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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06125951
Registration number
NCT06125951
Ethics application status
Date submitted
23/10/2023
Date registered
9/11/2023
Date last updated
28/08/2024
Titles & IDs
Public title
Effect of 10 mg Xanamem on Dementia Due to Alzheimer's Disease
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Scientific title
A Phase 2b, Double-Blind, Placebo-Controlled, Parallel-Groups, 36-Week, 2-Arm Trial to Assess the Safety, Tolerability, and Efficacy of Xanamem® 10 mg Daily in Patients With Mild or Moderate Dementia Due to Alzheimer's Disease
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Secondary ID [1]
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ACW0009
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Universal Trial Number (UTN)
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Trial acronym
XanaMIA
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Dementia Moderate
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Dementia, Mild
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Alzheimer Disease
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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 - Xanamem
Treatment: Drugs - Placebo
Experimental: 10 mg Xanamem - 10 mg Xanamem tablet, to be administered orally once every morning with or without food
Placebo comparator: Placebo - Placebo tablet, to be administered orally once every morning with or without food
Treatment: Drugs: Xanamem
Xanamem drug product is formulated as an immediate-release film-coated tablet formulation for oral administration. Each Xanamem tablet contains 10 mg Xanamem (UE2343) drug substance and excipients.
Treatment: Drugs: Placebo
Matching placebo which is identical in appearance to the test product (10 mg Xanamem once daily) except that it contains no active ingredient.
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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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Effects of 10 mg Xanamem on cognition
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Assessment method [1]
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Change from Baseline to end of treatment (EOT) in a custom global cognitive test battery (CTB). The global CTB is calculated as an average Z-score, with higher scores indicating improvement.
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Timepoint [1]
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36 weeks
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Primary outcome [2]
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Incidence and severity of treatment-emergent adverse events (TEAEs) [safety and tolerability of Xanamem]
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Assessment method [2]
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Incidence and severity of TEAEs
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Timepoint [2]
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36 weeks
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Eligibility
Key inclusion criteria
* Male or female aged 50 years or older, inclusive at the time of Screening.
* Clinical syndrome of mild or moderate dementia, likely to be due to AD in the opinion of the Investigator, at Screening, including meeting the following criteria:
1. Clinical Dementia Rating (CDR) global score of 0.5 to 1.0
2. Mini-mental state examination (MMSE) score of 18 to 26
3. Magnetic resonance imaging (MRI) or computerized tomography (CT) scan within 1 year prior to randomization that excludes alternative diagnoses for dementia such as large stroke, likely vascular dementia, brain tumor, subdural hematoma, or other non-AD dementia type findings
4. Positive plasma AD biomarker signature at Pre-screening, comprising fasting levels of a tau species protein.
5. Cognitive impairment on a symbol coding test of at least 0.5 standard deviations (SD) below the normative data at Screening.
* If receiving symptomatic AD medications, the dosing regimen must have been stable for 3 months prior to Screening.
* Has a consenting trial partner who, in the Investigator's judgment, has frequent and sufficient contact with the participant to be able to provide accurate information as to the participant's cognitive and functional abilities. The trial partner must be available to provide information to the Investigator and trial site staff about the participant and agrees to attend all trial site visits in person for scale completion. A trial partner should be available for the duration of the trial. The measure of adequate availability will be at the Investigator's discretion.
* Participants must be able to comfortably abstain from caffeine intake for 4 hours prior to scheduled cognitive assessments.
* Smokers are eligible if they are able to comfortably abstain from nicotine / tobacco products for 2 hours prior to scheduled cognitive assessments.
* Must provide written informed consent to participate in the trial and be willing and able to participate for the maximum of 9 months of treatment and up to 11.5 months of site visits.
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Minimum age
50
Years
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Maximum age
No limit
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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
* Use of anti-amyloid or anti-tau antibody within 6 months.
* Diagnosis of a non-AD dementia including traumatic brain injury.
