Phase 2
N=77
A Study of ATH-1017 in Mild to Moderate Alzheimer's Disease
Alzheimer Disease · Dementia of Alzheimer Type
Bottom Line
View on ClinicalTrials.gov: NCT04491006 ↗Enrolled (actual)
77
Serious AEs
3.9%
Results posted
Jun 2023
Primary outcome: Primary: Event-related Potential (ERP) P300 Latency at Baseline — 361.5; 382.3; 375.3 Milliseconds (ms)
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- ATH-1017 (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 55+ yrs
- Sex
- All
- Sponsor
- LeonaBio
- Primary completion
- May 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Event-related Potential (ERP) P300 Latency at Baseline |
361.5; 382.3; 375.3 | — |
| SECONDARY Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog11) at Baseline |
23.0; 22.4; 20.7 | — |
Summary
This study is designed to evaluate treatment effects of ATH-1017 (fosgonimeton) in mild to moderate Alzheimer's subjects with a randomized treatment duration of 26-weeks.
Eligibility Criteria
Key Inclusion Criteria
- Age 55 to 85 years
- Mild-to-moderate AD dementia subjects, MMSE 14-24, CDR 1 or 2 at Screening
- Clinical diagnosis of dementia, due probably to AD, by Revised National Institute on Aging-Alzheimer's Association criteria (McKhann, 2011)
- Reliable and capable support person/caregiver
- Treatment-free or receiving stable acetylcholinesterase inhibitor (AChEI) treatment, defined as:
- Treatment-naïve, OR
- Subjects are on a stable, approved dose of an AChEI (except for donepezil at 23 mg PO) for at least 3 months before Screening OR
- Subjects who received an AChEI in the past and discontinued 4 weeks prior to Screening
Key Exclusion Criteria
- History of significant neurologic disease, other than AD, that may affect cognition, or concurrent with the onset of dementia
- History of unexplained loss of consciousness, and epileptic fits (unless febrile)
- Subject has atypical variant presentation of AD, if known from medical history, particularly non-amnestic AD
- History of brain MRI scan indicative of any other significant abnormality
- Hearing test result considered unacceptable for auditory ERP P300 assessment
- Diagnosis of severe major depressive disorder even without psychotic features
- Significant suicide risk
- History within 2 years of Screening, or current diagnosis of psychosis
- Myocardial infarction or unstable angina within the last 6 months
- Clinically significant (in the judgment of the investigator) cardiac arrhythmia (including atrial fibrillation), cardiomyopathy, or cardiac conduction defect (note: pacemaker is acceptable)
- Subject has either hypertension (supine diastolic blood pressure > 95 mmHg), or symptomatic hypotension in the judgment of the investigator
- Clinically significant ECG abnormality at Screening
- Renal insufficiency (serum creatinine > 2.0 mg/dL)
- Hepatic impairment with alanine aminotransferase or aspartate aminotransferase > 2 times the upper limit of normal, or Child-Pugh class B and C
- Malignant tumor within 3 years before Screening
- Memantine in any form, combination or dosage within 4 weeks prior to Screening
- Donepezil at 23 mg PO
- The subject has received active amyloid or tau immunization (i.e., vaccination for Alzheimer's disease) at any time, or passive immunization (i.e., monoclonal antibodies for Alzheimer's disease) within 6 months of Screening
Data sourced from ClinicalTrials.gov (NCT04491006). 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.