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| ID | Type | Description | Link |
|---|---|---|---|
| H6L-MC-LFBF | Other Identifier | Eli Lilly and Company |
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The primary objective of the original study was to assess the safety of semagacestat in Alzheimer's disease (AD) patients during 24 months of open-label treatment. Baseline for the efficacy measures is defined as the baseline for feeder studies LFAN (NCT00594568) and LFBC (NCT00762411). For all safety analyses (adverse events), baseline for patients will be week 0 of this study (LFBF).
Preliminary results from LFAN and LFBC showed semagacestat did not slow disease progression and was associated with worsening of clinical measures of cognition and the ability to perform activities of daily living. Study drug was stopped in all studies. Studies LFAN, LFBC and LFBF have been amended to continue collecting safety data, including cognitive scores, for at least seven months. The CT-Registry will reflect results of analyses from the original protocol in addition to those from the amended protocol. Very few participants from LFBC rolled over into LFBF (N = 9). Due to insufficient sample size, the data for LFBC participants who rolled into LFBF were not analyzed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Drug: semagacestat | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| semagacestat | Drug | 140mg administered orally, once daily for 24 months; dose reduction to 100mg or 60 mg possible due to intolerability |
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| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog11) at Week 16 After Cessation of Study Drug | The cognitive subscale of the ADAS (ADAS-Cog11) consists of 11 items assessing areas of function most typically impaired in Alzheimer's Disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity. | Baseline (LFAN randomization), 16 weeks (LFBF) after cessation of study drug |
| Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL) at Week 16 After Cessation of Study Drug | The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. It measures both basic and instrumental activities of daily living. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. | Baseline (LFAN randomization), 16 weeks (LFBF) after cessation of study drug |
| Measure | Description | Time Frame |
|---|---|---|
| Percent Change From Baseline in Amyloid Beta (Aβ) 1-42 Plasma Concentration at Week 12 | Concentration of amino acid peptide known as Aβ 1-42 in plasma. Least Square (LS) Mean value was controlled for baseline value, age, and investigator. | Baseline (LFAN Randomization ), 6 hours pose-dose at Week 12 (LFBF) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) | Eli Lilly and Company | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Phoenix | Arizona | 85004 |
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| ID | Title | Description |
|---|---|---|
| FG000 | LFAN Placebo/LY140 mg | Participants received placebo orally once daily for 76 weeks during study LFAN. At the end of 76 weeks, participants received LY450319 titrated up to 140 milligram (mg) orally once daily. Participants continued 140 mg LY450319 (LY 140 mg) orally once daily up to 24 months during this extension study (LFBF) |
| FG001 |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Change From Baseline in Hippocampal Volume Using Volumetric Magnetic Resonance Imaging (vMRI) at Week 12 |
The vMRI assessment of right hippocampal and left hippocampal volume is reported. Least Square (LS) Mean value was controlled for baseline value, age, and investigator. |
| Baseline (LFAN Randomization), 12 weeks (LFBF) |
| Change From Baseline in Amyloid Imaging Positron Emission Tomography (AV-45-PET) at Week 12 | A radioactive tracer for PET that is a ligand for amyloid called [18F]-AV-45. This permits the visualization of amyloid in the brains of Alzheimer's participants. The outcome reported is the composite summary of the standard uptake value ratio for the cerebellar gray matter. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. Due to insufficient sample size, this analysis was not done. | Baseline (LFAN Randomization), 12 weeks (LFBF) |
| Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog11) at Week 12 | The cognitive subscale of the ADAS (ADAS-Cog11) consists of 11 items assessing areas of function most typically impaired in Alzheimer's Disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity. Least Square (LS) Mean value was controlled for baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Baseline (LFAN Randomization), 12 weeks (LFBF) |
| Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog12) at Week 12 | ADAS-Cog12 is the ADAS-Cog11 augmented with the delayed free recall measure, resulting in a total score ranging from 0 to 80. Higher scores indicate greater disease severity. Least Square (LS) Mean value was controlled for baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Baseline (LFAN Randomization), 12 weeks (LFBF) |
| Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog14) at Week 12 | The ADAS-Cog14 is the ADAS-Cog11 augmented with delayed free recall, digit cancellation, and maze completion measures. A score of 0 to 10 for delayed free recall and a conversion code of 0 to 5 for digit cancellation and maze completion provide total score ranges for this extended ADAS-Cog14 of 0 to 90. Higher scores indicate greater disease severity. Least Square (LS) Mean value was controlled for the baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Baseline (LFAN Randomization), 12 weeks (LFBF) |
| Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL) at Week 12 | The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. It measures both basic and instrumental activities of daily living. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. Least Square (LS) Mean value was controlled for baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Baseline (LFAN Randomization), 12 weeks (LFBF) |
| Mean Concentration of LY450139 | 3 months (pre-dose, 2, 4, and 6 hours after dosing )(LFBF) |
| Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog12) at Week 16 After Cessation of Study Drug | ADAS-Cog12 is the ADAS-Cog11 augmented with the delayed free recall measure, resulting in a total score ranging from 0 to 80. Higher scores indicate greater disease severity. | Baseline (LFAN Randomization), 16 weeks (LFBF) after cessation of study drug |
| Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog14) at Week 16 After Cessation of Study Drug | The ADAS-Cog14 is the ADAS-Cog11 augmented with delayed free recall, digit cancellation, and maze completion measures. A score of 0 to 10 for delayed free recall and a conversion code of 0 to 5 for digit cancellation and maze completion provide total score ranges for this extended ADAS-Cog14 of 0 to 90. Higher scores indicate greater disease severity. | Baseline (LFAN Randomization), 16 weeks (LFBF) after cessation of study drug |
| Change From Baseline in Clinical Dementia Rating Scale (Sum of Boxes) (CDR-SB) at Week 24 | The CDR-SB is a semi-structured interview of participants and their caregivers. The participant's cognitive status is rated in 6 domains of functioning, including memory, orientation, judgment and problem solving, community affairs, home and hobbies, and personal care. A severity score is assigned for each of the 6 domains with total score ranging from 0 to 18. Higher scores indicate greater disease severity. Least Square (LS) Mean value was controlled for baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Baseline (LFAN Randomization), 24 weeks (LFBF) |
| Change From Baseline in Mini-Mental State Examination (MMSE) at Week 24 | The MMSE is a brief screening instrument used to assess cognitive function in elderly participants. It assesses orientation, memory, attention, and ability to name objects, follow verbal and written commands, write a sentence, and copy figures. The total score ranges from 0 to 30, with a lower score indicating greater disease severity. Least Square (LS) Mean value was controlled for baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Baseline (LFAN Randomization), 24 weeks (LFBF) |
| Change From Baseline in Neuropsychiatric Inventory (NPI) at Week 24 | The NPI is a tool for assessing psychopathology in patients with dementia and other neurologic disorders. Information is obtained from a caregiver familiar with the patient's behavior. The score ranges from 12 to 144, with higher scores indicating greater disease severity. Least Square (LS) Mean value was controlled for the baseline value, age, investigator, concomitant standard of care medication. | Baseline (LFAN Randomization), 24 weeks (LFBF) |
| Change From Baseline in EuroQol-5D (EQ-5D) at Week 24 | EQ-5D (proxy version) measures mobility, self-care, usual activities, pain/discomfort, anxiety/depression; each has 3 severity levels (no, some, severe problems) coded to a 1-digit number (1-3). Digits are combined into 5-digit number describing health state. Numbers 1-3 are not added for total score. Visual Analog Scale (VAS) assesses caregiver's impression of participant's overall health state; VAS scores range=0-100, with lower scores indicating greater disease severity. LS Mean value was controlled for baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Baseline (LFAN Randomization), 24 weeks (LFBF) |
| Change From Baseline in Resource Utilization in Dementia-Lite Questionnaire (RUD-Lite) at Week 12 | RUD-Lite assesses the healthcare resource utilization of participants and their caregivers to determine the level of formal and informal care attributable to Alzheimer's Disease (AD). Information on both caregivers (caregiving time, work status) and participants (accommodation and healthcare resource utilization) is collected from the baseline and follow-up interviews. Reported the change in number of hospitalizations per participant to week 12. | Baseline (LFAN Randomization), 12 weeks (LFBF) |
| United States |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Sun City | Arizona | 85351 | United States |
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| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Tokushima | 770-0852 | Japan |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Lublin | 20-950 | Poland |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Poznan | 61- 485 | Poland |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Bellville | 7530 | South Africa |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Barcelona | 08003 | Spain |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Plasencia | 10600 | Spain |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Stockholm | 14186 | Sweden |
