Clinical trial • Phase II • Neurology

PRX005 for Early Alzheimer's disease

Phase II trial of PRX005 for Early Alzheimer's disease. Randomised, placebo (sodium chloride) - dose/schedule not specified-controlled. 391 participants.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Early Alzheimer's disease
Trial Stage
Phase II
Drug Modality
Monoclonal antibody|Radiopharmaceutical

Key dates

Initial CTIS Submission Date
08-05-2024
First CTIS Authorization Date
02-09-2024

Trial design

Randomised, placebo (sodium chloride) - dose/schedule not specified-controlled Phase II trial in Spain, Belgium, Sweden.

Randomised
Yes
Comparator
Placebo (Sodium Chloride) - dose/schedule not specified
Target Sample Size
391
Trial Duration For Participant
532

Eligibility

Recruits 391 isVulnerablePopulationSelected: false; participants are adults aged 50–80. Study partner information and consent forms are provided (L1_SIS and ICF Study Partner documents available)..

Vulnerable Population
isVulnerablePopulationSelected: false; participants are adults aged 50–80. Study partner information and consent forms are provided (L1_SIS and ICF Study Partner documents available).

Inclusion criteria

  • {"criterion_text":"- Mild cognitive impairment (MCI) due to Alzheimer's disease (AD) or mild AD dementia consistent with the National Institute on Aging and the Alzheimer's Association (NIA-AA) core clinical criteria."}
  • {"criterion_text":"- Global Clinical Dementia Rating (CDR) score of 0.5 to 1.0 and a CDR-Memory Box score of 0.5 and greater at screening and Baseline."}
  • {"criterion_text":"- Evidence of AD pathology."}
  • {"criterion_text":"- Objective impairment in episodic memory as indicated by at least 1 standard deviation below age-adjusted mean in the Wechsler Memory Scale IV-Logical Memory Subtest II (WMS-IV LM II)."}
  • {"criterion_text":"- Mini Mental Status Examination (MMSE) score ≥ 20 to 28 (inclusive)."}

Exclusion criteria

  • {"criterion_text":"- Any evidence of a condition that may affect cognition other than AD."}
  • {"criterion_text":"- Contraindications to PET imaging."}
  • {"criterion_text":"- Inability to tolerate or contraindication to magnetic resonance imaging."}
  • {"criterion_text":"- Any serious medical condition that could, in the opinion of the investigator, affect the participant's safety or interfere with study assessments."}
  • {"criterion_text":"- Geriatric Depression Scale (GDS) score greater than or equal to 8 at screening."}
  • {"criterion_text":"- Other protocol-defined Inclusion/Exclusion criteria apply."}
  • {"criterion_text":"- Other protocol-defined Inclusion/Exclusion criteria apply."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Change from baseline at Week 76 in brain tau deposition, as measured by tau positron emission tomography (PET)","definition_or_measurement_approach":"Measured by tau positron emission tomography (PET); change from baseline at Week 76."}

Secondary endpoints

  • {"endpoint_text":"- Change from baseline at Week 76 in Clinical Dementia Rating Scale Sum of Boxes (CDR-SB) score","definition_or_measurement_approach":"Change from baseline at Week 76 measured by the Clinical Dementia Rating Scale Sum of Boxes (CDR-SB)."}
  • {"endpoint_text":"- Change from baseline at Week 76 in integrated Alzheimer’s Disease Rating Scale (iADRS) score","definition_or_measurement_approach":"Change from baseline at Week 76 measured by the integrated Alzheimer’s Disease Rating Scale (iADRS)."}
  • {"endpoint_text":"- Change from baseline at Week 76 in Alzheimer’s Disease Assessment Scale-Cognitive subscale (ADAS- Cog14) score","definition_or_measurement_approach":"Change from baseline at Week 76 measured by the ADAS-Cog14 cognitive subscale."}
  • {"endpoint_text":"- Change from baseline at Week 76 in Mini Mental State Examination (MMSE) score","definition_or_measurement_approach":"Change from baseline at Week 76 measured by the Mini Mental State Examination (MMSE)."}
  • {"endpoint_text":"- Change from baseline at Week 76 in Alzheimer’s Disease Cooperative Study-instrumental Activities of Daily Living scale (ADCS-iADL) score","definition_or_measurement_approach":"Change from baseline at Week 76 measured by the ADCS-iADL scale."}

