search
Back to results

A Phase I Study for Safety and Tolerability of AL002.

Primary Purpose

Healthy, Alzheimer Disease

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
AL002
Saline Solution
Sponsored by
Alector Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Healthy

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Total body weight between 50 and 120 kg, inclusive.
  2. Clinical laboratory evaluations (including chemistry panel fasted [fasted at least 8 hours], complete blood count (CBC), and urine analysis) within the reference range for the test laboratory, unless deemed not clinically significant by the Investigator. A count of the segmented neutrophils and bands should be performed when results from the white blood cells (WBCs) are not within the reference range.
  3. Negative test for selected drugs of abuse at screening (does not include alcohol) and at admission (testing at admission does include alcohol breath test). A positive result may be verified by re-testing (up to one false positive result permitted) and may be followed up at the discretion of the Investigator.
  4. Females must be non-pregnant and non-lactating, and either surgically sterile
  5. In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead electrocardiogram (ECG), laboratory tests, and vital signs.

For MD cohort

  1. Ages 50-85 years, inclusive.
  2. The participant should be capable of completing assessments alone, per local guidelines.
  3. Availability of a person ("study partner") who, in the Investigator's judgment, has frequent and sufficient contact with the participant and is able to provide accurate information regarding the participant's cognitive and functional abilities, agrees to provide information at clinic visits, which require partner input for scale completion, and signs the necessary consent form, per local guidelines.
  4. Clinical diagnosis of probable Alzheimer's disease dementia based on National Institute on Aging Alzheimer's Association criteria.

Exclusion Criteria:

  1. Pregnant or lactating, or intending to become pregnant within 16 weeks after last dose of study drug.
  2. Participation in a clinical trial within 30 days before randomization; use of any experimental oral therapy within 30 days or 5 half-lives prior to Day 1, whichever is greater; or use of any biologic therapy within 12 weeks or 5 half-lives prior to Day 1, whichever is greater. Participants who have received an experimental therapy that has no half-life, like a vaccine, should have completed that therapy at least 12 weeks prior to Day 1. Participants who have received an experimental vaccine against a central nervous system (CNS) target, such as beta-amyloid or tau, are not eligible for this study.
  3. Any non-experimental vaccine within 2 weeks of randomization, until 2 weeks after the last dose. It is advised that prospective participants receive their annual influenza vaccine as early as possible in advance of the flu season, and then wait 2 weeks prior to randomization. It is permitted to receive the annual influenza vaccine during the screening period.
  4. Surgery or hospitalization during the 4 weeks prior to screening.
  5. Planned procedure or surgery during the study.
  6. Systemically, clinically significantly immunocompromised patients, owing to continuing effects of immune suppressing medication.
  7. Known history of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric, human, or humanized antibodies or fusion proteins.
  8. Past history of seizures, with the exception of childhood febrile seizures.

Sites / Locations

  • Brain Matters Research
  • Compass Research - Orlando
  • Compass Research - The Villages
  • Columbia University
  • Nucleus Network Pty Ltd
  • University College London

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

AL002

Saline Solution

Arm Description

AL002 by intravenous (IV) infusion

placebo by intravenous (IV) infusion

Outcomes

Primary Outcome Measures

Evaluation of safety and tolerability of AL002 measured by number of subjects with adverse events and Dose Limiting Adverse Event (DLAEs)
Incidence of adverse events and dose limiting Adverse Events during the DLAE observation period and/or study treatment periods.

Secondary Outcome Measures

Pharmacokinetics (PK) of AL002
Serum and CSF concentration of AL002 at specified time points
Maximum plasma concentration (Cmax) for AL002
Evaluate Cmax for serum and CSF concentration of AL002 at specified time points
Area under the curve concentration (AUC) for AL002
Evaluate AUC for serum and CSF concentration of AL002 at specified time points

