MedPath

A Long-Term Safety And Tolerability Extension Study Of Bapineuzumab In Alzheimer Disease Patients

Phase 3
Terminated
Conditions
Alzheimer Disease
Interventions
Registration Number
NCT00998764
Lead Sponsor
Pfizer
Brief Summary

The purpose of this study is to assess the long-term safety and tolerability of bapineuzumab in subjects with Alzheimer Disease who participated in study 3133K1-3001(NCT00676143). Over 250 sites will participate in over 26 countries. Subjects will receive bapineuzumab. Each subject's participation will last approximately 4 years.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
494
Inclusion Criteria
  • Subject has completed study 3133K1-3001 (Week 78) and brain magnetic resonance imaging (MRI) scan consistent with the diagnosis of Alzheimer Disease
  • Mini-Mental Status Examination (MMSE) >=10 at screening
  • Caregiver able to attend all clinic visits with subject
Exclusion Criteria
  • Any medical or psychiatric contraindication or clinically significant abnormality that, in the investigator's judgment, will substantially increase the risk associated with the subject's participation in and completion of the study or could preclude the evaluation of the subject's response.
  • Any significant brain MRI abnormality.
  • Use of any investigational drugs or devices, other than bapineuzumab within the last 60 days prior to screening

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Bapineuzumab 0.5 mg/kgBapineuzumab 0.5 mg/kg-
Primary Outcome Measures
NameTimeMethod
Number of Participants Reporting a Serious Adverse EventUp to Week 195

Safety was measured according to standard adverse event collection as described in the Adverse Event Section of the Results. Complete tables of events are provided there.

Secondary Outcome Measures
NameTimeMethod
Change From Base Study Baseline in Alzheimer's Disease Assesment Scale-Cognitive Subscale (ADAS-Cog/11) at Weeks 13, 26, 39, 52 and 78Base Study Baseline, Weeks 13, 26, 39, 52 and 78

The ADAS-Cog is a multi-item, objective measure of cognitive function. The scale evaluates memory, language, and praxis with items such as orientation, word recall, word recognition, object identification, comprehension, and the completion of simple tasks. Analysis of the ADAS-Cog for this study was based upon an 11 item score from the following items 1) word recall task, 2) naming objects and fingers, 3) following commands, 4)constructional praxis, 5) ideational praxis, 6) orientation, 7) word recognition, 8 remembering test instructions, 9) spoken language ability, 10) word finding difficulty in spontaneous speech, and 11) comprehension.This scale had to be administered by a trained and certified psychometric rater who did not have access to any information regarding adverse events experienced. The ADAS-Cog/11 ranged from 0 to 70 points, with higher scores indicating a greater degree of impairment. A negative change from baseline indicates a decrease in cognitive impairment.

Change From Extension Study Baseline in ADAS-Cog/11 at Weeks 13, 26, 39, 52 and 78.Base Study Baseline, Weeks 13, 26, 39, 52 and 78

The ADAS-Cog is a multi-item, objective measure of cognitive function. The scale evaluates memory, language, and praxis with items such as orientation, word recall, word recognition, object identification, comprehension, and the completion of simple tasks. Analysis of the ADAS-Cog for this study was based upon an 11 item score from the following items 1) word recall task, 2) naming objects and fingers, 3) following commands, 4)constructional praxis, 5) ideational praxis, 6) orientation, 7) word recognition, 8)remembering test instructions, 9) spoken language ability, 10) word finding difficulty in spontaneous speech, and 11) comprehension.This scale had to be administered by a trained and certified psychometric rater who did not have access to any information regarding adverse events experienced. The ADAS-Cog/11 ranged from 0 to 70 points, with higher scores indicating a greater degree of impairment. A negative change from baseline indicates a decrease in cognitive impairment.

Change From Base Study Baseline in Disability Assessment for Dementia (DAD) Score at Weeks 13, 26, 39, 52 and 78.Base Study Baseline, Weeks 13, 26, 39, 52 and 78

The DAD measures instrumental and basic activities of daily living in AD participants. The DAD is administered to the participant's caregiver in the form of an interview. The performance of basic activities of daily living is evaluated in 10 aspects including hygiene, dressing, continence, eating, meal preparation, telephoning, going on an outing, finance and correspondence, medications, leisure, and housework. The caregiver answers 40 questions as yes, no, or not applicable. A one-point score was assigned to each question if the answer is "yes" and a zero score was assigned if the answer is "no". For questions answered as "not applicable", no score will be assigned. The DAD total score was calculated as the total number of questions answered as "yes" divided by the total number of questions answered as "yes" or "no", times 100. The DAD score can range from 0 to 100, with higher scores indicating better function. A positive change indicates improvement from baseline.

