- ICH GCP
- Реестр клинических исследований США
- Клиническое испытание NCT00904683
Влияние LY2062430 на прогрессирование болезни Альцгеймера (EXPEDITION2)
Влияние пассивной иммунизации на прогрессирование болезни Альцгеймера: LY2062430 по сравнению с плацебо
Болезнь Альцгеймера (БА) представляет собой возрастное дегенеративное заболевание головного мозга, характеризующееся прогрессирующим снижением когнитивных функций и способности выполнять повседневные действия, и в конечном итоге может привести к смерти из-за осложнений заболевания. Считается, что болезнь Альцгеймера вызывается избытком А-бета-амилоида, липкого белка в головном мозге, который образует амилоидные бляшки. Можно ожидать, что лечение, которое замедляет синтез или отложение А-бета-амилоида или увеличивает клиренс, замедляет прогрессирование БА.
LY2062430 (соланезумаб) представляет собой гуманизированное моноклональное антитело против А-бета-пептида иммуноглобулина G-1 (IgG1), разрабатываемое для лечения БА. Основная проверяемая гипотеза заключается в том, что LY2062430 замедляет когнитивное и функциональное снижение при БА по сравнению с плацебо. Участие каждого пациента продлится примерно 19 месяцев. Пациенты, принимающие одобренные лекарства от БА, могут участвовать в этом исследовании и продолжать принимать эти лекарства во время исследования.
Обзор исследования
Статус
Условия
Вмешательство/лечение
Тип исследования
Регистрация (Действительный)
Фаза
- Фаза 3
Контакты и местонахождение
Места учебы
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New South Wales
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Bankstown, New South Wales, Австралия, 2200
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Darlinghurst, New South Wales, Австралия, 2010
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Gosford, New South Wales, Австралия, 2250
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Kogarah, New South Wales, Австралия, 2217
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Queensland
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Chermside, Queensland, Австралия, 4032
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Toowoomba, Queensland, Австралия, 4650
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Victoria
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Box Hill, Victoria, Австралия, 3128
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Glen Iris, Victoria, Австралия, 3146
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Heidelberg Heights, Victoria, Австралия, 3081
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Melbourne, Victoria, Австралия, 3004
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Western Australia
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Subiaco, Western Australia, Австралия, 6008
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Berlin, Германия, D-12200
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Hamburg, Германия, 22307
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Hannover, Германия, 30559
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Mannheim, Германия, 68165
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Marburg, Германия, 35033
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Munchen, Германия, BY 80336
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München, Германия, D-81675
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Regensburg, Германия, 93042
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Barcelona, Испания, 08014
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Getafe, Испания, 28905
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Madrid, Испания, 28034
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Plasencia, Испания, 10600
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Terrassa, Испания, 0821
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Biella, Италия, 13900
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Boggiovara, Италия, 41100
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Cassino, Италия, 03043
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Chieti, Италия, 66013
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Genova, Италия, 16128
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Lido Di Camaiore, Италия, 55043
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Milano, Италия, 20132
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Rome, Италия, 00179
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Incheon, Корея, Республика, 400-711
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Seongnam-Si, Корея, Республика, 463-707
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Seoul, Корея, Республика, 143-729
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Suwon, Корея, Республика, 443-721
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Bialystok, Польша, 15-617
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Bydgoszcz, Польша, 85-796
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Gliwice, Польша, 44-100
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Katowice, Польша, 40-588
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Krakow, Польша, 31-530
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Lublin, Польша, 20-090
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Warsaw, Польша, 02-777
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Chelyabinsk, Российская Федерация, 454091
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Ekaterinburg, Российская Федерация, 620030
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Rostov-On-Don, Российская Федерация, 344010
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Saint Petersburg, Российская Федерация, 190021
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E Susx
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Uckfield, E Susx, Соединенное Королевство, TN225AW
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Glasgow
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Scotland, Glasgow, Соединенное Королевство, G20 0XA
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Greater London
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London, Greater London, Соединенное Королевство, N195NX
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London
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Camberwell, London, Соединенное Королевство, SE5 8AF
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Syorks
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Sheffield, Syorks, Соединенное Королевство, S57JT
