跳至主要内容
临床试验/NCT05744401
NCT05744401终止2 期

A Multicenter, Long-term Extension Study to Evaluate the Safety, Tolerability, and Efficacy of AL002 in Participants With Alzheimer's Disease

Alector Inc.54 个研究点 分布在 10 个国家目标入组 197 人开始时间: 2023年1月4日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
终止
发起方
Alector Inc.
入组人数
197
试验地点
54
主要终点
Safety and Tolerability as Measured by Number of Treatment-expected Adverse Events (TEAE) and Treatment-related Adverse Events (AEs).

研究概览

简要总结

A long-term extension study to evaluate the safety, tolerability, and efficacy of AL002 in participants with Early Alzheimer's Disease.

详细描述

This is a Phase 2, parallel-group, long-term extension (LTE), dose-blind study to evaluate the long-term safety and efficacy of AL002 in participants with Early Alzheimer's Disease. The study is a multicenter, global trial that will enroll participants who completed the planned treatment period in AL002-2 (parent study).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
50 Years 至 85 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Completion of the Planned Treatment Period in the AL002-2 study.
  • The participant is willing and able to give informed consent.
  • Study partner who consents to study participation and who cares for/visits the participant at least 10 hours a week

排除标准

  • Participants deemed not able to provide consent or assent by the Investigator or by local regulations.
  • Participants who were prematurely and permanently discontinued from treatment in the parent study for safety reasons.
  • Participation deemed inappropriate per Investigator discretion.

研究组 & 干预措施

AL002 Dose 1

Experimental

AL002 every 4 weeks

干预措施: AL002 (Drug)

AL002 Dose 2

Experimental

AL002 every 4 weeks

干预措施: AL002 (Drug)

AL002 Dose 3

Experimental

AL002 every 4 weeks

干预措施: AL002 (Drug)

结局指标

主要结局

Safety and Tolerability as Measured by Number of Treatment-expected Adverse Events (TEAE) and Treatment-related Adverse Events (AEs).

时间窗: From the Screening period and throughout the treatment period until the end of study participation, up to 49 weeks.

Adverse Events are any untoward medical occurrence in a participant enrolled in this study, including side effects, injury, toxicity, sensitivity reaction, intercurrent illnesses, clinically significant physical exam signs, or sudden death, whether or not it is considered related to the study drug.

Safety and Tolerability as Measured by Number of Adverse Events of Special Interest and Serious Adverse Events

时间窗: From the Screening period and throughout the treatment period until the end of study participation, up to 49 weeks.

Adverse Events are any untoward medical occurrence in a participant enrolled in this study, including side effects, injury, toxicity, sensitivity reaction, intercurrent illnesses, clinically significant physical exam signs, or sudden death, whether or not it is considered related to the study drug.

Safety and Tolerability as Measured by the Number of Cases of Abnormal Vital Signs, Clinical Laboratory Results and Findings From Physical, Neurological, Ophthalmological Examinations and Electrocardiograms.

时间窗: From the Screening period and throughout the treatment period until the end of study completion, up to 49 weeks

Evaluation of vital signs (blood pressure, pulse, temperature), clinical laboratory results (hematology, biochemistry, urinalysis), and findings from physical, neurological, ophthalmological examinations, and electrocardiograms.

To Evaluate the Long-term Safety and Tolerability of AL002, by Assessing the Number of Suicidal Risk Events Using the Columbia-Suicide Severity Rating Scale (C-SSRS)

时间窗: From the Screening period and throughout the treatment period until the end of the study participation up to 49 weeks.

Two versions of the C-SSRS were used in the parent study: a Screening/Baseline version and a Since Last Visit version. The Screening/Baseline version of the C-SSRS assesses the lifetime suicidal ideation and behavior and non-suicidal self-injurious behavior, the suicidal ideation in the past 6 months, and suicidal behavior and non-suicidal self-injurious behavior in the past two years. The C-SSRS uses a point scale where a higher score indicates a greater risk of suicidality.

To Evaluate the Effect of Dose Titration on the Occurrence of ARIA-E by Assessing the Number of Participants With ARIA-E Events

时间窗: Screening, Week 9, Week 17, Week 25, Week 33, Week 41, End of Study visit, and Early Termination visit, if applicable up to 49 weeks

Among the brain abnormalities detected on MRI are ARIA, which are believed to reflect leakage of proteinaceous fluid or other blood products in the leptomeninges or brain parenchyma. The term ARIA was originally coined to describe specific brain abnormalities seen on MRI in anti-amyloid clinical trials. Specifically, according to the convention developed to describe ARIA occurring in clinical trials of anti-amyloid immunotherapies, ARIA-E refers to MRI findings of vasogenic edema and leptomeningeal/sulcal effusion.

To Evaluate the Effect of Dose Titration on the Occurrence of ARIA-H by Assessing the Number of Participants With ARIA-H Events

时间窗: Screening, Week 9, Week 17, Week 25, Week 33, Week 41, End of Study visit, and Early Termination visit, if applicable up to 49 weeks

Among the brain abnormalities detected on MRI are ARIA, which are believed to reflect leakage of proteinaceous fluid or other blood products int the leptomeninges or brain parenchyma. The term ARIA was originally coined to describe specific brain abnormalities seen on MRI in anti-amyloid clinical trials. Specifically, according to the convention developed to describe ARIA occurring in clinical trials of anti-amyloid immunotherapies, ARIA-H refers to MRI findings of cerebral microhemorrhages, leptomeningeal hemosiderosis, and cerebral macrohemorrhages.

次要结局

未报告次要终点

研究者

发起方
Alector Inc.
申办方类型
Industry
责任方
Sponsor

研究点 (54)

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Calibrating Microglia States in Alzheimer's Disease: From Anti-Amyloid Antibodies to Multi-Target Microenvironment Protection- Anti-Aβ monoclonal antibodies lecanemab and donanemab provide statistically significant disease modification but offer only modest cognitive benefit and carry ARIA risks, underscoring that amyloid clearance alone is insufficient. - Microglia are now recognized as central determinants of AD susceptibility and progression, existing along dynamic continua shaped by the TREM2–APOE axis, complement-mediated synaptic pruning, and immunometabolic reprogramming. - The phase II failure of the TREM2 agonist AL002 illustrates that receptor activation alone cannot overcome broader network dysfunction when lipid overload, complement dysregulation, and metabolic exhaustion are advanced. - Future therapeutic strategies should combine pathology clearance with microenvironment protection through biomarker-guided, stage-dependent "escort" combination therapies that recalibrate microglial states rather than broadly suppress inflammation.3 months agoAlector's AL002 Fails to Meet Primary Endpoint in Phase 2 Alzheimer's Trial- Alector Therapeutics' AL002, an experimental antibody designed to activate microglia, failed to slow disease progression in a Phase 2 trial for early Alzheimer's disease. - The INVOKE-2 trial, involving 381 participants, did not demonstrate significant treatment effects on secondary clinical, functional endpoints, or Alzheimer's fluid biomarkers. - Following the negative results, Alector is discontinuing the long-term extension trial for AL002 and laying off 17% of its workforce to focus on partnered monoclonal antibody programs. - Alector plans to focus on its collaboration with GSK, including the Phase III INFRONT-3 trial evaluating latozinemab for frontotemporal dementia, with results expected in late 2025/early 2026.last year