Safety, Tolerability, and Pharmacokinetics of C2N-8E12 in Subjects With Progressive Supranuclear Palsy
A Double-Blind, Placebo Controlled, Single Ascending Dose Study to Assess the Safety, Tolerability, and Pharmacokinetics of C2N-8E12 in Subjects With Progressive Supranuclear Palsy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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Alabama
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Birmingham, Alabama, United States, 35294
- University of Alabama
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Arizona
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Scottsdale, Arizona, United States, 85259
- Mayo Clinic
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California
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Los Angeles, California, United States, 90095
- University of California, Los Angeles (UCLA)
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San Diego, California, United States, 92037
- UCSD Department of Neurosciences
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San Francisco, California, United States, 94158
- University of California, San Francisco
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Florida
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Gainesville, Florida, United States, 32607
- University of Florida College of Medicine
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Jacksonville, Florida, United States, 32224
- Mayo Clinic
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Indiana
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Indianapolis, Indiana, United States, 46202
- Indiana University Medical Center
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic
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New York
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New York, New York, United States, 10032-3795
- Columbia University
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Tennessee
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Nashville, Tennessee, United States, 37232-2551
- Vanderbilt University Medical Center
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Texas
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Dallas, Texas, United States, 75231
- Texas Health Presbyterian Dallas
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Key Inclusion Criteria:
- Meets NINDS-SPSP possible or probable criteria as modified for NNIPPS and AL-108-231 clinical trials
- Brain MRI at Screening is consistent with PSP;
- Stable medications for Parkinsonism for at least 2 months prior to Screening;
- Agree to use protocol specified methods of contraception.
Key Exclusion Criteria:
- Signs of a progressive neurological disorder that better meets the criteria for types of neurological disorders other than PSP;
- Currently on any other biologic or immunomodulatory therapy;
- Subjects that reside at a skilled nursing or dementia care facility;
- Diagnosis of any other significant unrelated neurological or psychiatric disorders that could account for cognitive deficits;
- Untreated major depression at baseline evaluation, based on clinical judgment and results in geriatric depression scale;
- Unable to tolerate MRI scan at Screening or any other contraindication to MRI;
- Any contraindication to or unable to tolerate lumbar puncture at Screening, including use of anti-coagulant medications.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Single dose C2N-8E12 level 1
Single IV infusion of C2N-8E12
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C2N-8E12 is a humanized recombinant anti-human tau antibody.
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Experimental: Single dose C2N-8E12 level 2
Single IV infusion of C2N-8E12
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C2N-8E12 is a humanized recombinant anti-human tau antibody.
|
|
Experimental: Single dose C2N-8E12 level 3
Single IV infusion of C2N-8E12
|
C2N-8E12 is a humanized recombinant anti-human tau antibody.
|
|
Experimental: Single dose C2N-8E12 level 4
Single IV infusion of C2N-8E12
|
C2N-8E12 is a humanized recombinant anti-human tau antibody.
|
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Placebo Comparator: Single dose placebo
Single IV infusion of placebo
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Subjects will be block randomized to receive a single dose of C2N-8E12 or placebo in two blocks of 4 subjects (3:1, C2N-8E12:placebo) per cohort.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Safety and tolerability, as measured by number of participants experiencing adverse events (AEs), serious AEs, and abnormalities in clinical laboratory tests, vital signs, ECGs, MRI, and physical and neurological exams.
Time Frame: up to 4 months
|
up to 4 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Immunogenicity as measured by the number of participants developing anti drug antibodies.
Time Frame: up to 4 months
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up to 4 months
|
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Area under the concentration vs time curve (AUC) of C2N-8E12
Time Frame: up to 4 months
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up to 4 months
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Elimination half-life of C2N-8E12
Time Frame: up to 4 months
|
up to 4 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Adam Boxer, MD, PhD, UCSF Memory and Aging Center
Publications and helpful links
General Publications
- Boxer AL, Lang AE, Grossman M, Knopman DS, Miller BL, Schneider LS, Doody RS, Lees A, Golbe LI, Williams DR, Corvol JC, Ludolph A, Burn D, Lorenzl S, Litvan I, Roberson ED, Hoglinger GU, Koestler M, Jack CR Jr, Van Deerlin V, Randolph C, Lobach IV, Heuer HW, Gozes I, Parker L, Whitaker S, Hirman J, Stewart AJ, Gold M, Morimoto BH; AL-108-231 Investigators. Davunetide in patients with progressive supranuclear palsy: a randomised, double-blind, placebo-controlled phase 2/3 trial. Lancet Neurol. 2014 Jul;13(7):676-85. doi: 10.1016/S1474-4422(14)70088-2. Epub 2014 May 27.
- Litvan I, Agid Y, Calne D, Campbell G, Dubois B, Duvoisin RC, Goetz CG, Golbe LI, Grafman J, Growdon JH, Hallett M, Jankovic J, Quinn NP, Tolosa E, Zee DS. Clinical research criteria for the diagnosis of progressive supranuclear palsy (Steele-Richardson-Olszewski syndrome): report of the NINDS-SPSP international workshop. Neurology. 1996 Jul;47(1):1-9. doi: 10.1212/wnl.47.1.1.
- Yanamandra K, Kfoury N, Jiang H, Mahan TE, Ma S, Maloney SE, Wozniak DF, Diamond MI, Holtzman DM. Anti-tau antibodies that block tau aggregate seeding in vitro markedly decrease pathology and improve cognition in vivo. Neuron. 2013 Oct 16;80(2):402-414. doi: 10.1016/j.neuron.2013.07.046. Epub 2013 Sep 26.
- Yanamandra K, Jiang H, Mahan TE, Maloney SE, Wozniak DF, Diamond MI, Holtzman DM. Anti-tau antibody reduces insoluble tau and decreases brain atrophy. Ann Clin Transl Neurol. 2015 Mar;2(3):278-88. doi: 10.1002/acn3.176. Epub 2015 Jan 23.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- C2N-8E12-WW-104
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