Alzheimer's Plasma Extension

NCT ID: NCT06416072

Last Updated: 2025-06-10

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

ACTIVE_NOT_RECRUITING

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-09-21

Study Completion Date

2028-06-30

Brief Summary

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The APEX study is a multicenter, observational study designed to capture longitudinal follow-up of plasma biomarkers and cognitive and functional assessments on individuals who screen failed in the AHEAD study over approximately 4 years.

Approximately 1000 participants will be enrolled across three groups:

* Group A: Approximately 500 participants who are discordant on screening (plasma positive / Positron Emission Tomography (PET) negative),
* Group B: Approximately 250 participants who are concordant on screening (plasma negative / PET negative), and
* Group C: Approximately 250 participants selected from the individuals who previously screen failed prior to PET for the AHEAD study with oversampling of racial and ethnic populations underrepresented in Alzheimer's disease (AD) clinical trials.

Primary Objectives:

* Collect longitudinal cognitive and functional assessments and blood-based biomarker data
* Evaluate, characterize, and compare the longitudinal cognitive and functional data between the three groups of participants
* Compare longitudinal change across race and ethnicity, sex, and Apolipoprotein E (ApoE) status

Exploratory Objectives:

• Collect baseline amyloid PET on participants without prior amyloid PET data (Group C)

Detailed Description

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Conditions

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Preclinical Alzheimer's Disease Early Preclinical Alzheimer's Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Group A

Approximately 500 participants who screen failed from the AHEAD study that were plasma positive / PET negative

No interventions assigned to this group

Group B

Approximately 250 participants who screen failed from the AHEAD study that were plasma negative / PET negative

No interventions assigned to this group

Group C

Approximately 250 participants who screen failed prior to PET imaging will undergo amyloid PET imaging with NAV4694 injection.

NAV4694

Intervention Type RADIATION

Amyloid PET imaging with NAV4694 injection

Interventions

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NAV4694

Amyloid PET imaging with NAV4694 injection

Intervention Type RADIATION

Other Intervention Names

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[18F]NAV4694

Eligibility Criteria

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Inclusion Criteria

1. Documentation of the participant's informed consent to study procedures and for the use of protected health information (HIPAA Authorization, if applicable). Informed consent processes and documentation must adhere to state laws/local requirements, including consent provided by the participant's legally authorized representative (LAR), responsible next of kin, surrogate consent with assent, etc.
2. Previously consented to participate in A3-45 screening.
3. Has A3-45 screening plasma biomarker results required for determining eligibility to participate in the A3-45 trial.
4. If an amyloid PET scan was conducted in A3-45, the scan was determined to be below the 20 centiloid cutpoint required for eligibility into the treatment arms of the A3 or A45 trial.
5. As assessed by the site PI, participant is likely to be able to comply with the protocol, including completion of all required procedures for the duration of the study, and has adequate vision, hearing (hearing aid permitted), and literacy in English or Spanish sufficient for compliance with required testing procedures.

Exclusion Criteria

1. Current treatment with an FDA approved medication for Alzheimer's disease, including prior or current treatment with a prohibited medication.
2. Enrollment in another investigational study, or intake of investigational drug, within 30 days prior to screening, or five half-lives of the investigational drug, whichever is longer, unless it can be documented that the participant was in the placebo treatment arm.

Participants enrolled in other observational studies may be permitted with Medical Monitor review and approval.
3. Screen failed from A3-45 due to not meeting basic inclusion criterion (i.e., age requirement; current diagnosis of AD dementia).
Minimum Eligible Age

55 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Alzheimer's Clinical Trials Consortium (ACTC)

UNKNOWN

Sponsor Role collaborator

Alzheimer's Therapeutic Research Institute

OTHER

Sponsor Role collaborator

Alzheimer's Association

OTHER

Sponsor Role collaborator

University of Southern California

OTHER

Sponsor Role lead

Responsible Party

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Paul S. Aisen

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Paul Aisen, MD

Role: STUDY_DIRECTOR

University of Southern California (USC) Alzheimer's Therapeutic Research Institute (ATRI)

