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A Multiple Ascending Dose Study of COR388

Primary Purpose

Alzheimer Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
COR388
Placebo
Sponsored by
Cortexyme Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer Disease

Eligibility Criteria

55 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male or female subjects ≥55 years to ≤80 years of age, at the time of consent;
  • Males of reproductive potential must agree to use double-barrier contraceptive measures or avoid intercourse from the first dose of study drug through 90 days after the last dose of study drug.
  • Females of child-bearing potential must be non-lactating, have negative serum pregnancy test results at Screening and negative urine pregnancy test results at Day -1; agree to use double-barrier or hormonal contraceptive measures or avoid intercourse from Day -10 through 28 days after the last dose of study drug.
  • Stable doses of medications used for stable chronic illnesses that are not prohibited by the protocol are allowed as long as the dose has been stable for 30 days prior to Screening, and no changes are expected during participation in the study;
  • Body mass index ≥19 kg/m2 to ≤35 kg/m2 at Screening;
  • Good general health as determined by medical history, physical examination, laboratory reports, and 12-lead ECG prior to enrollment;
  • Non-smoker and non-tobacco user for a minimum of 6 months prior to the first admission and for the duration of the study;
  • Able to swallow capsules;
  • Fluent in, and able to read and comprehend, the English language;

Cohort 4 Only:

  • Must have probable AD according to the NINDS-ADRD criteria; and an MMSE-2 score ≥14 and ≤25;
  • Must have moderate to severe periodontitis according to the CDC-AAP criteria as determined by the study dentist during the screening oral examination;
  • If applicable, have a primary caregiver willing to accept responsibility for supervising the treatment (eg, administering study drug) and assessing the condition of the subject throughout the study in accordance with all protocol requirements.
  • Provide, if mentally competent and willing, written informed consent. If the subject is not able to provide written informed consent, written informed consent must be obtained from a legally authorized representative on the subject's behalf, and verbal assent may be obtained from the subject. In addition, if the subject has a caregiver, the caregiver will be required to provide written informed consent prior to the subject's participation in the study.

Exclusion Criteria:

  • History or current evidence of clinically significant arrhythmia, heart failure, or hypotension in the Investigator's judgment;
  • History or current evidence of clinically significant liver disease in the Investigator's judgment;
  • Evidence of renal insufficiency defined as an estimated glomerular filtration rate <50 mL/min/1.73m2 at Screening;
  • Subjects who received any treatment for periodontitis in the last 90 days including systemic or local antibiotics (eg, PerioChip®), scaling, root planing, or other surgical treatments;
  • Uncontrolled medical or psychiatric illness, uncontrolled seizure disorder, or history of major stroke;
  • Active, or recent history of, systemic infection within 30 days prior to Screening that required treatment with antibiotics for longer than 1 week;
  • History or current evidence of psychiatric or emotional problems that would invalidate giving informed consent or limit the ability of the subject to comply with study requirements;
  • History of systemic allergic reaction to any drug that is considered significant by the Investigator;
  • History of alcohol or drug abuse or dependence within 12 months of Screening, as determined by the Investigator;
  • Positive alcohol screen at Screening or on Day -1;
  • Positive urine screen for prohibited drugs
  • Positive blood screen for human immunodeficiency virus (1 and 2), hepatitis B surface antigen, or hepatitis C virus antibodies at Screening;
  • Any conditions that, in the opinion of the Investigator, would make the subject unsuitable for enrollment, could interfere with the subject's participation in or completion of the study, or could interfere with interpretation of study results;
  • Abnormal results of screening laboratory tests, ECG, or MRI of the brain deemed clinically significant by the Investigator;
  • The use of any prohibited medication that cannot be stopped or replaced safely, based on the judgment of the Investigator; or
  • Participation in another investigational new drug research study involving small molecule drugs within 30 days or biological drugs within 60 days prior to the first dose of study drug.

Sites / Locations

  • Pacific Research Network
  • Bioclinica Research
  • Medpace Clinical Pharmacology Unit

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

COR388

Placebo

Arm Description

Increasing doses of COR388 will be administered for 10 days in cohorts 1-3 and for 28 days in cohort 4.

Matching placebo capsules will be administered for 10 days in cohorts 1-3 and for 28 days in cohort 4.

Outcomes

Primary Outcome Measures

AUC
Area under the concentration-time curve
Cmax
Maximum observed drug concentration during a dosing interval
Tmax
Time to Cmax

Secondary Outcome Measures

Full Information

First Posted
January 26, 2018
Last Updated
November 5, 2018
Sponsor
Cortexyme Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03418688
Brief Title
A Multiple Ascending Dose Study of COR388
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Multiple Ascending Dose Study of COR388 in Older Healthy Volunteers and Patients With Alzheimer's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
November 2018
Overall Recruitment Status
Completed
Study Start Date
March 6, 2018 (Actual)
Primary Completion Date
October 15, 2018 (Actual)
Study Completion Date
October 15, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cortexyme Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The study is a randomized, double-blind, placebo-controlled, multiple ascending dose study to assess the safety and tolerability of ascending repeat doses of COR388 HCl in older healthy male and female subjects and a cohort of Alzheimer's disease subjects.
Detailed Description
The study will enroll 3 cohorts of 8 healthy subjects ≥55 and ≤80 years of age at the Clinical Pharmacology Unit (CPU) and 1 cohort of 12 AD subjects ≥55 and ≤80 years of age. Subjects in cohorts 1-3 will receive the study drug or placebo for 10 consecutive days while confined to the CPU. AD patients in cohort 4 will receive the study drug or placebo for 28 days as outpatient. Blood samples samples will be collected for pharmacokinetic measurements.