Change From Base Study Baseline in Neuropsychiatric Inventory (NPI) Score at Weeks 26, 52 and 78.Base Study Baseline, Weeks 26, 52 and 78

NPI:12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/ aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/ indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, nighttime behavior. Severity(1=Mild to 3=Severe),frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score(range 0-12). The NPI total score ranges from 0 to 144 with higher NPI scores indicate greater impairment. A negative change indicates improvement from baseline.

Change From Extension Study Baseline in Disability Assessment for Dementia (DAD) Score at Weeks 13, 26, 39, 52 and 78.Base Study Baseline, Weeks 13, 26, 39, 52 and 78

The DAD measures instrumental and basic activities of daily living in AD participants. The DAD is administered to the participant's caregiver in the form of an interview. The performance of basic activities of daily living is evaluated in 10 aspects including hygiene, dressing, continence, eating, meal preparation, telephoning, going on an outing, finance and correspondence, medications, leisure, and housework. The caregiver answers 40 questions as yes, no, or not applicable. A one-point score was assigned to each question if the answer is "yes" and a zero score was assigned if the answer is "no". For questions answered as "not applicable", no score will be assigned. The DAD total score was calculated as the total number of questions answered as "yes" divided by the total number of questions answered as "yes" or "no", times 100. The DAD score can range from 0 to 100, with higher scores indicating better function. A positive change indicates improvement from baseline.

Change From Base Study Baseline in Mini-mental State Examination (MMSE) Score at Weeks 6, 19, 32, 45 and 78.Base Study Baseline, Weeks 6, 19, 32, 45 and 78

MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. The MMSE total score can range from 0 to 30, with lower scores indicating a greater degree of impairment. A positive change indicates improvement from baseline.

Change From Extension Study Baseline in NPI Score at Weeks 26, 52 and 78.Base Study Baseline, Weeks 26, 52 and 78

NPI:12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/ aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/ indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, nighttime behavior. Severity(1=Mild to 3=Severe),frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score(range 0-12). The NPI total score ranges from 0 to 144 with higher NPI scores indicate greater impairment. A negative change indicates improvement from baseline.

Change From Extension Study Baseline in MMSE Score at Weeks 6, 19, 32, 45 and 78.Base Study Baseline, Weeks 6, 19, 32, 45 and 78

MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. The MMSE total score can range from 0 to 30, with lower scores indicating a greater degree of impairment. A positive change indicates improvement from baseline.

Trial Locations

Locations (180)

Research Center for Clinical Studies, Inc.

🇺🇸

Norwalk, Connecticut, United States

Brain Matters Research

🇺🇸

Delray Beach, Florida, United States

Llandough Hospital, Universtity Hospital of Wales

🇬🇧

Cardiff, Wales, United Kingdom

Hospital Santa Maria

🇵🇹

Lisboa, Portugal

University of Turku/CRST

🇫🇮

Turku, Finland

Carolina Neuropsychological Services, Inc.

🇺🇸

Raleigh, North Carolina, United States

Toms River X-Ray, CT & MRI

🇺🇸

Toms River, New Jersey, United States

Rhode Island Mood and Memory Research Institute

🇺🇸

East Providence, Rhode Island, United States

Abington Neurological Associates

🇺🇸

Abington, Pennsylvania, United States

Healthsouth Blue Ridge Surgery Center

🇺🇸

Raleigh, North Carolina, United States

Medical University of South Carolina

🇺🇸

North Charleston, South Carolina, United States

Bington Memorial Hospital

🇺🇸

Abington, Pennsylvania, United States

Abington Neurological Assoc

🇺🇸

Abington, Pennsylvania, United States

The Center for Pharmaceutical Research, P.C.

🇺🇸

Kansas City, Missouri, United States

Alzheimer's Research Corp./Merician Institute for Aging

🇺🇸

Manchester, New Jersey, United States

Wake Radiology Associates

🇺🇸

Raleigh, North Carolina, United States

Texas Neurology, P.A.

🇺🇸

Dallas, Texas, United States

Medical University of South Carolina Hospitals and Clinics

🇺🇸

Charleston, South Carolina, United States

Hollywood Hospital; Pharmacy Dept

🇦🇺

Nedlands, Western Australia, Australia

Psicomedica Research Group

🇨🇱

Santiago, Chile

Cliniques Universitaires St Luc

🇧🇪

Brussels, Belgium

Clinical Trial Center, LLC

🇺🇸

Jenkintown, Pennsylvania, United States

Neurological Research Center of Hattiesburg Clinic

🇺🇸

Hattiesburg, Mississippi, United States

Memory Enhancement Center of America, Inc.

