- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT00905372
Effect of LY2062430 on the Progression of Alzheimer's Disease (EXPEDITION)
Effect of LY2062430, an Anti-Amyloid Beta Monoclonal Antibody, on the Progression of Alzheimer's Disease as Compared With Placebo
Alzheimer's disease (AD) is an age-related degenerative disorder of the brain, characterized by progressive decline in cognitive function and ability to perform activities of daily living, and ultimately can lead to death due to complications of the disease. AD is thought to be caused by an excess of A-Beta amyloid, a sticky protein in the brain that forms amyloid plaques. Treatments that slow the synthesis or deposition of A-Beta amyloid, or that increase clearance, might be expected to slow the progression of AD.
LY2062430 (solanezumab) is a humanized anti-A Beta peptide immunoglobulin G-1 (IgG1) monoclonal antibody being developed for the treatment of AD. The primary hypothesis being tested is that LY2062430 will slow cognitive and functional decline in AD as compared with placebo. Each patient's participation will last approximately 19 months. Patients taking approved AD medications may participate in this study and continue taking these medications during the study.
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Studientyp
Einschreibung (Voraussichtlich)
Phase
- Phase 3
Kontakte und Standorte
Studienorte
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Buenos Aires, Argentinien, CBA 1419
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Cordoba, Argentinien, X5004AOA
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Mendoza, Argentinien, 5500
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Pueyrredon Cordoba, Argentinien, X5005ALB
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Rosario, Argentinien, S2000BZL
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Santa Fe, Argentinien, S3000FWO
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Curitiba, Brasilien, 81210-310
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Itapira, Brasilien, 13970-905
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Porto Alegre, Brasilien, 90110-270
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Rio De Janeiro, Brasilien, 20941-150
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São Paulo, Brasilien, 04024-002
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Aichi, Japan, 474-8511
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Fukuoka, Japan, 812-0033
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Hiroshima, Japan, 720-0825
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Kanagawa, Japan, 243-8550
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Kyoto, Japan, 607-8062
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Osaka, Japan, 567
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Shizuoka, Japan, 420-8688
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Tokyo, Japan, 187-8551
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Alberta
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Medicine Hat, Alberta, Kanada, T1B4E7
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British Columbia
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Kelowna, British Columbia, Kanada, V1Y3G8
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Penticton, British Columbia, Kanada, V2A5C8
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Ontario
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Ottawa, Ontario, Kanada, K1N 5C8
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Toronto, Ontario, Kanada, M6M 3Z5
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Quebec
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Greenfield Park, Quebec, Kanada, J4V 2J2
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Sherbrooke, Quebec, Kanada, J1H1Z1
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Arizona
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Phoenix, Arizona, Vereinigte Staaten, 85006
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Sun City, Arizona, Vereinigte Staaten, 85351
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Tuscon, Arizona, Vereinigte Staaten, 85718
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Arkansas
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Little Rock, Arkansas, Vereinigte Staaten, 72205
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California
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Carson, California, Vereinigte Staaten, 90746
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Irvine, California, Vereinigte Staaten, 92697
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Laguna Hills, California, Vereinigte Staaten, 92653
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Lomita, California, Vereinigte Staaten, 90717
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Orange, California, Vereinigte Staaten, 92868
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Oxnard, California, Vereinigte Staaten, 93030
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Santa Ana, California, Vereinigte Staaten, 92705
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Colorado
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Denver, Colorado, Vereinigte Staaten, 80239
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Connecticut
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Fairfield, Connecticut, Vereinigte Staaten, 06824
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Hamden, Connecticut, Vereinigte Staaten, 06518
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New Haven, Connecticut, Vereinigte Staaten, 06510
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Norwalk, Connecticut, Vereinigte Staaten, 06851
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Delaware
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Newark, Delaware, Vereinigte Staaten, 19713
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District of Columbia
