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First in Human Study for Safety and Tolerability of AL003.

Primary Purpose

Healthy, Alzheimer Disease

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
AL003
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 [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 (dose not include alcohol) and 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, using double barrier method or abstinence.
  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
  • Charter Research
  • PPD Clinical Research Unit
  • Synexus AES
  • Columbia University
  • Nucleus Network

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

AL003 by intravenous (IV) infusion

Placebo by intravenous (IV) infusion

Arm Description

Single-doses of AL003 in dose-escalating cohorts Multiple doses of AL003 in single cohort

Matching saline solution will be administered for placebo subjects

Outcomes

Primary Outcome Measures

Evaluation of safety and tolerability of AL003 measured by number of subjects with adverse events and dose limiting adverse events (DLAE)
Incidence of adverse events during the treatment and follow up periods through out the study.

Secondary Outcome Measures

Pharmacokinetics (PK) of AL003
Serum and CSF concentration of AL003 at specific time points
Maximum concentration (Cmax) for AL003
Evaluate Cmax for serum and CSF concentration of AL003 at specified time points
Area under the curve concentration (AUC) for AL003
Evaluate AUC for serum and CSF concentration of AL003 at specified time points

Full Information

First Posted
January 28, 2019
Last Updated
September 15, 2021
Sponsor
Alector Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03822208
Brief Title
First in Human Study for Safety and Tolerability of AL003.
Official Title
A Phase I Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of Single and Multiple Doses of AL003 in Healthy Participants and in Participants With Mild to Moderate Alzheimer's Disease.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Completed
Study Start Date
March 29, 2019 (Actual)
Primary Completion Date
May 6, 2021 (Actual)
Study Completion Date
May 6, 2021 (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-center, 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 AL003.
Detailed Description
The study will be conducted in 2 phases: In the single ascending dose (SAD) phase, up to approximately 42 healthy adult participants will be sequentially enrolled into up to approximately 7 cohorts. In the multiple-dose (MD) phase, approximately 12 patients with mild to moderate Alzheimer's disease will be enrolled in one cohort.

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
54 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AL003 by intravenous (IV) infusion
Arm Type
Active Comparator
Arm Description
Single-doses of AL003 in dose-escalating cohorts Multiple doses of AL003 in single cohort
Arm Title
Placebo by intravenous (IV) infusion
Arm Type
Placebo Comparator
Arm Description
Matching saline solution will be administered for placebo subjects
Intervention Type
Biological
Intervention Name(s)
AL003
Intervention Description
Single-doses of AL003 in dose-escalating cohorts Multiple doses of AL003 in a single cohort
Intervention Type
Other
Intervention Name(s)
Saline Solution
Intervention Description
Saline Solution will be administered as a single infusion for each dose escalation cohort in a ratio of 6 active and 2 placebo and as multiple infusions in the single cohort in a ratio of 10 active and 2 placebo
Primary Outcome Measure Information:
Title
Evaluation of safety and tolerability of AL003 measured by number of subjects with adverse events and dose limiting adverse events (DLAE)
Description
Incidence of adverse events during the treatment and follow up periods through out the study.
Time Frame
141 days
Secondary Outcome Measure Information:
Title
Pharmacokinetics (PK) of AL003
Description
Serum and CSF concentration of AL003 at specific time points
Time Frame
85 days
Title
Maximum concentration (Cmax) for AL003
Description
Evaluate Cmax for serum and CSF concentration of AL003 at specified time points
Time Frame
85 days
Title
Area under the curve concentration (AUC) for AL003
Description
Evaluate AUC for serum and CSF concentration of AL003 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 [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 (dose not include alcohol) and 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, using double barrier method or abstinence. 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
Charter Research
City
Lady Lake
State/Province
Florida
ZIP/Postal Code
32159
Country
United States
Facility Name
PPD Clinical Research Unit
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Synexus AES
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
City
Melbourne
Country
Australia

12. IPD Sharing Statement

Plan to Share IPD
Yes

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First in Human Study for Safety and Tolerability of AL003.

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