Full Information

First Posted
August 15, 2018
Last Updated
December 7, 2020
Sponsor
Alector Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT03635047
Brief Title
A Phase I Study for Safety and Tolerability of AL002.
Official Title
A Phase I Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of Single and Multiple Doses of AL002 in Healthy Participants and in Participants With Mild to Moderate Alzheimer's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
December 2020
Overall Recruitment Status
Completed
Study Start Date
November 12, 2018 (Actual)
Primary Completion Date
August 3, 2020 (Actual)
Study Completion Date
November 25, 2020 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
This is a multi-centre, randomized, double-blind, placebo-controlled, dose escalation first in human (FIH) study in healthy adults and in patients with mild to moderate Alzheimer's disease. The study is designed to systematically assess the safety (including immunogenicity) and tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of AL002.
Detailed Description
The study will be conducted in 2 phases: In the single ascending dose (SAD) phase up to approximately 56 healthy adult participants will be sequentially enrolled into up to approximately 9 cohorts In the multiple-dose (MD) phase, approximately 32 patients with mild to moderate Alzheimer's disease will be enrolled in three cohorts.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy, Alzheimer Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
69 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AL002
Arm Type
Active Comparator
Arm Description
AL002 by intravenous (IV) infusion
Arm Title
Saline Solution
Arm Type
Placebo Comparator
Arm Description
placebo by intravenous (IV) infusion
Intervention Type
Biological
Intervention Name(s)
AL002
Intervention Description
Single-doses of AL002 in up to 9 dose-escalating cohorts
Intervention Type
Other
Intervention Name(s)
Saline Solution
Intervention Description
Saline solution will be administered as a single infusion for each cohort in a ratio of 6 active and 2 placebo subjects for HV and 10 active and 2 placebo for patients
Primary Outcome Measure Information:
Title
Evaluation of safety and tolerability of AL002 measured by number of subjects with adverse events and Dose Limiting Adverse Event (DLAEs)
Description
Incidence of adverse events and dose limiting Adverse Events during the DLAE observation period and/or study treatment periods.
Time Frame
141 days
Secondary Outcome Measure Information:
Title
Pharmacokinetics (PK) of AL002
Description
Serum and CSF concentration of AL002 at specified time points
Time Frame
85 days
Title
Maximum plasma concentration (Cmax) for AL002
Description
Evaluate Cmax for serum and CSF concentration of AL002 at specified time points
Time Frame
85 days
Title
Area under the curve concentration (AUC) for AL002
Description
Evaluate AUC for serum and CSF concentration of AL002 at specified time points
Time Frame
85 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Total body weight between 50 and 120 kg, inclusive. Clinical laboratory evaluations (including chemistry panel fasted [fasted at least 8 hours], complete blood count (CBC), and urine analysis) within the reference range for the test laboratory, unless deemed not clinically significant by the Investigator. A count of the segmented neutrophils and bands should be performed when results from the white blood cells (WBCs) are not within the reference range. Negative test for selected drugs of abuse at screening (does not include alcohol) and at admission (testing at admission does include alcohol breath test). A positive result may be verified by re-testing (up to one false positive result permitted) and may be followed up at the discretion of the Investigator. Females must be non-pregnant and non-lactating, and either surgically sterile In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead electrocardiogram (ECG), laboratory tests, and vital signs. For MD cohort Ages 50-85 years, inclusive. The participant should be capable of completing assessments alone, per local guidelines. Availability of a person ("study partner") who, in the Investigator's judgment, has frequent and sufficient contact with the participant and is able to provide accurate information regarding the participant's cognitive and functional abilities, agrees to provide information at clinic visits, which require partner input for scale completion, and signs the necessary consent form, per local guidelines. Clinical diagnosis of probable Alzheimer's disease dementia based on National Institute on Aging Alzheimer's Association criteria. Exclusion Criteria: Pregnant or lactating, or intending to become pregnant within 16 weeks after last dose of study drug. Participation in a clinical trial within 30 days before randomization; use of any experimental oral therapy within 30 days or 5 half-lives prior to Day 1, whichever is greater; or use of any biologic therapy within 12 weeks or 5 half-lives prior to Day 1, whichever is greater. Participants who have received an experimental therapy that has no half-life, like a vaccine, should have completed that therapy at least 12 weeks prior to Day 1. Participants who have received an experimental vaccine against a central nervous system (CNS) target, such as beta-amyloid or tau, are not eligible for this study. Any non-experimental vaccine within 2 weeks of randomization, until 2 weeks after the last dose. It is advised that prospective participants receive their annual influenza vaccine as early as possible in advance of the flu season, and then wait 2 weeks prior to randomization. It is permitted to receive the annual influenza vaccine during the screening period. Surgery or hospitalization during the 4 weeks prior to screening. Planned procedure or surgery during the study. Systemically, clinically significantly immunocompromised patients, owing to continuing effects of immune suppressing medication. Known history of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric, human, or humanized antibodies or fusion proteins. Past history of seizures, with the exception of childhood febrile seizures.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert Paul, MD
Organizational Affiliation
Alector Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Brain Matters Research
City
Delray Beach
State/Province
Florida
ZIP/Postal Code
33445
Country
United States
Facility Name
Compass Research - Orlando
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Compass Research - The Villages
City
The Villages
State/Province
Florida
ZIP/Postal Code
32162
Country
United States
Facility Name
Columbia University
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
Nucleus Network Pty Ltd
City
Melbourne
Country
Australia
Facility Name
University College London
City
London
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

A Phase I Study for Safety and Tolerability of AL002.

We'll reach out to this number within 24 hrs