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A Study to Assess the Adverse Events, Change in Disease Activity, and How Intravenous ABBV-1758 Moves Through the Body of Adult Participants With Alzheimer's Disease

15. května 2026 aktualizováno: AbbVie

A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate Safety, Efficacy, Pharmacokinetics, and Pharmacodynamics of ABBV-1758 in Subjects With Alzheimer's Disease

Alzheimer's disease (AD) is a progressive, irreversible neurological disorder and is the most common cause of dementia in the elderly population. Clinical symptoms of the disease may begin with occasional forgetfulness such as misplacement of items, forgetting important dates or events, and may progress to noticeable memory loss, increased confusion and agitation, and eventually, loss of independence and non-responsiveness. This study is to assess the adverse events, change in disease activity, and how intravenous ABBV-1758 moves through the body of adult participants with Alzheimer's Disease

ABBV-1758 is an investigational drug being developed for the treatment of Alzheimer's disease in adults. This study is conducted in 3 stages. Stage A is a multiple ascending dose study with a 1 in 5 chance (4:1 randomization) that participants are assigned to receive placebo. Stage B is a dose expansion phase, also using 4:1 randomization for ABBV-1758 or placebo. Stage C enrolls Japanese and Chinese participants with the same randomization scheme. This may be followed by a 12-month, blinded Extension Period where participants receive ABBV-1758 or placebo based on their amyloid positron emission tomography (PET) results. Approximately 210 participants will be enrolled at about 65 sites in the United States, China, and Japan.

Participants will receive intravenous (IV) or subcutaneous (SC) doses of ABBV-1758 or placebo once every 4 weeks (Q4W) for 24 weeks and will be followed for an additional 12 weeks. Participants will have the option of participating in a 12-month, blinded Extension Period receiving ABBV-1758 or placebo based on amyloid PET results.

There may be higher treatment burden for participants in this trial compared to their standard of care due to study procedures. Participants will attend regular visits during the study at a hospital or clinic. The safety of the treatment will be checked by medical assessments, blood tests, and completing questionnaires.

Přehled studie

Typ studie

Intervenční

Zápis (Odhadovaný)

210

Fáze

  • Fáze 2
  • Fáze 1

Kontakty a umístění

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

Studijní kontakt

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

  • Dospělý
  • Starší dospělý

Přijímá zdravé dobrovolníky

Ne

Popis

Inclusion Criteria:

  • Participants meeting all the following criteria for Alzheimer's disease (AD):
  • Plasma pTau217/Aβ42 ratio that is predictive of elevated brain amyloid at Screening.
  • Participants with amyloid positron emission tomography (PET) scan results consistent with significant amyloid pathology (as determined by a Centiloid value of 50 or higher).
  • Participants must have a Mini-Mental State Examination (MMSE) score of 20 or higher at Screening.

Exclusion Criteria:

  • Participants with screening magnetic resonance imaging (MRI) that show evidence of another potential etiology for progressive dementia.
  • Participants who have any current serious conditions or illnesses that are not adequately controlled, or any conditions that, in the investigator's opinion, could interfere with the analyses in this study, including but not limited to psychiatric, neurologic (other than AD), cardiovascular, hepatic, renal, gastroenterological, respiratory, endocrinologic, immunologic, or hematologic, metabolic, pulmonary, ophthalmologic, dermatologic, and/or any history of abnormal laboratory results that are indicative of significant disease(s).
  • Participants who had prior exposure to ABBV-1758 or any history of exposure to anti-amyloid beta monoclonal antibody (mAb) treatment.

