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A 6-Month Study to Evaluate the Safety & Potential Efficacy of Trappsol Cyclo in Patients With Early Alzheimer's Disease (EAD501)

Primary Purpose

Alzheimer's Disease

Status
Recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Hydroxypropyl Beta Cyclodextrin
Placebo
Sponsored by
Cyclo Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer's Disease focused on measuring Alzheimer, Trappsol Cyclo

Eligibility Criteria

50 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: MCI due to AD (Stage 3) MMSE-2:SV score 20 and 28 at both Screening (V1) and Baseline (V2) with no more than a 3 point change between visits Positive PrecivityAD blood test biomarker for AD with high APS (58-100) Locally or centrally read MRI of ARIA Exclusion Criteria: Clinically significant renal disease Evidence of a neurodegenerative disease other than AD Severe hypothyroidism Abnormally low levels of serum Vitamin B12 Lacks visual, auditory acuity and/or language abilities adequate to perform cognitive assessments

Sites / Locations

  • Access Research InstituteRecruiting
  • Charter ResearchRecruiting
  • Tandem/Clincloud, LCCRecruiting
  • Advanced Clinical Institute IncRecruiting
  • Wasatch Clinical ResearchRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Experimental

Placebo

Arm Description

Intravenous administration over at least 4 hours by IV infusion Trappsol Cyclo either 500 mg/kg or 1000 mg/kg every 4 weeks

Intravenous administration of 0.5N saline over at least 4 hours every 4 weeks

Outcomes

Primary Outcome Measures

Safety assessments to include incidence of Adverse Events and Serious Adverse Events
Incidence of AEs, SAEs, incidence of abnormal laboratory test results, abnormal ECGs, abnormal physical exams, abnormal vital signs and abnormal hearing assessments assessments

Secondary Outcome Measures

Mean change in total ADAS-Cog-14 score from Baseline
Memory, Language, and Executive Function
Change in CDR-SB from Baseline
Memory, Orientation, Judgment and Problem Solving, Community Affairs, Home and Hobbies, and Personal Care
Change in MMSE-2:SV total score from Baseline
Orientation, Attention, Memory, Language, and Visual-Spatial Skills
Change in ADCS-CGIC from Baseline
Cognitive, Behavior, and Social and Daily Functioning
Change in ADCS-ADL from Baseline
Basic Activities of Daily Living Items and Instrumental Activities of Daily Living Items

Full Information

First Posted
October 12, 2022
Last Updated
April 23, 2023
Sponsor
Cyclo Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05607615
Brief Title
A 6-Month Study to Evaluate the Safety & Potential Efficacy of Trappsol Cyclo in Patients With Early Alzheimer's Disease
Acronym
EAD501
Official Title
A Randomized, Placebo-controlled, Double-blind, Parallel-group, 6-Month Study to Evaluate the Safety, Tolerability, and Potential Efficacy of Monthly Trappsol® Cyclo™ Infusions in Patients With Early Alzheimer's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Recruiting
Study Start Date
September 23, 2022 (Actual)
Primary Completion Date
March 31, 2024 (Anticipated)
Study Completion Date
March 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cyclo Therapeutics, 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
Approximately 90 patients, aged 50 to 80 years, with a diagnosis of early Alzheimer's disease will take part in this research study. This study will be conducted in the US. There will be 3 treatment groups: 2 Active doses and 1 group will receive placebo completely by chance. Patients, caregiver, Sponsor, nor study staff will know which treatment is assigned. There are 3 periods in this study: Screening to confirm suitability, Treatment to receive study medication, and Follow-up to check overall health post-participation
Detailed Description
This is a randomized, placebo-controlled, double-blind, parallel-group study that will assess the safety, tolerability, and potential efficacy of Trappsol Cyclo in patients with EAD as defined according to the FDA Guidance for Industry on Early Alzheimer's Disease: Developing Drugs for Treatment. The study will enroll approximately 90 (30 patients/treatment arm) male and female patients aged 50 to 80 years at Screening with characteristic pathophysiologic changes of AD who meet National Institute on Aging-Alzheimer's Association (NIA-AA) criteria for either AD with MCI or mild AD collectively known as EAD (Stages 3 and 4). Enrolled patients must have evidence of progressive cognitive decline in the last year as determined by serial cognitive test scores, if available, or patient or informant/caregiver/study partner (hereafter called caregiver) report as documented by the Investigator

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer's Disease
Keywords
Alzheimer, Trappsol Cyclo

