A Study to Assess the Safety and Effects of ABBV-1758 Following Subcutaneous or Intravenous Injections in Participants With Alzheimer's Disease
A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate Safety, Efficacy, Pharmacokinetics, and Pharmacodynamics of ABBV-1758 in Participants 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. The purpose of this study is to test how safe ABBV-1758 is, how well it works, how the body processes it and what effects it has on the body.
ABBV-1758 is an investigational drug being developed for the treatment of Alzheimer's disease. 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. Approximately 210 participants will be enrolled at about 55 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 additional 12 weeks in the Follow-up Period. 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.
調査の概要
研究の種類
入学 (推定)
段階
- フェーズ2
- フェーズ 1
連絡先と場所
研究連絡先
- 名前:ABBVIE CALL CENTER
- 電話番号:844-663-3742
- メール:abbvieclinicaltrials@abbvie.com
研究場所
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California
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Irvine、California、アメリカ、92614
- 募集
- Irvine Center for Clinical Research /ID# 277752
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Colorado
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Boulder、Colorado、アメリカ、80301
- 募集
- Alpine Clinical Research Center - Boulder - 47th Street /ID# 277856
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Florida
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Bradenton、Florida、アメリカ、34207
- 募集
- Key Clinical Research LLC /ID# 277800
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コンタクト:
- Site Coordinator
- 電話番号:941-241-5539
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Clermont、Florida、アメリカ、34711
- 募集
- K2 Medical Research - Clermont /ID# 277859
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Lady Lake、Florida、アメリカ、32159
- 募集
- K2 Medical Research - The Villages /ID# 278290
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Stuart、Florida、アメリカ、34997
- 募集
- Alzheimer'S Research And Treatment Center - Stuart /ID# 278206
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Wellington、Florida、アメリカ、33414
- 募集
- Alzheimer's Research And Treatment Center - Wellington /ID# 277749
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コンタクト:
- Site Coordinator
- 電話番号:(561) 209-2400
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Winter Park、Florida、アメリカ、32789
- 募集
- Conquest Research - Winter Park /ID# 277760
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コンタクト:
- Site Coordinator
- 電話番号:407-916-0060
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Massachusetts
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Watertown、Massachusetts、アメリカ、02472
- 募集
- Adams Clinical /ID# 277754
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Tennessee
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Cordova、Tennessee、アメリカ、38018
- 募集
- Neurology Clinic - Cordova /ID# 277790
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Texas
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Dallas、Texas、アメリカ、75231
- 募集
- Kerwin Medical Center /ID# 277788
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コンタクト:
- Site Coordinator
- 電話番号:972-433-9100
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Beijing Municipality
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Beijing、Beijing Municipality、中国、100053
- 募集
- Xuanwu Hospital Capital Medical University /ID# 283310
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Guangdong
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Guangzhou、Guangdong、中国、510260
- 募集
- The Second Affiliated Hospital of Guangzhou Medical University /ID# 284295
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
Participants meeting all the following criteria for Alzheimer's disease (AD):
- In regions where timely testing is feasible (e.g., results available within 4 weeks of Visit 1), plasma biomarker that is predictive of elevated brain amyloid at Screening for participants that do not have known elevated brain amyloid based on previous amyloid positron emission tomography (PET) results.
- 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.
Participants with other significant pathological findings on brain MRI at screening, including but not limited to:
- Evidence of vasogenic edema
- 4 or more microhemorrhages (defined as 10 mm or less at the greatest diameter)
- Any macrohemorrhage (defined as greater than 10 mm at the greatest diameter)
- Any superficial siderosis
- Severe white matter disease
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:順次割り当て
- マスキング:トリプル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的:Stage A-ABBV-1758 Dose A
Participants will receive ABBV-1758 dose A once every 4 weeks (Q4W).
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Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
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実験的:Stage A-ABBV-1758 Dose B
Participants will receive ABBV-1758 dose B Q4W.
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Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
実験的:Stage A-ABBV-1758 Dose C
Participants will receive ABBV-1758 dose C Q4W.
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Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
実験的:Stage A-ABBV-1758 Dose D
Participants will receive ABBV-1758 dose D Q4W.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
実験的: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)
|
|
実験的: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)
|
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実験的: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)
|
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実験的: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)
|
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実験的:Stage C- ABBV-1758-Chinese Cohort
Participants will receive ABBV-1758 dose determined in Stage A Q4W.
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Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
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プラセボコンパレーター:Placebo for ABBV-1758 Dose A
Participants will receive Placebo for ABBV-1758.
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Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
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プラセボコンパレーター:Placebo for ABBV-1758 Dose B
Participants will receive Placebo for ABBV-1758.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
プラセボコンパレーター:Placebo for ABBV-1758 Dose C
Participants will receive Placebo for ABBV-1758.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
プラセボコンパレーター:Placebo for ABBV-1758 Dose D
Participants will receive Placebo for ABBV-1758.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
プラセボコンパレーター:Placebo for ABBV-1758 - Expanded Cohort 1
Participants will receive Placebo for ABBV-1758.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
プラセボコンパレーター:Placebo for ABBV-1758- Expanded Cohort 2
Participants will receive Placebo for ABBV-1758.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
プラセボコンパレーター:Placebo for ABBV-1758 - Japanese Cohort 1
Participants will receive Placebo for ABBV-1758.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
プラセボコンパレーター:Placebo for ABBV-1758- Japanese Cohort 2
Participants will receive Placebo for ABBV-1758.
|
Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
|
プラセボコンパレーター:Placebo for ABBV-1758- Chinese Cohort
Participants will receive Placebo for ABBV-1758.
