A double-blind clinical trial of pomegranate oil and Mediterranean diet that will be carried out on 60 patients with Mild Cognitive Impairment (MCI) and APOE ε3 and ε4 allele. The aim of the research is to examine if the Mediterranean diet with pomegranate oil and without it can bring positive changes in patients with MCI in terms of motor and cognitive skills.
OBJECTIVES OF THE TRIAL The objectives of this study are: To investigate the efficacy of Mediterranean diet and Pomegranate oil as a disease course modifying treatment for MCI. STUDY DESIGN This is a Greek, controlled double-blind trial of two compared groups, one with Mediterranean diet and one with Mediterranean diet and pomegranate oil. Qualifying patients will be assigned to receive 0.15 mL of pomegranate oil every day with Mediterranean diet at one group and at the other group will not. A Mediterranean dietary protocol will be given on a daily basis for 12 months at both groups. Duration The total study duration will be 12 months. The recruitment will be about 6 months and the statistics and the preparation of the paper other 6 months. Number of Subjects: Sixty (60) subjects total will be enrolled.; Thirty (30) in the A group (Pomegranate oil + Mediterranean Diet); Thirty (30) in the B Group (Mediterranean Diet). Patient identification: Initials (First initial of first name and First initial of surname), date of birth and Patient Identification Number from database empedocles. Eligibility Screening Form (ESF) : Checklist of inclusion and exclusion criteria Eligibility Statement: for patients found to be ineligible, the reason for ineligibility must be stated and Written informed consent will be obtained from the subjects which are eligible. The informed consent form must be co-signed by the physician. The nature of the study and the potential risks associated with the trial will be explained to all subjects- candidates and their responsible informants. Signature and date: the ESF may be completed by a research assistant but it is required that the principal investigator/study clinician sign and date the ESF to verify eligibility of the patient for inclusion.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
60
Dietary Supplement: Pomegranate oil in a glass bottle of 0.15ml per day +Mediterranean dietary protocol Dietary Supplement: Mediterranean dietary protocol
Dietary Supplement: Mediterranean dietary protocol
Alzheimer Hellas
Thessaloniki, Thessaloniki, Greece
RECRUITINGMini-Mental State Examination (MMSE
Score scale:0-30,cut off:24
Time frame: baseline,12 months
FUCAS
Measurements to Assess Daily Functionality Changes in Functional cognitive assessment scale (FUCAS) score Score scale:42-126,cut off:42
Time frame: baseline,12 months
Letter & Category Fluency Test
Measurement to Assess Verbal Fluency and Learning Changes in the Letter \& Category Fluency Test
Time frame: baseline,12 months
CDR
Measurements to Assess General Cognitive Function Changes in Global Clinical Dementia Rating (CDR)
Time frame: baseline,12 months
MoCA
Measurements to Assess General Cognitive Function Changes in Montreal Cognitive Assessment (MoCA)
Time frame: baseline,12 months
CANTAB
Measurements to Assess General Cognitive Function Changes in Cambridge Neuropsychological Test Automated Battery (CANTAB)
Time frame: baseline,12 months
Clock Drawing test
Measurements to Assess General Cognitive Function Changes in the Clock Drawing test
Time frame: baseline,12 months
Logical Memory test
Measurements to Assess General Cognitive Function Changes in the Logical Memory test
Time frame: baseline,12 months
Digit Span Forward & Backward test
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Measurements to Assess General Cognitive Function Changes in the Digit Span Forward \& Backward test
Time frame: baseline,12 months
WAIS-R Digit Symbol
Measurements to Assess General Cognitive Function Changes in the WAIS-R Digit Symbol Substitution Test
Time frame: baseline,12 months
TMT part A and B
Measurements to Assess General Cognitive Function Changes in the Trail Making Test
Time frame: baseline,12 months
ADASCog
Measurements to Assess Daily Functionality Changes in Alzheimer's Disease Assessment Scale-Cognitive (ADASCog)
Time frame: baseline,12 months
Functional Rating Scale for Dementia
Measurements to Assess Daily Functionality Changes in Functional Rating Scale for Dementia (FRSSD)
Time frame: baseline,12 months
Auditory Verbal Learning Test
Measurement to Assess Verbal Fluency and Learning Changes in the Auditory Verbal Learning Test
Time frame: baseline,12 months
Boston Naming Test
Measurement to Assess Verbal Fluency and Learning Changes in the Boston Naming Test
Time frame: baseline,12 months
Fullerton Functional Test
Measurement to Assess Physical Abilities
Time frame: baseline,12 months