- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT00594568
Effect of LY450139 on the Long Term Progression of Alzheimer's Disease
Effect of γ-Secretase Inhibition on the Progression of Alzheimer's Disease: LY450139 Versus Placebo
Alzheimer's disease (AD) is a fatal degenerative disease of the brain for which there is no cure. AD causes brain cells to die. AD is thought to be caused by an excess of beta-amyloid (β-amyloid), a sticky protein in the brain that forms amyloid plaques. At autopsy, AD patients are required to have these amyloid plaques in the brain in order to have a definitive diagnosis of AD. Inhibiting the enzyme gamma-secretase (γ-secretase) lowers the production of β-amyloid. Semagacestat (LY450139) is a functional γ-secretase inhibitor and was shown to lower β-amyloid in blood and spinal fluid in humans tested thus far and in blood, spinal fluid, and brain in animals tested thus far. This study used several different tests to measure the effect of semagacestat on both β-amyloid and amyloid plaques for some participants. The build-up of amyloid plaques was measured by a brain scan that takes a picture of amyloid plaques in the brain. Other tests measured the overall function of the brain and brain size in some participants. In this trial, participants who initially received placebo (inactive sugar pill) were, at a certain point in the study, switched over to active drug, semagacestat. In other words, all participants could eventually receive active drug. Participation could last approximately 2 years. Participants taking approved AD medications were permitted to participate in this study and continue taking these medications during the study. All participants who completed this study had the option to continue receiving semagacestat by participating in an open-label study.
Preliminary results from this study (H6L-MC-LFAN [LFAN]) and another similar study (H6L-MC-LFBC [LFBC; NCT00762411]) showed semagacestat did not slow disease progression and was associated with worsening of clinical measures of cognition and the ability to perform activities of daily living. Study drug was stopped in all studies. Studies LFAN, LFBC, and open-label H6L-MC-LFBF (LFBF; NCT01035138) were amended to continue collecting safety data, including cognitive scores, for at least 7 months. The Clinical Trial Registry (CTR) will reflect results of analyses from the original LFAN protocol in addition to those from the amended LFAN protocol.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Réel)
Phase
- Phase 3
Contacts et emplacements
Lieux d'étude
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Bellair, Afrique du Sud, 4094
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Bellville, Afrique du Sud, 7530
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Cape Town, Afrique du Sud, 7925
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George, Afrique du Sud, 6529
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Johannesburg, Afrique du Sud, 1709
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Rosebank, Afrique du Sud, 2132
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Somerset West, Afrique du Sud, 7130
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Umhlanga, Afrique du Sud, 4319
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Dresden, Allemagne, 01307
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Goettingen, Allemagne, 37075
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Hannover, Allemagne, 30559
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Muenchen, Allemagne, BY 80336
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Regensburg, Allemagne, D-93053
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Siegen, Allemagne, 57072
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Buenos Aires, Argentine, 1425
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Cordoba, Argentine, X5004AOA
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Santa Fe, Argentine, S3000FWO
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New South Wales
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Hornsby, New South Wales, Australie, 2077
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Kogarah, New South Wales, Australie, 2217
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Randwick, Sydney, New South Wales, Australie, 2013
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South Australia
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Adelaide, South Australia, Australie, 5000
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Victoria
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Geelong, Victoria, Australie, 3220
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Heidelberg West, Victoria, Australie, 3081
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Kew, Victoria, Australie, 3101
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Western Australia
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Nedlands, Western Australia, Australie, 6009
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Aalst, Belgique, 9300
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Antwerp, Belgique, 2020
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Brugge, Belgique, 8000
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Leuven, Belgique, 3000
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Quebec, Canada, G1R 3X5
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British Columbia
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Kelowna, British Columbia, Canada, V1Y3G8
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Penticton, British Columbia, Canada, V2A5C8
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Quebec
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Sherbrooke, Quebec, Canada, J1H1Z1
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Antofagasta, Chili
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Concepcion, Chili
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Santiago, Chili
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Santiago De Chile, Chili, 6640870
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Valdivia, Chili
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Vina Del Mar, Chili
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Kobenhavn, Danemark, 2100
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Roskilde, Danemark, 4000
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Svendborg, Danemark, 4000
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Albacete, Espagne, 2006
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Barakaldo, Espagne, 48903
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Barcelona, Espagne, 08014
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Madrid, Espagne, 28034
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Plasencia, Espagne, 10600
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Kuopio, Finlande, 70210
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Mikkeli, Finlande, 50100
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Oulu, Finlande, 90229
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Nice, France, 06002
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Rennes, France, 35000
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Rouen, France, 76036
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Toulouse, France, 31059
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Tours, France, 37044
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Chennai, Inde, 600003
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Hyderabaad, Inde, 400082
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Kolkatta, Inde, 700054
