A Dose-ranging Study to Investigate Efficacy of Buntanetap in Mild to Moderate AD
NCT ID: NCT05686044
Last Updated: 2025-04-29
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE2/PHASE3
351 participants
INTERVENTIONAL
2023-04-01
2024-02-13
Brief Summary
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Study details include:
The double-blind treatment duration will include a screening period of up to 42 days followed by 12 weeks of treatment at home.
The study duration will be 4-5 months. There will be 4 in-clinic visits and 1 phone call.
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Detailed Description
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The study will be a 12-weeks, placebo-controlled and double-blind trial: participants, investigators and the sponsor will be blinded to the participants' treatment.
Qualified participants will be randomly assigned at a 1:1:1:1 ratio to one of the four treatment arms: buntanetap/Posiphen 7.5 mg, buntanetap/Posiphen 15 mg, buntanetap/Posiphen 30mg, and placebo, through an Interactive Randomization System, after a screening period of up to 42 days.
ADAS-Cog 11, ADCS-CGIC, ADCS-ADL, DSST, and MMSE will be assessed by clinicians who have successfully completed the requisite certifications/trainings for each assessment.
One interim analysis is planned. It will take place when 90 enrolled subjects (\~30%) have completed the Week 6 assessments to re-assess the sample size. No interim analyses are planned for the purpose of stopping the study early for futility.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Study Groups
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7.5mg Buntanetap/Posiphen
Buntanetap/Posiphen 7.5mg oral capsule with daily administration for a period of 12 weeks
Buntanetap/Posiphen
HPMC (vegetarian source) capsule shells
15mg Buntanetap/Posiphen
Buntanetap/Posiphen 15mg oral capsule with daily administration for a period of 12 weeks
Buntanetap/Posiphen
HPMC (vegetarian source) capsule shells
30mg Buntanetap/Posiphen
Buntanetap/Posiphen 30mg oral capsule with daily administration for a period of 12 weeks
Buntanetap/Posiphen
HPMC (vegetarian source) capsule shells
Placebo
Placebo oral capsule with daily administration for a period of 12 weeks
Placebo
HPMC (vegetarian source) capsule shells
Interventions
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Buntanetap/Posiphen
HPMC (vegetarian source) capsule shells
Placebo
HPMC (vegetarian source) capsule shells
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2. Male or female aged 55 - 85 years.
3. MMSE 14-24.
4. Have a study partner who will provide written informed consent to participate, is in frequent contact with the participant (defined as at least 10 hours per week) and will accompany the participant to study visits at designated times.
5. Female participants of childbearing potential\* must have a negative urine pregnancy test at Screening, must be non-lactating and must agree to use a highly effective method of contraception (i.e., a method resulting in a failure rate of less than 1% per year when used consistently and correctly) during the trial and for 4 weeks after the last dose of trial treatment, such as:
* Oral, intravaginal, or transdermal combined (estrogen plus progestogen) hormonal contraception associated with inhibition of ovulation
* Oral, injectable, or implantable progestogen-only hormonal contraception associated with inhibition of ovulation
* Intrauterine device (IUD)
* Intrauterine hormone-releasing system (IUS)
* Bilateral tubal occlusion
* Vasectomized partner (a vasectomized partner is a highly effective contraception method provided that the partner is the sole male sexual partner of the participant, and the absence of sperm has been confirmed. If not, an additional highly effective method of contraception should be used)
* Sexual abstinence (sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatment. The reliability of sexual abstinence needs to be in relation to the duration of the study and the preferred and usual lifestyle of the participant) \*Non-childbearing potential includes surgically sterilized or postmenopausal with no menstrual bleeding for at least one year prior to study start.
