Title
Study to Evaluate the Effect of Megestrol Acetate in Weight Loss in Dementia Patients
Multicenter, Double Blind, Randomized, Clinical Trial, Controlled With Placebo, to Evaluate the Effect of the Treatment With 320 mg/Day of Megestrol Acetate During 24 Weeks in the Weight Loss in Mixed Dementia Patients.
Phase
Phase 2/Phase 3Lead Sponsor
RottapharmStudy Type
InterventionalStatus
TerminatedIndication/Condition
DementiaIntervention/Treatment
megestrol ...Study Participants
39The purpose of this study is to demonstrate the efficacy of megestrol acetate in the gain of body weight in patients with primary or mixed Dementia with a weight loss.
In all geriatric patients with dementia it was prove a weight loss independently if they are institutionalized or not.There are some previous studies that indicates the effect of the megestrol acetate in the weight gain of patients with cachexia-anorexia related with neoplasia. It seems that the mechanism of development could be the same between these patients and patients with dementia. It was described an important role of a group of cytokines ( Il-6, leptin, neuropeptide Y, TNFalfa) in the development of this nutritional alteration.
Some previous pilots studies indicates that megestrol acetate has and effect in geriatric and dementia patients with a weight loss of at least 5% in the last 6 months.
1 sachet of powder containing 160 mg of megestrol acetate b.i.d. during 24 weeks
1 sachet of 160 mg of placebo b.i.d.
Inclusion Criteria: Patients diagnosed of primary or mixed dementia (CIE 10criteria) Weihgt loss >5% of habitual weight in the last 6 months and proteic-caloric malnutrition (MNA <17) Outpatients Patients that accept the participation in the study Exclusion Criteria: Vascular pure Dementia and secondary dementias( vascular dementia, Parkinson disease,etc) Dementia in a terminal phase: category of FAST 7c in the Reisber scale Concomitant treatment with steroids, androgens or other drugs with progestagens Weight loss secondary to neoplasia