Testing Levetiracetam for hippocampal hyperactivation
Official title: Levetiracetam for Persons at Risk for Alzheimer's Disease
A Proof-of-Concept, Multicentre, Phase IIb, Randomized Double-Blind Crossover Trial of Levetiracetam vs Placebo for Hippocampal Hyperactivity in Cognitively Normal Individuals at Risk for Alzheimer's Disease
- Phase 2
- 2 groups
- 2 sites in Toronto
- Recruiting
Interventions
- Medication
Levetiracetam (LEV)
Levetiracetam 125mg capsules BID for 28-35 days
- Other intervention
Placebo
Placebo capsules BID for 28-35 days
Canadian Sites (2)
2 of 2 recruiting
- Recruiting
Sunnybrook Health Sciences Centre
Toronto, Ontario
- Recruiting
Toronto Western Hospital
Toronto, Ontario
Eligibility Criteria
See who this study is looking for52 criteria
The trial’s own eligibility text, word for word from the registry. Only the trial site can say who takes part.
Inclusion
- +Willing to undergo all study procedures and has signed the informed consent formInformed consentThe process of being told what taking part involves, then choosing freely.Read more →
- +Within normal limits on the Montreal Cognitive Assessment (MoCA) at ScreeningScreeningThe checks done before joining, to see whether a study fits.Read more →
- +Female participants must be post-menopausal (amenorrheic for at least 12 consecutive months without other known or suspected cause) or surgically sterile (bilateral tubal ligation, total hysterectomy, or bilateral oophorectomy)
- +Sufficiently fluent in English to undergo cognitive testing, per investigatorPrincipal investigatorThe doctor or researcher responsible for running the study at a site.Read more → judgment
- +Increased risk of Alzheimer's disease, as indicated by one or more of the following:
- +Participant has subjective cognitive complaints AND a family history of Alzheimer's disease (or of dementia suggestive of possible or probable Alzheimer's disease) in a first-degree relative; and/or
- +Participant is known to be amyloid or tau positive; and/or
- +Participant is known to be an APOE e4/e4 homozygote
- +Hippocampal hyperactivation, defined as activation \>1.5 MAD above the median, during the pattern separation task (PST) on BOLD fMRI.
Exclusion
- −History of hypersensitivity to levetiracetam or any other ingredients in the study drug or placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more →.
- −Significant neurological disease, including but not limited to:
- −Any type of cognitive impairment
- −History of transient ischemic attacks within 12 months of ScreeningScreeningThe checks done before joining, to see whether a study fits.Read more →
- −History of seizures within 12 months of Screening
- −Parkinson's disease
- −Stroke (aside from subcortical lacunar infarcts)
- −Multiple sclerosis
- −Huntington's disease
- −Normal pressure hydrocephalus
- −Brain tumour (aside from benign tumours without mass effect, which are to be judged on a case-by-case basis)
- −Subdural hematoma
- −History of traumatic brain injury with persistent neurological deficits
- −Known structural brain abnormalities
- −Significant or unstable psychiatric disease, including but not limited to:
- −Schizophrenia
- −Bipolar disorder
- −Major depression which is not controlled in the opinion of the investigatorPrincipal investigatorThe doctor or researcher responsible for running the study at a site.Read more →
- −Score ≥10 on the Geriatric Depression Scale (GDS) at Screening
- −Presence of active suicidal ideation within the last 3 months as indicated by "yes" response to Question 4 or 5 on the Suicidal Ideation portion of the C-SSRS at Screening
- −Answered "yes" to any of the suicide-related behaviours within the last 3 months on the Suicidal Behavior portion of the C-SSRS
- −Hospitalized or treated for suicidal behavior within 5 years of Screening
- −Psychotic features, agitation, or behavioral problems within the last 3 months that could lead to difficulty complying with the protocolProtocolThe detailed plan a study must follow.Read more → in the opinion of the investigator
- −Known or suspected history of drug or alcohol abuse or dependence within 2 years before Screening).
