Efficacy and Safety of T-817MA in Patients With Mild Cognitive Impairment Due to Alzheimer's Disease (AD) or Mild AD
- Registration Number
- NCT04191486
- Lead Sponsor
- FUJIFILM Toyama Chemical Co., Ltd.
- Brief Summary
Primary objective is to evaluate the neuroprotective effect of T-817MA on Tau protein phosphorylated at threonine 181 (p-tau 181) in cerebrospinal fluid (CSF) compared with placebo in patients with a diagnosis of MCI due to AD or mild AD.
Secondary objectives are:
1. To evaluate in patients on T-817MA and placebo:
* cognitive function measured by the Clinical Dementia Rating Scale Sum of Boxes (CDR-sb) and working memory and attention domain as measured by the Cognitive Functional Composite (CFC).
* AD-related biomarkers in CSF and plasma
* imaging analysis using volumetric magnetic resonance imaging (vMRI)
* alpha/theta ratio of the electroencephalogram (EEG)
2. To evaluate the safety of T-817MA by clinical laboratory tests and adverse events (AEs).
3. To evaluate the pharmacokinetics of T-817MA
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 221
- Female of non-childbearing potential or male, ages 50 to 80 years (inclusive)
- MCI due to AD or mild AD per NIA-AA diagnostic criteria (Jack et al., 2018), with MMSE 24 to 30 (inclusive)
- CSF results at Screening consistent with the presence of Aß and p-tau181 abnormality (≤1000 pg/ml for Aß, ≥19 pg/ml for p-tau181).
- Taking stable dose of AChE Inhibitor (donepezil, galantamine or rivastigmine) at least for 3 months prior to randomization, or not taking any AChE Inhibitors.
Key
- MRI of the brain within the previous 2 years that showed pathology that would be inconsistent with a diagnosis of AD
- Taking memantine
- Any contraindications to lumbar puncture
- Any contraindications to MRI
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Placebo Placebo - T-817MA (448 mg) T-817MA -
- Primary Outcome Measures
Name Time Method The change in the CSF p-tau181 from Baseline to Week 78 Baseline to Week 78
- Secondary Outcome Measures
Name Time Method The change in the plasma Aβ1-40 from Baseline to Weeks 52 and 78 Baseline to Weeks 52 and 78 The change in the CSF Aβ1-42 from Baseline to Weeks 52 and 78 Baseline to Weeks 52 and 78 The change in the CSF p-tau217 from Baseline to Weeks 52 and 78 Baseline to Weeks 52 and 78 The change in the CSF total tau from Baseline to Weeks 52 and 78 Baseline to Weeks 52 and 78 The change in the CSF Aβ1-40 from Baseline to Weeks 52 and 78 Baseline to Weeks 52 and 78 The change in the CSF neurofilament light (NFL) from Baseline to Weeks 52 and 78 Baseline to Weeks 52 and 78 The change in the CSF neurogranin from Baseline to Weeks 52 and 78 Baseline to Weeks 52 and 78 The change in the plasma Aβ1-42 from Baseline to Weeks 52 and 78 Baseline to Weeks 52 and 78 The change in cognitive function assessed by CDR-sb and working memory and attention domain as measured by the CFC from Baseline to Weeks 28, 52 and 78 Baseline to Weeks 28, 52 and 78 The change in the CSF YKL-40 from Baseline to Weeks 52 and 78 Baseline to Weeks 52 and 78 The change in the plasma NFL from Baseline to Weeks 52 and 78 Baseline to Weeks 52 and 78 The change in brain volume (total brain volume (TBV), ventricular volume and hippocampal volume) and cortical thickness measured by vMRI from Baseline to Weeks 52 and 78 Baseline to Weeks 52 and 78 The change in the CSF Aβ1-42/Aβ1-40 ratio from Baseline to Weeks 52 and 78 Baseline to Weeks 52 and 78 The change in alpha/theta ratio measured by the EEG from Baseline to Weeks 52 and 78 Baseline to Weeks 52 and 78 Population PK analysis of T-817MA with assessment of maximum plasma concentration (Cmax) Weeks 16, 28, 40, and 65 Population PK analysis of T-817MA with assessment of total daily exposure (AUC0-24h) Weeks 16, 28, 40, and 65 Safety as assessed by the occurrence of AEs, clinical laboratory tests, vital signs, physical examinations, ECGs Screening to Week 82 Population PK analysis of T-817MA with assessment of minimum plasma concentration (Cmin) Weeks 16, 28, 40, and 65 The change in the CSF p-tau181 from Baseline to Week 52 Baseline to Week 52
Trial Locations
- Locations (37)
Imperial College Healthcare NHS Trust
🇬🇧London, United Kingdom
CLINTRIAL, s.r.o.
