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Lomecel-B Effects on Alzheimer's Disease (CLEARMIND)

Primary Purpose

Mild Alzheimer's Disease

Status
Active
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Allogeneic MSC
Placebo
Sponsored by
Longeveron Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mild Alzheimer's Disease

Eligibility Criteria

60 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Provide written informed consent.
  • Be 60 - 85 years of age at signing of the Informed Consent Form.
  • Clinical diagnosis of mild Alzheimer's disease in accordance with the NIA-AA criteria at the time of enrollment.
  • MMSE score of 19 - 23.
  • Body weight of 40 - 150 kg.
  • Has an adult caregiver who meets all of the following criteria.

    1. Provides written informed consent to participate on the trial (reporting on patient observations).
    2. Either lives with the patient, or sees the patient for at least 2 hours/day for at least 3 days/week.
    3. Is willing and able to participate in the study, and agrees to accompany the patient to each study visit.
    4. Is able to read, understand, and speak the designated language at the study site.
  • Brain MRI consistent with AD.
  • A PET scan using an FDA-approved tracer (e.g., AMYViD, Vizamyl, or Neuraceq) consistent with the diagnosis of AD. A prior positive PET scan will be allowed with Sponsor approval.
  • Living in the community, includes assisted living facilities (but excluding long-term care nursing facilities).

Exclusion Criteria:

  • Diagnosed with frontotemporal dementia (FTD), dementia due to Acquired Immunodeficiency Syndrome (AIDS), Creutzfeldt-Jakob disease (CJD), Lewy Bodies dementia (LBD), Progressive Supranuclear Palsy (PSP), multiple cerebral infarctions, or normal pressure hydrocephalus.
  • Any other neurodegenerative disease.
  • History of a seizure disorder.
  • Evidence of: a prior macrohemorrhage; at least 4 cerebral microhemorrhages (regardless of anatomical location or diagnostic characterization as "possible" or "definite"); or at least 1 area of superficial siderosis.
  • Unwillingness or inability to have MRIs scans (no contrasting agent will be used), or condition that contraindicates MRI, such as the presence metallic objects in the eyes, skin, or heart.
  • Any conditions that contraindicates PET with a beta-amyloid tracer.
  • Significant intestinal malabsorption surgery, e.g., gastric bypass.
  • Serum B12 and/or folate levels below normal range.
  • Clinically abnormal free T4 or thyroid-stimulating hormone (TSH).
  • Resting blood oxygen saturation <93%.
  • Resting systolic blood pressure >180 mm Hg, or diastolic blood pressure >110 mm Hg.
  • Regularly (> 4 weeks) using high-doses of corticosteroids or other steroidal anti-inflammatory medication (e.g., Prednisone) on a regular basis, with the exception of steroidal nasal sprays, asthma inhalers, topical steroids, and hormonal-replacement therapy.
  • Regularly (> 4 weeks) using anti-cytokine antibody or targeting therapy, e.g., anti-TNF-α.
  • Be an organ transplant recipient, or have active or expected future listing for any organ/tissue transplant while scheduled to be on trial, except for corneal, bone, skin, ligament, or tendon.
  • Diagnosed with malignancy within the past 2 years, with the exception of curatively treated basal cell carcinoma, squamous cell carcinoma, melanoma in situ, or cervical carcinoma.
  • Known hypersensitivity to dimethyl sulfoxide (DMSO).
  • Test positive for hepatitis B virus surface antigen, viremic hepatitis C virus, HIV, or syphilis.
  • Any condition that is projected to limited life expectancy to < 12 months.
  • Be pregnant, nursing, or of childbearing potential while not practicing effective contraception.
  • Be currently participating in any other investigational therapeutic or device trial, or have participated within one within the previous 30 days to screening, or in the opinion of the investigator, the patient should be excluded for such participation within the past 5 years.
  • In the opinion of the investigator, the patient has any other illness or condition that: may compromise the participant's safety, compliance, or ability to successfully complete the study; may compromise the validity of the study; or otherwise should exclude the participant from enrollment.

Sites / Locations

  • Visionary Investigators Network
  • Brain Matters Research
  • Science Connections - Research Partner Group Multispecialty Group
  • Bruce W. Carter VA Medical Center
  • Miami Jewish Health
  • Allied Biomedical Research Institute
  • Ivetmar Medical Group
  • Fusion Medical Research and Clinic
  • First Excellent Research Group, LLC
  • Brainstorm Research
  • Miami Dade Medical Research Institute
  • Imic Inc.
  • Brain Matters Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

Placebo

Lomecel-B Dose 1

Lomecel-B Dose 2

Lomecel-B Dose 3

Arm Description

Group 1 will receive four infusions of Placebo on Day 0, Week 4, Week 8, and Week 12.

Group 2 will receive an infusion of Lomecel-B at a dose of 25 x 10^6 cells (25M) on Day 0, followed by Placebo infusions at Week 4, Week 8, and Week 12.

