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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04491006
Registration number
NCT04491006
Ethics application status
Date submitted
23/07/2020
Date registered
29/07/2020
Date last updated
12/06/2023
Titles & IDs
Public title
A Study of ATH-1017 in Mild to Moderate Alzheimer's Disease
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Scientific title
A Randomized, Placebo-Controlled, Translational Study of ATH-1017 in Subjects With Mild to Moderate Alzheimer's Disease
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Secondary ID [1]
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U1111-1255-9714
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Secondary ID [2]
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ATH-1017-AD-0202
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Universal Trial Number (UTN)
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Trial acronym
ACT-AD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Alzheimer Disease
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Dementia of Alzheimer Type
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Condition category
Condition code
Neurological
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Alzheimer's disease
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Neurological
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Dementias
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - ATH-1017
Treatment: Drugs - Placebo
Experimental: Low Dose - Daily subcutaneous (SC) injection of Low Dose ATH-1017
Experimental: High Dose - Daily subcutaneous (SC) injection of High Dose ATH-1017
Placebo comparator: Placebo - Daily subcutaneous (SC) injection of Placebo
Treatment: Drugs: ATH-1017
Daily subcutaneous (SC) injection of ATH-1017 in a pre-filled syringe
Treatment: Drugs: Placebo
Daily subcutaneous (SC) injection of Placebo in a pre-filled syringe
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Event-related Potential (ERP) P300 Latency at Baseline
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Assessment method [1]
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ERP P300 was a method of recording brain activity elicited by external stimuli, for example (e.g.), an oddball auditory stimulus, particularly of working memory access. The participant had to perform a task related to auditory stimuli in order to assess the P300 component (latency). The stimulus consisted of an oddball paradigm with 2 sound stimuli. Stimuli were presented through headphones and auditory stimulation for P300 was assessed in a recording lasting up to 10 minutes. It was calculated as the average across the pre-dose values at Baseline visit. Baseline was defined as Day 1.
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Timepoint [1]
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At Baseline (Day 1)
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Secondary outcome [1]
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Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog11) at Baseline
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Assessment method [1]
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The ADAS-Cog11 was designed to measure cognitive symptom change in participants with Alzheimer's Disease (AD) and consisted of 11 tasks. It was performed to evaluate the correlation of ERP P300 latency and cognition. The standard 11 items (and corresponding score range) were: word recall (0-10), commands (0-5), constructional praxis (0-5), naming objects and fingers (0-5), ideational praxis (0-5), orientation (0-8), word recognition (0-12), spoken language ability (0-5), comprehension of spoken language (0-5), word-finding difficulty (0-5), and remembering test instructions (0-5). The test included 7 performance items and 4 clinician-rated items. The ADAS-Cog11 total score was the sum of all 11 individual items, with a total score ranging from 0 (no impairment) to 70 (severe impairment). Higher scores indicated more severe cognitive impairment. Baseline was defined as Day 1.
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Timepoint [1]
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At Baseline (Day 1)
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Eligibility
Key inclusion criteria
Key
* Age 55 to 85 years
* Mild-to-moderate AD dementia subjects, MMSE 14-24, CDR 1 or 2 at Screening
* Clinical diagnosis of dementia, due probably to AD, by Revised National Institute on Aging-Alzheimer's Association criteria (McKhann, 2011)
* Reliable and capable support person/caregiver
* Treatment-free or receiving stable acetylcholinesterase inhibitor (AChEI) treatment, defined as:
* Treatment-naïve, OR
* Subjects are on a stable, approved dose of an AChEI (except for donepezil at 23 mg PO) for at least 3 months before Screening OR
* Subjects who received an AChEI in the past and discontinued 4 weeks prior to Screening
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Minimum age
55
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Maximum age
85
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* History of significant neurologic disease, other than AD, that may affect cognition, or concurrent with the onset of dementia
* History of unexplained loss of consciousness, and epileptic fits (unless febrile)
* Subject has atypical variant presentation of AD, if known from medical history, particularly non-amnestic AD
* History of brain MRI scan indicative of any other significant abnormality
* Hearing test result considered unacceptable for auditory ERP P300 assessment
* Diagnosis of severe major depressive disorder even without psychotic features
* Significant suicide risk
* History within 2 years of Screening, or current diagnosis of psychosis
* Myocardial infarction or unstable angina within the last 6 months
* Clinically significant (in the judgment of the investigator) cardiac arrhythmia (including atrial fibrillation), cardiomyopathy, or cardiac conduction defect (note: pacemaker is acceptable)
* Subject has either hypertension (supine diastolic blood pressure > 95 mmHg), or symptomatic hypotension in the judgment of the investigator
* Clinically significant ECG abnormality at Screening
* Renal insufficiency (serum creatinine > 2.0 mg/dL)
* Hepatic impairment with alanine aminotransferase or aspartate aminotransferase > 2 times the upper limit of normal, or Child-Pugh class B and C
* Malignant tumor within 3 years before Screening
* Memantine in any form, combination or dosage within 4 weeks prior to Screening
* Donepezil at 23 mg PO
* The subject has received active amyloid or tau immunization (i.e., vaccination for Alzheimer's disease) at any time, or passive immunization (i.e., monoclonal antibodies for Alzheimer's disease) within 6 months of Screening
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
23/11/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
20/05/2022
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Sample size
Target
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Accrual to date
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Final
77
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,WA
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Recruitment hospital [1]
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Central Coast Neurosciences Research - Central Coast
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Recruitment hospital [2]
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St Vincent's Centre for Applied Medical Research, Translational Research Centre - Darlinghurst
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Recruitment hospital [3]
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Hammondcare Greenwich Hospital - Greenwich
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Recruitment hospital [4]
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KaRa MINDS - Macquarie Park
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Recruitment hospital [5]
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HammondCare - Malvern
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Recruitment hospital [6]
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Australian Alzheimer's Research Organization - Nedlands
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Recruitment postcode(s) [1]
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2261 - Central Coast
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Recruitment postcode(s) [2]
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2010 - Darlinghurst
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Recruitment postcode(s) [3]
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2065 - Greenwich
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Recruitment postcode(s) [4]
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2113 - Macquarie Park
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Recruitment postcode(s) [5]
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3144 - Malvern
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Recruitment postcode(s) [6]
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6009 - Nedlands
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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Florida
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United States of America
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Georgia
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New York
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Oregon
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United States of America
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State/province [6]
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Washington
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Athira Pharma
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Address
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Other collaborator category [1]
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Government body
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Name [1]
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National Institute on Aging (NIA)
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Address [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is designed to evaluate treatment effects of ATH-1017 (fosgonimeton) in mild to moderate Alzheimer's subjects with a randomized treatment duration of 26-weeks.
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Trial website
https://clinicaltrials.gov/study/NCT04491006
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Trial related presentations / publications
McKhann GM, Knopman DS, Chertkow H, Hyman BT, Jack CR Jr, Kawas CH, Klunk WE, Koroshetz WJ, Manly JJ, Mayeux R, Mohs RC, Morris JC, Rossor MN, Scheltens P, Carrillo MC, Thies B, Weintraub S, Phelps CH. The diagnosis of dementia due to Alzheimer's disease: recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease. Alzheimers Dement. 2011 May;7(3):263-9. doi: 10.1016/j.jalz.2011.03.005. Epub 2011 Apr 21.
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Public notes
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Contacts
Principal investigator
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/06/NCT04491006/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/06/NCT04491006/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04491006
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