A Trial to Evaluate the Efficacy and Safety of PQ912 in Patients With Early AD

Last updated: August 19, 2024
Sponsor: Vivoryon Therapeutics N.V.
Overall Status: Terminated

Phase

2

Condition

N/A

Treatment

PQ912

Placebo

Clinical Study ID

NCT03919162
PBD-01187
1R01AG061146-01
  • Ages 50-89
  • All Genders

Study Summary

This is a phase 2A multi-center, randomized, double blind, placebo-controlled, parallel group study of varoglutamstat, with a stage gate to phase 2B.

In phase 2A there will be adaptive dosing evaluation of three dose levels with exposure to varoglutamstat or placebo for a minimum of 24 weeks, with preliminary evaluation of both cognitive function and pharmacodynamic changes on EEG spectral analysis in approximately 180 participants.

In the event that the stage gate for phase 2B is reached, then phase 2B will assesses efficacy and longer-term safety in a larger study group, i.e., 414.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Age 50-89 (inclusive) at screening

  • Diagnosed as having Mild Cognitive Impairment (MCI) due to Alzheimer's disease (AD)or Mild probable AD according to workgroups of the Diagnostic Guidelines of theNational Institute on Aging and Alzheimer's Association (NIA-AA)

  • Mini-Mental State Examination (MMSE) score 20-30 inclusive at screening

  • Montreal Cognitive Assessment score (MoCA) < 26 at screening

  • Clinical Dementia Rating global score 0.5 or 1 with memory score of > 0.5 atscreening

  • Positive CSF AD biomarker signature

  • A brain MRI scan within 6 months of screening consistent with a diagnosis ofAlzheimer's disease

  • Participants must have a study partner who has frequent interaction with them (approximately >3-4 times per week), will be present for all clinic visits, and canassist in compliance with study procedures.

Exclusion

Key Exclusion Criteria:

  • • Significant neurodegenerative diseases and causes of dementia, other than AD,including Parkinson's disease and Huntington's disease, vascular dementia, CJD (Creutzfeldt-Jakob disease), LBD (Lewy Body dementia), PSP (Progressive SupranuclearPalsy), AIDS (Acquired Immunodeficiency Syndrome), or NPH (normal pressurehydrocephalus)

  • Meeting Diagnostic Criteria for Possible AD according to workgroups of theDiagnostic Guidelines of the NIA-AA

  • Hepatic impairment defined as Child-Pugh class A or more severe liver impairment

  • History of moderate or severe skin reactions to medications or current moderate orsevere disease of the skin and subcutaneous tissues

  • History of a major depressive episode within the past 6 months of screening

  • History of diagnosis of schizophrenia

  • History of uncontrolled bipolar disorder within past five years of screening

  • History of seizures within past two years of screening

  • Contraindication to lumbar puncture and MRI

  • Participation in another clinical trial for an investigational agent and havingtaken at least one dose of study drug, unless confirmed as having been on placebo,within 90 days prior to the baseline visit. The end of a previous investigationaltrial is defined as the date of the last dose of an investigational agent.

Study Design

Total Participants: 112
Treatment Group(s): 2
Primary Treatment: PQ912
Phase: 2
Study Start date:
November 15, 2021
Estimated Completion Date:
August 12, 2024

Study Description

The goal of this study is to advance a first-in-class, new small molecule treatment for early Alzheimer's disease (AD). Varoglutamstat (PQ912) is an oral, twice daily medication that addresses a novel and significantly differentiated amyloid target: N-terminal post-translationally modified Ab (pGlu-Ab), a particularly toxic subspecies of amyloid beta (Ab). This study will further evaluate whether varoglutamstat's mechanism of action can result in a measurable therapeutic effect on cognition, function and relevant pharmacodynamic and biological markers in early AD.

The study is a phase 2A multi-center, randomized, double-blind, parallel group trial, with a stage gate to phase 2B. Phase 2A will determine the highest dose that is both safe and well tolerated. During this phase, there is an adaptive dosing evaluation, using a well-defined safety stopping boundary, of three dose levels with exposure to varoglutamstat or placebo for a minimum of 24 weeks to help determine which dose will be carried forward in phase 2B. A sequential dose design will be employed in phase 2A where each of three dose cohorts are randomized equally to placebo or varoglutamstat and treated for at least 8 weeks at the originally assigned full dose. Participants will be randomized 1:1 to varoglutamstat or placebo, and stratified between mild AD and MCI, as well as by site.

Phase 2A also includes preliminary evaluation of both cognitive function and pharmacodynamics changes on electroencephalogram (EEG) spectral analysis.

In the event that the stage gate for phase 2B is reached from data in this phase 2A study, then phase 2B will assess the longer-term efficacy and safety of varoglutamstat in a larger study group, using the highest dose selected in phase 2A. In phase 2B, a composite cognitive and functional measure as well as PD biomarkers will be used to evaluate efficacy during the extended treatment period.

Connect with a study center

  • Barrow Neurological Institute

    Phoenix, Arizona 85013
    United States

    Site Not Available

  • Banner Sun Health Research Institute

    Sun City, Arizona 85351
    United States

    Site Not Available

  • The Neuron Clinic

    Chula Vista, California 91910
    United States

    Site Not Available

  • University of California

    Irvine, California 92868
    United States

    Site Not Available

  • UCSD Alzheimer's Disease Research Center

    La Jolla, California 92037
    United States

    Site Not Available

  • Cedars-Sinai Center

    Los Angeles, California 90048
    United States

    Site Not Available

  • PCND Neurology

    Poway, California 92064
    United States

    Site Not Available

  • Georgetown University Medical Center

    Washington, District of Columbia 20057
    United States

    Site Not Available

  • USF Health Byrd Alzheimer's Center and Research Institute

    Tampa, Florida 33613
    United States

    Site Not Available

  • Emory University

    Atlanta, Georgia 30329
    United States

    Site Not Available

  • Northwestern University Feinberg School of Medicine

    Chicago, Illinois 60611
    United States

    Site Not Available

  • The University of Iowa Carver College of Medicine

    Iowa City, Iowa 52242
    United States

    Site Not Available

  • The University of Kentucky Sanders-Brown Center on Aging

    Lexington, Kentucky 40504
    United States

    Site Not Available

  • Northern Light Acadia Hospital

    Bangor, Maine 04401
    United States

    Site Not Available

  • NYU Langone Health Tisch Hospital

    New York, New York 10016
    United States

    Site Not Available

  • SUNY Upstate Medical University

    Syracuse, New York 13210
    United States

    Site Not Available

  • Ohio State University

    Columbus, Ohio 43210
    United States

    Site Not Available

  • OHSU Neurology Clinic

    Portland, Oregon 97239
    United States

    Site Not Available

  • Abington Neurological Associates

    Abington, Pennsylvania 19001
    United States

    Site Not Available

  • Rhode Island Hospital

    Providence, Rhode Island 02903
    United States

    Site Not Available

  • Lowcountry Center for Veterans Research (LCVR)

    Charleston, South Carolina 29403
    United States

    Site Not Available

  • UT Health San Antonio

    San Antonio, Texas 78229
    United States

    Site Not Available

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