A Study of Donanemab (LY3002813) in Participants With Early Alzheimer's Disease

2023-507303-55-00 Protocol I5T-MC-AACI Therapeutic exploratory (Phase II) Ended

Start 30 Sep 2020 · End 17 Sep 2025 · Status Ended · 3 EU/EEA countries · 20 sites · Protocol I5T-MC-AACI

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 1,757
Countries 3
Sites 20

Alzheimer Disease

To assess the effect of donanemab versus placebo on clinical progression in participants with early symptomatic AD

Key facts

Sponsor
Eli Lilly & Co.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
30 Sep 2020 → 17 Sep 2025
Decision date (initial)
2024-10-02
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2023-507303-55-00
EudraCT number
2020-000077-25
ClinicalTrials.gov
NCT04437511

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacogenetic, Pharmacokinetic, Safety, Therapy, Efficacy, Pharmacodynamic

To assess the effect of donanemab versus placebo on clinical progression in participants with early symptomatic AD

Conditions and MedDRA coding

Alzheimer Disease

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Gradual and progressive change in memory function reported by participants or informants for ≥ 6 months
  2. MMSE score of 20 to 28 (inclusive) at baseline
  3. Meet 18F flortaucipir PET scan (central read) criteria - does not apply to safety cohort
  4. Meet 18F florbetapir PET scan (central read) criteria
  5. Have a study partner who will provide written informed consent to participate

Exclusion criteria 2

  1. Contraindication to MRI or PET scans
  2. Current treatment with immunoglobulin G (IgG) therapy

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Change From Baseline on the Integrated Alzheimer's Disease Rating Scale (iADRS) (Overall Population).

Investigational products

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

Test 1

Donanemab

PRD10892678 · Product

Active substance
Donanemab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INFUSION
Max daily dose
1400 mg milligram(s)
Max total dose
51100 mg milligram(s)
Max treatment duration
150 Week(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Placebo 1

Placebo to match LY

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

Auxiliary 2

Florbetapir

PRD10008535 · Product

Active substance
Florbetapir (18F)
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INFUSION
Max daily dose
7.43 mCi millicurie(s)
Max total dose
52.01 mCi millicurie(s)
Max treatment duration
154 Week(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Flortaucipir

PRD10008562 · Product

Active substance
Flortaucipir (18F)
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INFUSION
Max daily dose
9.1 mCi millicurie(s)
Max total dose
27.3 mCi millicurie(s)
Max treatment duration
154 Week(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY LIMITED
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Eli Lilly & Co.

Sponsor organisation
Eli Lilly & Co.
Address
1 Lilly Corporate Center
City
Indianapolis
Postcode
46285-0001
Country
United States

Scientific contact point

Organisation
Eli Lilly & Co.
Contact name
Lilly Clinical Trials information desk

Public contact point

Organisation
Eli Lilly & Co.
Contact name
Lilly Clinical Trials information desk

Third parties 28

OrganisationCity, countryDuties
Iqvia Biotech LLC
ORG-100008704
Durham, United States On site monitoring
TrIfecta Multimedia, LLC
ORL-000010141
Indianapolis, United States Other
Tier 1 Impact Pbc Inc.
ORG-100050163
Covington, United States Other
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Data management
Labcorp Central Laboratory Services LP
ORG-100032236
Indianapolis, United States Laboratory analysis
Techdata Service Company LLC
ORG-100047422
Kng Of Prussa, United States Code 10
Simpleshow USA Corp.
ORG-100044593
Miami, United States Other
Invicro also known as Konica Minolta, Inc. (parent company: Molecular NeuroImaging, LLC)
ORL-000000242
London, United Kingdom Laboratory analysis
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Oracle America Inc.
ORG-100039874
Redwood City, United States Data management
Syneos Health Inc.
ORG-100008382
Morrisville, United States Data management
Cogstate Inc.
ORG-100045256
New Haven, United States Other, Data management
Reify Health Inc.
ORG-100049669
Boston, United States Other
Quanterix Corp.
ORG-100044008
Billerica, United States Laboratory analysis
Bioagilytix Labs LLC
ORG-100013030
Durham, United States Laboratory analysis
Macrostat (Shanghai) Clinical Research Co. Ltd.
ORG-100048828
Shanghai, China Code 10
The Hibbert Co.
ORG-100047639
Trenton, United States Other
Research Square
ORL-000010133
Durham, United States Other
Iqvia Biotech LLC
ORG-100008704
Durham, United States Laboratory analysis
Syneos Health Inc.
ORG-100008382
Morrisville, United States Code 11
Iqvia Rds Inc.
ORG-100043858
Durham, United States Other
Clinical Trial Media Inc.
ORG-100046339
Hauppauge, United States Other
C2n Diagnostics LLC
ORG-100049457
Saint Louis, United States Laboratory analysis
Trendyminds LLC
ORG-100045580
Indianapolis, United States Other
Teckro Limited
ORG-100041454
Limerick, Ireland Other
Iqvia Biotech LLC
ORG-100008704
Durham, United States Code 2
Azenta US Inc.
ORG-100012907
Indianapolis, United States Other
Bioclinica Inc.
ORG-100033079
Princeton, United States Laboratory analysis