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: Sekvenční přiřazení
  • Maskování: Trojnásobný

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Experimentální: Stage A-ABBV-1758 Dose A
Participants will receive ABBV-1758 dose A once every 4 weeks (Q4W).
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Komparátor placeba: Stage A-Placebo for ABBV-1758 Dose A
Participants will receive Placebo dose A once every 4 weeks (Q4W).
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Experimentální: Stage A-ABBV-1758 Dose B
Participants will receive ABBV-1758 dose B Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Komparátor placeba: Stage A-Placebo for ABBV-1758 Dose B
Participants will receive Placebo dose B Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Experimentální: Stage A-ABBV-1758 Dose C
Participants will receive ABBV-1758 dose C Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Komparátor placeba: Stage A-Placebo for ABBV-1758 Dose C
Participants will receive Placebo dose C Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Experimentální: Stage A-ABBV-1758 Dose D
Participants will receive ABBV-1758 dose D Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Komparátor placeba: Stage A-Placebo for ABBV-1758 Dose D
Participants will receive Placebo dose D Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Experimentální: Stage B- ABBV-1758 - Expanded Cohort 1
Participants will receive ABBV-1758 dose determined in Stage A Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Komparátor placeba: Stage B- Placebo for ABBV-1758 - Expanded Cohort 1
Participants will receive Placebo dose determined in Stage A Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Experimentální: Stage B- ABBV-1758- Expanded Cohort 2
Participants will receive ABBV-1758 dose determined in Stage A Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Komparátor placeba: Stage B- Placebo for ABBV-1758- Expanded Cohort 2
Participants will receive Placebo dose determined in Stage A Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Experimentální: Stage C- ABBV-1758 - Japanese Cohort 1
Participants will receive ABBV-1758 dose determined in Stage A Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Komparátor placeba: Stage C- Placebo for ABBV-1758 - Japanese Cohort 1
Participants will receive Placebo dose determined in Stage A Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Experimentální: Stage C- ABBV-1758- Japanese Cohort 2
Participants will receive ABBV-1758 dose determined in Stage A Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Komparátor placeba: Stage C- Placebo for ABBV-1758- Japanese Cohort 2
Participants will receive Placebo dose determined in Stage A Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Experimentální: Stage C- ABBV-1758-Chinese Cohort
Participants will receive ABBV-1758 dose determined in Stage A Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Komparátor placeba: Stage C- Placebo for ABBV-1758- Chinese Cohort
Participants will receive Placebo dose determined in Stage A Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Number of Participants Experiencing Adverse Events (AEs)
Časové okno: Up to approximately 36 weeks
An adverse event (AE) is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with the treatment. The investigator assesses the relationship of each event to the use of study drug.
Up to approximately 36 weeks
Number of Participants with Abnormal Change in Clinical Laboratory Test Results Like Hematology will be Assessed
Časové okno: Up to approximately 36 weeks
Number of participants with abnormal change in clinical laboratory test results like hematology will be assessed.
Up to approximately 36 weeks
Change From Baseline in amyloid-related imaging abnormalities (ARIA) Measured by Magnetic Resonance Im-aging (MRI)
Časové okno: Up to approximately 36 weeks
Magnetic resonance imaging (MRI) of several different brain regions was per-formed, and volumetric analysis was con-ducted to quantify midbrain atrophy. Negative changes in values indicate a re-duction in volume.
Up to approximately 36 weeks
Number of Participants with Abnormal Change From Baseline in Vital Sign Measurements
Časové okno: Up to approximately 36 weeks
Number of participants with abnormal change from baseline in vital sign measurements like systolic and diastolic blood pressure will be assessed.
Up to approximately 36 weeks
Change From Baseline in Electrocardiograms (ECGs)
Časové okno: Up to approximately 36 weeks
12-lead resting ECGs will be recorded. Parameters include heart rate, PR interval, QT interval, QRS duration, and QT interval corrected using Fridericia's formula (QTcF).
Up to approximately 36 weeks
Change from Baseline in Columbia-Suicide Severity Rating Scale (C-SSRS)
Časové okno: Up to approximately 36 weeks
The C-SSRS is a clinician-rated instrument that reports the severity of both suicidal ideation and behavior, with a higher score denoting more severe suicidal ideation and behavior.
Up to approximately 36 weeks
Stage A, B, and C: Change from Baseline in Brain Amyloid Plaque Deposition
Časové okno: Up to approximately 28 Weeks
Measured by amyloid positron emission tomography (PET)
Up to approximately 28 Weeks
Stage A and C: Maximum Plasma Concentration (Cmax) of ABBV-1758
Časové okno: Up to approximately 12 months
Cmax of ABBV-1758
Up to approximately 12 months
Stage A and C: Time to Cmax (Tmax) of ABBV-1758
Časové okno: Up to approximately 12 months
Tmax of ABBV-1758
Up to approximately 12 months
Stage A and C: Trough Concentration measured at the end of a dosing interval at steady state (Ctrough) of ABBV-1758
Časové okno: Up to approximately 12 months
Ctrough of ABBV-1758
Up to approximately 12 months
Stage A and C: Area under the Plasma Concentration-time Curve from Time Zero to the End of the Dosing Interval (AUCtau) of ABBV-1758
Časové okno: Up to approximately 12 months
AUCtau of ABBV-1758
Up to approximately 12 months
Stage A and C: Average Serum Concentration at Steady-State (Cav,ss) of ABBV-1758
Časové okno: Up to approximately 12 months
Cav,ss of ABBV-1758
Up to approximately 12 months
Stage A and C: Accumulation ratio for (AUCtau) of ABBV-1758
Časové okno: Up to approximately 12 months
AUCtau of ABBV-1758
Up to approximately 12 months
Stage A and C: Total Body Clearance (CL) of ABBV-1758
Časové okno: Up to approximately 12 months
CL of ABBV-1758
Up to approximately 12 months
Stage A and C: Apparent Clearance (CL/F) of ABBV-1758
Časové okno: Up to approximately 12 months
CL/F of ABBV-1758
Up to approximately 12 months
Stage A and C: Volume of Distribution at Steady-State (Vss)
Časové okno: Up to approximately 12 months
Vss of ABBV-1758
Up to approximately 12 months
Stage A and C: Apparent Volume of Distribution during the Terminal Phase (Vz)
Časové okno: Up to approximately 12 months
Vz of ABBV-1758
Up to approximately 12 months
Stage A and C: Terminal Phase Elimination Rate Constant (β) of ABBV-1758
Časové okno: Up to approximately 12 months
β of ABBV-1758
Up to approximately 12 months
Stage A and C: Terminal Phase Elimination Half-Life (t1/2) of ABBV-1758
Časové okno: Up to approximately 12 months
Terminal phase elimination half-life of ABBV-1758
Up to approximately 12 months
Stage A and C: Effective Half-Life (T1/2,eff)
Časové okno: Up to approximately 12 months
T1/2,eff of ABBV-1758
Up to approximately 12 months