🇺🇸

Eatontown, New Jersey, United States

Raleigh Neurology Associates

🇺🇸

Raleigh, North Carolina, United States

Thomas Jefferson University Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

MDR

🇺🇸

LiverPool, New York, United States

Neurological Care of Central New York

🇺🇸

Liverpool, New York, United States

Ita-Suomen Yliopisto

🇫🇮

Kuopio, Finland

CHU Hôpital Gui de Chaulliac

🇫🇷

Montpellier, France

Christchurch Hospital

🇳🇿

Christchurch, New Zealand

Centre Hospitalier Universitaire Charles Nicolle

🇫🇷

Rouen Cedex, France

Dipartimento di Neuroscienze,

🇮🇹

Catania, Italy

Yachiyo Hospital

🇯🇵

Aichi, Japan

CHRU Hôtel Dieu

🇫🇷

Rennes, France

Shinozuka Hospital

🇯🇵

Gunma, Japan

Hôpital Roger Salengro

🇫🇷

Lille, France

Nippon Medical School Chiba Hokusoh Hospital

🇯🇵

Chiba, Japan

National Hospital Organization Kokura Medical Center

🇯🇵

Fukuoka, Japan

Tokyo Metropolitan Health and Med. Treatment Co. Ebara Hosp

🇯🇵

Tokyo, Japan

Tokyo Medical University Hachioji Medical Center

🇯🇵

Tokyo, Japan

Hôpital la Timone

🇫🇷

Marseille, France

Kashiwado Hospital

🇯🇵

Chiba, Japan

Osaka City University Hospital

🇯🇵

Osaka, Japan

The Memory Clinic Limited

🇳🇿

Auckland, New Zealand

CHU La Milétrie

🇫🇷

Poitiers, France

CHU Nord - Hôpital Guillaume et René Laënnec

🇫🇷

Nantes - Saint Herblain, France

Nippon Medical School Musashi Kosugi Hospital

🇯🇵

Kanagawa, Japan

CHU Purpan - Hôpital Casselardit

🇫🇷

Toulouse, France

MCD Voxel

🇵🇱

Poznan, Poland

Pracownia Rezonansu Magnetycznego

🇵🇱

Warszawa, Poland

Hopital Neurologique

🇫🇷

Bron, France

Juntendo University Hospital

🇯🇵

Tokyo, Japan

Juntendo Tokyo Koto Geriatric Medical Center

🇯🇵

Tokyo, Japan

National Hospital Organization Hiroshima-nishi Medical Ctr.

🇯🇵

Hiroshima, Japan

Clinica CIMA

🇪🇸

Barcelona, Spain

Malmo University Hospital

🇸🇪

Malmo, Sweden

Sezione di Neurologia - Dipartimento di Neuroscienze

🇮🇹

Ancona, Italy

Alliance Medical

🇬🇧

Wakefield, United Kingdom

Hôpital Cimiez

🇫🇷

Nice, France

National Hospital Organization Tokyo National Hospital

🇯🇵

Tokyo, Japan

Signet Research

🇳🇿

Christchurch, New Zealand

CHU de Dijon

🇫🇷

Dijon, France

Hospitais Da Universidade De Coimbra

🇵🇹

Coimbra, Portugal

National Hospital Organization Chiba-East Hospital

🇯🇵

Chiba-shi, Japan

Gunma University Hospital

🇯🇵

Gunma, Japan

Kobe University Hospital

🇯🇵

Hyogo, Japan

Fondazione IRCCS- Istituto Neurologico Carlo Besta

🇮🇹

Milano, Italy

CHU de Caen

🇫🇷

Caen, France

Department de Radiologie et d'Imagerie Medicale, Hopital Pontchaillou

🇫🇷

Rennes Cedex 9, France

Dept. of Neurosciences Charing Cross Hospital

🇬🇧

London, United Kingdom

Medisch Centrum Leeuwarden

🇳🇱

Leeuwarden, Netherlands

NZOZ Neuro-kard

🇵🇱

Poznan, Poland

Hospital General Universitario de Elche

🇪🇸

Elche, Alicante, Spain

Minnes- och geriatrikmottagningen

🇸🇪

Uppsala, Sweden

Kansai Medical University Takii Hospital

🇯🇵

Osaka, Japan

Glasgow Memory Clinic

🇬🇧

Glasgow, United Kingdom

Maebashi Red Cross Hospital

🇯🇵

Gunma, Japan

Hospital Clinico San Carlos

🇪🇸

Madrid, Spain

Clinical Investigation and Research Unit (CIRU)

