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Clinical Trials/NCT04445831
NCT04445831
Completed
Phase 1

A Phase Ib/IIa Multicenter, Double-Blind, Randomized, Placebo-Controlled Study to Evaluate the Safety, Tolerability and Immunogenicity of Different Doses, Regimens and Combinations of Tau Targeted Vaccines in Subjects With Early Alzheimer's Disease

AC Immune SA9 sites in 4 countries57 target enrollmentJuly 31, 2019

Overview

Phase
Phase 1
Intervention
Placebo
Conditions
Alzheimer's Disease
Sponsor
AC Immune SA
Enrollment
57
Locations
9
Primary Endpoint
Overview of Treatment-Emergent Adverse Events, Safety Set
Status
Completed
Last Updated
last year

Overview

Brief Summary

This study is a multicenter, double blind, randomized, placebo-controlled study to evaluate the safety, tolerability and immunogenicity of different doses, regimens and combinations of Tau targeted vaccines in participants with early Alzheimer's Disease.

Registry
clinicaltrials.gov
Start Date
July 31, 2019
End Date
September 5, 2023
Last Updated
last year
Study Type
Interventional
Study Design
Sequential
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Male or female with age from 50 and up to 75 years old inclusive.
  • Mild Cognitive Impairment (MCI) due to AD or Mild AD according to NIA-AA criteria and Clinical Dementia Rating scale (CDR) global score of 0.5 or 1 respectively.
  • Mini Mental State Examination (MMSE) score of 22 or above.
  • Abnormal level of CSF Abeta amyloid 42 (Aß42) consistent with AD pathology at screening.
  • Subjects either not taking any marketed treatment for AD or receiving a stable dose of an acetylcholinesterase inhibitor and/or memantine for at least 3 months prior to baseline.
  • Subjects cared for by a reliable informant or caregiver to assure compliance, assist with clinical assessments and report safety issues.
  • Women must be post-menopausal for at least one year and/or surgically sterilized.
  • Subjects who in the opinion of the investigator is able to understand and provide written informed consent.
  • Both subject and informant or caregiver must be fluent in one of the languages of the study and able to comply with all study procedures, including lumbar punctures.
  • Exclusion criteria:

Exclusion Criteria

  • Not provided

Arms & Interventions

Placebo

Placebo administered at predefined time points over a 48-week period.

Intervention: Placebo

ACI-35.030 - Low dose

Active vaccine administered at predefined time points over a 48-week period.

Intervention: ACI-35.030

ACI-35.030 - Medium dose

Active vaccine administered at predefined time points over a 48-week period.

Intervention: ACI-35.030

ACI-35.030 - High dose

Active vaccine administered at predefined time points over a 48-week period.

Intervention: ACI-35.030

JACI-35.054 - Low dose

Active vaccine administered at predefined time points over a 48-week period.

Intervention: JACI-35.054

JACI-35.054 - Medium dose

Active vaccine administered at predefined time points over a 48-week period.

Intervention: JACI-35.054

Outcomes

Primary Outcomes

Overview of Treatment-Emergent Adverse Events, Safety Set

Time Frame: AEs falling between first dosing (week 0) and last study visit (week 74), ie up to 74 weeks, defined as Treatment-Emergent Adverse Events (TEAEs)

Categorical data are presented with the number of subjects with at least one event for the defined categories. Subjects are included only once, even if they experienced multiple events in a category.

Overview of Treatment-Emergent Adverse Events Assessed by Intensity, Safety Set

Time Frame: Between the first dosing and the last study visit (week 74)

Categorical data are presented with the number of subjects with at least one Treatment-Emergent Adverse Event (TEAE) assessed as: * Mild: Easily tolerated and causes minimal discomfort and does not interfere with everyday activities. * Moderate: Sufficiently discomforting to interfere with normal everyday activities; intervention may be needed. Event is not hazardous to the subject's health * Severe: Prevents normal everyday activities; treatment or other intervention usually needed. Hazard to the subject's health Although subjects may have experienced multiple events, they are included only once, in the maximum severity category

Overview of Treatment-Emergent Adverse Events Assessed by Relationship to Study Drug, Safety Set

Time Frame: Between the first dosing and the last study visit (week 74)

Categorical data are presented with the number of subjects with at least one Treatment-Emergent Adverse Event (TEAE) assessed as: * Unrelated: Events reported as unrelated or unlikely related to study drug * Related: Events reported as possibly related or probably related to study drug Although subjects may have experienced multiple events, they are included only once, in the strongest relationship category

Mean Change From Baseline in Diastolic Blood Pressure, ITT Set

Time Frame: Endpoint is assessed from baseline (i.e. last non-missing value prior to the first immunization at week 0) to the last study visit (week 74), at weeks 26, 50 and 74.

