A Study of Crenezumab in Participants With Mild to Moderate Alzheimer Disease

NCT ID: NCT02353598

Last Updated: 2019-07-24

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1
• Total Enrollment: 77 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-02-26
• Study Completion Date: 2019-03-26

Brief Summary

This randomized, placebo-controlled, double-blind, parallel-arm study will evaluate the safety and tolerability of at least two dose levels of intravenous (IV) crenezumab in 24-72 participants with mild to moderate Alzheimer disease (AD) (mini-mental state examination [MMSE] 18 to 28 points, inclusive). An optional open-label extension (OLE) will be offered after the completion of initial double-blind stage.

Conditions

Alzheimer Disease

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Double-blind treatment window: Crenezumab dose level 1

Participants will recieve crenezumab dose level 1 once every 4 weeks.

Group Type: EXPERIMENTAL

Crenezumab dose level 1

Intervention Type: DRUG

Participants will receive crenezumb dose level 1 IV infusion once every 4 weeks up to Week 13 in double-blind treatment window or up to Week 61 in optional OLE window.

Double-blind treatment window: Crenezumab dose level 2

Participants will receive crenezumab dose level 2 once every 4 weeks.

Group Type: EXPERIMENTAL

Crenezumab dose level 2

Intervention Type: DRUG

Participants will receive crenezumb dose level 2 IV infusion once every 4 weeks up to Week 13 in double-blind treatment window or up to Week 61 in optional OLE window.

Double-blind treatment window: Crenezumab dose level 3

Participants will receive crenezumab dose level 3 once every 4 weeks.

Group Type: EXPERIMENTAL

Crenezumb dose level 3

Intervention Type: DRUG

Participants will receive crenezumb dose level 3 IV infusion once every 4 weeks upto Week 13 in double-blind treatment window or up to Week 61 in optional OLE window.

Double-blind treatment window: Placebo

Participants will receive placebo matched to crenezumab once every 4 weeks.

Group Type: PLACEBO_COMPARATOR

Placebo

Intervention Type: DRUG

Participants will receive placebo matched to crenezumab IV infusion once every 4 weeks upto Week 13 in double-blind treatment window.

Optional OLE window: Crenezumab

Participants will receive crenezumab dose levels 1 2, or 3 once in every 4 weeks.

Group Type: EXPERIMENTAL

Crenezumab dose level 1

Intervention Type: DRUG

Participants will receive crenezumb dose level 1 IV infusion once every 4 weeks up to Week 13 in double-blind treatment window or up to Week 61 in optional OLE window.

Crenezumab dose level 2

Intervention Type: DRUG

Participants will receive crenezumb dose level 2 IV infusion once every 4 weeks up to Week 13 in double-blind treatment window or up to Week 61 in optional OLE window.

Crenezumb dose level 3

Intervention Type: DRUG

Participants will receive crenezumb dose level 3 IV infusion once every 4 weeks upto Week 13 in double-blind treatment window or up to Week 61 in optional OLE window.

Interventions

Crenezumab dose level 1

Participants will receive crenezumb dose level 1 IV infusion once every 4 weeks up to Week 13 in double-blind treatment window or up to Week 61 in optional OLE window.

Intervention Type: DRUG

Crenezumab dose level 2

Participants will receive crenezumb dose level 2 IV infusion once every 4 weeks up to Week 13 in double-blind treatment window or up to Week 61 in optional OLE window.

Intervention Type: DRUG

Crenezumb dose level 3

Participants will receive crenezumb dose level 3 IV infusion once every 4 weeks upto Week 13 in double-blind treatment window or up to Week 61 in optional OLE window.

Intervention Type: DRUG

Placebo

Participants will receive placebo matched to crenezumab IV infusion once every 4 weeks upto Week 13 in double-blind treatment window.

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• Body weight greater than or equal (>/=) 45 kilograms (kg) and less than or equal (</=) 120 kg
• Ages 50-90 years, inclusive
• Availability of a person ("caregiver") who, in the investigator's judgment, has frequent and sufficient contact with the participant and is able to provide accurate information regarding the participant's cognitive and functional abilities, agrees to provide information at clinic visits, which require partner input for scale completion, and signs the necessary consent form
• Willingness and ability to complete all aspects of the study; the participant should be capable of completing assessments either alone or with the help of the caregiver
• Adequate visual and auditory acuity, in the investigator's judgment, sufficient to perform the neuropsychological testing
• Clinical diagnosis of probable mild to moderate AD based on the national institute on neurological and communication disease and stroke/Alzheimer's disease and related disorders association (NINCDS/ADRDA) criteria or probable major neurocognitive disorder due to AD of mild to moderate severity based on diagnostic and statistical manual of mental disorders, version 5 (DSM-5) criteria
• Screening MMSE score of 18-28 points, inclusive
• Screening clinical dementia rating global score (CDR-GS) of 0.5 or 1.0
• Screening geriatric depression (GDS)-15 score less than (<) 6
• Positive florbetapir amyloid positron emission tomography (PET) scan by qualitative read conducted by the core/central PET laboratory
• Women must be postmenopausal or surgically sterile
• Men with female partners of childbearing potential agree to remain abstinent or use adequate methods of contraception as defined by protocol during the treatment period and for at least 8 weeks after the last dose of study drug and agreement to refrain from donating sperm during this same period

