Efficacy and Safety Trial of Verubecestat (MK-8931) in Pa... | NCT01953601 | Trialant
NCT01953601
Sponsor
Merck Sharp & Dohme LLC
Status
Terminated
Last Update Posted
May 17, 2019Actual
Enrollment
1,454Actual
Phase
Phase 3
Conditions
Amnestic Mild Cognitive Impairment
Alzheimer's Disease
Prodromal Alzheimer's Disease
Interventions
Verubecestat 12 mg (Parts 1 and 2)
Verubecestat 40 mg (Parts 1 and 2)
Placebo (Part 1)
Countries
Not provided
Protocol Section
Identification Module
NCT ID
NCT01953601
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
8931-019
Secondary IDs
ID
Type
Description
Link
2012-005542-38
EudraCT Number
142502
Registry Identifier
JAPIC-CTI
MK-8931-019
Other Identifier
Merck Protocol Number
Brief Title
Efficacy and Safety Trial of Verubecestat (MK-8931) in Participants With Prodromal Alzheimer's Disease (MK-8931-019)
Official Title
A Phase III, Randomized, Placebo-Controlled, Parallel-Group, Double-Blind Clinical Trial to Study the Efficacy and Safety of MK-8931 (SCH 900931) in Subjects With Amnestic Mild Cognitive Impairment Due to Alzheimer's Disease (Prodromal AD)
Acronym
APECS
Organization
Merck Sharp & Dohme LLCINDUSTRY
Status Module
Record Verification Date
May 2019
Overall Recruitment Status or Expanded Access Status
Terminated
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Nov 5, 2013Actual
Primary Completion Date
Apr 17, 2018Actual
Completion Date
Apr 17, 2018Actual
First Submitted Date
Sep 25, 2013
First Submission Date that Met QC Criteria
Sep 25, 2013
First Posted Date
Oct 1, 2013Estimated
Results Waived
Not provided
Results First Submitted Date
Apr 15, 2019
Results First Submitted that Met QC Criteria
May 15, 2019
Results First Posted Date
May 17, 2019Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
May 15, 2019
Last Update Posted Date
May 17, 2019Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Merck Sharp & Dohme LLCINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
This study consists of two parts, Part 1 and Part 2. Part 1 assesses the efficacy and safety of verubecestat (MK-8931) compared with placebo administered for 104 weeks in the treatment of amnestic mild cognitive impairment (aMCI) due to Alzheimer's Disease (AD), also known as prodromal AD. Participants are randomized to receive placebo, or 12 mg or 40 mg verubecestat, once daily. The primary study hypothesis for Part 1 is that ≥1 verubecestat dose is superior to placebo with respect to the change from baseline in the Clinical Dementia Rating scale-Sum of Boxes (CDR-SB) score at 104 weeks. Participants completing Part 1 may choose to participate in Part 2, which is a long term double-blind extension to assess efficacy and safety of verubecestat administered for up to an additional 260 weeks. In Part 2, all participants receive either 12 mg or 40 mg verubecestat, once daily.
Detailed Description
As a result of protocol amendment, Study Part 2 will contain a Positron Emission Tomography (PET) imaging substudy to assess regional neurofibrillary tangle (NFT) expression.
Conditions Module
Conditions
Amnestic Mild Cognitive Impairment
Alzheimer's Disease
Prodromal Alzheimer's Disease
Keywords
Not provided
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
1,454Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
Experimental
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive Verubecestat 12 mg once daily for an additional 260 weeks.
Drug: Verubecestat 12 mg (Parts 1 and 2)
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
Experimental
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive Verubecestat 40 mg once daily for an additional 260 weeks.
Drug: Verubecestat 40 mg (Parts 1 and 2)
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
Placebo Comparator
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive Verubecestat 40 mg once daily for an additional 260 weeks.
Drug: Verubecestat 40 mg (Parts 1 and 2)
Other: Placebo (Part 1)
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Verubecestat 12 mg (Parts 1 and 2)
Drug
Verubecestat 12 mg oral tablet, given once daily.
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Part 1 (Base Study). Least Squares Mean (LSM) Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SB) Score at Week 104
LSM change from baseline at week 104 was assessed for CDR-SB score, a clinical rating of global cognitive function, comprised of 6 domains: memory; orientation; judgment and problem solving; community affairs; home and hobbies; and personal care. For each domain, the degree of impairment is assessed by a semi-structured interview of the participant as well as the participant's caregiver. For each domain, potential scores range from 0 (no impairment) to 3 (severe impairment). Individual domain scores are summed to a total CDR-SB score (range: 0-18). Higher scores indicate more severe cognitive impairment. Further, increases in cognitive impairment would be reflected by increases in CDR-SB score.