| LFAN LY 100 mg/ LY 140 mg |
Participants received 100 mg LY450319 (LY 100 mg) orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during this extension study (LFBF) |
| FG002 | LFAN LY 140 mg/LY 140 mg | Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during this extension study (LFBF) |
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | LFAN Placebo/LY140 mg | Participants received placebo orally once daily for 76 weeks during study LFAN. At the end of 76 weeks, participants received LY450319 titrated up to 140 mg orally once daily. Participants continued 140 mg LY450319 (LY 140 mg) orally once daily up to 24 months during this extension study (LFBF) |
| BG001 | LFAN LY 100 mg/ LY 140 mg | Participants received 100 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study |
| BG002 | LFAN LY 140 mg/LY 140 mg | Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race/Ethnicity, Customized | Number | participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
| ||||||||||||||||
| Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog11) | The cognitive subscale of the ADAS (ADAS-Cog11) was used as a primary efficacy measure and consisted of 11 items assessing areas of function most typically impaired in AD: orientation, verbal memory, language, and praxis. The scale ranged from 0-70, with higher scores indicating greater disease severity. | Mean | Standard Deviation | units on a scale |
| ||||||||||||||
| Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL) | The ADCS-ADL was a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. It measures both basic and instrumental activities of daily living. The total ADCS-ADL score ranged from 0-78, with lower scores indicating greater disease severity. | Mean | Standard Deviation | units on a scale |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog11) at Week 16 After Cessation of Study Drug | The cognitive subscale of the ADAS (ADAS-Cog11) consists of 11 items assessing areas of function most typically impaired in Alzheimer's Disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Mean | Standard Deviation | units on a scale | Baseline (LFAN randomization), 16 weeks (LFBF) after cessation of study drug |
|
|
| ||||||||||||||||||||||||||||||||
| Primary | Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL) at Week 16 After Cessation of Study Drug | The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. It measures both basic and instrumental activities of daily living. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Mean | Standard Deviation | units on a scale | Baseline (LFAN randomization), 16 weeks (LFBF) after cessation of study drug |
| ||||||||||||||||||||||||||||||||||
| Secondary | Percent Change From Baseline in Amyloid Beta (Aβ) 1-42 Plasma Concentration at Week 12 | Concentration of amino acid peptide known as Aβ 1-42 in plasma. Least Square (LS) Mean value was controlled for baseline value, age, and investigator. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Least Squares Mean | Standard Error | percentage of change | Baseline (LFAN Randomization ), 6 hours pose-dose at Week 12 (LFBF) |
| ||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Hippocampal Volume Using Volumetric Magnetic Resonance Imaging (vMRI) at Week 12 | The vMRI assessment of right hippocampal and left hippocampal volume is reported. Least Square (LS) Mean value was controlled for baseline value, age, and investigator. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Least Squares Mean | Standard Error | cubic millimeter (mm³) | Baseline (LFAN Randomization), 12 weeks (LFBF) |
| ||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Amyloid Imaging Positron Emission Tomography (AV-45-PET) at Week 12 | A radioactive tracer for PET that is a ligand for amyloid called [18F]-AV-45. This permits the visualization of amyloid in the brains of Alzheimer's participants. The outcome reported is the composite summary of the standard uptake value ratio for the cerebellar gray matter. Least Squares (LS) Mean value was controlled for baseline value, age, and investigator. Due to insufficient sample size, this analysis was not done. | Due to insufficient sample size, this analysis was not done. | Baseline (LFAN Randomization), 12 weeks (LFBF) |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog11) at Week 12 | The cognitive subscale of the ADAS (ADAS-Cog11) consists of 11 items assessing areas of function most typically impaired in Alzheimer's Disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity. Least Square (LS) Mean value was controlled for baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Least Squares Mean | Standard Error | units on a scale | Baseline (LFAN Randomization), 12 weeks (LFBF) |
| ||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog12) at Week 12 | ADAS-Cog12 is the ADAS-Cog11 augmented with the delayed free recall measure, resulting in a total score ranging from 0 to 80. Higher scores indicate greater disease severity. Least Square (LS) Mean value was controlled for baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Least Squares Mean | Standard Error | units on a scale | Baseline (LFAN Randomization), 12 weeks (LFBF) |
