Clinical Trial Details

NCT ID: NCT01561053
Date Last Changed: June 15, 2015


Research Study Summary

A clinical trial to evaluate treatments using Albumin and Immune globulin for patients with Alzheimer's Disease

Research Study Title

A Multicenter, Randomized, Controlled Study To Evaluate The Efficacy and Safety of Short-Term Plasma Exchange Followed by Long-Term Plasmapheresis With Infusion of Human Albumin Combined With Intravenous Immunoglobulin In Patients With Mild-Moderate AD


The purpose of this study is to evaluate the changes in the cognitive, functional, behavioral and global domains based on the different applicable psychometric batteries and scales.

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Recruitment Details

55 to 85 Years
Overall Status
Lead Sponsor
Instituto Grifols, S.A.
57 Months
Facility Type


All ages 55 Years to 85 Years

Main Inclusion Criteria:

  1. Males or females between 55-85 years of age at the time of signing of the informed consent document.

  2. A diagnosis of Alzheimer's disease (NINCDS-ADRDA criterion), and MMSE score between

/=18 and < /=26.

  1. Current stable treatment with AChEIs and/or memantine for the previous three months.

  2. The patient and a close relative or the legal representative must read the patient information sheet, agree to participation in the trial, and then sign the informed consent document (the patient personally and the close relative/legal representative).

  3. The patient must be able to follow the study protocol, receive the treatment in the established time period, and continue during the follow-up interval.

  4. A brain CAT or MRI study obtained in the 12 months prior to recruitment, showing the absence of cerebrovascular disease, should be available. Nevertheless, it is possible to use the MRI obtained during the screening period to rule out any cerebral vascular disease.

  5. A stable care taker must be available, and must attend the patient study visits.

Main Exclusion Criteria:

  1. Any contraindication for plasma exchange due to behavioral disorders or abnormal coagulation parameters, such as for example:

  2. Hypocalcemia (Ca++ < 8.7 mg/dL)

  3. Thrombocytopenia ( < 100,000/µL)

  4. Fibrinogen < 1.5 g/L)

  5. Prothrombin time (Quick) p < 60% versus control (INR > 1.5)

  6. Beta-blocker treatment and bradycardia < 60/min)

  7. Treatment with angiotension-converting enzyme inhibitors (ACEIs) (increased risk of allergic reactions)

  8. Hemoglobin < 10 mg/dL

  9. Difficult venous access precluding plasma exchange.

  10. A history of frequent adverse reactions (serious or otherwise) to blood products.

  11. Hypersensitivity to albumin or allergies to any of the components of Albutein® 5%.

  12. History of immunoglobulin A (IgA) deficiency.

  13. Known allergies to Flebogamma® DIF components such as sorbitol.

  14. History of thromboembolic complications of intravenous immunoglobulins.

  15. Plasma creatinine > 2 mg/dl.

  16. Uncontrolled high blood pressure (systolic blood pressure of 160 mmHg or higher and/or diastolic blood pressure of 100 mmHg or higher despite treatment during the last 3 months).

  17. Liver cirrhosis or any liver problem with GPT > 2.5 x ULN, or bilirubin > 2 mg/dL.

  18. Heart diseases, as evidenced by myocardial infarction, severe or unstable angina, or heart failure (New York Association Class II, III or IV) in the past 12 months.

  19. Participation in other clinical trials, or the receiption of any other investigational drug in the three months prior to the start of the study.

  20. Any condition complicating adherence to the study protocol (illness with less than one year of expected survival, known drug or alcohol abuse, etc.).

  21. Pregnant or nursing women or women not using effective contraceptive methods for at least one month after plasma exchange.

  22. Fewer than six years of education (exclusion criteria under medical criterion).

  23. Fewer than three months with stable treatment for behavioral disorders or insomnia.

Site Locations (26)

Country State City Zip Facility and Contact
United States California Sacramento 95821 Northern California Research
United States Florida Bradenton 34205 Bradenton Research Center, Inc.
United States Florida Hialeah 33016 Galiz Research, LLC
United States Florida Miami 33144 L&L Research Choices, Inc
United States Florida Miami 33155 Allied Biomedical Research Institute
United States Florida Miami 33176 Miami Dade Medical Research Institute, LLC
United States Florida Pinellas Park 33782 PharmaSeek LLC (DMI Research)
United States Georgia Decatur 30030 iResearch Atlanta, LLC
United States Georgia Savannah 31419 RTR Medical Group
United States New Jersey Manchester Township 08759 Mid-Atlantic Geriatric/ARC
United States Ohio Cleveland 44195 The Cleveland Clinic Foundation
United States Pennsylvania Pittsburgh 15213 University of Pittsburgh Medical Center
Spain Alicante Elche 03203 Hospital General de Elche
Spain Alicante Elche 03293 Hospital de Vinalopó
Spain Barcelona Hospitalet de Llobregat 08907 Hospital Universitari de Bellvitge
Spain Barcelona San Cugat del Valles 08190 Hospital General de Catalunya
Spain Barcelona Terrassa 08221 Hospital Universitari Mutua de Terrassa
Spain Canary Islands Santa Cruz de Tenerife 38010 Hospital Ntra. Sra. de la Candelaria
Spain Barcelona 08028 Funcació ACE
Spain Barcelona 08035 Hospital Vall d'Hebron
Spain Burgos 09005 Hospital Universitario De Burgos
Spain Girona 17190 Parc Hospitalari Marti i Julia
Spain Lleida 25198 Hospital de Santa María
Spain Madrid 28007 Hospital General Universitario Gregorio Marañón
Spain Madrid 28040 Hospital Clínico San Carlos
Spain Valencia 46017 Hospital Universitario Dr. Peset


Paul J. Pinciaro, PhD

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