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Wiltshire
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Swindon, Wiltshire, Соединенное Королевство, SN3 6BW
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Arizona
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Tucson, Arizona, Соединенные Штаты, 85741
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California
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Los Angeles, California, Соединенные Штаты, 90033
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San Diego, California, Соединенные Штаты, 92103
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San Francisco, California, Соединенные Штаты, 94109
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Santa Monica, California, Соединенные Штаты, 90404
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Connecticut
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New Haven, Connecticut, Соединенные Штаты, 06510
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Florida
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Miami, Florida, Соединенные Штаты, 33137
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Tampa Bay, Florida, Соединенные Штаты, 33613
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Mississippi
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Hattiesburg, Mississippi, Соединенные Штаты, 39401
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Missouri
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Creve Coeur, Missouri, Соединенные Штаты, 63141
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Kansas City, Missouri, Соединенные Штаты, 64114
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New York
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Amherst, New York, Соединенные Штаты, 14226
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Staten Island, New York, Соединенные Штаты, 10312
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Oregon
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Portland, Oregon, Соединенные Штаты, 97210
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Texas
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San Antonio, Texas, Соединенные Штаты, 78229
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Washington
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Seattle, Washington, Соединенные Штаты, 98108
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Kaohsiung, Тайвань, 807
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Niao Sung Hsiang, Тайвань, 83301
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Taichung, Тайвань, 404
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Taipei, Тайвань, 112
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Tao-Yuan, Тайвань, 333
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Yung-Kang, Tainan, Тайвань, 710
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Aix En Provence, Франция, 13100
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Paris, Франция, 75475
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Rennes, Франция, 35000
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Strasbourg, Франция, 67091
- 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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Toulouse, Франция, 31300
- 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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Joenkoeping, Швеция, 551 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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Kalmar, Швеция, 39185
- 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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Lund, Швеция, 22241
- 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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Malmo, Швеция, 20502
- 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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Molndal, Швеция, 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, Швеция, 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, Швеция, 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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Ehime, Япония, 791-0295
- 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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Fukuoka, Япония, 816-0864
- 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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Hyogo, Япония, 514-8507
- 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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Kanagawa, Япония, 247-0072
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Kyoto, Япония, 606-0851
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Osaka, Япония, 558-0056
- 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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Shizuoka, Япония, 424-0911
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Tokyo, Япония, 173
- 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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Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
Принимает здоровых добровольцев
Полы, имеющие право на обучение
Описание
Критерии включения:
- Соответствует критериям болезни Альцгеймера (БА) легкой и средней степени тяжести с оценкой по краткой шкале психического состояния от 16 до 26 при скрининге.
- Оценка по модифицированной шкале ишемии Хачинского меньше или равна 4
- Оценка по шкале гериатрической депрессии меньше или равна 6
- Магнитно-резонансная томография (МРТ) или компьютерная томография (КТ) за последние 2 года без результатов, несовместимых с диагнозом БА.
- Если вы получаете одновременное лечение БА, вы должны принимать лекарство в течение не менее 4 месяцев в стабильной дозе в течение не менее 2 месяцев до рандомизации.
Критерий исключения:
- Имеет серьезное или нестабильное заболевание(я)
- Не имеет надежного опекуна, который часто контактирует с пациентом (не менее 10 часов в неделю)
- Соответствует критериям сосудистой деменции Национального института неврологических расстройств и инсульта/Международной ассоциации по исследованиям и исследованиям в области неврологии (NINDS/AIREN).
- Не имеет хорошего венозного доступа, так что внутривенное (в/в) введение лекарств будет затруднено.
- Имели несколько эпизодов черепно-мозговой травмы или серьезные инфекционные заболевания, поражающие головной мозг, в анамнезе в течение последних 5 лет.