Baseline and Week 104 in Part 1
Part 2 (Extension Study). Mean Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SB) Score at Week 130
Mean change from baseline at week 130 was assessed for CDR-SB score, a clinical rating of global cognitive function, comprised of 6 domains: memory; orientation; judgment and problem solving; community affairs; home and hobbies; and personal care. For each domain, the degree of impairment is assessed by a semi-structured interview of the participant as well as the participant's caregiver. For each domain, potential scores range from 0 (no impairment) to 3 (severe impairment). Individual domain scores are summed to a total CDR-SB score (range: 0-18). Higher scores indicate more severe cognitive impairment. Further, increases in cognitive impairment would be reflected by increases in CDR-SB score. Per protocol, baseline refers to the baseline measurement obtained in Part 1.
Baseline and Week 130 (i.e., Week 26 of Part 2)
Part 1 (Base Study). Percentage of Participants Who Experienced ≥1 Adverse Event (AE)
The percentage of participants experiencing an AE in Part 1 was assessed. An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to this medicinal product. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product is also an AE.
Secondary Outcomes
Measure
Description
Time Frame
Part 1 (Base Study). Event-Rate Per 100 Participant Years for Progression to a Clinical Diagnosis of Probable AD Dementia
The event-rate per 100 participant-years for progression to a clinical diagnosis of probable AD dementia was calculated. Adjudication of a potential case was triggered if either: 1) in the investigator's own expert judgment, they think the participant may have progressed to dementia and/or 2) the participant's CDR-SB score is ≥2 points higher compared to baseline. Cases of progression to probable AD dementia confirmed by an external adjudication committee were counted as events in the analysis. The event-rate was calculated as the number of events divided by total follow-up time (participant-years) x 100; unit of measure is event-rate / 100 participant-years.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Diagnosis of prodromal AD, including the following:
History of subjective memory decline with gradual onset and slow progression for at least one year corroborated by an informant,
Objective impairment in episodic memory by memory test performed at Screening,
Does not meet criteria for dementia, AND
Positive Screening amyloid imaging PET scan using [18F]flutametamol tracer or positive Screening CSF tau:amyloid-β42 (Aβ42) ratio (Participants with a prior positive amyloid imaging PET scan or a Screening PET scan with florbetaben or florbetapir may be enrolled without a Screening flutemetamol scan with Sponsor approval)
Able to read at a 6th grade level or equivalent
If participant is receiving an acetylcholinesterase inhibitor or memantine, the dose must have been stable for at least three months before Screening
Must have a reliable and competent trial partner/informant who has a close relationship with the participant and is willing to accompany the participant to all required trial visits, and to monitor compliance of the administration of the trial medication
Inclusion Criteria for Extension Period (Part 2):
Tolerated study drug and completed the initial 104-week period of the trial (Part 1)
Participant must have a reliable and competent trial partner who must have a close relationship with the subject
Exclusion Criteria:
History of stroke
Evidence of a clinically relevant neurological disorder other than the disease being studied (i.e., prodromal AD)
History of seizures or epilepsy within the last 5 years
Evidence of a clinically relevant or unstable psychiatric disorder, excluding major depression in remission
Participant is at imminent risk of self-harm or of harm to others
History of alcoholism or drug dependency/abuse within the last 5 years before Screening
Participant does not have a magnetic resonance imaging (MRI) scan obtained within 12 months of Screening and is unwilling or not eligible to undergo an MRI scan at the Screening Visit. With Sponsor approval, a head computed tomography (CT) scan may be substituted for MRI scan to evaluate eligibility
History of hepatitis or liver disease that has been active within the 6 months prior to Screening
Recent or ongoing, uncontrolled, clinically significant medical condition within 3 months of Screening
History of malignancy occurring within the 5 years before Screening, except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or localized prostate carcinoma
Clinically significant vitamin B12 or folate deficiency in the 6 months before Screening
Use of any investigational drugs or participation in clinical trials within the 30 days before Screening
History of a hypersensitivity reaction to more than three drugs
Has human immunodeficiency virus (HIV) by medical history
Participant is unwilling or has a contraindication to undergo PET scanning including but not limited to claustrophobia, excessive weight or girth
History or current evidence of long QT syndrome, corrected QT (QTc) interval ≥470 milliseconds (for male participants) or ≥480 milliseconds (for female participants), or torsades de pointes
Close family member (including the trial partner, spouse or children) who is among the personnel of the investigational or sponsor staff directly involved with this trial
Exclusion Criteria for Extension Period (Part 2):
Participant is at imminent risk of self-harm or of harm to others
Has developed a recent or ongoing, uncontrolled, clinically significant medical or psychiatric condition
Results of safety assessments (e.g., laboratory tests) performed in participant at end of Part 1 that are clinically unacceptable to the Investigator
Has developed a form of dementia that is not AD
Has progressed to dementia due to AD per investigator diagnosis in the initial 104-week study (Part 1).
Exclusion Criteria for NFT PET Substudy (Part 2):
1. Had one or two PET scans with MK-6240 in the initial 104-week study.
This trial was conducted in 2 parts: a Base Study (Part 1), followed by an Extension Study (Part 2). Participants completing Part 1 had the option to continue to Part 2.