Group 3 will receive four infusions of 25M Lomecel-B on Day 0, Week 4, Week 8, and Week 12.

Group 4 will receive four infusions of Lomecel-B at a dose of 100 x 10^6 cells (100M) on Day 0, Week 4, Week 8, and Week 12.

Outcomes

Primary Outcome Measures

Primary Endpoint 1: Safety - SAEs and AEs
To demonstrate that Lomecel-B infusions do not trigger the pre-specified stopping rules. Additional safety will be acquired throughout the study as follows: Incidence of all AEs and SAEs over the course of the trial.
Primary Endpoint 2: Safety - Imaging
To demonstrate that Lomecel-B infusions do not trigger the pre-specified stopping rules. Additional safety will be acquired throughout the study as follows: Alzheimer's disease-related imaging abnormalities (ARIA) or clinically asymptomatic microhemorrhages as revealed by MRI.

Secondary Outcome Measures

Secondary Endpoint 2: Efficacy- Change in the ADAS-cog-13
Change from baseline in the ADAS-cog-13 in Lomecel-B-treated arms versus change in placebo.
Secondary Endpoint 3: Efficacy- Change in the MMSE
Change from baseline in the MMSE in Lomecel-B-treated arms versus change in placebo.

Full Information

First Posted
December 16, 2021
Last Updated
April 27, 2023
Sponsor
Longeveron Inc.
Collaborators
bioRASI, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT05233774
Brief Title
Lomecel-B Effects on Alzheimer's Disease
Acronym
CLEARMIND
Official Title
Lomecel-B Effects on Alzheimer's Disease: A Randomized, Double-Blinded, Placebo-Controlled Phase 2a Trial
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
December 28, 2021 (Actual)
Primary Completion Date
September 29, 2023 (Anticipated)
Study Completion Date
September 29, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Longeveron Inc.
Collaborators
bioRASI, LLC

