AC-1204 26-Week Long Term Efficacy Response Trial With Optional Open-label Ext

NCT ID: NCT01741194

Last Updated: 2021-08-02

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

PHASE2/PHASE3

Total Enrollment

418 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2017-04-14

Brief Summary

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This study will evaluate the effects of daily dosing of AC-1204 on cognition, activities of daily living, resource utilization, quality of life, pharmacokinetic measures and safety among participants 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

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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AC-1204

Powder formulation (40 g) mixed with 4-8 ounces of water, other liquid or soft food as preferred, and shaken or blended until fully mixed. Each dosing unit of AC-1204 contains 20 g of the active ingredient, caprylic triglyceride.

Group Type EXPERIMENTAL

AC-1204

Intervention Type DRUG

AC-1204 taken once daily, by mouth

Placebo

Placebo is an isocaloric formulation prepared to be virtually identical to AC-1204 in appearance, odor and taste. Powdered formulation is mixed with 4-8 ounces of water, other liquid or soft food as preferred, and shaken or blended until fully mixed.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo taken once daily, by mouth

Interventions

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AC-1204

AC-1204 taken once daily, by mouth

Intervention Type DRUG

Placebo

Placebo taken once daily, by mouth

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Dementia status of mild to moderate
* CT or MRI scan within 18 months prior to screening compatible with a diagnosis of probable Alzheimer's disease
* Score on the Wechsler Memory Scale - Logical Memory II recall below a pre-determined cut-off, adjusted for education level
* Confirmed apolipoprotein E genotype prior to randomization
* Prior and current use of medication that corresponds with protocol requirements
* Stable medical condition, with the exception of dementia, for at least 3 consecutive months prior to screening
* No active suicidal thoughts within 6 months of screening, no active history of suicide attempt in the previous 2 years, no more than 1 lifetime suicide attempt, no serious suicidal risk
* Able to comply with protocol testing and procedures for the duration of the study
* Has a permanent caregiver (caregiver is not expected to change during the course of the study) who is willing to attend all visits, oversee the participant's compliance with protocol procedures and study medication administration, and report on the participant's status
* Resides in the community (includes assisted living facilities, but excludes long-term care nursing facilities)
* Both participant and caregiver have the ability to read and write in English or Spanish and have hearing, vision and physical abilities adequate to perform the assessments (corrective aids allowed)
* Participant and caregiver have provided full written informed consent prior to the performance of any protocol-specified procedure. If participant is unable to provide informed consent due to cognitive status, provision of informed consent by cognitively intact legally acceptable representative (where this is in accordance with local laws, regulations and ethics committee policy)
* Participant is able to ingest oral medication

Exclusion Criteria

* Current use, or use within 3 months of baseline, of medium-chain triglyceride-containing products
* Use of any other investigational agent within 60 days prior to screening
* Known allergy or hypersensitivity to milk or soy products
* In the opinion of the investigator, presence or history of advanced, severe, progressive or unstable disease of any type that could interfere with protocol assessments or put the participant at particular risk
* Any medical or neurological condition other than Alzheimer's disease that could explain the patient's dementia
* History or clinical laboratory evidence of moderate congestive heart failure
* Clinically significant ECG abnormalities at screening
* History of new cardiovascular events within 6 months prior to baseline
* History of or current psychiatric illness
* Major depression as determined by Cornell Scale for Depression in Dementia
* Insulin-dependent diabetics
* Systolic blood pressure \> 165 mmHg or diastolic blood pressure \> 95 mmHg
* Drop of 20 mm Hg systolic blood pressure or greater upon standing upright from a seated position within 3 minutes at screening
* Clinically significant anemia at screening
* Clinically significant renal disease or insufficiency at screening
* Laboratory values for liver function tests \> 2.5 times the upper limit of normal at screening or history of severe liver disease
* Fasting triglycerides \> 2.5 times the upper limit of normal at screening
* Clinically significant B12 deficiency within 12 month prior to screening
* Inflammatory bowel disease or peptic ulcer disease.
* Participants with current or a history of (within the last 5 years) complicated reflux disease or severe GERD that is not well-controlled by medication.
* Irritable bowel syndrome, diverticular disease (e.g., diverticulosis or diverticulitis), or chronic gastritis (exclusionary if there has been a diagnosis or an acute event within 5 years prior to Screening.)
* Has donated ≥ 2 units of blood within the 2 months prior to screening
* History of alcohol or drug abuse within 6 months prior to screening, or positive urine drug test at screening
* Participant or caregiver is an immediate family member or employee of the clinical site, sponsor or sponsor's agents
* An alternative cause for dementia other than Alzheimer's disease as determined by a required CT or MRI scan within 18 months prior to screening
* History of neoplasm or malignancies within 5 years prior to screening, except for basal cell or squamous cell carcinoma of the skin
* Clinically significant hypothyroidism as determined thyroid function testing at screening
* Participant has scheduled or expected hospitalization and/or surgery during the course of the study
Minimum Eligible Age

