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RecruitingNCT05801380MEMORI-ADUpdated Jan 7, 2025

Monitoring Drug Efficacy in Patients with Alzheimer's Disease

An observational study in Alzheimer Disease, sponsored by University of the Philippines. Recruiting at 1 site in Philippines. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2025-01-07.

Sponsored by University of the Philippines · Observational

From the registry’s dates

  • Primary completion was expected by Feb 2026, 8 months ago, but the record still lists the study as recruiting.
  • Started Feb 2022; still recruiting 4 years 8 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
60
Ages
65 Years and older
Sex
All
01

Study summary

This study will explore the different factors associated with drug response to acetylcholinesterase (AChE) inhibitor (donepezil) and NMDA receptor antagonist (memantine) in patients with Alzheimer's Disease.

Read the detailed description

These patients will be grouped according to the medications prescribed by their attending physician at baseline, 3rd month, and 6th month of follow up:

  1. Alzheimer's Disease patients given AChE inhibitor monotherapy
  2. Alzheimer's Disease patients given combination therapy of AChE inhibitor and NMDA receptor antagonist

They will be observed for treatment response for up to 6 months.

02

Conditions studied

  • Alzheimer Disease

Browse trials for

Keywords

  • multiOMICs
  • drug response
03

In context

Alzheimer Disease

3,965 studies on the registry are indexed under Alzheimer Disease; 926 are open to participants now.

This study's planned enrollment of 60 is below the median of 200 across 814 observational studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

University of the Philippines is the lead sponsor of 26 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

All elderly patients from (1) University of the Philippines - Philippine General Hospital; (2) The Medical City; and (3) Cardinal Santos Medical Center that meet the eligibility criteria

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

  • newly diagnosed with mild or moderate dementia using the and Clinical Dementia Rating (CDR) performed by a licensed psychometrician
  • clinically diagnosed by an expert adult neurologist as having probable AD using the National Institute of Neurological and Communicative Disorders and Stroke and Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) criteria
  • treatment naive for any acetylcholinesterase inhibitors or memantine OR those who have not taken any acetylcholinesterase inhibitors or memantine in the last three months for any reasons except for adverse drug reaction
  • age 65 years old
  • residing in the National Capital Region
  • able to read and understand written and spoken English and Filipino

Exclusion criteria

Exclusion Criteria:

  • with structural or vascular causes of dementia other than subcortical lacunes (2 or less) as seen in plain CT scan
  • dementia diagnosis other than AD as determined by an expert adult neurologist
  • with untreated depression or related psychiatric disorders in the last 6 months
  • use of systemic antibotics in the previous three months prior to providing fecal specimens
  • use of , immune stimulating medications, and agents within the past 2 weeks or those who regularly need them for immune-related disorders
  • use of proton-pump inhibitors, H2-receptor antagonists, H2-receptor antagonists, tricyclic antidepressants, narcotics, anticholinergic medications, laxatives or anti-diarrheal in the past 4 weeks
  • large doses of commercial probiotics consumed (greater than or equal to 108 cfu or organisms per day)
  • major dietary change during previous month (defined as eliminating or significantly increasing a major food group)
  • major GI tract surgery in the past 5 years, with the exception of cholecystectomy and appendectomy
  • major bowel resection at any time
  • active uncontrolled GI disorders or diseases, including inflammatory bowel disease, indeterminate colitis, irritable bowel syndrome, persistent infectious gastroenteritis, colitis or gastritis, persistent or chronic diarrhea of unknown etiology, recurrent Clostridium difficile infection, untreated Helicobacter pylori infection, chronic constipation
Terms in these criteria, in plain language(3)

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.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
60 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Alzheimer's disease patients with AChE inhibitor monotherapy

    This cohort includes those with the disease and given AChE inhibitor monotherapy only

    Drug: AChE inhibitor monotherapy

  • Alzheimer's disease patients given AChE inhibitor and NMDA receptor anatgonist combination therapy

    This cohort includes those with the disease, given AChE inhibitor and NMDA receptor antagonist combination therapy

