A Study of RO4602522 in Patients With Alzheimer Disease and in Healthy Volunteers
Primary Purpose
Healthy Volunteer, Alzheimer's Disease
Status
Completed
Phase
Phase 1
Locations
Sweden
Study Type
Interventional
Intervention
11C-L-deprenyl-D2
RO4602522
RO4602522
Sponsored by
About this trial
This is an interventional treatment trial for Healthy Volunteer, Alzheimer's Disease
Eligibility Criteria
Inclusion Criteria:
General:
- Adults between 50-80 years of age. Females must be of non-child-bearing potential or if of child-bearing potential must use an acceptable form of contraception
- Body mass index (BMI) 18.0-32.0 kg/m2 inclusive
Healthy volunteers:
- Healthy, with no clinically relevant finding on physical examination at screening and Day -1
- No suspicion of cognitive impairment/early dementia from neuropsychological battery as judged by the investigator
- Able to participate and willing to give informed consent, and comply with the study restrictions.
Alzheimer Disease (AD) patients:
- Probable Alzheimer's disease, based on the National Institute of Neurological and Communicative
- Disorders and Stroke (NINCDS/ADRDA) and DSM-IV criteria
- Have a MMSE score at screening between 17 and 26 inclusive
- Modified Hachinski Ischemia Scale score of </=4
- A neuroimaging evaluation of the brain by MRI which supports a diagnosis of AD, with no evidence of focal disease to account for dementia or MRI exclusion criteria
- Medications taken for symptomatic treatment of AD must be maintained on a stable dosage regimen for at least 1 month before Day 1.
- Able to participate in all scheduled evaluations
- The patient has an appropriate caregiver or community dwelling with caregiver capable of accompanying subject on all visits to the center as judged by the investigator.
- In the opinion of the investigator the patient and caregiver will be compliant and have a high probability of completing the study.
- Signed and dated written informed consent obtained from the patient, co-signed by the patient's closest relatives and legally authorized representative, as required by national law for patients that are incapable of giving informed consent.
Exclusion Criteria:
General:
- Any active disease of the gastrointestinal (GI) system, liver, or kidneys that could result in altered absorption, excess accumulation, or impaired metabolism or excretion of drugs, including a history of major upper or middle GI tract surgery or current significant chronic disease of the GI tract
- Clinically relevant abnormal history, physical findings, ECG, or laboratory values at the screening assessment
- History of cancer in the past five years, except for fully treated local basal carcinoma, or fully treated carcinoma in situ of cervix
- Any major illness occurring within 1 month prior to the screening examination or febrile illness within 5 days prior to first dose
- History of psychotropic medicine abuse
- At risk of suicide in the opinion of the investigator or having a Yes to question number 4 or 5 of the Suicidal Ideation section of the C-SSRS
- Administration of ionizing radiation or radioisotope for research, diagnostics test or therapy within 12 months prior to the present study which would exceed the local yearly radiation dose exposures for participation in research studies (except for dental x-rays, minimal plain films such as chest and ankle X-rays) or subjects who regularly work with ionizing radiation or radioactive material.
- Participation in a clinical study with an investigational drug within 3 months before screening
- Positive test for hepatitis B, hepatitis C, or HIV at screening
- Loss or donation of more than 450 mL blood in the 4 months before screening or donation of plasma within 14 days of screening.
- History of drug abuse or evidence of drug abuse in urine test performed at screening
- Current alcohol abuse, or regular intake of more than 2 units of alcohol daily
- Coffee (or tea) consumption > 5 cups per day or xanthine containing drinks >/1.5 liter/day
Healthy volunteers:
- Family history of Alzheimer's disease in 1st and 2nd degree relative under 75 years.
- Evidence or history of clinically significant neurological or psychiatric disorders.