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Intravenous (IV) or Subcutaneous (SC)
Subcutaneous (SC)
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Percentage of Participants Experiencing Adverse Events (AEs)
時間枠:Up to approximately 40 weeks
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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.
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Up to approximately 40 weeks
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Percentage of Participants with Abnormal Change from Baseline in Clinical Laboratory Test Results
時間枠:Up to approximately 40 weeks
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Number of participants with abnormal change in clinical laboratory test results like hematology will be assessed.
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Up to approximately 40 weeks
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Percentage of Participants With Amyloid-Related Imaging Abnormalities (ARIA)
時間枠:Up to approximately 40 weeks
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Amyloid related imaging abnormalities represent a spectrum of magnetic resonance imaging findings primarily observed in participants undergoing treatment with anti-amyloid therapies.
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Up to approximately 40 weeks
|
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Percentage of Participants with Abnormal Change From Baseline in Vital Sign Measurements
時間枠:Up to approximately 40 weeks
|
Number of participants with abnormal change from baseline in vital sign measurements like systolic and diastolic blood pressure will be assessed.
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Up to approximately 40 weeks
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Percentage of Participants with Abnormal Change From Baseline in Electrocardiograms (ECGs) Parameters
時間枠:Up to approximately 40 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).
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Up to approximately 40 weeks
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Percentage of Participants Experiencing Any Suicidal Ideation or Suicidal Behavior As Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS)
時間枠:Up to approximately 40 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.
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Up to approximately 40 weeks
|
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Stage A, B, and C: Change from Baseline in Brain Amyloid Load
時間枠:Up to approximately 28 Weeks
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Measured by amyloid positron emission tomography (PET)
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Up to approximately 28 Weeks
|
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Stage A and C: Maximum Plasma Concentration (Cmax) of ABBV-1758
時間枠:Up to approximately 40 weeks
|
Cmax of ABBV-1758
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Up to approximately 40 weeks
|
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Stage A and C: Time to Cmax (Tmax) of ABBV-1758
時間枠:Up to approximately 40 weeks
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Tmax of ABBV-1758
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Up to approximately 40 weeks
|
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Stage A and C: Trough Concentration measured at the end of a dosing interval at steady state (Ctrough) of ABBV-1758
時間枠:Up to approximately 40 weeks
|
Ctrough of ABBV-1758
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Up to approximately 40 weeks
|
|
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
時間枠:Up to approximately 40 weeks
|
AUCtau of ABBV-1758
|
Up to approximately 40 weeks
|
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Stage A and C: Average Serum Concentration at Steady-State (Cav,ss) of ABBV-1758
時間枠:Up to approximately 40 weeks
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Cav,ss of ABBV-1758
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Up to approximately 40 weeks
|
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Stage A and C: Accumulation ratio for (AUCtau) of ABBV-1758
時間枠:Up to approximately 40 weeks
|
AUCtau of ABBV-1758
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Up to approximately 40 weeks
|
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Stage A and C: Total Body Clearance (CL) of ABBV-1758
時間枠:Up to approximately 40 weeks
|
CL of ABBV-1758
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Up to approximately 40 weeks
|
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Stage A and C: Apparent Clearance (CL/F) of ABBV-1758
時間枠:Up to approximately 40 weeks
|
CL/F of ABBV-1758
|
Up to approximately 40 weeks
|
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Stage A and C: Volume of Distribution at Steady-State (Vss)
時間枠:Up to approximately 40 weeks
|
Vss of ABBV-1758
|
Up to approximately 40 weeks
|
|
Stage A and C: Apparent Volume of Distribution during the Terminal Phase (Vz)
時間枠:Up to approximately 40 weeks
|
Vz of ABBV-1758
|
Up to approximately 40 weeks
|
|
Stage A and C: Terminal Phase Elimination Rate Constant (β) of ABBV-1758
時間枠:Up to approximately 40 weeks
|
β of ABBV-1758
|
Up to approximately 40 weeks
|
|
Stage A and C: Terminal Phase Elimination Half-Life (t1/2) of ABBV-1758
時間枠:Up to approximately 40 weeks
|
Terminal phase elimination half-life of ABBV-1758
|
Up to approximately 40 weeks
|
|
Stage A and C: Effective Half-Life (T1/2,eff)
時間枠:Up to approximately 40 weeks
|
T1/2,eff of ABBV-1758
|
Up to approximately 40 weeks
|
協力者と研究者
スポンサー
捜査官
- スタディディレクター:ABBVIE INC.、AbbVie
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- M25-804
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
IPD 共有時間枠
IPD 共有アクセス基準
IPD 共有サポート情報タイプ
- STUDY_PROTOCOL
- SAP
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