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Safety of SNK01 in Subjects With Alzheimer's Disease (ASK-AD) (ASK-AD)

Primary Purpose

Alzheimer Disease, Neuro-Degenerative Disease

Status
Recruiting
Phase
Phase 1
Locations
Mexico
Study Type
Interventional
Intervention
SNK01
Sponsored by
NKGen Biotech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer Disease focused on measuring Natural killer cell, NK cell, Expanded natural killer cell, Alzheimer's Disease, Neurodegenerative diseases, Neurocognitive disorders, Brain diseases, Autologous natural killer cell

Eligibility Criteria

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

Inclusion Criteria:

  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form and protocol. If the subject is incapable of giving or signing informed consent, the subject must have a legally authorized representative willing to consent on their behalf.
  • Subject must be ≥ 55 to 85 years old at the time of consent.
  • Magnetic resonance imaging (MRI) scans of the brain within the past six months reveal evidence and findings consistent with Alzheimer's disease, including hippocampal volume loss and/or overall cerebral atrophy (cerebral volume loss).
  • Fluorodeoxyglucose-positron emission tomography (FDG-PET) scans of the brain within the past six months reveal evidence and findings consistent with mild cognitive impairment or Alzheimer's disease.
  • Subject presenting, during evaluation by the study Investigator, to have spontaneous memory loss or presenting abnormal memory function in early screening.
  • Subject must be in good health with adequate hearing and vision.
  • Subject must have a reliable caregiver.
  • Women of childbearing potential who are not abstinent and intend to be sexually active with a nonsterilized male partner must be willing to use an adequate method of contraception throughout the study and for one month following the last day of the last administration of final study drug dose. Acceptable methods include hormonal contraception (oral contraceptives [taken 90 days prior to administration of study drug], intrauterine devices (IUD), or double barrier methods (e.g., vaginal diaphragm/vaginal sponge plus condoms, or condom plus spermicidal jelly), sexual abstinence, or a vasectomized partner.

Exclusion Criteria:

  • Any medical or neurological conditions, other than Alzheimer's disease, that could contribute to the cause of cognitive impairment in the subject. Examples include, but are not limited to, frontotemporal dementia (FTD), Lewy body dementia, vascular dementia, Parkinson's disease, corticobasal degeneration, Creutzfeldt-Jakob disease, progressive supranuclear palsy, Huntington's disease, normal pressure hydrocephalus, seizure disorders or cerebral hypoxia, post-traumatic stress disorder (PTSD), or alcohol or medication use or abuse.
  • Subject does not present with signs of mild cognitive impairment or Alzheimer's disease at screening, or during evaluation by the study Investigator.
  • Subject presents with significant brain disease including hemorrhage or infarction.
  • Subject has a history of cerebrovascular accident or transient ischemic attack (TIA), or unexplainable loss of consciousness during the past year.
  • Subject has a history of schizophrenia, schizoaffective disorder, major depressive disorder (MDD), bipolar disorder, or any other clinically relevant psychiatric disease.
  • Subject has a history of seizure episodes within the past three years.
  • Subject has uncontrolled diabetes mellitus.
  • Subject has a history of unstable angina, myocardial infarction, chronic heart failure, or clinically relevant conduction abnormalities within the year prior to screening.
  • Subject suffers from renal or hepatic failure.
  • Subject is infected with the human immunodeficiency virus (HIV), Hepatitis B (Hep B), Hepatitis C (Hep C), or any other infection or active systemic disease.
  • Subject is using anticoagulants (except aspirin at or below a prophylactic dose).
  • Subject is currently exceeding the normal recommended dosage for any drug used to treat Alzheimer's disease (e.g., memantine or acetylcholinesterase inhibitors [AChEI]).
  • Subject has contraindication to MRI scans, FDG-PET scans, or lumbar spinal taps.
  • Subject whose safety is considered to be at risk from trial's intervention, as determined by the study Investigator.
  • Pregnant or lactating female subjects.

Sites / Locations

  • Hospital Angeles TijuanaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1 - Low dose SNK01

Cohort 2 - Medium dose SNK01

Cohort 3 - High dose SNK01

Cohort 4 - SNK01 at Maximum Tolerated Dose (MTD) / Recommended Phase 2 Dose (RP2D)

Arm Description

SNK01 (low dose) administered once every three weeks (Q3W) for four cycles.

SNK01 (medium dose) administered Q3W for four cycles.

SNK01 (high dose) administered Q3W for four cycles.

SNK01 (at MTD/RP2D) administered Q3W for four cycles.