6. Male participants must be sterile or sexually inactive or agree not to father a child during the study and one month after the last dose of study medication and must agree to use a barrier method for contraception. Female partners of male subject must adopt a highly effective method of contraception with a failure rate of less than 1% per year when used consistently and correctly such as:
* Oral, intravaginal, or transdermal combined (estrogen plus progestogen) hormonal contraception associated with inhibition of ovulation
* Oral, injectable, or implantable progestogen-only hormonal contraception associated with inhibition of ovulation
* Intrauterine device (IUD)
* Intrauterine hormone-releasing system (IUS)
* Bilateral tubal occlusion
7. Participants can provide written informed consent. If PI deems that participant cannot fully understand the consent form to give consent, their legally authorized representative (LARs) can provide written informed consent. Participants can comply with scheduled visits, and other study-related procedures to complete the study with the help of the study partner.
8. No evidence of current suicidal ideation or previous suicide attempt in the past 2 months as evaluated in the Columbia Suicide Severity Rating Scale nor suicidal behavior in the past 6 months as per investigator.
9. Stability of permitted medications for at least 4 weeks prior to screening.
1. Cholinesterase inhibitors and/or memantine medication
2. Anticonvulsant medications used for epilepsy or mood stabilization, neuropathic pain indications.
3. Mood-stabilizing psychotropic agents, including, but not limited to, lithium.
10. Adequate visual and hearing ability (physical ability to perform all the study assessments) as per investigator.
11. Good general health with no disease expected to interfere with the study as per investigator.
Exclusion Criteria
2. Has non-AD dementia, such as vascular dementia, Lewy body dementia, frontotemporal disease, Parkinson disease dementia, B12 and thyroid deficiency caused dementia.
3. History of a seizure disorder, if stable on medication is acceptable.
4. Has a history or current evidence of long QT syndrome, Fridericia's formula corrected QT (QTcF) interval ≥ 450 ms for men and 460 ms for women, or torsades de pointes.
5. Has bradycardia (\<50 bpm) or tachycardia (\>100 bpm) on the ECG at screening.
6. Has uncontrolled Type-1 or Type-2 diabetes. A subject with HbA1c levels up to 7.5% can be enrolled if the investigator believes the subject's diabetes is under control.
7. Has clinically significant renal (CKD-EPI with normal \<60 mL/min/BSA (body surface area) or hepatic impairment (ALP \> 2.0 ULN and/or total bilirubin \> 2.0 ULN) .
8. Has any clinically significant abnormal laboratory values. Participants with liver function tests (aspartate aminotransferase \[AST\] or alanine aminotransferase \[ALT\]) greater than twice the upper limit of normal will be excluded.
9. Is at imminent risk of self-harm, based on clinical interview and responses on the C SSRS, or of harm to others in the opinion of the Investigators. Participants must be excluded if they report suicidal ideation with intent, with or without a plan or method (e. g. positive response to Items 4 or 5 in assessment of suicidal ideation on the C SSRS) in the past 2 months, or suicidal behavior in the past 6 months.
10. Has cancer or has had a malignant tumor within the past year, except participants who underwent potentially curative therapy with no evidence of recurrence. (Participants with stable untreated prostate cancer or skin cancers are not excluded).
11. Alcohol / Substance use disorder, moderate to severe, in the last 5 years according to the most current version DSM.
12. Participation in another clinical trial with an investigational agent and have taken at least one dose of study medication, unless unblinded on placebo, within 4 weeks prior to the start of screening, or five half-lives of the investigational drug, whichever is greater.
The end of a previous investigational trial is the date the last dose of an investigational agent was taken.
13. Participants with learning disability or developmental delay.
14. Participants whom the site PI deems to be otherwise ineligible.
15. Participants with a known allergy to the investigational drug or any of its components. Here are all the inactive ingredients of the investigational medicinal product:
* Silicified Microcrystalline Cellulose
* Dibasic Calcium Phosphate Dihydrate
* Mannitol
* Magnesium Stearate
* Hypromellose (capsule shells structure)
* titanium dioxide (opacifier of the capsule shells)
16. Subject is currently pregnant, breast-feeding and/or lactating.
17. Subject is currently taking strong and moderate CYP3A4 inhibitors and/or inducers. (e.g., CYP3A4 inhibitors Itraconazole, Ketoconazole, Azamulin, Troleandomycin, Verapamil; CYP3A4 inducers Rifampicin)
55 Years
85 Years
ALL
No
Sponsors
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Annovis Bio Inc.
