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Safety Study of HPP854 in Subjects With Mild Cognitive Impairment or a Diagnosis of Mild Alzheimer's Disease

Primary Purpose

Mild Alzheimer's Disease, Mild Cognitive Impairment

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
HPP854
Placebo
Sponsored by
High Point Pharmaceuticals, LLC.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mild Alzheimer's Disease

Eligibility Criteria

50 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Medical history for at least 6 months prior to screening of mild cognitive impairment with a Mini Mental State Exam (MMSE) score between 20 and 26 or diagnosis of mild Alzheimer's disease;
  • Must be able to swallow dose of study medication;
  • Body Mass Index (BMI) between 18.0 and 35.0; and
  • Subject and Project Partner are willing to participate and agree to comply with all study requirements.

Exclusion Criteria:

  • Blood pressure > 160 mmHg (systolic) and > 90 mmHg (diastolic);
  • Received HPP854 in a previous trial;
  • Participation in another clinical trial involving any marketed or investigational drug within 30 days of screening and until after the final study visit.
  • Current evidence or history within the last 3 years of a neurological or psychiatric illness that could contribute to dementia including but not limited to: anxiety, epilepsy, focal brain lesion, Parkinson's disease, seizure disorder, or head injury with loss of consciousness and alcohol or substance abuse;
  • Clinically significant cardiovascular, cerebrovascular disease, diabetic condition, hematologic, renal hepatic, pulmonary, endocrine, neurological, coagulation disorder;
  • History or presence of cancer except for non melanoma skin cancer. Subjects with a history of prostate cancer stable for > 3 yrs with no active treatment for > 3 years prior to Screening may be considered for eligibility;
  • Use of the following medications/therapy from 14 days before dosing until after the Final Visit: anti-cholinergic, tricyclic antidepressants, lithium, typical or atypical antipsychotic medications, anticonvulsant medications, immunosuppressive agents, oral corticosteroids, and radiotherapy;
  • HbA1C > 6.5 % at the Screening Visit;
  • Vitamin B12 level < 211 pg/mL at the Screening Visit;
  • Any suicidal risk determined by C-SSRS administered by a study staff member appropriately certified for administration of the scale (Baseline/Screening, Phase 1 Study Version) at Screening Visit, Day -6 or Day -1;
  • A score of 15 or more on the modified Geriatric Depression Scale (GDS); and
  • A score of 5 or more on the Hashinski Ischemic Scale (Rosen modification.
  • Contraindications of MRI including: Metallic fragments, clips or devices in the brain, eye, spinal canal, etc; Cardiac pacemakers, insulin pumps, neurostimulators, cochlear implants, etc.
  • Contraindications for blood or CSF sampling, including: Bleeding disorder or taking anticoagulants/antiplatelet, chronic active infection.

Sites / Locations

  • Elite Research Institute
  • Duke Clinical Research Unit
  • High Point Clinical Trials Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

HPP854

Placebo

Arm Description

Oral HPP854 once a day for 28 days.

Oral, placebo once a day for 28 days.

Outcomes

Primary Outcome Measures

Number of Participant Adverse Events

Secondary Outcome Measures

Evaluation of participant plasma HPP854 concentrations
Change in cerebrospinal fluid concentration of Amyloid-Beta

Full Information

First Posted
November 10, 2011
Last Updated
August 29, 2012
Sponsor
High Point Pharmaceuticals, LLC.
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1. Study Identification

Unique Protocol Identification Number
NCT01482013
Brief Title
Safety Study of HPP854 in Subjects With Mild Cognitive Impairment or a Diagnosis of Mild Alzheimer's Disease
Official Title
A Double-blind, Randomized, Placebo-controlled, Phase I , Multiple-dose Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Orally-administered HPP854 in Subjects With Mild Cognitive Impairment or a Diagnosis of Mild Alzheimer's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
August 2012
Overall Recruitment Status
Terminated
Study Start Date
October 2011 (undefined)
Primary Completion Date
March 2012 (Actual)
Study Completion Date
March 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
High Point Pharmaceuticals, LLC.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a safety and tolerability study investigating the effect of HPP854 in subjects with mild cognitive impairment or a diagnosis of mild Alzheimer's disease. The study will assess the pharmacokinetic and pharmacodynamic relationships of HPP854 in plasma, pharmacodynamic relationship in cerebral spinal fluid and plasma concentration profiles for Amyloid-Beta.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mild Alzheimer's Disease, Mild Cognitive Impairment

