A Study to Evaluate Safety, Tolerability, and Efficacy of BAN2401 in Subjects With Early Alzheimer's Disease



Status:Active, not recruiting
Conditions:Alzheimer Disease
Therapuetic Areas:Neurology
Healthy:No
Age Range:50 - 90
Updated:4/4/2019
Start Date:December 20, 2012
End Date:August 2021

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A Placebo-Controlled, Double-Blind, Parallel-Group, Bayesian Adaptive Randomization Design and Dose Regimen-finding Study With an Open-Label Extension Phase to Evaluate Safety, Tolerability and Efficacy of BAN2401 in Subjects With Early Alzheimer's Disease

This is a multinational, multicenter, double-blind, placebo-controlled, parallel-group study
using a Bayesian design with response adaptive randomization across placebo or 5 active arms
of BAN2401 to determine clinical efficacy and to explore the dose response of BAN2401 using a
composite clinical score (ADCOMS). BAN2401-G000-201 Core study is an 18-month study in which
3 dose levels (2.5, 5, and 10 mg/kg) are given biweekly (once every 2 weeks) to separate
groups of participants and 2 dose levels (5 and 10 mg/kg) are given monthly (once every 4
weeks) to separate groups of participants. Participants will be from 2 clinical subgroups:
mild cognitive impairment (MCI) due to Alzheimer's disease (AD) or mild Alzheimer's disease
dementia. Frequent interim analyses will be conducted to continually update randomization
allocation on the basis of the primary clinical endpoint. Any participant who completes the
study treatment (Visit 42 [Week 79] of the Core study) or discontinues the Core Study will be
eligible to participate in the Extension Phase, provided they meet the Extension Phase
inclusion and exclusion criteria. Participants will receive 10 mg/kg biweekly for up to 24
months or until the drug is commercially available in the country, where the subject resides,
or until the benefit-to-risk ratio from treatment with BAN2401 is no longer considered
favorable, whichever comes first. The Follow-up Visit in the Extension Phase will take place
3 months after the last dose of study drug.


Key Inclusion Criteria (Core Study) for Mild Cognitive Impairment due to Alzheimer's
Disease

- Intermediate likelihood:

1. Subjects who meet the National Institute of Aging - Alzheimer's Association (NIA-AA)
core clinical criteria for mild cognitive impairment due to Alzheimer's disease -
intermediate likelihood

2. Subjects who have a CDR score of 0.5 and a Memory Box score of 0.5 or greater at
Screening and Baseline

3. Subjects who report a history of subjective memory decline with gradual onset and slow
progression over the last one year before Screening; MUST be corroborated by an
informant

Key Inclusion Criteria (Core Study) for Mild Alzheimer's Disease Dementia:

1. Subjects who meet the NIA-AA core clinical criteria for probable Alzheimer's disease
dementia

2. Subjects who have a CDR score of 0.5-1.0 and a Memory Box score of 0.5 or greater at
Screening and Baseline

Inclusion Criteria (Core Study) that must be met by all subjects:

1. Subjects with objective impairment in episodic memory as indicated by at least 1
standard deviation below age-adjusted mean in the Wechsler Memory Scale - IV Logical
Memory II (WMS-IV LMII):

1. Less than or equal to 15 for age 50 to 64 years

2. Less than or equal to 12 for age 65 to 69 years

3. Less than or equal to 11 for age 70 to 74 years

4. Less than or equal to 9 for age 75 to 79 years

5. Less than or equal to 7 for age 80 to 90 years

2. Positive amyloid load as indicated by PET or CSF assessment

1. PET assessment of imaging agent uptake into brain

2. CSF assessment of Aβ(1-42)

3. Age between 50 and 90 years, inclusive

4. Mini Mental State Examination (MMSE) score equal to or greater than 22, and equal to
or less than 30, at Screening and Baseline

5. Body Mass Index (BMI) greater than 17 and less than 35 at Screening or Baseline

6. Females must not be lactating or pregnant at Screening or Baseline (as documented by a
negative beta-human chorionic gonadotropin assay [ß-hCG]). A separate baseline
assessment is required if a negative screening pregnancy test was obtained more than
72 hours before the first dose of study drug.

