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Phase 2 N=64 Randomized Quadruple-blind Treatment

PTI-125 for Mild-to-moderate Alzheimer's Disease Patients

Alzheimer Disease

Enrolled (actual)
64
Serious AEs
0.0%
Results posted
Jun 2021
Primary outcome: Primary: Change From Baseline in CSF Abeta42 — 4.8; 12.5; 16.2 pg/mL — p=0.087

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Placebo oral tablet (Drug); Simufilam 100 mg tablet (Drug); Simufilam 50 mg oral tablet (Drug)
Age
Adult, Older Adult · 50+ yrs
Sex
All
Sponsor
Cassava Sciences, Inc.
Primary completion
Mar 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in CSF Abeta42
4.8; 12.5; 16.2 0.087
PRIMARY
Change From Baseline in CSF Total Tau.
-3.2; -18.7; -14.6 <0.0001 sig
PRIMARY
Change From Baseline in CSF P-tau181
-0.63; -3.1; -2.4 0.005 sig
PRIMARY
Change From Baseline in CSF Neurogranin
-50.5; -648; -527 0.0002 sig
PRIMARY
Change From Baseline in CSF Neurofilament Light Chain
-10.0; -76.3; -49.7 0.0003 sig
PRIMARY
Change From Baseline in CSF YKL-40
-0.96; -22.3; -20.4 0.0001 sig
SECONDARY
Paired Associates Learning Test
-1.5; -4.5; -5.7
SECONDARY
Spatial Working Memory Test
-0.41; -2.31; -3.35
SECONDARY
CSF IL-6, sTREM2, HMGB1, Albumin, IgG
-1.1; -3.7; -3.3; -77.3; -426; -424 0.0078 sig

Summary

This is a Phase 2b, Randomized, Double-blind, Placebo-controlled, multiple dose study of PTI-125 in mild-to-moderate Alzheimer's disease patients.

Eligibility Criteria

Inclusion Criteria

  • Ages >= 50 and = 16 and = 0.28.
  • Patient has a caregiver or legal representative responsible for administering the drug and recording the time.

Exclusion Criteria

  • Exposure to an experimental drug, experimental biologic or experimental medical device within the longer of 5 half-lives or 3 months before screening
  • Enrollment in the previous PTI-125 trial
  • A medical condition that would interfere with a lumbar puncture
  • Residence in a skilled nursing facility and requiring 24 h care.
  • Clinically significant laboratory test results
  • Clinically significant untreated hypothyroidism
  • Insufficiently controlled diabetes mellitus
  • Renal insufficiency (serum creatinine > ULN)
  • Malignant tumor within 3 years before screening (except squamous and basal cell carcinoma or cervical carcinoma in situ or localized prostate cancer or localized stage 1 bladder cancer)
  • History of ischemic colitis or ischemic enterocolitis
  • Unstable medical condition that is clinically significant in the judgment of the investigator
  • Alanine transaminase (ALT) or aspartate transaminase (AST) > ULN or total bilirubin > ULN.
  • History of myocardial infarction or unstable angina within 6 months before screening
  • History of more than 1 myocardial infarction within 5 years before screening
  • Clinically significant cardiac arrhythmia (including atrial fibrillation), cardiomyopathy, or cardiac conduction defect (patients with a pacemaker are acceptable)
  • Symptomatic hypotension, or uncontrolled hypertension
  • Clinically significant abnormality on screening electrocardiogram (ECG), including but not necessarily limited to a confirmed corrected QT interval value >= 450 msec for males or >= 470 msec for females.
  • Stroke within 18 months before screening, or history of a stroke concomitant with onset of dementia
  • History of brain tumor or other clinically significant space-occupying lesion on CT or MRI
  • Head trauma with clinically significant loss of consciousness within 12 months before screening or concurrent with the onset of dementia
  • Onset of dementia secondary to cardiac arrest, surgery with general anesthesia, or resuscitation
  • Specific degenerative Central Nervous System disease diagnosis other than Alzheimer's disease (eg, Huntington's disease, Creutzfeld-Jacob disease, Down's syndrome, Frontotemporal Dementia, Parkinson's disease)
  • Wernicke's encephalopathy
  • Active acute or chronic Central Nervous System infection
  • Donepezil 23 mg quaque die currently or within 3 months prior to randomization
  • Discontinued AChEI 450 mL) within 4 weeks prior to the study
  • Suicidality on C-SSRS at screening
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04079803). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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