Reisa Sperling, MD

Role: STUDY_DIRECTOR

Brigham and Women's Hospital and Massachusetts General Hospital

Locations

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University of Alabama, Birmingham

Birmingham, Alabama, United States

Site Status

Banner Alzheimer's Institute

Phoenix, Arizona, United States

Site Status

Banner Sun Health Research Institute

Sun City, Arizona, United States

Site Status

University of California, Irvine

Irvine, California, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

Stanford University

Palo Alto, California, United States

Site Status

Sharp Neurocognitive Research Center

San Diego, California, United States

Site Status

University of California, San Francisco

San Francisco, California, United States

Site Status

University of California, Davis

Walnut Creek, California, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Georgetown University

Washington D.C., District of Columbia, United States

Site Status

Howard University

Washington D.C., District of Columbia, United States

Site Status

Brain Matters Research

Delray Beach, Florida, United States

Site Status

Mayo Clinic, Jacksonville

Jacksonville, Florida, United States

Site Status

K2 Medical Research - The Villages

Lady Lake, Florida, United States

Site Status

K2 Medical Research, LLC

Maitland, Florida, United States

Site Status

Gonzalez MD & Aswad MD Health Services

Miami, Florida, United States

Site Status

Wien Center for Clinical Research

Miami Beach, Florida, United States

Site Status

Charter Research

Orlando, Florida, United States

Site Status

University of South Florida - Health Byrd Alzheimer Institute

Tampa, Florida, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

Indiana University

Indianapolis, Indiana, United States

Site Status

University of Kansas

Fairway, Kansas, United States

Site Status

University of Kentucky

Lexington, Kentucky, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Boston University

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Headlands Eastern MA LLC

Plymouth, Massachusetts, United States

Site Status

University of Michigan, Ann Arbor

Ann Arbor, Michigan, United States

Site Status

Mayo Clinic, Rochester

Rochester, Minnesota, United States

Site Status

Washington University, St. Louis

St Louis, Missouri, United States

Site Status

Cleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas

Las Vegas, Nevada, United States

Site Status

Mount Sinai School of Medicine

New York, New York, United States

Site Status

Columbia University

New York, New York, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

Wake Forest University Health Sciences

Winston-Salem, North Carolina, United States

Site Status

Case Western Reserve University

Beachwood, Ohio, United States

Site Status

Cleveland Clinic Lou Ruvo Center for Brain Health, Ohio

Cleveland, Ohio, United States

Site Status

Ohio State University

Columbus, Ohio, United States

Site Status

Central States Research, LLC

Tulsa, Oklahoma, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh

Pittsburgh, Pennsylvania, United States

Site Status

Butler Hospital Memory and Aging Program

Providence, Rhode Island, United States

Site Status

Ralph H. Johnson VA Health Care System

Charleston, South Carolina, United States

Site Status

Vanderbilt University Medical Center Center for Cognitive Medicine

Nashville, Tennessee, United States

Site Status

University of Texas, Southwestern MC at Dallas

Dallas, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Houston Methodist Neurological Institute

Houston, Texas, United States

Site Status

University of Texas Health Science Center at San Antonio

San Antonio, Texas, United States

Site Status

Eastern Virginia Medical School at Old Dominion University

Norfolk, Virginia, United States

Site Status

National Clinical Research Inc.

Richmond, Virginia, United States

Site Status

University of Washington, Memory and Brain Wellness Center

Seattle, Washington, United States

Site Status

University of Wisconsin

Madison, Wisconsin, United States

Site Status

Countries

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United States

Related Links

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https://www.actcinfo.org/

Alzheimer's Clinical Trials Consortium

https://atri.usc.edu/

Alzheimer's Therapeutic Research Institute

Other Identifiers

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5R01AG054029

Identifier Type: NIH

Identifier Source: secondary_id

View Link

ATRI-013

Identifier Type: -

Identifier Source: org_study_id

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