INDUSTRY
Responsible Party
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Locations
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CCT Research - Gilbert Neurology Partners
Gilbert, Arizona, United States
CCT Research - Foothills Center
Phoenix, Arizona, United States
The Belinga Clinic
Fort Smith, Arkansas, United States
Sun Valley Research Center
Imperial, California, United States
CenExel Clinical Clinical Research, Inc
Los Alamitos, California, United States
Cenexel Rocky Mountain Clinical Research
Englewood, Colorado, United States
Ki Health Partners LLC D/B/A New England Institute for Clinical Research
Stamford, Connecticut, United States
Visionary Investigators Network
Aventura, Florida, United States
K2 Medical Research
Clermont, Florida, United States
The Neurology Institute - Coral Springs
Coral Springs, Florida, United States
JY Research Inst.
Cutler Bay, Florida, United States
Arrow Clinical trial
Daytona Beach, Florida, United States
Accel Research Sites - DeLand Clinical Research Unit
DeLand, Florida, United States
New Life Medical Research Center
Hialeah, Florida, United States
CenExel RCA
Hollywood, Florida, United States
Coral Clinic Reserach LLC
Homestead, Florida, United States
Charter Research
Lady Lake, Florida, United States
ClinCloud, LLC
Maitland, Florida, United States
K2 Medical Research
Maitland, Florida, United States
Merritt Island Clinical Research LLC
Merritt Island, Florida, United States
Premier Clinical Research Institute, Inc
Miami, Florida, United States
Gold Coast Health Research, LLC
Miami, Florida, United States
Medical Professional Clinical Research Center, Inc
Miami, Florida, United States
Reliant Medical Research
Miami, Florida, United States
Ezy Medical Research Co.
Miami, Florida, United States
Nuovida Research Center
Miami, Florida, United States
Renstar Medical Research
Ocala, Florida, United States
Visionary Investigators Network
Pembroke Pines, Florida, United States
Napa Research
Pompano Beach, Florida, United States
K2 Medical Research
Tampa, Florida, United States
K2 Summit Research
The Villages, Florida, United States
ClinCloud, LLC
Viera, Florida, United States
Conquest Research, LLC
Winter Park, Florida, United States
Charter Research
Winter Park, Florida, United States
CenExel iResearch, LLC
Decatur, Georgia, United States
Center for Advanced Research & Education
Gainesville, Georgia, United States
Hawaii Pacific Neuroscience, LLC
Honolulu, Hawaii, United States
Southern Illinois University School of Medicine
Springfield, Illinois, United States
Josephson Wallack Munshower Neurology, P.C.
Indianapolis, Indiana, United States
Northern Light Acadia Hospital
Bangor, Maine, United States
MedVadis Research
Waltham, Massachusetts, United States
Quest Research Institue
Farmington Hills, Michigan, United States
Insight Research Institute
Flint, Michigan, United States
Hassman Research Institute
Berlin, New Jersey, United States
CenExel Clinical Research, Inc
Toms River, New Jersey, United States
Velocity Clinical Research
Syracuse, New York, United States
SUNY Upstate Medical University
Syracuse, New York, United States
Duke University
Durham, North Carolina, United States
Neuroscience Centre (CINAC)
Canton, Ohio, United States
Dayton Center for Neurological Disorders, Inc
Centerville, Ohio, United States
NeuroCare Plus
Houston, Texas, United States
Be Well Clinical Studies, LLC
Round Rock, Texas, United States
Central Texas Neurology Consultants
Round Rock, Texas, United States
Inland Northwest Research
Spokane, Washington, United States
Countries
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Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Other Identifiers
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ANVS -22002
Identifier Type: -
Identifier Source: org_study_id
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