    Drug: AChE inhibitor and NMDA receptor antagonist combination therapy

Interventions

  • This is a drug treatment using Donepezil only

    Also known as: Donepezil

  • DrugAChE inhibitor and NMDA receptor antagonist combination therapy

    This is a drug treatment combining Donepezil and Memantine

    Also known as: Donepezil and Memantine combination therapy

06

What researchers measure

Primary outcomes

  1. Change in gene signatures

    Gene signatures obtained via whole exome sequencing

    Time frame: Baseline, 3rd month, 6th month

  2. Change in gut microbiome metabolome signatures

    Gut microbiome signatures obtained via gut microbiome shotgun metagenomic profiling

    Time frame: Baseline, 3rd month, 6th month

  3. Change in metabolome signatures

    Metabolome signatures obtained via untargeted metabolomic profiling

    Time frame: Baseline, 3rd month, 6th month

  4. Change in levels of cognition using the Montreal Cognitive Assessment-Philippines (MoCA-P)

    Montreal Cognitive Assessment-Philippines (MoCA-P) is an assessment tool used to measure mild cognitive impairment and early Alzheimer's disease. Scores range from 0-30. A score below 21 signifies mild cognitive impairment or early Alzheimer's disease.

    Time frame: Baseline, 3rd month, 6th month

  5. Change in levels of cognition using the Mini-Mental State Examination (MMSE)

    The Mini-Mental State Examination (MMSE) is an assessment tool used to measure cognitive aspects of mental functions, with scores ranging from 0-30, with lower scores indicating increasing levels of cognitive impairment.

    Time frame: Baseline, 3rd month, 6th month

  6. Change in levels of cognition using the Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-cog)

    Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-cog) assesses the severity of cognitive dysfunction in Alzheimer's Disease patients. Scores range from 0-94, with higher scores indicating increased levels of cognitive dysfunction.

    Time frame: Baseline, 3rd month, 6th month

Secondary outcomes

  1. Change in levels of functioning using the Katz Index of Activities of Daily Living (IADL) scale

    The Katz IADL assesses the patient's need for assistance in performing basic activities of daily living. Possible scores range from 0-12, with a higher score indicating better levels of functioning.

    Time frame: Baseline, 3rd month, 6th month

  2. Change in levels of functioning using the Lawton instrumental activities of daily living (IADL) scale

    The Lawton IADL assesses the patient's ability to carry out more complex tasks of daily living. Scores range from 0 indicating low function and dependent up to 16 indicating highly functional and independent.

    Time frame: Baseline, 3rd month, 6th month

  3. Changes in levels of behaviour using the Neuropsychiatric inventory (NPI) scale

    The neuropsychiatric inventory (NPI) scale is an informant-based interview that assesses neuropsychiatric symptoms in terms of frequency, severity, and levels of distress. Scores range from 0 to 144, with higher scores indicating the presence of more neuropsychiatric symptoms.

    Time frame: Baseline, 3rd month, 6th month

  4. Change in levels of family functioning using the Filipino Family APGAR

    Filipino family APGAR is a tool to assess family functioning based on five parameters: Adaptability, Partnership, Growth, Affection, and Resolve. The total scores range from 0 to 10 with higher scores indicating higher levels of satisfaction with family functioning.

    Time frame: Baseline, 3rd month, 6th month

  5. Change in levels of family functioning using the SCREEM Family Resources Survey (SCREEM-RES)

    The SCREEM Family Resources Survey (SCREEM-RES) is a tool used to measure family resources that the family utilizes to cope with difficult situations. Scores range from 0 to 36, with higher scores indicating adequate levels of family resources.

    Time frame: Baseline, 3rd month, 6th month

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 7, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05801380
Lead sponsor
University of the Philippines
Responsible party
Fresthel Monica Climacosa (Associate Professor, University of the Philippines) — Principal investigator
First posted
Apr 6, 2023
Start date
Feb 14, 2022
Primary completion
Feb 14, 2026 (estimated)
Completion
Feb 14, 2026 (estimated)
Last update
Jan 7, 2025

Study contacts

Fresthel Monica M Climacosa, MD, PhD
Contact
fmclimacosa@up.edu.ph
+639434744737
Veeda Michelle M Anlacan, MD
Contact
vmanlacan@up.edu.ph
+639189197143
Fresthel Monica M Climacosa, MD, PhD
principal investigator · University of the Philippines Manila
Veeda Michelle M Anlacan, MD
principal investigator · University of the Philippines Manila

Oversight

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

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