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Testing the Safety and Preliminary Efficacy of the New Drug ORY-2001 in Mild to Moderate Alzheimer's Disease (ETHERAL-US)

Primary Purpose

Mild to Moderate Alzheimer's Disease

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
ORY-2001 Low dose
ORY-2001 High dose
Placebo
Sponsored by
Oryzon Genomics S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mild to Moderate Alzheimer's Disease focused on measuring Alzheimer's Disease, ORY-2001

Eligibility Criteria

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

Inclusion Criteria:

  • Probable Alzheimer's Disease (AD) diagnosed according to National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) criteria
  • MMSE score at Screening and Baseline Visits of at least 16 and not greater than 26
  • Evidence of the AD pathophysiological process indicated by decreased levels of amyloid antigen binding (AB) and increased levels of total Tau protein or phospho-Tau protein in cerebrospinal fluid (CSF)
  • Outpatient consulting a general practitioner, or a psychiatrist/neurologist/geriatrician
  • Knowledgeable and reliable close relative/caregiver who will accompany the patient to all clinic visits during the study
  • Daily treatment with the same acetylcholinesterase inhibitor on a stable dose
  • Fertile male and female must use highly effective contraception, from the Screening Visit until 90 days after last dose.
  • Signed informed consent by patient (or legal representative, if applicable) and a close relative/caregiver prior to the initiation of any study specific procedure

Exclusion Criteria:

  • Failure to perform screening or baseline examinations
  • Hospitalization or change of concomitant medication 1 month prior to Screening visit or during Screening Period
  • Clinical, laboratory or neuroimaging findings consistent with:

    1. Other primary degenerative dementia;
    2. Other neurodegenerative condition;
    3. Cerebrovascular disease;
    4. Other central nervous system diseases;
  • A current Diagnostic and Statistical Manual-5 (DSM-5) diagnosis of major depression, schizophrenia or bipolar disorder
  • Positive results for tuberculosis, human immunodeficiency virus (HIV), hepatitis C or hepatitis B (hepatitis B surface antigen [HbsAg]) serology at the Screening Visit
  • Clinically significant, advanced or unstable disease that may interfere with evaluation.
  • Disability that may prevent the patients from completing all study requirements.
  • Chronic drug intake of forbidden concomitant medication.
  • Treatment with anti-amyloid beta or anti-Tau protein monoclonal antibodies or other disease modifying strategies within three months or five half-lives, whichever is longer, prior to the Screening Visit
  • Treatment with an active vaccine targeting amyloid beta or Tau protein
  • Suspected or known drug or alcohol abuse
  • Metallic implants or any other cause precluding the performance of brain MRI
  • Enrolment in another investigational study or intake of investigational drug within the previous 3 months since the last dose
  • Suicide attempt within the last year or significant risk of suicide (in the opinion of the investigator, defined as a "yes" to suicidal ideation questions 4 or 5, or answering "yes" to suicidal behavior on the Columbia-Suicide Severity Rating Scale within the past 12 months)
  • Any condition that in the opinion of the investigator makes the patient unsuitable for inclusion in the study

Sites / Locations

  • Alzheimer's Research and Treatment Center
  • Columbus Memory Center
  • Princeton Medical Institute
  • Abington Neurological Associates Ltd.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

ORY-2001 Low dose

ORY-2001 High dose

Placebo

Arm Description

0.6mg ORY-2001 capsule

1.2mg ORY-2001 capsule

Placebo capsule

Outcomes

Primary Outcome Measures

Treatment Emergent Adverse Events
Number, frequency and severity of Treatment Emergent Adverse Events (TEAEs) including serious TEAEs.
Treatment Emergent Adverse Events
Number, frequency and severity of Treatment Emergent Adverse Events (TEAEs) including serious TEAEs.
Withdrawn patients due to TEAEs
Number and percentage of withdrawn patients due to TEAEs
Withdrawn patients due to TEAEs
Number and percentage of withdrawn patients due to TEAEs

