Study to Evaluate the Safety and Tolerability of a New Drug Named Lu AF20513 in Patients With Mild Alzheimer's Disease
Primary Purpose
Alzheimer Disease
Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Lu AF20513, low dose
Lu AF20513, medium dose
Lu AF20513, high dose
Lu AF20513, double high dose
Sponsored by
About this trial
This is an interventional treatment trial for Alzheimer Disease
Eligibility Criteria
Main Inclusion Criteria:
- The patient has a diagnosis of probable Alzheimer's Disease (AD) consistent with the National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) criteria
- The patient has a pattern of antibodies in cerebrospinal fluid (CSF) consistent with an amyloid plaque load
- The patient is a man or a woman, and between ≥60 and ≤85 years of age
- The patient has an MRI (performed within 3 months before screening) with results consistent with the diagnosis of probable AD
- The patient has a mild severity of dementia
- The patient has a knowledgeable and reliable caregiver who will be available and able to: accompany the patient to all clinical visits, monitor IRE after each immunization, and participate with the patient at all phone visits during the study AD
- Patients must have completed Part A before being eligible for continued immunisations in Part B
Main Exclusion Criteria:
- The patient has evidence of mixed etiology of dementia (i.e. absence of other neurodegenerative, neuroinflammatory or cerebrovascular disease, or another neurological, mental or systemic disease or condition likely contributing to cognitive decline)
- The patient has clinical and radiological findings that fulfil the standards of the National Institute of Neurological Disorders and Stroke and Association Internationale pour la Recherché et l'Enseignement en Neurosciences (NINDS-AIREN) criteria for vascular dementia
- The patient has a Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision (DSM-5-TR) Axis I disorder other than AD; including amnestic disorders, delirium, schizophrenia or schizoaffective disorder, bipolar disorder, current major depressive episode, psychosis, panic, post-traumatic stress disorder and/or cognitive disorder not otherwise specified, (note: patients may be included if treated with a stable dose of antidepressants for at least 2 months and not fulfilling DSM-5-TR criteria for depression at Screening)
- The patient's eligibility MRI scan (1.5T) shows findings that correspond to more than 4 brain micro haemorrhages
- The patient has extensive white matter lesions as shown on the screening MRI scan (1.5T)
Other protocol-defined inclusion and exclusion criteria do apply
Sites / Locations
- AT001
- FI001
- SE002
- SE003
- SE001
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
Lu AF20513, low dose (Cohort 1)
Lu AF20513, medium dose (Cohort 2)
Lu AF20513, high dose (Cohort 3)
Lu AF20513, double high dose (Cohort 4)
Arm Description
10 Patients with mild Alzheimer's.
10 Patients with mild Alzheimer's.
15 Patients with mild Alzheimer's.
15 Patients with mild Alzheimer's.
Outcomes
Primary Outcome Measures
Safety and tolerability assessed by composite outcome measure consisting of absolute values and changes from baseline in: adverse events, clinical safety laboratory tests, vital signs
ECGs, physical and neurological examination, suicidality assessment, Immunisation-Related Events (IRE) (selected from Brighton Collaboration guidelines) and magnetic resonance imaging (MRI) safety scans
Antibody titre
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02388152
Brief Title
Study to Evaluate the Safety and Tolerability of a New Drug Named Lu AF20513 in Patients With Mild Alzheimer's Disease
Official Title
Interventional, Open-label, Multiple-immunization Extension Study on the Safety, Tolerability and Immunogenicity of Lu AF20513/Adjuvant in Patients With Alzheimer's Disease
Study Type
Interventional
2. Study Status
Record Verification Date
November 2019
Overall Recruitment Status
Terminated
Why Stopped
New data: The study was terminated based on new efficacy data from another study
Study Start Date
March 2015 (undefined)
Primary Completion Date
July 4, 2019 (Actual)
Study Completion Date
July 4, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
H. Lundbeck A/S
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to determine if multiple immunizations with Lu AF20513 is tolerable and safe in patients with mild Alzheimer's disease.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
50 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Lu AF20513, low dose (Cohort 1)
