A Study to Evaluate the Safety and Efficacy of CT1812 in Subjects With Mild to Moderate Alzheimer's Disease.

NCT ID: NCT03507790

Last Updated: 2025-08-11

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

153 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-10

Study Completion Date

2024-05-29

Brief Summary

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This is a multi-center, randomized, double-blind, placebo-controlled, parallel group 36 week multicenter Phase 2 study of two doses of CT1812 in adults with mild to moderate Alzheimer's Disease (AD).

Detailed Description

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This is a multi-center, randomized, double-blind, placebo-controlled, parallel group 36 week multicenter Phase 2 study of two doses of CT1812 in adults with mild to moderate Alzheimer's Disease (AD).

This Phase 2 study is designed to evaluate the safety of two doses of CT1812 administered once daily for 6 months in adults aged 50 to 85 who have been diagnosed with mild to moderate Alzheimer's disease. Randomized participants will receive 100 mg of CT1812, 300 mg of CT1812, or placebo once daily for 182 days. Exploratory endpoints that evaluate the effect of CT1812 on biomarkers are also included.

Conditions

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Mild to Moderate Alzheimer's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a multi-center Phase 2, randomized, double-blind, placebo-controlled, parallel-group study.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Active Treatment- CT1812 100 mg

CT1812 at a dose of 100 mg

Group Type ACTIVE_COMPARATOR

CT1812

Intervention Type DRUG

Active Study Drug

Active Treatment- CT1812 300 mg

CT1812 at a dose of 300mg

Group Type ACTIVE_COMPARATOR

CT1812

Intervention Type DRUG

Active Study Drug

Placebo Comparator - Placebo

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Non-active study drug

Interventions

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CT1812

Active Study Drug

Intervention Type DRUG

Placebo

Non-active study drug

Intervention Type DRUG

Other Intervention Names

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Study Drug zervimesine Matching Placebo

Eligibility Criteria

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Inclusion Criteria

1. Men, and women of non-childbearing potential, 50-85 years of age inclusively, with a diagnosis of mild to moderate Alzheimer's disease according to the 2011 NIA-AA criteria and at least a 6 month decline in cognitive function documented in the medical record.

i) Non-childbearing potential for women is defined as postmenopausal (last natural menses greater than 24 months) or undergone a documented bilateral tubal ligation or hysterectomy. If last natural menses less than 24 months, a serum FSH value confirming post-menopausal status can be employed.

ii) Male participants who are sexually active with a woman of child-bearing potential must agree to use condoms during the trial and for 3 months after last dose unless the woman is using an acceptable means of birth control. Acceptable forms of birth control include abstinence, birth control pills, or any double combination of: intrauterine device (IUD), male or female condom, diaphragm, sponge, and cervical cap.
2. Diagnostic confirmation by amyloid PET with florbetaben or another approved amyloid PET ligand. Previous amyloid imaging study with a positive result will be accepted. If none is available, then amyloid PET will be conducted during screening. Diagnostic confirmation by a CSF sample collected at the screening visit lumbar puncture in place of amyloid PET will also be acceptable

Exclusion Criteria

4. MMSE 18-26 inclusive.


1. Screening MRI (or historical MRI, if applicable) of the brain indicative of significant abnormality, including, but not limited to, prior hemorrhage or infarct \>1 cm3, \>3 lacunar infarcts, cerebral contusion, encephalomalacia, aneurysm, vascular malformation, subdural hematoma, hydrocephalus, space-occupying lesion (e.g. abscess or brain tumor such as meningioma). If a small incidental meningioma is observed, the medical monitor may be contacted to discuss eligibility..
2. Clinical or laboratory findings consistent with:

1. Other primary degenerative dementia, (dementia with Lewy bodies, fronto-temporal dementia, Huntington's disease, Creutzfeldt-Jakob Disease, Down syndrome, etc.).
2. Other neurodegenerative condition (Parkinson's disease, amyotrophic lateral sclerosis, etc.).
3. Seizure disorder.
4. Other infectious, metabolic or systemic diseases affecting the central nervous system (syphilis, present hypothyroidism, present vitamin B12 or folate deficiency, other laboratory values etc.).
3. A current DSM-V diagnosis of active major depression, schizophrenia or bipolar disorder. Subjects with depressive symptoms successfully managed by a stable dose of an antidepressant are allowed entry.
4. Clinically significant, advanced or unstable disease that may interfere with outcome evaluations.
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Aging (NIA)

NIH

Sponsor Role collaborator

Cognition Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anthony Caggiano, MD

Role: STUDY_DIRECTOR

Cognition Therapeutics

Locations

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21st Century Neurology/ Xenoscience Inc.

Phoenix, Arizona, United States

Site Status

Imaging Endpoints

Scottsdale, Arizona, United States

Site Status

Ki Health Partners, LLC dba New England Institute for Clinical Research

Stamford, Connecticut, United States

Site Status

JEM Research Institute

Atlantis, Florida, United States

Site Status

Charter Research

Lady Lake, Florida, United States

Site Status

ClinCloud, LLC

Maitland, Florida, United States

Site Status

Allied Biomedical Research Institute

Miami, Florida, United States

Site Status

Compass Research LLC- Bioclinica Research

The Villages, Florida, United States

Site Status

ClinCloud

Viera, Florida, United States

Site Status

Alzheimer's Memory Center

Charlotte, North Carolina, United States

Site Status

The Ohio State University - Wexner

Columbus, Ohio, United States

Site Status

Neuro Behavirol Clinical Research C

North Canton, Ohio, United States

Site Status

St Vincent's Hospital Sydney

Ivanhoe, Victoria, Australia

Site Status

Alfred Health

Melbourne, Victoria, Australia

Site Status

Melbourne Health

Parkville, Victoria, Australia

Site Status

Australian Alzheimer's Research Foundation

Nedlands, Western Australia, Australia

Site Status

Neuro Health Centrum ltd

Brno, , Czechia

Site Status

NeuropsychiatrieHK S.R.O

Hradec Králové, , Czechia

Site Status

A-Shine S.R.O

Pilsen, , Czechia

Site Status

Clintrial S.R.O

Prague, , Czechia

Site Status

Neuropsychiatrie s.r.o.

Prague, , Czechia

Site Status

Forbeli S.R.O

Prague, , Czechia

Site Status

INEP

Prague, , Czechia

Site Status

Vestra Clinics

Rychnov nad Kněžnou, , Czechia

Site Status

Brain Research Den Bosch

's-Hertogenbosch, , Netherlands

Site Status

Brain Research Center Amsterdam

Amsterdam, , Netherlands

Site Status

Brain Research Center Zwolle

Zwolle, , Netherlands

Site Status

Fundación ACE

Barcelona, , Spain

Site Status

Hospital Clinico Universitario Virgen De La Arrixaca

El Palmar, , Spain

Site Status

Centro de Salud San Juan

Salamanca, , Spain

Site Status

Hospital Victoria EUGENIA. Unidad de Neurociencias.

Seville, , Spain

Site Status

Fundación Neuropolis - Hospital Viamed Montecanal

Zaragoza, , Spain

Site Status

Countries

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United States Australia Czechia Netherlands Spain

References

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Lizama BN, North HA, Pandey K, Williams C, Duong D, Cho E, Di Caro V, Ping L, Blennow K, Zetterberg H, Lah J, Levey AI, Grundman M, Caggiano AO, Seyfried NT, Hamby ME. An interim exploratory proteomics biomarker analysis of a phase 2 clinical trial to assess the impact of CT1812 in Alzheimer's disease. Neurobiol Dis. 2024 Sep;199:106575. doi: 10.1016/j.nbd.2024.106575. Epub 2024 Jun 22.

Reference Type DERIVED
PMID: 38914170 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://cogrx.com/tag/shine/

Shine Study Information

Other Identifiers

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R01AG058660

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2022-002326-27

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

COG0201

Identifier Type: -

Identifier Source: org_study_id

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