A Study of LY3202626 on Disease Progression in Participants With Mild Alzheimer's Disease Dementia (NAVIGATE-AD)
22 de marzo de 2021 actualizado por: Eli Lilly and Company
Effect of LY3202626 on Alzheimer's Disease Progression as Measured by Cerebral ¹⁸F-AV-1451 Tau-PET in Mild Alzheimer's Disease Dementia
The main purpose of this study is to evaluate the safety and the effect on brain tau of the study drug LY3202626 in participants with mild Alzheimer's disease (AD) dementia.
Descripción general del estudio
Estado
Terminado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Intervencionista
Inscripción (Actual)
316
Fase
- Fase 2
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
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Box Hill, Australia, 3128
- 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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Chermside, Australia, 4032
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Darlinghurst, Australia, 2010
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Erina, Australia, 2250
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Glen Iris, Australia, 3146
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Heidelberg, Australia, 3084
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Herston, Australia, 4029
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Nedlands, Australia, 6009
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Parkville, Australia, 3050
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West Perth, Australia, 6005
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Gatineau, Canadá, J8T 8J1
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Ottawa, Canadá, KIN 5C8
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Verdun, Canadá, H4H 1R3
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California
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Irvine, California, Estados Unidos, 92614
- Irvine Clinical Research Center
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Sacramento, California, Estados Unidos, 95816
- Sutter Medical Group
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San Diego, California, Estados Unidos, 92123
- Sharp Mesa Vista Hospital
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San Diego, California, Estados Unidos, 92103
- Pacific Research Network Inc
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San Francisco, California, Estados Unidos, 94114
- Ray Dolby Brain Health Center/Sutter Health/CPMC
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Santa Ana, California, Estados Unidos, 92705
- Syrentis Clinical Research
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Sebastopol, California, Estados Unidos, 95472
- North Bay Neuroscience Institute
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Connecticut
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Stamford, Connecticut, Estados Unidos, 06905
- New England Institute for Clinical Research
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Delaware
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Wilmington, Delaware, Estados Unidos, 19801
- Christiana Care Health Service
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Florida
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Jacksonville, Florida, Estados Unidos, 32256
- Clinical NeuroScience Solutions Inc
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Melbourne, Florida, Estados Unidos, 32940
- Compass Research
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Miami, Florida, Estados Unidos, 33175
- New Horizon Research Center
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Miami, Florida, Estados Unidos, 33173
- Florida International Research Center
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Miami, Florida, Estados Unidos, 33176
- The Neurology Research Group, LLC
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New Port Richey, Florida, Estados Unidos, 34652
- Suncoast Clinical Research
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Ocala, Florida, Estados Unidos, 34470
- Renstar Medical Research
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Ocoee, Florida, Estados Unidos, 34761
- Sensible Healthcare
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Spring Hill, Florida, Estados Unidos, 34609
- Meridien Research
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Tampa, Florida, Estados Unidos, 33609
- Axiom Research
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Georgia
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Gainesville, Georgia, Estados Unidos, 30501
- United Osteoporosis Center
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Indiana
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Fort Wayne, Indiana, Estados Unidos, 46804
- Fort Wayne Neurological Center
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Indianapolis, Indiana, Estados Unidos, 46202
- Indiana University School of Medicine
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Kansas
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Topeka, Kansas, Estados Unidos, 66606
- Cotton O'Neil Clinic
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Wichita, Kansas, Estados Unidos, 67205
- Heartland Research Associates
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Maryland
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Baltimore, Maryland, Estados Unidos, 21224
- Johns Hopkins University School of Medicine
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Massachusetts
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Newton, Massachusetts, Estados Unidos, 02459
- Boston Center for Memory
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Missouri
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Bolivar, Missouri, Estados Unidos, 65613
- Missouri Memory Center
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Chesterfield, Missouri, Estados Unidos, 63005
- Clinical Research Professionals
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Creve Coeur, Missouri, Estados Unidos, 63141
- Millenium Psychiatric Associates LLC
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Kansas City, Missouri, Estados Unidos, 64111
- St Lukes Hospital
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Saint Louis, Missouri, Estados Unidos, 63108
- Washington University School of Medicine
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Nevada
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Las Vegas, Nevada, Estados Unidos, 89113
- Las Vegas Medical Research
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New Jersey
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Eatontown, New Jersey, Estados Unidos, 07724
- Memory Enhancement Center of America, Inc.
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Monroe, New Jersey, Estados Unidos, 08831
- Pyramid Clinical Research
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Toms River, New Jersey, Estados Unidos, 08755
- Advanced Memory Research Institute of New Jersey
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Toms River, New Jersey, Estados Unidos, 08755
- Bio Behavioral Health
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New York
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Albany, New York, Estados Unidos, 12206
- Albany Medical College
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Amherst, New York, Estados Unidos, 14226
- Dent Neurological Institute
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Ohio
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Centerville, Ohio, Estados Unidos, 45459
- Valley Medical Primary Care
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Dayton, Ohio, Estados Unidos, 45417
- University of Cincinnati Health Neurology
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Dayton, Ohio, Estados Unidos, 45459
- Neurology Diagnostics, Inc.