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Washington, District of Columbia, Vereinigte Staaten, 20007
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Florida
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Boca Raton, Florida, Vereinigte Staaten, 33431
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Fort Myers, Florida, Vereinigte Staaten, 33912
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Hollywood, Florida, Vereinigte Staaten, 33021
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Miami Springs, Florida, Vereinigte Staaten, 33166
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North Miami, Florida, Vereinigte Staaten, 33161
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Orange City, Florida, Vereinigte Staaten, 32763
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Orlando, Florida, Vereinigte Staaten, 32806
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Sunrise, Florida, Vereinigte Staaten, 33351
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Tampa, Florida, Vereinigte Staaten, 33613
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Georgia
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Atlanta, Georgia, Vereinigte Staaten, 30341
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Canton, Georgia, Vereinigte Staaten, 30114
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Decatur, Georgia, Vereinigte Staaten, 30033
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Indiana
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Indianapolis, Indiana, Vereinigte Staaten, 46202
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Kentucky
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Lexington, Kentucky, Vereinigte Staaten, 40503
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Maryland
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Baltimore, Maryland, Vereinigte Staaten, 21285
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Rockville, Maryland, Vereinigte Staaten, 20852
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Massachusetts
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Belmont, Massachusetts, Vereinigte Staaten, 02478
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Michigan
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Grand Rapids, Michigan, Vereinigte Staaten, 49525
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Traverse City, Michigan, Vereinigte Staaten, 49684
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New Mexico
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Albuquerque, New Mexico, Vereinigte Staaten, 87109
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New York
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Albany, New York, Vereinigte Staaten, 12205
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Bronx, New York, Vereinigte Staaten, 10454
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Latham, New York, Vereinigte Staaten, 12210
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New York, New York, Vereinigte Staaten, 10032
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Orangeburg, New York, Vereinigte Staaten, 10962
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North Carolina
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Raleigh, North Carolina, Vereinigte Staaten, 27607
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Winston-Salem, North Carolina, Vereinigte Staaten, 27103
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Ohio
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Beachwood, Ohio, Vereinigte Staaten, 44122
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Toledo, Ohio, Vereinigte Staaten, 43623
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Oklahoma
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Oklahoma City, Oklahoma, Vereinigte Staaten, 73116
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Oregon
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Eugene, Oregon, Vereinigte Staaten, 97401
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Pennsylvania
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Philadelphia, Pennsylvania, Vereinigte Staaten, 19104
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Rhode Island
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East Providence, Rhode Island, Vereinigte Staaten, 02914
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South Carolina
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Charleston, South Carolina, Vereinigte Staaten, 29425
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Greer, South Carolina, Vereinigte Staaten, 29651
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South Dakota
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Sioux Falls, South Dakota, Vereinigte Staaten, 57105
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Utah
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Salt Lake City, Utah, Vereinigte Staaten, 84108
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Vermont
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Bennington, Vermont, Vereinigte Staaten, 05201
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Burlington, Vermont, Vereinigte Staaten, 05401
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Virginia
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Norfolk, Virginia, Vereinigte Staaten, 23502
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Roanoke, Virginia, Vereinigte Staaten, 24018
- 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.
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Meets criteria for mild to moderate Alzheimer's Disease (AD) with Mini-Mental State Examination score of 16 through 26 at screening
- Modified Hachinski Ischemia Scale score of less than or equal to 4
- Geriatric Depression Scale score of less than or equal to 6
- A magnetic resonance imaging (MRI) or computerized tomography (CT) scan in the last 2 years with no findings inconsistent with a diagnosis of AD
- If receiving concurrent AD treatment, must be on the medication for at least 4 months at a stable dose for at least 2 months prior to randomization