66 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cerecin

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Samuel T Henderson, PhD

Role: STUDY_DIRECTOR

Cerecin

Locations

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University of Alabama at Birmingham, Department of Neurology, Memory Disorders Division

Birmingham, Alabama, United States

Site Status

Banner Alzheimer's Institute

Phoenix, Arizona, United States

Site Status

HOPE Research Institute

Phoenix, Arizona, United States

Site Status

Principals Research Group

Hot Springs, Arkansas, United States

Site Status

Clinical Trials, Inc.

Little Rock, Arkansas, United States

Site Status

CITrials, Inc.

Bellflower, California, United States

Site Status

Southern Research LLC

Beverly Hills, California, United States

Site Status

ATP Clinical Research, Inc.

Costa Mesa, California, United States

Site Status

Diligent Clinical Trials

Downey, California, United States

Site Status

UCSD Comprehensive Alzheimer's Program

La Jolla, California, United States

Site Status

Alliance Research Centers

Laguna Hills, California, United States

Site Status

Senior Clinical Trials, Inc.

Laguna Hills, California, United States

Site Status

Collaborative Neuroscience Network

Long Beach, California, United States

Site Status

Alliance for Research

Long Beach, California, United States

Site Status

Renew Behavioral Health

Long Beach, California, United States

Site Status

Pacific Research Network

San Diego, California, United States

Site Status

Artemis Institute for Clinical Research

San Diego, California, United States

Site Status

Research Across America

Santa Ana, California, United States

Site Status

Neurological Research Institute

Santa Monica, California, United States

Site Status

Redwood Research Medical Group

Santa Rosa, California, United States

Site Status

Alpine Clinical Research Center

Boulder, Colorado, United States

Site Status

IMMUNOe Research Centers

Centennial, Colorado, United States

Site Status

The Mile High Research Center

Denver, Colorado, United States

Site Status

Chase Medical Research of Greater New Haven

Hamden, Connecticut, United States

Site Status

Chase Medical Research, LLC

Waterbury, Connecticut, United States

Site Status

Parkinson's Disease and Movement Disorders Center of Boca Raton

Boca Raton, Florida, United States

Site Status

Meridian Research

Brooksville, Florida, United States

Site Status

Brain Matters Research

Delray Beach, Florida, United States

Site Status

Neuropsychiatric Research Center of Southwest Florida

Fort Myers, Florida, United States

Site Status

MD Clinical

Hallandale, Florida, United States

Site Status

Alzheimer's Research and Treatment Center

Lake Worth, Florida, United States

Site Status

Miami Jewish Health Systems

Miami, Florida, United States

Site Status

Compass Research, LLC

Orlando, Florida, United States

Site Status

The Roskamp Institute

Sarasota, Florida, United States

Site Status

Meridien Research

St. Petersburg, Florida, United States

Site Status

Suncoast Neuroscience Associates

St. Petersburg, Florida, United States

Site Status

Axiom Clinical Research of Florida

Tampa, Florida, United States

Site Status

Stedman Clinical Trials

Tampa, Florida, United States

Site Status

Premiere Research Institute

West Palm Beach, Florida, United States

Site Status

NeuroTrials Research, Inc

Atlanta, Georgia, United States

Site Status

IU Health Partners Adult Neurology Clinic

Indianapolis, Indiana, United States

Site Status

Lake Charles Clinical Trials

Lake Charles, Louisiana, United States

Site Status

Pharmasite Research, Inc.