| ||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog14) at Week 12 | The ADAS-Cog14 is the ADAS-Cog11 augmented with delayed free recall, digit cancellation, and maze completion measures. A score of 0 to 10 for delayed free recall and a conversion code of 0 to 5 for digit cancellation and maze completion provide total score ranges for this extended ADAS-Cog14 of 0 to 90. Higher scores indicate greater disease severity. Least Square (LS) Mean value was controlled for the baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Least Squares Mean | Standard Error | units on a scale | Baseline (LFAN Randomization), 12 weeks (LFBF) |
| ||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL) at Week 12 | The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. It measures both basic and instrumental activities of daily living. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. Least Square (LS) Mean value was controlled for baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Least Squares Mean | Standard Error | units on a scale | Baseline (LFAN Randomization), 12 weeks (LFBF) |
| ||||||||||||||||||||||||||||||||||
| Secondary | Mean Concentration of LY450139 | Participants who completed Study LFAN, took study drug in extension study and had pharmacokinetics measurements. | Geometric Mean | Geometric Coefficient of Variation | nanogram/milliliter (ng/mL) | 3 months (pre-dose, 2, 4, and 6 hours after dosing )(LFBF) |
|
| ||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog12) at Week 16 After Cessation of Study Drug | ADAS-Cog12 is the ADAS-Cog11 augmented with the delayed free recall measure, resulting in a total score ranging from 0 to 80. Higher scores indicate greater disease severity. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Mean | Standard Deviation | units on a scale | Baseline (LFAN Randomization), 16 weeks (LFBF) after cessation of study drug |
| ||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog14) at Week 16 After Cessation of Study Drug | The ADAS-Cog14 is the ADAS-Cog11 augmented with delayed free recall, digit cancellation, and maze completion measures. A score of 0 to 10 for delayed free recall and a conversion code of 0 to 5 for digit cancellation and maze completion provide total score ranges for this extended ADAS-Cog14 of 0 to 90. Higher scores indicate greater disease severity. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Mean | Standard Deviation | units on a scale | Baseline (LFAN Randomization), 16 weeks (LFBF) after cessation of study drug |
| ||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Clinical Dementia Rating Scale (Sum of Boxes) (CDR-SB) at Week 24 | The CDR-SB is a semi-structured interview of participants and their caregivers. The participant's cognitive status is rated in 6 domains of functioning, including memory, orientation, judgment and problem solving, community affairs, home and hobbies, and personal care. A severity score is assigned for each of the 6 domains with total score ranging from 0 to 18. Higher scores indicate greater disease severity. Least Square (LS) Mean value was controlled for baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Least Squares Mean | Standard Error | units on a scale | Baseline (LFAN Randomization), 24 weeks (LFBF) |
| ||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Mini-Mental State Examination (MMSE) at Week 24 | The MMSE is a brief screening instrument used to assess cognitive function in elderly participants. It assesses orientation, memory, attention, and ability to name objects, follow verbal and written commands, write a sentence, and copy figures. The total score ranges from 0 to 30, with a lower score indicating greater disease severity. Least Square (LS) Mean value was controlled for baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Least Squares Mean | Standard Error | units on a scale | Baseline (LFAN Randomization), 24 weeks (LFBF) |
| ||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Neuropsychiatric Inventory (NPI) at Week 24 | The NPI is a tool for assessing psychopathology in patients with dementia and other neurologic disorders. Information is obtained from a caregiver familiar with the patient's behavior. The score ranges from 12 to 144, with higher scores indicating greater disease severity. Least Square (LS) Mean value was controlled for the baseline value, age, investigator, concomitant standard of care medication. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Least Squares Mean | Standard Error | units on a scale | Baseline (LFAN Randomization), 24 weeks (LFBF) |
| ||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in EuroQol-5D (EQ-5D) at Week 24 | EQ-5D (proxy version) measures mobility, self-care, usual activities, pain/discomfort, anxiety/depression; each has 3 severity levels (no, some, severe problems) coded to a 1-digit number (1-3). Digits are combined into 5-digit number describing health state. Numbers 1-3 are not added for total score. Visual Analog Scale (VAS) assesses caregiver's impression of participant's overall health state; VAS scores range=0-100, with lower scores indicating greater disease severity. LS Mean value was controlled for baseline value, age, investigator, and concomitant standard of care (SOC) medication. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Least Squares Mean | Standard Error | units on a scale | Baseline (LFAN Randomization), 24 weeks (LFBF) |
