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Study of BHV-4157 in Alzheimer's Disease (T2 Protect AD)

Primary Purpose

Alzheimer Disease

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
troriluzole
Placebo oral capsule
Sponsored by
Biohaven Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer Disease

Eligibility Criteria

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

Key Inclusion Criteria:

  • Age 50 to 85 (inclusive) at screening
  • Diagnosed with probable Alzheimer's disease dementia: Core clinical criteria in accordance with NIA/Alzheimer's Association Guidelines.
  • Living in the community (includes assisted living facilities, but excludes long-term care nursing facilities).
  • Ambulatory, or able to walk with an assistive device, such as a cane or walker.
  • Participants must have a study partner who has frequent interaction with them (approximately >3-4 times per week), will be present for all clinic visits, and can assist in compliance with study procedures.
  • A brain MRI scan within 6 months of screening consistent with a diagnosis of Alzheimer's disease.
  • Participants should be treated with a stable dosage regimen of FDA-approved AD medications (acetylcholinesterase inhibitors (AchEI) and/or memantine) for at least 3 months prior to screening. Participants should be expected to remain on a stable dosage regimen of these medications for the duration of the trial.
  • Participants who are not being treated with FDA-approved AD medications at the time of screening, because they have contraindications to these medications, or because they have previously failed treatment with these medications, are also eligible for inclusion, if it is expected that they will not be treated with these medications for the duration of the trial.

Key Exclusion Criteria:

  • Hepatic impairment defined as Child-Pugh class of A or more severe liver impairment.
  • Other neurodegenerative diseases and causes of dementias, including Parkinson's disease and Huntington's disease, vascular dementia, CJD (Creutzfeldt-Jakob disease), LBD (Lewy Body dementia), PSP (Progressive Supranuclear Palsy), AIDS (Acquired Immunodeficiency Syndrome), or NPH (normal pressure hydrocephalus).
  • History of a major depressive episode within the past 6 months of screening.
  • Insulin-dependent diabetes or uncontrolled diabetes with HbA1c value >8.0 %.
  • Cancer or a malignant tumor within the past 3 years, except patients who underwent potentially curative therapy with no evidence of recurrence for >3 years. Patients with stable prostate cancer or non-melanoma skin cancers are not excluded.
  • Participation in another clinical trial for an investigational agent and having taken at least one dose of study medication, unless confirmed as having been on placebo, within 12 weeks prior to screening. The end of a previous investigational trial is defined as the date of the last dose of an investigational agent.

Sites / Locations

  • Xenoscience, Inc.
  • Barrow Neurological Institute
  • Banner Sun Health Research Institute
  • Neurology Center of North Orange County
  • University of California, San Diego
  • University of Southern California
  • SC3 Research Group - Pasadena
  • Geriatric and Adult Psychiatry
  • Yale University School of Medicine
  • Ki Health PARTNERS LLC DBA NEW ENGLAND INSTITUTE FOR CLINICAL RESEARCH
  • Brain Matters Research
  • University of Miami
  • USF Health Byrd Alzheimer's Institute
  • Northwestern University
  • Great Lakes Clinical Trials
  • Southern Illinois University
  • Indiana University
  • University of Iowa
  • University of Kentucky
  • Pennington Biomedical Research Center
  • Northern Light Acadia Hospital
  • Johns Hopkins University
  • University of Michigan, Ann Arbor
  • Michigan State University
  • Galen Research
  • Cleveland Clinic Lou Ruvo Center
  • Princeton Medical Institute
  • James J. Peters VAMC
  • Columbia University
  • University of Rochester Medical Center
  • SUNY Upstate Medical University Department of Geriatrics
  • Case Western Reserve University
  • Ohio State University
  • Tulsa Clinical Research
  • Oregon Health and Science University
  • Keystone Clinical Studies, LLC
  • University of Pittsburgh
  • Geisinger Medical Clinic
  • Abington Neurological Associates
  • Rhode Island Hospital
  • CBRI, Roper Hospital
  • Vanderbilt Memory & Alzheimer's Center
  • The Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases,University of Texas Health Science Center at San Antonio
  • University of Washington

