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Effect of LY2062430 on the Progression of Alzheimer's Disease (EXPEDITION)

18 de septiembre de 2012 actualizado por: Eli Lilly and Company

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.

Descripción general del estudio

Estado

Terminado

Intervención / Tratamiento

Tipo de estudio

Intervencionista

Inscripción (Anticipado)

1000

Fase

  • Fase 3

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Buenos Aires, Argentina, CBA 1419
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      • Cordoba, Argentina, X5004AOA
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      • Mendoza, Argentina, 5500
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      • Pueyrredon Cordoba, Argentina, X5005ALB
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      • Rosario, Argentina, S2000BZL
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      • Santa Fe, Argentina, S3000FWO
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      • Curitiba, Brasil, 81210-310
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      • Itapira, Brasil, 13970-905
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      • Porto Alegre, Brasil, 90110-270
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      • Rio De Janeiro, Brasil, 20941-150
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      • São Paulo, Brasil, 04024-002
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    • Alberta
      • Medicine Hat, Alberta, Canadá, T1B4E7
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    • British Columbia
      • Kelowna, British Columbia, Canadá, V1Y3G8
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      • Penticton, British Columbia, Canadá, V2A5C8
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    • Ontario
      • Ottawa, Ontario, Canadá, K1N 5C8
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      • Toronto, Ontario, Canadá, M6M 3Z5
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    • Quebec
      • Greenfield Park, Quebec, Canadá, J4V 2J2
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      • Sherbrooke, Quebec, Canadá, J1H1Z1
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    • Arizona
      • Phoenix, Arizona, Estados Unidos, 85006
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      • Sun City, Arizona, Estados Unidos, 85351
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      • Tuscon, Arizona, Estados Unidos, 85718
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    • Arkansas
      • Little Rock, Arkansas, Estados Unidos, 72205
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    • California
      • Carson, California, Estados Unidos, 90746
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      • Irvine, California, Estados Unidos, 92697
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      • Laguna Hills, California, Estados Unidos, 92653
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      • Lomita, California, Estados Unidos, 90717
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      • Orange, California, Estados Unidos, 92868
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      • Oxnard, California, Estados Unidos, 93030
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      • Santa Ana, California, Estados Unidos, 92705
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    • Colorado
      • Denver, Colorado, Estados Unidos, 80239
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    • Connecticut
      • Fairfield, Connecticut, Estados Unidos, 06824
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      • Hamden, Connecticut, Estados Unidos, 06518
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      • New Haven, Connecticut, Estados Unidos, 06510
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      • Norwalk, Connecticut, Estados Unidos, 06851
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    • Delaware
      • Newark, Delaware, Estados Unidos, 19713
        • 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.
    • District of Columbia
      • Washington, District of Columbia, Estados Unidos, 20007
        • 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.
    • Florida
      • Boca Raton, Florida, Estados Unidos, 33431
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      • Fort Myers, Florida, Estados Unidos, 33912
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      • Hollywood, Florida, Estados Unidos, 33021
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      • Miami Springs, Florida, Estados Unidos, 33166
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      • North Miami, Florida, Estados Unidos, 33161
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      • Orange City, Florida, Estados Unidos, 32763
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      • Orlando, Florida, Estados Unidos, 32806
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      • Sunrise, Florida, Estados Unidos, 33351
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      • Tampa, Florida, Estados Unidos, 33613
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    • Georgia
      • Atlanta, Georgia, Estados Unidos, 30341
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      • Canton, Georgia, Estados Unidos, 30114
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      • Decatur, Georgia, Estados Unidos, 30033
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    • Indiana
      • Indianapolis, Indiana, Estados Unidos, 46202
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    • Kentucky
      • Lexington, Kentucky, Estados Unidos, 40503
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    • Maryland
      • Baltimore, Maryland, Estados Unidos, 21285
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      • Rockville, Maryland, Estados Unidos, 20852
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    • Massachusetts
      • Belmont, Massachusetts, Estados Unidos, 02478
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    • Michigan
      • Grand Rapids, Michigan, Estados Unidos, 49525
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      • Traverse City, Michigan, Estados Unidos, 49684
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    • New Mexico
      • Albuquerque, New Mexico, Estados Unidos, 87109
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    • New York
      • Albany, New York, Estados Unidos, 12205
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      • Bronx, New York, Estados Unidos, 10454
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      • Latham, New York, Estados Unidos, 12210
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      • New York, New York, Estados Unidos, 10032
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      • Orangeburg, New York, Estados Unidos, 10962
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    • North Carolina
      • Raleigh, North Carolina, Estados Unidos, 27607
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      • Winston-Salem, North Carolina, Estados Unidos, 27103
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    • Ohio
      • Beachwood, Ohio, Estados Unidos, 44122
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      • Toledo, Ohio, Estados Unidos, 43623
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    • Oklahoma
      • Oklahoma City, Oklahoma, Estados Unidos, 73116
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    • Oregon
      • Eugene, Oregon, Estados Unidos, 97401
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    • Pennsylvania
      • Philadelphia, Pennsylvania, Estados Unidos, 19104
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    • Rhode Island
      • East Providence, Rhode Island, Estados Unidos, 02914
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    • South Carolina
      • Charleston, South Carolina, Estados Unidos, 29425
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      • Greer, South Carolina, Estados Unidos, 29651
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    • South Dakota
      • Sioux Falls, South Dakota, Estados Unidos, 57105
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    • Utah
      • Salt Lake City, Utah, Estados Unidos, 84108
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    • Vermont
      • Bennington, Vermont, Estados Unidos, 05201
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      • Burlington, Vermont, Estados Unidos, 05401
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    • Virginia
      • Norfolk, Virginia, Estados Unidos, 23502
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      • Roanoke, Virginia, Estados Unidos, 24018
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      • Aichi, Japón, 474-8511
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      • Fukuoka, Japón, 812-0033
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      • Hiroshima, Japón, 720-0825
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      • Kanagawa, Japón, 243-8550
        • 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.
      • Kyoto, Japón, 607-8062
        • 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.
      • Osaka, Japón, 567
        • 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.
      • Shizuoka, Japón, 420-8688
        • 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.
      • Tokyo, Japón, 187-8551
        • 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.

