Evidence map›Paper›PMID 34193504›Full record

Trial reportBMJ open2021

Repurposing bromocriptine for Aβ metabolism in Alzheimer's disease (REBRAnD) study: randomised placebo-controlled double-blind comparative trial and open-label extension trial to investigate the safety and efficacy of bromocriptine in Alzheimer's disease with presenilin 1 (PSEN1) mutations.

Takayuki Kondo, Haruhiko Banno, Taro Okunomiya, Yoko Amino, Kayoko Endo, Akiyoshi Nakakura, Ryuji Uozumi, Akemi Kinoshita, Harue Tada, Satoshi Morita and 22 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04413344 (Double-Blind Comparative Trial and Open-Label Extension Trial to Investigate the Safety and Efficacy of TW-012R in Alzheimer's Disease With Presenilin 1), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04413344 phase1 / phase2completednot on this map

Double-Blind Comparative Trial and Open-Label Extension Trial to Investigate the Safety and Efficacy of TW-012R in Alzheimer's Disease With Presenilin 1 (PSEN1) Mutations

TypeinterventionalSponsorKyoto UniversityRan2020 to 2021Enrolled8ConditionsFamilial Alzheimer Disease (FAD), PSEN1 MutationArmsBromocriptine Mesilate, Placebos
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

32 authors at 10 institutions in 1 country.

Takayuki Kondo *Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan.
Haruhiko Banno *Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan.
Taro OkunomiyaCenter for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan.
Yoko AminoInstitute for Advancement of Clinical and Translational Science (iACT), Kyoto University Hospital, Kyoto, Japan.
Kayoko EndoInstitute for Advancement of Clinical and Translational Science (iACT), Kyoto University Hospital, Kyoto, Japan.
Akiyoshi NakakuraInstitute for Advancement of Clinical and Translational Science (iACT), Kyoto University Hospital, Kyoto, Japan.
Ryuji UozumiInstitute for Advancement of Clinical and Translational Science (iACT), Kyoto University Hospital, Kyoto, Japan.ORCID 0000-0002-9546-9869
Akemi KinoshitaInstitute for Advancement of Clinical and Translational Science (iACT), Kyoto University Hospital, Kyoto, Japan.
Harue TadaInstitute for Advancement of Clinical and Translational Science (iACT), Kyoto University Hospital, Kyoto, Japan.
Satoshi MoritaDepartment of Biomedical Statistics and Bioinformatics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Hidehiro IshikawaDepartment of Neurology, Mie University Graduate School of Medicine, Tsu, Japan.ORCID 0000-0002-3077-7262
Akihiro ShindoDepartment of Neurology, Mie University Graduate School of Medicine, Tsu, Japan.ORCID 0000-0002-1006-4943
Ken YasudaDepartment of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Yosuke TarunoDepartment of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Takakuni MakiDepartment of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Takashi SuehiroDepartment of Psychiatry, Osaka University Graduate School of Medicine, Suita, Japan.
Kohji MoriDepartment of Psychiatry, Osaka University Graduate School of Medicine, Suita, Japan.
Manabu IkedaDepartment of Psychiatry, Osaka University Graduate School of Medicine, Suita, Japan.
Koji FujitaDepartment of Neurology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Yuishin IzumiDepartment of Neurology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Kazutomi KanemaruDepartment of Stroke, Tokyo Metropolitan Geriatric Medical Center, Tokyo, Japan.
Kenji IshiiResearch Team for Neuroimaging, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Kazue ShigenobuDepartment of Psychiatry, Asakayama Hospital, Sakai, Japan.
Yumiko KutokuDepartment of Neurology, Kawasaki Medical School, Kurashiki, Japan.
Yoshihide SunadaDepartment of Neurology, Kawasaki Medical School, Kurashiki, Japan.
Shinobu KawakatsuDepartment of Neuropsychiatry, Fukushima Medical University Aizu Medical Center, Aizu, Japan.
Shunji ShiotaTime Therapeutics, Inc, Kyoto, Japan.
Toshifumi WatanabeTime Therapeutics, Inc, Kyoto, Japan.
Osamu UchikawaTowa Pharmaceutical Co., Ltd, Osaka, Japan.
Ryosuke TakahashiDepartment of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Hidekazu Tomimoto *Department of Neurology, Mie University Graduate School of Medicine, Tsu, Japan.
Haruhisa Inoue *Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan haruhisa@cira.kyoto-u.ac.jp.ORCID 0000-0003-4736-9537
Kyoto University · JPKyoto University Hospital · JPMie University · JPThe University of Osaka · JPKawasaki Medical School · JPTokushima University · JPFukushima Medical University · JPTokyo Metropolitan Geriatric Hospital · JPTokyo Metropolitan Institute of Gerontology · JPTowa Pharmaceutical (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlzheimer's disease (AD) is one of the most common causes of dementia. Pathogenic variants in the presenilin 1 (PSEN1) gene are the most frequent cause of early-onset AD. Medications for patients with AD bearing PSEN1 mutation (PSEN1-AD) are limited to symptomatic therapies and no established radical treatments are available. Induced pluripotent stem cell (iPSC)-based drug repurposing identified bromocriptine as a therapeutic candidate for PSEN1-AD. In this study, we used an enrichment strategy with iPSCs to select the study population, and we will investigate the safety and efficacy of an orally administered dose of bromocriptine in patients with PSEN1-AD. METHODS AND ANALYSIS: This is a multicentre, randomised, placebo-controlled trial. AD patients with PSEN1 mutations and a Mini Mental State Examination-Japanese score of ≤25 will be randomly assigned, at a 2:1 ratio, to the trial drug or placebo group (≥4 patients in TW-012R and ≥2 patients in placebo). This clinical trial consists of a screening period, double-blind phase (9 months) and extension phase (3 months). The double-blind phase for evaluating the efficacy and safety is composed of the low-dose maintenance period (10 mg/day), high-dose maintenance period (22.5 mg/day) and tapering period of the trial drug. Additionally, there is an open-labelled active drug extension period for evaluating long-term safety. Primary outcomes are safety and efficacy in cognitive and psychological function. Also, exploratory investigations for the efficacy of bromocriptine by neurological scores and biomarkers will be conducted. ETHICS AND DISSEMINATION: The proposed trial is conducted according to the Declaration of Helsinki, and was approved by the Institutional Review Board (K070). The study results are expected to be disseminated at international or national conferences and published in international journals following the peer-review process. TRIAL REGISTRATION NUMBER: jRCT2041200008, NCT04413344.

Indexed as

Alzheimer DiseaseBromocriptineDouble-Blind MethodDrug RepositioningHumansMutationPresenilin-1Treatment OutcomeBromocriptinePresenilin-1PSEN1 protein, humanclinical trialsdementianeurobiologyneurogeneticsneurology

Identifiers

PMID34193504
PMCPMC8246358
OpenAlexW3175010892

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.