- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07599670
A Study to Assess the Adverse Events, Change in Disease Activity, and How Intravenous ABBV-1758 Moves Through the Body of Adult Participants With Alzheimer's Disease
A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate Safety, Efficacy, Pharmacokinetics, and Pharmacodynamics of ABBV-1758 in Subjects With Alzheimer's Disease
Alzheimer's disease (AD) is a progressive, irreversible neurological disorder and is the most common cause of dementia in the elderly population. Clinical symptoms of the disease may begin with occasional forgetfulness such as misplacement of items, forgetting important dates or events, and may progress to noticeable memory loss, increased confusion and agitation, and eventually, loss of independence and non-responsiveness. This study is to assess the adverse events, change in disease activity, and how intravenous ABBV-1758 moves through the body of adult participants with Alzheimer's Disease
ABBV-1758 is an investigational drug being developed for the treatment of Alzheimer's disease in adults. This study is conducted in 3 stages. Stage A is a multiple ascending dose study with a 1 in 5 chance (4:1 randomization) that participants are assigned to receive placebo. Stage B is a dose expansion phase, also using 4:1 randomization for ABBV-1758 or placebo. Stage C enrolls Japanese and Chinese participants with the same randomization scheme. This may be followed by a 12-month, blinded Extension Period where participants receive ABBV-1758 or placebo based on their amyloid positron emission tomography (PET) results. Approximately 210 participants will be enrolled at about 65 sites in the United States, China, and Japan.
Participants will receive intravenous (IV) or subcutaneous (SC) doses of ABBV-1758 or placebo once every 4 weeks (Q4W) for 24 weeks and will be followed for an additional 12 weeks. Participants will have the option of participating in a 12-month, blinded Extension Period receiving ABBV-1758 or placebo based on amyloid PET results.
There may be higher treatment burden for participants in this trial compared to their standard of care due to study procedures. Participants will attend regular visits during the study at a hospital or clinic. The safety of the treatment will be checked by medical assessments, blood tests, and completing questionnaires.
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Tipo di studio
Iscrizione (Stimato)
Fase
- Fase 2
- Fase 1
Contatti e Sedi
Contatto studio
- Nome: ABBVIE CALL CENTER
- Numero di telefono: 844-663-3742
- Email: abbvieclinicaltrials@abbvie.com
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Participants meeting all the following criteria for Alzheimer's disease (AD):
- Plasma pTau217/Aβ42 ratio that is predictive of elevated brain amyloid at Screening.
- Participants with amyloid positron emission tomography (PET) scan results consistent with significant amyloid pathology (as determined by a Centiloid value of 50 or higher).
- Participants must have a Mini-Mental State Examination (MMSE) score of 20 or higher at Screening.
Exclusion Criteria:
- Participants with screening magnetic resonance imaging (MRI) that show evidence of another potential etiology for progressive dementia.
- Participants who have any current serious conditions or illnesses that are not adequately controlled, or any conditions that, in the investigator's opinion, could interfere with the analyses in this study, including but not limited to psychiatric, neurologic (other than AD), cardiovascular, hepatic, renal, gastroenterological, respiratory, endocrinologic, immunologic, or hematologic, metabolic, pulmonary, ophthalmologic, dermatologic, and/or any history of abnormal laboratory results that are indicative of significant disease(s).
- Participants who had prior exposure to ABBV-1758 or any history of exposure to anti-amyloid beta monoclonal antibody (mAb) treatment.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione sequenziale
- Mascheramento: Triplicare
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Sperimentale: Stage A-ABBV-1758 Dose A
Participants will receive ABBV-1758 dose A once every 4 weeks (Q4W).
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Comparatore placebo: Stage A-Placebo for ABBV-1758 Dose A
Participants will receive Placebo dose A once every 4 weeks (Q4W).
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Sperimentale: Stage A-ABBV-1758 Dose B
Participants will receive ABBV-1758 dose B Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Comparatore placebo: Stage A-Placebo for ABBV-1758 Dose B
Participants will receive Placebo dose B Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Sperimentale: Stage A-ABBV-1758 Dose C
Participants will receive ABBV-1758 dose C Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Comparatore placebo: Stage A-Placebo for ABBV-1758 Dose C
Participants will receive Placebo dose C Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Sperimentale: Stage A-ABBV-1758 Dose D
Participants will receive ABBV-1758 dose D Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Comparatore placebo: Stage A-Placebo for ABBV-1758 Dose D
Participants will receive Placebo dose D Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Sperimentale: Stage B- ABBV-1758 - Expanded Cohort 1
Participants will receive ABBV-1758 dose determined in Stage A Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Comparatore placebo: Stage B- Placebo for ABBV-1758 - Expanded Cohort 1
Participants will receive Placebo dose determined in Stage A Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Sperimentale: Stage B- ABBV-1758- Expanded Cohort 2
Participants will receive ABBV-1758 dose determined in Stage A Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Comparatore placebo: Stage B- Placebo for ABBV-1758- Expanded Cohort 2
Participants will receive Placebo dose determined in Stage A Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Sperimentale: Stage C- ABBV-1758 - Japanese Cohort 1
Participants will receive ABBV-1758 dose determined in Stage A Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Comparatore placebo: Stage C- Placebo for ABBV-1758 - Japanese Cohort 1
Participants will receive Placebo dose determined in Stage A Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Sperimentale: Stage C- ABBV-1758- Japanese Cohort 2
Participants will receive ABBV-1758 dose determined in Stage A Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Comparatore placebo: Stage C- Placebo for ABBV-1758- Japanese Cohort 2
Participants will receive Placebo dose determined in Stage A Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Sperimentale: Stage C- ABBV-1758-Chinese Cohort
Participants will receive ABBV-1758 dose determined in Stage A Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
Comparatore placebo: Stage C- Placebo for ABBV-1758- Chinese Cohort
Participants will receive Placebo dose determined in Stage A Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Number of Participants Experiencing Adverse Events (AEs)
Lasso di tempo: Up to approximately 36 weeks
|
An adverse event (AE) is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with the treatment.
