A Study of SHR-1707 With Mild Cognitive Impairment Due to Alzheimer's Disease or Mild Alzheimer's Disease
A Phase Ib, Randomized, Double-blind, Placebo-controlled, Multiple-ascending Dose Study to Evaluate the Safety, Tolerability and Pharmacodynamics of Intravenous Administration of SHR-1707 In Patients With Mild Cognitive Impairment Due to Alzheimer's Disease or Mild Alzheimer's Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Miaomiao Shi
- Phone Number: +8618036617171
- Email: miaomiao.shi@hengrui.com
Study Contact Backup
- Name: Hongyan Qiu
- Phone Number: +86 18817821303
- Email: hongyan.qiu@hengrui.com
Study Locations
-
-
Anhui
-
Hefei, Anhui, China, 230001
- The First Affiliated Hospital of USTC
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 55 and ≤ 85 on the date of signing the informed consent, males or females;
- BMI ≥ 19 kg/m2 and ≤ 32 kg/m2, weight ≥ 45 kg and ≤ 100 kg at screening or baseline;
- Must meet the diagnostic criteria for MCI due to AD or mild AD;
- The total score of HAMD-17 should be ≤ 10 scores at screening and baseline;
- The score of Hachinski ischemic scale should be ≤ 4 scores at screening and baseline;
- Qualitative amyloid PET scan results from the central laboratory confirmed the presence of pathological changes in AD;
- Agreed to test ApoE genotype;
- Have a stable caregiver; where symptomatic drugs for AD is used, they must be stable for at least 3 months prior to the baseline visit.
Exclusion Criteria:
- Cognitive impairment of subjects due to other medical or neurological factors (other than AD);
- History of stroke or transient ischemic attack, seizures, or other unexplained loss of consciousness within the past year;
- Any psychiatric diagnosis that may interfere with the subject's cognitive assessment;
- Cannot tolerate MRI or has contraindications to MRI, has significant lesions shown on MRI during screening, or has other conditions that the investigator believes may bring a significant risk to the subject;
- Suspected allergy to Aβ antibody drugs and excipients;
- Patients who had severe trauma or had undergone surgery within 6 months prior to screening, or were scheduled to undergo surgery during the trial;
- History of moderate (3b) or severe renal failure or insufficiency;
- Uncontrolled hypertension: systolic blood pressure > 160 mmHg and diastolic blood pressure >100 mmHg in supine position during screening or baseline;
- 12-lead ECG showed QTcF > 450ms for male and > 470ms for female during screening;
- History of hypoglycemic coma or uncontrolled diabetes 6 months prior to the screening period;
- Thyroid dysfunction;
- Had unstable or clinically significant cardiovascular disease within 1 year prior to the screening period, had or currently has atrial fibrillation;
- History of malignancy within 5 years prior to screening;
- Patients with clinically significant systemic immunosuppression due to the persistent effects of immunosuppressive drugs;
- Human immunodeficiency virus antibody (HIV-Ab), treponema pallidum antibody and hepatitis C virus antibody (HCV-Ab) were positive during screening. Hepatitis B active subjects (Hepatitis B virus surface antigen (HBsAg) positive with HBV DNA > upper limit of normal);
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) exceeding 3 times ULN, or total bilirubin exceeding 2 times ULN;
- Folic acid or vitamin B12 below the lower limit of normal;
- coagulation disorders;
- According to the investigators, the subjects were suicidal or had committed suicidal behavior in the six months before the screening period;
- Severe visual or hearing impairment, unable to cooperate with the completion of the scale;
- A woman who is pregnant, or a woman of childbearing potential whose pregnancy test results are positive, or who is breastfeeding; or has a plan to have a child, unwilling or unable to take effective contraceptive measures within 30 days prior to the screening period or six months after the last use of the investigational drug;
- History of drug abuse or addiction;
- Three months prior to the randomization period or planned to use dual antiplatelet or anticoagulant drugs during the trial;
- Received any passive immunotherapy or other long-acting biologics used to prevent or delay cognitive decline within 1 year prior to screening;
- Investigators and relevant staff of the research Centre or others directly involved in programme implementation;
- The investigator considers that there are any circumstances that would cause the subject to be unable to complete the study or pose a significant risk to the subject or other factors that would interfere with the subject's ability to complete the study evaluation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: SHR-1707
Up to4 cohorts of Mild Cognitive Impairment Due to Alzheimer's Disease or Mild Alzheimer's Disease patients will receive Multiple-ascending Dose of SHR-1707 injection
|
Multiple-ascending Dose
|
|
Placebo Comparator: SHR-1707 placebo
Up to 4 cohorts of Mild Cognitive Impairment Due to Alzheimer's Disease or Mild Alzheimer's Disease patients will receive Multiple-ascending Dose of SHR-1707 placebo injection
|
Multiple-ascending Dose
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
To assess the number of patients with adverse events (AEs)
Time Frame: Week 26
|
Week 26
|
|
To assess the number of patients with clinically significant change from baseline in vital signs values
Time Frame: Week 26
|
Week 26
|
|
To assess the number of patients with clinically significant change in physical examination
Time Frame: Week 26
|
Week 26
|
|
To assess the number of patients with clinically significant change from baseline in laboratory examination
Time Frame: Week 26
|
Week 26
|
|
To assess the number of patients with clinically significant change from baseline in 12-ECG values
Time Frame: Week 26
|
Week 26
|
|
To assess the number of patients with clinically significant change in brain MRI (cerebral edema, microbleeding, etc.)
Time Frame: Week 26
|
Week 26
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
To assess the change from baseline in Brain Amyloid Plaque Deposition as measured by Aβ PET
Time Frame: Week26/52/78
|
Week26/52/78
|
|
To assess the ADA
Time Frame: Week 26
|
Week 26
|
|
To assess the number of patients with adverse events (AEs)
Time Frame: Week 52/78
|
Week 52/78
|
|
To assess the number of patients with clinically significant change from baseline in vital signs values
Time Frame: Week 52/78
|
Week 52/78
|
|
To assess the number of patients with clinically significant change in physical examination
Time Frame: Week 52/78
|
Week 52/78
|
|
To assess the number of patients with clinically significant change from baseline in laboratory examination
Time Frame: Week 52/78
|
Week 52/78
|
|
To assess the number of patients with clinically significant change from baseline in 12-ECG values
Time Frame: Week 52/78
|
Week 52/78
|
|
To assess the number of patients with clinically significant change in Head brain MRI (cerebral edema, microbleeding, etc.)
Time Frame: Week 52/78
|
Week 52/78
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SHR-1707-102
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.