Safety and Efficacy Study Evaluating TRx0237 in Subjects With Mild to Moderate Alzheimer's Disease

NCT ID: NCT01689246

Last Updated: 2018-03-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

891 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2015-11-30

Brief Summary

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The purpose of this study is to determine the safety and efficacy of TRx0237 in the treatment of subjects with mild to moderate Alzheimer's Disease.

Detailed Description

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Conditions

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Alzheimer's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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TRx0237 250 mg/day

Group Type EXPERIMENTAL

TRx0237 250 mg/day

Intervention Type DRUG

TRx0237 125 mg tablets will be administered twice daily.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo tablets will be administered twice daily. The active placebo tablets include 4 mg of TRx0237 as a urinary and fecal colorant to maintain blinding; hence the placebo group will receive a total of 8 mg/day of TRx0237.

TRx0237 150 mg/day

Group Type EXPERIMENTAL

TRx0237 150 mg/day

Intervention Type DRUG

TRx0237 75 mg tablets will be administered twice daily.

Interventions

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TRx0237 150 mg/day

TRx0237 75 mg tablets will be administered twice daily.

Intervention Type DRUG

TRx0237 250 mg/day

TRx0237 125 mg tablets will be administered twice daily.

Intervention Type DRUG

Placebo

Placebo tablets will be administered twice daily. The active placebo tablets include 4 mg of TRx0237 as a urinary and fecal colorant to maintain blinding; hence the placebo group will receive a total of 8 mg/day of TRx0237.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of all cause dementia and probable Alzheimer's disease
* Clinical Dementia Rating (CDR) total score of 1 (mild) to 2 (moderate) and MMSE score of 14-26 (inclusive)
* Age \< 90 years
* Modified Hachinski ischemic score of ≤ 4
* Females, if of child-bearing potential, must practice true abstinence or be competent to use adequate contraception and agree to maintain this throughout the study
* Subject, and/or, in the case of reduced decision-making capacity, legally acceptable representative(s) consistent with national law is/are able to read, understand, and provide written informed consent
* Has one (or more) identified adult caregiver who is willing to provide written informed consent for his/her own participation; is able to read, understand, and speak the designated language at the study site; either lives with the subject or sees the subject for ≥2 hours/day ≥3 days/week; agrees to accompany the subject to each study visit; and is able to verify daily compliance with study drug
* If currently taking an acetylcholinesterase inhibitor and/or memantine at the time of Screening, the subject must have been taking such medication(s) for ≥3 months. The dosage regimen must have remained stable for ≥6 weeks and it must be planned to remain stable throughout participation in the study.
* Able to comply with the study procedures

Exclusion Criteria

* Significant central nervous system (CNS) disorder other than Alzheimer's disease
* Significant focal or vascular intracranial pathology seen on brain MRI scan
* Clinical evidence or history of stroke, transient ischemic attack, significant head injury or other unexplained or recurrent loss of consciousness ≥15 minutes
* Epilepsy
* Major depressive disorder, schizophrenia, or other psychotic disorders, bipolar disorder, or substance (including alcohol) related disorders
* Metal implants in the head (except dental), pacemaker, cochlear implants, or any other non-removable items that are contraindications to MRI
* Resides in hospital or moderate to high dependency continuous care facility
* History of swallowing difficulties
* Pregnant or breastfeeding
* Glucose-6-phosphate dehydrogenase deficiency
* History of significant hematological abnormality or current acute or chronic clinically significant abnormality
* Abnormal serum chemistry laboratory value at Screening deemed to be clinically relevant by the investigator
* Clinically significant cardiovascular disease or abnormal assessments
* Preexisting or current signs or symptoms of respiratory failure
* Concurrent acute or chronic clinically significant immunologic, hepatic, or endocrine disease (not adequately treated) and/or other unstable or major disease other than Alzheimer's disease
* Diagnosis of cancer within the past 2 years prior to Baseline (other than basal cell or squamous cell skin cancer or Stage 1 prostate cancer) unless treatment has resulted in complete freedom from disease for at least 2 years
* Prior intolerance or hypersensitivity to methylthioninium-containing drug, similar organic dyes, or any of the excipients
* Treatment currently or within 3 months before Baseline with any of the following medications:

* Tacrine
* Clozapine, olanzapine (and there is no intent to initiate therapy during the course of the study)
* Carbamazepine, primidone
* Drugs with a warning or precaution in the labeling about methemoglobinemia at approved doses
* Current or prior participation in a clinical trial as follows:

* Clinical trial of a product for cognition within 3 months of Screening (unless confirmed to have been randomized to placebo)
* A clinical trial of a drug, biologic, therapeutic device, or medical food in which the last dose/administration was received within 28 days prior to Baseline
Maximum Eligible Age

89 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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TauRx Therapeutics Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Xenoscience, Inc/ 21st Century Neurology

Phoenix, Arizona, United States

Site Status

Feldman, Robert MD

Laguna Hills, California, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

Shankle Clinic and Hoag Memorial Hospital Presbyterian

Newport Beach, California, United States

Site Status

Pacific Research Network

San Diego, California, United States

Site Status

San Francisco Clinical Research Center

San Francisco, California, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

JEM Research

Atlantis, Florida, United States

Site Status

Brain Matters Research

Delray Beach, Florida, United States

Site Status

CNS Healthcare, Inc

Jacksonville, Florida, United States

Site Status

Compass Research, LLC-North Clinic

Leesburg, Florida, United States

Site Status

Miami Research Associates

Miami, Florida, United States

Site Status

Compass Research, LLC

Orlando, Florida, United States

Site Status

iResearch Atlanta

Decatur, Georgia, United States

Site Status

Alexian Brothers Neurosciences Institute

Elk Grove, Illinois, United States

Site Status

ActivMed Practices & Research

Methuen, Massachusetts, United States

Site Status

Olive Branch Family Medical

Olive Branch, Mississippi, United States

Site Status

Memory Enhancement Centers of America, Inc

Eatontown, New Jersey, United States

Site Status

CRI Worldwide

Marlton, New Jersey, United States

Site Status

The Cognitive Research Center of New Jersey

Springfield, New Jersey, United States

Site Status

Advanced Memory Research Institute of NJ PC

Toms River, New Jersey, United States

Site Status

Neurological Associates of Albany, P. C.

Albany, New York, United States

Site Status

SPRI

Brooklyn, New York, United States

Site Status

Neurobehavioral Clinical Research

Canton, Ohio, United States

Site Status

The Clinical Trial Center, LLC

Jenkintown, Pennsylvania, United States

Site Status

FutureSearch Trials of Neurology

Austin, Texas, United States

Site Status

Division of Rehabilitation and Aged Care

Hornsby, New South Wales, Australia

Site Status

Southern Neurology Pty Limited

Kogarah, New South Wales, Australia

Site Status

Academic Department for Old Age Psychiatry, Prince of Wales Hospital

Randwick, New South Wales, Australia

Site Status

Discipline of Psychiatry, University of Qld

Herston, Queensland, Australia

Site Status

Royal Adelaide Hospital Memory Trials Centre

Adelaide, South Australia, Australia

Site Status

Memory Unit, Neurology, The Queen Elizabeth Hospital

Woodville South, South Australia, Australia

Site Status

Medical and Cognitive Research Unit, Austin Health Heidelberg Repatriation Hospital

Heidelberg West, Victoria, Australia

Site Status

McCusker Alzheimer's Research Foundation Inc

Nedlands, Western Australia, Australia

Site Status

Neurodegenerative Disorders Research Pty Ltd

Perth, Western Australia, Australia

Site Status

UMHAT "Alexandrovska" Clinic of Neurology Diseases Department of Neurodegenerative and Immune and Infectious Diseases of Central Nervous System with Sector for Treatment of Neuroinfections