| ||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Resource Utilization in Dementia-Lite Questionnaire (RUD-Lite) at Week 12 | RUD-Lite assesses the healthcare resource utilization of participants and their caregivers to determine the level of formal and informal care attributable to Alzheimer's Disease (AD). Information on both caregivers (caregiving time, work status) and participants (accommodation and healthcare resource utilization) is collected from the baseline and follow-up interviews. Reported the change in number of hospitalizations per participant to week 12. | Participants who completed Study LFAN, took at least one dose of study drug in extension study and had both baseline and post-baseline values. | Mean | Standard Deviation | number of hospitalizations | Baseline (LFAN Randomization), 12 weeks (LFBF) |
|
Not provided
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | LFAN Placebo/LY140 mg | Participants received placebo orally once daily for 76 weeks during study LFAN. At the end of 76 weeks, participants received LY450319 titrated up to 140 mg orally once daily. Participants continued 140 mg LY450319 (LY 140 mg) orally once daily up to 24 months during this extension study (LFBF) | 6 | 73 | 5 | 73 | ||
| EG001 | LFAN LY 100 mg/ LY 140 mg | Participants received 100 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study | 4 | 60 | 3 | 60 | ||
| EG002 | LFAN LY 140 mg/LY 140 mg | Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study | 2 | 47 | 4 | 47 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Gastrointestinal Haemorrhage | Gastrointestinal disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Cholecystitis Acute | Hepatobiliary disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Hepatic Cyst Ruptured | Hepatobiliary disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Femur Fracture | Injury, poisoning and procedural complications | MedDRA 13.1 | Systematic Assessment |
| |
| Spinal Column Stenosis | Musculoskeletal and connective tissue disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Basal Cell Carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 13.1 | Systematic Assessment |
| |
| Squamous Cell Carcinoma Of Skin | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 13.1 | Systematic Assessment |
| |
| Ischaemic Stroke | Nervous system disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Aggression | Psychiatric disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Confusional State | Psychiatric disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Mania | Psychiatric disorders | MedDRA 13.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Contusion | Injury, poisoning and procedural complications | MedDRA 13.1 | Systematic Assessment |
| |
| Hair Colour Changes | Skin and subcutaneous tissue disorders | MedDRA 13.1 | Systematic Assessment |
|
Very few participants from LFBC rolled over into LFBF (N = 9). Due to insufficient sample size, the data for LFBC participants who rolled into LFBF were not analyzed.
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Chief Medical Officer | Eli Lilly and Company | 800-545-5979 |
| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| ID | Term |
|---|---|
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
Not provided
Not provided
| ID | Term |
|---|---|
| C484278 | N2-((2S)-2-(3,5-difluorophenyl)-2-hydroxyethanoyl)-N1-((7S)-5-methyl-6-oxo-6,7-dihydro-5H-dibenzo(b,d)azepin-7-yl)-L-alaninamide |
Not provided
Not provided
Not provided
| Male |
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| Black or African American |
|
| Asian |
|
| Multi-racial |
|
| Finland |
|
| Spain |
|
| Chile |
|
| Israel |
|
| Italy |
|
| France |
|
| Canada |
|
| Poland |
|
| Australia |
|
| South Africa |
|
| Germany |
|
| Japan |
|
| Sweden |
|
Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study
|
|
|
|
|
|
|
Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study |
|
|
Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study
|
|
| OG002 |
| LFAN LY 140 mg/LY 140 mg |
Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study |
|
|
| LFAN LY 140 mg/LY 140 mg |
Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study |
|
|
| Title | Denominators | Categories |
|---|
| Pre-dose (n=7) |
| |||||
| 2 hours after dosing (n=46) |
| |||||
| 4 hours after dosing (n=44) |
| |||||
| 6 hours after dosing (n=41) |
|
|
|
Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study |
|
|
| OG002 | LFAN LY 140 mg/LY 140 mg | Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study |
|
|
| LFAN LY 140 mg/LY 140 mg |
Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study |
|
|
Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study |
|
|
| OG002 | LFAN LY 140 mg/LY 140 mg | Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study |
|
|
| LFAN LY 140 mg/LY 140 mg |
Participants received 140 mg LY450319 orally once daily during study LFAN, and 140 mg LY450319 orally once daily up to 24 months during extension study |
|
|