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MW150 Stress Kinase Inhibitor in Mild to Moderate Alzheimer's Disease (SKI-AD)

Primary Purpose

Alzheimer Disease

Status
Not yet recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
MW150
Placebo
Sponsored by
Neurokine Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer Disease focused on measuring p38alphaMAPK; dementia

Eligibility Criteria

50 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Signed informed consent from subject (or legally authorized representative, LAR) and study partner.
  2. Male or female, age 50 to 90 inclusive.
  3. Have a study partner who is able to accompany the subject, has frequent contact with subject.
  4. Meet criteria for Alzheimer's Disease by NIAA-AA criteria.
  5. Must speak English fluently.
  6. Must have education of at least 8 years.
  7. Must have adequate hearing and visual abilities.
  8. MMSE score of 14 to 28.
  9. Clinical Dementia Rating (CDR) Global score of 0.5 to 2.0 inclusive.
  10. Absence of suicidal ideation for at least 1 year.
  11. Absence of medical conditions that could affect ability to participate in study.
  12. MRI within 1 year of screening, not showing clinically significant structural lesions. Subjects without available MRI within 1 year, must have an MRI performed for eligibility.
  13. Stable neuropsychiatric medications for at least 2 months prior to screening.
  14. If female, must not be of childbearing potential, as defined by being postmenopausal (more than 1 year without periods) or surgically sterile for at least 6 months prior to screening.
  15. If male, must agree to use contraception if with a potentially childbearing partner.

Exclusion Criteria:

  1. Presence of clinically significant disorders of the central nervous system other than Alzheimer's disease, such as Lewy Body Disease, Parkinson's disease, hydrocephalus, epilepsy, demyelinating disease, brain tumors, or psychiatric disorders (such as schizophrenia, or severe affective disorders).
  2. Serious or unstable hematologic, hepatic, renal, pulmonary, cardiac, or other medical disease.
  3. Abnormal liver function tests (ALT or AST) or creatine kinase (CK) upon repeat testing.
  4. Chronic hepatitis B or C infection, indicated by positive HBSAg, or HCV-Ab with HCV RNA presence.
  5. Known history of human immunodeficiency virus (HIV) infection.
  6. Known immune disorder that has a history of requiring treatment with immunosuppressive drugs within the past 1 year.
  7. Have a drug or alcohol abuse within 12 months prior to screening.
  8. Clinically significant laboratory abnormalities at screening.
  9. Screening ECG showing repeated QTcF > 480 msec, or other clinically significant ECG abnormalities.
  10. Clinically significant structural brain abnormalities, such as hydrocephalus or intra-axial brain tumors.
  11. Participation in another investigational study within 30 days or 5 half-lives prior to screening, whichever is greater.
  12. Participation in another study that would have cognitive testing during the duration of this study.
  13. History of Covid19 or other viral infections within 3 months.
  14. Have a clinically significant medical, surgical, laboratory, or behavioral abnormality, which in the judgment of the Investigator makes the subject unsuitable for the study.

Sites / Locations

  • Columbia University Irving Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

10mg MW150 daily

placebo daily

Arm Description

10 mg MW150 daily (1 capsule of 10 mg daily)

placebo daily (1 capsule of matched placebo daily)

Outcomes

Primary Outcome Measures

Drug Safety- Blood tests
Number of participants with treatment-related adverse events as assessed by laboratory test abnormalities.
Drug Safety- Electrocardiographic
Number of participants with emergent abnormal electrocardiograms.
Drug Safety- C-SSRS
Development of any suicidality on COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS) score (minimum 0, no maximum, higher number worse).
Drug Tolerability- Adverse events
Incidence of adverse events (AE).

