- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT00904683
Effetto di LY2062430 sulla progressione della malattia di Alzheimer (EXPEDITION2)
Effetto dell'immunizzazione passiva sulla progressione della malattia di Alzheimer: LY2062430 rispetto al placebo
La malattia di Alzheimer (AD) è una malattia degenerativa del cervello legata all'età, caratterizzata da un progressivo declino della funzione cognitiva e della capacità di svolgere le attività della vita quotidiana, e alla fine può portare alla morte a causa delle complicazioni della malattia. Si pensa che l'AD sia causato da un eccesso di amiloide A-beta, una proteina appiccicosa nel cervello che forma placche amiloidi. I trattamenti che rallentano la sintesi o la deposizione di A-beta amiloide, o che aumentano la clearance, potrebbero rallentare la progressione dell'AD.
LY2062430 (solanezumab) è un anticorpo monoclonale umanizzato anti-A beta peptide immunoglobulina G-1 (IgG1) sviluppato per il trattamento dell'AD. L'ipotesi principale in fase di test è che LY2062430 rallenterà il declino cognitivo e funzionale nell'AD rispetto al placebo. La partecipazione di ciascun paziente durerà circa 19 mesi. I pazienti che assumono farmaci AD approvati possono partecipare a questo studio e continuare a prendere questi farmaci durante lo studio.
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Tipo di studio
Iscrizione (Effettivo)
Fase
- Fase 3
Contatti e Sedi
Luoghi di studio
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New South Wales
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Bankstown, New South Wales, Australia, 2200
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Darlinghurst, New South Wales, Australia, 2010
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Gosford, New South Wales, Australia, 2250
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Kogarah, New South Wales, Australia, 2217
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Queensland
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Chermside, Queensland, Australia, 4032
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Toowoomba, Queensland, Australia, 4650
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Victoria
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Box Hill, Victoria, Australia, 3128
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Glen Iris, Victoria, Australia, 3146
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Heidelberg Heights, Victoria, Australia, 3081
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Melbourne, Victoria, Australia, 3004
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Western Australia
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Subiaco, Western Australia, Australia, 6008
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Incheon, Corea, Repubblica di, 400-711
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Seongnam-Si, Corea, Repubblica di, 463-707
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Seoul, Corea, Repubblica di, 143-729
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Suwon, Corea, Repubblica di, 443-721
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Chelyabinsk, Federazione Russa, 454091
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Ekaterinburg, Federazione Russa, 620030
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Rostov-On-Don, Federazione Russa, 344010
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Saint Petersburg, Federazione Russa, 190021
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Aix En Provence, Francia, 13100
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Paris, Francia, 75475
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Rennes, Francia, 35000
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Strasbourg, Francia, 67091
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Toulouse, Francia, 31300
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Berlin, Germania, D-12200
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Hamburg, Germania, 22307
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Hannover, Germania, 30559
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Mannheim, Germania, 68165
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Marburg, Germania, 35033
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Munchen, Germania, BY 80336
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München, Germania, D-81675
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Regensburg, Germania, 93042
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Ehime, Giappone, 791-0295
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Fukuoka, Giappone, 816-0864
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Hyogo, Giappone, 514-8507
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Kanagawa, Giappone, 247-0072
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Kyoto, Giappone, 606-0851
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Osaka, Giappone, 558-0056
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Shizuoka, Giappone, 424-0911
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Tokyo, Giappone, 173
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Biella, Italia, 13900
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Boggiovara, Italia, 41100
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Cassino, Italia, 03043
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Chieti, Italia, 66013
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Genova, Italia, 16128
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Lido Di Camaiore, Italia, 55043
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Milano, Italia, 20132
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Rome, Italia, 00179
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Bialystok, Polonia, 15-617
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Bydgoszcz, Polonia, 85-796
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Gliwice, Polonia, 44-100
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Katowice, Polonia, 40-588
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Krakow, Polonia, 31-530
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Lublin, Polonia, 20-090
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Warsaw, Polonia, 02-777
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E Susx
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Uckfield, E Susx, Regno Unito, TN225AW
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Glasgow
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Scotland, Glasgow, Regno Unito, G20 0XA
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Greater London
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London, Greater London, Regno Unito, N195NX
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London
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Camberwell, London, Regno Unito, SE5 8AF
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Syorks
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Sheffield, Syorks, Regno Unito, S57JT
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Wiltshire
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Swindon, Wiltshire, Regno Unito, SN3 6BW
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Barcelona, Spagna, 08014
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Getafe, Spagna, 28905
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Madrid, Spagna, 28034
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Plasencia, Spagna, 10600
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Terrassa, Spagna, 0821
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Arizona
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Tucson, Arizona, Stati Uniti, 85741
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California
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Los Angeles, California, Stati Uniti, 90033
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San Diego, California, Stati Uniti, 92103
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San Francisco, California, Stati Uniti, 94109
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Santa Monica, California, Stati Uniti, 90404
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Connecticut
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New Haven, Connecticut, Stati Uniti, 06510
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Florida
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Miami, Florida, Stati Uniti, 33137
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Tampa Bay, Florida, Stati Uniti, 33613
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Mississippi
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Hattiesburg, Mississippi, Stati Uniti, 39401