Recruitment Details
N=1454 participants with prodromal Alzheimer's Disease (AD) were randomized, with N=1451 receiving study treatment.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
FG001
Periods
Title
Milestones
Reasons Not Completed
Part 1 (Base Study)
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Not provided
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot_SAP
Yes
Yes
No
Study Protocol and Statistical Analysis Plan
Dec 11, 2017
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Argentina
Australia
Austria
Belgium
Brazil
Canada
Finland
France
Germany
Hungary
Ireland
Italy
Japan
Netherlands
New Zealand
Norway
Poland
South Korea
Spain
Switzerland
United Kingdom
United States
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Triple
Masking Description
Not provided
Who Masked
ParticipantInvestigatorOutcomes Assessor
MK-8931
Verubecestat 40 mg (Parts 1 and 2)
Drug
Verubecestat 40 mg oral tablet, given once daily. Verubecestat 40 mg given to participants in Arm C continuing to study Part 2.
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
MK-8931
Placebo (Part 1)
Other
Placebo matching verubecestat, given once daily as an oral tablet.
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
Up to Week 106 (up to 2 weeks following cessation of study treatment in Part 1)
Part 1 (Base Study). Percentage of Participants Who Discontinued From Study Drug Due to an Adverse Event (AE)
The percentage of participants who discontinued from study drug due to an AE in Part 1 was assessed. An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to this medicinal product. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product is also an AE.
Up to Week 104 in Part 1
Part 2 (Extension Study). Percentage of Participants Who Experienced ≥1 Adverse Event (AE)
The percentage of participants experiencing an AE in Part 2 was assessed. An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to this medicinal product. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product is also an AE.
From Week 104 (start of treatment in Part 2) up to Week 210 (up to 2 weeks following cessation of study treatment in Part 2)
Part 2 (Extension Study). Percentage of Participants Who Discontinued From Study Drug Due to an Adverse Event (AE)
The percentage of participants who discontinued from study drug due to an AE in Part 2 was assessed. An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to this medicinal product. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product is also an AE.
From Week 104 (start of treatment in Part 2) up to Week 208 (i.e., up to Week 104 in Part 2)
Up to Week 104 in Part 1
Part 1 (Base Study). Estimated Least Squares Mean Difference Between the Last (Week 104) and First (Week 13) Post-dose CDR-SB Assessment
LSM difference between weeks 104 and 13 was estimated for CDR-SB score, a clinical rating of global cognitive function, comprised of 6 domains: memory; orientation; judgment / problem solving; community affairs; home / hobbies; and personal care. For each domain, degree of impairment is scored by a semi-structured interview of the participant and the participant's caregiver (domain score range: 0 [no impairment] to 3 [severe impairment]). Domain scores sum to a total CDR-SB score (range: 0-18); higher scores indicate more severe cognitive impairment. Further, increased cognitive impairment is reflected by higher CDR-SB scores; larger differences between week 104 and week 13 scores indicates accelerated AD progression.
Week 13 and Week 104 in Part 1
Part 1 (Base Study). Least Squares Mean Change From Baseline in the 3-Domain Composite Cognition Score (CCS-3D) at Week 104
CCS-3D is composed of individual cognitive tests, grouped into 3 domains: 1) episodic memory; 2) executive function; and 3) attention/processing speed. For each cognitive test, a z-score (Z) is calculated at each time point [Z = (observed value - study population mean at baseline) / study population standard deviation at baseline]. These individual Zs are first combined into domain-specific Zs, and then into a composite Z, (i.e. CCS-3D). Theoretically, 99.9% of CCS-3D will be ± 3; more positive CCS-3D indicate greater cognitive impairment relative to the total study population at baseline. Further, negative changes in CCS-3D over time indicate improved cognition relative to the total study population at baseline.
Baseline and Week 104 in Part 1
Part 1 (Base Study). Least Squares Mean Percent Change From Baseline in Total Hippocampal Volume (THV) at Week 104
Least squares mean percent change from baseline at week 104 was calculated for THV as measured by volumetric magnetic resonance imaging (vMRI). Negative percent changes from baseline indicate decreases in THV (i.e. increased hippocampal atrophy).
Baseline and Week 104 in Part 1
Part 1 (Base Study). Least Squares Mean Change From Baseline in Composite Cortical Amyloid Standard Uptake Value Ratio (SUVR) Assessed With Amyloid Tracer [18F]Flutemetamol Using Positron Emission Tomography (PET) Imaging at Week 104
[18F]Flutemetamol PET SUVR measures brain cortical amyloid load. The PET tracer [18F]Flutemetamol was given intravenously (IV). After 90 minutes, participants were scanned for 20 minutes. Using the PET scan images, SUVRs, the ratio of tracer signal in a specific region compared to a reference region (RR; subcortical white matter) are calculated for brain regions of interest (ROIs). SUVRs from a selected set of brain regions are averaged to compute a composite SUVR. Higher composite SUVR values indicate increased amyloid load in selected brain regions, with negative changes in composite cortical SUVR over time indicating decreases in brain amyloid load.