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
7 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HPP854
Arm Type
Experimental
Arm Description
Oral HPP854 once a day for 28 days.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Oral, placebo once a day for 28 days.
Intervention Type
Drug
Intervention Name(s)
HPP854
Intervention Description
Oral, once a day for 28 days.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Oral, once a day for 28 days.
Primary Outcome Measure Information:
Title
Number of Participant Adverse Events
Time Frame
Day 1 to Day 30
Secondary Outcome Measure Information:
Title
Evaluation of participant plasma HPP854 concentrations
Time Frame
Day 1 to Day 30
Title
Change in cerebrospinal fluid concentration of Amyloid-Beta
Time Frame
Day -6 to Day 35

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Medical history for at least 6 months prior to screening of mild cognitive impairment with a Mini Mental State Exam (MMSE) score between 20 and 26 or diagnosis of mild Alzheimer's disease; Must be able to swallow dose of study medication; Body Mass Index (BMI) between 18.0 and 35.0; and Subject and Project Partner are willing to participate and agree to comply with all study requirements. Exclusion Criteria: Blood pressure > 160 mmHg (systolic) and > 90 mmHg (diastolic); Received HPP854 in a previous trial; Participation in another clinical trial involving any marketed or investigational drug within 30 days of screening and until after the final study visit. Current evidence or history within the last 3 years of a neurological or psychiatric illness that could contribute to dementia including but not limited to: anxiety, epilepsy, focal brain lesion, Parkinson's disease, seizure disorder, or head injury with loss of consciousness and alcohol or substance abuse; Clinically significant cardiovascular, cerebrovascular disease, diabetic condition, hematologic, renal hepatic, pulmonary, endocrine, neurological, coagulation disorder; History or presence of cancer except for non melanoma skin cancer. Subjects with a history of prostate cancer stable for > 3 yrs with no active treatment for > 3 years prior to Screening may be considered for eligibility; Use of the following medications/therapy from 14 days before dosing until after the Final Visit: anti-cholinergic, tricyclic antidepressants, lithium, typical or atypical antipsychotic medications, anticonvulsant medications, immunosuppressive agents, oral corticosteroids, and radiotherapy; HbA1C > 6.5 % at the Screening Visit; Vitamin B12 level < 211 pg/mL at the Screening Visit; Any suicidal risk determined by C-SSRS administered by a study staff member appropriately certified for administration of the scale (Baseline/Screening, Phase 1 Study Version) at Screening Visit, Day -6 or Day -1; A score of 15 or more on the modified Geriatric Depression Scale (GDS); and A score of 5 or more on the Hashinski Ischemic Scale (Rosen modification. Contraindications of MRI including: Metallic fragments, clips or devices in the brain, eye, spinal canal, etc; Cardiac pacemakers, insulin pumps, neurostimulators, cochlear implants, etc. Contraindications for blood or CSF sampling, including: Bleeding disorder or taking anticoagulants/antiplatelet, chronic active infection.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert Hernandez, Ph.D.
Organizational Affiliation
High Point Pharmaceuticals, LLC.
Official's Role
Study Director
Facility Information:
Facility Name
Elite Research Institute
City
Miami
State/Province
Florida
ZIP/Postal Code
33169
Country
United States
Facility Name
Duke Clinical Research Unit
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
High Point Clinical Trials Center
City
High Point
State/Province
North Carolina
ZIP/Postal Code
27265
Country
United States

12. IPD Sharing Statement

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Safety Study of HPP854 in Subjects With Mild Cognitive Impairment or a Diagnosis of Mild Alzheimer's Disease

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