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Efficacy and Safety Study of ABT-384 in Subjects With Mild-to-Moderate Alzheimer's Disease

Primary Purpose

Alzheimer's Disease

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ABT-384
donepezil
placebo
Sponsored by
AbbVie (prior sponsor, Abbott)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer's Disease

Eligibility Criteria

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

Inclusion Criteria:

  1. The subject and caregiver must voluntarily sign and date and informed consent. If the subject is not fully competent, full informed consent must be obtained from a legal representative and assent must be obtained from the subject.
  2. Subject is male or female between the ages of 55 and 90 years of age, inclusive, at Day-1.
  3. Subject meets the NINCDS/ADRDA criteria for probable AD.
  4. Subject has a Mini-Mental Status Examination (MMSE) score of 10 to 24, inclusive, at Screening Visit 1.
  5. Subject has a Cornell Scale for Depression in Dementia (CSDD) score ≤ 10 at Screening Visit 1.
  6. With the exception of a diagnosis of mild-to-moderate AD and the presence of stable medical conditions, the subject is generally in good health based on medical history, physical examination, vital signs, clinical lab tests and 12-lead ECG.
  7. If female, subject must be postmenopausal for at least 2 years or surgically sterile.
  8. If male, the subject is surgically sterile (vasectomy), is sexually inactive, or is using a barrier method of birth control.
  9. Subject has an identified reliable, caregiver (e.g., family member, social worker, nurse), who will provide support and ensure compliance with the study medication and procedures.
  10. Subject and caregiver are fluent in the language used for administration of the rating scales or cognitive tests and have sufficient visual, hearing and graphomotor skills to complete procedures.

Exclusion Criteria:

  1. Subject has a known hypersensitivity or intolerance to donepezil that led to discontinuation or a known reported history of donepezil treatment failure.
  2. Subject is currently taking or has taken a medication for the treatment of AD or dementia within 60 days of Screening Visit 1, or is participating in cognitive therapy for the treatment of AD or dementia.
  3. Subject has a history of a drug or alcohol disorder (abuse/dependence), based on either DSM-IV-TR or ICD-10 criteria, excluding nicotine, within 2 years prior to Screening Visit 1.
  4. In the opinion of the investigator, the subject has any clinically significant uncontrolled medical or psychiatric illness that would affect the safety of the subject.
  5. The subject has a current thyroid disease or history of thyroid disease, and is not currently being treated with a stable dose of thyroid replacement medication.
  6. For any reason the investigator considers the subject to be an unsuitable candidate to receive ABT-384 or donepezil.

Sites / Locations

  • Site Reference ID/Investigator# 40834
  • Site Reference ID/Investigator# 36304
  • Site Reference ID/Investigator# 36306
  • Site Reference ID/Investigator# 37944
  • Site Reference ID/Investigator# 26909
  • Site Reference ID/Investigator# 26904
  • Site Reference ID/Investigator# 26902
  • Site Reference ID/Investigator# 36305
  • Site Reference ID/Investigator# 38383
  • Site Reference ID/Investigator# 45584
  • Site Reference ID/Investigator# 47102
  • Site Reference ID/Investigator# 45583
  • Site Reference ID/Investigator# 39855
  • Site Reference ID/Investigator# 26914
  • Site Reference ID/Investigator# 26912
  • Site Reference ID/Investigator# 40484
  • Site Reference ID/Investigator# 27002
  • Site Reference ID/Investigator# 39856
  • Site Reference ID/Investigator# 40482
  • Site Reference ID/Investigator# 40483
  • Site Reference ID/Investigator# 35660
  • Site Reference ID/Investigator# 36327
  • Site Reference ID/Investigator# 35657
  • Site Reference ID/Investigator# 36330
  • Site Reference ID/Investigator# 36326
  • Site Reference ID/Investigator# 44123
  • Site Reference ID/Investigator# 35658
  • Site Reference ID/Investigator# 35902
  • Site Reference ID/Investigator# 36328
  • Site Reference ID/Investigator# 36329

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Active Comparator

Placebo Comparator

Arm Label

ABT-384 Dose 1

ABT-384 Dose 2

donepezil

placebo

Arm Description

Outcomes

Primary Outcome Measures

Change from baseline to final observation in the Alzheimer's Disease Assessment Scale-Cognition portion (ADAS-cog) total score