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

BHV-4157

Placebo

Arm Description

troriluzole, 280 mg capsules, QD

matching 280 mg placebo capsules, QD

Outcomes

Primary Outcome Measures

The change in Alzheimers Disease Assessment Scale Cognitive Subscale (ADAS-Cog 11) from baseline to week 48 between the BHV-4157 treatment group and the placebo group
Alzheimer's Disease Assessment Scale Cognitive Subscale (ADAS-Cog 11) The ADAS-Cog 11 evaluates memory (word recall, word recognition), reasoning (following commands), language (naming, comprehension), orientation, ideational praxis (placing a letter in an envelope) and constructional praxis (copying geometric designs). Ratings of spoken language, language comprehension, word finding difficulty, and ability to remember test instructions are also obtained. The test is scored in terms of errors, with higher scores reflecting poorer performance and greater impairment. Scores can range from 0 (best) to 70 (worse).
The change in Clinical Dementia Rating-Sum of Boxes (CDR-Sum of boxes)
The Clinical Dementia Rating-Sum of Boxes evaluates cognition and everyday functioning incorporating both informant input and direct assessment of performance.

Secondary Outcome Measures

To evaluate the changes in MRI (Quarc bilateral hippocampal volume)
To evaluate the change in the Neuropsychiatric Inventory (NPI)
To evaluate the change in Activities of Daily Living (ADL)
To evaluate the change in Mini Mental Status Examination (MMSE)
To evaluate the overall safety and tolerability of BHV-4157.
This will be done by by assessing treatment related serious and non serious adverse events and adverse events.

Full Information

First Posted
July 23, 2018
Last Updated
January 19, 2023
Sponsor
Biohaven Pharmaceuticals, Inc.
Collaborators
Alzheimer's Disease Cooperative Study (ADCS)
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1. Study Identification

Unique Protocol Identification Number
NCT03605667
Brief Title
Study of BHV-4157 in Alzheimer's Disease
Acronym
T2 Protect AD
Official Title
A Phase 2 Randomized Double-Blind Placebo-Controlled Trial to Evaluate the Efficacy and Safety of BHV-4157 in Patients With Mild to Moderate Alzheimer's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
July 31, 2018 (Actual)
Primary Completion Date
December 15, 2020 (Actual)
Study Completion Date
December 23, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biohaven Pharmaceuticals, Inc.
Collaborators
Alzheimer's Disease Cooperative Study (ADCS)

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
Preclinical models suggest that riluzole, the active metabolite of BHV-4157, may protect from AD-related pathology and cognitive dysfunction. Titrated dose of BHV-4157 to 280 mg, or placebo, taken orally once daily. Duration of treatment is 48 weeks. There is also a screening period of up to 42 days; and a 4-week post-treatment observation period.

