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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. maj 2026 opdateret af: 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.

Studieoversigt

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

210

Fase

  • Fase 2
  • Fase 1

Kontakter og lokationer

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

Studiekontakt

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

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

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.

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: Sekventiel tildeling
  • Maskning: Tredobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: 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)
Placebo komparator: 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)
Eksperimentel: Stage A-ABBV-1758 Dose B
Participants will receive ABBV-1758 dose B Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Placebo komparator: Stage A-Placebo for ABBV-1758 Dose B
Participants will receive Placebo dose B Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Eksperimentel: Stage A-ABBV-1758 Dose C
Participants will receive ABBV-1758 dose C Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Placebo komparator: Stage A-Placebo for ABBV-1758 Dose C
Participants will receive Placebo dose C Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Eksperimentel: Stage A-ABBV-1758 Dose D
Participants will receive ABBV-1758 dose D Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Placebo komparator: Stage A-Placebo for ABBV-1758 Dose D
Participants will receive Placebo dose D Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Eksperimentel: 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)
Placebo komparator: 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)
Eksperimentel: 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)
Placebo komparator: 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)
Eksperimentel: 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)
Placebo komparator: 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)
Eksperimentel: 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)
Placebo komparator: 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)
Eksperimentel: Stage C- ABBV-1758-Chinese Cohort
Participants will receive ABBV-1758 dose determined in Stage A Q4W.
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
Placebo komparator: 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)

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Number of Participants Experiencing Adverse Events (AEs)
Tidsramme: 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
Tidsramme: 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)
Tidsramme: 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
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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)
Tidsramme: Up to approximately 12 months
T1/2,eff of ABBV-1758
Up to approximately 12 months

Samarbejdspartnere og efterforskere

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

Sponsor

Efterforskere

  • Studieleder: ABBVIE INC., AbbVie

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 (Anslået)

15. maj 2026

Primær færdiggørelse (Anslået)

1. april 2030

Studieafslutning (Anslået)

1. november 2030

Datoer for studieregistrering

Først indsendt

15. maj 2026

Først indsendt, der opfyldte QC-kriterier

15. maj 2026

Først opslået (Faktiske)

20. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

20. maj 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

15. maj 2026

Sidst verificeret

1. maj 2026

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

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.

IPD-delingstidsramme

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

IPD-delingsadgangskriterier

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

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

produkt fremstillet i og eksporteret fra U.S.A.

Ingen

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Kliniske forsøg med ABBV-1758

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