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
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
33 (Actual)

8. Arms, Groups, and Interventions

Arm Title
COR388
Arm Type
Active Comparator
Arm Description
Increasing doses of COR388 will be administered for 10 days in cohorts 1-3 and for 28 days in cohort 4.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebo capsules will be administered for 10 days in cohorts 1-3 and for 28 days in cohort 4.
Intervention Type
Drug
Intervention Name(s)
COR388
Other Intervention Name(s)
COR388 HCl
Intervention Description
COR388 administered for 10 or 28 days.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo administered for 10 or 28 days.
Primary Outcome Measure Information:
Title
AUC
Description
Area under the concentration-time curve
Time Frame
Day 1 and Day 10
Title
Cmax
Description
Maximum observed drug concentration during a dosing interval
Time Frame
Day 1 and Day 10
Title
Tmax
Description
Time to Cmax
Time Frame
Day 1 and Day 10

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female subjects ≥55 years to ≤80 years of age, at the time of consent; Males of reproductive potential must agree to use double-barrier contraceptive measures or avoid intercourse from the first dose of study drug through 90 days after the last dose of study drug. Females of child-bearing potential must be non-lactating, have negative serum pregnancy test results at Screening and negative urine pregnancy test results at Day -1; agree to use double-barrier or hormonal contraceptive measures or avoid intercourse from Day -10 through 28 days after the last dose of study drug. Stable doses of medications used for stable chronic illnesses that are not prohibited by the protocol are allowed as long as the dose has been stable for 30 days prior to Screening, and no changes are expected during participation in the study; Body mass index ≥19 kg/m2 to ≤35 kg/m2 at Screening; Good general health as determined by medical history, physical examination, laboratory reports, and 12-lead ECG prior to enrollment; Non-smoker and non-tobacco user for a minimum of 6 months prior to the first admission and for the duration of the study; Able to swallow capsules; Fluent in, and able to read and comprehend, the English language; Cohort 4 Only: Must have probable AD according to the NINDS-ADRD criteria; and an MMSE-2 score ≥14 and ≤25; Must have moderate to severe periodontitis according to the CDC-AAP criteria as determined by the study dentist during the screening oral examination; If applicable, have a primary caregiver willing to accept responsibility for supervising the treatment (eg, administering study drug) and assessing the condition of the subject throughout the study in accordance with all protocol requirements. Provide, if mentally competent and willing, written informed consent. If the subject is not able to provide written informed consent, written informed consent must be obtained from a legally authorized representative on the subject's behalf, and verbal assent may be obtained from the subject. In addition, if the subject has a caregiver, the caregiver will be required to provide written informed consent prior to the subject's participation in the study. Exclusion Criteria: History or current evidence of clinically significant arrhythmia, heart failure, or hypotension in the Investigator's judgment; History or current evidence of clinically significant liver disease in the Investigator's judgment; Evidence of renal insufficiency defined as an estimated glomerular filtration rate <50 mL/min/1.73m2 at Screening; Subjects who received any treatment for periodontitis in the last 90 days including systemic or local antibiotics (eg, PerioChip®), scaling, root planing, or other surgical treatments; Uncontrolled medical or psychiatric illness, uncontrolled seizure disorder, or history of major stroke; Active, or recent history of, systemic infection within 30 days prior to Screening that required treatment with antibiotics for longer than 1 week; History or current evidence of psychiatric or emotional problems that would invalidate giving informed consent or limit the ability of the subject to comply with study requirements; History of systemic allergic reaction to any drug that is considered significant by the Investigator; History of alcohol or drug abuse or dependence within 12 months of Screening, as determined by the Investigator; Positive alcohol screen at Screening or on Day -1; Positive urine screen for prohibited drugs Positive blood screen for human immunodeficiency virus (1 and 2), hepatitis B surface antigen, or hepatitis C virus antibodies at Screening; Any conditions that, in the opinion of the Investigator, would make the subject unsuitable for enrollment, could interfere with the subject's participation in or completion of the study, or could interfere with interpretation of study results; Abnormal results of screening laboratory tests, ECG, or MRI of the brain deemed clinically significant by the Investigator; The use of any prohibited medication that cannot be stopped or replaced safely, based on the judgment of the Investigator; or Participation in another investigational new drug research study involving small molecule drugs within 30 days or biological drugs within 60 days prior to the first dose of study drug.
Facility Information:
Facility Name
Pacific Research Network
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
Bioclinica Research
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Medpace Clinical Pharmacology Unit
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45227
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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A Multiple Ascending Dose Study of COR388

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