The investigator assesses the relationship of each event to the use of study drug.
|
Up to approximately 36 weeks
|
|
Number of Participants with Abnormal Change in Clinical Laboratory Test Results Like Hematology will be Assessed
Lasso di tempo: Up to approximately 36 weeks
|
Number of participants with abnormal change in clinical laboratory test results like hematology will be assessed.
|
Up to approximately 36 weeks
|
|
Change From Baseline in amyloid-related imaging abnormalities (ARIA) Measured by Magnetic Resonance Im-aging (MRI)
Lasso di tempo: Up to approximately 36 weeks
|
Magnetic resonance imaging (MRI) of several different brain regions was per-formed, and volumetric analysis was con-ducted to quantify midbrain atrophy.
Negative changes in values indicate a re-duction in volume.
|
Up to approximately 36 weeks
|
|
Number of Participants with Abnormal Change From Baseline in Vital Sign Measurements
Lasso di tempo: Up to approximately 36 weeks
|
Number of participants with abnormal change from baseline in vital sign measurements like systolic and diastolic blood pressure will be assessed.
|
Up to approximately 36 weeks
|
|
Change From Baseline in Electrocardiograms (ECGs)
Lasso di tempo: Up to approximately 36 weeks
|
12-lead resting ECGs will be recorded.
Parameters include heart rate, PR interval, QT interval, QRS duration, and QT interval corrected using Fridericia's formula (QTcF).
|
Up to approximately 36 weeks
|
|
Change from Baseline in Columbia-Suicide Severity Rating Scale (C-SSRS)
Lasso di tempo: Up to approximately 36 weeks
|
The C-SSRS is a clinician-rated instrument that reports the severity of both suicidal ideation and behavior, with a higher score denoting more severe suicidal ideation and behavior.
|
Up to approximately 36 weeks
|
|
Stage A, B, and C: Change from Baseline in Brain Amyloid Plaque Deposition
Lasso di tempo: Up to approximately 28 Weeks
|
Measured by amyloid positron emission tomography (PET)
|
Up to approximately 28 Weeks
|
|
Stage A and C: Maximum Plasma Concentration (Cmax) of ABBV-1758
Lasso di tempo: Up to approximately 12 months
|
Cmax of ABBV-1758
|
Up to approximately 12 months
|
|
Stage A and C: Time to Cmax (Tmax) of ABBV-1758
Lasso di tempo: Up to approximately 12 months
|
Tmax of ABBV-1758
|
Up to approximately 12 months
|
|
Stage A and C: Trough Concentration measured at the end of a dosing interval at steady state (Ctrough) of ABBV-1758
Lasso di tempo: Up to approximately 12 months
|
Ctrough of ABBV-1758
|
Up to approximately 12 months
|
|
Stage A and C: Area under the Plasma Concentration-time Curve from Time Zero to the End of the Dosing Interval (AUCtau) of ABBV-1758
Lasso di tempo: Up to approximately 12 months
|
AUCtau of ABBV-1758
|
Up to approximately 12 months
|
|
Stage A and C: Average Serum Concentration at Steady-State (Cav,ss) of ABBV-1758
Lasso di tempo: Up to approximately 12 months
|
Cav,ss of ABBV-1758
|
Up to approximately 12 months
|
|
Stage A and C: Accumulation ratio for (AUCtau) of ABBV-1758
Lasso di tempo: Up to approximately 12 months
|
AUCtau of ABBV-1758
|
Up to approximately 12 months
|
|
Stage A and C: Total Body Clearance (CL) of ABBV-1758
Lasso di tempo: Up to approximately 12 months
|
CL of ABBV-1758
|
Up to approximately 12 months
|
|
Stage A and C: Apparent Clearance (CL/F) of ABBV-1758
Lasso di tempo: Up to approximately 12 months
|
CL/F of ABBV-1758
|
Up to approximately 12 months
|
|
Stage A and C: Volume of Distribution at Steady-State (Vss)
Lasso di tempo: Up to approximately 12 months
|
Vss of ABBV-1758
|
Up to approximately 12 months
|
|
Stage A and C: Apparent Volume of Distribution during the Terminal Phase (Vz)
Lasso di tempo: Up to approximately 12 months
|
Vz of ABBV-1758
|
Up to approximately 12 months
|
|
Stage A and C: Terminal Phase Elimination Rate Constant (β) of ABBV-1758
Lasso di tempo: Up to approximately 12 months
|
β of ABBV-1758
|
Up to approximately 12 months
|
|
Stage A and C: Terminal Phase Elimination Half-Life (t1/2) of ABBV-1758
Lasso di tempo: Up to approximately 12 months
|
Terminal phase elimination half-life of ABBV-1758
|
Up to approximately 12 months
|
|
Stage A and C: Effective Half-Life (T1/2,eff)
Lasso di tempo: Up to approximately 12 months
|
T1/2,eff of ABBV-1758
|
Up to approximately 12 months
|
Collaboratori e investigatori
Sponsor
Investigatori
- Direttore dello studio: ABBVIE INC., AbbVie
Studiare le date dei record
Studia le date principali
Inizio studio (Stimato)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- M25-804
Piano per i dati dei singoli partecipanti (IPD)
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Descrizione del piano IPD
Periodo di condivisione IPD
Criteri di accesso alla condivisione IPD
Tipo di informazioni di supporto alla condivisione IPD
- STUDIO_PROTOCOLLO
- LINFA
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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 .
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