A PHASE 2 DOUBLE-BLINDED, RANDOMIZED, PLACEBO-CONTROLLED, MULTICENTER STUDY EVALUATING THE SAFETY, TOLERABILITY AND PHARMACOKINETICS/ PHARMACODYNAMICS OF PF-04360365 IN MILD TO MODERATE ALZHEIMER'S DISEASE PATIENTS
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- Pfizer
- 入组人数
- 36
- 试验地点
- 4
- 主要终点
- Number of Participants With Change From Baseline in Brain Magnetic Resonance Imaging (MRI) Abnormalities
研究概览
简要总结
The purpose of this study is to determine whether multiple dose administration is safe and well tolerated in patients with mild to moderate Alzheimer's Disease.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Investigator)
入排标准
- 年龄范围
- 50 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Males or females of non childbearing potential, age > or =
- •Diagnosis of probable Alzheimer's disease, consistent with criteria from both:
- •National Institute of Neurological and Communicable Disease and Stroke and Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA).
- •Diagnostic and Statistical Manual of Mental Disorders (DSM IV).
- •Mini-mental status exam score of 16-26 inclusive.
- •Rosen-Modified Hachinski Ischemia Score of < or = 4.
排除标准
- •Diagnosis or history of other demential or neurodegenerative disorders.
- •Diagnosis or history of clinically significant cerebrovascular disease.
- •Specific findings on magnetic resonance imaging (MRI); cortical infarct, micro hemorrhage, multiple white matter lacunes, extensive white matter abnormalities.
- •History of autoimmune disorders.
- •History of allergic or anaphylactic reactions.
研究组 & 干预措施
PF-04360365 10 mg/kg
干预措施: PF-04360365 10 mg/kg (Biological)
PF-04360365 7.5 mg/kg
干预措施: PF-04360365 7.5 mg/kg (Biological)
placebo
干预措施: placebo (Drug)
结局指标
主要结局
Number of Participants With Change From Baseline in Brain Magnetic Resonance Imaging (MRI) Abnormalities
时间窗: Baseline up to Month 18
Number of participants with new clinical findings not evident on the baseline scans, such as brain edema, hemorrhage, encephalitis and other pathology (cerebral edema, cerebral/meningeal enhancement, micro hemorrhage, parenchymal hematoma, subarachnoid hemorrhage, subdural hematoma, cortical infarcts, subcortical grey matter infarcts, white matter infarcts and white matter hyper intensities) were assessed from structural magnetic resonance imaging (MRI). Participants with brain abnormality other than those listed above assessed using MRI scan were reported under 'other' category. Only those MRI findings in which at least 1 participant had event, were reported.
Number of Participants With Gadolinium Use in Brain Magnetic Resonance Imaging (MRI)
时间窗: Baseline up to Month 18
Brain MRI included gadolinium contrast if investigator determined this was necessary for participant care either based on clinical signs or the non-contrast MRI. This decision was made by the investigator on the basis of change in the clinical examination or in response to a possible abnormality seen on the non-contrast brain MRI.
Change From Baseline in Amyloid Load at Month 13 Using Positron Emission Tomography (PET) Technique: Cohort M
时间窗: Baseline, Month 13
Quantitative amyloid imaging was performed using PET technique using \[11C\] Pittsburgh Compound B (PIB) for following brain areas: frontal, temporal, parietal and occipital cortices, anterior and posterior cingular cortex, cerebellum, pons, and subcortical white matter. For target regions of interest, beta-amyloid plaque imaging radiotracer (PIB) retention data was expressed as standard uptake value ratio (SUVR) which was defined as a ratio of radioactivity uptake of the target region relative to the cerebellum reference region. This outcome measure was planned to be analyzed only for cohort M.
Mean Cerebrospinal Fluid (CSF) Concentration of PF-04360365 at 0 Hour on Day 0
时间窗: 0 hour on Day 0 (Day prior to dosing)
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Number of Participants With Treatment-emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
时间窗: Day 1 up to 6 months after last dose of study medication (up to 18 months)
An AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship. SAE: an AE resulting in any of following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study medication and up to 6 months after last dose (up to 18 months) that were absent before treatment or worsened relative to pre-treatment state. AEs included both serious and non-serious adverse events.
Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 1
时间窗: 0 hour (pre-dose) on Day 1
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0.25 Hours on Day 1
时间窗: 0.25 hours post-infusion start on Day 1
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma and Cerebrospinal Fluid (CSF) Concentration of PF-04360365 on Day 10: Cohort M
时间窗: 216 hours post dose on Day 1 (samples taken on Day 10)
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma and Cerebrospinal Fluid (CSF) Concentration of PF-04360365 on Day 20: Cohort M
时间窗: 456 hours post dose on Day 1 (samples taken on Day 20)
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma and Cerebrospinal Fluid (CSF) Concentration of PF-04360365 at 0 Hour on Day 30: Cohort M
时间窗: 0 hour (pre-dose) on Day 30
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0.25 Hours on Day 30: Cohort M
时间窗: 0.25 hours post-infusion start on Day 30
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma and Cerebrospinal Fluid (CSF) Concentration of PF-04360365 on Day 40: Cohort Q
时间窗: 936 hours post dose on Day 1 (samples taken on Day 40)
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma and Cerebrospinal Fluid (CSF) Concentration of PF-04360365 on Day 50: Cohort Q
时间窗: 1176 hours post dose on Day 1 (samples taken on Day 50)
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma and Cerebrospinal Fluid (CSF) Concentration of PF-04360365 on Day 60: Cohort Q
时间窗: 1416 hours post-dose on Day 1 (samples taken on Day 60)
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0 Hours on Day 60: Cohort M
时间窗: 0 hour (pre-dose) on Day 60
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0.25 Hours on Day 60: Cohort M
时间窗: 0.25 hours post-infusion start on Day 60
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma and Cerebrospinal Fluid (CSF) Concentration of PF-04360365 at 0 Hour on Day 90
时间窗: 0 hour (pre-dose) on Day 90
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0.25 Hours on Day 90
时间窗: 0.25 hours post-infusion start on Day 90
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 120: Cohort M
时间窗: 0 hour (pre-dose) on Day 120
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0.25 Hours on Day 120: Cohort M
时间窗: 0.25 hours post-infusion start on Day 120
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 150: Cohort M
时间窗: 0 hour (pre-dose) on Day 150
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0.25 Hours on Day 150: Cohort M
时间窗: 0.25 hours post-infusion start on Day 150
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma and Cerebrospinal Fluid (CSF) Concentration of PF-04360365 at 0 Hour on Day 180
时间窗: 0 hour (pre-dose) on Day 180
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0.25 Hours on Day 180
时间窗: 0.25 hours post-infusion start on Day 180
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 210: Cohort M
时间窗: 0 hour (pre-dose) on Day 210
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0.25 Hours on Day 210: Cohort M
时间窗: 0.25 hours post-infusion start on Day 210
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 240: Cohort M
时间窗: 0 hour (pre-dose) on Day 240
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0.25 Hours on Day 240: Cohort M
时间窗: 0.25 hours post-infusion start on Day 240
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 270
时间窗: 0 hour (pre-dose) on Day 270
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0.25 Hours on Day 270
时间窗: 0.25 hours post-infusion start on Day 270
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 300: Cohort M
时间窗: 0 hour (pre-dose) on Day 300
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0.25 Hours on Day 300: Cohort M
时间窗: 0.25 hours post-infusion start on Day 300
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 330: Cohort M
时间窗: 0 hour (pre-dose) on Day 330
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0.25 Hours on Day 330: Cohort M
时间窗: 0.25 hours post-infusion start on Day 330
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma and Cerebrospinal Fluid (CSF) Concentration of PF-04360365 at 0 Hour on Day 360
时间窗: 0 hour (pre-dose) on Day 360
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0.25 Hours on Day 360
时间窗: 0.25 hours post-infusion start on Day 360
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 720 Hours Post-dose on Day 360: Cohort Q
时间窗: 720 hours post-dose on Day 360 (samples taken on Day 390)
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 390: Cohort M
时间窗: 0 hour (pre-dose) on Day 390
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0 Hours on Day 540: Cohort Q
时间窗: 0 hours (pre-dose) on Day 540
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 540: Cohort M
时间窗: 0 hour (pre-dose) on Day 540
Samples for PF-04360365 concentration were assayed using a validated, sensitive and specific enzyme-linked immunosorbent assay method.
Mean Cerebrospinal Fluid (CSF) Concentration of Amyloid Beta 1-x (A-beta 1-x), Amyloid Beta 1-40 (A-beta 1-40) and Amyloid Beta 1-42 (A-beta 1-42) at 0 Hour on Day 0
时间窗: 0 hour on Day 0 (Day prior to dosing)
A-beta is a peptide fragment of the amyloid precursor protein (found in the brain of participants suffering from of Alzheimer's disease (AD). In this outcome, CSF concentration of 3 variants of A-beta were reported: A-beta (1-X), A-beta (1-40) and A-beta (1-42).
