A Study of XPro1595 in Patients With Early Alzheimer's Disease With Biomarkers of Inflammation

NCT ID: NCT05318976

Last Updated: 2025-08-17

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

Total Enrollment

208 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-28

Study Completion Date

2025-05-12

Brief Summary

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The goal of this Phase 2 Alzheimer's study is to determine whether 1.0 mg/kg XPro1595 confers a benefit on cognition, function, and biomarkers of white matter and to further evaluate safety and tolerability. The objectives of this study are to determine the safety, tolerability, and efficacy of XPro1595 in patients with early ADi.

Detailed Description

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This trial is a randomized clinical study using XPro1595 to treat patients with Early Alzheimer's Disease with biomarkers of inflammation (ADi). Early ADi patients are defined as patients with Mild Alzheimer's Disease or Mild Cognitive Impairment (MCI) with a biomarker of inflammation.

Conditions

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Alzheimer Disease Dementia Brain Diseases Central Nervous System Diseases Nervous System Diseases Tauopathies Neurodegenerative Diseases Neurocognitive Disorders Mental Disorders Mild Cognitive Impairment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

* (2:1) XPro1595 (1mg/kg), placebo
* Weekly subcutaneous injections
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1.0 mg/kg XPro1595

1.0 mg/kg of XPro1595 will be administered via subcutaneous injection once a week for 23 weeks.

Group Type EXPERIMENTAL

XPro1595

Intervention Type DRUG

XPro1595 will be delivered by subcutaneous injection once a week

1.0 mg/kg Placebo

1.0 mg/kg of Placebo will be administered via subcutaneous injection once a week for 23 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo will be delivered by subcutaneous injection once a week

Interventions

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XPro1595

XPro1595 will be delivered by subcutaneous injection once a week

Intervention Type DRUG

Placebo

Placebo will be delivered by subcutaneous injection once a week

Intervention Type DRUG

Other Intervention Names

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INB03/XPro™ XENP1595 DN-TNF Matching Placebo

Eligibility Criteria

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Inclusion Criteria

To be eligible for study entry, patients must satisfy all of the following criteria:

* Adult patients 50 years to ≤ 85 years of age at the time of consent;
* Meets the diagnostic criteria of MCI of probable Alzheimer's disease (Jack et al. 2018; NIA-AA) or mild dementia as clinically described in McKhann, (2011) and corresponding to stages 3 or 4 of the revised AD staging system (Jack, 2018). (NIA-AA);
* Amyloid positive (documented in medical history or assessed during screening through blood test);
* Either currently or previously (in pre-AD condition) literate and capable of reading, writing, and communicating effectively with others;
* Residence in an assisted living is allowed as is personal assistances provided in the home, however at time of enrollment participant must be able to perform most ADL with minimal assistance, and participant must be permitted sufficient independence to allow assessment of change in ADL;
* Has a study partner for the duration of the trial who either lives in the same household or interacts with the patient at least 4 hours per day and on at least 4 days per week, who is knowledgeable about the patient's daytime and night-time behaviors and who can be available to attend all clinic visits in person at which caregiver assessments are performed.

Exclusion Criteria

Patients will be excluded from the study if 1 or more of the following criteria are applicable:

* Have any contraindications to MRI scanning, including cardiac pacemaker/defibrillator, ferromagnetic metal implants (e.g., in-skull and cardiac devices other than those approved as safe for use in MRI scanners);
* Receives considerable help to carry out basic ADL living either in the home or as a resident in a nursing home or similar facility;
* Lifetime history of a major psychiatric disorder including schizophrenia and bipolar disorder. Major depressive disorder that has resulted in 2 or more hospitalizations in a lifetime. Major depressive episode during the past 5 years that is judged by the clinical team unlikely to have been part of Alzheimer's prodrome. History of suicidality.
* History of substance abuse within 12 months; use of cannabis or cannabis products within 6 months of consent;
* Enrolled in another clinical trial where patients receive treatment with an investigational drug or treatment device or have had previous treatment with any investigational medicinal product within 60 days or 5 half-lives (whichever is longer) prior to study drug treatment;
* A prior organ or stem cell transplant;
* Seated blood pressure of ≥ 165/105 mmHg at Screening.
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Inmune Bio, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Therese Blomberg

