A Dose-ranging Study to Investigate Efficacy of Buntanetap in Mild to Moderate AD

NCT ID: NCT05686044

Last Updated: 2025-04-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

351 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-01

Study Completion Date

2024-02-13

Brief Summary

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The purpose of this study is to measure efficacy and safety of three different doses of buntanetap/Posiphen compared with placebo in participants with mild to moderate Alzheimer's disease.

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.

Detailed Description

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320 mild to moderate AD participants will be randomized to 7.5 mg, 15 mg, 30mg of buntanetap/Posiphen once daily (QD) or placebo. If they provide informed consent, they will undergo a Screening Visit, and if they are considered eligible per the inclusion and exclusion criteria, they will proceed to participate in the treatment period. Randomized participants will visit the clinic for the first-time dosing in clinic, followed by an at home dosing period of 12 weeks, with daily administration of 7.5 mg, 15 mg or 30 mg of buntanetap/Posiphen or placebo. Participants will be required to visit clinics Day 0 (baseline), 6 weeks, and 12 weeks (end-of-trial), where they will undergo study procedures that include safety assessments (AE and concomitant medication monitoring, 12-lead ECGs, clinical laboratory testing, vital signs assessments, and physical examinations) and psychometric tests (Alzheimer's Disease Assessment Scale-Cognitive Subscale 11 (ADAS-Cog11), Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change (ADCS-CGIC), Alzheimer's Disease Cooperative Study-Instrumental Activities of Daily Living Scale (ADCS-ADL), Digital Symbol Substitution Test (DSST), Mini Mental State Examination (MMSE)). At the end of blood sampling, the participants will need to stay for a minimum of 1 hour of observation. After all end-of-study procedures are complete, the subject will be discharged to home. A 24-hour follow-up call will occur after all clinical visits to assess the participants current condition and if there are any additional adverse events or questions.

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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Alzheimer Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

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

Group Type EXPERIMENTAL

Buntanetap/Posiphen

Intervention Type DRUG

HPMC (vegetarian source) capsule shells

15mg Buntanetap/Posiphen

Buntanetap/Posiphen 15mg oral capsule with daily administration for a period of 12 weeks

Group Type EXPERIMENTAL

Buntanetap/Posiphen

Intervention Type DRUG

HPMC (vegetarian source) capsule shells

30mg Buntanetap/Posiphen

Buntanetap/Posiphen 30mg oral capsule with daily administration for a period of 12 weeks

Group Type EXPERIMENTAL

Buntanetap/Posiphen

Intervention Type DRUG

HPMC (vegetarian source) capsule shells

Placebo

Placebo oral capsule with daily administration for a period of 12 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

HPMC (vegetarian source) capsule shells

Interventions

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Buntanetap/Posiphen

HPMC (vegetarian source) capsule shells

Intervention Type DRUG

Placebo

HPMC (vegetarian source) capsule shells

Intervention Type DRUG

Other Intervention Names

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Posiphen Tartrate

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of Alzheimer's disease according to National Institute on Aging and National Institute on Aging and Alzheimer's Association criteria for probable AD
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

1. Has a history of a psychiatric disorder such as schizophrenia, bipolar disorder or major depression according to the criteria of the most current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM). Mild depression or history of depression that is stable on treatment with a selective serotonin reuptake inhibitor (SSRI) or selective norepinephrine reuptake inhibitor (SNRI) medication at a stable dose is acceptable.
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)
Minimum Eligible Age

55 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Annovis Bio Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CCT Research - Gilbert Neurology Partners

Gilbert, Arizona, United States

Site Status

CCT Research - Foothills Center

Phoenix, Arizona, United States

Site Status

The Belinga Clinic

Fort Smith, Arkansas, United States

Site Status

Sun Valley Research Center

Imperial, California, United States

Site Status

CenExel Clinical Clinical Research, Inc

Los Alamitos, California, United States

Site Status

Cenexel Rocky Mountain Clinical Research

Englewood, Colorado, United States

Site Status

Ki Health Partners LLC D/B/A New England Institute for Clinical Research

Stamford, Connecticut, United States

Site Status

Visionary Investigators Network

Aventura, Florida, United States

Site Status

K2 Medical Research

Clermont, Florida, United States

Site Status

The Neurology Institute - Coral Springs

Coral Springs, Florida, United States

Site Status

JY Research Inst.

Cutler Bay, Florida, United States

Site Status

Arrow Clinical trial

Daytona Beach, Florida, United States

Site Status

Accel Research Sites - DeLand Clinical Research Unit

DeLand, Florida, United States

Site Status

New Life Medical Research Center

Hialeah, Florida, United States

Site Status

CenExel RCA

Hollywood, Florida, United States

Site Status

Coral Clinic Reserach LLC

Homestead, Florida, United States

Site Status

Charter Research

Lady Lake, Florida, United States

Site Status

ClinCloud, LLC

Maitland, Florida, United States

Site Status

K2 Medical Research

Maitland, Florida, United States

Site Status

Merritt Island Clinical Research LLC

Merritt Island, Florida, United States

Site Status

Premier Clinical Research Institute, Inc

Miami, Florida, United States

Site Status

Gold Coast Health Research, LLC

Miami, Florida, United States

Site Status

Medical Professional Clinical Research Center, Inc

Miami, Florida, United States

Site Status

Reliant Medical Research

Miami, Florida, United States

Site Status

Ezy Medical Research Co.

Miami, Florida, United States

Site Status

Nuovida Research Center

Miami, Florida, United States

Site Status

Renstar Medical Research

Ocala, Florida, United States

Site Status

Visionary Investigators Network

Pembroke Pines, Florida, United States

Site Status

Napa Research

Pompano Beach, Florida, United States

Site Status

K2 Medical Research

Tampa, Florida, United States

Site Status

K2 Summit Research

The Villages, Florida, United States

Site Status

ClinCloud, LLC

Viera, Florida, United States

Site Status

Conquest Research, LLC

Winter Park, Florida, United States

Site Status

Charter Research

Winter Park, Florida, United States

Site Status

CenExel iResearch, LLC

Decatur, Georgia, United States

Site Status

Center for Advanced Research & Education

Gainesville, Georgia, United States

Site Status

Hawaii Pacific Neuroscience, LLC

Honolulu, Hawaii, United States

Site Status

Southern Illinois University School of Medicine

Springfield, Illinois, United States

Site Status

Josephson Wallack Munshower Neurology, P.C.

Indianapolis, Indiana, United States

Site Status

Northern Light Acadia Hospital

Bangor, Maine, United States

Site Status

MedVadis Research

Waltham, Massachusetts, United States

Site Status

Quest Research Institue

Farmington Hills, Michigan, United States

Site Status

Insight Research Institute

Flint, Michigan, United States

Site Status

Hassman Research Institute

Berlin, New Jersey, United States

Site Status

CenExel Clinical Research, Inc

Toms River, New Jersey, United States

Site Status

Velocity Clinical Research

Syracuse, New York, United States

Site Status

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

Neuroscience Centre (CINAC)

Canton, Ohio, United States

Site Status

Dayton Center for Neurological Disorders, Inc

Centerville, Ohio, United States

Site Status

NeuroCare Plus

Houston, Texas, United States

Site Status

Be Well Clinical Studies, LLC

Round Rock, Texas, United States

Site Status

Central Texas Neurology Consultants

Round Rock, Texas, United States

Site Status

Inland Northwest Research

Spokane, Washington, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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ANVS -22002

Identifier Type: -

Identifier Source: org_study_id

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