Secondary Outcome Measures

Cognitive change-MMSE
Change in MiniMental State Examination (MMSE) score (0-30, higher score better).
Cognitive change-ADAScog
Change in Alzheimer's Disease Assessment Scale (ADAScog) score (0-70, higher score worse).
Cognitive change-Executive
Change in Trails A (0 - 150 sec) and Trails B test scores (0-300 sec), higher scores worse.
Cognitive change-Language
Change in Verbal Fluency tests for animals and letters (both minimum 0, no maximum, higher scores better).
Functional performance- ADCS-ADL
Change in Alzheimers Disease Cooperative Study Activities of Daily Living (ADCS-ADL) scale (0 - 78, higher score better).
Functional performance-CDR
Change in Clinical Disease Rating Scale (0 - 3, higher score worse).
Behavioral Scale - NPI-Q
Change in Neuropsychiatric Inventory Questionnaire (NPI-Q) (0-36, higher scores worse).
Pharmacodynamics - cytokines
Changes in biomarker measurements of plasma levels of cytokines (IFN-γ, IL-1β, IL-4, IL-5, IL-6, IL-8, IL-10, IL-12P70, IL-22, and TNFα) by Simoa assay (pg/mL).
Pharmacodynamics - neuronal biomarkers
Changes in biomarker measurements of plasma levels of tau protein and NfL protein by Simoa assay (pg/mL).

Full Information

First Posted
January 13, 2022
Last Updated
March 13, 2022
Sponsor
Neurokine Therapeutics
Collaborators
Columbia University, National Institute on Aging (NIA)
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1. Study Identification

Unique Protocol Identification Number
NCT05194163
Brief Title
MW150 Stress Kinase Inhibitor in Mild to Moderate Alzheimer's Disease
Acronym
SKI-AD
Official Title
A Phase 2a Study of MW150 Stress Kinase Inhibitor in Mild to Moderate Alzheimer's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
May 1, 2022 (Anticipated)
Primary Completion Date
August 31, 2024 (Anticipated)
Study Completion Date
November 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Neurokine Therapeutics
Collaborators
Columbia University, National Institute on Aging (NIA)