7. Subjects on acetylcholinesterase inhibitor or memantine therapy or both for AD must be
on a stable dose for at least 12 weeks prior to Baseline. Treatment naive subjects can
be entered into the study. Unless otherwise stated, subjects must have been on stable
doses of all other permitted concomitant medications (ie, non-AD related) for at least
4 weeks prior to Baseline.

8. Subjects must have identified caregivers/informants

9. Subjects must provide written informed consent

Key Exclusion Criteria (Core study):

1. Any neurological condition that may be contributing to cognitive impairment above and
beyond that caused by the subject's AD

2. History of transient ischemic attacks (TIA), stroke, or seizures within 12 months of
Screening

3. Any psychiatric diagnosis or symptoms, (e.g., hallucinations, major depression, or
delusions) that could interfere with study procedures in the subject

4. Geriatric Depression Scale (GDS) score ≥8 at Screening

5. 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 MR scanners

6. Evidence of other clinically significant lesions that could indicate a dementia
diagnosis other than AD on brain MRI at Screening, or other significant pathological
findings on brain MRI at Screening

7. A prolonged QT/QTc interval (QTc greater than 450 ms) as demonstrated by a repeated
electrocardiogram (ECG)

8. Certain other specified medical conditions

9. Severe visual or hearing impairment that would prevent the subject from performing
psychometric tests accurately

Inclusion Criteria (Extension Phase):

1. Subjects who have completed Visit 42 (Week 79) of the Core Study or who discontinued
study drug during the Core Study due to any of the following reasons:

1. Alzheimer's Related Imaging Abnormality-Edema (ARIA-E)

2. Amyloid related imaging abnormality hemorrhage (ARIA-H) (superficial siderosis,
macrohemorrhage, or symptomatic microhemorrhage)

3. Prohibited or restricted medications that were prohibited during Core Study
conduct but are no longer prohibited in the Extension Phase

4. Subjects who were APOE4 positive and receiving treatment with BAN2401 10 mg/kg
biweekly

5. Any reason for discontinuation not related to prohibited medications, including
any AE that was considered not related to study drug, and that was not severe or
life-threatening

2. Must continue to have an identified caregiver or informant who is willing and able to
provide follow-up information on the subject throughout the course of the Extension
Phase

3. Provide written informed consent. If a subject lacks capacity to consent in the
investigator's opinion, the subject's assent should be obtained, if required in
accordance with local laws, regulations and customs, plus the written informed consent
of a legal representative should be obtained (capacity to consent and definition of
legal representative should be determined in accordance with applicable local laws and
regulations).

4. Must be able to physically attend clinic visits and be willing and able to comply with
all aspects of the protocol

Exclusion Criteria (Extension Phase):

1. Subjects who discontinued from the study drug or from the the Core Study for reasons
other than the following:

1. ARIA-E

2. ARIA-H (superficial siderosis, macrohemorrhage, or symptomatic microhemorrhage)

3. Prohibited or restricted medications that were prohibited during Core Study
conduct but are no longer prohibited in the Extension Phase

4. Subjects who were APOE4 positive and receiving treatment with BAN2401 10 mg/kg
biweekly

5. AE that was considered not related to study drug, and that was not severe or
life-threatening

2. Are currently abstinent, and do not agree to use a double-barrier method (as described
above) or refrain from becoming sexually active during the study period or for 28 days
after study drug discontinuation.

