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Effekt af LY2062430 på progressionen af ​​Alzheimers sygdom (EXPEDITION2)

11. december 2012 opdateret af: Eli Lilly and Company

Effekt af passiv immunisering på udviklingen af ​​Alzheimers sygdom: LY2062430 versus placebo

Alzheimers sygdom (AD) er en aldersrelateret degenerativ lidelse i hjernen, karakteriseret ved progressivt fald i kognitiv funktion og evne til at udføre daglige aktiviteter og i sidste ende kan føre til døden på grund af komplikationer af sygdommen. AD menes at være forårsaget af et overskud af A-Beta amyloid, et klæbrigt protein i hjernen, der danner amyloid plaques. Behandlinger, der forsinker syntesen eller aflejringen af ​​A-Beta-amyloid, eller som øger clearance, kan forventes at bremse udviklingen af ​​AD.

LY2062430 (solanezumab) er et humaniseret anti-A Beta peptid immunoglobulin G-1 (IgG1) monoklonalt antistof, der udvikles til behandling af AD. Den primære hypotese, der testes, er, at LY2062430 vil bremse kognitivt og funktionelt fald i AD sammenlignet med placebo. Hver patients deltagelse vil vare cirka 19 måneder. Patienter, der tager godkendt AD-medicin, kan deltage i denne undersøgelse og fortsætte med at tage disse lægemidler under undersøgelsen.

