A Long-Term Safety Extension of Studies ABE4869g and ABE4955g in Participants With Mild to Moderate Alzheimer's Disease Treated With Crenezumab

NCT ID: NCT01723826

Last Updated: 2020-02-20

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

360 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-07

Study Completion Date

2017-02-08

Brief Summary

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This Phase II, open-label extension (OLE), multicenter study will evaluate the long-term safety and tolerability of crenezumab in participants with mild to moderate Alzheimer's disease who have participated in and completed the treatment period of the Phase II Study ABE4869g (NCT01343966) or ABE4955g (NCT01397578). Participants who received placebo in Study ABE4869g (NCT01343966) or ABE4955g (NCT01397578) will receive crenezumab. Anticipated time on study treatment is 144 weeks.

Detailed Description

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Conditions

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Alzheimer's Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Crenezumab

Participants will receive intravenous infusion of crenezumab every 4 weeks for 144 weeks.

Group Type EXPERIMENTAL

Crenezumab

Intervention Type DRUG

Participants will receive intravenous infusion of crenezumab every 4 weeks for 144 weeks.

Interventions

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Crenezumab

Participants will receive intravenous infusion of crenezumab every 4 weeks for 144 weeks.

Intervention Type DRUG

Other Intervention Names

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RO5490245

Eligibility Criteria

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Inclusion Criteria

* Previous participation in Study ABE4869g or ABE4955g and completion of the Week 73 visit
* Adequate visual and auditory acuity, in the investigator's judgment, to allow for neuropsychological testing
* Availability of a person ("caregiver") who can provide information on activities of daily living and behavior in order to complete the study-specific assessments
* Diagnosis of probable Alzheimer's disease according to the National Institute on Neurological and Communication Disease and Stroke/Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) criteria (McKhann et al. 1984)
* Mini-Mental State Examination (MMSE) score of 10 or more at screening (Folstein et al. 1975)
* For male participants with partners with reproductive potential, agreement to use a reliable means of contraception (e.g., condoms) during the study and for at least 8 weeks following the last dose of study drug
* For female participants, a negative pregnancy test at screening

Exclusion Criteria

* Early treatment and/or study discontinuation prior to completion of the Week 73 visit of Genentech Study ABE4869g or ABE4955g
* Early discontinuation from the treatment schedule of a prior version of Study GN28525 for safety reasons. If treatment discontinuation occurred for safety reasons, participants may not re-start dosing on extended treatment schedules offered in amendments to Study GN28525
* Inability to tolerate Magnetic Resonance Imaging (MRI) procedures or contraindication to MRI
* Female participants with reproductive potential: Female participants must either have undergone documented surgical sterilization or have not experienced menstruation for at least 12 consecutive months
* Severe or unstable medical condition that, in the opinion of the investigator or Sponsor, would interfere with the participant's ability to complete the study assessments or would require the equivalent of institutional or hospital care
* History or presence of clinically evident vascular disease potentially affecting the brain
* History of severe, clinically significant central nervous system trauma
* History or presence of clinically relevant intracranial tumor
* Presence of infections that affect the brain function or history of infections that resulted in neurologic sequelae
* History or presence of systemic autoimmune disorders potentially causing progressive neurologic disease
* History or presence of a neurologic disease other than Alzheimer's disease that may affect cognition
* History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric, human, or humanized antibodies or fusion proteins
* Evidence of malignancies (except squamous cell cancer or basal cell cancer of the skin), acute infections, renal failure that requires dialysis, or other unstable medical disease not related to Alzheimer's disease that, in the investigator's opinion, would preclude participant's participation. Cancer that is not being actively treated with anti-cancer therapy or radiotherapy as well as cancers which are considered to have low probability of recurrence are allowed
* History or presence of atrial fibrillation that, in the investigator's judgment, poses a risk for future stroke
* Chronic kidney disease of Stage greater than or equal to (\>=) 4, according to the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF KDOQI) guidelines for chronic kidney disease (CKD)
* Impaired hepatic function
* Impaired coagulation (activated partial thromboplastin time \[aPTT\] greater than \[\>\] 1.2 times upper limit of normal \[ULN\])
* Platelet count less than (\<) 100,000 per microliter (mcL)
* Presence at screening of superficial siderosis of central nervous system, more than 8 cerebral microhemorrhages, or evidence of a prior cerebral macrohemorrhage
* Presence at screening of any other significant cerebral abnormalities, including ARIA-E
* Treatment with anticoagulation medications within 2 weeks prior to enrollment. Clopidogrel, dipyridamole, and aspirin are permitted
* Treatment with anticholinergic antidepressants, typical antipsychotics, or barbiturates within 2 weeks prior to enrollment. All other antidepressants and atypical antipsychotics are allowed with certain restrictions as defined in the protocol
* Chronic use of opiates, opioids, or benzodiazepines
* Any biologic therapy within 75 weeks prior to enrollment
* Any investigational agent (other than crenezumab) within 75 weeks prior to enrollment
* Treatment with anticholinergic antidepressants, typical antipsychotics, barbiturates, or narcotics within 5 half-lives or 3 months prior to screening, whichever is longer. All other antidepressants and atypical antipsychotics are allowed. Chronic use of benzodiazepines is not allowed; however, the intermittent use of benzodiazepines is allowed, except within 2 days prior to any neurocognitive assessment
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Genentech, Inc.

Locations

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Banner Alzheimer's Institute

Phoenix, Arizona, United States

Site Status

Mayo Clinic

Scottsdale, Arizona, United States

Site Status

Banner Sun Health Research Insitute

Sun City, Arizona, United States

Site Status

Pharmacology Research Inst

Encino, California, United States

Site Status

Margolin Brain Institute

Fresno, California, United States

Site Status

Univ of CA San Diego; Neurosciences Comp.Alzheimer's

La Jolla, California, United States

Site Status

USC School of Medicine

Los Angeles, California, United States

Site Status

University of California Los Angeles (UCLA)

Los Angeles, California, United States

Site Status

Pharmacology Research Inst

Newport Beach, California, United States

Site Status

Pacific Neuroscience Med Grp

Oxnard, California, United States

Site Status

Stanford Univ Medical Center

Palo Alto, California, United States

Site Status

University of California Davis Medical System

Sacramento, California, United States

Site Status

Pacific Research Network - PRN

San Diego, California, United States

Site Status

Uni of California San Francisco

San Francisco, California, United States

Site Status

Redwood Regional Medical Group

Santa Rosa, California, United States

Site Status

Yale University

New Haven, Connecticut, United States

Site Status

Florida Atlantic University; College of Medicine

Boca Raton, Florida, United States

Site Status

Meridien Research

Brooksville, Florida, United States

Site Status

Brain Matters Research, Inc.

Delray Beach, Florida, United States

Site Status

Miami Jewish Health Systems; Clinical Research

Miami, Florida, United States

Site Status

Collier Neurologic Specialists

Naples, Florida, United States

Site Status

Bioclinica Research

Orlando, Florida, United States

Site Status

Axiom Clinical Research of Florida

Tampa, Florida, United States

Site Status

Premiere Research Institute

West Palm Beach, Florida, United States

Site Status

Dekalb Neurology Associates

Decatur, Georgia, United States

Site Status

Rush Alzheimer's Disease Cntr.

Chicago, Illinois, United States

Site Status

Alexian Brothers Neurosci Inst

Elk Grove Village, Illinois, United States

Site Status

Indiana Univ School of Med

Indianapolis, Indiana, United States

Site Status

Louisiana Research Associates

New Orleans, Louisiana, United States

Site Status

Hattiesburg Clinic

Hattiesburg, Mississippi, United States

Site Status

Millennium Psychiatric Associates, LLC

St Louis, Missouri, United States

Site Status

Cleveland Clinic Lou Ruvo; Center for Brain Research

Las Vegas, Nevada, United States

Site Status

Memory Enhancement Center of America, Inc.

Eatontown, New Jersey, United States

Site Status

NeuroCognitive Institute

Mount Arlington, New Jersey, United States

Site Status

Empire Neurology, PC

Latham, New York, United States

Site Status

Litwin Zucker Research Ctr.; Feinstein Inst. Med. Rsch.

Manhasset, New York, United States

Site Status

Columbia University Medical Center

New York, New York, United States

Site Status

University of Rochester Medical Center; Monroe Community Hospital

Rochester, New York, United States

Site Status

Investigational Drug Service; Univ of Rochester Medical Ctr

Rochester, New York, United States

Site Status

Raleigh Neurology Associates

Raleigh, North Carolina, United States

Site Status

Summit Research Network Inc.

Portland, Oregon, United States

Site Status

The Clinical Trial Center, LLC

Jenkintown, Pennsylvania, United States

Site Status

Rhode Island Mood & Memory Research Institute

East Providence, Rhode Island, United States

Site Status

Butler Hospital

Providence, Rhode Island, United States

Site Status

Medical Uni of South Carolina

North Charleston, South Carolina, United States

Site Status

Alzheimers Disease & Memory Disorders Center; Department of Neurology Baylor College of Medicine

Houston, Texas, United States

Site Status

Clinical Neuroscience Research Associates, Inc.

Bennington, Vermont, United States

Site Status

The Med Arts Health Rsrch Grp

Kelowna, British Columbia, Canada

Site Status

University of British Columbia Hospital; Division of Neurology

Vancouver, British Columbia, Canada

Site Status

Capitol District Health Authority

Halilfax, Nova Scotia, Canada

Site Status

Jbn Medical Diagnostic Services Inc.

Burlington, Ontario, Canada

Site Status

Hotel Dieu Hospital

Kingston, Ontario, Canada

Site Status

St. Joseph's HC-Parkwood Hosp

London, Ontario, Canada

Site Status

Bruyere Continuing Care

Ottawa, Ontario, Canada

Site Status

Kawartha Centre - Redefining Healthy Aging

Peterborough, Ontario, Canada

Site Status

Toronto Memory Program (Neurology Research Inc.)

Toronto, Ontario, Canada

Site Status

Clinique Neuro Rive-Sud

Greenfield Park, Quebec, Canada

Site Status

Hôpital Maisonneuve-Rosemont/Polyclinique;Recherche Clinique

Montreal, Quebec, Canada

Site Status

CHAUQ Hopital Enfant-Jesus

Québec, Quebec, Canada

Site Status

McGill Univeristy; Douglas Mental Health University Institute; Neurological and Psychiatric

Verdun, Quebec, Canada

Site Status

Hopital neurologique Pierre Wertheimer - CHU Lyon; Neurologie

Bron, , France

Site Status

CHU de Limoges Hopital Dupuytren; Service de Medecine Geriatrique

Limoges, , France

Site Status

Hopital Central; Neurologie

Nancy, , France

Site Status

Hopital Nord Laennec

Nantes, , France

Site Status

CHU de Rouen Hopital; Service de Neurologie

Rouen, , France

Site Status

Hôpital Civil de Strasbourg

Strasbourg, , France

Site Status

Univ Berlin; Klin fur Psychi & Psycho Charite

Berlin, , Germany

Site Status

Bezirkskrankenhaus Günzburg

Günzburg, , Germany

Site Status

Zentralinstitut fuer Seelische Gesundheit

Mannheim, , Germany

Site Status

Ludwig-Maximilians-Univ.

München, , Germany

Site Status

Klinikum rechts der Isar der Technischen Universität München

München, , Germany

Site Status

Universitätsklinik Tübingen; Psychiatrie und Psychotherapie

Tübingen, , Germany

Site Status

Fundació ACE

BArcelon, Barcelona, Spain

Site Status

Hospital General de Catalunya

San Cugat Del Valles, Barcelona, Spain

Site Status

Policlinica Guipuzcoa

Donostia / San Sebastian, Guipuzcoa, Spain

Site Status

Hospital de Cruces; Servicio de Neurologia

Barakaldo, Vizcaya, Spain

Site Status

Complejo Hospitalario Universitario de Albacete

Albacete, , Spain

Site Status

Clinica Ruber, 4 planta; Servicio de Neurologia

Madrid, , Spain

Site Status

The Rice Centre; Royal United Hospital

Bath, , United Kingdom

Site Status

West London Research Unit; Brentford Lodge

Brentford, , United Kingdom

Site Status

Royal Sussex County Hospital, CIRU Level 5

Brighton, , United Kingdom

Site Status

Glasgow Memory Clinic

Glasgow, , United Kingdom

Site Status

The National Hospital for Neurology & Neurosurgery; Dementia Research Center

London, GT LON, , United Kingdom

Site Status

Southampton General Hospital; Pharmacy

Southampton, , United Kingdom

Site Status

Moorgreen Hospital; Memory Assessment & Rsch Ctr

Southampton, , United Kingdom

Site Status

Great Western Hosp.; Kingshill Research Ctr

Swindon, , United Kingdom

Site Status

Countries

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United States Canada France Germany Spain United Kingdom

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2012-003242-33

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GN28525

Identifier Type: -

Identifier Source: org_study_id

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