- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT00905372
Effect of LY2062430 on the Progression of Alzheimer's Disease (EXPEDITION)
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
Typ studie
Zápis (Očekávaný)
Fáze
- Fáze 3
Kontakty a umístění
Studijní místa
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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
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Medicine Hat, Alberta, Kanada, T1B4E7
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British Columbia
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Kelowna, British Columbia, Kanada, V1Y3G8
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Penticton, British Columbia, Kanada, V2A5C8
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Ontario
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Ottawa, Ontario, Kanada, K1N 5C8
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Toronto, Ontario, Kanada, M6M 3Z5
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Quebec
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Greenfield Park, Quebec, Kanada, J4V 2J2
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Sherbrooke, Quebec, Kanada, J1H1Z1
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Arizona
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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
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Little Rock, Arkansas, Spojené státy, 72205
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California
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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
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Denver, Colorado, Spojené státy, 80239
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Connecticut
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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
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Newark, Delaware, Spojené státy, 19713
- 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.
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District of Columbia
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Washington, District of Columbia, Spojené státy, 20007
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Florida
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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
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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
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Indianapolis, Indiana, Spojené státy, 46202
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Kentucky
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Lexington, Kentucky, Spojené státy, 40503
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Maryland
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Baltimore, Maryland, Spojené státy, 21285
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Rockville, Maryland, Spojené státy, 20852
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Massachusetts
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Belmont, Massachusetts, Spojené státy, 02478
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Michigan
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Grand Rapids, Michigan, Spojené státy, 49525
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Traverse City, Michigan, Spojené státy, 49684
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New Mexico
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Albuquerque, New Mexico, Spojené státy, 87109
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New York
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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
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Raleigh, North Carolina, Spojené státy, 27607
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Winston-Salem, North Carolina, Spojené státy, 27103
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Ohio
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Beachwood, Ohio, Spojené státy, 44122
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Toledo, Ohio, Spojené státy, 43623
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Oklahoma
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Oklahoma City, Oklahoma, Spojené státy, 73116
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Oregon
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Eugene, Oregon, Spojené státy, 97401
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Pennsylvania
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Philadelphia, Pennsylvania, Spojené státy, 19104
- 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.
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Rhode Island
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East Providence, Rhode Island, Spojené státy, 02914
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South Carolina
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Charleston, South Carolina, Spojené státy, 29425
- 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.
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Greer, South Carolina, Spojené státy, 29651
- 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.
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South Dakota
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Sioux Falls, South Dakota, Spojené státy, 57105
- 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.
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Utah
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Salt Lake City, Utah, Spojené státy, 84108
- 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.
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Vermont
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Bennington, Vermont, Spojené státy, 05201
- 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.
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Burlington, Vermont, Spojené státy, 05401
- 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.
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Virginia
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Norfolk, Virginia, Spojené státy, 23502
- 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.
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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.
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Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
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
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:
|
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
Sponzor
Publikace a užitečné odkazy
Obecné publikace
- Reed C, Belger M, Dell'Agnello G, Kahle-Wrobleski K, Sethuraman G, Hake A, Raskin J, Henley D. Representativeness of European clinical trial populations in mild Alzheimer's disease dementia: a comparison of 18-month outcomes with real-world data from the GERAS observational study. Alzheimers Res Ther. 2018 Apr 3;10(1):36. doi: 10.1186/s13195-018-0360-4.
- Liu-Seifert H, Siemers E, Price K, Han B, Selzler KJ, Henley D, Sundell K, Aisen P, Cummings J, Raskin J, Mohs R; Alzheimer's Disease Neuroimaging Initiative. Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease. J Alzheimers Dis. 2015;47(1):205-14. doi: 10.3233/JAD-142508.
- Henley DB, Dowsett SA, Chen YF, Liu-Seifert H, Grill JD, Doody RS, Aisen P, Raman R, Miller DS, Hake AM, Cummings J. Alzheimer's disease progression by geographical region in a clinical trial setting. Alzheimers Res Ther. 2015 Jun 25;7(1):43. doi: 10.1186/s13195-015-0127-0. eCollection 2015.
- Liu-Seifert H, Siemers E, Sundell K, Price K, Han B, Selzler K, Aisen P, Cummings J, Raskin J, Mohs R. Cognitive and functional decline and their relationship in patients with mild Alzheimer's dementia. J Alzheimers Dis. 2015;43(3):949-55. doi: 10.3233/JAD-140792.
- Doody RS, Thomas RG, Farlow M, Iwatsubo T, Vellas B, Joffe S, Kieburtz K, Raman R, Sun X, Aisen PS, Siemers E, Liu-Seifert H, Mohs R; Alzheimer's Disease Cooperative Study Steering Committee; Solanezumab Study Group. Phase 3 trials of solanezumab for mild-to-moderate Alzheimer's disease. N Engl J Med. 2014 Jan 23;370(4):311-21. doi: 10.1056/NEJMoa1312889.
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia
Primární dokončení (Aktuální)
Dokončení studie (Aktuální)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Odhad)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Odhad)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
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 .
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