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Shaker Heights, Ohio, Estados Unidos, 44122
- Insight Clinical Trials
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Pennsylvania
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Abington, Pennsylvania, Estados Unidos, 19090
- Abington Neurological Associates
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Allentown, Pennsylvania, Estados Unidos, 18104
- Lehigh Center for Clinical Research
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Jenkintown, Pennsylvania, Estados Unidos, 19046
- Clinical Trial Center, LLC, Psychiatry
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South Carolina
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Charleston, South Carolina, Estados Unidos, 29406
- Clinical Trials of South Carolina
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Texas
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Dallas, Texas, Estados Unidos, 75231
- Baylor AT&T Memory Center
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Houston, Texas, Estados Unidos, 77030
- Nantz National Alzheimer Center
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Houston, Texas, Estados Unidos, 77054
- University of Texas Health Services Center - Houston
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Akashi, Japón, 673-0891
- 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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Hachioji, Japón, 193-0998
- 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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Ikeda, Japón, 563-0058
- 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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Kasukabe-shi, Japón, 344-0036
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Kyoto, Japón, 606-0851
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Nagoya, Japón, 451-8511
- 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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Nerima-ku, Japón, 179-0072
- 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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Osaka, Japón, 533-0004
- 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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Osaka, Japón, 559-0004
- 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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Setagaya-ku, Japón, 158-8531
- 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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Takamatsu, Japón, 760-8557
- 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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Tokyo, Japón, 156-0041
- 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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Wako, Japón, 351-0111
- 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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Yokosuka-shi, Japón, 238-0042
- 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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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 a 85 años (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Descripción
Inclusion Criteria:
- Present with mild AD dementia based on the National Institute on Aging (NIA) and the Alzheimer's Association (AA) disease diagnostic criteria as determined by a qualified clinician approved by the Sponsor or designee.
- Mini-Mental State Examination score of 20 to 26 inclusive at screening visit.
- Has a florbetapir PET scan consistent with the presence of amyloid pathology at screening.
Exclusion Criteria:
- Significant neurological disease affecting the central nervous system (CNS), other than AD, that may affect cognition or ability to complete the study, including but not limited to, other dementias, serious infection of the brain, Parkinson's disease, multiple concussions, or epilepsy or recurrent seizures (except febrile childhood seizures).
- Ocular pathology that significantly limits ability to reliably evaluate vision or the retina.
- Use of strong inducers of cytochrome P450 3A (CYP3A).
- Sensitivity to florbetapir or ¹⁸F-AV-1451.
- Contraindication to MRI or PET or poor venous access for blood draws.
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: Triple
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: Dose 1 LY3202626
3 mg LY3202626 given orally once daily for 52 weeks.
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Administrado por vía oral
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Experimental: Dose 2 LY3202626
12 mg LY3202626 given orally once daily for 52 weeks.
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Administrado por vía oral
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Experimental: Placebo
Placebo given orally once daily for 52 weeks.
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Administrado por vía oral
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Change From Baseline in ¹⁸F-AV-1451 Positron Emission Tomography (PET) Standard Uptake Value Ratio (SUVr) at 52 Weeks
Periodo de tiempo: Baseline, Week 52
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The 18F-AV-1451 PET tracer assesses change from baseline in the pharmacodynamic effect of 3 mg and 12 mg doses of LY3202626 in participants with mild Alzheimer's disease (AD), compared with placebo at Week 52.The SUVr of ¹⁸F-AV-1451 was modeled using analysis of covariance (ANCOVA) to include the fixed, categorical effects of treatment dose, and the continuous, fixed covariate of baseline Tau PET SUVr and age at baseline.
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Baseline, Week 52
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Percentage of Participants With Emergent Magnetic Resonance Imaging (MRI) Findings
Periodo de tiempo: Week 52
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Percentage of participants with treatment-emergent MRI findings at Week 52 are summarized here.
The mixed-effect model for repeated measures (MMRM) analysis was adjusted for fixed effects of treatment, visit (categorical covariate), treatment-by-visit interaction, baseline age, baseline score (continuous covariate) and baseline-by-visit interaction.
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Week 52
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Percentage of Participants With Amyloid-Related Imaging Abnormalities (ARIA)
Periodo de tiempo: Week 52
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Percentage of participants with presence of amyloid-related imaging abnormalities-edema (ARIA-E, also known as vasogenic edema) and percentage of an increase in amyloid-related imaging abnormalities-hemorrhage (ARIA-H, also known as also known as microhemorrhage) at Week 52 are summarized here.
The mixed-effect model for repeated measures (MMRM) analysis was adjusted for fixed effects of treatment, visit (categorical covariate), treatment-by-visit interaction, baseline age, baseline score (continuous covariate) and baseline-by-visit interaction.