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
This is a randomized, placebo-controlled, double-blind, parallel-group study
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Allocation
Randomized
Enrollment
90 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Experimental
Arm Type
Experimental
Arm Description
Intravenous administration over at least 4 hours by IV infusion Trappsol Cyclo either 500 mg/kg or 1000 mg/kg every 4 weeks
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Intravenous administration of 0.5N saline over at least 4 hours every 4 weeks
Intervention Type
Drug
Intervention Name(s)
Hydroxypropyl Beta Cyclodextrin
Other Intervention Name(s)
Trappsol Cyclo
Intervention Description
Minimum active dose of 500 mg/kg (equivalent to 18,500 mg/m2) as an intravenous (IV) infusion once every 28 days
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
0.5N saline
Intervention Description
0.5N saline as an intravenous (IV) infusion once every 28 days
Primary Outcome Measure Information:
Title
Safety assessments to include incidence of Adverse Events and Serious Adverse Events
Description
Incidence of AEs, SAEs, incidence of abnormal laboratory test results, abnormal ECGs, abnormal physical exams, abnormal vital signs and abnormal hearing assessments assessments
Time Frame
up to 24 weeks
Secondary Outcome Measure Information:
Title
Mean change in total ADAS-Cog-14 score from Baseline
Description
Memory, Language, and Executive Function
Time Frame
Week 12 and 24
Title
Change in CDR-SB from Baseline
Description
Memory, Orientation, Judgment and Problem Solving, Community Affairs, Home and Hobbies, and Personal Care
Time Frame
Weeks 12 and 24
Title
Change in MMSE-2:SV total score from Baseline
Description
Orientation, Attention, Memory, Language, and Visual-Spatial Skills
Time Frame
Weeks 12 and 24
Title
Change in ADCS-CGIC from Baseline
Description
Cognitive, Behavior, and Social and Daily Functioning
Time Frame
Weeks 12 and 24
Title
Change in ADCS-ADL from Baseline
Description
Basic Activities of Daily Living Items and Instrumental Activities of Daily Living Items
Time Frame
Weeks 12 and 24
Other Pre-specified Outcome Measures:
Title
Change in combined Z-scores from Baseline (V2) to Weeks 12 (V5) and 24 (V8) on ADAS-Cog-14
Description
Memory, Language, and Executive Function
Time Frame
At week 12 and week 24
Title
Change in combined Z-scores from Baseline (V2) to Weeks 12 (V5) and 24 (V8) on CDR-SB
Description
Memory, Orientation, Judgment and Problem Solving, Community Affairs, Home and Hobbies, and Personal Care
Time Frame
At week 12 and week 24
Title
Change in combined Z-scores from Baseline (V2) to Weeks 12 (V5) and 24 (V8) on MMSE-2:SV
Description
Orientation, Attention, Memory, Language, and Visual-Spatial Skills
Time Frame
At week 12 and week 24
Title
Peak Plasma Concentration (Cmax)
Description
Maximum concentration, determined directly from individual concentration-time data
Time Frame
Weeks 4, 8, 12, and 24
Title
Time to the Maximum concentration (Tmax)
Description
Time of the maximum concentration, determined directly from individual concentration-time data
Time Frame
Weeks 4, 8, 12, and 24
Title
Area under the plasma concentration versus time curve (AUC)
Description
Area under the concentration-time curve from time-zero to the time of the last quantifiable concentration
Time Frame
Weeks 4, 8, 12, and 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: MCI due to AD (Stage 3) MMSE-2:SV score 20 and 28 at both Screening (V1) and Baseline (V2) with no more than a 3 point change between visits Positive PrecivityAD blood test biomarker for AD with high APS (58-100) Locally or centrally read MRI of ARIA Exclusion Criteria: Clinically significant renal disease Evidence of a neurodegenerative disease other than AD Severe hypothyroidism Abnormally low levels of serum Vitamin B12 Lacks visual, auditory acuity and/or language abilities adequate to perform cognitive assessments
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lori M Gorski
Phone
1 (386) 418-8060
Email
Lori.Gorski@cyclodex.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Karen Mullen, MD
Organizational Affiliation
Cyclo Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Access Research Institute
City
Brooksville
State/Province
Florida
ZIP/Postal Code
34613
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Investigator
Facility Name
Charter Research
City
Winter Park
State/Province
Florida
ZIP/Postal Code
32792
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Principal Investigator
Facility Name
Tandem/Clincloud, LCC
City
Marrero
State/Province
Louisiana
ZIP/Postal Code
70072
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Investigator
Facility Name
Advanced Clinical Institute Inc
City
Neptune
State/Province
New Jersey
ZIP/Postal Code
07753
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Investigator
Facility Name
Wasatch Clinical Research
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84107
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Investigator

12. IPD Sharing Statement

Learn more about this trial

A 6-Month Study to Evaluate the Safety & Potential Efficacy of Trappsol Cyclo in Patients With Early Alzheimer's Disease

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