients between (including) 55 and 90 years with mild symptoms. The MTD in this study is defined as the dose that leads to maximum toxicity with Common Toxicity Criteria (CTC) grade 1 symptoms.The safety and tolerability of Vorinostat in this group of study participants should be tested.

Read the detailed description

The MTD of Vorinostat in the treatment of Alzheimer's patients is to be determined by using an open, non-randomized, multicentric dose-finding study with adaptive design. This Clinical Trial will take place in 2 parts.

The first part will be performed as a dose escalation part in cohorts of three subjects. Possible dosages will be: one, two, three or four capsules (100 mg per capsule) once per day. The first cohort receives a dose of 100 mg per day. After the treatment, a Vorinostat-free follow-up phase will take place. For the following cohorts, dose increases, a repetition of the previous dose or a dose reduction are possible.

After the dose escalation with a determination of the MTD, a dosage confirmation is carried out with additional subjects. The subjects are given a dose of Vorinostat of MTD over 4 weeks followed by a Vorinostat-free follow-up phase.

03

Conditions studied

  • Alzheimer Disease

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04

Who can participate

Ages eligible
55 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • written to participate in the study
  • verified capacity to consent by a doctor not involved in the study
  • mild Alzheimer's disease (NINCDS / ADRDA criteria and (MMSE) 22-27)
  • age (including) from 55 to 90 years
  • subjects must be able to meet the requirements described in the study protocol
  • outpatient living
  • Informant lives with subject in the same household
  • Rosen modified Hachinski ischemia score ≤4
  • concerning only female patients:
  • concerning only male patients: commitment to use a suitable
  • cerebral imaging study (CT or cMRI), which is consistent with a diagnosis of probable Alzheimer's disease (not older than 3 years)

Exclusion criteria

Exclusion Criteria:

  • other neurological and psychiatric diseases explaining cognitive deficits better than an AD diagnosis
  • conspicuous MRI / CCT scan explaining the cognitive deficits better than an AD diagnosis
  • severe physical, neurological or psychiatric disorders that interfere with the participation in the study
  • history of malignant tumors except non- metastasizing basal cell carcinoma of the skin
  • history of seizures
  • dysphagia leading to the inability to swallow capsules
  • untreated severe acute infections with clinical symptoms such as respiratory infections, pneumonia, bronchitis, acute diarrhea, influenza, untreated urinary tract infections
  • in the family history, unexplained sudden cases of heart failure before the age of 50 years
  • long syndrome in the family history
  • evidence of QTc prolongation ≥480 ms at screening (Fridericia adjusted QT interval), of arrhythmias especially of severe uncontrolled ventricular arrhythmias or atrial fibrillation in
  • not sufficiently treated angina
  • heart failure ( III, IV)
  • myocardial infarction
  • known infection with , and / or
  • occurrence of venous thrombosis or embolism
  • therapy with antidepressants begun in the last 12 weeks or dose modification of a pre-existing therapy with antidepressants
  • antidiabetic treatment begun in the last 12 weeks or dose modification of pre-existing antidiabetic treatment
  • long-term use of anti-inflammatory drugs except acetylsalicylic acid for cardiovascular prophylaxis
  • current treatment or treatment within the past 12 weeks with HDAC inhibitors (eg valproate)
  • taking medication that may increase the dose-dependent side effects myelosuppression or QTc interval prolongation.

These include, but are not limited to:

  • Class Ia antiarrhythmic agents such as quinidine, procainamide, disopyramide
  • Class III antiarrhythmic drugs such as amiodarone, sotalol, ibutilide
  • Class Ic antiarrhythmics such as flecainide, propafenone
  • penicillamine
  • opioids such as methadone and pyrazolone derivatives such as metamizole and Propyphenazone
  • doxorubicin, epirubicin
  • macrolides and their analogues such as erythromycin, clarithromycin
  • telithromycin
  • oxazolidinones such as linezolid
  • quinolones such as moxifloxacin, levofloxacin
  • fluoxetine, maprotiline
  • tricyclic and tetracyclic antidepressants
  • chlorpromazine, pimozide, haloperidol, droperidol, ziprasidone and clozapine
  • antiemetics
  • azole like ketoconazole, fluconazole, voriconazole
  • aminocholine such as primaquine
  • pentamidine such as quinine, chloroquine
  • diaminopyrimidine such as pyrimethamine
  • salbutamol and formoterol methotrexate
  • azathioprine, cyclosporine Interferon gamma 1b
  • alemtuzumab, basiliximab, efalizumab, natalizumab
  • sunitinib, nilotinib, lapatinib
  • mitoxantrone, Hydroxycarbamide, mercaptopurine
  • taking of prescription and non-prescription drugs for cognitive enhancement (except cholinesterase inhibitors and memantine at a stable dose for at least 3 months before baseline)
  • therapy with anticoagulants except acetylsalicylic acid
  • in screening more than 10% above the
  • magnesium, sodium, calcium and potassium levels outside the normal range (at screening and baseline)
  • existing anemia with \<11 (at screening and baseline)
  • existing thrombocytopenia; ≤150.000 / ul, leukocytes ≤ 3.000 / ul, neutrophils absolutely ≤ 1.500 / ul (at screening and baseline)
  • prothrombin or ≥ 1.5 above the laboratory limit of normal; PTT ≥ 1.5 x above the laboratory limit of normal (at screening and baseline)
  • renal and / or hepatic impairment at screening and baseline (total ≥ 1.5 x above the upper limit of the norm and / or GPT, ≥ 4x above the upper limit of the norm and / or creatinine ≥ 1.5x above the upper limit of the norm and / or \<60 ml / min)
  • hematuria> 15 RBCs / mL at screening and baseline
  • proteinuria at screening and baseline except in asymptomatic urinary tract infections
  • participating in other clinical and therapeutic trials within the last 12 weeks