Outcomes

Primary Outcome Measures

To determine the safety profile of SNK01 monotherapy in patients with mild cognitive impairment (MCI) or Alzheimer's Disease by monitoring for adverse events.
Evaluated by the number of treatment emergent adverse event (TEAE) Grade 3 or higher considered to be related to SNK01, adverse events (AEs) of Grade 3 or higher using the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE) v5.0, measurements of vital signs, clinical laboratory tests and physical examination.
To determine the tolerability of SNK01 monotherapy in patients with mild cognitive impairment (MCI) or Alzheimer's Disease by monitoring for adverse events.
Evaluated by the number of treatment emergent adverse event (TEAE) Grade 3 or higher considered to be related to SNK01, adverse events (AEs) of Grade 3 or higher using the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE) v5.0, measurements of vital signs, clinical laboratory tests and physical examination.
To determine the maximum tolerated dose (MTD)/recommended Phase 2 dose (RP2D) of SNK01 monotherapy.
Assessed by the incidence of dose-limiting toxicities, defined by treatment emergent adverse event (TEAE) Grade 3 or higher considered to be related to SNK01, in each dose level.

Secondary Outcome Measures

To assess preliminary efficacy of SNK01 measured by Alzheimer's Disease Assessment Scale Cognitive subscale (ADAS-Cog).
To assess preliminary efficacy of SNK01 measured by Mini-Mental Status Exam (MMSE).
To assess preliminary efficacy of SNK01 measured by Clinical Dementia Rating Scale: Sum of Boxes (CDR-SB).
To assess preliminary efficacy of SNK01 measured by Alzheimer's Disease Composite Score (ADCOMS).
To assess preliminary efficacy of SNK01 measured by cerebrospinal fluid (CSF) biomarkers: amyloid beta 42, T-tau and P-tau.

Full Information

First Posted
December 9, 2020
Last Updated
May 9, 2023
Sponsor
NKGen Biotech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04678453
Brief Title
Safety of SNK01 in Subjects With Alzheimer's Disease (ASK-AD)
Acronym
ASK-AD
Official Title
Single Center, Open Label, Phase 1 Study to Evaluate the Safety, Tolerability and Exploratory Efficacy of SNK01 in Subjects With Alzheimer's Disease (AD)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 6, 2021 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NKGen Biotech, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety, tolerability, and preliminary efficacy of SNK01 (autologous natural killer cell), as a single agent, for the treatment of subjects with Alzheimer's disease.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer Disease, Neuro-Degenerative Disease
Keywords
Natural killer cell, NK cell, Expanded natural killer cell, Alzheimer's Disease, Neurodegenerative diseases, Neurocognitive disorders, Brain diseases, Autologous natural killer cell

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1 - Low dose SNK01
Arm Type
Experimental
Arm Description
SNK01 (low dose) administered once every three weeks (Q3W) for four cycles.
Arm Title
Cohort 2 - Medium dose SNK01
Arm Type
Experimental
Arm Description
SNK01 (medium dose) administered Q3W for four cycles.
Arm Title
Cohort 3 - High dose SNK01
Arm Type
Experimental
Arm Description
SNK01 (high dose) administered Q3W for four cycles.
Arm Title
Cohort 4 - SNK01 at Maximum Tolerated Dose (MTD) / Recommended Phase 2 Dose (RP2D)
Arm Type
Experimental
Arm Description
SNK01 (at MTD/RP2D) administered Q3W for four cycles.
Intervention Type
Biological
Intervention Name(s)
SNK01
Intervention Description
Patient-specific ex vivo expanded autologous natural killer cells
Primary Outcome Measure Information:
Title
To determine the safety profile of SNK01 monotherapy in patients with mild cognitive impairment (MCI) or Alzheimer's Disease by monitoring for adverse events.
Description
Evaluated by the number of treatment emergent adverse event (TEAE) Grade 3 or higher considered to be related to SNK01, adverse events (AEs) of Grade 3 or higher using the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE) v5.0, measurements of vital signs, clinical laboratory tests and physical examination.
Time Frame
Up to 6 months
Title
To determine the tolerability of SNK01 monotherapy in patients with mild cognitive impairment (MCI) or Alzheimer's Disease by monitoring for adverse events.
Description
Evaluated by the number of treatment emergent adverse event (TEAE) Grade 3 or higher considered to be related to SNK01, adverse events (AEs) of Grade 3 or higher using the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE) v5.0, measurements of vital signs, clinical laboratory tests and physical examination.
Time Frame
Up to 6 months
Title
To determine the maximum tolerated dose (MTD)/recommended Phase 2 dose (RP2D) of SNK01 monotherapy.
Description
Assessed by the incidence of dose-limiting toxicities, defined by treatment emergent adverse event (TEAE) Grade 3 or higher considered to be related to SNK01, in each dose level.
Time Frame
Up to 6 months
Secondary Outcome Measure Information:
Title
To assess preliminary efficacy of SNK01 measured by Alzheimer's Disease Assessment Scale Cognitive subscale (ADAS-Cog).
Time Frame
Baseline, Week 11, End of Study (Week 22)
Title
To assess preliminary efficacy of SNK01 measured by Mini-Mental Status Exam (MMSE).
Time Frame
Baseline, Week 11, End of Study (Week 22)
Title
To assess preliminary efficacy of SNK01 measured by Clinical Dementia Rating Scale: Sum of Boxes (CDR-SB).
Time Frame
Baseline, Week 11, End of Study (Week 22)
Title
To assess preliminary efficacy of SNK01 measured by Alzheimer's Disease Composite Score (ADCOMS).
Time Frame
Baseline, Week 11, End of Study (Week 22)
Title
To assess preliminary efficacy of SNK01 measured by cerebrospinal fluid (CSF) biomarkers: amyloid beta 42, T-tau and P-tau.
Time Frame
Baseline, Week 11, End of Study (Week 22)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form and protocol. If the subject is incapable of giving or signing informed consent, the subject must have a legally authorized representative willing to consent on their behalf. Subject must be ≥ 55 to 85 years old at the time of consent. Magnetic resonance imaging (MRI) scans of the brain within the past six months reveal evidence and findings consistent with Alzheimer's disease, including hippocampal volume loss and/or overall cerebral atrophy (cerebral volume loss). Fluorodeoxyglucose-positron emission tomography (FDG-PET) scans of the brain within the past six months reveal evidence and findings consistent with mild cognitive impairment or Alzheimer's disease. Subject presenting, during evaluation by the study Investigator, to have spontaneous memory loss or presenting abnormal memory function in early screening. Subject must be in good health with adequate hearing and vision. Subject must have a reliable caregiver. Women of childbearing potential who are not abstinent and intend to be sexually active with a nonsterilized male partner must be willing to use an adequate method of contraception throughout the study and for one month following the last day of the last administration of final study drug dose. Acceptable methods include hormonal contraception (oral contraceptives [taken 90 days prior to administration of study drug], intrauterine devices (IUD), or double barrier methods (e.g., vaginal diaphragm/vaginal sponge plus condoms, or condom plus spermicidal jelly), sexual abstinence, or a vasectomized partner. Exclusion Criteria: Any medical or neurological conditions, other than Alzheimer's disease, that could contribute to the cause of cognitive impairment in the subject. Examples include, but are not limited to, frontotemporal dementia (FTD), Lewy body dementia, vascular dementia, Parkinson's disease, corticobasal degeneration, Creutzfeldt-Jakob disease, progressive supranuclear palsy, Huntington's disease, normal pressure hydrocephalus, seizure disorders or cerebral hypoxia, post-traumatic stress disorder (PTSD), or alcohol or medication use or abuse. Subject does not present with signs of mild cognitive impairment or Alzheimer's disease at screening, or during evaluation by the study Investigator. Subject presents with significant brain disease including hemorrhage or infarction. Subject has a history of cerebrovascular accident or transient ischemic attack (TIA), or unexplainable loss of consciousness during the past year. Subject has a history of schizophrenia, schizoaffective disorder, major depressive disorder (MDD), bipolar disorder, or any other clinically relevant psychiatric disease. Subject has a history of seizure episodes within the past three years. Subject has uncontrolled diabetes mellitus. Subject has a history of unstable angina, myocardial infarction, chronic heart failure, or clinically relevant conduction abnormalities within the year prior to screening. Subject suffers from renal or hepatic failure. Subject is infected with the human immunodeficiency virus (HIV), Hepatitis B (Hep B), Hepatitis C (Hep C), or any other infection or active systemic disease. Subject is using anticoagulants (except aspirin at or below a prophylactic dose). Subject is currently exceeding the normal recommended dosage for any drug used to treat Alzheimer's disease (e.g., memantine or acetylcholinesterase inhibitors [AChEI]). Subject has contraindication to MRI scans, FDG-PET scans, or lumbar spinal taps. Subject whose safety is considered to be at risk from trial's intervention, as determined by the study Investigator. Pregnant or lactating female subjects.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
NKGen Biotech, Inc.
Phone
949-396-6830
Email
trials@nkgenbiotech.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clemente Humberto Zúñiga Gil, MD
Organizational Affiliation
Hospital Angeles Tijuana
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital Angeles Tijuana
City
Tijuana
State/Province
Baja California
ZIP/Postal Code
22010
Country
Mexico
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clemente Humberto Zúñiga Gil, MD

12. IPD Sharing Statement

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Safety of SNK01 in Subjects With Alzheimer's Disease (ASK-AD)

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