A Study of Lanabecestat (LY3314814) in Participants With Mild Alzheimer's Disease Dementia (DAYBREAK-ALZ)
Alzheimer's Disease
About this trial
This is an interventional treatment trial for Alzheimer's Disease focused on measuring dementia, brain diseases, neurodegenerative diseases, central nervous system diseases, nervous system diseases, mental disorders, delirium, dementia, amnestic, cognitive, tauopathies, memory, amyloid
Eligibility Criteria
Inclusion Criteria:
- Participant must meet the National Institute on Aging (NIA) and the Alzheimer's Association (AA) (NIA-AA) criteria for probable AD dementia.
- MMSE score of 20 to 26 inclusive at screening visit.
- For a diagnosis of mild AD dementia, participant must have a CDR global score of 0.5 or 1, with the memory box score ≥0.5 at screening.
- Evidence of amyloid pathology.
- The participant must have a reliable study partner with whom he/she cohabits or has regular contact.
Exclusion Criteria:
- Significant and/or current 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, repetitive head trauma, serious infection of the brain, Parkinson's disease, epilepsy, or cervicocranial vascular disease.
- Participants with any current primary psychiatric diagnosis other than AD if, in the judgment of the investigator, the psychiatric disorder or symptom is likely to confound interpretation of drug effect, affect cognitive assessment, or affect the participant's ability to complete the study. Participants with history of schizophrenia or other chronic psychosis are excluded.
- Within 1 year before the screening visit or between screening and randomization, any of the following: myocardial infarction; moderate or severe congestive heart failure, New York Heart Association class III or IV; hospitalization for, or symptoms of, unstable angina; syncope due to orthostatic hypotension or unexplained syncope; known significant structural heart disease (such as, significant valvular disease, hypertrophic cardiomyopathy); or hospitalization for arrhythmia.
- Congenital QT prolongation.
- Intermittent second- or third-degree atrioventricular (AV) heart block or AV dissociation or history of ventricular tachycardia.
- A corrected QT (QTcF) interval measurement >470 milliseconds (men and women) at screening (as determined at the investigational site).
- History of malignant cancer within the last 5 years.
- History of vitiligo and/or current evidence of post-inflammatory hypopigmentation.
- Calculated creatinine clearance <30 milliliters per minute (Cockcroft-Gault formula; Cockcroft and Gault 1976) at screening.
- Currently enrolled in any other clinical trial involving an investigational product or any other type of medical research judged not to be scientifically or medically compatible with this study.
Sites / Locations
- Xenoscience
- St Josephs Hospital and Medical Center
- Four Peaks Neurology
- Arizona Neurology
- Center for Neurosciences
- NEA Baptist Clinical
- The Research Center of Southern California
- WCCT Global
- Neuro-Pain Medical Center
- Neurology Center of North Orange County
- Pacific Neuroscience Medical Group
- California Research Foundation
- Pacific Research Network Inc
- Sharp Mesa Vista Hospital
- Syrentis Clinical Research
- Care Access Research
- California Neuroscience Research
- Care Access Research
- Associated Neurologists, PC - Danbury
- Institute for Neurodegenerative Disorders
- Yale University School of Medicine
- Research Center for Clinical Studies, Inc
- JEM Research Institute
- Morton Plant Hospital
- Brain Matters Research
- Cohen Medical Associates P.A.
- Neuropsychiatric Research Center of Southwest Florida
- Indago Research & Health Center, Inc.
- Infinity Clinical Research, LLC
- Jacksonville Center for Clinical Research
- Mayo Clinic-Jacksonville
- Gregory A. Kirk MD LLC
- University of Miami
- Allied Biomedical Research Institute, Inc.
- Compass Research
- Quantum Laboratories
- Charlotte Neurological Services
- Intercoastal Medical Group
- Axiom Research
- University of South Florida
- Emory University
- Atlanta Center of Medical Research
- Georgia Regents University
- Medical Research Health and Education Foundation, Inc
- Hawaii Medical Center
- Advanced Clinical Research LLC
- American Health Network
- Josephson Wallack Munshower Neurology
- American Health Network
- University of Kansas Hospital
- Cotton O'Neil Clinic
- Via Christi Research, Inc.
