A Phase II Clinical Trial of Interleukin-2 (IL-2) in Patients With Mild to Moderate Alzheimer's Disease
The Methodist Hospital Research Institute
Summary
Neuroinflammation is a significant component of Alzheimer disease (AD). Our group recently demonstrated that regulatory T cells (Tregs) have a compromised phenotype and reduced suppressive function in AD patients, skewing the immune system toward a proinflammatory status and potentially contributing to disease progression. Low dose interleukin-2 (IL-2) is now viewed as a promising immunoregulatory drug with the capacity to selectively expand and restore functional Tregs. This study is a phase II, randomized, double-blind, placebo-controlled study to assess low dose IL-2 therapy in AD patients. Up to 40 Alzheimer's disease patients in the mild- to moderate clinical dementia stages (MMSE scores: 12-26) will be randomized to five-day-courses of subcutaneous IL-2 or placebo for a total of 6 months. We will evaluate the safety and tolerability of IL-2 treatment and the possible effects of IL-2 treatment on peripheral and central inflammation. The expected time participants will be in the study is 30 weeks.
Eligibility
- Age range
- 50–86 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. Diagnosis of probable Alzheimer disease according to National Institute on Aging-Alzheimer's Association (NIA-AA) criteria 2. Male or female age 50 to 86 years 3. MMSE between 12-26 4. Total bilirubin less than or equal to 1.5mg/dL 5. Alanine aminotransferase level (ALT) and aspartate aminotransferase (AST) less than or equal to two times normal, 6. Albumin greater than or equal to 3.0mg/dL 7. Serum creatinine less than or equal to 1.5 mg/dL 8. White Blood Count (WBC) \>3,500/mm3; platelets \>100,000/mm3; hematocrit (HCT) \>32%. 9. INR\<1.4 If on medications affecting c…
Interventions
- DrugInterleukin-2
Low dose Interleukin-2 (Aldesleukin) administration to expand Regulatory T cells
- DrugPlacebo
Placebo administration
Location
- Houston Methodist Research InstituteHouston, Texas