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Mangalore, Inde, 575002
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Mumbai, Inde, 400050
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Thiruvananthapuram, Inde, 695011
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Tirupati, Inde, 517507
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Varanasi, Inde, 221005
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Ashkelon, Israël, 78306
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Beer Sheva, Israël, 84170
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Haifa, Israël, 31096
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Jerusalem, Israël, 91240
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Petah Tikva, Israël, 49100
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Tel Aviv, Israël, 64239
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Tel Hashomer, Israël, 52661
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Milano, Italie, 20157
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Pisa, Italie, 56126
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Rome, Italie, 00153
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Fukui, Japon, 910-3113
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Fukuoka, Japon, 770-8076
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Kagawa, Japon, 761-0793
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Kochi, Japon, 780-0842
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Osaka, Japon, 590-0018
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Tokushima, Japon, 770-8076
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Bialystok, Pologne, 15402
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Gdynia, Pologne, 81-361
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Lodz, Pologne, 92-216
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Lublin, Pologne, 20-950
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Poznan, Pologne, 61-606
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Warsaw, Pologne, 02-507
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Belfast, Royaume-Uni, BT9 7BL
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Newcastle, Royaume-Uni, NE4 6BE
- 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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Stoke-On-Trent, Royaume-Uni, ST4 6QG
- 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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Banes
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Bath, Banes, Royaume-Uni, BA1 3NG
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Hants
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Southampton, Hants, Royaume-Uni, SO30 3JB
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Merseyside
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Liverpool, Merseyside, Royaume-Uni, L9 7LJ
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Scotland
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Glasgow, Scotland, Royaume-Uni, G20 0XA
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Wilts
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Swindon, Wilts, Royaume-Uni, SN1 4JU
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-
-
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Malmo, Suède, 20502
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Molndal, Suède, 43185
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Norrköping, Suède, 60172
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Stockholm, Suède, 14186
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Uddevalla, Suède, 45180
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Alabama
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Birmingham, Alabama, États-Unis, 35294
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Arizona
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Phoenix, Arizona, États-Unis, 85006
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Sun City, Arizona, États-Unis, 85351
- 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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Tucson, Arizona, États-Unis, 85741
- 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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California
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Fresno, California, États-Unis, 93720
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Lomita, California, États-Unis, 90717
- 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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Orange, California, États-Unis, 92868
- 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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Sacramento, California, États-Unis, 95817
- 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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San Diego, California, États-Unis, 92103
- 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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Santa Monica, California, États-Unis, 90404
- 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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Connecticut
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Hamden, Connecticut, États-Unis, 06518
- 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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New Haven, Connecticut, États-Unis, 06510
- 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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District of Columbia
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Washington, District of Columbia, États-Unis, 20057
- 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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Florida
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Brooksville, Florida, États-Unis, 34613
- 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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Fort Lauderdale, Florida, États-Unis, 33308
- 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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Fort Myers, Florida, États-Unis, 33912
- 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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Miami, Florida, États-Unis, 33140
- 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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Pompano Beach, Florida, États-Unis, 33064
- 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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St Petersburg, Florida, États-Unis, 33716
- 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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Sunrise, Florida, États-Unis, 33351
- 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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Tampa, Florida, États-Unis, 33613
- 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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Tampa Bay, Florida, États-Unis, 33613
- 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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West Palm Beach, Florida, États-Unis, 33407
- 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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Illinois
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Chicago, Illinois, États-Unis, 60611
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Indiana
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Indianapolis, Indiana, États-Unis, 46202
- 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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Kentucky