Secondary Outcome Measures

Mini Mental Status Examination (MMSE) score at Baseline, Weeks 4, 8, and 12
Clinician's Interview Based Impression of Change-plus (CIBIC-plus) score at Baseline, Weeks 4, 8, and 12
Neuropsychiatric Inventory (NPI) score at Baseline, Weeks 4, 8, and 12
Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL) score at Baseline, Weeks 4, 8, and 12

Full Information

First Posted
May 7, 2010
Last Updated
January 24, 2013
Sponsor
AbbVie (prior sponsor, Abbott)
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1. Study Identification

Unique Protocol Identification Number
NCT01137526
Brief Title
Efficacy and Safety Study of ABT-384 in Subjects With Mild-to-Moderate Alzheimer's Disease
Official Title
A Randomized, Double-Blind, Placebo and Active-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of ABT-384 in Subjects With Mild-to-Moderate Alzheimer's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
January 2013
Overall Recruitment Status
Completed
Study Start Date
May 2010 (undefined)
Primary Completion Date
July 2011 (Actual)
Study Completion Date
July 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AbbVie (prior sponsor, Abbott)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to test if the investigational medication, ABT-384, is a safe and effective treatment for adults with mild-to-moderate Alzheimer's Disease.
Detailed Description
This is a Phase 2 study designed to evaluate the safety and efficacy of ABT-384 in approximately 260 adults with mild-to-moderate Alzheimer's Disease (AD). Subjects will be randomized to one of four treatment groups (ABT-384, donepezil, or placebo) for a 12-week Treatment Period.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
267 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ABT-384 Dose 1
Arm Type
Experimental
Arm Title
ABT-384 Dose 2
Arm Type
Experimental
Arm Title
donepezil
Arm Type
Active Comparator
Arm Title
placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
ABT-384
Intervention Description
Subjects will take study drug once daily for 12 weeks
Intervention Type
Drug
Intervention Name(s)
donepezil
Other Intervention Name(s)
Aricept
Intervention Description
Subjects will take study drug once daily for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Subjects will take study drug once daily for 12 weeks
Primary Outcome Measure Information:
Title
Change from baseline to final observation in the Alzheimer's Disease Assessment Scale-Cognition portion (ADAS-cog) total score
Time Frame
12 Weeks
Secondary Outcome Measure Information:
Title
Mini Mental Status Examination (MMSE) score at Baseline, Weeks 4, 8, and 12
Time Frame
12 Weeks
Title
Clinician's Interview Based Impression of Change-plus (CIBIC-plus) score at Baseline, Weeks 4, 8, and 12
Time Frame
12 Weeks
Title
Neuropsychiatric Inventory (NPI) score at Baseline, Weeks 4, 8, and 12
Time Frame
12 Weeks
Title
Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL) score at Baseline, Weeks 4, 8, and 12
Time Frame
12 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The subject and caregiver must voluntarily sign and date and informed consent. If the subject is not fully competent, full informed consent must be obtained from a legal representative and assent must be obtained from the subject. Subject is male or female between the ages of 55 and 90 years of age, inclusive, at Day-1. Subject meets the NINCDS/ADRDA criteria for probable AD. Subject has a Mini-Mental Status Examination (MMSE) score of 10 to 24, inclusive, at Screening Visit 1. Subject has a Cornell Scale for Depression in Dementia (CSDD) score ≤ 10 at Screening Visit 1. With the exception of a diagnosis of mild-to-moderate AD and the presence of stable medical conditions, the subject is generally in good health based on medical history, physical examination, vital signs, clinical lab tests and 12-lead ECG. If female, subject must be postmenopausal for at least 2 years or surgically sterile. If male, the subject is surgically sterile (vasectomy), is sexually inactive, or is using a barrier method of birth control. Subject has an identified reliable, caregiver (e.g., family member, social worker, nurse), who will provide support and ensure compliance with the study medication and procedures. Subject and caregiver are fluent in the language used for administration of the rating scales or cognitive tests and have sufficient visual, hearing and graphomotor skills to complete procedures. Exclusion Criteria: Subject has a known hypersensitivity or intolerance to donepezil that led to discontinuation or a known reported history of donepezil treatment failure. Subject is currently