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Week 52
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Percentage of Participants With Suicidal Ideation and Behaviors Assessed by the Columbia Suicide Severity Rating Scale (C-SSRS) Scores
Periodo de tiempo: Baseline through Week 52
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The Columbia-Suicide Severity Rating Scale (C-SSRS) captures occurrence, severity, and frequency of suicide-related thoughts and behaviors.
Suicidal ideation is defined as a "yes" answer to any 1 of 5 suicidal ideation questions, which includes a wish to be dead and 4 different categories of active suicidal ideation.
Suicidal behavior is defined as a "yes" answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide.
Suicidal ideation and behavior are defined as treatment-emergent (TE) if not present during the period up through randomization.
A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Event module.
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Baseline through Week 52
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Pharmacokinetics (PK): Area Under the Plasma Concentration-Time Curve at Steady State (AUC [T,SS]) of LY3202626
Periodo de tiempo: Week 2, 4, and 12: Predose and Postdose prior to departing; Week 8 and 16: Postdose after arriving and prior to departing; Week 24: Postdose after cognitive testing
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PK: AUC [T,SS] of LY3202626
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Week 2, 4, and 12: Predose and Postdose prior to departing; Week 8 and 16: Postdose after arriving and prior to departing; Week 24: Postdose after cognitive testing
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Change From Baseline in Plasma Amyloid Beta Aβ₁-₄₀, ₁-₄₂, and 1-x Concentration
Periodo de tiempo: Baseline, Week 52
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A mixed model repeated measures (MMRM) analysis will be used to evaluate the change from baseline to Week 52 in plasma Aβ₁-₄₀, Aβ₁-₄₂, and Aβ 1-x.
The model for the fixed effects will include terms for the following independent effects: log transformed baseline plasma Aβ, treatment, visit, treatment-by-visit interaction.
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Baseline, Week 52
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Change From Baseline on the 13-item Alzheimer's Disease Assessment Scale-Cognition (ADAS-Cog₁₃)
Periodo de tiempo: Baseline, Week 52
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The ADAS is a rater administered instrument that was designed to assess the severity of the dysfunction in the cognitive and noncognitive behaviors characteristic of persons with AD.
The cognitive subscale of the ADAS that was used as the primary efficacy measure consists of 13 items assessing areas of cognitive function most typically impaired in AD: orientation, verbal memory, language, praxis, delayed free recall, digit cancellation.
The ADAS--Cog13 scale ranges from 0 to 85. Higher scores indicate greater disease severity.
A mixed model repeated measures (MMRM) was used in analysis.
The model included fixed, categorical effects of treatment, visit and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.
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Baseline, Week 52
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Change From Baseline on the Alzheimer's Disease Cooperative Study-Instrumental Activities of Daily Living Inventory (ADCS-iADL)
Periodo de tiempo: Baseline, Week 52
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The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver.
The ADCS-ADL measures both basic and instrumental activities (instrumental activity items 7-23) of daily living by participants.
The range for the ADCS-iADL is 0-56 with higher scores reflecting better performance.
ADCS-iADL was analyzed using mixed-model repeated measures (MMRM), Least Square (LS) Mean was controlled for treatment, visit, treatment-by-visit interaction, baseline age, baseline score and baseline-by-visit interaction.
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Baseline, Week 52
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Change From Baseline on the Integrated Alzheimer's Disease Rating Scale (iADRS)
Periodo de tiempo: Baseline, Week 52
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The iADRS comprises scores form the ADAS-Cog and the ADCS-iADL.
The iADRS is calculated as a linear combination of the total scores of the ADAS-Cog13 9score range 0 to 85 with higher scores reflecting worse performance and the ADCS-iADL (score range 0-56 with higher scores reflecting better performance).
The iADRS score ranges from 0 to 141 with lower scores indicating worse performance.
iADRS was analyzed using mixed-model repeated measures (MMRM); Least Square (LS) Mean was controlled for treatment, visit, treatment-by-visit interaction, baseline age, baseline score and baseline-by-visit interaction.
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Baseline, Week 52
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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.
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 (Actual)
16 de junio de 2016
Finalización primaria (Actual)
2 de julio de 2018
Finalización del estudio (Actual)
2 de julio de 2018
Fechas de registro del estudio
Enviado por primera vez
1 de junio de 2016
Primero enviado que cumplió con los criterios de control de calidad
1 de junio de 2016
Publicado por primera vez (Estimar)
6 de junio de 2016
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
19 de abril de 2021
Última actualización enviada que cumplió con los criterios de control de calidad
22 de marzo de 2021
Última verificación
1 de marzo de 2021
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 16223
- I7X-MC-LLCF (Otro identificador: Eli Lilly and Company)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Sí
Descripción del plan IPD
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Marco de tiempo para compartir IPD
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later.
Data will be indefinitely available for requesting.
Criterios de acceso compartido de IPD
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
Tipo de información de apoyo para compartir IPD
- Protocolo de estudio
- Plan de Análisis Estadístico (SAP)
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. .