- Имеет аллергию на гуманизированные моноклональные антитела
- Хроническое злоупотребление алкоголем и/или наркотиками в течение последних 5 лет
- Имеются ли противопоказания к МРТ-исследованиям
- Требуется лечение другим моноклональным антителом
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Уход
- Распределение: Рандомизированный
- Интервенционная модель: Параллельное назначение
- Маскировка: Четырехместный
Оружие и интервенции
Группа участников / Армия |
Вмешательство/лечение |
|---|---|
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Плацебо Компаратор: Плацебо
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внутривенно (в/в) каждые 4 недели в течение 80 недель
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Экспериментальный: LY2062430
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400 мг внутривенно (в/в) каждые 4 недели в течение 80 недель
Другие имена:
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Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Временное ограничение |
|---|---|
|
Изменение шкалы оценки болезни Альцгеймера по сравнению с исходным уровнем по сравнению с 80-й неделей — шкала когнитивной подоценки из 14 пунктов (ADAS-Cog14)
Временное ограничение: Исходный уровень, неделя 80
|
Исходный уровень, неделя 80
|
Вторичные показатели результатов
Мера результата |
Временное ограничение |
|---|---|
|
Изменение рейтинга клинической деменции по сравнению с исходным уровнем по сравнению с 80-й неделей — сумма баллов (CDR-SB)
Временное ограничение: Исходный уровень, неделя 80
|
Исходный уровень, неделя 80
|
|
Изменение показателя нейропсихиатрической инвентаризации (NPI) по сравнению с исходным уровнем по сравнению с 80-й неделей
Временное ограничение: Исходный уровень, неделя 80
|
Исходный уровень, неделя 80
|
|
Изменение объемной магнитно-резонансной томографии (вМРТ) по сравнению с исходным уровнем до 80-й недели
Временное ограничение: Исходный уровень, неделя 80
|
Исходный уровень, неделя 80
|
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Изменение по сравнению с исходным уровнем до 80-й недели в баллах мини-теста психического состояния (MMSE)
Временное ограничение: Исходный уровень, неделя 80
|
Исходный уровень, неделя 80
|
|
Изменение показателя использования ресурсов при деменции по сравнению с исходным уровнем по сравнению с 80-й неделей — оценка Lite (RUD-Lite)
Временное ограничение: Исходный уровень, неделя 80
|
Исходный уровень, неделя 80
|
|
Изменение от исходного уровня до 80-й недели в 5-мерной шкале качества жизни EuroQol, связанной со здоровьем, прокси-версия (EQ-5D Proxy)
Временное ограничение: Исходный уровень, неделя 80
|
Исходный уровень, неделя 80
|
|
Изменение показателя качества жизни при болезни Альцгеймера (QoL-AD) по сравнению с исходным уровнем по сравнению с 80-й неделей
Временное ограничение: Исходный уровень, неделя 80
|
Исходный уровень, неделя 80
|
|
Изменение уровня бета-амилоида в плазме к 80-й неделе по сравнению с исходным уровнем
Временное ограничение: Исходный уровень, неделя 80
|
Исходный уровень, неделя 80
|
|
Изменение шкалы оценки болезни Альцгеймера по сравнению с исходным уровнем до 80-й недели — когнитивная подшкала из 11 и 12 пунктов (ADAS-Cog11 и ADAS-Cog12)
Временное ограничение: Исходный уровень, неделя 80
|
Исходный уровень, неделя 80
|
|
Изменение по сравнению с исходным уровнем по сравнению с 80-й неделей в совместном исследовании болезни Альцгеймера — оценка активности повседневной жизни (ADCS-ADL)
Временное ограничение: Исходный уровень, неделя 80
|
Исходный уровень, неделя 80
|
Соавторы и исследователи
Спонсор
Следователи
- Директор по исследованиям: 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
Публикации и полезные ссылки
Общие публикации
- 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.
Даты записи исследования
Изучение основных дат
Начало исследования
Первичное завершение (Действительный)
Завершение исследования (Действительный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Оценивать)
Обновления учебных записей
Последнее опубликованное обновление (Оценивать)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Дополнительные соответствующие термины MeSH
Другие идентификационные номера исследования
- 11934
- H8A-MC-LZAN (Другой идентификатор: Eli Lilly and Company)
Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .