A Study to Evaluate Safety, Tolerability, and Efficacy of BAN2401 in Subjects With Early Alzheimer's Disease
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Purpose
This is a multinational, multicenter, double-blind, placebo-controlled, parallel-group study using a Bayesian design with response adaptive randomization across placebo or 5 active arms of BAN2401 to determine clinical efficacy and to explore the dose response of BAN2401 using clinical efficacy assessments. BAN2401-G000-201 is an 18-month study in which 3 dose levels (2.5, 5, and 10 mg/kg) are given biweekly to separate groups of subjects and 2 dose levels (5 and 10 mg/kg) are given monthly to separate groups of subjects. The study will include subjects who have mild Alzheimer's dementia or mild cognitive impairment due to Alzheimer's disease. During the study, frequent interim analyses will be conducted to guide subsequent randomization of subjects into dose groups.
| Condition | Intervention | Phase |
|---|---|---|
|
Alzheimer's Disease |
Drug: BAN2401 |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | A Placebo-controlled, Double-blind, Parallel-group, Bayesian Adaptive Randomization Design and Dose Regimen-finding Study to Evaluate Safety, Tolerability and Efficacy of BAN2401 in Subjects With Early Alzheimer?s Disease |
- Change from baseline in the derived Composite Clinical Score at 12 months [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Change from baseline in the derived Composite Clinical Score at 18 months [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- Change from baseline in total hippocampal volume at 6 months using vMRI [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Change from baseline in total hippocampal volume at 12 months using vMRI [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Change from baseline in total hippocampal volume at 18 months using vMRI [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- Change from baseline at 12 months in brain amyloid levels as measured by amyloid PET [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Change from baseline at 18 months in brain amyloid levels as measured by amyloid PET [ Time Frame: 18 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 800 |
| Study Start Date: | December 2012 |
| Estimated Study Completion Date: | April 2016 |
| Estimated Primary Completion Date: | March 2016 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: BAN2401 2.5 mg/kg biweekly
2.5 mg/kg biweekly
|
Drug: BAN2401 |
|
Experimental: BAN2401 5.0 mg/kg biweekly
5.0 mg/kg biweekly
|
Drug: BAN2401 |
|
Experimental: BAN2401 10 mg/kg biweekly
10 mg/kg biweekly
|
Drug: BAN2401 |
|
Experimental: BAN2401 5.0 mg/kg monthly
5.0 mg/kg monthly
|
Drug: BAN2401 |
|
Experimental: BAN2401 10 mg/kg monthly
10 mg/kg monthly
|
Drug: BAN2401 |
Eligibility| Ages Eligible for Study: | 50 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Key Inclusion criteria for Mild Cognitive Impairment due to Alzheimer's Disease
- intermediate likelihood:
- Subjects who meet the National Institute of Aging - Alzheimer's Association (NIA-AA) core clinical criteria for mild cognitive impairment due to Alzheimer's disease - intermediate likelihood
- Subjects who have a CDR score of 0.5 and a Memory Box score of 0.5 or greater at Screening and Baseline
- Subjects who report a history of subjective memory decline with gradual onset and slow progression over the last one year before Screening; MUST be corroborated by an informant
- Subjects with objective impairment in episodic memory as indicated by 1-1.5 standard deviations below age-adjusted mean in the WMS-IV
Key Inclusion criteria for Mild Alzheimer's Dementia:
- Subjects who meet the NIA-AA core clinical criteria for probable Alzheimer's Disease
- Subjects who have a CDR score of 0.5-1.0 and a Memory Box score of 0.5 or greater at Screening and Baseline
Inclusion criteria that must be met by all subjects:
- Positive amyloid load as indicated by PET assessment
- Age between 50 and 90 years, inclusive
- MMSE score equal to or greater than 22, and equal to or less than 30, at Screening and Baseline
- BMI less than 35 at Screening
- Females must not be pregnant or lactating, and specified contraceptive precautions must be followed
- Subjects on acetylcholinesterase inhibitor or memantine therapy for Alzheimer's disease must be on a stable dose for at least 12 weeks prior to baseline
- Subjects must have identified caregivers/informants
- Subjects must provide written informed consent.
Key Exclusion criteria:
- Any neurological condition that may be contributing to cognitive impairment above and beyond that caused by the subject's AD
- History of transient ischemic attacks (TIA), stroke, or seizures within 12 months of Screening
- Any psychiatric diagnosis or symptoms, (e.g., hallucinations, major depression, or delusions) that could interfere with study procedures in the subject
- . Contraindications to MRI scanning, including cardiac pacemaker/ defibrillator, ferromagnetic metal implants, e,g., in skull and cardiac devices other than those approved as safe for use in MR scanners
- Evidence of other clinically significant lesions that could indicate a dementia diagnosis other than AD on brain MRI at Screening, or other significant pathological findings on brain MRI at Screening
- A prolonged QT/QTc interval (QTc > 450 ms) as demonstrated by a repeated electrocardiogram (ECG)
- Certain other specified medical conditions
- Severe visual or hearing impairment that would prevent the subject from performing psychometric tests accurately
Contacts and Locations| Contact: Eisai Medical Services | (888) 422-4743 |
| United States, California | |
| Recruiting | |
| Lomita, California, United States | |
| Contact: Eisai Medical Services (888) 422-4743 | |
| Recruiting | |
| Long Beach, California, United States | |
| Contact: Eisai Medical Services (888) 422-4743 | |
| United States, Florida | |
| Recruiting | |
| Hallandale Beach, Florida, United States | |
| Contact: Eisai Medical Services (888) 422-4743 | |
| Recruiting | |
| Orlando, Florida, United States | |
| Contact: Eisai Medical Services (888) 422-4743 | |
| Recruiting | |
| Tampa, Florida, United States | |
| Contact: Eisai Medical Services (888) 422-4743 | |
| United States, Rhode Island | |
| Recruiting | |
| East Providence, Rhode Island, United States | |
| Contact: Eisai Medical Services (888) 422-4743 | |
| Study Director: | Chad Swanson | Eisai Inc. |
More Information
No publications provided
| Responsible Party: | Eisai Inc. |
| ClinicalTrials.gov Identifier: | NCT01767311 History of Changes |
| Other Study ID Numbers: | BAN2401-G000-201 |
| Study First Received: | January 8, 2013 |
| Last Updated: | February 5, 2013 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Alzheimer Disease Dementia Brain Diseases Central Nervous System Diseases Nervous System Diseases |
Tauopathies Neurodegenerative Diseases Delirium, Dementia, Amnestic, Cognitive Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 16, 2013