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Sponzor

Vyšetřovatelé

  • Ředitel studie: ABBVIE INC., AbbVie

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 (Odhadovaný)

15. května 2026

Primární dokončení (Odhadovaný)

1. dubna 2030

Dokončení studie (Odhadovaný)

1. listopadu 2030

Termíny zápisu do studia

První předloženo

15. května 2026

První předloženo, které splnilo kritéria kontroly kvality

15. května 2026

První zveřejněno (Aktuální)

20. května 2026

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

20. května 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

15. května 2026

Naposledy ověřeno

1. května 2026

Více informací

Termíny související s touto studií

Plán pro data jednotlivých účastníků (IPD)

Plánujete sdílet data jednotlivých účastníků (IPD)?

ANO

Popis plánu IPD

AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.

Časový rámec sdílení IPD

For details on when studies are available for sharing, visit https://vivli.org/ourmember/abbvie/

Kritéria přístupu pro sdílení IPD

To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/

Typ podpůrných informací pro sdílení IPD

  • PROTOKOL STUDY
  • MÍZA

Informace o lécích a zařízeních, studijní dokumenty

Studuje lékový produkt regulovaný americkým FDA

Ano

Studuje produkt zařízení regulovaný americkým úřadem FDA

Ne

produkt vyrobený a vyvážený z USA

Ne

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 ABBV-1758

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