At reported visits, diastolic blood pressures (mmHg = millimeter of mercury) were measured in sitting position only, after the subject has been sitting down for at least 5 minutes. A change from baseline value is defined as the value at post-baseline timepoint minus the baseline value, i.e. post-baseline value - baseline value

Mean Change From Baseline in Systolic Blood Pressure, ITT Set

Time Frame: Endpoint is assessed from baseline (i.e. last non-missing value prior to the first immunization at week 0) to the last study visit (week 74), at weeks 26, 50 and 74.

At reported visits, systolic blood pressures (mmHg = millimeter of mercury) were measured in sitting position only, after the subject has been sitting down for at least 5 minutes. A change from baseline value is defined as the value at post-baseline timepoint minus the baseline value, i.e. post-baseline value - baseline value

Mean Change From Baseline in Heart Rate, ITT Set

Time Frame: Endpoint is assessed from baseline (i.e. last non-missing value prior to the first immunization at week 0) to the last study visit (week 74), at weeks 26, 50 and 74.

At reported visits, heart rates (bpm = beats per minute) were measured in sitting position only, after the subject has been sitting down for at least 5 minutes. A change from baseline value is defined as the value at post-baseline timepoint minus the baseline value, i.e. post-baseline value - baseline value

Mean Change From Baseline in Body Temperature, ITT Set

Time Frame: Endpoint is assessed from baseline (i.e. last non-missing value prior to the first immunization at week 0) to the last study visit (week 74), at weeks 26, 50 and 74.

At reported visits, body temperatures (°C = degree Celsius) were measured. A change from baseline value is defined as the value at post-baseline timepoint minus the baseline value, i.e. post-baseline value - baseline value

Number of Participants Reporting Suicidal Ideation or Behavior Using Columbia-Suicide Severity Rating Scale (C-SSRS), ITT Set

Time Frame: Endpoint is assessed from baseline (i.e. last non-missing value prior to the first immunization at Visit 1 (Week 0) or Screening) to the last study visit (week 74), at weeks 26, 50 and 74.

Suicidal ideation or behavior using Columbia-Suicide Severity Rating Scale (C-SSRS) was assessed at Baseline (screening or visit 1 (Week 0)) and at weeks 26, 50 and 74. A set of questions related to suicidal behavior or ideation was directly asked by the rater to the subject.

Number of Participants With Abnormal MRI Results, ITT Set

Time Frame: Endpoint is assessed from baseline (screening) to the last study visit (week 74), at weeks 10, 26, 50 and 74.

Brain MRI scans were conducted according to the schedule of assessments, i.e. at Baseline (screening) and at weeks 10, 26, 50, 74 and examined for evidence of brain pathology. Normal, abnormal not clinically significant (NCS) and abnormal clinically significant (CS) results as interpreted by the clinical site are reported.

Anti-pTau IgG Antibody Response in Serum - Antibody Titers, ITT Set

Time Frame: Endpoint is assessed from baseline (i.e. mean of the titers measured at the screening and visit 1 before the first study drug administration) to the last study visit (week 74), at weeks 0, 2, 8, 10, 24, 26, 36, 48, 50, 67 and 74.

At all visits, blood was collected for the determination of the immune response in serum. Anti-phosphorylated Tau (pTau) IgG titers were measured by Meso Scale Discovery (MSD). For each visit, the geometric means (AU/mL) and 95% Confidence Interval (CI) is given.

Anti-ePHF IgG Antibody Response in Serum - Antibody Titers, ITT Set

Time Frame: Endpoint is assessed from baseline (i.e. mean of the titers measured at the screening and visit 1 before the first study drug administration) to the last study visit (week 74), at weeks 0, 2, 8, 10, 24, 26, 36, 48, 50, 67 and 74.

At all visits, blood was collected for the determination of the immune response in serum. Anti-enriched paired helical filaments (ePHF) IgG titers were measured by Meso Scale Discovery (MSD). For each visit, the geometric means (AU/mL) and 95% Confidence Interval (CI) is given.

Secondary Outcomes

  • Anti-Tau IgG Antibody Response in Serum - Antibody Titers, ITT Set(Endpoint is assessed from baseline (i.e. mean of the titers measured at the screening and visit 1 before the first study drug administration) to the last study visit (week 74), at weeks 0, 2, 8, 10, 24, 26, 36, 48, 50, 67 and 74.)
  • Anti-pTau IgM Antibody Response in Serum - Antibody Titers, ITT Set(Endpoint is assessed from baseline (i.e. mean of the titers measured at the screening and visit 1 before the first study drug administration) to the last study visit (week 74), at weeks 0, 2, 8, 10, 24, 26, 36, 48, 50, 67 and 74.)
  • Anti-Tau IgM Antibody Response in Serum - Antibody Titers, ITT Set(Endpoint is assessed from baseline (i.e. mean of the titers measured at the screening and visit 1 before the first study drug administration) to the last study visit (week 74), at weeks 0, 2, 8, 10, 24, 26, 36, 48, 50, 67 and 74.)

Study Sites (9)

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