* Diagnosis of an active major mental illness of concern in the opinion in the Investigator, including major depressive disorder, bipolar illness, or schizophrenia.
* Participation in another clinical trial of a drug or device
* Has a body mass index or body weight that will interfere with participation in the trial, including inadequate venous access to complete the trial assessments, to be determined at the discretion of the Investigator.
* Previous clinically significant systemic illness or infection, including test positive COVID-19, within the past 4 weeks prior to Screening.
* Clinical diagnosis of Type I or Type II diabetes requiring insulin.
* Exhibit physical, cognitive, or language impairments, in the opinion of the Investigator, of such severity as to adversely affect the validity of the data derived from the neuropsychological tests.
* Trial participants with evidence of current infection with HIV, hepatitis B, or hepatitis C.
* Participants with a history of clinically significant drug abuse or addiction in the past 2 years
* Evidence or history of alcohol abuse
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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
Recruiting
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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
12/04/2024
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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
1/12/2025
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Actual
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Sample size
Target
220
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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ACW Investigative Site 106 - Darlinghurst
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Recruitment hospital [2]
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ACW Investigative Site 103 - Erina
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Recruitment hospital [3]
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ACW Investigative Site 102 - Kogarah
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Recruitment hospital [4]
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ACW Investigative Site 107 - Macquarie Park
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Recruitment hospital [5]
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ACW Investigative Site 111 - Newcastle
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Recruitment hospital [6]
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ACW Investigative Site 113 - Birtinya
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Recruitment hospital [7]
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ACW Investigative Site 105 - Chermside
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Recruitment hospital [8]
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ACW Investigative Site 114 - Bedford Park
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Recruitment hospital [9]
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ACW Investigative Site 110 - Woodville South
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Recruitment hospital [10]
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ACW Investigative Site 115 - Carlton
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Recruitment hospital [11]
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ACW Investigative Site 101 - Ivanhoe
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Recruitment hospital [12]
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ACW Investigative Site 108 - Malvern
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Recruitment hospital [13]
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ACW Investigative Site 112 - Parkville
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Recruitment hospital [14]
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ACW Investigative Site 104 - Nedlands
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Recruitment hospital [15]
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ACW Investigative Site 109 - West Perth
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Recruitment postcode(s) [1]
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- Darlinghurst
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Recruitment postcode(s) [2]
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- Erina
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Recruitment postcode(s) [3]
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- Kogarah
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Recruitment postcode(s) [4]
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- Macquarie Park
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Recruitment postcode(s) [5]
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- Newcastle
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Recruitment postcode(s) [6]
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- Birtinya
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Recruitment postcode(s) [7]
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- Chermside
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Recruitment postcode(s) [8]
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- Bedford Park
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Recruitment postcode(s) [9]
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- Woodville South
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Recruitment postcode(s) [10]
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- Carlton
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Recruitment postcode(s) [11]
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- Ivanhoe
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Recruitment postcode(s) [12]
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- Malvern
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Recruitment postcode(s) [13]
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- Parkville
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Recruitment postcode(s) [14]
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- Nedlands
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Recruitment postcode(s) [15]
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- West Perth
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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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Florida
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Actinogen Medical
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Xanamem® is being developed as a potential treatment for symptomatic, early stages of Alzheimer's Disease (AD) and Major Depressive Disorder (MDD). This XanaMIA Phase 2b study is to investigate the safety, tolerability, and efficacy of Xanamem in in mild or moderate dementia due to AD. Trial participants will be randomized to either receive 10mg of Xanamem once daily or a placebo for 36 weeks at a 1:1 ratio in a double-blinded fashion.
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Trial website
https://clinicaltrials.gov/study/NCT06125951
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Global Program Lead
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Address
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Actinogen Medical Ltd
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Global Program Lead
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Address
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Country
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Phone
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+61 2 8964 7401
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Fax
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Email
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[email protected]
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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
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06125951
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