Baseline and Week 104 in Part 1
Part 1 (Base Study). Least Squares Mean Change From Baseline in Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (Mild Cognitive Impairment Version) (ADCS-ADL MCI) Score at Week 104
Least squares mean change from baseline at week 104 was assessed for the ADCS-ADL MCI score. The ADCS-ADL MCI is an 18-item assessment of recent, observed performance of activities of daily living administered to participants' trial partners in an interview format. For the 18 items, scores range from 0 (no independence) to (depending on the item) either 2 (5 items), 3 (9 items), or 4 (4 items), with higher scores indicating greater independence in activity performance. Scores from individual items sum to a total ADCS-ADL score (range: 0-53). Lower scores indicate less independence in activity performance and, as a result, greater AD severity. Further, increases in AD severity over time would be reflected by decreases in ADCS-ADL score.
Baseline and Week 104 in Part 1
Part 1 (Base Study). Mean Percent Change From Baseline in Cerebrospinal Fluid (CSF) Total Tau Concentration at Week 104
Mean percent change from baseline at week 104 was calculated for Total Tau concentration in CSF, a measure of brain tau pathology. Per protocol, CSF Total Tau concentration was analyzed as part of a substudy in Part 1, with testing occurring only at select trial sites.
Baseline and Week 104 in Part 1
Dockendorf MF, Jaworowicz D, Humphrey R, Anderson M, Breidinger S, Ma L, Taylor T, Dupre N, Jones C, Furtek C, Kantesaria B, Bateman KP, Woolf E, Egan MF, Stone JA. A Model-Based Approach to Bridging Plasma and Dried Blood Spot Concentration Data for Phase 3 Verubecestat Trials. AAPS J. 2022 Apr 6;24(3):53. doi: 10.1208/s12248-022-00682-5.
Egan MF, Kost J, Voss T, Mukai Y, Aisen PS, Cummings JL, Tariot PN, Vellas B, van Dyck CH, Boada M, Zhang Y, Li W, Furtek C, Mahoney E, Harper Mozley L, Mo Y, Sur C, Michelson D. Randomized Trial of Verubecestat for Prodromal Alzheimer's Disease. N Engl J Med. 2019 Apr 11;380(15):1408-1420. doi: 10.1056/NEJMoa1812840.
Kennedy ME, Stamford AW, Chen X, Cox K, Cumming JN, Dockendorf MF, Egan M, Ereshefsky L, Hodgson RA, Hyde LA, Jhee S, Kleijn HJ, Kuvelkar R, Li W, Mattson BA, Mei H, Palcza J, Scott JD, Tanen M, Troyer MD, Tseng JL, Stone JA, Parker EM, Forman MS. The BACE1 inhibitor verubecestat (MK-8931) reduces CNS beta-amyloid in animal models and in Alzheimer's disease patients. Sci Transl Med. 2016 Nov 2;8(363):363ra150. doi: 10.1126/scitranslmed.aad9704.
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
FG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
FG000485 subjects
FG001484 subjects
FG002485 subjects
Treated
FG000483 subjects
FG001484 subjects
FG002484 subjects
COMPLETED
FG000234 subjects
FG001231 subjects
FG002239 subjects
NOT COMPLETED
FG000251 subjects
FG001253 subjects
FG002246 subjects
Type
Comment
Reasons
Adverse Event
FG00024 subjects
FG00137 subjects
FG00215 subjects
Death
FG0002 subjects
FG0010 subjects
FG0023 subjects
Lack of Efficacy
FG0003 subjects
FG0011 subjects
FG0024 subjects
Lost to Follow-up
FG0001 subjects
FG0013 subjects
FG0026 subjects
Non-compliance with study drug
FG0000 subjects
FG0013 subjects
FG0021 subjects
Physician Decision
FG0003 subjects
FG0017 subjects
FG0024 subjects
Screen failure
FG0001 subjects
FG0010 subjects
FG0021 subjects
Site discontinued study participation
FG0002 subjects
FG0010 subjects
FG0020 subjects
Study terminated by sponsor
FG000174 subjects
FG001169 subjects
FG002179 subjects
Discontinued due to caregiver withdrawal
FG0007 subjects
FG0018 subjects
FG00210 subjects
Subject moved
FG0002 subjects
FG0012 subjects
FG0021 subjects
Withdrawal by Subject
FG00032 subjects
FG00123 subjects
FG00222 subjects
Part 2 (Extension Study)
Type
Comment
Milestone Data
STARTED
FG000198 subjectsNumber started refers only to participants completing Part 1, volunteering to continue to Part 2.
FG001191 subjectsNumber started refers only to participants completing Part 1, volunteering to continue to Part 2.
FG002204 subjectsNumber started refers only to participants completing Part 1, volunteering to continue to Part 2.