Baltimore, Maryland, United States

Site Status

Alzheimers Disease Center, Quincy Medical Center

Somerville, Massachusetts, United States

Site Status

Springfield Neurology Associates

Springfield, Massachusetts, United States

Site Status

Borgess Research Institute

Kalamazoo, Michigan, United States

Site Status

Saint Louis University Medical School /Department of Neurology & Psychiatry

St Louis, Missouri, United States

Site Status

Cleveland Clinic Lou Ruvo Center for Brain Health

Las Vegas, Nevada, United States

Site Status

Comprehensive Clinical Research

Berlin, New Jersey, United States

Site Status

NeuroCognitive Institute

Mount Arlington, New Jersey, United States

Site Status

Alzheimer's Research Corporation

Paterson, New Jersey, United States

Site Status

The Cognitive Research Center of New Jersey

Springfield, New Jersey, United States

Site Status

Memory Enhancement Center of NJ

Toms River, New Jersey, United States

Site Status

Neurology Specialists of Monmouth County

West Long Branch, New Jersey, United States

Site Status

Albuquerque Neuroscience, Inc.

Albuquerque, New Mexico, United States

Site Status

Integrative Clinical Trials, LLC

Brooklyn, New York, United States

Site Status

SPRI Clinical Trials, LLC

Brooklyn, New York, United States

Site Status

The Litwin-Zucker Research Center

Manhasset, New York, United States

Site Status

Parker Jewish Institute For Health Care & Rehabilitation

New Hyde Park, New York, United States

Site Status

NYU Langone Medical Center Comprehensive Center on Brain Aging

New York, New York, United States

Site Status

Eastside Comprehensive Medical Center, LLC

New York, New York, United States

Site Status

Nathan S. Kline Institute Geriatric Psychiatry Program

Orangeburg, New York, United States

Site Status

New Hope Clinical Research

Charlotte, North Carolina, United States

Site Status

Ani Neurology, PLLC dba Alzheimer's Memory Ctr

Charlotte, North Carolina, United States

Site Status

Neuro-Behavioral Clinical Research, Inc.

Canton, Ohio, United States

Site Status

Valley Medical Research

Centerville, Ohio, United States

Site Status

CTI Clinical Research Center

Cincinnati, Ohio, United States

Site Status

Insight Clinical Trials LLC

Shaker Heights, Ohio, United States

Site Status

IPS Research Company

Oklahoma City, Oklahoma, United States

Site Status

Summit Research Network (Oregon) Inc.

Portland, Oregon, United States

Site Status

Drexel Neurological Associates

Philadelphia, Pennsylvania, United States

Site Status

Abington Neurological Associates

Willow Grove, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Neurology Clinic, P.C.

Cordova, Tennessee, United States

Site Status

Clinical Research Solutions

Franklin, Tennessee, United States

Site Status

Clinical Neuroscience Solutions, Inc

Memphis, Tennessee, United States

Site Status

Senior Adults Specialty Research, Inc

Austin, Texas, United States

Site Status

Texas Neurology

Dallas, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Wasatch Clinical Research

Salt Lake City, Utah, United States

Site Status

National Clinical Research - Richmond, Inc.

Richmond, Virginia, United States

Site Status

VA Puget Sound-Alzhemier's Disease Research Center

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Henderson ST, Morimoto BH, Cummings JL, Farlow MR, Walker J. A Placebo-Controlled, Parallel-Group, Randomized Clinical Trial of AC-1204 in Mild-to-Moderate Alzheimer's Disease. J Alzheimers Dis. 2020;75(2):547-557. doi: 10.3233/JAD-191302.

Reference Type DERIVED
PMID: 32310169 (View on PubMed)

Related Links

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http://www.AD-Trial.com

Alzheimer's Survey

Other Identifiers

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AC-12-010

Identifier Type: -

Identifier Source: org_study_id

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