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Effect of LY2062430 on the Progression of Alzheimer's Disease (EXPEDITION)

18. září 2012 aktualizováno: Eli Lilly and Company

Effect of LY2062430, an Anti-Amyloid Beta Monoclonal Antibody, on the Progression of Alzheimer's Disease as Compared With Placebo

Alzheimer's disease (AD) is an age-related degenerative disorder of the brain, characterized by progressive decline in cognitive function and ability to perform activities of daily living, and ultimately can lead to death due to complications of the disease. AD is thought to be caused by an excess of A-Beta amyloid, a sticky protein in the brain that forms amyloid plaques. Treatments that slow the synthesis or deposition of A-Beta amyloid, or that increase clearance, might be expected to slow the progression of AD.

LY2062430 (solanezumab) is a humanized anti-A Beta peptide immunoglobulin G-1 (IgG1) monoclonal antibody being developed for the treatment of AD. The primary hypothesis being tested is that LY2062430 will slow cognitive and functional decline in AD as compared with placebo. Each patient's participation will last approximately 19 months. Patients taking approved AD medications may participate in this study and continue taking these medications during the study.

Přehled studie

Postavení

Dokončeno

Typ studie

Intervenční

Zápis (Očekávaný)

1000

Fáze

  • Fáze 3

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní místa

      • Buenos Aires, Argentina, CBA 1419
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      • Cordoba, Argentina, X5004AOA
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      • Mendoza, Argentina, 5500
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      • Pueyrredon Cordoba, Argentina, X5005ALB
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      • Rosario, Argentina, S2000BZL
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      • Santa Fe, Argentina, S3000FWO
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      • Curitiba, Brazílie, 81210-310
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      • Itapira, Brazílie, 13970-905
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      • Porto Alegre, Brazílie, 90110-270
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      • Rio De Janeiro, Brazílie, 20941-150
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      • São Paulo, Brazílie, 04024-002
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      • Aichi, Japonsko, 474-8511
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      • Fukuoka, Japonsko, 812-0033
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      • Hiroshima, Japonsko, 720-0825
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      • Kanagawa, Japonsko, 243-8550
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      • Kyoto, Japonsko, 607-8062
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      • Osaka, Japonsko, 567
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      • Shizuoka, Japonsko, 420-8688
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      • Tokyo, Japonsko, 187-8551
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    • Alberta
      • Medicine Hat, Alberta, Kanada, T1B4E7
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    • British Columbia
      • Kelowna, British Columbia, Kanada, V1Y3G8
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      • Penticton, British Columbia, Kanada, V2A5C8
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    • Ontario
      • Ottawa, Ontario, Kanada, K1N 5C8
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      • Toronto, Ontario, Kanada, M6M 3Z5
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    • Quebec
      • Greenfield Park, Quebec, Kanada, J4V 2J2
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      • Sherbrooke, Quebec, Kanada, J1H1Z1
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    • Arizona
      • Phoenix, Arizona, Spojené státy, 85006
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      • Sun City, Arizona, Spojené státy, 85351
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      • Tuscon, Arizona, Spojené státy, 85718
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    • Arkansas
      • Little Rock, Arkansas, Spojené státy, 72205
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    • California
      • Carson, California, Spojené státy, 90746
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      • Irvine, California, Spojené státy, 92697
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      • Laguna Hills, California, Spojené státy, 92653
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      • Lomita, California, Spojené státy, 90717
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      • Orange, California, Spojené státy, 92868
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      • Oxnard, California, Spojené státy, 93030
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      • Santa Ana, California, Spojené státy, 92705
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    • Colorado
      • Denver, Colorado, Spojené státy, 80239
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    • Connecticut
      • Fairfield, Connecticut, Spojené státy, 06824
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      • Hamden, Connecticut, Spojené státy, 06518
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      • New Haven, Connecticut, Spojené státy, 06510
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      • Norwalk, Connecticut, Spojené státy, 06851
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    • Delaware
      • Newark, Delaware, Spojené státy, 19713
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    • District of Columbia
      • Washington, District of Columbia, Spojené státy, 20007
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    • Florida
      • Boca Raton, Florida, Spojené státy, 33431
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      • Fort Myers, Florida, Spojené státy, 33912
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      • Hollywood, Florida, Spojené státy, 33021
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      • Miami Springs, Florida, Spojené státy, 33166
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      • North Miami, Florida, Spojené státy, 33161
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      • Orange City, Florida, Spojené státy, 32763
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      • Orlando, Florida, Spojené státy, 32806
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      • Sunrise, Florida, Spojené státy, 33351
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      • Tampa, Florida, Spojené státy, 33613
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    • Georgia
      • Atlanta, Georgia, Spojené státy, 30341
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      • Canton, Georgia, Spojené státy, 30114
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      • Decatur, Georgia, Spojené státy, 30033
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    • Indiana
      • Indianapolis, Indiana, Spojené státy, 46202
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    • Kentucky
      • Lexington, Kentucky, Spojené státy, 40503
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    • Maryland
      • Baltimore, Maryland, Spojené státy, 21285
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      • Rockville, Maryland, Spojené státy, 20852
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    • Massachusetts
      • Belmont, Massachusetts, Spojené státy, 02478
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    • Michigan
      • Grand Rapids, Michigan, Spojené státy, 49525
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      • Traverse City, Michigan, Spojené státy, 49684
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    • New Mexico
      • Albuquerque, New Mexico, Spojené státy, 87109
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    • New York
      • Albany, New York, Spojené státy, 12205
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      • Bronx, New York, Spojené státy, 10454
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      • Latham, New York, Spojené státy, 12210
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      • New York, New York, Spojené státy, 10032
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      • Orangeburg, New York, Spojené státy, 10962
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    • North Carolina
      • Raleigh, North Carolina, Spojené státy, 27607
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      • Winston-Salem, North Carolina, Spojené státy, 27103
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    • Ohio
      • Beachwood, Ohio, Spojené státy, 44122
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      • Toledo, Ohio, Spojené státy, 43623
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    • Oklahoma
      • Oklahoma City, Oklahoma, Spojené státy, 73116
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    • Oregon
      • Eugene, Oregon, Spojené státy, 97401
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    • Pennsylvania
      • Philadelphia, Pennsylvania, Spojené státy, 19104
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    • Rhode Island
      • East Providence, Rhode Island, Spojené státy, 02914
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    • South Carolina
      • Charleston, South Carolina, Spojené státy, 29425
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      • Greer, South Carolina, Spojené státy, 29651
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    • South Dakota
      • Sioux Falls, South Dakota, Spojené státy, 57105
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    • Utah
      • Salt Lake City, Utah, Spojené státy, 84108
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    • Vermont
      • Bennington, Vermont, Spojené státy, 05201
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      • Burlington, Vermont, Spojené státy, 05401
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    • Virginia
      • Norfolk, Virginia, Spojené státy, 23502
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      • Roanoke, Virginia, Spojené státy, 24018
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