Recruitment

Digital Remote Recruitment
Yes
Planned Sample Size
391
Recruitment Window Months
38
Consent Approach
Informed consent obtained using subject information sheets and informed consent forms (L1_SIS and ICF Main documents). Separate ICFs available for study partners and pregnant participants. Consent documents available in multiple languages (documents available: English, Dutch, French, and additional language placeholders including Spanish, Polish, Swedish, German/Danish in patient-facing document set). Participants (adults 50–80) provide consent; study partner information/consent documents provided where applicable.

Methods

  • Online outreach text and online banners (multiple banner sizes) for public recruitment (documents: K2_Recruitment material Online Outreach Text and many K2 banner files).
  • Printed recruitment materials: posters, patient flyers, patient brochures and AD brochures (K2_Recruitment material Poster, Patient Flyer, Patient Brochure).
  • Study partner materials and consent discussion aids to support informed consent conversations (K2_Recruitment material Study Partner Brochure; K2_Recruitment material Consent Discussion Aid).
  • Site-based recruitment via participating neurology clinics/hospitals (site contact details provided for Belgium, Spain, Sweden).

Geography

Total Number Of Sites
12
Total Number Of Participants
42

Spain

Earliest CTIS Part Ii Submission Date
05-08-2024
Latest Decision Or Authorization Date
09-09-2024
Processing Time Days
35
Number Of Sites
6
Number Of Participants
21

Sites

Site Name
Hospital Clinic De Barcelona
Department Name
Neurology
Principal Investigator Name
Albert Lladó Plarrumaní
Principal Investigator Email
allado@clinic.cat
Contact Person Name
Albert Lladó Plarrumaní
Contact Person Email
allado@clinic.cat
Site Name
Hospital De La Santa Creu I Sant Pau
Department Name
Neurology
Principal Investigator Name
Juan Fortea Ormaechea
Principal Investigator Email
jfortea@santpau.es
Contact Person Name
Juan Fortea Ormaechea
Contact Person Email
jfortea@santpau.es
Site Name
Hospital Universitari De Santa Maria
Department Name
Neurology
Principal Investigator Name
Gerard Piñol
Principal Investigator Email
gpinol@gss.cat
Contact Person Name
Gerard Piñol
Contact Person Email
gpinol@gss.cat
Site Name
Hospital Universitari Vall D Hebron
Department Name
Neurology
Principal Investigator Name
Maria Pilar Delgado Martinez
Principal Investigator Email
pilar.delgado@vhir.org
Contact Person Name
Maria Pilar Delgado Martinez
Contact Person Email
pilar.delgado@vhir.org
Site Name
Hospital Universitari General De Catalunya
Department Name
Neurology
Principal Investigator Name
Ernest Balaguer Martinez
Principal Investigator Email
ebalaguer@quironsalud.es
Contact Person Name
Ernest Balaguer Martinez
Contact Person Email
ebalaguer@quironsalud.es
Site Name
Hospital Del Mar
Department Name
Neurology
Principal Investigator Name
Albert Puig Pijoan
Principal Investigator Email
apuig@psmar.cat
Contact Person Name
Albert Puig Pijoan
Contact Person Email
apuig@psmar.cat

Belgium

Earliest CTIS Part Ii Submission Date
02-08-2024
Latest Decision Or Authorization Date
02-09-2024
Processing Time Days
31
Number Of Sites
5
Number Of Participants
16