Treated
FG000197 subjects
FG001191 subjects
FG002204 subjects
COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
NOT COMPLETED
FG000198 subjects
FG001191 subjects
FG002204 subjects
Type
Comment
Reasons
Adverse Event
FG0001 subjects
FG0011 subjects
FG00210 subjects
Death
FG000
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
BG001
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
BG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
BG003
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000485
BG001484
BG002485
BG0031454
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
Years
Title
Denominators
Categories
ParticipantsBG000485
ParticipantsBG001484
ParticipantsBG002485
ParticipantsBG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
ParticipantsBG000485
ParticipantsBG001484
ParticipantsBG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
ParticipantsBG000485
ParticipantsBG001484
ParticipantsBG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
ParticipantsBG000485
ParticipantsBG001484
ParticipantsBG002
Geographic Region
Includes all randomized participants receiving ≥1 dose of study treatment.
Count of Participants
Participants
Title
Denominators
Categories
ParticipantsBG000483
ParticipantsBG001484
ParticipantsBG002
APOE4 Genotype
Apolipoprotein E (APOE) genotype is the strongest genetic predictor of risk for developing AD. The number of participants testing positive or negative for the APOE4 allele at baseline is presented.
Includes all randomized participants receiving ≥1 dose of study treatment.
Count of Participants
Participants
Title
Denominators
Categories
ParticipantsBG000483
ParticipantsBG001484
ParticipantsBG002
Baseline Use of Vitamin E
The number of participants receiving Vitamin E (> or ≤ 400 International Units [IU] / day; or no use) is presented.
Includes all randomized participants receiving ≥1 dose of study treatment.
Count of Participants
Participants
Title
Denominators
Categories
ParticipantsBG000483
ParticipantsBG001484
ParticipantsBG002
Background Alzheimer's Disease (AD) Treatment
The number of participants receiving acetylcholinesterase inhibitors (AChEI) and/or memantine (or no background AD treatment) is presented.
Includes all randomized participants receiving ≥1 dose of study treatment.
Count of Participants
Participants
Title
Denominators
Categories
ParticipantsBG000483
ParticipantsBG001484
ParticipantsBG002
Mini-Mental State Examination (MMSE) Score
The MMSE is a cognitive assessment of 5 domains (orientation; attention; memory; language; constructional praxis), with 11 questions scored based on number of correct responses. Depending on the question, scores range from 0 (no correct response) to either 1 (4 questions), 2 (1 question), 3 (3 questions), or 5 (3 questions). Scores for each question sum to a total MMSE score (range: 0-30); lower scores indicate worse cognitive performance. Participants are stratified by MMSE score (≥24-26 or ≥27) to ensure a representative population by AD severity across study arms.
Includes all randomized participants receiving ≥1 dose of study treatment.
Count of Participants
Participants
Title
Denominators
Categories
ParticipantsBG000483
ParticipantsBG001
Clinical Dementia Rating Sum of Boxes (CDR-SB) Score
The CDR-SB score is a clinical rating of global cognitive function, comprised of 6 domains: memory; orientation; judgment and problem solving; community affairs; home and hobbies; and personal care. For each domain, the degree of impairment is assessed by a semi-structured interview of the participant as well as the participant's caregiver. For each domain, potential scores range from 0 (no impairment) to 3 (severe impairment). Individual domain scores are summed to a total CDR-SB score (range: 0-18). Higher scores indicate more severe cognitive impairment.
Includes all participants receiving ≥1 dose of study treatment who: 1) had both a pre-dose baseline and ≥1 within-analysis-window, post-dose CDR-SB observation; and 2) tested positive for cortical amyloid load by positron emission tomography (PET).
Mean
Standard Deviation
Score on a Scale
Title
Denominators
Categories
ParticipantsBG000465
ParticipantsBG001
Composite Cognition Score-3 Domain (CCS-3D)
CCS-3D is composed of individual cognitive tests, grouped into 3 domains: 1) episodic memory; 2) executive function; and 3) attention/processing speed. For each cognitive test, a z-score (Z) is calculated at each time point [Z = (observed value - study population mean at baseline) / study population standard deviation at baseline]. These individual Zs are first combined into domain-specific Zs, and then into a composite Z, (i.e. CCS-3D). Theoretically, 99.9% of CCS-3D will be ± 3; more positive CCS-3D indicate greater cognitive impairment relative to the total study population at baseline.
Includes all participants receiving ≥1 dose of study treatment who: 1) had both a pre-dose baseline and ≥1 within-analysis-window, post-dose CCS-3D observation; and 2) tested positive for cortical amyloid load by PET.
Mean
Standard Deviation
Z-score
Title
Denominators
Categories
ParticipantsBG000441
ParticipantsBG001
Total Hippocampal Volume (THV)
THV was measured by volumetric magnetic resonance imaging (vMRI).
Includes all participants receiving ≥1 dose of study treatment who: 1) had both a pre-dose baseline and ≥1 within-analysis-window, post-dose THV observation; and 2) tested positive for cortical amyloid load by PET.