Mean Cerebrospinal Fluid (CSF) Concentration of Amyloid Beta 1-x (A-beta 1-x), Amyloid Beta 1-40 (A-beta 1-40) and Amyloid Beta 1-42 (A-beta 1-42) at 216 Hours Post-dose on Day 1: Cohort M
时间窗: 216 hours post-dose on Day 1
Mean Cerebrospinal Fluid (CSF) Concentration of Amyloid Beta 1-x (A-beta 1-x), Amyloid Beta 1-40 (A-beta 1-40) and Amyloid Beta 1-42 (A-beta 1-42) at 456 Hours Post-dose on Day 1: Cohort M
时间窗: 456 hours post-dose on Day 1
Mean Cerebrospinal Fluid (CSF) Concentration of Amyloid Beta 1-x (A-beta 1-x), Amyloid Beta 1-40 (A-beta 1-40) and Amyloid Beta 1-42 (A-beta 1-42) at 0 Hour on Day 30: Cohort M
时间窗: 0 hour (pre-dose) on Day 30
Mean Cerebrospinal Fluid (CSF) Concentration of Amyloid Beta 1-x (A-beta 1-x), Amyloid Beta 1-40 (A-beta 1-40) and Amyloid Beta 1-42 (A-beta 1-42) at 936 Hours Post-dose on Day 1: Cohort Q
时间窗: 936 hours post-dose on Day 1 (Samples taken on Day 40)
Mean Cerebrospinal Fluid (CSF) Concentration of Amyloid Beta 1-x (A-beta 1-x), Amyloid Beta 1-40 (A-beta 1-40) and Amyloid Beta 1-42 (A-beta 1-42) at 1176 Hours Post-dose on Day 1: Cohort Q
时间窗: 1176 hours post-dose on Day 1 (Samples taken on Day 50)
Mean Cerebrospinal Fluid (CSF) Concentration of Amyloid Beta 1-x (A-beta 1-x), Amyloid Beta 1-40 (A-beta 1-40) and Amyloid Beta 1-42 (A-beta 1-42) at 1416 Hours Post-dose on Day 1: Cohort Q
时间窗: 1416 hours post-dose on Day 1 (Samples taken on Day 60)
Mean Cerebrospinal Fluid (CSF) Concentration of Amyloid Beta 1-x (A-beta 1-x), Amyloid Beta 1-40 (A-beta 1-40) and Amyloid Beta 1-42 (A-beta 1-42) at 0 Hour on Day 90: Cohort Q
时间窗: 0 hour (pre-dose) on Day 90
Mean Cerebrospinal Fluid (CSF) Concentration of Amyloid Beta 1-x (A-beta 1-x), Amyloid Beta 1-40 (A-beta 1-40) and Amyloid Beta 1-42 (A-beta 1-42) at 0 Hour on Day 180
时间窗: 0 hour (pre-dose) on Day 180
Mean Cerebrospinal Fluid (CSF) Concentration of Amyloid Beta 1-x (A-beta 1-x), Amyloid Beta 1-40 (A-beta 1-40) and Amyloid Beta 1-42 (A-beta 1-42) at 0 Hour on Day 360
时间窗: 0 hour (pre-dose) on Day 360
次要结局
- Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-cog) Total Score at Months 3, 6, 9, 13 and 18(Baseline, Month 3, 6, 9, 13, 18)
- Change From Baseline in Disability Assessment for Dementia (DAD) Total Score at Month 6, 13 and 18(Baseline, Month 6, 13, 18)
- Change From Baseline in Mini-Mental State Examination (MMSE) Total Score at Month 13(Baseline, Month 13)
- Mean Plasma Concentration of Amyloid Beta 1-x (A-beta 1-x)(Cohort M&Q: 0 hour(hr) & 0.25 hrs post dose (pd) on Day (D) 1,90,180,270,360, 0 hr pd on D 60,390; Cohort Q: 936,1176 hrs pd on D1(D 40,50); Cohort M: 216, 456 hrs pd on D1(D 10,20), 0.25 hrs pd on D 60, 0 hr & 0.25 hrs pd on D 30,120,150,210,240,300,330)
- Mean Plasma Concentration of Amyloid Beta 1-40 (A-beta 1-40)(Cohort M&Q: 0 hr & 0.25 hrs post dose(pd) on Day(D) 1,90,180,270,360, 0 hr pd on D 60,390,540; Cohort Q: 936, 1176 hrs pd on D1(D 40,50); Cohort M: 216, 456 hrs pd on D1(D 10,20), 0.25 hrs pd on D60, 0 hr & 0.25 hrs pd on D 30,120,150,210, 240,300,330)
- Mean Plasma Concentration of Amyloid Beta 1-42 (A-beta 1-42)(Cohort M&Q: 0 hr & 0.25 hrs post dose(pd) on Day(D) 1,90,180,270,360, 0 hr pd on D 60,390; Cohort Q: 936, 1176 hrs pd on D1(D 40,50); Cohort M: 216, 456 hrs pd on D1(D 10,20), 0.25 hrs pd on D60, 0 hr & 0.25 hrs pd on D 30,120,150,210, 240,300,330)