Exclusion Criteria

• History or presence of clinically evident vascular disease potentially affecting the brain that, in the opinion of the investigator, has the potential to affect cognitive function
• History or presence of stroke within the previous 2 years or documented history of transient ischemic attack within the previous 12 months
• History of severe, clinically significant central nervous system trauma
• History or presence of intracranial tumor that is clinically relevant in the opinion of the investigator
• Presence of infections that affect brain function or history of infections that resulted in neurologic sequelae
• History or presence of systemic autoimmune disorders potentially causing progressive neurologic disease with associated cognitive deficits
• History or presence of a neurologic disease other than AD that may affect cognition
• Presence of superficial siderosis, more than four cerebral microhemorrhages, or evidence of a prior cerebral macrohemorrhage
• Inability to tolerate magnetic resonance imaging (MRI) procedures or contraindication to MRI
• History or presence of atrial fibrillation except if only one episode that resolved more than 1 year ago and for which treatment is no longer indicated or that in the investigator's judgment poses no risk for future stroke
• Within the previous 2 years, unstable or clinically significant cardiovascular disease
• Uncontrolled hypertension
• Chronic kidney disease of Stage >/= 4, according to the national kidney foundation kidney disease outcomes quality initiative (NKF KDOQI) guidelines for chronic kidney disease
• Impaired hepatic function
• Clinically significantly abnormal screening blood or urine that remain abnormal on retest
• History of malignancies within 5 years prior to screening, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or Stage I uterine cancer; cancer that is considered likely to be cured, is not being actively treated with anti-cancer therapy or radiotherapy and not likely to require treatment in the ensuing 5 years as well as cancers that are considered to have low probability of recurrence are allowed
• Known history of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric, human, or humanized antibodies or fusion proteins
• Severe or unstable medical condition that, in the opinion of the investigator or sponsor, could be expected to progress, recur, or change to such an extent that it could put the patient at special risk, bias the assessment of the clinical or mental status of the patient to a significant degree, interfere with the patient's ability to complete the study assessments, or would require the equivalent of institutional or hospital care
• Any previous treatment with medications used to treat Parkinsonian symptoms or any other neurodegenerative disorder within 1 year before screening even if the patient is taking the medicine for a non-neurodegenerative disorder such as restless leg disorder
• Typical anti-psychotic or neuroleptic medication within 6 months before screening except as brief treatment for a non-psychiatric indication
• Antihemostasis medication within 2 weeks before screening
• Sedative, hypnotic, or benzodiazepine medication within 3 months before screening except intermittent use of the following for sleep or anxiety: alprazolam, lorazepam, oxazepam, temazepam, diazepam, or a short-acting benzodiazepine-like medication

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 90 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Genentech, Inc.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

Mayo Clinic Scottsdale

Phoenix, Arizona, United States

UCSF - Memory and Aging Center

San Francisco, California, United States

Brain Matters Research, Inc.

Delray Beach, Florida, United States

Miami Jewish Health Systems

Miami, Florida, United States

Bioclinica Orlando

Orlando, Florida, United States

Bioclinica The Villages

The Villages, Florida, United States

Indiana University School Of Medicine; Department Of Neurology

Indianapolis, Indiana, United States

Hattiesburg Clinic

Hattiesburg, Mississippi, United States

Millennium Psychiatric Associates, LLC

St Louis, Missouri, United States

Columbia University Medical Center

New York, New York, United States

UNiversity of Rochester

Rochester, New York, United States

Rhode Island Mood & Memory Research Institute

East Providence, Rhode Island, United States

Roper St. Francis Healthcare; Clinical Biotechnology Research Institute

Charleston, South Carolina, United States

Countries

United States

References

Guthrie H, Honig LS, Lin H, Sink KM, Blondeau K, Quartino A, Dolton M, Carrasco-Triguero M, Lian Q, Bittner T, Clayton D, Smith J, Ostrowitzki S. Safety, Tolerability, and Pharmacokinetics of Crenezumab in Patients with Mild-to-Moderate Alzheimer's Disease Treated with Escalating Doses for up to 133 Weeks. J Alzheimers Dis. 2020;76(3):967-979. doi: 10.3233/JAD-200134.

Reference Type: DERIVED

PMID: 32568196 (View on PubMed)

Yoshida K, Moein A, Bittner T, Ostrowitzki S, Lin H, Honigberg L, Jin JY, Quartino A. Pharmacokinetics and pharmacodynamic effect of crenezumab on plasma and cerebrospinal fluid beta-amyloid in patients with mild-to-moderate Alzheimer's disease. Alzheimers Res Ther. 2020 Jan 22;12(1):16. doi: 10.1186/s13195-020-0580-2.

Reference Type: DERIVED

PMID: 31969177 (View on PubMed)

Other Identifiers

GN29632

Identifier Type: -

Identifier Source: org_study_id