Mean
Standard Deviation
µL
Title
Denominators
Categories
ParticipantsBG000168
ParticipantsBG001181
ParticipantsBG002
[18F]Flutemetamol Positron Emission Tomography (PET) Standard Uptake Value Ratio (SUVR)
[18F]Flutemetamol PET SUVR measures brain cortical amyloid load. The PET tracer [18F]Flutemetamol was given intravenously (IV). After 90 minutes uptake, participants were scanned for 20 minutes. Using the PET scan images, SUVRs, the ratio of tracer signal in a specific region compared to a reference region (RR; subcortical white matter) are calculated for brain regions of interest (ROIs). SUVRs from a selected set of brain regions are averaged to compute a composite SUVR. Higher composite SUVR values indicate increased amyloid load in selected brain regions.
Includes all participants receiving ≥1 dose of study treatment who: 1) had both a pre-dose baseline and ≥1 within-analysis-window, post-dose SUVR observation; and 2) tested positive for cortical amyloid load by PET. SUVR testing occurred at select sites as a Part 1 substudy.
Mean
Standard Deviation
Standard Uptake Value Ratio (SUVR)
Title
Denominators
Categories
ParticipantsBG00063
ParticipantsBG001
AD Cooperative Study-Activities of Daily Living, Mild Cognitive Impairment (ADCS-ADL MCI) Score
The ADCS-ADL MCI is an 18-item assessment of recent, observed performance of activities of daily living administered to participants' trial partners in an interview format. For the 18 items, scores range from 0 (no independence) to (depending on the item) either 2 (5 items), 3 (9 items), or 4 (4 items), with higher scores indicating greater independence in activity performance. Scores from individual items are summed for a total ADCS-ADL score (range: 0-53). Lower scores indicate less independence in activity performance and, as a result, greater AD severity.
Includes all participants receiving ≥1 dose of study treatment who: 1) had both a pre-dose baseline and ≥1 within-analysis-window, post-dose ADCS-ADL MCI observation; and 2) tested positive for cortical amyloid load by PET.
Mean
Standard Deviation
Score on a Scale
Title
Denominators
Categories
ParticipantsBG000469
ParticipantsBG001
Cerebrospinal Fluid (CSF) Total Tau Concentration
Total Tau concentration in the CSF was monitored as a measure of brain tau pathology.
Includes all participants receiving ≥1 dose of study treatment who: 1) had both a pre-dose baseline and ≥1 within-analysis-window, post-dose observation for CSF Total Tau concentration; and 2) tested positive for cortical amyloid load by PET. CSF Total Tau concentration was analyzed at select trial sites as a Part 1 substudy.
Mean
Standard Deviation
pg/mL
Title
Denominators
Categories
ParticipantsBG0005
ParticipantsBG001
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
Part 1 (Base Study). Least Squares Mean (LSM) Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SB) Score at Week 104
LSM change from baseline at week 104 was assessed for CDR-SB score, a clinical rating of global cognitive function, comprised of 6 domains: memory; orientation; judgment and problem solving; community affairs; home and hobbies; and personal care. For each domain, the degree of impairment is assessed by a semi-structured interview of the participant as well as the participant's caregiver. For each domain, potential scores range from 0 (no impairment) to 3 (severe impairment). Individual domain scores are summed to a total CDR-SB score (range: 0-18). Higher scores indicate more severe cognitive impairment. Further, increases in cognitive impairment would be reflected by increases in CDR-SB score.
Includes all participants receiving ≥1 dose of study treatment in Part 1 who: 1) had both a pre-dose baseline and ≥1 within-analysis-window, post-dose CDR-SB observation; and 2) tested positive for cortical amyloid load by PET.
Posted
Least Squares Mean
95% Confidence Interval
Score on a Scale
Baseline and Week 104 in Part 1
ID
Title
Description
OG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
OG001
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
OG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Units
Counts
Participants
OG000465
OG001458
OG002469
Title
Denominators
Categories
Title
Measurements
OG0001.6(1.4 to 1.9)
OG0012.0(1.8 to 2.3)
OG0021.6(1.3 to 1.8)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Longitudinal ANCOVA
0.6734
Difference in Least Squares Mean (LSM)
0.1
2-Sided
97.51
-0.3
0.4
Difference in LSM = Arm A - Arm C
Superiority
Analysis model includes categorical factors of geographic region, time, treatment, gender, APOE genotype, baseline use of Vitamin E, baseline use of AChEI, and the interaction of time by treatment, with baseline value, the interaction of baseline value and time, the baseline value of MMSE and the baseline value of age included as continuous covariates.
Primary
Part 2 (Extension Study). Mean Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SB) Score at Week 130
Mean change from baseline at week 130 was assessed for CDR-SB score, a clinical rating of global cognitive function, comprised of 6 domains: memory; orientation; judgment and problem solving; community affairs; home and hobbies; and personal care. For each domain, the degree of impairment is assessed by a semi-structured interview of the participant as well as the participant's caregiver. For each domain, potential scores range from 0 (no impairment) to 3 (severe impairment). Individual domain scores are summed to a total CDR-SB score (range: 0-18). Higher scores indicate more severe cognitive impairment. Further, increases in cognitive impairment would be reflected by increases in CDR-SB score. Per protocol, baseline refers to the baseline measurement obtained in Part 1.