Secondary Outcome Measures

Cohen-Mansfield Agitation Inventory (CMAI)
Change from baseline to week 48 compared to placebo
Clinician version of the Apathy Evaluation Scale (AES-C)
Change from baseline to week 48 compared to placebo
14-item Alzheimer's Disease Assessment Scale-Cognitive
Change from baseline to week 48 compared to placebo
Computerized Cognitive Test battery
Change from baseline to week 48 compared to placebo
Mini-Mental State Examination (MMSE)
Change from baseline compared to placebo
Clinical Dementia Rating Scale Sum of Boxes
Change from baseline to week 48 compared to placebo
Cornell Scale for Depression in Dementia (CSDD)
Change from baseline to week 48 compared to placebo

Full Information

First Posted
February 20, 2019
Last Updated
March 4, 2021
Sponsor
Oryzon Genomics S.A.
Collaborators
Alzheimer's Drug Discovery Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT03867253
Brief Title
Testing the Safety and Preliminary Efficacy of the New Drug ORY-2001 in Mild to Moderate Alzheimer's Disease
Acronym
ETHERAL-US
Official Title
A Multicentre,Randomised, Double-blind, Placebo-controlled, 3-arm, 24-week Parallel-group Study to Evaluate the Safety, Tolerability and Preliminary Efficacy of ORY-2001 in Patients With Mild-moderate Alzheimer's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Completed
Study Start Date
May 16, 2019 (Actual)
Primary Completion Date
November 12, 2020 (Actual)
Study Completion Date
November 12, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Oryzon Genomics S.A.
Collaborators
Alzheimer's Drug Discovery Foundation

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
This is a Phase IIa study assessing the safety, tolerability and preliminary efficacy of ORY-2001 in mild to moderate Alzheimer's Disease patients.
Detailed Description
This phase IIa study is a double-blind, randomized, parallel-group and multicenter study with a placebo-controlled 24-week treatment period followed by a no placebo-controlled 24-week extension period. It is planned to randomise 25 patients. In the double-blind placebo-controlled treatment period, all patients will be randomized between two doses of ORY-2001 and placebo. In the double-blind no placebo-controlled extension period, patients in the placebo arm will be re-allocated in one of the two different dose levels of ORY-2001. Randomization will be stratified by cognitive impairment severity. An independent Data Monitoring Committee (DMC) will review un-blinded safety data throughout the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mild to Moderate Alzheimer's Disease
Keywords
Alzheimer's Disease, ORY-2001