relevant only for dose confirmation:

  • subjects with existing for performing an MRI if no MRI available from the period of 6 months prior to screening
  • cardiac pacemaker
  • metal objects in the body, which exclude a 1.5 or 3 T MRI
  • claustrophobia
Terms in these criteria, in plain language(20)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    Investigational drug

    N-hydroxy-N'-phenyl-octanediamide (Vorinostat) capsules once a day, three weeks of treatment; dose escalation with different dosages per cohort; One cohort of three subjects

    Drug: N-hydroxy-N'-phenyl-octanediamide (Vorinostat)

Interventions

  • N-hydroxy-N'-phenyl-octanediamide capsules once a day, three weeks of treatment; dose escalation with different dosages per cohort; One cohort of three subjects

    Also known as: Vorinostat

06

What researchers measure

Primary outcomes

  1. Determination of the maximum-tolerated dose (MTD) in elderly subjects during dose escalation

    A MTD is defined as the highest dose with no \> grade 1 toxicity according to Common Toxicity Criteria (CTC). The dose-limiting toxicity (DLT) is defined as the dose, which leads with a 30% chance of toxicity to CTC Grade 2 or higher and / or leads to corrected QT interval (QTc)≥480ms and/or increase of QTc \>= 50ms compared to baseline

    Time frame: 12 months

Secondary outcomes

  1. Incidence of treatment - Emergent Adverse Events (Safety)

    The analysis of safety assessments will include the following data collected for each subject: - Adverse Events (AEs) in the context of Drug Exposure (days)

    Time frame: during dose escalation and during 4 weeks treatment with MTD every week

  2. Quantification of Vorinostat concentration in blood - pharmacokinetics

    Blood and plasma area under the concentration time curve of Vorinostat from time zero to 8 hours postdose. The pharmacokinetic study will investigate the correlation between dose administered and concentration of Vorinostat in blood.

    Time frame: d21 by 4 weeks treatment with MTD

  3. association of alterations in the genome-wide transcriptome profile with the dose administered, toxicity and treatment response - pharmacodynamics

    The genome-wide transcriptome profile will be determined as a pharmacodynamic surrogate parameter. Alterations between baseline and after dose administered will be compared. The pharmacodynamic study will investigate the correlation between dose administered, alterations in the genome-wide transcriptome profile as well as treatment responses (memory performance) and toxicities.

    Time frame: d21 by 4 weeks treatment with MTD

07

Study locations

2 sites
  • German Center for Neurodegenerative Diseases
    Bonn, 53127, Germany
  • University Medical Center Göttingen, Department of Psychiatry and Psychotherapy
    Göttingen, 37075, Germany
08

References and documents

Publications

  • Garcia AA, Koperniku A, Ferreira JCB, Mochly-Rosen D. Treatment strategies for glucose-6-phosphate dehydrogenase deficiency: past and future perspectives. Trends Pharmacol Sci. 2021 Oct;42(10):829-844. doi: 10.1016/j.tips.2021.07.002. Epub 2021 Aug 10. PubMed 34389161 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2017 to primary completion in Mar 2024, 77 months.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 27, 2016
First posted
Feb 17, 2017
StartActual
Sep 28, 2017
Primary completionActual
Mar 4, 2024
CompletionActual
Mar 4, 2024
Last update
Apr 10, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03056495
Lead sponsor
German Center for Neurodegenerative Diseases (DZNE)
Collaborators
University Hospital, Bonn, University of Göttingen
Responsible party
Sponsor
First posted
Feb 17, 2017
Start date
Sep 28, 2017
Primary completion
Mar 4, 2024
Completion
Mar 4, 2024
Last update
Apr 10, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jul 2019. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Vorinostat

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