- −Significant or unstable systemic illness or medical condition that would in the investigator's judgment make the participant unsuitable for inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → in the study, including but not limited to:
- −History of malignancy within 3 years of screening (except of basal or squamous cell carcinoma of the skin)
- −Moderate-severe chronic kidney disease, chronic obstructive pulmonary disease, or congestive heart failure
- −Any of the following findings on a current (completed during screening) or previous brain MRI/CT scan:
- −Severe white matter disease (Fazekas score66 = 3)
- −Stroke involving a major vascular territory
- −Subcortical lacunar infarcts \>1.5cm in diameter
- −Encephalomalacia
- −Vascular malformations that are at high risk of hemorrhage
- −Infective lesions
- −Space-occupying lesions
- −Any other abnormality that would in the opinion of the investigator make the participant unsuitable for participation in the study
- −Any contraindications to MRI or MEG (e.g., pacemaker, ferromagnetic metal implants, claustrophobia).
- −Treatment with the following medications at time of screening or while in the study:
- −Anticonvulsant medications (unless taken for a different indication than seizures)
- −Methotrexate
- −eGFR \<50ml/min/1.73m2 on screening bloodwork.
- −QTc interval \>470 msec (males) or \>480 msec (females) on screening ECG.
- −Clinically significant abnormal results on screening bloodwork that would in the opinion of the investigator make the participant unsuitable for inclusion in the study.
In plain language
Assembled directly from this trial’s registry record. Every sentence traces to a field below — nothing here is generated or interpreted.
What this study is
This study is testing a treatment for a condition.
Phase 2Phase 2A middle-stage study looking at what a treatment does and watching for side effects.Read more → — a middle-stage study in a few hundred people at most, looking at what the treatment does and watching for side effectsSide effectAn unwanted effect thought to be caused by the treatment itself.Read more →.
From the trial registry
Built from these fields:
- designModule.designInfo.primaryPurpose
- designModule.phases
Who receives what
There are 2 groups in this study.
Groups A and B receive PlaceboPlaceboA dummy treatment with no active medicine, used for comparison.Read more →, together with one or more of: Levetiracetam (LEV).
Registry label: A: Arm 1: Drug then Placebo · B: Arm 2: Placebo then Drug
From the trial registry
Built from these fields:
- armsInterventionsModule.armGroups[].label
- armsInterventionsModule.armGroups[].type
- armsInterventionsModule.armGroups[].interventionNames
How the study is run
Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.
You, the study team, the people giving the treatment, and the people analysing the results would all be kept unaware of which group you are in until the study ends.
From the trial registry
Built from these fields:
- designModule.designInfo.allocation
- designModule.designInfo.maskingInfo.masking
Is there a placebo?
One group receives a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → — a dummy treatment with no active medicine in it — alongside the other treatment that group is given.
From the trial registry
Built from these fields:
- armsInterventionsModule.armGroups[].type
- armsInterventionsModule.armGroups[].interventionNames
Who the study is looking for
The study lists an age range of 55 years to 85 years.
The study is open to people of any sex.
The study does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.
These are the criteria the study lists. Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part.
From the trial registry
Built from these fields:
- eligibilityModule.minimumAge
- eligibilityModule.maximumAge
- eligibilityModule.sex
- eligibilityModule.healthyVolunteers
How big and how long
The study aims to enrol about 40 people.
The study is currently expected to finish around February 2028.
From the trial registry
Built from these fields:
- designModule.enrollmentInfo.count
- statusModule.completionDateStruct.date
- outcomesModule.primaryOutcomes[].timeFrame
What the study measures
Level of fMRI activity in the hippocampus and entorhinal cortex during a pattern separation task (PST), as a function of LEV vs placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → — measured over Before and after each treatment phase (ScreeningScreeningThe checks done before joining, to see whether a study fits.Read more →/BaselineBaselineYour starting measurements, taken before treatment begins.Read more →, Week 4, Week 8, Week 12).
From the trial registry
Built from these fields:
- outcomesModule.primaryOutcomes[].measure
- outcomesModule.primaryOutcomes[].timeFrame
Source: NCT07477431 on ClinicalTrials.gov. The full registry text is further down this page — this summary never replaces it.
Not medical advice. What do these terms mean?