taking or has taken a medication for the treatment of AD or dementia within 60 days of Screening Visit 1, or is participating in cognitive therapy for the treatment of AD or dementia. Subject has a history of a drug or alcohol disorder (abuse/dependence), based on either DSM-IV-TR or ICD-10 criteria, excluding nicotine, within 2 years prior to Screening Visit 1. In the opinion of the investigator, the subject has any clinically significant uncontrolled medical or psychiatric illness that would affect the safety of the subject. The subject has a current thyroid disease or history of thyroid disease, and is not currently being treated with a stable dose of thyroid replacement medication. For any reason the investigator considers the subject to be an unsuitable candidate to receive ABT-384 or donepezil.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gerard Marek, MD
Organizational Affiliation
AbbVie
Official's Role
Study Director
Facility Information:
Facility Name
Site Reference ID/Investigator# 40834
City
Ekaterinburg
ZIP/Postal Code
620030
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 36304
City
Kazan
ZIP/Postal Code
420097
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 36306
City
Kirov
ZIP/Postal Code
610014
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 37944
City
Moscow
ZIP/Postal Code
119048
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 26909
City
Saratov
ZIP/Postal Code
410060
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 26904
City
St. Petersburg
ZIP/Postal Code
190005
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 26902
City
St. Petersburg
ZIP/Postal Code
190103
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 36305
City
St. Petersburg
ZIP/Postal Code
198510
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 38383
City
Yaroslavl
ZIP/Postal Code
150030
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 45584
City
Belville
ZIP/Postal Code
7530
Country
South Africa
Facility Name
Site Reference ID/Investigator# 47102
City
George
ZIP/Postal Code
6529
Country
South Africa
Facility Name
Site Reference ID/Investigator# 45583
City
Johannesburg
ZIP/Postal Code
2196
Country
South Africa
Facility Name
Site Reference ID/Investigator# 39855
City
Donetsk
ZIP/Postal Code
83003
Country
Ukraine
Facility Name
Site Reference ID/Investigator# 26914
City
Kharkiv
ZIP/Postal Code
61177
Country
Ukraine
Facility Name
Site Reference ID/Investigator# 26912
City
Kiev
ZIP/Postal Code
04114
Country
Ukraine
Facility Name
Site Reference ID/Investigator# 40484
City
Lviv
ZIP/Postal Code
79010
Country
Ukraine
Facility Name
Site Reference ID/Investigator# 27002
City
Poltava
ZIP/Postal Code
36006
Country
Ukraine
Facility Name
Site Reference ID/Investigator# 39856
City
Poltava
ZIP/Postal Code
36024
Country
Ukraine
Facility Name
Site Reference ID/Investigator# 40482
City
Simferopil
ZIP/Postal Code
95006
Country
Ukraine
Facility Name
Site Reference ID/Investigator# 40483
City
Ternopil
ZIP/Postal Code
46020
Country
Ukraine
Facility Name
Site Reference ID/Investigator# 35660
City
Vinnytsia
ZIP/Postal Code
21005
Country
Ukraine
Facility Name
Site Reference ID/Investigator# 36327
City
Bath
ZIP/Postal Code
BA1 3NG
Country
United Kingdom
Facility Name
Site Reference ID/Investigator# 35657
City
Blackburn
ZIP/Postal Code
BB2 3HH
Country
United Kingdom
Facility Name
Site Reference ID/Investigator# 36330
City
Crowborough
ZIP/Postal Code
TN6 1HB
Country
United Kingdom
Facility Name
Site Reference ID/Investigator# 36326
City
Glasgow
ZIP/Postal Code
G20 0XA
Country
United Kingdom
Facility Name
Site Reference ID/Investigator# 44123
City
Ivybridge, Devon
ZIP/Postal Code
PL21 9AB
Country
United Kingdom
Facility Name
Site Reference ID/Investigator# 35658
City
London
ZIP/Postal Code
TW8 8DS
Country
United Kingdom
Facility Name
Site Reference ID/Investigator# 35902
City
Northampton
ZIP/Postal Code
NN5 6UD
Country
United Kingdom
Facility Name
Site Reference ID/Investigator# 36328
City
Oxford
ZIP/Postal Code
OX3 9DU
Country
United Kingdom
Facility Name
Site Reference ID/Investigator# 36329
City
Peterborough
ZIP/Postal Code
PE2 7JU
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
24418055
Citation
Marek GJ, Katz DA, Meier A, Greco N 4th, Zhang W, Liu W, Lenz RA. Efficacy and safety evaluation of HSD-1 inhibitor ABT-384 in Alzheimer's disease. Alzheimers Dement. 2014 Oct;10(5 Suppl):S364-73. doi: 10.1016/j.jalz.2013.09.010. Epub 2014 Jan 10.
Results Reference
derived

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Efficacy and Safety Study of ABT-384 in Subjects With Mild-to-Moderate Alzheimer's Disease

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