Sofia, , Bulgaria

Site Status

UMHAT "Alexandrovska" Clinic of Psychiatry First Department of Psychiatry

Sofia, , Bulgaria

Site Status

Okanagan Clinical Trials

Kelowna, British Columbia, Canada

Site Status

True North Clinical Research Kentville Inc

Kentville, Nova Scotia, Canada

Site Status

Toronto Memory Program

North York, Ontario, Canada

Site Status

University Hospital Centre Zagreb

Zagreb, , Croatia

Site Status

University Psychiatric Hospital Vrapce

Zagreb, , Croatia

Site Status

Neurozentrum Achim Dr. med. Andreas Mahler

Achim, , Germany

Site Status

Charité, University Medicine Berlin, CBF, Neurology

Berlin, , Germany

Site Status

Memory Clinic, ECRC

Berlin, , Germany

Site Status

Neurologia Ospedale Maggiore Policlinico

Milan, , Italy

Site Status

Istituto Neurologico Carlo Besta

Milan, , Italy

Site Status

IRCCS Istituto neurologico Casimiro Mondino

Pavia, , Italy

Site Status

Clinica Neurologica, Università di Perugia-Ospedale S. Maria della Misericordia

Perugia, , Italy

Site Status

Universita' Cattolica del Sacro Cuore

Roma, , Italy

Site Status

Azienda Ospedaliera Universitaria Sant'Andrea di Roma- Unita' di Neurologia

Roma, , Italy

Site Status

Dipartimento di Neuroscienze Universita' di Torino

Torino, , Italy

Site Status

Azienda Ospedaliera S.maria Della Misericordia

Udine, , Italy

Site Status

U.O. Di Neurologia Ospedale di Circolo e Fondazione Macchi

Varese, , Italy

Site Status

University Kuala Lumpur Royal College of Medicine

Ipoh, , Malaysia

Site Status

Hospital Sultan Ismail

Johor Bahru, , Malaysia

Site Status

University Malaya Medical Centre

Kuala Lumpur, , Malaysia

Site Status

Taiping Hospital

Taiping, , Malaysia

Site Status

Podlaskie Centrum Psychogeriatrii

Bialystok, , Poland

Site Status

Pallmed sp zoo prowadząca NZOZ Dom Sue Ryder; Centrum Psychoneurologii Wieku Podeszłego

Bydgoszcz, , Poland

Site Status

NZOZ Wielospecjalistyczna Poradnia Lekarska SYNAPSIS

Katowice, , Poland

Site Status

Gabinet Neurologiczny, Indywidualna Specjalistyczna Praktyka Lekarska

Mosina, , Poland

Site Status

NZOZ Neuro-Kard Ilkowski i Partnerzy Spółka Partnerska Lekarzy

Poznan, , Poland

Site Status

Euromedis Sp. z o.o.

Szczecin, , Poland

Site Status

Usługi Lekarskie Sp.c Palasik, Żabierek

Warsaw, , Poland

Site Status

mMED

Warsaw, , Poland

Site Status

MTZ Clinical Research Sp. z o.o.

Warsaw, , Poland

Site Status

County Emergency Clinical Hospital Arad, Psychiatry Department

Arad, , Romania

Site Status

CMDTA "Neomed"

Brasov, , Romania

Site Status

University Emergency Central Military Hospital "Dr.Carol Davila", Psychiatry Department

Bucharest, , Romania

Site Status

Psychomedical Consult

Bucharest, , Romania

Site Status

Clinical Municipal Hospital "Dr. Gavril Curteanu", Psychiatry Department

Oradea, , Romania

Site Status

Psychiatry Hospital "Dr. Gheorghe Preda", Center of Mental Health

Sibiu, , Romania

Site Status

Psychiatry Hospital "Dr. Gheorghe Preda", Department of Psychiatry III

Sibiu, , Romania

Site Status

Emergency Clinical County Hospital Sibiu, Neurology Department

Sibiu, , Romania

Site Status

Non-governmental Healthcare Institution "Central Clinical Hospital #6 of the JSC "Russian Railways"

Moscow, , Russia

Site Status

Mental Health Research Center of the Russian Academy of Medical Sciences, Gerontopsychiatry department