3. Severe visual or hearing impairment that would prevent the subject from performing
psychometric tests accurately.
We found this trial at
92
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1 Center Road
Amherst, New York 14068
1063
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Abington, Pennsylvania
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Albany, New York 12204
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2750 South State Street
Ann Arbor, Michigan 48104
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1201 Peachtree Street Northwest
Atlanta, Georgia 30309
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2 Peachtree Center Avenue Northeast
Atlanta, Georgia 30303
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5301 South Congress Avenue
Atlantis, Florida 33462
1287
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1301 East Dean Keeton Street
Austin, Texas 78722
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1 Center Street
Bennington, Vermont 05201
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235 Inverness Center Drive
Birmingham, Alabama 35242
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Boca Raton, Florida 33431
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Boca Raton, Florida 33486
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1 Center Plaza
Boston, Massachusetts 02108
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99 Chauncy Street
Boston, Massachusetts 02111
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1 Center Circle Drive
Bradenton, Florida 34207
1134
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1 Center Street
Burlington, Massachusetts 01803
1438
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17044 Montanero Avenue
Carson, California 90746
1173
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1 Elizabeth Place
Centerville, Ohio 45408
746
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301 South College Street
Charlotte, North Carolina 28202
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6840 North Sacramento Avenue
Chicago, Illinois 60645
611
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1 Braddock Court
Columbus, Georgia 31907
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350 North Saint Paul Street
Dallas, Texas 75201
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1253 Round Table Drive
Dallas, Texas 75247
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1 ⛉ West Court Square
Decatur, Georgia 30030
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1645 Southwest 45th Way
Deerfield Beach, Florida 33442
1298
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5859 Heritage Park Way
Delray Beach, Florida 33484
1292
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1 East Center Avenue
Denver, Colorado 80209
408
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7868 Old State Highway 78
East Lansing, Michigan 48823
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1 Evergreen Drive
East Providence, Rhode Island 02914
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Eatontown, New Jersey 07724
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684
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30415 Shiawassee Street
Farmington Hills, Michigan 48336
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7600 Alico Road
Fort Myers, Florida 33912
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Hallandale Beach, Florida 33021
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3553 West 76th Street
Hialeah, Florida 33018
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Houston, Texas 77010
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Indianapolis, Indiana 46204
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Jenkintown, Pennsylvania 19046
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Knoxville, Tennessee 37996
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4343 10th Avenue North
Lake Worth, Florida 33461
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1609 Lake Lansing Road
Lansing, Michigan 48912
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2 Northway Lane
Latham, New York 12110
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Leesburg, Florida 34748
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1 Center Way
Lomita, California 90503
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Long Beach, California 90815
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Los Alamitos, California
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Los Angeles, California 90045
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Los Angeles, California 90291
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1250 Southwest 108th Avenue
Miami, Florida 33174
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701 Northwest 57th Avenue
Miami, Florida 33126
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Miami, Florida 33167
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201 Curtiss Parkway
Miami Springs, Florida 33166
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4637 North 24th Place
Milwaukee, Wisconsin 53209
636
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Naples, Florida 34102
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New Haven, Connecticut 06510
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1 Center Drive
New York, New York 11357
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New York, New York 10065
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Newton, Massachusetts 02472
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310 Northeast 25th Avenue
Ocala, Florida 34470
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1 Greenfield Center Drive
Oklahoma City, Oklahoma 73127
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2 Greenfield Center Drive
Oklahoma City, Oklahoma 73127
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265 1/2 South Center Street
Orange, California 92866
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315 East Robinson Street
Orlando, Florida 32801
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Oxnard, California
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4404 Burns Road
Palm Beach Gardens, Florida 33410
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455 North 3rd Street
Phoenix, Arizona 85004
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1 North Center Court Street
Portland, Oregon 97227
1383
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Portland, Oregon 97229
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1201 Broad Rock Boulevard
Richmond, Virginia 23224
1111
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1 Center Place Drive
Rochester, New York 14615
1120
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Rochester, New York 14610
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1 South County Center Way
Saint Louis, Missouri 63129
410
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100 2nd Avenue North
Saint Petersburg, Florida 33701
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1 Heartland Drive
San Antonio, Texas 78247
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17720 Corporate Woods Drive
San Antonio, Texas 78259
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218 South Laredo Street
San Antonio, Texas 78207
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San Diego, California 92126
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Sunrise, Florida 33351
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3122 West Sligh Avenue
Tampa, Florida 33614
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3606 Pendola Point Road
Tampa, Florida 33619
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Tampa, Florida 33602
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2478 Burnsed Boulevard
The Villages, Florida 32163
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Toms River, New Jersey 08753
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685 West Roller Coaster Road
Tucson, Arizona 85704
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West Bloomfield, Michigan 48322
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1 East Wichita Drive
Wichita, Kansas 67219
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