- Baptist Health Medical Group
- Associates in Neurology, PSC
- Eastern Maine Medical Center
- Maine Neurology
- Boston University Medical Center
- Donald S Marks
- Alzheimers Disease Center
- Michigan State University
- Hattiesburg Clinic
- Clinical Research Professionals
- Las Vegas Medical Research
- Advanced Memory Research Institute of New Jersey
- Neurology Specialists of Monmouth County
- New York University Medical Center
- Behavioral Health Center Research
- Raleigh Neurology Associates
- PMG Research of Winston-Salem, LLC
- Wake Forest Baptist Univ CAR
- Rapid Medical Research Inc
- Ohio State University Medical Center
- Insight Clinical Trials
- Lynn Health Science Institute
- Cutting Edge Research Group
- The Corvallis Clinic P.C.
- Summit Research Network Inc
- Clinical Trial Center, LLC, Psychiatry
- Pearl Clinical Research Inc.
- Rhode Island Mood & Memory Research Institute
- Rhode Island Hospital
- Butler Hospital
- Medical University of South Carolina
- Radiant Research
- Coastal Neurology PA
- Holston Medical Group Clinical Research
- Univ of North Texas Health Science Center
- Texas Medical Research Associates, L.L.C.
- Ericksen Research and Development
- SSM Health Dean Medical Group
- University of Calgary
- The Medical Arts Health Research Group
- True North Clinical Research Halifax, LLC
- Bruyere Continuing Care
- Kawartha Regional Memory Clinic
- Toronto Memory Program
- Toronto Sunnybrook Regional Cancer Center
- CSSS-Institut Universitaire Gériatric de Sherbrooke
- Recherches Neuro-Hippocampe Inc
- Q&T Research Sherbrooke Inc
- Douglas Hospital and Research Centre
- Xuanwu Hospital-Capital Medical University
- Beijing 301 Hospital
- Guangzhou First People's Hospital
- Tangshan Worker Hospital
- Nanjing Drum Tower Hosp Affiliated Hosp of Nanjing Univ Med
- Zhongda Hospital-Southeast University
- Northern Jiangsu People's Hospital
- Qingdao Municipal Hospital
- Shanghai Tongji Hospital(CCBR site)
- West China Hospital of Sichuan University
- The First Affiliated Hospital, Zhejiang University
- The First Affiliated Hospital of Wenzhou Medical College
- Shanghai Huashan Hospital Affil to Fu Dan University
- Fakultni nemocnice u sv. Anny v Brne
- Neurohk s.r.o.
- Neuropsychiatrie s.r.o
- Brain-Soultherapy s.r.o
- A-Shine s.r.o.
- Clintrial, s.r.o.
- Neuropsychiatrie s.r.o
- Medical Services Prague s.r.o.
- Axon Clinical, s.r.o.
- CCBR-Alborg-DK
- Center For Clinical and Basic Research
- Rigshospitalet
- Center for Clinical and Basic Research -CCBR
- Institut Claude Pompidou - CMRR
- CHU Rennes/Hopital Sud
- CHU Saint Etienne - Hopital Nord
- Chu De Nancy Hop D'Adultes De Brabois
- CHU d'Amiens-Picardie Hopital Sud
- CHU de Caen Hopital Cote de Nacre
- APHM Hôpital de la Timone
- Hôpital de la Pitié-Salpêtrière
- CHU Strasbourg Hôpital de Hautepierre
- Chu de Toulouse Hopital de La Grave
- Praxis Dr. Erich Scholz
- ISPG - Institut für Studien zur psychischen Gesundheit
- Praxis für Neurologie und Psychiatrie Dr. med. Roth
- Neurozentrum Sophienstraße
- Klinikum der Universität München
- Klinikum Rechts der Isar der TU München
- Neuropraxis München Süd
- Diakoniekrankenhaus Henriettenstiftung Hannover
- MVZ LiO Berlin
- Policlinico Univ. Agostino Gemelli
- Spedali Civili - Universita degli Studi
- Azienda Ospedaliera Universitaria Careggi
- Ente Ospedaliero Ospedali Galliera
- IRCCS Azienda Ospedaliera Universitaria San Martino
- SDN - Istituto di Ricerca Diagnostica e Nucleare
- Azienda Ospedaliera - Universitaria Pisana
- IRCCS Santa Lucia
- Universita La Sapienza
- Azienda Ospedaliera Citta della Salute della Scienza Torino
- Shinwakai Yachiyo Hospital
- Nagoya Ekisaikai Hospital
- Kojunkai Daido Hospital
- Inage Neurology and Memory Clinic
- Ehime University Hospital
- Jisenkai Nanko Psychiatric Institute
- Takeda General Hospital