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
This study is a phase 2a randomized double-blind, placebo-controlled, study, in mild-to-moderate Alzheimer's disease, of the oral investigational drug MW150, a p38alphaMAPK kinase inhibitor. The primary goals of this study are to investigate the safety and tolerability, and drug movements in the body. The secondary goals of the study are to investigate the effects of the drug on cognitive performance, activities of daily living, and behavior, and the biological effects of the drug on blood biomarkers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer Disease
Keywords
p38alphaMAPK; dementia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
double-blind randomized placebo-controlled
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Subjects will be randomized through a computerized system by a Data/Statistics Group independent from the investigator or Sponsor
Allocation
Randomized
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
10mg MW150 daily
Arm Type
Experimental
Arm Description
10 mg MW150 daily (1 capsule of 10 mg daily)
Arm Title
placebo daily
Arm Type
Placebo Comparator
Arm Description
placebo daily (1 capsule of matched placebo daily)
Intervention Type
Drug
Intervention Name(s)
MW150
Other Intervention Name(s)
MW01-18-150SRM
Intervention Description
oral-delivered capsule of study drug
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
oral delivered capsule matched to study drug capsule
Primary Outcome Measure Information:
Title
Drug Safety- Blood tests
Description
Number of participants with treatment-related adverse events as assessed by laboratory test abnormalities.
Time Frame
84 days treatment
Title
Drug Safety- Electrocardiographic
Description
Number of participants with emergent abnormal electrocardiograms.
Time Frame
84 days treatment
Title
Drug Safety- C-SSRS
Description
Development of any suicidality on COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS) score (minimum 0, no maximum, higher number worse).
Time Frame
84 days treatment
Title
Drug Tolerability- Adverse events
Description
Incidence of adverse events (AE).
Time Frame
84 days treatment
Secondary Outcome Measure Information:
Title
Cognitive change-MMSE
Description
Change in MiniMental State Examination (MMSE) score (0-30, higher score better).
Time Frame
84 days treatment
Title
Cognitive change-ADAScog
Description
Change in Alzheimer's Disease Assessment Scale (ADAScog) score (0-70, higher score worse).
Time Frame
84 days treatment
Title
Cognitive change-Executive
Description
Change in Trails A (0 - 150 sec) and Trails B test scores (0-300 sec), higher scores worse.
Time Frame
84 days treatment
Title
Cognitive change-Language
Description
Change in Verbal Fluency tests for animals and letters (both minimum 0, no maximum, higher scores better).
Time Frame
84 days treatment
Title
Functional performance- ADCS-ADL
Description
Change in Alzheimers Disease Cooperative Study Activities of Daily Living (ADCS-ADL) scale (0 - 78, higher score better).
Time Frame
84 days treatment
Title
Functional performance-CDR
Description
Change in Clinical Disease Rating Scale (0 - 3, higher score worse).
Time Frame
84 days treatment
Title
Behavioral Scale - NPI-Q
Description
Change in Neuropsychiatric Inventory Questionnaire (NPI-Q) (0-36, higher scores worse).
Time Frame
84 days treatment
Title
Pharmacodynamics - cytokines
Description
Changes in biomarker measurements of plasma levels of cytokines (IFN-γ, IL-1β, IL-4, IL-5, IL-6, IL-8, IL-10, IL-12P70, IL-22, and TNFα) by Simoa assay (pg/mL).
Time Frame
84 days treatment
Title
Pharmacodynamics - neuronal biomarkers
Description
Changes in biomarker measurements of plasma levels of tau protein and NfL protein by Simoa assay (pg/mL).
Time Frame
84 days treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed informed consent from subject (or legally authorized representative, LAR) and study partner. Male or female, age 50 to 90 inclusive. Have a study partner who is able to accompany the subject, has frequent contact with subject. Meet criteria for Alzheimer's Disease by NIAA-AA criteria. Must speak English fluently. Must have education of at least 8 years. Must have adequate hearing and visual abilities. MMSE score of 14 to 28. Clinical Dementia Rating (CDR) Global score of 0.5 to 2.0 inclusive. Absence of suicidal ideation for at least 1 year. Absence of medical conditions that could affect ability to participate in study. MRI within 1 year of screening, not showing clinically significant structural lesions. Subjects without available MRI within 1 year, must have an MRI performed for eligibility. Stable neuropsychiatric medications for at least 2 months prior to screening. If female, must not be of childbearing potential, as defined by being postmenopausal (more than 1 year without periods) or surgically sterile for at least 6 months prior to screening. If male, must agree to use contraception if with a potentially childbearing partner. Exclusion Criteria: Presence of clinically significant disorders of the central nervous system other than Alzheimer's disease, such as Lewy Body Disease, Parkinson's disease, hydrocephalus, epilepsy, demyelinating disease, brain tumors, or psychiatric disorders (such as schizophrenia, or severe affective disorders). Serious or unstable hematologic, hepatic, renal, pulmonary, cardiac, or other medical disease. Abnormal liver function tests (ALT or AST) or creatine kinase (CK) upon repeat testing. Chronic hepatitis B or C infection, indicated by positive HBSAg, or HCV-Ab with HCV RNA presence. Known history of human immunodeficiency virus (HIV) infection. Known immune disorder that has a history of requiring treatment with immunosuppressive drugs within the past 1 year. Have a drug or alcohol abuse within 12 months prior to screening. Clinically significant laboratory abnormalities at screening. Screening ECG showing repeated QTcF > 480 msec, or other clinically significant ECG abnormalities. Clinically significant structural brain abnormalities, such as hydrocephalus or intra-axial brain tumors. Participation in another investigational study within 30 days or 5 half-lives prior to screening, whichever is greater. Participation in another study that would have cognitive testing during the duration of this study. History of Covid19 or other viral infections within 3 months. Have a clinically significant medical, surgical, laboratory, or behavioral abnormality, which in the judgment of the Investigator makes the subject unsuitable for the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lawrence S Honig, MD PhD
Phone
2123059194
Email
lh456@cumc.columbia.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Wayne P Anderson, PhD
Email
nkt.wanderson@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lawrence S Honig, MD PhD
Organizational Affiliation
Columbia University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Columbia University Irving Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lawrence S Honig, MD PhD
Phone
212-305-9194
Email
lh456@cumc.columbia.edu
First Name & Middle Initial & Last Name & Degree
Katrina Cuasay, AB
Phone
2123052077
Email
kc2305@cumc.columbia.edu

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Once study complete, de-identified participant data will be shared upon request by investigators from an academic institution.
IPD Sharing Time Frame
ICF will be shared at onset of enrollment. Study Protocol and SAP will be shared once study published. CSR will be shared once completed.
IPD Sharing Access Criteria
Protocol, SAP will be shared via publication. CSR will be shared upon request

Learn more about this trial

MW150 Stress Kinase Inhibitor in Mild to Moderate Alzheimer's Disease

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