- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT07599670
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
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
Postavení
Podmínky
Intervence / Léčba
Typ studie
Zápis (Odhadovaný)
Fáze
- Fáze 2
- Fáze 1
Kontakty a umístění
Studijní kontakt
- Jméno: ABBVIE CALL CENTER
- Telefonní číslo: 844-663-3742
- E-mail: abbvieclinicaltrials@abbvie.com
Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
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
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
Sponzor
Vyšetřovatelé
- Ředitel studie: ABBVIE INC., AbbVie
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Odhadovaný)
Primární dokončení (Odhadovaný)
Dokončení studie (Odhadovaný)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
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