Trial Outcomes & Findings for PTI-125 for Mild-to-moderate Alzheimer's Disease Patients (NCT NCT03748706)

NCT ID: NCT03748706

Last Updated: 2021-07-07

Results Overview

Blood draws will be done to evaluate levels of PTI-125 in the plasma using non-compartmental methods in WinNonlin.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

13 participants

Primary outcome timeframe

Study Day 1 and Day 28 at 20, 40, and 60 min and at 1.5, 2, 2.5, 3, 4, 6, 8, 10 and 12 h post-dose

Results posted on

2021-07-07

Participant Flow

Participant milestones

Participant milestones
Measure
PTI-125
PTI-125 100 mg oral tablets administered twice daily (BID) PTI-125, 100 mg tablets: PTI-125, 100 mg tablets taken twice a day for 28 days
Overall Study
STARTED
13
Overall Study
COMPLETED
12
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
PTI-125
PTI-125 100 mg oral tablets administered twice daily (BID) PTI-125, 100 mg tablets: PTI-125, 100 mg tablets taken twice a day for 28 days
Overall Study
Lost to Follow-up
1

Baseline Characteristics

PTI-125 for Mild-to-moderate Alzheimer's Disease Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PTI-125
n=13 Participants
PTI-125 100 mg oral tablets administered twice daily (BID) PTI-125, 100 mg tablets: PTI-125, 100 mg tablets taken twice a day for 28 days
Age, Continuous
67.8 Years
n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
13 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Study Day 1 and Day 28 at 20, 40, and 60 min and at 1.5, 2, 2.5, 3, 4, 6, 8, 10 and 12 h post-dose

Blood draws will be done to evaluate levels of PTI-125 in the plasma using non-compartmental methods in WinNonlin.

Outcome measures

Outcome measures
Measure
PTI-125
n=13 Participants
PTI-125 100 mg oral tablets administered twice daily (BID) PTI-125, 100 mg tablets: PTI-125, 100 mg tablets taken twice a day for 28 days
Maximum Plasma Concentration (Cmax)
Day 1 Cmax
1020 ng/mL
Standard Deviation 442
Maximum Plasma Concentration (Cmax)
Day 28 Cmax
1100 ng/mL
Standard Deviation 417

PRIMARY outcome

Timeframe: Study Day 1 and Day 28 at 20, 40, and 60 min and at 1.5, 2, 2.5, 3, 4, 6, 8, 10 and 12 h post-dose

Levels of PTI-125 will be assessed to determine how long it takes to reach the Cmax

Outcome measures

Outcome measures
Measure
PTI-125
n=13 Participants
PTI-125 100 mg oral tablets administered twice daily (BID) PTI-125, 100 mg tablets: PTI-125, 100 mg tablets taken twice a day for 28 days
Time to Maximum Plasma Concentration (Tmax)
Day 1 Tmax
2.00 hours
Interval 1.0 to 3.0
Time to Maximum Plasma Concentration (Tmax)
Day 28 Tmax
2.06 hours
Interval 1.0 to 5.93

PRIMARY outcome

Timeframe: Study Day 1 and Day 28 at 20, 40, and 60 min and at 1.5, 2, 2.5, 3, 4, 6, 8, 10 and 12 h post-dose

Levels of PTI-125 will be assessed to determine the last time point where PTI-125 can be detected.

Outcome measures

Outcome measures
Measure
PTI-125
n=13 Participants
PTI-125 100 mg oral tablets administered twice daily (BID) PTI-125, 100 mg tablets: PTI-125, 100 mg tablets taken twice a day for 28 days
Last Quantifiable Plasma Concentration (Clast)
Day 1 Clast
176 ng/mL
Standard Deviation 112
Last Quantifiable Plasma Concentration (Clast)
Day 28 Clast
238 ng/mL
Standard Deviation 168

PRIMARY outcome

Timeframe: Study Day 1 and Day 28 at 20, 40, and 60 min and at 1.5, 2, 2.5, 3, 4, 6, 8, 10 and 12 h post-dose

Levels of PTI-125 will be assessed to determine the elapsed time to where PTI-125 can last be detected in the plasma.

Outcome measures

Outcome measures
Measure
PTI-125
n=13 Participants
PTI-125 100 mg oral tablets administered twice daily (BID) PTI-125, 100 mg tablets: PTI-125, 100 mg tablets taken twice a day for 28 days
Time to Last Quantifiable Plasma Concentration (Tlast)
Day 1 Tlast
12.0 hours
Standard Deviation 0.0150
Time to Last Quantifiable Plasma Concentration (Tlast)
Day 28 Tlast
12.0 hours
Standard Deviation 0.0285

PRIMARY outcome

Timeframe: Study Day 1 and Day 28 at 20, 40, and 60 min and at 1.5, 2, 2.5, 3, 4, 6, 8, 10 and 12 h post-dose

AUC for PTI-125 plasma concentration from time zero to the last quantifiable plasma concentration.