Moscow, , Russia

Site Status

Mental Health Research Center of the Russian Academy of Medical Sciences

Moscow, , Russia

Site Status

CityClinical Hospital #34, City Scientific Practical Neurological Center

Novosibirsk, , Russia

Site Status

City Geriatric Medical and Social Center

Saint Petersburg, , Russia

Site Status

Saint Nicholas Psychiatric Hospital

Saint Petersburg, , Russia

Site Status

Saint Petersburg Psychoneurological Research Institute n. a. V.M. Bekhterev

Saint Petersburg, , Russia

Site Status

State Budgetary Healthcare Institution of Sverdlovsk region "Sverdlovsk Regional Clinical Psychiatric Hospital"

Yekaterinburg, , Russia

Site Status

National University Hospital (NUH)

Singapore, , Singapore

Site Status

National Neuroscience Institute (NNI)

Singapore, , Singapore

Site Status

Tan Tock Seng Hospital (TTSH)

Singapore, , Singapore

Site Status

Changi General Hospital

Singapore, , Singapore

Site Status

Dong-A Medical Center

Busan, , South Korea

Site Status

Inha University Hospital

Incheon, , South Korea

Site Status

Gachon University Gil Medical Center

Incheon, , South Korea

Site Status

Seoul National University Bundang Hospital

Seongnam-si, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Inje University Sanggye Paik Hospital

Seoul, , South Korea

Site Status

Konkuk University Medical Center

Seoul, , South Korea

Site Status

Seoul National University Boramae Medical Center

Seoul, , South Korea

Site Status

Hospital Universitario de Ceuta

Ceuta, , Spain

Site Status

Hospital Reina Sofía

Córdoba, , Spain

Site Status

Hospital Clinico San Carlos

Madrid, , Spain

Site Status

Hospital Viamed Montecanal

Zaragoza, , Spain

Site Status

Changhua Christian Hospital

Changhua, , Taiwan

Site Status

Chang Gung Memorial Hospital, Kaohsiung

Kaohsiung City, , Taiwan

Site Status

China Medical University Hospital

Taichung, , Taiwan

Site Status

En Chu Kong Hospital

Taipei, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

National Yang-Ming University School of Medicine

Taipei, , Taiwan

Site Status

Chang Gung Memorial Hospital, Linkou

Taoyuan District, , Taiwan

Site Status

NHS Grampian, Department of Old Age Psychiatry Royal Cornhill Hospital

Aberdeen, , United Kingdom

Site Status

RICE - The Research Institute for the Care of Older People

Bath, , United Kingdom

Site Status

Belfast Health and Social Care Trust (BHSCT)

Belfast, , United Kingdom

Site Status

The Barberry Centre

Birmingham, , United Kingdom

Site Status

MAC Clinical Research Ltd

Blackpool, , United Kingdom

Site Status

MAC Clinical Research Ltd

Bradford, , United Kingdom

Site Status

MAC Clinical Research Ltd

Cannock, , United Kingdom

Site Status

MAC Clinical Research Ltd

Leeds, , United Kingdom

Site Status

Re: Cognition Health Ltd.

London, , United Kingdom

Site Status

Charing Cross Hospital

London, , United Kingdom

Site Status

Dementia Research Centre

London, , United Kingdom

Site Status

MAC Clinical Research Ltd

Manchester, , United Kingdom

Site Status

Southampton General Hospital

Southampton, , United Kingdom

Site Status

Countries

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United States Australia Bulgaria Canada Croatia Germany Italy Malaysia Poland Romania Russia Singapore South Korea Spain Taiwan United Kingdom

References

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Gauthier S, Feldman HH, Schneider LS, Wilcock GK, Frisoni GB, Hardlund JH, Moebius HJ, Bentham P, Kook KA, Wischik DJ, Schelter BO, Davis CS, Staff RT, Bracoud L, Shamsi K, Storey JM, Harrington CR, Wischik CM. Efficacy and safety of tau-aggregation inhibitor therapy in patients with mild or moderate Alzheimer's disease: a randomised, controlled, double-blind, parallel-arm, phase 3 trial. Lancet. 2016 Dec 10;388(10062):2873-2884. doi: 10.1016/S0140-6736(16)31275-2. Epub 2016 Nov 16.

Reference Type DERIVED
PMID: 27863809 (View on PubMed)

Related Links

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Other Identifiers

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TRx-237-015

Identifier Type: -

Identifier Source: org_study_id

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