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
Dementia resulting from AD is associated with vascular function decline and involves a pro-inflammatory state. In our Phase 1 trial, Lomecel-B treatment met the primary safety endpoint, with no safety concerns, and showed potential to improve clinical assessments. Mechanistically, Lomecel-B treated subjects had higher serum concentrations of pro-vascular and anti-inflammatory biomarkers relative to placebo. This trial builds upon those preliminary Phase 1 results, and is designed to evaluate the safety profile of multiple infusions of Lomecel-B, and to investigate provisional efficacy of single dosing versus multiple dosing of Lomecel-B on cognitive function and biomarkers in AD subjects.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
The study consists of 4 study arms of 12 patients each.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
48 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Group 1 will receive four infusions of Placebo on Day 0, Week 4, Week 8, and Week 12.
Arm Title
Lomecel-B Dose 1
Arm Type
Experimental
Arm Description
Group 2 will receive an infusion of Lomecel-B at a dose of 25 x 10^6 cells (25M) on Day 0, followed by Placebo infusions at Week 4, Week 8, and Week 12.
Arm Title
Lomecel-B Dose 2
Arm Type
Experimental
Arm Description
Group 3 will receive four infusions of 25M Lomecel-B on Day 0, Week 4, Week 8, and Week 12.
Arm Title
Lomecel-B Dose 3
Arm Type
Experimental
Arm Description
Group 4 will receive four infusions of Lomecel-B at a dose of 100 x 10^6 cells (100M) on Day 0, Week 4, Week 8, and Week 12.
Intervention Type
Drug
Intervention Name(s)
Allogeneic MSC
Intervention Description
An allogeneic bone marrow-derived medicinal signaling cell (MSC) formulation
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Primary Endpoint 1: Safety - SAEs and AEs
Description
To demonstrate that Lomecel-B infusions do not trigger the pre-specified stopping rules. Additional safety will be acquired throughout the study as follows: Incidence of all AEs and SAEs over the course of the trial.
Time Frame
41 weeks
Title
Primary Endpoint 2: Safety - Imaging
Description
To demonstrate that Lomecel-B infusions do not trigger the pre-specified stopping rules. Additional safety will be acquired throughout the study as follows: Alzheimer's disease-related imaging abnormalities (ARIA) or clinically asymptomatic microhemorrhages as revealed by MRI.
Time Frame
41 weeks
Secondary Outcome Measure Information:
Title
Secondary Endpoint 2: Efficacy- Change in the ADAS-cog-13
Description
Change from baseline in the ADAS-cog-13 in Lomecel-B-treated arms versus change in placebo.
Time Frame
41 weeks
Title
Secondary Endpoint 3: Efficacy- Change in the MMSE
Description
Change from baseline in the MMSE in Lomecel-B-treated arms versus change in placebo.
Time Frame
41 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
60 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Provide written informed consent. Be 60 - 85 years of age at signing of the Informed Consent Form. Clinical diagnosis of mild Alzheimer's disease in accordance with the NIA-AA criteria at the time of enrollment. MMSE score of 19 - 23. Body weight of 40 - 150 kg. Has an adult caregiver who meets all of the following criteria. Provides written informed consent to participate on the trial (reporting on patient observations). Either lives with the patient, or sees the patient for at least 2 hours/day for at least 3 days/week. Is willing and able to participate in the study, and agrees to accompany the patient to each study visit. Is able to read, understand, and speak the designated language at the study site. Brain MRI consistent with AD. A PET scan using an FDA-approved tracer (e.g., AMYViD, Vizamyl, or Neuraceq) consistent with the diagnosis of AD. A prior positive PET scan will be allowed with Sponsor approval. Living in the community, includes assisted living facilities (but excluding long-term care nursing facilities). Exclusion Criteria: Diagnosed with frontotemporal dementia (FTD), dementia due to Acquired Immunodeficiency Syndrome (AIDS), Creutzfeldt-Jakob disease (CJD), Lewy Bodies dementia (LBD), Progressive Supranuclear Palsy (PSP), multiple cerebral infarctions, or normal pressure hydrocephalus. Any other neurodegenerative disease. History of a seizure disorder. Evidence of: a prior macrohemorrhage; at least 4 cerebral microhemorrhages (regardless of anatomical location or diagnostic characterization as "possible" or "definite"); or at least 1 area of superficial siderosis. Unwillingness or inability to have MRIs scans (no contrasting agent will be used), or condition that contraindicates MRI, such as the presence metallic objects in the eyes, skin, or heart. Any conditions that contraindicates PET with a beta-amyloid tracer. Significant intestinal malabsorption surgery, e.g., gastric bypass. Serum B12 and/or folate levels below normal range. Clinically abnormal free T4 or thyroid-stimulating hormone (TSH). Resting blood oxygen saturation <93%. Resting systolic blood pressure >180 mm Hg, or diastolic blood pressure >110 mm Hg. Regularly (> 4 weeks) using high-doses of corticosteroids or other steroidal anti-inflammatory medication (e.g., Prednisone) on a regular basis, with the exception of steroidal nasal sprays, asthma inhalers, topical steroids, and hormonal-replacement therapy. Regularly (> 4 weeks) using anti-cytokine antibody or targeting therapy, e.g., anti-TNF-α. Be an organ transplant recipient, or have active or expected future listing for any organ/tissue transplant while scheduled to be on trial, except for corneal, bone, skin, ligament, or tendon. Diagnosed with malignancy within the past 2 years, with the exception of curatively treated basal cell carcinoma, squamous cell carcinoma, melanoma in situ, or cervical carcinoma. Known hypersensitivity to dimethyl sulfoxide (DMSO). Test positive for hepatitis B virus surface antigen, viremic hepatitis C virus, HIV, or syphilis. Any condition that is projected to limited life expectancy to < 12 months. Be pregnant, nursing, or of childbearing potential while not practicing effective contraception. Be currently participating in any other investigational therapeutic or device trial, or have participated within one within the previous 30 days to screening, or in the opinion of the investigator, the patient should be excluded for such participation within the past 5 years. In the opinion of the investigator, the patient has any other illness or condition that: may compromise the participant's safety, compliance, or ability to successfully complete the study; may compromise the validity of the study; or otherwise should exclude the participant from enrollment.
Facility Information:
Facility Name
Visionary Investigators Network
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
Country
United States
Facility Name
Brain Matters Research
City
Delray Beach
State/Province
Florida
ZIP/Postal Code
33445
Country
United States
Facility Name
Science Connections - Research Partner Group Multispecialty Group
City
Doral
State/Province
Florida
ZIP/Postal Code
33178
Country
United States
Facility Name
Bruce W. Carter VA Medical Center
City
Miami
State/Province
Florida
ZIP/Postal Code
33125
Country
United States
Facility Name
Miami Jewish Health
City
Miami
State/Province
Florida
ZIP/Postal Code
33137
Country
United States
Facility Name
Allied Biomedical Research Institute
City
Miami
State/Province
Florida
ZIP/Postal Code
33155
Country
United States
Facility Name
Ivetmar Medical Group
City
Miami
State/Province
Florida
ZIP/Postal Code
33155
Country
United States
Facility Name
Fusion Medical Research and Clinic
City
Miami
State/Province
Florida
ZIP/Postal Code
33173
Country
United States
Facility Name
First Excellent Research Group, LLC
City
Miami
State/Province
Florida
ZIP/Postal Code
33175
Country
United States
Facility Name
Brainstorm Research
City
Miami
State/Province
Florida
ZIP/Postal Code
33176
Country
United States
Facility Name
Miami Dade Medical Research Institute
City
Miami
State/Province
Florida
ZIP/Postal Code
33176
Country
United States
Facility Name
Imic Inc.
City
Palmetto Bay
State/Province
Florida
ZIP/Postal Code
33157
Country
United States
Facility Name
Brain Matters Research
City
Stuart
State/Province
Florida
ZIP/Postal Code
34997
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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