Denne side blev automatisk oversat, og nøjagtigheden af ​​oversættelsen er ikke garanteret. Der henvises til engelsk version for en kildetekst.

Phase 3 IGIV, 10% in Alzheimer´s Disease

30. april 2021 opdateret af: Baxalta now part of Shire

A Phase 3 Randomized, Double-blind, Placebo-Controlled Study of the Safety and Effectiveness of Immune Globulin Intravenous (Human), 10% Solution (IGIV, 10%) for the Treatment of Mild to Moderate Alzheimer's Disease

The purpose of this study is to provide evidence of efficacy and safety to support the development of IGIV, 10% as a treatment option for patients with mild to moderate Alzheimer´s Disease.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

508

Fase

  • Fase 3

Kontakter og lokationer

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

Studiesteder

  • Australien
    • South Australia
      • Woodville South, South Australia, Australien
  • Belgien
      • Edegem, Belgien
      • Gent, Belgien
      • Hasselt, Belgien
      • Leuven, Belgien
      • Roeselare, Belgien
  • Canada
    • Ontario
      • Toronto, Ontario, Canada
    • Quebec
      • Greenfield Park, Quebec, Canada
      • Sherbrooke, Quebec, Canada
  • Det Forenede Kongerige
      • Bath, Det Forenede Kongerige
      • Brentford, Det Forenede Kongerige
      • Brighton, Det Forenede Kongerige
      • Glasgow, Det Forenede Kongerige
    • East Sussex
      • Uckfield, East Sussex, Det Forenede Kongerige
  • Forenede Stater
    • Alabama
      • Birmingham, Alabama, Forenede Stater
    • Arizona
      • Phoenix, Arizona, Forenede Stater
    • California
      • Long Beach, California, Forenede Stater
      • San Diego, California, Forenede Stater
      • Santa Ana, California, Forenede Stater
    • Florida
      • Boca Raton, Florida, Forenede Stater
      • Delray Beach, Florida, Forenede Stater
      • Edgewater, Florida, Forenede Stater
      • Orlando, Florida, Forenede Stater
    • Georgia
      • Decatur, Georgia, Forenede Stater
    • Illinois
      • Chicago, Illinois, Forenede Stater
      • Springfield, Illinois, Forenede Stater
    • Kentucky
      • Paducah, Kentucky, Forenede Stater
    • Minnesota
      • Saint Paul, Minnesota, Forenede Stater
    • Mississippi
      • Olive Branch, Mississippi, Forenede Stater
    • Nevada
      • Las Vegas, Nevada, Forenede Stater
    • New Jersey
      • Berlin, New Jersey, Forenede Stater
      • Chester, New Jersey, Forenede Stater
      • Eatontown, New Jersey, Forenede Stater
      • Summit, New Jersey, Forenede Stater
      • Toms River, New Jersey, Forenede Stater
    • New York
      • Albany, New York, Forenede Stater
      • Brooklyn, New York, Forenede Stater
      • Latham, New York, Forenede Stater
      • Manhasset, New York, Forenede Stater
      • New Hyde Park, New York, Forenede Stater
    • Ohio
      • Cincinnati, Ohio, Forenede Stater
    • Oklahoma
      • Oklahoma City, Oklahoma, Forenede Stater
      • Tulsa, Oklahoma, Forenede Stater
    • Rhode Island
      • Providence, Rhode Island, Forenede Stater
    • Texas
      • Austin, Texas, Forenede Stater
      • Dallas, Texas, Forenede Stater
      • Houston, Texas, Forenede Stater
      • San Antonio, Texas, Forenede Stater
    • Vermont
      • Bennington, Vermont, Forenede Stater
    • Virginia
      • Charlottesville, Virginia, Forenede Stater
    • Wisconsin
      • Milwaukee, Wisconsin, Forenede Stater
  • Japan
      • Akashi, Japan
      • Akita, Japan
      • Azumino, Japan
      • Chiba, Japan
      • Fukui, Japan
      • Kyoto, Japan
      • Niigata, Japan
      • Osaka, Japan
      • Saga, Japan
      • Tokushima, Japan
      • Tokyo, Japan
  • Polen
      • Lublin, Polen
      • Scinawa, Polen
      • Warszawa, Polen
  • Spanien
      • Barcelona, Spanien
      • Madrid, Spanien
      • Valencia, Spanien
    • Vizcaya
      • Barakaldo, Vizcaya, Spanien