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Lexington, Kentucky, États-Unis, 40503
- 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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Louisiana
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Shreveport, Louisiana, États-Unis, 71101
- 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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Maryland
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Baltimore, Maryland, États-Unis, 21224
- 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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Massachusetts
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Boston, Massachusetts, États-Unis, 02118
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Burlington, Massachusetts, États-Unis, 01805
- 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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West Yarmouth, Massachusetts, États-Unis, 02673
- 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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Missouri
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Kansas City, Missouri, États-Unis, 64111
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St Louis, Missouri, États-Unis, 63108
- 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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New York
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Albany, New York, États-Unis, 12208
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New York, New York, États-Unis, 10032
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North Carolina
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Durham, North Carolina, États-Unis, 27705
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Raleigh, North Carolina, États-Unis, 27607
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Winston-Salem, North Carolina, États-Unis, 27157
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Ohio
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Columbus, Ohio, États-Unis, 43210
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Toledo, Ohio, États-Unis, 43623
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Oklahoma
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Oklahoma City, Oklahoma, États-Unis, 73116
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Oregon
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Eugene, Oregon, États-Unis, 97401
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Pennsylvania
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Jenkintown, Pennsylvania, États-Unis, 19046
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Philadelphia, Pennsylvania, États-Unis, 19104
- 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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Pittsburgh, Pennsylvania, États-Unis, 15213
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Rhode Island
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East Providence, Rhode Island, États-Unis, 02914
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South Carolina
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North Charleston, South Carolina, États-Unis, 29406
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Utah
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Salt Lake City, Utah, États-Unis, 84108
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Vermont
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Bennington, Vermont, États-Unis, 05201
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Wisconsin
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Madison, Wisconsin, États-Unis, 53705
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Meets criteria for mild to moderate Alzheimer's disease (AD) with Mini-Mental State Examination (MMSE) score of 16-26 at Visit 1
- 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 female, must be without menstruation for at least 12 consecutive months or have had both ovaries removed
Exclusion Criteria:
- Is not capable of swallowing whole oral medication
- Has serious or unstable illnesses
- Does not have a reliable caregiver
- Chronic alcohol or drug abuse within the past 5 years
- Has ever had active vaccination for AD
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Quadruple
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
---|---|
Comparateur placebo: Placebo
Participants received placebo orally once daily for the first 76 weeks.
At the end of 76 weeks, placebo arm participants received LY450139 titrated up to 140 milligrams (mg) orally once daily until Week 88.
|
Administré par voie orale une fois par jour
|
Expérimental: 100 mg LY450139
Participants received 60 mg LY450139 orally once daily for 2 weeks, followed by 100 mg LY450139 orally once daily until Week 88.
|
Administered orally once daily
Autres noms:
|
Expérimental: 140 mg LY450139
Participants received 60 mg LY450139 orally once daily for 2 weeks, followed by 100 mg LY450139 orally once daily for 2 weeks, then 140 mg LY450139 orally once daily until Week 88.
|
Administered orally once daily
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog11) Score at 76 Weeks
Délai: Baseline (randomization), 76 weeks
|
ADAS-Cog11 was used as a primary efficacy measure.
It consists of 11 items assessing areas of function most typically impaired in Alzheimer's disease (AD): orientation, verbal memory, language, and praxis.
The scale ranges from 0 to 70, with higher scores indicating greater disease severity.
Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
|
Baseline (randomization), 76 weeks
|
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog11) Score at 16 Weeks After Cessation of Study Drug
Délai: Baseline (randomization), 16 weeks following treatment cessation
|
ADAS-Cog11 consists of 11 items assessing areas of function most typically impaired in Alzheimer's disease (AD): orientation, verbal memory, language, and praxis.
The scale ranges from 0 to 70, with higher scores indicating greater disease severity.
Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
|
Baseline (randomization), 16 weeks following treatment cessation
|
Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living (ADCS-ADL) Inventory Score at 76 Weeks
Délai: Baseline (randomization), 76 weeks
|
ADCS-ADL is a 23-item inventory developed as a Rater-administered questionnaire answered by the participant's caregiver.
It measures performance of basic and instrumental activities of daily living by participants.
The total score ranges from 0 to 78, with lower scores indicating greater disease severity.
Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
|
Baseline (randomization), 76 weeks
|
Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living (ADCS-ADL) Inventory Score at 16 Weeks After Cessation of Study Drug
Délai: Baseline (randomization), 16 weeks following treatment cessation
|
ADCS-ADL is a 23-item inventory developed as a Rater-administered questionnaire answered by the participant's caregiver.
It measures performance of basic and instrumental activities of daily living by participants.
The total score ranges from 0 to 78, with lower scores indicating greater disease severity.
Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
|
Baseline (randomization), 16 weeks following treatment cessation
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Changement par rapport à la ligne de base de la tomographie par émission de positrons (TEP) à l'aide de fluor-18 fluorodésoxyglucose (18F-FDG) à 76 semaines
Délai: Au départ (randomisation), 76 semaines
|
Mesure du métabolisme cérébral local du glucose par TEP à l'aide du traceur radioactif 18F-FDG.