Sites

Site Name
Algemeen Ziekenhuis Groeninge
Department Name
Neurology
Principal Investigator Name
Frederik Vanhee
Principal Investigator Email
frederik.vanhee@azgroeninge.be
Contact Person Name
Frederik Vanhee
Contact Person Email
frederik.vanhee@azgroeninge.be
Site Name
Cliniques Universitaires Saint-Luc
Department Name
Neurology
Principal Investigator Name
Adrian Ivanoiu
Principal Investigator Email
adrian.ivanoiu@uclouvain.be
Contact Person Name
Adrian Ivanoiu
Contact Person Email
adrian.ivanoiu@uclouvain.be
Site Name
Hopital Erasme
Department Name
Neurology
Principal Investigator Name
Jean-Christophe Bier
Principal Investigator Email
jean-christophe.bier@erasme.ulb.ac.be
Contact Person Name
Jean-Christophe Bier
Site Name
UZ Leuven
Department Name
Neurology
Principal Investigator Name
Rik Vandenberghe
Principal Investigator Email
rik.vandenberghe@uzleuven.be
Contact Person Name
Rik Vandenberghe
Contact Person Email
rik.vandenberghe@uzleuven.be
Site Name
Antwerp University Hospital
Department Name
Neurology
Principal Investigator Name
Sara Van Mossevelde
Principal Investigator Email
sara.vanmossevelde@uza.be
Contact Person Name
Sara Van Mossevelde
Contact Person Email
sara.vanmossevelde@uza.be

Sweden

Earliest CTIS Part Ii Submission Date
05-08-2024
Latest Decision Or Authorization Date
03-09-2024
Processing Time Days
29
Number Of Sites
1
Number Of Participants
5

Sites

Site Name
Region Skane Skanes Universitetssjukhus
Department Name
Minnesmottagningen
Principal Investigator Name
Henrik Östlund
Principal Investigator Email
henrik.ostlund@skane.se
Contact Person Name
Henrik Östlund
Contact Person Email
henrik.ostlund@skane.se

Sponsor

Primary sponsor

Full Name
Bristol-Myers Squibb Services Unlimited Company
Organisation Type
Pharmaceutical company
Country Of Registered Address
Ireland

Contract research organisations

Name
Clario
Responsibilities
Customer Care, Site Logistics, Training, Equipment Customisation
Name
Yprime LLC
Responsibilities
IVRS – treatment randomisation, Subject number assignment, treatment/arm assignment, drug (re)supplies assignment
Name
Medidata Solutions Inc.
Name
Fortrea Inc.
Name
Signant Health Global LLC
Responsibilities
ECOA

Third parties

  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"Clinical chemistry, Clinical haematology, Sample Management, Kit Building, Sample storage and shipments to speciality labs for analysis","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Clario","duties_or_roles":"Customer Care, Site Logistics, Training, Equipment Customisation","organisation_type":"Health care"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"India","full_name":"Accenture Services Pvt. Ltd.","duties_or_roles":"Pharmacovigilance duties: Medical review and Cases Data Entry","organisation_type":"SME"}
  • {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"ECOA","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"C2n Diagnostics LLC","duties_or_roles":"Phosphorylated-Tau 217 (pTau 217), Amyloid beta-40/42 and Amyloid Probability Score 2 testing","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"Routine clinical pathology testing, Clinical chemistry, Clinical haematology, Clinical microbiology, other APH","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"Routine clinical pathology testing, clinical chemistry, clinical hematology, clinical microbiology","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Yprime LLC","duties_or_roles":"IVRS – treatment randomisation, Subject number assignment, treatment/arm assignment, drug (re)supplies assignment","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Fortrea Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
PRX005
Active Substance
PRX005
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised
Investigational Product Name
Florquinitau F-18
Active Substance
FLORQUINITAU (18F)
Modality
Radiopharmaceutical
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised
Investigational Product Name
Sodium Chloride
Modality
Other

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