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Missouri
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Creve Coeur, Missouri, Stati Uniti, 63141
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Kansas City, Missouri, Stati Uniti, 64114
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New York
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Amherst, New York, Stati Uniti, 14226
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Staten Island, New York, Stati Uniti, 10312
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Oregon
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Portland, Oregon, Stati Uniti, 97210
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Texas
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San Antonio, Texas, Stati Uniti, 78229
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Washington
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Seattle, Washington, Stati Uniti, 98108
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Joenkoeping, Svezia, 551 85
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Kalmar, Svezia, 39185
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Lund, Svezia, 22241
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Malmo, Svezia, 20502
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Molndal, Svezia, 43135
- 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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Stockholm, Svezia, 14186
- 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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Umea, Svezia, 901 85
- 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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Kaohsiung, Taiwan, 807
- 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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Niao Sung Hsiang, Taiwan, 83301
- 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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Taichung, Taiwan, 404
- 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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Taipei, Taiwan, 112
- 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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Tao-Yuan, Taiwan, 333
- 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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Yung-Kang, Tainan, Taiwan, 710
- 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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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Criterio di inclusione:
- Soddisfa i criteri per la malattia di Alzheimer (AD) da lieve a moderata con un punteggio del Mini-Mental State Examination da 16 a 26 allo screening
- Punteggio modificato della scala di ischemia di Hachinski inferiore o uguale a 4
- Punteggio della scala della depressione geriatrica inferiore o uguale a 6
- Una risonanza magnetica (MRI) o una tomografia computerizzata (TC) negli ultimi 2 anni senza risultati incoerenti con una diagnosi di AD
- Se si riceve un trattamento concomitante con AD, deve assumere il farmaco per almeno 4 mesi a una dose stabile per almeno 2 mesi prima della randomizzazione
Criteri di esclusione:
- Ha malattie gravi o instabili
- Non ha un caregiver affidabile che è in contatto frequente con il paziente (almeno 10 ore a settimana)
- Soddisfa i criteri del National Institute of Neurological Disorders and Stroke/Association Internationale pour la Recherche et l'Enseignement en Neurosciences (NINDS/AIREN) per la demenza vascolare
- Non ha un buon accesso venoso, tale che la somministrazione di farmaci per via endovenosa (IV) sarebbe difficile
- Ha avuto più episodi di trauma cranico o storia negli ultimi 5 anni di una grave malattia infettiva che colpisce il cervello
- Ha allergie agli anticorpi monoclonali umanizzati
- Abuso cronico di alcol e/o droghe negli ultimi 5 anni
- Ha controindicazioni per gli studi di risonanza magnetica
- Richiede il trattamento con un altro anticorpo monoclonale
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Quadruplicare
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Comparatore placebo: Placebo
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per via endovenosa (IV) ogni 4 settimane per 80 settimane
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Sperimentale: LY2062430
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400 mg per via endovenosa (IV) ogni 4 settimane per 80 settimane
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Lasso di tempo |
|---|---|
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Variazione dal basale alla settimana 80 nella scala di valutazione della malattia di Alzheimer - scala di 14 elementi del punteggio cognitivo (ADAS-Cog14)
Lasso di tempo: Basale, settimana 80
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Basale, settimana 80
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Misure di risultato secondarie
Misura del risultato |
Lasso di tempo |
|---|---|
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Variazione dal basale alla settimana 80 nella valutazione della demenza clinica - Punteggio somma delle scatole (CDR-SB)
Lasso di tempo: Basale, settimana 80
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Basale, settimana 80
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Modifica dal basale alla settimana 80 nel punteggio dell'inventario neuropsichiatrico (NPI).
Lasso di tempo: Basale, settimana 80
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Basale, settimana 80
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Variazione dal basale alla settimana 80 nella risonanza magnetica volumetrica (vMRI)
Lasso di tempo: Basale, settimana 80
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Basale, settimana 80
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Modifica dal basale alla settimana 80 nel punteggio del Mini-Mental State Examination (MMSE).
Lasso di tempo: Basale, settimana 80
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Basale, settimana 80
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Modifica dal basale alla settimana 80 nell'utilizzo delle risorse nella demenza - Punteggio Lite (RUD-Lite)
Lasso di tempo: Basale, settimana 80
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Basale, settimana 80
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Variazione dal basale alla settimana 80 nel punteggio EuroQol 5-Dimensional Health-related Quality of Life Scale Proxy version (EQ-5D Proxy)
Lasso di tempo: Basale, settimana 80
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Basale, settimana 80
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Variazione dal basale alla settimana 80 nel punteggio della qualità della vita nella malattia di Alzheimer (QoL-AD).
Lasso di tempo: Basale, settimana 80
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Basale, settimana 80
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Modifica dal basale alla settimana 80 nei livelli di amiloide-beta plasmatica
Lasso di tempo: Basale, settimana 80
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Basale, settimana 80
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Variazione dal basale alla settimana 80 nella scala di valutazione della malattia di Alzheimer - Scala cognitiva a 11 voci e 12 voci (ADAS-Cog11 e ADAS-Cog12)
Lasso di tempo: Basale, settimana 80
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Basale, settimana 80
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Variazione dal basale alla settimana 80 nel punteggio dell'Alzheimer's Disease Cooperative Study - Activities of Daily Living Inventory (ADCS-ADL)
Lasso di tempo: Basale, settimana 80
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Basale, settimana 80
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Collaboratori e investigatori
Sponsor
Investigatori
- Direttore dello studio: 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
Pubblicazioni e link utili
Pubblicazioni generali
- 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.
Studiare le date dei record
Studia le date principali
Inizio studio
Completamento primario (Effettivo)
Completamento dello studio (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Stima)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- 11934
- H8A-MC-LZAN (Altro identificatore: Eli Lilly and Company)
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
Prove cliniche su LY2062430
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Eli Lilly and CompanyCompletatoIl morbo di AlzheimerStati Uniti
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Eli Lilly and CompanyTerminatoIl morbo di AlzheimerStati Uniti, Italia, Francia, Giappone, Australia, Germania, Spagna, Svezia, Canada, Polonia, Regno Unito
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