Le résultat rapporté est le résumé composite du rapport de valeur d'absorption standard (SUVR) normalisé au Pons.
La valeur moyenne des moindres carrés (LS) a été contrôlée pour la valeur de référence, l'âge et l'investigateur.
|
Au départ (randomisation), 76 semaines
|
Modification de la concentration de Tau dans le liquide céphalo-rachidien par rapport à la ligne de base jusqu'à 76 semaines
Délai: Baseline (randomisation), jusqu'à 76 semaines
|
Concentration de tau total dans le liquide céphalo-rachidien.
La valeur moyenne des moindres carrés (LS) a été contrôlée pour la valeur de référence, l'âge et l'investigateur.
|
Baseline (randomisation), jusqu'à 76 semaines
|
Percent Change From Baseline in Amyloid Beta (Aβ) 1-42 Plasma Concentration at 52 Weeks
Délai: Baseline (randomization), 52 weeks
|
Concentration of amino acid peptide, known as Aβ 1-42, in plasma.
Least Squares (LS) Mean value was controlled for baseline value, age, and investigator.
|
Baseline (randomization), 52 weeks
|
Change From Baseline in Hippocampal Volume Using Volumetric Magnetic Resonance Imaging (vMRI) up to 76 Weeks
Délai: Baseline (randomization), up to 76 weeks
|
The vMRI assessment of left and right hippocampal volume is reported.
Least Squares (LS) Mean value was controlled for baseline value, age, and investigator.
|
Baseline (randomization), up to 76 weeks
|
Change From Baseline in Amyloid Imaging Positron Emission Tomography (AV-45 PET) up to 76 Weeks
Délai: Baseline (randomization), up to 76 weeks
|
A radioactive tracer for PET that is a ligand for amyloid called AV-45.
This permits the visualization of amyloid in the brains of Alzheimer's participants.
The outcome reported is the composite summary of the standard uptake value ratio (SUVR) normalized to the cerebellar gray matter.
Least Squares (LS) Mean value was controlled for baseline value, age, and investigator.
|
Baseline (randomization), up to 76 weeks
|
LY450139 Population Pharmacokinetics: Clearance of LY450139
Délai: 6 weeks, 12 weeks, and 52 weeks
|
Model estimated apparent oral clearance.
Clearance is defined as the volume of plasma that is completely cleared of drug (LY450139) per unit time.
|
6 weeks, 12 weeks, and 52 weeks
|
LY450139 Population Pharmacokinetics: Volume of Distribution of LY450139
Délai: 6 weeks, 12 weeks, and 52 weeks
|
Model-estimated apparent volume of distribution.
Volume of distribution is a measure of the extent to which the drug distributes in the body.
|
6 weeks, 12 weeks, and 52 weeks
|
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog12) Score at 76 Weeks
Délai: Baseline (randomization), 76 weeks
|
ADAS-Cog12 is ADAS-Cog11 augmented with delayed free recall measure, resulting in a total score ranging from 0 to 80. Higher scores indicate greater disease severity.
Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
|
Baseline (randomization), 76 weeks
|
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog14) Score at 76 Weeks
Délai: Baseline (randomization), 76 weeks
|
ADAS-Cog14 is ADAS-Cog11 augmented with delayed free recall, digit cancellation, and maze completion measures.
A score of 0 to 10 for delayed free recall and a conversion code of 0 to 5 for digit cancellation and maze completion provide total score ranges for this extended ADAS-Cog14 of 0 to 90.
Higher scores indicate greater disease severity.
Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, concomitant standard of care (SOC) medication.
|
Baseline (randomization), 76 weeks
|
Change From Baseline in Mini Mental State Examination (MMSE) Score at 76 Weeks
Délai: Baseline (randomization), 76 weeks
|
MMSE is a brief screening instrument used to assess cognitive function (orientation, memory, attention, and ability to name objects, follow verbal and written commands, write a sentence, and copy figures) in elderly participants.
The total score ranges from 0 to 30; Lower score indicates greater disease severity.
Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
|
Baseline (randomization), 76 weeks
|
Change From Baseline in Clinical Dementia Rating-Sum of Boxes (CDR-SB) Score at 76 Weeks
Délai: Baseline (randomization), 76 weeks
|
CDR-SB is a semi-structured interview of participants and their caregivers.
Participant's cognitive status is rated across 6 domains of functioning, including memory, orientation, judgment/problem solving, community affairs, home/hobbies, and personal care.
Severity score assigned for each of 6 domains; Total score (SB) ranges from 0 to 18. Higher scores indicate greater disease severity.
Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
|
Baseline (randomization), 76 weeks
|
Change From Baseline in Neuropsychiatric Inventory (NPI) Score at 76 Weeks
Délai: Baseline (randomization), 76 weeks
|
NPI assesses psychopathology in participants with dementia and other neurologic disorders.
Information is obtained from a caregiver familiar with the participant's behavior.
Total score ranges from 12 to 144; Higher scores indicate greater disease severity.
Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
|
Baseline (randomization), 76 weeks
|
Change From Baseline in EuroQol 5-Dimensional Health-Related Quality of Life Scale Proxy Version (EQ-5D Proxy) Visual Analog Scale (VAS) Score at 76 Weeks
Délai: Baseline (randomization), 76 weeks
|
EQ-5D (proxy version) measures mobility, self-care, usual activities, pain/discomfort, anxiety/depression; each has 3 severity levels (no, some, severe problems) coded to a 1-digit number (1-3).
Digits are combined into 5-digit number describing health state.
Numerals 1-3 are not added for total score.
VAS assesses caregiver's impression of participant's overall health state; scores range from 0 to 100; Lower scores indicate greater disease severity.
Least Squares (LS) Mean value controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
|
Baseline (randomization), 76 weeks
|
Change From Baseline in Resource Utilization in Dementia-Lite (RUD-Lite) Score (Number of Hospitalizations) up to 76 Weeks
Délai: Baseline (randomization), up to 76 weeks
|
Assesses healthcare resource utilization (formal and informal care).
Information gathered on both caregivers (caregiving time, work status) and participants (accommodation and healthcare resource utilization) was collected from baseline and follow-up interviews; Reported number of hospitalizations per participant up to 76 weeks.
Least Squares (LS) Mean value was controlled for age and investigator.
|
Baseline (randomization), up to 76 weeks
|
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog12) Score at 16 Weeks After Cessation of Study Drug
Délai: Baseline (randomization), 16 weeks following treatment cessation
|
ADAS-Cog12 is ADAS-Cog11 augmented with delayed free recall measure, resulting in a total score ranging from 0 to 80. Higher scores indicate greater disease severity.
Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
|
Baseline (randomization), 16 weeks following treatment cessation
|
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog14) Score at 16 Weeks After Cessation of Study Drug
Délai: Baseline (randomization), 16 weeks following treatment cessation
|
ADAS-Cog14 is ADAS-Cog11 augmented with delayed free recall, digit cancellation, and maze completion measures.
A score of 0 to 10 for delayed free recall and a conversion code of 0 to 5 for digit cancellation and maze completion provide total score ranges for this extended ADAS-Cog14 of 0 to 90.
Higher scores indicate greater disease severity.
Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, concomitant standard of care (SOC) medication.
|
Baseline (randomization), 16 weeks following treatment cessation
|
Change From Baseline in Clinical Dementia Rating-Sum of Boxes (CDR-SB) Score at 4 Weeks After Cessation of Study Drug
Délai: Baseline (randomization), 4 weeks following treatment cessation
|
Semi-structured interview; Participant's cognitive status rated across 6 domains of functioning: memory, orientation, judgment/problem solving, community affairs, home/hobbies, personal care.
Severity score assigned for each of 6 domains.
Total score (SB) ranges: 0 to 18; Higher scores=greater disease severity.
LS Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
LY450139 dosing stopped due to evidence of dose-dependent cognitive/functional worsening.
Participants followed off-dose for 32 weeks, but CDR-SB not assessed.
|
Baseline (randomization), 4 weeks following treatment cessation
|
Change From Baseline in Neuropsychiatric Inventory (NPI) Score at 4 Weeks After Cessation of Study Drug
Délai: Baseline (randomization), 4 weeks following treatment cessation
|
NPI assesses psychopathology in participants with dementia and other neurologic disorders.
Information is obtained from a caregiver familiar with participant's behavior.
Total score ranges from 12 to 144; Higher scores indicate greater disease severity.
Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
All LY450139 dosing stopped due to evidence of dose-dependent cognitive/functional worsening.