All randomized participants continuing to Part 2, with: 1) both a pre-dose baseline and ≥1 within-analysis-window, post-dose CDR-SB observation; 2) a positive test for cortical amyloid load by PET; and 3) a CDR-SB observation at week 130.
Posted
Mean
Standard Deviation
Score on a Scale
Baseline and Week 130 (i.e., Week 26 of Part 2)
ID
Title
Description
OG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
OG001
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
Primary
Part 1 (Base Study). Percentage of Participants Who Experienced ≥1 Adverse Event (AE)
The percentage of participants experiencing an AE in Part 1 was assessed. An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to this medicinal product. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product is also an AE.
All randomized participants in Part 1, receiving ≥1 dose of study treatment.
Posted
Number
Percentage of Participants
Up to Week 106 (up to 2 weeks following cessation of study treatment in Part 1)
ID
Title
Description
OG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
OG001
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Primary
Part 1 (Base Study). Percentage of Participants Who Discontinued From Study Drug Due to an Adverse Event (AE)
The percentage of participants who discontinued from study drug due to an AE in Part 1 was assessed. An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to this medicinal product. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product is also an AE.
All randomized participants in Part 1, receiving ≥1 dose of study treatment.
Posted
Number
Percentage of Participants
Up to Week 104 in Part 1
ID
Title
Description
OG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
OG001
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Primary
Part 2 (Extension Study). Percentage of Participants Who Experienced ≥1 Adverse Event (AE)
The percentage of participants experiencing an AE in Part 2 was assessed. An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to this medicinal product. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product is also an AE.
All randomized participants continuing to Part 2, receiving ≥1 dose of trial treatment in Part 2. For included participants, the data reflect AEs occurring in Part 2 only.
Posted
Number
Percentage of Participants
From Week 104 (start of treatment in Part 2) up to Week 210 (up to 2 weeks following cessation of study treatment in Part 2)
ID
Title
Description
OG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
OG001
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Primary
Part 2 (Extension Study). Percentage of Participants Who Discontinued From Study Drug Due to an Adverse Event (AE)
The percentage of participants who discontinued from study drug due to an AE in Part 2 was assessed. An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to this medicinal product. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product is also an AE.
All randomized participants continuing to Part 2, receiving ≥1 dose of trial treatment in Part 2. For included participants, the data reflect discontinuations occurring in Part 2 only.
Posted
Number
Percentage of Participants
From Week 104 (start of treatment in Part 2) up to Week 208 (i.e., up to Week 104 in Part 2)
ID
Title
Description
OG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
OG001
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
Secondary
Part 1 (Base Study). Event-Rate Per 100 Participant Years for Progression to a Clinical Diagnosis of Probable AD Dementia
The event-rate per 100 participant-years for progression to a clinical diagnosis of probable AD dementia was calculated. Adjudication of a potential case was triggered if either: 1) in the investigator's own expert judgment, they think the participant may have progressed to dementia and/or 2) the participant's CDR-SB score is ≥2 points higher compared to baseline. Cases of progression to probable AD dementia confirmed by an external adjudication committee were counted as events in the analysis. The event-rate was calculated as the number of events divided by total follow-up time (participant-years) x 100; unit of measure is event-rate / 100 participant-years.
Includes all participants receiving ≥1 dose of study treatment in Part 1 who tested positive for cortical amyloid load by PET.
Posted
Number
Event-Rate / 100 Participant-Years
Up to Week 104 in Part 1
ID
Title
Description
OG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
OG001
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Secondary
Part 1 (Base Study). Estimated Least Squares Mean Difference Between the Last (Week 104) and First (Week 13) Post-dose CDR-SB Assessment
LSM difference between weeks 104 and 13 was estimated for CDR-SB score, a clinical rating of global cognitive function, comprised of 6 domains: memory; orientation; judgment / problem solving; community affairs; home / hobbies; and personal care. For each domain, degree of impairment is scored by a semi-structured interview of the participant and the participant's caregiver (domain score range: 0 [no impairment] to 3 [severe impairment]). Domain scores sum to a total CDR-SB score (range: 0-18); higher scores indicate more severe cognitive impairment. Further, increased cognitive impairment is reflected by higher CDR-SB scores; larger differences between week 104 and week 13 scores indicates accelerated AD progression.
Includes all participants receiving ≥1 dose of study treatment in Part 1 who: 1) had both a pre-dose baseline and ≥1 within-analysis-window, post-dose CDR-SB observation; and 2) tested positive for cortical amyloid load by PET.
