Phase 2
N=64
PTI-125 for Mild-to-moderate Alzheimer's Disease Patients
Alzheimer Disease
Bottom Line
View on ClinicalTrials.gov: NCT04079803 ↗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
| Outcome | Result | p-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
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.