- Koseikai Kusatsu Hospital
- NHO Hiroshima-Nishi Medical Center
- Yokohama Hospital
- Koseikai Takeda Hospital
- Uji Takeda Hospital
- JADECOM Nara City Hospital
- Nara Medical University Hospital
- Oita University Hospital
- Katayama Medical Clinic
- Himuro Neurology Clinic
- Kotobukikai Tominaga Clinic
- Kousaiin Hospital
- NHO Hizen Psychiatric Center
- Shimizu Hospital
- Keikokai P-One Clinic
- Memory Clinic Ochanomizu
- Juntendo University Hospital
- Musashino Red Cross Hospital
- JOHAS Sanin Rosai Hospital
- Aomori Prefectural Centeral Hospital
- Ikeuchi Psycho Induced Internal Clinic
- Yuge Hospital
- NHO Niigata Hospital
- NHO Hokkaido Medical Center
- Dong-A University Medical Center
- The Catholic University of Korea-Bucheon St. Mary's Hospital
- Myongji Hospital
- Seoul National University Bundang Hospital
- Inha University Hospital
- Korea University Anam Hospital
- Seoul National University Hospital
- Hanyang University Medical Center
- Konkuk University Hospital
- Samsung Medical Center
- Hospital Universitario de Saltillo
- Mexico Centre for Clinical Research SA de CV
- Clinical Research Institute S C
- Hospital Univ. Jose Eleuterio Gonzalez
- Instituto de Informacion en Salud Mental (INFOSAM)
- Accelerium Clinical Research
- Centro de Estudios Clinicos y Esp Medicas SC
- Avix Investigación Clínica, S.C
- Emotional Brain B.V.
- Brain Research Center
- Amphia Ziekenhuis
- EB Utrecht
- Isala Klinieken
- NZOZ Wroclawskie Centrum Alzheimerowskie
- Podlaskie Centrum Psychogeriatrii
- Uniwersyteckie Centrum Kliniczne
- NZOZ Mach-Med
- Klinika Neurologii Neuro-Care
- Globe Badania Kliniczne SP Z O.O.
- Prywatny Gabinet Lekarski U.Chyrchel
- Centrum Medyczne Medyk
- Euromedis Sp. z o.o.
- Clinsante Centrum Medyczne
- Centrum Medyczne
- Specjalistyczny Osrodek Medycyny Wieku Dojrzalego SOMED
- Hospital Fernando Fonseca
- Hospital de Braga
- Hospitals da Universidade de Coimbra
- SAIH Republ. Clinical Hospital of the MoH of Republ. Tatarst
- SIH Kemerovo Regional Clinical Hosptial
- FSBIH Siberian Clinical Center of FMBA
- LLC City Neurological Centre Sibneuromed
- Novosibirsk State Medical University
- Ultramed
- LLC Treatment and Rehabilitation
- RSBIH Smolensk Regional Clinical Hospital
- Bekhterev Psyconeurological Institute
- Central Medical Sanitary Hospital #122
- Regional State Institution of Healthcare Tomsk Clinica Psych
- Hospital Cardiovascular San Vicente
- Hospital General de Catalunya
- Hospital Mutua de Terrassa
- Hospital Virgen Del Puerto
- Policlinica Guipuzcoa
- Hospital Ntra Sra Perpetuo Socorro
- Hospital del Mar
- Fundacion ACE-Institut Catala de Neurociences Aplicades
- Hospital Universitario La Fe de Valencia
- Cardinal Tien Hospital
- National Taiwan University Hospital
- Changhua Christian Hospital
- Kaohsiung Medical University Chung-Ho Memorial Hospital
- Chang Gung Memorial Hospital - Kaohsiung
- Taipei Medical University- Shuang Ho Hospital
- National Cheng Kung University Hospital
- Taipei Veterans General Hospital
- Chang Gung Memorial Hospital - Linkou
- Royal Devon and Exeter Hospital
- Re-Cognition Health Ltd
- Charlton Lane Hospital
- Re-Cognition Health Ltd
- Murray Royal Hospital
- Victoria Centre
- Glasgow Memory Clinic
- Re-Cognition Health Ltd
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Lanabecestat 20 milligrams (mg)
Lanabecestat 50 mg
Placebo/ Lanabecestat 20 mg
Placebo/ Lanabecestat 50 mg
Participants received Lanabecestat 20 mg film-coated tablets orally once daily until week 156.
Participants received Lanabecestat 50 mg film-coated tablets orally once daily until week 156.
Placebo given orally once daily for 78 weeks and then 20 mg of lanabecestat given orally once daily until week 156.
Placebo given orally once daily for 78 weeks and then 50 mg of lanabecestat given orally once daily until week 156.