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Completed

NCT Number: NCT01492374

Study to Evaluate the Safety, Tolerability and the Effect of BMS-241027 on Cerebrospinal Fluid Biomarkers in Subjects With Mild Alzheimer's Disease

The purpose of the study is to evaluate safety and the pharmacodynamic effects of BMS-241027 on cerebrospinal fluid (CSF) Tau, connectivity magnetic resonance imaging (MRI), and computerized cognitive tests in mild Alzheimer's disease (AD) subjects, following 9 weekly intravenous (IV) infusions of BMS-241027

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Key information

Age range

50 year–90 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Local Institution, London, Ontario, Canada

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Mild AD Subjects meeting National Institute of Neurological Disorders and Stroke - Alzheimer's Disease Related Disorders Association(NINCDS-ADRDA) and Diagnostic and Statistical Manual of Mental Disorders-Forth Edition, Text Revision (DSM-IV-TR) criteria
  • Mini-Mental State Exam (MMSE) Score between 20 & 26 (inclusive)
  • CSF consistent with AD pathology
  • Screening brain MRI - normal - commensurate with age or demonstrate atrophy consistent with AD diagnosis (dx); reveal no more than mild white matter disease; up to 2 lacunar infarcts acceptable except in anterior thalamus, genu of internal capsule or basal forebrain; reveal no cortical infarcts; reveal no more than 4 microbleeds; reveal no focal asymmetric lobar atrophy or other findings suggesting primary cause of dementia is attributed to a cause other than AD; reveal no macrohemorrhages (>10 mm)
  • Subjects must have reliable study partners
  • Men and Women of Non Child Bearing Potentia (WONCBP), ages 50-90 years

Exclusion criteria

  • Subjects with any other medical condition other than mild AD that could explain subjects' memory or cognitive deficits
  • Subjects diagnosed with moderate or severe AD per DSM-IV criteria
  • Subjects with a history (hx) of stroke
  • Subjects with a hx of GI illnesses
  • Subjects with Vitamin B12 or folate deficiency
  • Subjects with any unstable cardiovascular (CV), pulmonary, Gastrointestinal (GI) or hepatic disease within 30 days prior to screening
  • Subjects with active liver dx or history of hepatic intolerance
  • Subjects with a Geriatric Depression Scale score of ≥ 6 at screening
  • Subjects treated for or have had a diagnosis of schizophrenia
  • Subjects treated for or have had a diagnosis of bipolar disease within 3 years prior to screening
  • Subjects with a history of generalized peripheral neuropathy

Treatment and study plan

BMS-241027

Drug

Intravenous (IV), 0.003 mg/kg, Once Weekly, 9 weeks

Placebo matching BMS-241027

Drug

Intravenous (IV), 0.0 mg/kg, Once Weekly, 9 weeks

Primary outcomes

  1. Safety assessments: based on frequency of Serious Adverse Events (SAEs), frequency of Adverse events (AEs), discontinuation due to AEs and dose reduction

    Time frame: Within the first 70 day after first dose

  2. Biomarker Measures: CSF levels of Tau N-terminal domain fragments

    Time frame: Within the first 70 day after first dose

Secondary outcomes

  1. Effects of BMS-241027 on CSF levels of the mid-domain Tau fragment

    Time frame: Within the first 70 days after first dose

  2. Effects of BMS-241027 on cognitive performance using computerized cognitive tests

    Time frame: Weeks 3, 6 and 9

  3. Effects of BMS-241027 on connectivity MRI

    Time frame: Within the first 70 days after first dose

  4. Maximal observed plasma concentration (Cmax) of BMS-241027 in subjects with mild Alzheimer's disease

    Time frame: Weeks 1, 4, and 9

    Intensive pharmacokinetic parameter Cmax will be derived from subgroups of subjects at Week 7

  5. Observed plasma concentration at 24 hours post dose (C24) of BMS-241027 in subjects with mild Alzheimer's disease

    Time frame: Weeks 1, 4, and 9

    Intensive pharmacokinetic parameter C24 will be derived from subgroups of subjects at Week 7

  6. Time of maximal observed plasma concentration (Tmax) of BMS-241027 in subjects with mild Alzheimer's disease

    Time frame: Weeks 1, 4, and 9

    Intensive pharmacokinetic parameter Tmax will be derived from subgroups of subjects at Week 7

  7. Area under the concentration-time curve in one dosing interval [AUC(TAU)] of BMS-241027 in subjects with mild Alzheimer's disease

    Time frame: Weeks 1, 4, and 9

    Intensive pharmacokinetic parameter AUC(TAU) will be derived from subgroups of subjects at Week 7

  8. Safety assessments: based on vital sign measurements, ECGs and clinical laboratory tests

    Time frame: Within the first 70 day after first dose

  9. Effects of BMS-241027 on CSF levels of neurofilaments

    Time frame: Within the first 70 days after first dose

Sponsors and collaborators

Lead sponsor

Bristol-Myers Squibb

Industry

Registry information

Official study title

A Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability and the Effect of BMS-241027 on Cerebrospinal Fluid Biomarkers in Subjects With Mild Alzheimer's Disease

Important dates

Study start
2012
Primary completion
2013
Study completion
2013
First posted
Dec 15, 2011
Registry last updated
Jul 24, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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