A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Efficacy, Pharmacokinetics and Pharmacodynamics of ABBV-916 in Subjects with Early Alzheimer's Disease

2022-500691-59-00 Protocol M22-721 Therapeutic exploratory (Phase II) Ended

End 27 Jun 2024 · Status Ended · 3 EU/EEA countries · 23 sites · Protocol M22-721

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 184
Countries 3
Sites 23

Alzheimer's disease (AD)

Primary objective: To evaluate the safety, tolerability, and amyloid reduction associated with ABBV-916 after repeated intravenous administrations in subjects with early AD.

Key facts

Sponsor
Abbvie Deutschland GmbH & Co. KG
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
completed 27 Jun 2024
Decision date (initial)
2023-07-28
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
AbbVie Inc.

External identifiers

EU CT number
2022-500691-59-00
ClinicalTrials.gov
NCT05291234

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Pharmacodynamic, Pharmacokinetic, Efficacy

Primary objective: To evaluate the safety, tolerability, and amyloid reduction associated with ABBV-916 after repeated intravenous administrations in subjects with early AD.

Conditions and MedDRA coding

Alzheimer's disease (AD)

VersionLevelCodeTermSystem organ class
20.0 PT 10078036 Early onset familial Alzheimer's disease 100000004850

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 A Randomized, Double-Blind, Placebo-Controlled to investigate safety and Efficacy of ABBV-916
There will be a Screening Period of up to 60 days, a Double-Blind Treatment Period of 24 weeks and a Follow-up Period of 16 weeks. The duration of the Extension Period will be approximately 2 years plus a 16-week Followup Period. The Screening Period may be extended for up to 30 days for reasons described in "Investigational Plan" above. Additionally, an extension of up to 90 days to the Screening Period will be permitted if a subject has met all eligibility criteria but randomization is temporarily unavailable due to DEEC dose escalation/dose expansion review.
Randomised Controlled Double [{"id":41928,"code":2,"name":"Investigator"},{"id":41929,"code":3,"name":"Monitor"},{"id":41926,"code":5,"name":"Carer"},{"id":41927,"code":1,"name":"Subject"},{"id":41925,"code":4,"name":"Analyst"}] ABBV-916 Dose 1: ABBV-916 Dose 1, IV administration once every four weeks
ABBV-916 Dose 2: ABBV-916 Dose 2, IV administration once every four weeks
Placebo: Placebo, IV administration once every four weeks.

Regulatory references

Scientific advice from competent authorities
European Medicines Agency

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Adult male or female, 50 to 90 years of age, inclusive, at time of consent.
  2. Subjects must have, in the investigator's opinion, adequate premorbid literacy, visual or auditory acuity to complete the required neuropsychological testing.
  3. Subjects will have an MMSE score of 20 to 28 (inclusive) at Screening, a blood-based biomarker result with a value consistent with amyloid PET positivity, and amyloid PET scan results consistent with amyloid pathology (as determined by visual assessment and a centiloid value of 37 or higher).

Exclusion criteria 6

  1. Subject must not have any elective surgery from 2 weeks prior to randomization or anticipated to be performed through the end of the study.
  2. Subject must not be currently enrolled in another clinical study or previously enrolled in this study.
  3. Subject's screening MRI must not show evidence of or significant abnormality that would suggest another potential etiology for progressive dementia or a clinically significant finding that may impact the subject's ability to safely participate in the study.
  4. Subjects must not have hypersensitivity to mAb treatments, protein derived from a mAb, or immunoglobulin therapy.
  5. Subject must not have a history of drug or alcohol abuse within 2 years prior to study drug administration.
  6. Subject must not have known history of, or positive Screening test result for hepatitis C virus or hepatitis B virus, human immunodeficiency virus (HIV) or other immunodeficiencies.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary efficacy endpoint for Stage B is change from Baseline in brain amyloid plaque deposition (amyloid centiloid value) at Week 24 as measured by amyloid PET scan.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

MK-6240

PRD10176049 · Product

Active substance
Florquinitau (18F)
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SOLUTION FOR INJECTION
Max daily dose
185 MBq megabecquerel(s)
Max total dose
740 MBq megabecquerel(s)
Max treatment duration
32 Month(s)
Authorisation status
Not Authorised
MA holder
ABBVIE DEUTSCHLAND GMBH & CO. KG
Paediatric formulation
No
Orphan designation
No

ABBV-916

PRD10069929 · Product

Active substance
Humanised IGG1 Monoclonal Antibody Against N-Terminally Truncated PYROGLUTAMATE-3 Ab
Substance synonyms
ABBV-916, Humanised IgG1 monoclonal antibody against ABpE3
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
32 Month(s)
Authorisation status
Not Authorised
MA holder
ABBVIE DEUTSCHLAND GMBH & CO. KG
Paediatric formulation
No
Orphan designation
No

Placebo 1

Placebo

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Abbvie Deutschland GmbH & Co. KG

Sponsor organisation
Abbvie Deutschland GmbH & Co. KG
Address
Knollstrasse
City
Ludwigshafen Am Rhein
Postcode
67061
Country
Germany

