A Study to Assess if BIIB080 Can Change Clinical Dementia Rating-Sum of Boxes Scores, and BIIB080 Safety and Tolerability When Injected Into the Cerebrospinal Fluid of Participants With Mild Cognitive Impairment Due to Alzheimer's Disease (AD) or Mild AD Dementia Between 50 to 80 Years of Age (CELIA)
Mild Cognitive Impairment Due to Alzheimer's Disease, Alzheimer's Disease Dementia
About this trial
This is an interventional treatment trial for Mild Cognitive Impairment Due to Alzheimer's Disease
Eligibility Criteria
Key Inclusion Criteria:
Must meet all the clinical staging criteria for MCI due to AD (Stage 3) or mild AD dementia (Stage 4) according to the National Institute on Aging at National Institutes of Health and the Alzheimer's Association (NIA-AA) and must have the following at Screening Visit 1:
- Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Delayed Memory Index score of ≤85, indicative of objective evidence of memory impairment
- CDR global score of 0.5 for MCI due to AD or 0.5 or 1 for mild AD dementia
- MMSE score of 22 to 30 (inclusive)
- CDR Memory Box score of ≥0.5
- Evidence of amyloid pathology as measured by positive emission tomography (PET) or cerebrospinal fluid (CSF) sampling
Key Exclusion Criteria:
- Known allergy to BIIB080 or a history of hypersensitivity to any of the inactive ingredients in the drug product
- Previous participation in this study or previous studies with BIIB080
- Use of non-disease-modifying AD medications (including but not limited to donepezil, rivastigmine, galantamine, tacrine, and memantine) at doses that have not been stable for at least 8 weeks prior to Screening Visit 1 and during the screening period up to Study Day 1
- Prior participation in any active or passive immunotherapy study targeting Aβ, unless documentation of receipt of placebo is available
- Prior participation in any passive immunotherapy study targeting tau, unless the last administration occurred 6 months or 5 half-lives, whichever is sooner, prior to Screening or documentation of receipt of placebo is available
- Participation in any study involving an investigational treatment targeting tau that is not an immunotherapy, unless documentation of receipt of placebo is available
- Participation in a study of any other agent(s) [including gene therapy] not included in exclusion criteria 4, 5, and 6 with a purported disease-modifying effect in AD, unless documentation of receipt of placebo is available
- Current use or previous use of medications with a purported disease-modifying effect in AD, outside of investigational studies
- Any vaccination given within 10 days prior to Day -1. Coronavirus disease 2019 (COVID-19) vaccinations using RNA or deoxyribonucleic acid (DNA) technology are allowed during the study, as well as other types of immunization/vaccination/booster, except during the 10 days before and after clinic visits
- Contraindications to having a brain magnetic resonance imaging (MRI) [e.g., MRI-incompatible pacemaker; MRI-incompatible aneurysm clips, artificial heart valves, or other metal foreign body; claustrophobia that cannot be medically managed]. If the MRI compatibility of implanted devices is unknown, the participant must be excluded from the study
- Current enrollment or a plan to enroll in any interventional clinical study in which an investigational treatment or approved therapy for investigational use is administered within 52 weeks prior to the Baseline Visit
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply
Sites / Locations
- HonorHealth NeurologyRecruiting
- Banner Sun Health Research InstituteRecruiting
- PNS Clinical Research, LLC dbaRecruiting
- Stanford Hospital and ClinicsRecruiting
- University of California San Francisco (PARENT)Recruiting
- Charter Research, LLCRecruiting
- K2 Medical Research, LLCRecruiting
- Advent HealthRecruiting
- Conquest ResearchRecruiting
- Charter Research, LLCRecruiting
- Hawaii Pacific NeuroscienceRecruiting
- Neurological Associates of Albany, PCRecruiting
- Dent Neurologic InstituteRecruiting
- New York University Medical Center PRIMERecruiting
- AMC Research, LLCRecruiting
- Butler HospitalRecruiting
- Neurology Clinic, PCRecruiting
- Neurology Consultants of Dallas, PARecruiting
- University of Texas Health Science Center at San AntonioRecruiting
- Kingfisher Cooperative, LLCRecruiting
- St Vincent's Hospital SydneyRecruiting
- Southern NeurologyRecruiting
- The Medical Arts Health Research GroupRecruiting
- Medical Arts Health Research GroupRecruiting
- Recherches Neuro-Hippocampe Inc., d/b/a Ottawa Memory ClinicRecruiting
- Toronto Memory Program (Neurology Research Inc.)Recruiting
- Baycrest Centre for Geriatric CareRecruiting
- Clinique de la Memoire de l'OutaouaisRecruiting
- Ehime University HospitalRecruiting
- Himeji Central Hospital ClinicRecruiting
- Nippon Medical School Musashi Kosugi HospitalRecruiting
- Yokohama City Minato Red Cross HospitalRecruiting
- Osaka Metropolitan University HospitalRecruiting
- Osaka University HospitalRecruiting
- Tokyo Metropolitan Institute for Geriatrics and GerontologyRecruiting
- Ospedale Regionale di LuganoRecruiting
- Hôpitaux Universitaires de Genève - HUG- Centre de la mémoire, Bâtiment A1 - MorierRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Placebo Comparator
Experimental
Experimental
Experimental
Placebo Q12W
BIIB080 Low Dose Q24W
BIIB080 High Dose Q24W
BIIB080 High Dose Q12W
Participants will receive BIIB080-matching placebo, intrathecal (IT) injection, once on Day 1 and then once every 12 weeks (Q12W) for up to 72 weeks.
Participants will receive a low dose of BIIB080, IT injection, once every 24 weeks (Q24W) from Week 1 up to 72 weeks and BIIB080-matching placebo, IT injection, once at Weeks 12, 36 and 60.
Participants will receive a high dose of BIIB080, IT injection, Q24W from Week 1 up to 72 weeks and BIIB080-matching placebo, IT injection, once at Weeks 12, 36 and 60.
Participants will receive a high dose of BIIB080, IT injection, once on Day 1 and then Q12W for up to 72 weeks.