Locations

3 EU/EEA countries · 20 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Ended 30 3
Netherlands Ended 21 3
Poland Ended 173 14
Rest of world
United States, Japan, United Kingdom, Canada, Australia
1,533

Investigational sites

Czechia

3 sites · Ended
A-Shine s.r.o.
N.A, Sumavska 2, Vychodni Predmesti, Plzen 3
Fakultní nemocnice v Motole
Neuropsychiatrie s.r.o., Terronska 580/19, Praha 6
Ústřední vojenská fakultní nemocnice
Neuropsychiatrie, Kolejní 5, Praha 6

Netherlands

3 sites · Ended
Brain Research Center Zwolle B.V.
Brain Research Center, Dokter Stolteweg 90, 8025 AZ, Zwolle
Brain Research Center Den Bosch B.V.
Brain Research Center, Statenlaan 37, 5223 LA, 's-Hertogenbosch
Brain Research Center Amsterdam B.V.
Brain Research Center, Cronenburg 2, 1081 GN, Amsterdam

Poland

14 sites · Ended
Osrodek Badawczo Naukowo Dydaktyczny Chorob Otepiennych Im. Ksiedza Henryka Kardynala Gulbinowicza Osrodek Alzheimerowski Sp. z o.o.
NA, Ul. Jana Pawla II Nr 12, 59-330, Scinawa
Euromedis Sp. z o.o.
NA, Ul. Powstancow Wielkopolskich 33 A, 70-111, Szczecin
Neuro-Care Sp. z o.o. sp.k.
NA, Ul. Szpitalna 6, 41-100, Siemianowice Slaskie
Klimed MK Sp. z o.o.
NA, Aleja Jana Pawla II 59/6u, 15-704, Bialystok
Futuremeds Sp. z o.o.
NA, Ul. Sapiezynska 3, 00-215, Warsaw
Centrum Medyczne Senior
NA, Ul. Rzemieslnicza 3, 81-855, Sopot
Centrum Medyczne Neuromed Sp. z o.o.
NA, Ul. Jana Biziela 14, 85-163, Bydgoszcz
Wrocławskie Centrum Alzheimerowskie (WCA)
NA, Generała Władysława Sikorskiego, local 7h, Wroclaw
Podlaskie Centrum Psychogeriatrii
NA, ul. Swobodna 38 lok 9, 15-756, Białystok
Centrum Medyczne Neuroprotect
NA, Ul. Klaudyny 16c, 1 Piętro, Warsaw
Ilkowski I Partnerzy sp.p. Lekarzy
NA, Ul. Wierzbowa 2/2, 61-853, Poznan
Centrum Badan Klinicznych Pi-House Sp. z o.o.
NA, Ul. Na Zaspe 3, 80-546, Gdansk
Diamond Clinic Sp. z o.o.
NA, Ul. Stefana Rogozinskiego 6/U3, 31-559, Cracow
Clinirem Sp. z o.o.
NA, Ul. Polnocna 24/U1, 20-064, Lublin

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Czechia 2021-06-24 2025-08-13 2021-06-25 2021-07-23
Netherlands 2020-12-04 2025-07-14 2021-02-05 2021-07-23
Poland 2020-09-30 2025-09-17 2020-10-05 2021-07-23

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 32 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Clinical study report (for publication) LY3002813 AACI 04 CSR Synopsis and Body_Redacted 1
Protocol (for publication) D1_Protocol 2023-507303-55-00_redacted f
Protocol (for publication) D4_Patient facing documents_Copyright statement 1
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed N.A
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed N/A
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Add for partner 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Add for patient 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum ICF Initial Screening_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum Initial prescreening_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_AS_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_ICF Amendment Summary 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_ICF Data Privacy Addendum caregiver 1
Subject information and informed consent form (for publication) L1_SIS and ICF_ICF Data Privacy Addendum patient 1
Subject information and informed consent form (for publication) L1_SIS and ICF_ICF Extension Period_Redacted 3.1
Subject information and informed consent form (for publication) L1_SIS and ICF_ICF Study Partner 5.2
Subject information and informed consent form (for publication) L1_SIS and ICF_Main Greenphire_Redacted 11.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF 9.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Redacted 9.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_TC_Redacted 9.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main NG_Redacted 11.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Partner Greenphire_Redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Partner NG_Redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Screening_Redacted 5.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Study Partner ICF 3.0
Subject information and informed consent form (for publication) L2_Other subject information material_AACI-Addendum_Visit_Card_Master 2
Subject information and informed consent form (for publication) L2_Other subject information material_AACI-Visit-Card-Master 2
Subject information and informed consent form (for publication) L2_Other subject information material_Confidentiality Notice Netherlands 3.0
Subject information and informed consent form (for publication) L2_Other subject information material_insurance conditions 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_patient card 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Information Card CZ 4
Subject information and informed consent form (for publication) L2_Other subject information material_Subject Thank You Card 2

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-02 Netherlands Acceptable with conditions
2024-10-01
2024-10-01
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-01-23 Netherlands Acceptable with conditions
2024-10-01
2025-01-23