🇬🇧

Brighton, United Kingdom

Boithuso Caregivers

🇿🇦

Johannesburg, Gauteng, South Africa

Hospital Fernando da Fonseca

🇵🇹

Amadora, Lisboa, Portugal

Hospital Mutua de Terrasa

🇪🇸

Terrasa, Barcelona, Spain

Hospital del Mar

🇪🇸

Barcelona, Spain

Royal Hallamshire Hospital

🇬🇧

Sheffield, United Kingdom

Hospital de la Princesa

🇪🇸

Madrid, Spain

Univerzitna nemocnica Bratislava

🇸🇰

Bratislava, Slovakia

Hospital Divino Valles

🇪🇸

Burgos, Spain

Hospital Universitario La Paz

🇪🇸

Madrid, Spain

MAC UK Neuroscience Ltd.

🇬🇧

Bradford, United Kingdom

Northampton General Hospital

🇬🇧

Northampton, United Kingdom

Victoria Hospital

🇬🇧

Swindon, United Kingdom

The Doctors Laboratory Ltd.

🇬🇧

London, United Kingdom

Vrije Universiteit Medisch Centrum

🇳🇱

Amsterdam, Netherlands

Jeroen Bosch Ziekenhuis

🇳🇱

's-Hertogenbosch, Netherlands

University Of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

UAB Center for Psychiatric Medicine

🇺🇸

Birmingham, Alabama, United States

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

University of Alabama-Birmingham

🇺🇸

Birmingham, Alabama, United States

Banner Alzheimer's Institute

🇺🇸

Phoenix, Arizona, United States

Banner Good Samaritan Medical Center (Imaging

🇺🇸

Phoenix, Arizona, United States

San Francisco Clinical Research Center

🇺🇸

San Francisco, California, United States

Mile High Research Center

🇺🇸

Denver, Colorado, United States

Ohio State Unviersity

🇺🇸

Columbus, Ohio, United States

Innovative Clinical Trials

🇺🇸

San Antonio, Texas, United States

Vista Infusions

🇺🇸

San Antonio, Texas, United States

Inventive Infusion Solutions

🇺🇸

San Antonio, Texas, United States

Newcastle General Hospital

🇬🇧

Newcastle upon Tyne, United Kingdom

Summit Research Network(Oregon) Inc.

🇺🇸

Portland, Oregon, United States

Providence Brain Institute-Cognitive Assessment Clinic

🇺🇸

Portland, Oregon, United States

Providence Brain Institute

🇺🇸

Portland, Oregon, United States

Hôpital Purpan

🇫🇷

Toulouse, France

Palm Beach Neurological Center, Advanced Research Consultants, Inc.

🇺🇸

Palm Beach Gardens, Florida, United States

Heidelberg Repatriation Hospital

🇦🇺

Heidelberg West, Victoria, Australia

Unita' Operativa C - Riabilitazione Neurologica

🇮🇹

Roma, Italy

Integra Clinical Research, LLC

🇺🇸

San Antonio, Texas, United States

Hospital Italiano de Buenos Aires

🇦🇷

Buenos Aires, Argentina

Gosford Hospital; Pharmacy Dept

🇦🇺

Gosford, New South Wales, Australia

Royal Adelaide Memory Trials Centre

🇦🇺

Adelaide, South Australia, Australia

Dedicated Clinical Research

🇺🇸

Goodyear, Arizona, United States

Clinical Trials, Inc.

🇺🇸

Little Rock, Arkansas, United States

Jeffrey S. Gitt

🇺🇸

Phoenix, Arizona, United States

Hope Research Institute

🇺🇸

Phoenix, Arizona, United States

Alpine Clinical Research Center, Inc.

🇺🇸

Boulder, Colorado, United States

Associated Neurologist, PC

🇺🇸

Boulder, Colorado, United States

Associated Neurologists of Southern Connecticut, P.C.

🇺🇸

Fairfield, Connecticut, United States

Bendheim Infusion Center, Greenwich Hospital

🇺🇸

Greenwich, Connecticut, United States

Center for Healthy Aging, Greenwich Hospital

🇺🇸

Greenwich, Connecticut, United States

Medical Specialists of the Palm Beaches

🇺🇸

Atlantis, Florida, United States

Compass Research, LLC

🇺🇸

Orlando, Florida, United States

Neurostudies, Inc

🇺🇸

Port Charlotte, Florida, United States

Southwest Florida Infusion Care, Inc.