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

50 år til 89 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Males or females of age 50 to 89 years inclusive at the time of screening
  • Written informed consent obtained from either the subject or the subject's legally authorized representative prior to any study-related procedures
  • Written informed consent obtained from an able and competent caregiver who is willing to comply with the requirements of the protocol pertaining to him/her, including facilitating the subject's participation in the study
  • Diagnosis of Probable Alzheimer´s Disease (AD) according to NINCDS-ADRDA* 1984 criteria (* National Institute of Neurological and Communicative Disorders and Stroke - Alzheimer's Disease and Related Disorders Association)
  • Dementia of mild to moderate severity (Mini-Mental State Examination [MMSE] 16-26 inclusive at the time of screening)
  • Neuroimaging (computed tomography [CT] or MRI) performed after symptom onset consistent with AD diagnosis
  • Willingness to comply with the requirements of the protocol and ability to comply with testing and infusion regimen, including adequate corrected visual acuity and hearing ability
  • For at least 12 weeks prior to screening, on stable doses of AD medication(s) approved by local regulatory authorities. Subjects must not be on two acetylcholinesterase inhibitors concurrently.
  • Venous access for repeated infusion and phlebotomy
  • If receiving psychoactive medications (eg, antidepressants other than monoamine oxidase inhibitors [MAOIs] and most tricyclics, antipsychotics, anxiolytics, anticonvulsants, mood stabilizers, etc.), must be on stable doses for at least 6 weeks prior to screening
  • For women of childbearing potential, the subject must have a negative pregnancy test at screening and must agree to employ adequate contraceptive measures (eg, birth control pills/patches, intrauterine device, or diaphragm or condom [for male partner] with spermicidal jelly or foam) throughout the course of the study
  • For subjects with a coronary artery stent, the subject must receive documented medical clearance from an interventional cardiologist stating that the subject is not at increased risk for stent occlusion with immunoglobulin treatment
  • For subjects with an endovascular stent, the subject must receive documented medical clearance from a vascular surgeon stating that the subject is not at increased risk for thromboembolic events with immunoglobulin treatment

Main Exclusion Criteria:

  • Possible AD by NINCDS-ADRDA criteria or non-Alzheimer dementia (eg, vascular dementia, dementia with Lewy bodies, frontotemporal dementia, or dementia arising from other diseases or conditions such as Parkinson's disease, vitamin B12 deficiency, thyroid abnormalities)
  • Current residence in a skilled nursing facility
  • Contraindication to undergoing MRI (eg, pacemaker [with the exception of an MRI-compatible pacemaker], severe claustrophobia, ferromagnetic implants such as a metal plate)
  • Clinically significant congestive heart failure (eg, New York Heart Association [NYHA] Class III/IV symptoms or untreated Class II)
  • Current atrial fibrillation of unstable angina (angina at rest) or history of myocardial infarction within the 12 months prior to screening
  • Uncontrolled hypertension defined as systolic blood pressure > 160 mm Hg and/or diastolic > 100 mm Hg confirmed upon repeated measures
  • History of thrombosis and/or thromboembolic disease (central or peripheral) within the 12 months prior to screening
  • Known history of procoagulant abnormalities (eg, factor V Leiden, antiphospholipid syndrome, protein S/protein C deficiency, AT III deficiency)
  • History of intracerebral hemorrhage within the 5 years prior to screening