Arm Type
Experimental
Arm Description
10 Patients with mild Alzheimer's.
Arm Title
Lu AF20513, medium dose (Cohort 2)
Arm Type
Experimental
Arm Description
10 Patients with mild Alzheimer's.
Arm Title
Lu AF20513, high dose (Cohort 3)
Arm Type
Experimental
Arm Description
15 Patients with mild Alzheimer's.
Arm Title
Lu AF20513, double high dose (Cohort 4)
Arm Type
Experimental
Arm Description
15 Patients with mild Alzheimer's.
Intervention Type
Drug
Intervention Name(s)
Lu AF20513, low dose
Intervention Type
Drug
Intervention Name(s)
Lu AF20513, medium dose
Intervention Type
Drug
Intervention Name(s)
Lu AF20513, high dose
Intervention Type
Drug
Intervention Name(s)
Lu AF20513, double high dose
Primary Outcome Measure Information:
Title
Safety and tolerability assessed by composite outcome measure consisting of absolute values and changes from baseline in: adverse events, clinical safety laboratory tests, vital signs
Description
ECGs, physical and neurological examination, suicidality assessment, Immunisation-Related Events (IRE) (selected from Brighton Collaboration guidelines) and magnetic resonance imaging (MRI) safety scans
Time Frame
Baseline to week 96
Title
Antibody titre
Time Frame
Baseline to week 96
10. Eligibility
Sex
All
Minimum Age & Unit of Time
60 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Main Inclusion Criteria:
The patient has a diagnosis of probable Alzheimer's Disease (AD) consistent with the National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) criteria
The patient has a pattern of antibodies in cerebrospinal fluid (CSF) consistent with an amyloid plaque load
The patient is a man or a woman, and between ≥60 and ≤85 years of age
The patient has an MRI (performed within 3 months before screening) with results consistent with the diagnosis of probable AD
The patient has a mild severity of dementia
The patient has a knowledgeable and reliable caregiver who will be available and able to: accompany the patient to all clinical visits, monitor IRE after each immunization, and participate with the patient at all phone visits during the study AD
Patients must have completed Part A before being eligible for continued immunisations in Part B
Main Exclusion Criteria:
The patient has evidence of mixed etiology of dementia (i.e. absence of other neurodegenerative, neuroinflammatory or cerebrovascular disease, or another neurological, mental or systemic disease or condition likely contributing to cognitive decline)
The patient has clinical and radiological findings that fulfil the standards of the National Institute of Neurological Disorders and Stroke and Association Internationale pour la Recherché et l'Enseignement en Neurosciences (NINDS-AIREN) criteria for vascular dementia
The patient has a Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision (DSM-5-TR) Axis I disorder other than AD; including amnestic disorders, delirium, schizophrenia or schizoaffective disorder, bipolar disorder, current major depressive episode, psychosis, panic, post-traumatic stress disorder and/or cognitive disorder not otherwise specified, (note: patients may be included if treated with a stable dose of antidepressants for at least 2 months and not fulfilling DSM-5-TR criteria for depression at Screening)
The patient's eligibility MRI scan (1.5T) shows findings that correspond to more than 4 brain micro haemorrhages
The patient has extensive white matter lesions as shown on the screening MRI scan (1.5T)
Other protocol-defined inclusion and exclusion criteria do apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Email contact via H. Lundbeck A/S
Organizational Affiliation
LundbeckClinicalTrials@lundbeck.com
Official's Role
Study Director
Facility Information:
Facility Name
AT001
City
Wien
Country
Austria
Facility Name
FI001
City
Turku
Country
Finland
Facility Name
SE002
City
Malmö
Country
Sweden
Facility Name
SE003
City
Mölndal
Country
Sweden
Facility Name
SE001
City
Stockholm
Country
Sweden
12. IPD Sharing Statement
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Study to Evaluate the Safety and Tolerability of a New Drug Named Lu AF20513 in Patients With Mild Alzheimer's Disease
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