AD Patients:
- Any neurological or psychiatric condition not specified in exceptions
- Previous immunization therapy for AD
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
RO4602522 Group 1
RO4602522 Group 2
Arm Description
Outcomes
Primary Outcome Measures
Change in monoamine oxidase (MAO-B) enzyme activity as measured by in vivo positron emission tomography (PET)
Pharmacokinetics: Plasma concentration of RO4602522
Secondary Outcome Measures
Reduction of 11C-L-deprenyl-D2 tracer uptake by in vivo positron emission tomography (PET)
Safety: incidence of adverse events
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01701089
Brief Title
A Study of RO4602522 in Patients With Alzheimer Disease and in Healthy Volunteers
Official Title
An Open-Label, Parallel Group Study to Assess the Inhibition of Brain MAO-B by RO4602522 After Repeated Dosing in Patients With Alzheimer's Disease and in Healthy Control Subjects
Study Type
Interventional
2. Study Status
Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
September 2012 (undefined)
Primary Completion Date
May 2013 (Actual)
Study Completion Date
May 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche
4. Oversight
5. Study Description
Brief Summary
This open-label, multiple dose, parallel group study will assess the monoamine oxidase in the brain by in vivo positron emission tomography (PET) and safety of RO4602522 in patients with Alzheimer disease and in healthy volunteers. Patients and volunteers will receive multiple doses of RO4602522 and up to three injections of C11-L-deprenyl-D2 used in the PET.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy Volunteer, Alzheimer's Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
17 (Actual)
8. Arms, Groups, and Interventions
Arm Title
RO4602522 Group 1
Arm Type
Experimental
Arm Title
RO4602522 Group 2
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
11C-L-deprenyl-D2
Intervention Description
Intravenous injection of 11C-L-deprenyl-D2 before positron emission tomography (PET); up to 3 injections in total
Intervention Type
Drug
Intervention Name(s)
RO4602522
Intervention Description
Multiple doses of RO4602522 for 14 days
Intervention Type
Drug
Intervention Name(s)
RO4602522
Intervention Description
Multiple doses of RO4602522 for up to 17 days
Primary Outcome Measure Information:
Title
Change in monoamine oxidase (MAO-B) enzyme activity as measured by in vivo positron emission tomography (PET)
Time Frame
Days 1, 14, and between days 15 and 34
Title
Pharmacokinetics: Plasma concentration of RO4602522
Time Frame
Days 1, 8, 14, and between Days 15 and 34
Secondary Outcome Measure Information:
Title
Reduction of 11C-L-deprenyl-D2 tracer uptake by in vivo positron emission tomography (PET)
Time Frame
Days 1, 14, and between days 15 and 34
Title
Safety: incidence of adverse events
Time Frame
35 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
General:
Adults between 50-80 years of age. Females must be of non-child-bearing potential or if of child-bearing potential must use an acceptable form of contraception
Body mass index (BMI) 18.0-32.0 kg/m2 inclusive
Healthy volunteers:
Healthy, with no clinically relevant finding on physical examination at screening and Day -1
No suspicion of cognitive impairment/early dementia from neuropsychological battery as judged by the investigator
Able to participate and willing to give informed consent, and comply with the study restrictions.
Alzheimer Disease (AD) patients:
Probable Alzheimer's disease, based on the National Institute of Neurological and Communicative
Disorders and Stroke (NINCDS/ADRDA) and DSM-IV criteria
Have a MMSE score at screening between 17 and 26 inclusive
Modified Hachinski Ischemia Scale score of </=4
A neuroimaging evaluation of the brain by MRI which supports a diagnosis of AD, with no evidence of focal disease to account for dementia or MRI exclusion criteria
Medications taken for symptomatic treatment of AD must be maintained on a stable dosage regimen for at least 1 month before Day 1.
Able to participate in all scheduled evaluations
The patient has an appropriate caregiver or community dwelling with caregiver capable of accompanying subject on all visits to the center as judged by the investigator.
In the opinion of the investigator the patient and caregiver will be compliant and have a high probability of completing the study.
Signed and dated written informed consent obtained from the patient, co-signed by the patient's closest relatives and legally authorized representative, as required by national law for patients that are incapable of giving informed consent.
Exclusion Criteria:
General:
Any active disease of the gastrointestinal (GI) system, liver, or kidneys that could result in altered absorption, excess accumulation, or impaired metabolism or excretion of drugs, including a history of major upper or middle GI tract surgery or current significant chronic disease of the GI tract
Clinically relevant abnormal history, physical findings, ECG, or laboratory values at the screening assessment
History of cancer in the past five years, except for fully treated local basal carcinoma, or fully treated carcinoma in situ of cervix
Any major illness occurring within 1 month prior to the screening examination or febrile illness within 5 days prior to first dose
History of psychotropic medicine abuse
At risk of suicide in the opinion of the investigator or having a Yes to question number 4 or 5 of the Suicidal Ideation section of the C-SSRS
Administration of ionizing radiation or radioisotope for research, diagnostics test or therapy within 12 months prior to the present study which would exceed the local yearly radiation dose exposures for participation in research studies (except for dental x-rays, minimal plain films such as chest and ankle X-rays) or subjects who regularly work with ionizing radiation or radioactive material.
Participation in a clinical study with an investigational drug within 3 months before screening
Positive test for hepatitis B, hepatitis C, or HIV at screening
Loss or donation of more than 450 mL blood in the 4 months before screening or donation of plasma within 14 days of screening.
History of drug abuse or evidence of drug abuse in urine test performed at screening
Current alcohol abuse, or regular intake of more than 2 units of alcohol daily
Coffee (or tea) consumption > 5 cups per day or xanthine containing drinks >/1.5 liter/day
Healthy volunteers:
Family history of Alzheimer's disease in 1st and 2nd degree relative under 75 years.
Evidence or history of clinically significant neurological or psychiatric disorders.
AD Patients:
Any neurological or psychiatric condition not specified in exceptions
Previous immunization therapy for AD
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
City
Stockholm
ZIP/Postal Code
141 86
Country
Sweden
12. IPD Sharing Statement
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A Study of RO4602522 in Patients With Alzheimer Disease and in Healthy Volunteers
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