55 let a starší (Dospělý, Starší dospělý)

Přijímá zdravé dobrovolníky

Ne

Pohlaví způsobilá ke studiu

Všechno

Popis

Inclusion Criteria:

  • Meets criteria for mild to moderate Alzheimer's Disease (AD) with Mini-Mental State Examination score of 16 through 26 at screening
  • Modified Hachinski Ischemia Scale score of less than or equal to 4
  • Geriatric Depression Scale score of less than or equal to 6
  • A magnetic resonance imaging (MRI) or computerized tomography (CT) scan in the last 2 years with no findings inconsistent with a diagnosis of AD
  • If receiving concurrent AD treatment, must be on the medication for at least 4 months at a stable dose for at least 2 months prior to randomization

Exclusion Criteria:

  • Has serious or unstable illness(es)
  • Does not have a reliable caregiver who is in frequent contact with patient (at least 10 hours per week)
  • Meets National Institute of Neurological Disorders and Stroke/Association Internationale pour la Recherche et l'Enseignement en Neurosciences (NINDS/AIREN) criteria for vascular dementia
  • Does not have good venous access, such that intravenous (IV) drug delivery would be difficult
  • Has had multiple episodes of head trauma or history within the last 5 years of a serious infectious disease affecting the brain
  • Has allergies to humanized monoclonal antibodies
  • Chronic alcohol and/or drug abuse within the past 5 years
  • Has any contraindications for MRI studies
  • Requires treatment with another monoclonal antibody

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Léčba
  • Přidělení: Randomizované
  • Intervenční model: Paralelní přiřazení
  • Maskování: Čtyřnásobek

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Komparátor placeba: Placebo
intravenózně (IV) každé 4 týdny po dobu 80 týdnů
Experimentální: LY2062430
400 mg intravenózně (IV) každé 4 týdny po dobu 80 týdnů
Ostatní jména:
  • Beta protilátka
  • Solanezumab (*převzatý název USAN, čeká se na INN)

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Časové okno
Change from baseline to endpoint in Alzheimer's Disease Assessment Scale-Cognitive subscore (ADAS-Cog11)
Časové okno: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL)
Časové okno: Baseline, 80 weeks
Baseline, 80 weeks

Sekundární výstupní opatření

Měření výsledku
Časové okno
Change from baseline to endpoint in Clinical Dementia Rating-Sum of Boxes (CDR-SB)
Časové okno: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in Neuropsychiatric Inventory (NPI)
Časové okno: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in volumetric magnetic resonance imaging (vMRI)
Časové okno: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in Mini-Mental State Examination (MMSE)
Časové okno: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in Resource Utilization in Dementia-Lite (RUD-Lite)
Časové okno: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in EuroQol 5-Dimensional Health-related Quality of Life Scale Proxy version (EQ-5D Proxy)
Časové okno: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in Quality of Life in Alzheimer's Disease (QoL-AD)
Časové okno: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in plasma LY2062430 to investigate a relationship between plasma LY2062430 and plasma A Beta levels.
Časové okno: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in plasma A Beta
Časové okno: Baseline, 80 weeks
Baseline, 80 weeks

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Publikace a užitečné odkazy

Osoba odpovědná za zadávání informací o studiu tyto publikace poskytuje dobrovolně. Mohou se týkat čehokoli, co souvisí se studiem.

Obecné publikace

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia

1. května 2009

Primární dokončení (Aktuální)

1. dubna 2012

Dokončení studie (Aktuální)

1. dubna 2012

Termíny zápisu do studia

První předloženo

18. května 2009

První předloženo, které splnilo kritéria kontroly kvality

18. května 2009

První zveřejněno (Odhad)

20. května 2009

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Odhad)

25. září 2012

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

18. září 2012

Naposledy ověřeno

1. května 2012

Více informací

Termíny související s touto studií

Další identifikační čísla studie

  • 6747
  • H8A-MC-LZAM (Jiný identifikátor: Eli Lilly and Company)

Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .

Klinické studie na LY2062430

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