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ORY-2001 Low dose
Arm Type
Active Comparator
Arm Description
0.6mg ORY-2001 capsule
Arm Title
ORY-2001 High dose
Arm Type
Active Comparator
Arm Description
1.2mg ORY-2001 capsule
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo capsule
Intervention Type
Drug
Intervention Name(s)
ORY-2001 Low dose
Intervention Description
0.6mg ORY-2001 capsule
Intervention Type
Drug
Intervention Name(s)
ORY-2001 High dose
Intervention Description
1.2mg ORY-2001 capsule
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo capsule
Primary Outcome Measure Information:
Title
Treatment Emergent Adverse Events
Description
Number, frequency and severity of Treatment Emergent Adverse Events (TEAEs) including serious TEAEs.
Time Frame
Week 24
Title
Treatment Emergent Adverse Events
Description
Number, frequency and severity of Treatment Emergent Adverse Events (TEAEs) including serious TEAEs.
Time Frame
Week 48
Title
Withdrawn patients due to TEAEs
Description
Number and percentage of withdrawn patients due to TEAEs
Time Frame
Week 24
Title
Withdrawn patients due to TEAEs
Description
Number and percentage of withdrawn patients due to TEAEs
Time Frame
Week 48
Secondary Outcome Measure Information:
Title
Cohen-Mansfield Agitation Inventory (CMAI)
Description
Change from baseline to week 48 compared to placebo
Time Frame
48 weeks
Title
Clinician version of the Apathy Evaluation Scale (AES-C)
Description
Change from baseline to week 48 compared to placebo
Time Frame
48 weeks
Title
14-item Alzheimer's Disease Assessment Scale-Cognitive
Description
Change from baseline to week 48 compared to placebo
Time Frame
48 weeks
Title
Computerized Cognitive Test battery
Description
Change from baseline to week 48 compared to placebo
Time Frame
48 weeks
Title
Mini-Mental State Examination (MMSE)
Description
Change from baseline compared to placebo
Time Frame
48 weeks
Title
Clinical Dementia Rating Scale Sum of Boxes
Description
Change from baseline to week 48 compared to placebo
Time Frame
48 weeks
Title
Cornell Scale for Depression in Dementia (CSDD)
Description
Change from baseline to week 48 compared to placebo
Time Frame
48 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Probable Alzheimer's Disease (AD) diagnosed according to National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) criteria MMSE score at Screening and Baseline Visits of at least 16 and not greater than 26 Evidence of the AD pathophysiological process indicated by decreased levels of amyloid antigen binding (AB) and increased levels of total Tau protein or phospho-Tau protein in cerebrospinal fluid (CSF) Outpatient consulting a general practitioner, or a psychiatrist/neurologist/geriatrician Knowledgeable and reliable close relative/caregiver who will accompany the patient to all clinic visits during the study Daily treatment with the same acetylcholinesterase inhibitor on a stable dose Fertile male and female must use highly effective contraception, from the Screening Visit until 90 days after last dose. Signed informed consent by patient (or legal representative, if applicable) and a close relative/caregiver prior to the initiation of any study specific procedure Exclusion Criteria: Failure to perform screening or baseline examinations Hospitalization or change of concomitant medication 1 month prior to Screening visit or during Screening Period Clinical, laboratory or neuroimaging findings consistent with: Other primary degenerative dementia; Other neurodegenerative condition; Cerebrovascular disease; Other central nervous system diseases; A current Diagnostic and Statistical Manual-5 (DSM-5) diagnosis of major depression, schizophrenia or bipolar disorder Positive results for tuberculosis, human immunodeficiency virus (HIV), hepatitis C or hepatitis B (hepatitis B surface antigen [HbsAg]) serology at the Screening Visit Clinically significant, advanced or unstable disease that may interfere with evaluation. Disability that may prevent the patients from completing all study requirements. Chronic drug intake of forbidden concomitant medication. Treatment with anti-amyloid beta or anti-Tau protein monoclonal antibodies or other disease modifying strategies within three months or five half-lives, whichever is longer, prior to the Screening Visit Treatment with an active vaccine targeting amyloid beta or Tau protein Suspected or known drug or alcohol abuse Metallic implants or any other cause precluding the performance of brain MRI Enrolment in another investigational study or intake of investigational drug within the previous 3 months since the last dose Suicide attempt within the last year or significant risk of suicide (in the opinion of the investigator, defined as a "yes" to suicidal ideation questions 4 or 5, or answering "yes" to suicidal behavior on the Columbia-Suicide Severity Rating Scale within the past 12 months) Any condition that in the opinion of the investigator makes the patient unsuitable for inclusion in the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Ropacki, MD
Organizational Affiliation
Oryzon Genomics S.A.
Official's Role
Study Director
Facility Information:
Facility Name
Alzheimer's Research and Treatment Center
City
Wellington
State/Province
Florida
ZIP/Postal Code
33414
Country
United States
Facility Name
Columbus Memory Center
City
Columbus
State/Province
Georgia
ZIP/Postal Code
31909
Country
United States
Facility Name
Princeton Medical Institute
City
Princeton
State/Province
New Jersey
ZIP/Postal Code
08540
Country
United States
Facility Name
Abington Neurological Associates Ltd.
City
Willow Grove
State/Province
Pennsylvania
ZIP/Postal Code
191090
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Testing the Safety and Preliminary Efficacy of the New Drug ORY-2001 in Mild to Moderate Alzheimer's Disease

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