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 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
350 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BHV-4157
Arm Type
Experimental
Arm Description
troriluzole, 280 mg capsules, QD
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
matching 280 mg placebo capsules, QD
Intervention Type
Drug
Intervention Name(s)
troriluzole
Other Intervention Name(s)
BHV-4157
Intervention Description
Oral BHV-4157 will be given daily for up to 48 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo oral capsule
Intervention Description
Oral matching placebo will be given daily for up to 48 weeks
Primary Outcome Measure Information:
Title
The change in Alzheimers Disease Assessment Scale Cognitive Subscale (ADAS-Cog 11) from baseline to week 48 between the BHV-4157 treatment group and the placebo group
Description
Alzheimer's Disease Assessment Scale Cognitive Subscale (ADAS-Cog 11) The ADAS-Cog 11 evaluates memory (word recall, word recognition), reasoning (following commands), language (naming, comprehension), orientation, ideational praxis (placing a letter in an envelope) and constructional praxis (copying geometric designs). Ratings of spoken language, language comprehension, word finding difficulty, and ability to remember test instructions are also obtained. The test is scored in terms of errors, with higher scores reflecting poorer performance and greater impairment. Scores can range from 0 (best) to 70 (worse).
Time Frame
Baseline to Week 48
Title
The change in Clinical Dementia Rating-Sum of Boxes (CDR-Sum of boxes)
Description
The Clinical Dementia Rating-Sum of Boxes evaluates cognition and everyday functioning incorporating both informant input and direct assessment of performance.
Time Frame
Baseline to week 48
Secondary Outcome Measure Information:
Title
To evaluate the changes in MRI (Quarc bilateral hippocampal volume)
Time Frame
Measurement of change between co-registered Baseline and Week 48 MRI volume.
Title
To evaluate the change in the Neuropsychiatric Inventory (NPI)
Time Frame
Change is measured by decrease from Baseline to week 48. A higher score indicates worsening of symptoms.
Title
To evaluate the change in Activities of Daily Living (ADL)
Time Frame
Change is measured by decrease from Baseline to week 48. A higher score indicates a reduction in symptoms.
Title
To evaluate the change in Mini Mental Status Examination (MMSE)
Time Frame
Change is measured by the change from baseline to Week 48. A decrease in the MMSE indicates a worsening of symptoms.
Title
To evaluate the overall safety and tolerability of BHV-4157.
Description
This will be done by by assessing treatment related serious and non serious adverse events and adverse events.
Time Frame
Change from Baseline to Week 48 in BHV-4157 subjects compared with placebo.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Age 50 to 85 (inclusive) at screening Diagnosed with probable Alzheimer's disease dementia: Core clinical criteria in accordance with NIA/Alzheimer's Association Guidelines. Living in the community (includes assisted living facilities, but excludes long-term care nursing facilities). Ambulatory, or able to walk with an assistive device, such as a cane or walker. Participants must have a study partner who has frequent interaction with them (approximately >3-4 times per week), will be present for all clinic visits, and can assist in compliance with study procedures. A brain MRI scan within 6 months of screening consistent with a diagnosis of Alzheimer's disease. Participants should be treated with a stable dosage regimen of FDA-approved AD medications (acetylcholinesterase inhibitors (AchEI) and/or memantine) for at least 3 months prior to screening. Participants should be expected to remain on a stable dosage regimen of these medications for the duration of the trial. Participants who are not being treated with FDA-approved AD medications at the time of screening, because they have contraindications to these medications, or because they have previously failed treatment with these medications, are also eligible for inclusion, if it is expected that they will not be treated with these medications for the duration of the trial. Key Exclusion Criteria: Hepatic impairment defined as Child-Pugh class of A or more severe liver impairment. Other neurodegenerative diseases and causes of dementias, including Parkinson's disease and Huntington's disease, vascular dementia, CJD (Creutzfeldt-Jakob disease), LBD (Lewy Body dementia), PSP (Progressive Supranuclear Palsy), AIDS (Acquired Immunodeficiency Syndrome), or NPH (normal pressure hydrocephalus). History of a major depressive episode within the past 6 months of screening. Insulin-dependent diabetes or uncontrolled diabetes with HbA1c value >8.0 %. Cancer or a malignant tumor within the past 3 years, except patients who underwent potentially curative therapy with no evidence of recurrence for >3 years. Patients with stable prostate cancer or non-melanoma skin cancers are not excluded. Participation in another clinical trial for an investigational agent and having taken at least one dose of study medication, unless confirmed as having been on placebo, within 12 weeks prior to screening. The end of a previous investigational trial is defined as the date of the last dose of an investigational agent.
Facility Information:
Facility Name
Xenoscience, Inc.
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85004
Country
United States
Facility Name
Barrow Neurological Institute
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85013
Country
United States
Facility Name
Banner Sun Health Research Institute
City
Sun City
State/Province
Arizona
ZIP/Postal Code
85351
Country
United States
Facility Name
Neurology Center of North Orange County
City
Fullerton
State/Province
California
ZIP/Postal Code
92835
Country
United States
Facility Name
University of California, San Diego
City
La Jolla
State/Province
California
ZIP/Postal Code
92037
Country
United States
Facility Name
University of Southern California
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Facility Name
SC3 Research Group - Pasadena
City
Pasadena
State/Province
California
ZIP/Postal Code
91105
Country
United States
Facility Name
Geriatric and Adult Psychiatry
City
Hamden
State/Province
Connecticut
ZIP/Postal Code
06518
Country
United States
Facility Name
Yale University School of Medicine
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06510
Country
United States
Facility Name
Ki Health PARTNERS LLC DBA NEW ENGLAND INSTITUTE FOR CLINICAL RESEARCH
City
Stamford
State/Province
Connecticut
ZIP/Postal Code
06905
Country
United States
Facility Name
Brain Matters Research
City
Delray Beach
State/Province
Florida
ZIP/Postal Code
33445
Country
United States
Facility Name
University of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
USF Health Byrd Alzheimer's Institute
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
Facility Name
Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Great Lakes Clinical Trials
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60640
Country
United States
Facility Name
Southern Illinois University
City
Springfield
State/Province
Illinois
ZIP/Postal Code
62702
Country
United States
Facility Name
Indiana University
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
University of Iowa
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Facility Name
University of Kentucky
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40504
Country
United States
Facility Name
Pennington Biomedical Research Center
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70808
Country
United States
Facility Name
Northern Light Acadia Hospital
City
Bangor
State/Province
Maine
ZIP/Postal Code
04401
Country
United States
Facility Name
Johns Hopkins University
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21224
Country
United States
Facility Name
University of Michigan, Ann Arbor
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48105
Country
United States
Facility Name
Michigan State University
City
East Lansing
State/Province
Michigan
ZIP/Postal Code
48824
Country
United States
Facility Name
Galen Research
City
Chesterfield
State/Province
Missouri
ZIP/Postal Code
63005
Country
United States
Facility Name
Cleveland Clinic Lou Ruvo Center
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89106
Country
United States
Facility Name
Princeton Medical Institute
City
Princeton
State/Province
New Jersey
ZIP/Postal Code
08540
Country
United States
Facility Name
James J. Peters VAMC
City
Bronx
State/Province
New York
ZIP/Postal Code
10468
Country
United States
Facility Name
Columbia University
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
University of Rochester Medical Center
City
Rochester
State/Province
New York
ZIP/Postal Code
14620
Country
United States
Facility Name
SUNY Upstate Medical University Department of Geriatrics
City
Syracuse
State/Province
New York
ZIP/Postal Code
13202
Country
United States
Facility Name
Case Western Reserve University
City
Beachwood
State/Province
Ohio
ZIP/Postal Code
44122
Country
United States
Facility Name
Ohio State University
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Facility Name
Tulsa Clinical Research
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74104
Country
United States
Facility Name
Oregon Health and Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
Keystone Clinical Studies, LLC
City
Norristown
State/Province
Pennsylvania
ZIP/Postal Code
19403
Country
United States
Facility Name
University of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
Geisinger Medical Clinic
City
Wilkes-Barre
State/Province
Pennsylvania
ZIP/Postal Code
18711
Country
United States
Facility Name
Abington Neurological Associates
City
Willow Grove
State/Province
Pennsylvania
ZIP/Postal Code
19090
Country
United States
Facility Name
Rhode Island Hospital
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02903
Country
United States
Facility Name
CBRI, Roper Hospital
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29401
Country
United States
Facility Name
Vanderbilt Memory & Alzheimer's Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37212
Country
United States
Facility Name
The Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases,University of Texas Health Science Center at San Antonio
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229-3900
Country
United States
Facility Name
University of Washington
City
Seattle
State/Province
Washington
ZIP/Postal Code
98108
Country
United States

12. IPD Sharing Statement

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Study of BHV-4157 in Alzheimer's Disease

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