What is being tested — in plain terms
About Levetiracetam (LEV)Drug
Levetiracetam 125mg capsules BID for 28-35 days
From the trial registry — its own words, unedited.
What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.
Read the full explanation → · in clinical review
About PlaceboOther
Placebo capsules BID for 28-35 days
From the trial registry — its own words, unedited.
What a other is here: An intervention the registry did not place in another category.
Read the full explanation → · in clinical review
Common questions
Answered from this trial’s registry record. Where the record doesn’t say, these answers say so rather than filling the gap.
Am I eligible for this trial?
Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part. Concord cannot make that determination, and neither can any tool that has not examined you.
What the study lists: an age range of 55 years to 85 years.
The full inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → and exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → are published on this page, exactly as the study team wrote them.
The useful next step is to bring this trial to your doctor. Answering a few questions first gives them something concrete to review.
From the trial registry
- eligibilityModule.minimumAge
- eligibilityModule.maximumAge
- eligibilityModule.eligibilityCriteria
Is there a placebo?
Yes. One group receives a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → — a dummy treatment with no active medicine in it — alongside the other treatment that group is given.
From the trial registry
- armsInterventionsModule.armGroups[].type
Would I know which treatment I am getting?
You, the study team, the people giving the treatment, and the people analysing the results would all be kept unaware of which group you are in until the study ends.
Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.
From the trial registry
- designModule.designInfo.maskingInfo.masking
- designModule.designInfo.allocation
Who can join?
The study lists an age range of 55 years to 85 years.
It is open to people of any sex.
It does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.
Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can confirm whether a particular person can take part.
From the trial registry
- eligibilityModule.minimumAge
- eligibilityModule.maximumAge
- eligibilityModule.sex
- eligibilityModule.healthyVolunteers
How long would this take?
The study's main measurement is taken over: Before and after each treatment phase (ScreeningScreeningThe checks done before joining, to see whether a study fits.Read more →/BaselineBaselineYour starting measurements, taken before treatment begins.Read more →, Week 4, Week 8, Week 12).
The study as a whole is currently expected to finish around 2028-02.
How long any one person takes part can differ from the study length. The study team can tell you what the schedule looks like in practice.
From the trial registry
- outcomesModule.primaryOutcomes[].timeFrame
- statusModule.completionDateStruct.date
How many people are taking part?
The study aims to enrol about 40 people.
From the trial registry
- designModule.enrollmentInfo.count
Where is this happening?
This study lists one location: Toronto, Ontario, Canada.
Sites can open and close during a study, so confirm with the team before travelling.
From the trial registry
- trial_locations
About This Trial
The goal of this clinical trial is to investigate whether very small doses of a drug called levetiracetam (LEV) may reduce elevated brain signaling in individuals who are at an increased risk for developing Alzheimer's Disease (AD). The study is looking for people who are currently performing within normal limits on memory testing but who have one or more of the following risk factors for developing AD: 1. People who feel like their memory is getting worse and who have a parent or sibling with Alzheimer's disease (dementia) 2. People with two copies of the APOE E4 gene 3. People who have tested positive for a biomarker of AD (e.g., blood p-tau test, brain amyloid PET scan) During the screening period, a functional MRI (fMRI) scan of the brain will identify those participants who have the increased brain signaling that the study is looking to treat. All participants will receive 4 weeks of treatment with LEV and 4 weeks of treatment with placebo (a sugar pill), but it will not be known what order they will receive them in. Participants will undergo cognitive testing, genetic testing, and several brain imaging scans as part of the study. This is a pilot study, meaning that it is being carried out for the first time in a small number of participants. If the results show that treatment with LEV appears to be more beneficial than placebo in normalizing brain signaling, a larger study may follow. This study is only being carried out in Toronto, Canada.
Think this trial might be right for you?
Complete a quick intake form and we will match you with this and other relevant trials based on your medical profile.
See if this trial could fit youThis page is for informational purposes only and does not constitute medical advice. Clinical trial eligibility can only be determined by the trial site after proper screening. Trial information is sourced from ClinicalTrials.gov and may not reflect the most current status. Always consult your healthcare provider before making decisions about clinical trial participation.