  • Evidence on MRI of: greater than 4 microhemorrhages (regardless of their anatomical location or diagnostic characterization as "possible" or "definite"), a single area of superficial siderosis, vasogenic edema, a macrohemorrhage, major stroke, prominent white matter disease with a rating score of 3 on the age-related white matter changes (ARWMC) scale from the European Task Force on ARWMC, or multiple lacunae (defined as more than 2 lacunae that are greater than 0.5 mm in size)
  • Head trauma with loss of consciousness, contusion, or open head injury within the 12 months prior to screening
  • Uncontrolled seizure disorder as defined by two or more breakthrough seizures per year despite adequate antiepileptic drug (AED) treatment
  • Modified Hachinski score > 4 at time of screening
  • Subjects with active malignancy or history of malignancy within 5 years prior to screening with the exception of the following: adequately treated basal cell or squamous cell carcinoma of the skin, carcinoma in situ of the cervix, and stable prostate cancer not requiring treatment
  • Active autoimmune or neuro-immunologic disorder
  • Uncontrolled major depression, psychosis, or other major psychiatric disorder(s)
  • Poorly controlled diabetes, defined as glycosylated (or glycated) hemoglobin (HbA1c) ≥ 6.5% at screening
  • Creatinine clearance < 50% of normal adjusted for age and gender, as calculated according to the Cockcroft-Gault formula, at the time of screening
  • Known history of untreated vitamin B12 deficiency within 6 months prior to screening, or clinically significant abnormally low vitamin B12 at the time of screening
  • Abnormal clinical chemistry panel or hematology panel meeting any one of the following criteria:
  • Serum alanine aminotransferase (ALT) > 2.5 x upper limit of normal (ULN)
  • Clinically significant anemia that precludes repeated blood sampling or hemoglobin (Hgb) < 10.0 g/dL
  • Absolute neutrophil count (ANC) < 1000 cells/µL
  • Known coagulopathy or platelet counts < 100,000 cells/µL
  • Total serum protein > 9 g/dL
  • Known history of or positive serology at screening for one or more of the following: hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody, or human immunodeficiency virus (HIV) type 1/2 antibody
  • Immunoglobulin A (IgA) deficiency (< 8 mg/dL)
  • Known history of hypersensitivity following infusions of human blood or blood components (e.g. human immunoglobulins or human albumin)
  • Currently receiving or has received: anti-CD20 therapy within 12 months prior to screening, or other immunomodulatory therapies (e.g. anti-TNF, anti-IL-1, interferon) within 12 weeks prior to screening. The following exceptions are allowed: non-systemic corticosteroids (eg, topical, opthalmic or inhaled glucocorticoids) and low-dose systemic corticosteroids (prednisone < 10 mg/day or its equivalent)
  • Currently receiving or has received intravenous or subcutaneous immunoglobulin treatment within the 2 years prior to screening, or has received immunoglobulin in Baxter Protocol 160701
  • Currently receiving or has received at any time active immunization aimed at modulating AD progression
  • Currently receiving or has received within 12 months prior to screening any investigational device, drug or biologic (eg passive immunotherapies with monoclonal or polyclonal antibodies) aimed at modulating AD progression
  • Subject has been exposed to an investigational product (IP) or investigational device within 12 weeks prior to screening or is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study
  • Subject is a family member or employee of the investigator
  • The subject is nursing or intends to begin nursing during the course of the study
  • Any disorder or disease, or clinically significant abnormality on laboratory or other clinical test(s) (eg, blood tests, urine tests, electrocardiogram, chest x-ray), that in medical judgment may impede the subject's participation in the study, pose increased risk to the subject, or confound the results of the study
  • Currently receiving anti-coagulant agent and/or anti-platelet agent other than acetylsalicylic acid (a.k.a. aspirin)