Exclusion Criteria:
- Has serious or unstable illness(es)
- Does not have a reliable caregiver who is in frequent contact with patient (at least 10 hours per week)
- Meets National Institute of Neurological Disorders and Stroke/Association Internationale pour la Recherche et l'Enseignement en Neurosciences (NINDS/AIREN) criteria for vascular dementia
- Does not have good venous access, such that intravenous (IV) drug delivery would be difficult
- Has had multiple episodes of head trauma or history within the last 5 years of a serious infectious disease affecting the brain
- Has allergies to humanized monoclonal antibodies
- Chronic alcohol and/or drug abuse within the past 5 years
- Has any contraindications for MRI studies
- Requires treatment with another monoclonal antibody
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Vervierfachen
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
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Placebo-Komparator: Placebo
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intravenös (IV) alle 4 Wochen für 80 Wochen
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Experimental: LY2062430
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400 mg intravenös (IV) alle 4 Wochen für 80 Wochen
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
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Change from baseline to endpoint in Alzheimer's Disease Assessment Scale-Cognitive subscore (ADAS-Cog11)
Zeitfenster: Baseline, 80 weeks
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Baseline, 80 weeks
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Change from baseline to endpoint in Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL)
Zeitfenster: Baseline, 80 weeks
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Baseline, 80 weeks
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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
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Change from baseline to endpoint in Clinical Dementia Rating-Sum of Boxes (CDR-SB)
Zeitfenster: Baseline, 80 weeks
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Baseline, 80 weeks
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Change from baseline to endpoint in Neuropsychiatric Inventory (NPI)
Zeitfenster: Baseline, 80 weeks
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Baseline, 80 weeks
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Change from baseline to endpoint in volumetric magnetic resonance imaging (vMRI)
Zeitfenster: Baseline, 80 weeks
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Baseline, 80 weeks
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Change from baseline to endpoint in Mini-Mental State Examination (MMSE)
Zeitfenster: Baseline, 80 weeks
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Baseline, 80 weeks
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Change from baseline to endpoint in Resource Utilization in Dementia-Lite (RUD-Lite)
Zeitfenster: Baseline, 80 weeks
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Baseline, 80 weeks
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Change from baseline to endpoint in EuroQol 5-Dimensional Health-related Quality of Life Scale Proxy version (EQ-5D Proxy)
Zeitfenster: Baseline, 80 weeks
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Baseline, 80 weeks
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Change from baseline to endpoint in Quality of Life in Alzheimer's Disease (QoL-AD)
Zeitfenster: Baseline, 80 weeks
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Baseline, 80 weeks
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Change from baseline to endpoint in plasma LY2062430 to investigate a relationship between plasma LY2062430 and plasma A Beta levels.
Zeitfenster: Baseline, 80 weeks
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Baseline, 80 weeks
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Change from baseline to endpoint in plasma A Beta
Zeitfenster: Baseline, 80 weeks
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Baseline, 80 weeks
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Mitarbeiter und Ermittler
Sponsor
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- Reed C, Belger M, Dell'Agnello G, Kahle-Wrobleski K, Sethuraman G, Hake A, Raskin J, Henley D. Representativeness of European clinical trial populations in mild Alzheimer's disease dementia: a comparison of 18-month outcomes with real-world data from the GERAS observational study. Alzheimers Res Ther. 2018 Apr 3;10(1):36. doi: 10.1186/s13195-018-0360-4.
- Liu-Seifert H, Siemers E, Price K, Han B, Selzler KJ, Henley D, Sundell K, Aisen P, Cummings J, Raskin J, Mohs R; Alzheimer's Disease Neuroimaging Initiative. Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease. J Alzheimers Dis. 2015;47(1):205-14. doi: 10.3233/JAD-142508.
- Henley DB, Dowsett SA, Chen YF, Liu-Seifert H, Grill JD, Doody RS, Aisen P, Raman R, Miller DS, Hake AM, Cummings J. Alzheimer's disease progression by geographical region in a clinical trial setting. Alzheimers Res Ther. 2015 Jun 25;7(1):43. doi: 10.1186/s13195-015-0127-0. eCollection 2015.
- Liu-Seifert H, Siemers E, Sundell K, Price K, Han B, Selzler K, Aisen P, Cummings J, Raskin J, Mohs R. Cognitive and functional decline and their relationship in patients with mild Alzheimer's dementia. J Alzheimers Dis. 2015;43(3):949-55. doi: 10.3233/JAD-140792.
- Doody RS, Thomas RG, Farlow M, Iwatsubo T, Vellas B, Joffe S, Kieburtz K, Raman R, Sun X, Aisen PS, Siemers E, Liu-Seifert H, Mohs R; Alzheimer's Disease Cooperative Study Steering Committee; Solanezumab Study Group. Phase 3 trials of solanezumab for mild-to-moderate Alzheimer's disease. N Engl J Med. 2014 Jan 23;370(4):311-21. doi: 10.1056/NEJMoa1312889.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- 6747
- H8A-MC-LZAM (Andere Kennung: Eli Lilly and Company)
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