🇺🇸

Port Charlotte, Florida, United States

Roskamp Institute

🇺🇸

Sarasota, Florida, United States

Neuroscience Research Institute, LLC

🇺🇸

Lawrenceville, Georgia, United States

Alexian Brothers Neurosciences Institute Clinical Research

🇺🇸

Elk Grove Village, Illinois, United States

Neurostudies.net

🇺🇸

Lawrenceville, Georgia, United States

Southern Illinois University School of Medicine Department

🇺🇸

Springfield, Illinois, United States

USF Health Byrd Alzheimer's Institute

🇺🇸

Tampa, Florida, United States

Lake Charles Clinical Trials

🇺🇸

Lake Charles, Louisiana, United States

Springfield Neurology Associates, LLC

🇺🇸

Springfield, Massachusetts, United States

Michigan State University

🇺🇸

East Lansing, Michigan, United States

Hornsby Hospital

🇦🇺

Hornsby, New South Wales, Australia

Memory Unit 5C, Department of Neurology

🇦🇺

Woodville South, South Australia, Australia

The Queen Elizabeth Hospital

🇦🇺

Woodville South, South Australia, Australia

ZNA Middelheim

🇧🇪

Antwerpen, Belgium

Universitair Ziekenhuis Gasthuisberg

🇧🇪

Leuven, Belgium

CHU Hôpital Pellegrin-Tripode

🇫🇷

Bordeaux, France

Hôpital Pitié-Salpétrière

🇫🇷

Paris, France

Hôpitaux Civils de Colmar

🇫🇷

Colmar, France

C.H.U de Reims

🇫🇷

Reims, France

National Hospital Organization Niigata National Hospital

🇯🇵

Niigata, Japan

Nagoya City University Hospital

🇯🇵

Nagoya, Aichi,, Japan

Kagawa University Hospital

🇯🇵

Kagawa, Japan

National Hospital Organization Minami-Kyoto Hospital

🇯🇵

Kyoto, Japan

Rakuwakai Otowa Hospital

🇯🇵

Kyoto, Japan

National Hospital Organization Maizuru Medical Center

🇯🇵

Kyoto, Japan

National Hospital Organization Matsumoto Medical Center

🇯🇵

Nagano, Japan

Okayama University Hospital

🇯🇵

Okayama, Japan

National Hospital Organization Minami-Okayama Medical Center

🇯🇵

Okayama, Japan

Geriatry

🇳🇱

's-HERTOGENBOSCH, Netherlands

Tokyo Medical University Hospital

🇯🇵

Tokyo, Japan

The Osteoporosis and Memory Centre

🇿🇦

Johannesburg, Gauteng, South Africa

St Augustine's Medical Centre 2

🇿🇦

Durban, Kwa Zulu Natal, South Africa

Memory Service North, Grenoside Grange Hospital

🇬🇧

Grenoside, Sheffield, United Kingdom

Hospital Universitario Virgen de la Arrixaca

🇪🇸

Murcia, Spain

Neuroscience Research of the Berkshires

🇺🇸

Pittsfield, Massachusetts, United States

Samodzielny Publiczny Centralny Szpital Kliniczny

🇵🇱

Warszawa, Poland

Vseobecna nemocnica Rimavska Sobota

🇸🇰

Rimavska Sobota, Slovakia

Hospital Universitario Son Espases

🇪🇸

Palma de Mallorca, Islas Baleares, Spain

Pallmed Spolka z o.o.

🇵🇱

Bydgoszcz, Poland

SP ZOZ Szpital Wolski

🇵🇱

Warszawa, Poland

Memory Clinic Neuro-Psychologie Zentrum

🇨🇭

Basel, BS, Switzerland

CLONUS

🇪🇸

Palma de Mallorca, Islas Baleares, Spain

JEM Research LLC

🇺🇸

Atlantis, Florida, United States

AZ Sint-Jan Brugge-Oostende AV

🇧🇪

Brugge, Belgium

H.-Hartziekenhuis Roeselare-Menen

🇧🇪

Roeselare, Belgium

The McCusker Foundation for Alzheimer's Disease Research

🇦🇺

Nedlands, Western Australia, Australia

Hospital Virgen del Puerto

🇪🇸

Plasencia, Caceres, Spain

Fundacio ACE Institut Catala de Neurociences Aplicades

🇪🇸

Barcelona, Spain

Thomas Jefferson University

🇺🇸

Philadelphia, Pennsylvania, United States

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