Studieoversigt

Status

Afsluttet

Betingelser

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

1040

Fase

  • Fase 3

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • New South Wales
      • Bankstown, New South Wales, Australien, 2200
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      • Darlinghurst, New South Wales, Australien, 2010
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      • Gosford, New South Wales, Australien, 2250
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      • Kogarah, New South Wales, Australien, 2217
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    • Queensland
      • Chermside, Queensland, Australien, 4032
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      • Toowoomba, Queensland, Australien, 4650
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    • Victoria
      • Box Hill, Victoria, Australien, 3128
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      • Glen Iris, Victoria, Australien, 3146
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      • Heidelberg Heights, Victoria, Australien, 3081
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      • Melbourne, Victoria, Australien, 3004
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    • Western Australia
      • Subiaco, Western Australia, Australien, 6008
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      • Chelyabinsk, Den Russiske Føderation, 454091
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      • Ekaterinburg, Den Russiske Føderation, 620030
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      • Rostov-On-Don, Den Russiske Føderation, 344010
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      • Saint Petersburg, Den Russiske Føderation, 190021
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    • E Susx
      • Uckfield, E Susx, Det Forenede Kongerige, TN225AW
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    • Glasgow
      • Scotland, Glasgow, Det Forenede Kongerige, G20 0XA
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    • Greater London
      • London, Greater London, Det Forenede Kongerige, N195NX
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    • London
      • Camberwell, London, Det Forenede Kongerige, SE5 8AF
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    • Syorks
      • Sheffield, Syorks, Det Forenede Kongerige, S57JT
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    • Wiltshire
      • Swindon, Wiltshire, Det Forenede Kongerige, SN3 6BW
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    • Arizona
      • Tucson, Arizona, Forenede Stater, 85741
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    • California
      • Los Angeles, California, Forenede Stater, 90033
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      • San Diego, California, Forenede Stater, 92103
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      • San Francisco, California, Forenede Stater, 94109
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      • Santa Monica, California, Forenede Stater, 90404
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    • Connecticut
      • New Haven, Connecticut, Forenede Stater, 06510
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    • Florida
      • Miami, Florida, Forenede Stater, 33137
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      • Tampa Bay, Florida, Forenede Stater, 33613
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    • Mississippi
      • Hattiesburg, Mississippi, Forenede Stater, 39401
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    • Missouri
      • Creve Coeur, Missouri, Forenede Stater, 63141
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      • Kansas City, Missouri, Forenede Stater, 64114
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    • New York
      • Amherst, New York, Forenede Stater, 14226
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      • Staten Island, New York, Forenede Stater, 10312
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    • Oregon
      • Portland, Oregon, Forenede Stater, 97210
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    • Texas
      • San Antonio, Texas, Forenede Stater, 78229
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    • Washington
      • Seattle, Washington, Forenede Stater, 98108
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      • Aix En Provence, Frankrig, 13100
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      • Paris, Frankrig, 75475
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      • Rennes, Frankrig, 35000
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      • Strasbourg, Frankrig, 67091
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      • Toulouse, Frankrig, 31300
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      • Biella, Italien, 13900
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      • Boggiovara, Italien, 41100
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      • Cassino, Italien, 03043
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      • Chieti, Italien, 66013
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      • Genova, Italien, 16128
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      • Lido Di Camaiore, Italien, 55043
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      • Milano, Italien, 20132
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      • Rome, Italien, 00179
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      • Ehime, Japan, 791-0295
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      • Fukuoka, Japan, 816-0864
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      • Hyogo, Japan, 514-8507
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      • Kanagawa, Japan, 247-0072
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      • Kyoto, Japan, 606-0851
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      • Osaka, Japan, 558-0056
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      • Shizuoka, Japan, 424-0911
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      • Tokyo, Japan, 173
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      • Incheon, Korea, Republikken, 400-711
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      • Seongnam-Si, Korea, Republikken, 463-707
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      • Seoul, Korea, Republikken, 143-729
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      • Suwon, Korea, Republikken, 443-721
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      • Bialystok, Polen, 15-617
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      • Bydgoszcz, Polen, 85-796
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      • Gliwice, Polen, 44-100
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      • Katowice, Polen, 40-588
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      • Krakow, Polen, 31-530
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      • Lublin, Polen, 20-090
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      • Warsaw, Polen, 02-777
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      • Barcelona, Spanien, 08014
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      • Getafe, Spanien, 28905
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      • Madrid, Spanien, 28034
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      • Plasencia, Spanien, 10600
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      • Terrassa, Spanien, 0821
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      • Joenkoeping, Sverige, 551 85
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      • Kalmar, Sverige, 39185
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      • Lund, Sverige, 22241
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      • Malmo, Sverige, 20502
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      • Molndal, Sverige, 43135
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      • Stockholm, Sverige, 14186
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      • Umea, Sverige, 901 85
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      • Kaohsiung, Taiwan, 807
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      • Niao Sung Hsiang, Taiwan, 83301
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      • Taichung, Taiwan, 404
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      • Taipei, Taiwan, 112
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      • Tao-Yuan, Taiwan, 333
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      • Yung-Kang, Tainan, Taiwan, 710
        • 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.
      • Berlin, Tyskland, D-12200
        • 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.
      • Hamburg, Tyskland, 22307
        • 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.
      • Hannover, Tyskland, 30559
        • 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.
      • Mannheim, Tyskland, 68165
        • 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.
      • Marburg, Tyskland, 35033
        • 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.
      • Munchen, Tyskland, BY 80336
        • 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.
      • München, Tyskland, D-81675
        • 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.
      • Regensburg, Tyskland, 93042
        • 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.

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

55 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inklusionskriterier:

  • Opfylder kriterierne for mild til moderat Alzheimers sygdom (AD) med Mini-Mental State Examination score på 16 til 26 ved screening
  • Modificeret Hachinski Ischemi Scale-score på mindre end eller lig med 4
  • Geriatrisk depressionsskala score på mindre end eller lig med 6
  • En magnetisk resonansbilleddannelse (MRI) eller computertomografi (CT) scanning inden for de sidste 2 år uden fund, der er uforenelige med en diagnose af AD
  • Hvis du samtidig får AD-behandling, skal du være på medicinen i mindst 4 måneder i en stabil dosis i mindst 2 måneder før randomisering

Ekskluderingskriterier:

  • Har alvorlige eller ustabile sygdomme
  • Har ikke en pålidelig plejer, der er i hyppig kontakt med patienten (mindst 10 timer om ugen)
  • Opfylder National Institute of Neurological Disorders and Stroke/Association Internationale pour la Recherche et l'Enseignement en Neurosciences (NINDS/AIREN) kriterier for vaskulær demens
  • Har ikke god venøs adgang, således at intravenøs (IV) lægemiddellevering ville være vanskelig
  • Har haft flere episoder med hovedtraume eller historie inden for de sidste 5 år med en alvorlig infektionssygdom, der påvirker hjernen
  • Har allergi over for humaniserede monoklonale antistoffer
  • Kronisk alkohol- og/eller stofmisbrug inden for de seneste 5 år
  • Har nogen kontraindikationer for MR-undersøgelser
  • Kræver behandling med et andet monoklonalt antistof

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Firedobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Placebo komparator: Placebo
intravenøst ​​(IV) hver 4. uge i 80 uger
Eksperimentel: LY2062430
400 mg intravenøst ​​(IV) hver 4. uge i 80 uger
Andre navne:
  • Et beta-antistof
  • Solanezumab (*USAN vedtaget navn, INN afventer)

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
Ændring fra baseline til uge 80 i Alzheimer's Disease Assessment Scale - Cognitive Subscore 14-Item Scale (ADAS-Cog14)
Tidsramme: Baseline, uge ​​80
Baseline, uge ​​80

Sekundære resultatmål

Resultatmål
Tidsramme
Ændring fra baseline til uge 80 i Clinical Demens Rating - Sum of Boxes (CDR-SB) score
Tidsramme: Baseline, uge ​​80
Baseline, uge ​​80
Ændring fra baseline til uge 80 i Neuropsychiatric Inventory (NPI) Score
Tidsramme: Baseline, uge ​​80
Baseline, uge ​​80
Ændring fra baseline til uge 80 i volumetrisk magnetisk resonansbilleddannelse (vMRI)
Tidsramme: Baseline, uge ​​80
Baseline, uge ​​80
Ændring fra baseline til uge 80 i Mini-Mental State Examination (MMSE) score
Tidsramme: Baseline, uge ​​80
Baseline, uge ​​80
Ændring fra baseline til uge 80 i ressourceudnyttelse ved demens - Lite (RUD-Lite) score
Tidsramme: Baseline, uge ​​80
Baseline, uge ​​80
Ændring fra baseline til uge 80 i EuroQol 5-dimensionel sundhedsrelateret livskvalitetsskala proxyversion (EQ-5D proxy) score
Tidsramme: Baseline, uge ​​80
Baseline, uge ​​80
Ændring fra baseline til uge 80 i score for livskvalitet ved Alzheimers sygdom (QoL-AD)
Tidsramme: Baseline, uge ​​80
Baseline, uge ​​80
Skift fra baseline til uge 80 i plasma amyloid beta niveauer
Tidsramme: Baseline, uge ​​80
Baseline, uge ​​80
Ændring fra baseline til uge 80 i Alzheimers sygdomsvurderingsskala - kognitiv underscore 11-item og 12-item skala (ADAS-Cog11 og ADAS-Cog12)
Tidsramme: Baseline, uge ​​80
Baseline, uge ​​80
Ændring fra baseline til uge 80 i Alzheimers Disease Cooperative Study - Activities of Daily Living Inventory (ADCS-ADL) Score
Tidsramme: Baseline, uge ​​80
Baseline, uge ​​80

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Studieleder: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559) Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. maj 2009

Primær færdiggørelse (Faktiske)

1. juni 2012

Studieafslutning (Faktiske)

1. juni 2012

Datoer for studieregistrering

Først indsendt

18. maj 2009

Først indsendt, der opfyldte QC-kriterier

18. maj 2009

Først opslået (Skøn)

20. maj 2009

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

13. december 2012

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

11. december 2012

Sidst verificeret

1. december 2012

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 11934
  • H8A-MC-LZAN (Anden identifikator: Eli Lilly and Company)

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med LY2062430

Abonner