Role: STUDY_DIRECTOR

INmune Bio

Locations

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INmune Bio Investigational Site

Darlinghurst, New South Wales, Australia

Site Status

INmune Bio Investigational Site

Macquarie Park, New South Wales, Australia

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Adelaide, South Australia, Australia

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Box Hill, Victoria, Australia

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Carlton, Victoria, Australia

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Ivanhoe, Victoria, Australia

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Parkville, Victoria, Australia

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Nedlands, Western Australia, Australia

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Kelowna, , Canada

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Ottawa, , Canada

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Sherbrooke, , Canada

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Toronto, , Canada

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Toronto, , Canada

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West Vancouver, , Canada

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Brno, , Czechia

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Pilsen, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Rychnov nad Kněžnou, , Czechia

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Bron, , France

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Nantes, , France

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Toulouse, , France

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Berlin, , Germany

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Chemnitz, , Germany

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Bialystok, , Poland

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Bydgoszcz, , Poland

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Wroclaw, , Poland

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Barcelona, , Spain

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Barcelona, , Spain

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Córdoba, , Spain

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Madrid, , Spain

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Seville, , Spain

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Valencia, , Spain

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Valencia, , Spain

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Birmingham, , United Kingdom

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Bristol, , United Kingdom

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Guildford, , United Kingdom

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London, , United Kingdom

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Motherwell, , United Kingdom

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Plymouth, , United Kingdom

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INmune Bio Investigational Site

Winchester, , United Kingdom

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Countries

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Australia Canada Czechia France Germany Poland Spain United Kingdom

References

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Bongartz T, Sutton AJ, Sweeting MJ, Buchan I, Matteson EL, Montori V. Anti-TNF antibody therapy in rheumatoid arthritis and the risk of serious infections and malignancies: systematic review and meta-analysis of rare harmful effects in randomized controlled trials. JAMA. 2006 May 17;295(19):2275-85. doi: 10.1001/jama.295.19.2275.

Reference Type BACKGROUND
PMID: 16705109 (View on PubMed)

Chance SA, Clover L, Cousijn H, Currah L, Pettingill R, Esiri MM. Microanatomical correlates of cognitive ability and decline: normal ageing, MCI, and Alzheimer's disease. Cereb Cortex. 2011 Aug;21(8):1870-8. doi: 10.1093/cercor/bhq264. Epub 2011 Jan 14.

Reference Type BACKGROUND
PMID: 21239393 (View on PubMed)

Chou RC, Kane M, Ghimire S, Gautam S, Gui J. Treatment for Rheumatoid Arthritis and Risk of Alzheimer's Disease: A Nested Case-Control Analysis. CNS Drugs. 2016 Nov;30(11):1111-1120. doi: 10.1007/s40263-016-0374-z.

Reference Type BACKGROUND
PMID: 27470609 (View on PubMed)

Clark I, Atwood C, Bowen R, Paz-Filho G, Vissel B. Tumor necrosis factor-induced cerebral insulin resistance in Alzheimer's disease links numerous treatment rationales. Pharmacol Rev. 2012 Oct;64(4):1004-26. doi: 10.1124/pr.112.005850. Epub 2012 Sep 10.

Reference Type BACKGROUND
PMID: 22966039 (View on PubMed)

Related Links

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https://www.alz.org/alzheimers-dementia/facts-figures

Alzheimer's Association annual report releasing statistics regarding Alzheimer's disease

Other Identifiers

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XPro1595-AD-02

Identifier Type: -

Identifier Source: org_study_id

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