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

55 años y mayores (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

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

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Cuadruplicar

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Comparador de placebos: Placebo
por vía intravenosa (IV) cada 4 semanas durante 80 semanas
Experimental: LY2062430
400 mg por vía intravenosa (IV) cada 4 semanas durante 80 semanas
Otros nombres:
  • Un anticuerpo beta
  • Solanezumab (*nombre adoptado por USAN, INN pendiente)

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Periodo de tiempo
Change from baseline to endpoint in Alzheimer's Disease Assessment Scale-Cognitive subscore (ADAS-Cog11)
Periodo de tiempo: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL)
Periodo de tiempo: Baseline, 80 weeks
Baseline, 80 weeks

Medidas de resultado secundarias

Medida de resultado
Periodo de tiempo
Change from baseline to endpoint in Clinical Dementia Rating-Sum of Boxes (CDR-SB)
Periodo de tiempo: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in Neuropsychiatric Inventory (NPI)
Periodo de tiempo: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in volumetric magnetic resonance imaging (vMRI)
Periodo de tiempo: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in Mini-Mental State Examination (MMSE)
Periodo de tiempo: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in Resource Utilization in Dementia-Lite (RUD-Lite)
Periodo de tiempo: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in EuroQol 5-Dimensional Health-related Quality of Life Scale Proxy version (EQ-5D Proxy)
Periodo de tiempo: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in Quality of Life in Alzheimer's Disease (QoL-AD)
Periodo de tiempo: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in plasma LY2062430 to investigate a relationship between plasma LY2062430 and plasma A Beta levels.
Periodo de tiempo: Baseline, 80 weeks
Baseline, 80 weeks
Change from baseline to endpoint in plasma A Beta
Periodo de tiempo: Baseline, 80 weeks
Baseline, 80 weeks

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Publicaciones Generales

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de mayo de 2009

Finalización primaria (Actual)

1 de abril de 2012

Finalización del estudio (Actual)

1 de abril de 2012

Fechas de registro del estudio

Enviado por primera vez

18 de mayo de 2009

Primero enviado que cumplió con los criterios de control de calidad

18 de mayo de 2009

Publicado por primera vez (Estimar)

20 de mayo de 2009

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

25 de septiembre de 2012

Última actualización enviada que cumplió con los criterios de control de calidad

18 de septiembre de 2012

Última verificación

1 de mayo de 2012

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • 6747
  • H8A-MC-LZAM (Otro identificador: Eli Lilly and Company)

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

Ensayos clínicos sobre LY2062430

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