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: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Placebo komparator: Placebo kontrol
Biologisk: Human albumin 0.25%
Intravenous infusion every 2 weeks over 18 months
Eksperimentel: IGIV, 10% at high dose (0.4 g/kg)
Biologisk: Immune Globulin Intravenous (Human), 10% Solution
Intravenous infusion every 2 weeks over 18 months
Andre navne:
  • IGIV, 10 %
Eksperimentel: IGIV, 10% at low dose (0.2 g/kg)
Biologisk: Immune Globulin Intravenous (Human), 10% Solution
Intravenous infusion every 2 weeks over 18 months
Andre navne:
  • IGIV, 10 %

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change From Baseline to Month 18 in Cognitive Subscale of the Alzheimer´s Disease Assessment Scale (ADAS-Cog)
Tidsramme: Baseline to 9 Months (actual time frame)
The ADAS-Cog is a validated psychometric instrument that evaluates memory (word recall, word recognition), attention, reasoning (following commands), language (naming, comprehension), orientation, ideational praxis (placing letter in envelope) and constructional praxis (copying geometric designs). This test was administered by experienced raters certified by Alzheimer's Disease Cooperative Study (ADCS) at each site. Scores on the ADAS-Cog range from 0-70 with higher scores indicating greater impairment; hence increases from baseline reflect potential cognitive deterioration.
Baseline to 9 Months (actual time frame)
Change From Baseline to Month 18 in Alzheimer´s Disease Cooperative Study (ADCS)-Activities of Daily Living (ADL) Inventory
Tidsramme: Baseline to 9 Months (actual time frame)
The ADCS-ADL scale is a validated tool to assess instrumental and basic activities of daily living based on a 23 item structured interview of the caregiver or qualified study partner. Scores on the ADCS-ADL range from 0-78 with lower scores indicating greater impairment; hence decreases from baseline reflect potential functional deterioration.
Baseline to 9 Months (actual time frame)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
ADCS-Clinical Global Impression of Change (CGIC) at 18 Months
Tidsramme: Baseline to 9 Months (actual time frame)
The ADCS-CGIC is a validated categorical measure of change in a participant's global clinical status between baseline and follow-up visits, based on interview of the participant and the caregiver by a skilled and experienced clinician who was blinded to treatment assignment. The ADCS-CGIC score is based on a 7-point Likert scale, ranging from 1 (marked improvement) to 7 (marked worsening).
Baseline to 9 Months (actual time frame)
Change From Baseline to Month 18 in Neuropsychiatric Inventory (NPI)
Tidsramme: Baseline to 9 Months (actual time frame)
The NPI is a validated instrument used to assess behavioral psychopathology in AD; it evaluates the frequency and severity of 10 neuropsychiatric features including delusions, hallucinations, dysphoria, anxiety, agitation/aggression, euphoria, disinhibition, irritability/lability, apathy, aberrant motor activity, sleep and night-time behavior change, and appetite and eating change. The NPI total score ranged 0-144, with higher scores indicating greater impairment.
Baseline to 9 Months (actual time frame)
Change From Baseline to Month 18 in Volumetric Magnetic Resonance Imaging (MRI) Parameters: Rate of Whole Brain Atrophy and Ventricular Enlargement
Tidsramme: Baseline to 9 Months (actual time frame)
Baseline to 9 Months (actual time frame)
Change From Baseline to Month 18 in Logsdon Quality of Life in Alzheimer´s Disease (QOL-AD)
Tidsramme: Baseline to 9 Months (actual time frame)
The QOL AD is a validated, 13-item instrument developed specifically for individuals with dementia. The assessment rates the participant´s quality of life for physical, emotional, interpersonal, and environmental domains. The QOL-AD total score ranged 13-52, with lower scores associated with a lower quality of life.
Baseline to 9 Months (actual time frame)
Change From Baseline to Month 18 in Impact of Alzheimer´s Disease on Caregiver Questionnaire (IADCQ)
Tidsramme: Baseline to 9 Months (actual time frame)
The IADCQ is a 12-item validated questionnaire that has been developed to measure the emotional, physical, and social impact of care giving on AD caregivers. Higher scores on the IADCQ are associated with a higher impact. IADCQ total score range: 0 (no impact) - 48 (greatest impact). Each item can be scored either 0 (Not at all), 1 (A little), 2 (Somewhat), 3 (A lot), or 4 (Extremely). As this is a 12-item scale, the minimum possible score is 0 and the maximum possible score is 4x12 = 48.
Baseline to 9 Months (actual time frame)
Number of Participants Experiencing Study Product-related Adverse Events (AEs) and/or Serious Adverse Events (SAEs)
Tidsramme: Throughout the study period: 18 Months
Throughout the study period: 18 Months
Number of Participants Experiencing Any AEs and/or SAEs
Tidsramme: Throughout the study period: 18 Months
Throughout the study period: 18 Months
Number of Infusions Temporally Associated With AEs and/or SAEs
Tidsramme: During or within 72 hours of completion of an infusion
A temporal association was defined as an AE and/or SAE occurring during or within 72 hours of completion of an infusion, regardless of causality.
During or within 72 hours of completion of an infusion
Number of Infusions Associated With AEs and/or SAEs Occurring During or Within 7 Days of Completion of an Infusion
Tidsramme: During or within 7 days of completion of an infusion
During or within 7 days of completion of an infusion
Number of Infusions Causally Associated With AEs and/or SAEs
Tidsramme: Throughout the study period: 18 Months
Throughout the study period: 18 Months
Number of Infusions Discontinued, Slowed, or Interrupted Due to an AE
Tidsramme: Throughout infusions, approximately 2-5 hours
Throughout infusions, approximately 2-5 hours

Samarbejdspartnere og efterforskere

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

Sponsor

Baxalta now part of Shire

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 (Faktiske)

23. januar 2012

Primær færdiggørelse (Faktiske)

16. juli 2013

Studieafslutning (Faktiske)

16. juli 2013

Datoer for studieregistrering

Først indsendt

20. januar 2012

Først indsendt, der opfyldte QC-kriterier

31. januar 2012

Først opslået (Skøn)

2. februar 2012

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

19. maj 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

30. april 2021

Sidst verificeret

1. april 2021

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 161003
  • 2011-000914-21 (EudraCT nummer)

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 Alzheimers sygdom

Kliniske forsøg med Immune Globulin Intravenous (Human), 10% Solution

Søg i lignende forsøg

Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

CROs by country

CROs in Belarus

Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

Abonner