🇨🇿Prague, Czechia
Universitätsklinikum Magdeburg Institut für Kognitive Neurologie und Demenzforschung
🇩🇪Magdeburg, Germany
Klinik für Neurologie Universitätsklinikum Schleswig-Holstein
🇩🇪Kiel, Germany
Hospital Viamed Montecanal
🇪🇸Zaragoza, Spain
VESTRACLINICS, s.r.o.
🇨🇿Rychnov, Czechia
Universitätsmedizin Rostock Zentrum für Nervenheilkunde Klinik für Psychosomatik und Psychotherapeutische Medizin
🇩🇪Rostock, Germany
Klinik für Psychiatrie, Psychosomatik und Psychotherapie Universitätsklinikum Frankfurt
🇩🇪Frankfurt, Germany
FNUSA - Mezinarodni centrum klinickeho vyzkumu
🇨🇿Brno, Czechia
Universitätsklinikum Münster Klinik für Allgemeine Neurologie
🇩🇪Münster, Germany
Fundació ACE
🇪🇸Barcelona, Spain
Complejo Asistencial Universitario de Salamanca
🇪🇸Salamanca, Spain
Glasgow memory Clinic
🇬🇧Glasgow, United Kingdom
FNHK - Neurologicka klinika
🇨🇿Hradec Králové, Czechia
Southmead Hospital North Bristol NHS Trust
🇬🇧Bristol, United Kingdom
Klinik und Poliklinik für Neurologie Universitätsklinikum Leipzig
🇩🇪Leipzig, Germany
Àrea Gestió Documentació Assaigs Clínics-AGDAC Hospital Santa Creu i Sant Pau
🇪🇸Barcelona, Spain
Hospital Clínico Universitario Virgen de La Arrixaca
🇪🇸El Palmar, Spain
A-shine, s.r.o.
🇨🇿Plzen, Czechia
Institut für Studien zur Psychischen Gesundheit (ISPG)
🇩🇪Mannheim, Germany
Universitätsklinikum Ulm Studienzentrum Klinik für Neurologie
🇩🇪Ulm, Germany
Hospital General Universitari d' Elx
🇪🇸Alicante, Spain
Debreceni Egyetem KK, Pszichiátriai Klinika
🇭🇺Budapest, Hungary
Memory Assessment & Research Centre
🇬🇧Southampton, United Kingdom
Jávorszky Ödön Városi Kórház, Gyógyszertár
🇭🇺Debrecen, Hungary
Isala ziekenhuis
🇳🇱Zwolle, Netherlands
Brain Research Center
🇳🇱Amsterdam, Netherlands
Semmelweis Egyetem, Pszichiátriai és Pszichoterápiás Klinika
🇭🇺Győr, Hungary
Semmelweis Egyetem Neurológiai Klinika Gyógyszertára, C földszint
🇭🇺Vác, Hungary
Tallaght University Hospital.
🇮🇪Dublin, Ireland
Brain Research Center Den Bosch
🇳🇱's-Hertogenbosch, Netherlands
Amphia ziekenhuis
🇳🇱Breda, Netherlands
University of Bath
🇬🇧Bath, United Kingdom
St. Vincent's University Hospital
🇮🇪Dublin, Ireland
Technische Universität München
🇩🇪München, Germany
CAE Oroitu
🇪🇸Getxo, Spain
Hospital Victoria Eugenia - Cruz Roja
🇪🇸Sevilla, Spain