Outcome measures

Outcome measures
Measure
PTI-125
n=13 Participants
PTI-125 100 mg oral tablets administered twice daily (BID) PTI-125, 100 mg tablets: PTI-125, 100 mg tablets taken twice a day for 28 days
Area Under the Curve (AUClast)
Day 1 AUClast
5320 h*ng/mL
Standard Deviation 2230
Area Under the Curve (AUClast)
Day 28 AUClast
6700 h*ng/mL
Standard Deviation 3240

PRIMARY outcome

Timeframe: Study Day 1 and Day 28 at 20, 40, and 60 min and at 1.5, 2, 2.5, 3, 4, 6, 8, 10 and 12 h post-dose

Assessment of the half-life in plasma of PTI-125

Outcome measures

Outcome measures
Measure
PTI-125
n=13 Participants
PTI-125 100 mg oral tablets administered twice daily (BID) PTI-125, 100 mg tablets: PTI-125, 100 mg tablets taken twice a day for 28 days
Plasma Half-life (T1/2)
Day 28 T1/2
4.35 hours
Standard Deviation 1.39
Plasma Half-life (T1/2)
Day 1 T1/2
4.51 hours
Standard Deviation 2.43

SECONDARY outcome

Timeframe: Study Day 1 and Day 28

Blood samples will be tested for the complementary diagnostic/biomarker for Alzheimer's disease.

Outcome measures

Outcome measures
Measure
PTI-125
n=13 Participants
PTI-125 100 mg oral tablets administered twice daily (BID) PTI-125, 100 mg tablets: PTI-125, 100 mg tablets taken twice a day for 28 days
SavaDx (Biomarker)
-39.8 % change from baseline
Standard Deviation 0.19

SECONDARY outcome

Timeframe: Change from Baseline to Day 28

A cerebrospinal fluid sample collection will be performed for Aβ42, tau, YKL40 and other potential CSF biomarkers

Outcome measures

Outcome measures
Measure
PTI-125
n=13 Participants
PTI-125 100 mg oral tablets administered twice daily (BID) PTI-125, 100 mg tablets: PTI-125, 100 mg tablets taken twice a day for 28 days
CSF Biomarkers
Total tau
-19.8 % change from baseline
Standard Deviation 0.04
CSF Biomarkers
Abeta42
4.3 % change from baseline
Standard Deviation 0.05
CSF Biomarkers
p-tau181
-34.4 % change from baseline
Standard Deviation 0.05
CSF Biomarkers
Neurogranin
-32 % change from baseline
Standard Deviation 0.02
CSF Biomarkers
Neurofilament light chain
-22 % change from baseline
Standard Deviation 0.02
CSF Biomarkers
YKL-40
-9 % change from baseline
Standard Deviation 0.01
CSF Biomarkers
IL-6
-14 % change from baseline
Standard Deviation 0.01
CSF Biomarkers
IL-1 beta
-11 % change from baseline
Standard Deviation 0.01
CSF Biomarkers
TNF alpha
-5 % change from baseline
Standard Deviation 0.01

Adverse Events

PTI-125

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
PTI-125
n=13 participants at risk
PTI-125 100 mg oral tablets administered twice daily (BID) PTI-125, 100 mg tablets: PTI-125, 100 mg tablets taken twice a day for 28 days
General disorders
Fall
7.7%
1/13 • Number of events 1 • Within the 28-day treatment period.
Moderate; mild; severe Serious; not serious Unlikely; likely; possibly related to drug treatment
Metabolism and nutrition disorders
B12 deficiency
7.7%
1/13 • Number of events 1 • Within the 28-day treatment period.
Moderate; mild; severe Serious; not serious Unlikely; likely; possibly related to drug treatment
Musculoskeletal and connective tissue disorders
Hypercalcemia
7.7%
1/13 • Number of events 1 • Within the 28-day treatment period.
Moderate; mild; severe Serious; not serious Unlikely; likely; possibly related to drug treatment
Renal and urinary disorders
Renal colic
7.7%
1/13 • Number of events 1 • Within the 28-day treatment period.
Moderate; mild; severe Serious; not serious Unlikely; likely; possibly related to drug treatment
General disorders
Dehydration
7.7%
1/13 • Number of events 1 • Within the 28-day treatment period.
Moderate; mild; severe Serious; not serious Unlikely; likely; possibly related to drug treatment
Respiratory, thoracic and mediastinal disorders
Flu
7.7%
1/13 • Number of events 1 • Within the 28-day treatment period.
Moderate; mild; severe Serious; not serious Unlikely; likely; possibly related to drug treatment

Additional Information

Lindsay Burns, SVP of Neuroscience

Cassava Sciences

Phone: 512-501-2484

Results disclosure agreements

  • Principal investigator is a sponsor employee Top enrolling PIs are included as authors on Cassava publications, but no individual PI has the right to publish alone without Cassava authorization.
  • Publication restrictions are in place

Restriction type: OTHER