Scientific contact point

Organisation
Abbvie Deutschland GmbH & Co. KG
Contact name
Global Clinial Trial Helpdesk

Public contact point

Organisation
Abbvie Deutschland GmbH & Co. KG
Contact name
Global Clinial Trial Helpdesk

Third parties 12

OrganisationCity, countryDuties
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Bioclinica Inc.
ORG-100033079
Princeton, United States Other
Medidata Solutions Inc.
ORG-100016256
New York, United States Other, E-data capture
WCG Clinical Inc.
ORG-100040730
Fremont, United States Other
C2N Diagnostics, LLC
ORL-000000514
Saint Louis, United States Laboratory analysis
Global Alzheimer’s Platform Foundation Inc
ORL-000000517
Westport, United States Other
Qd Solutions Inc.
ORG-100041849
Austin, United States Other
Labcorp Endpoint Clinical Inc.
ORG-100040567
Wakefield, United States Interactive response technologies (IRT)
Labcorp Central Laboratory Services S.a.r.l. Meyrin
ORG-100011524
Basel, Switzerland Laboratory analysis
Cerveau Technologies Inc.
ORG-100042727
Knoxville, United States Other
Patient Advertising Guru Inc.
ORG-100046268
Melville, United States Other
Reify Health
ORL-000000515
Boston, United States Other

Locations

3 EU/EEA countries · 23 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ended 34 8
Portugal Ended 21 5
Spain Ended 43 10
Rest of world
Japan, Canada, United States
86

Investigational sites

Italy

8 sites · Ended
Azienda Ospealiero Universitaria Policlinico Umberto I
Neurology Department, Viale Del Policlinico 155, 00161, Rome
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
Neurology Department, Via Del Vespro 129, 90127, Palermo
Azienda Ospedaliero Universitaria Di Modena
Neurology Department, Largo Del Pozzo 71, 41124, Modena
Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
Neurology Department, Piazzale Spedali Civili 1, 25123, Brescia
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Neurology Department, Via Francesco Sforza 35, 20122, Milan
San Giovanni Calibita Fatebenefratelli Hospital
Neurology Department, Isola Tiberina 1, 00060, Rome
Ospedale San Raffaele S.r.l.
Neurology Department, Via Olgettina 60, 20132, Milan
Instituto Di Ricovero E Cura A Carattere Scientifico
Alzheimer rehabilitation department, Via Pilastroni 4, 25125, Brescia

Portugal

5 sites · Ended
CCAB Centro Clinico Academico Braga Associacao
Neurology Department, Lugar De Sete Fontes S Victor, 4710-243, Braga
Centro Hospitalar E Universitario De Coimbra E.P.E.
Neurology Department, Av Bissaya Barreto, 3000-075, Coimbra
CNS Saude Lda
Neurology Department, Bairro De Santo Antonio 47, 2560-280, Torres Vedras
Unidade Local De Saude De Matosinhos E.P.E.
Neurology Department, Rua Doutor Eduardo Torres, 4464-513, Senhora Da Hora
Hospital Da Senhora Da Oliveira Guimaraes E.P.E.
Neurology Department, Rua Dos Cuteleiros De Guimaraes, 4835-044, Guimaraes

Spain

10 sites · Ended
Hospital Victoria Eugenia De La Cruz Roja Espanola
Neurology Department, Avenida La Cruz Roja 1, 41009, Sevilla
Hospital Universitari General De Catalunya
Neurology Department, Calle Pedro I Pons 1, 08195, Barcelona
Policlinica Gipuzkoa
Neurology Department, Paseo Miramon 174, 20009, Donostia
Hospital Universitario 12 De Octubre
Neurology Department, Bloque D, Avenida De Cordoba S/n, Madrid
Hospital Clinico San Carlos
Neurology Department, Calle Del Profesor Martin Lagos S/n, 28040, Madrid
Hospital Universitario Quironsalud Madrid
Neurology Department, Calle De Diego De Velazquez 1, 28223, Pozuelo De Alarcon
Hospital Universitario De Salamanca
Neurology Department, Paseo De San Vicente 58-182, 37007, Salamanca
Oroitu S.L.
Neurology Department, Bl C, Calle Jata 8, Algorta
Hospital Clinic De Barcelona
Neurology Department, Calle Villarroel 170, 08036, Barcelona
Fundacio Ace Institut Catala De Neurociencies Aplicades
Alzheimer Treatment & Research Center, Gran Via De Carles III 85 Bis, 08028, Barcelona

Application history

4 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-02-20 Italy Acceptable
2023-07-27
2023-07-28
2 NON SUBSTANTIAL MODIFICATION NSM-1 2023-08-14 Italy Acceptable
2023-07-27
2023-08-14
3 SUBSTANTIAL MODIFICATION SM-1 2023-10-18 Italy Acceptable
2023-12-18
2023-12-18
4 SUBSTANTIAL MODIFICATION SM-2 2024-03-28 Italy Acceptable
2024-05-09
2024-05-13