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Phase 2 N=77 Randomized Quadruple-blind Treatment

A Study of ATH-1017 in Mild to Moderate Alzheimer's Disease

Alzheimer Disease · Dementia of Alzheimer Type

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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