A Study of Donanemab (LY3002813) Compared With Aducanumab in Participants With Early Symptomatic Alzheimer's Disease (TRAILBLAZER-ALZ 4)
Mild Cognitive Impairment, Alzheimer Disease
About this trial
This is an interventional treatment trial for Mild Cognitive Impairment focused on measuring Mild Cognitive Impairment due to Alzheimer's Disease
Eligibility Criteria
Inclusion Criteria:
- Gradual and progressive change in memory function reported by the participant or informant for ≥6 months.
- Meet florbetapir F18 PET scan criteria.
- A Clinical Dementia Rating (CDR)-Global Score of 0.5 or 1.
- Must consent to apolipoprotein E (ApoE) genotyping
- Must have a mini mental state examination (MMSE) score between 20 and 30
- Have a study partner who will provide written informed consent to participate, is in frequent contact with the participant (defined as at least 10 hours per week), and will accompany the participant to study visits or be available by telephone at designated times.
- Have adequate literacy, vision, and hearing for neuropsychological testing in the opinion of the investigator at the time of screening.
- Women not of childbearing potential may participate
Exclusion Criteria:
- Significant neurological disease affecting the central nervous system (other than AD), that may affect cognition or ability to complete the study, including but not limited to, other dementias, serious infection of the brain, Parkinson's disease, multiple concussions, history of transient ischemic attack or stroke, or epilepsy or recurrent seizures (except febrile childhood seizures).
Current serious or unstable medical illnesses including cardiovascular, hepatic, renal, gastroenterologic, respiratory, endocrinologic, psychiatric (including actively suicidal or deemed at risk of suicide, or current alcohol or substance abuse), immunologic, infectious, or hematologic disease and other conditions that, in the investigator's opinion, could interfere with the analyses in this study; or has a life expectancy of approximately
≤24 months.
- History of clinically significant multiple or severe drug allergies, or severe posttreatment hypersensitivity reactions (including but not limited to erythema multiforme major, linear immunoglobulin A dermatosis, toxic epidermal necrolysis, and/or exfoliative dermatitis).
- History of bleeding disorder or use of medications with platelet anti-aggregant or anti-coagulant properties (unless aspirin at ≤325 milligram (mg).
- Have had prior or current treatment with donanemab or aducanumab
- Have known allergies to donanemab or aducanumab, related compounds, or any components of the formulation
- Prior or current participation in any immunotherapy study targeting Amyloid beta
Sites / Locations
- Neurology Center of North Orange County
- Irvine Clinical Research
- California Neuroscience Research Medical Group, Inc.
- Institute for Neurodegenerative Disorders
- JEM Research Institute
- Brain Matters Research
- Neuropsychiatric Research Center of Southwest Florida
- Infinity Clinical Research, LLC
- Jacksonville Center for Clinical Research
- Charter Research - Lady Lake
- ClinCloud - Maitland
- ClinCloud - Viera
- Merritt Island Medical Research, LLC
- Optimus U Corporation
- Brainstorm Research
- Brain Matters Research
- Axiom Clinical Research of Florida
- Conquest Research
- Columbus Memory Center, PC
- Josephson Wallack Munshower Neurology, PC
- Donald S. Marks M.D., P.C.
- Adams Clinical
- Clinical Research Professionals
- Las Vegas Medical Research
- The Cognitive and Research Center of New Jersey
- Advanced Memory Research Institute of New Jersey
- Neurology Diagnostics, Inc.
- Abington Neurological Associates, Ltd.
- The Clinical Trial Center, LLC
- Kerwin Medical Center
- National Clinical Research, Inc
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Donanemab
Aducanumab
Donanemab is administered intravenously (IV) every 4 weeks (Q4W)
Aducanumab administered IV per label