- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02494024
Safety, Tolerability, and Pharmacokinetics of C2N-8E12 in Subjects With Progressive Supranuclear Palsy
July 25, 2017 updated by: C2N Diagnostics
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
This study will evaluate the safety and tolerability (maximum tolerated dose (MTD) within the specified dosing range) of single intravenous (IV) infusion of C2N-8E12 in patients with progressive supranuclear palsy (PSP).
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
This study evaluates the safety, tolerability, pharmacokinetics, and maximum tolerated dose (within dosing range) of intravenous (IV) infusion of C2N-8E12 in 32 patients with progressive supranuclear palsy (PSP).
Four sequential cohorts will receive increasing single doses of either C2N-8E12 or placebo.
Out of every 4 patients enrolled 3 patients will receive drug and 1 will receive placebo.
Study participants will be followed for a minimum of 2 months post-treatment to monitor for the safety, tolerability, pharmacokinetics, and immunogenicity of C2N-8E12.
Study Type
Interventional
Enrollment (Anticipated)
32
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
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
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
50 years to 85 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
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
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / 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.
|
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Experimental: Single dose C2N-8E12 level 3
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 4
Single IV infusion of C2N-8E12
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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.
|
What is the study measuring?
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
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up to 4 months
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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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
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up to 4 months
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Adam Boxer, MD, PhD, UCSF Memory and Aging Center
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
July 1, 2015
Primary Completion (Actual)
August 1, 2016
Study Completion (Actual)
August 1, 2016
Study Registration Dates
First Submitted
June 30, 2015
First Submitted That Met QC Criteria
July 7, 2015
First Posted (Estimate)
July 10, 2015
Study Record Updates
Last Update Posted (Actual)
July 26, 2017
Last Update Submitted That Met QC Criteria
July 25, 2017
Last Verified
July 1, 2017
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- C2N-8E12-WW-104
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.
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