Participants were followed off-dose for 32 weeks, but NPI was not assessed
|
Baseline (randomization), 4 weeks following treatment cessation
|
Change From Baseline in Mini Mental State Examination (MMSE) Score at 4 Weeks After Cessation of Study Drug
Délai: Baseline (randomization), 4 weeks following treatment cessation
|
MMSE is a brief screening instrument used to assess cognitive function (orientation, memory, attention, ability to name objects, follow verbal/written commands, write a sentence, copy figures) in elderly participants.
Total score ranges from 0 to 30; Lower score indicates greater disease severity.
LS Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
All LY450139 dosing was stopped due to evidence of dose-dependent cognitive/functional worsening.
Participants were followed off-dose for 32 weeks, but MMSE was not assessed.
|
Baseline (randomization), 4 weeks following treatment cessation
|
Change From Baseline in EuroQol 5-Dimensional Health-Related Quality of Life Scale Proxy Version (EQ-5D Proxy) Visual Analog Scale (VAS) Score at 4 Weeks After Cessation of Study Drug
Délai: Baseline (randomization), 4 weeks following treatment cessation
|
EQ-5D (proxy version) measures mobility, self-care, usual activities, pain/discomfort, anxiety/depression.
3 severity levels: no, some, severe problems.
VAS assesses caregiver's impression of participant's health state; score ranges from 0 to 100; Lower score indicates greater disease severity.
LS Mean value controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.
All LY450139 dosing was stopped due to evidence of dose-dependent cognitive/functional worsening.
Participants were followed off-dose for 32 weeks, but EQ-5D VAS was not assessed.
|
Baseline (randomization), 4 weeks following treatment cessation
|
Change From Baseline in Resource Utilization in Dementia-Lite (RUD-Lite) Score (Number of Hospitalizations) at 4 Weeks After Cessation of Study Drug
Délai: Baseline (randomization), 4 weeks following treatment cessation
|
RUD-Lite assesses healthcare resource utilization (formal and informal care).
Information gathered on both caregivers (care-giving time, work status) and participants (accommodation, healthcare resource utilization) is collected.
Reported number of participant hospitalizations.
Least Squares (LS) Mean value controlled for age and investigator.
All LY450139 dosing was stopped due to evidence of dose-dependent cognitive/functional worsening.
Participants were followed off-dose for 32 weeks, but RUD-Lite was not assessed.
|
Baseline (randomization), 4 weeks following treatment cessation
|
Change From Baseline in Amyloid Beta (Aβ) 1-42 Concentration in Spinal Fluid up to 76 Weeks
Délai: Baseline (randomization), up to 76 weeks
|
Concentration of an amino peptide known as Aβ 1-42 in spinal fluid.
Least Squares (LS) Mean value was controlled for baseline value, age, and investigator.
|
Baseline (randomization), up to 76 weeks
|
Change From Baseline in Phosphorylated-Tau (P-Tau) Concentration in Spinal Fluid
Délai: Baseline (randomization), up to 76 weeks
|
Concentration of p-tau in spinal fluid.
Least Squares (LS) Mean value was controlled for baseline value, age, and investigator.
|
Baseline (randomization), up to 76 weeks
|
Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Directeur d'études: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours EST), Eli Lilly and Company
Publications et liens utiles
Publications générales
- 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.
- Doody RS, Raman R, Sperling RA, Seimers E, Sethuraman G, Mohs R, Farlow M, Iwatsubo T, Vellas B, Sun X, Ernstrom K, Thomas RG, Aisen PS; Alzheimer's Disease Cooperative Study. Peripheral and central effects of gamma-secretase inhibition by semagacestat in Alzheimer's disease. Alzheimers Res Ther. 2015 Jun 10;7(1):36. doi: 10.1186/s13195-015-0121-6. eCollection 2015.
- Doody RS, Raman R, Farlow M, Iwatsubo T, Vellas B, Joffe S, Kieburtz K, He F, Sun X, Thomas RG, Aisen PS; Alzheimer's Disease Cooperative Study Steering Committee; Siemers E, Sethuraman G, Mohs R; Semagacestat Study Group. A phase 3 trial of semagacestat for treatment of Alzheimer's disease. N Engl J Med. 2013 Jul 25;369(4):341-50. doi: 10.1056/NEJMoa1210951.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 7666
- H6L-MC-LFAN (Autre identifiant: Eli Lilly and Company)
- CTRI/2009/091/000090 (Identificateur de registre: India)
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