Posted
Least Squares Mean
95% Confidence Interval
Score on a Scale
Week 13 and Week 104 in Part 1
ID
Title
Description
OG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
OG001
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
Secondary
Part 1 (Base Study). Least Squares Mean Change From Baseline in the 3-Domain Composite Cognition Score (CCS-3D) at Week 104
CCS-3D is composed of individual cognitive tests, grouped into 3 domains: 1) episodic memory; 2) executive function; and 3) attention/processing speed. For each cognitive test, a z-score (Z) is calculated at each time point [Z = (observed value - study population mean at baseline) / study population standard deviation at baseline]. These individual Zs are first combined into domain-specific Zs, and then into a composite Z, (i.e. CCS-3D). Theoretically, 99.9% of CCS-3D will be ± 3; more positive CCS-3D indicate greater cognitive impairment relative to the total study population at baseline. Further, negative changes in CCS-3D over time indicate improved cognition relative to the total study population at baseline.
Includes all participants receiving ≥1 dose of study treatment who: 1) had both a pre-dose baseline and ≥1 within-analysis-window, post-dose CCS-3D observation; and 2) tested positive for cortical amyloid load by PET.
Posted
Least Squares Mean
95% Confidence Interval
Z-score
Baseline and Week 104 in Part 1
ID
Title
Description
OG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
OG001
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
Secondary
Part 1 (Base Study). Least Squares Mean Percent Change From Baseline in Total Hippocampal Volume (THV) at Week 104
Least squares mean percent change from baseline at week 104 was calculated for THV as measured by volumetric magnetic resonance imaging (vMRI). Negative percent changes from baseline indicate decreases in THV (i.e. increased hippocampal atrophy).
Includes all participants receiving ≥1 dose of study treatment who: 1) had both a pre-dose baseline and ≥1 within-analysis-window, post-dose THV observation; and 2) tested positive for cortical amyloid load by PET.
Posted
Least Squares Mean
95% Confidence Interval
Percent Change
Baseline and Week 104 in Part 1
ID
Title
Description
OG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
OG001
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
OG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
Secondary
Part 1 (Base Study). Least Squares Mean Change From Baseline in Composite Cortical Amyloid Standard Uptake Value Ratio (SUVR) Assessed With Amyloid Tracer [18F]Flutemetamol Using Positron Emission Tomography (PET) Imaging at Week 104
[18F]Flutemetamol PET SUVR measures brain cortical amyloid load. The PET tracer [18F]Flutemetamol was given intravenously (IV). After 90 minutes, participants were scanned for 20 minutes. Using the PET scan images, SUVRs, the ratio of tracer signal in a specific region compared to a reference region (RR; subcortical white matter) are calculated for brain regions of interest (ROIs). SUVRs from a selected set of brain regions are averaged to compute a composite SUVR. Higher composite SUVR values indicate increased amyloid load in selected brain regions, with negative changes in composite cortical SUVR over time indicating decreases in brain amyloid load.
Includes all participants receiving ≥1 dose of study treatment who: 1) had both a pre-dose baseline and ≥1 within-analysis-window, post-dose SUVR observation; and 2) tested positive for cortical amyloid load by PET.
Posted
Least Squares Mean
95% Confidence Interval
Standard Uptake Value Ratio (SUVR)
Baseline and Week 104 in Part 1
ID
Title
Description
OG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
OG001
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
Secondary
Part 1 (Base Study). Least Squares Mean Change From Baseline in Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (Mild Cognitive Impairment Version) (ADCS-ADL MCI) Score at Week 104
Least squares mean change from baseline at week 104 was assessed for the ADCS-ADL MCI score. The ADCS-ADL MCI is an 18-item assessment of recent, observed performance of activities of daily living administered to participants' trial partners in an interview format. For the 18 items, scores range from 0 (no independence) to (depending on the item) either 2 (5 items), 3 (9 items), or 4 (4 items), with higher scores indicating greater independence in activity performance. Scores from individual items sum to a total ADCS-ADL score (range: 0-53). Lower scores indicate less independence in activity performance and, as a result, greater AD severity. Further, increases in AD severity over time would be reflected by decreases in ADCS-ADL score.
Includes all participants receiving ≥1 dose of study treatment who: 1) had both a pre-dose baseline and ≥1 within-analysis-window, post-dose ADCS-ADL MCI observation; and 2) tested positive for cortical amyloid load by PET.
Posted
Least Squares Mean
95% Confidence Interval
Score on a Scale
Baseline and Week 104 in Part 1
ID
Title
Description
OG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
OG001
Secondary
Part 1 (Base Study). Mean Percent Change From Baseline in Cerebrospinal Fluid (CSF) Total Tau Concentration at Week 104
Mean percent change from baseline at week 104 was calculated for Total Tau concentration in CSF, a measure of brain tau pathology. Per protocol, CSF Total Tau concentration was analyzed as part of a substudy in Part 1, with testing occurring only at select trial sites.
Includes all participants receiving ≥1 dose of study treatment who: 1) had both a pre-dose baseline and ≥1 within-analysis-window, post-dose observation for CSF Total Tau concentration; and 2) tested positive for cortical amyloid load by PET. CSF Total Tau concentration was analyzed at select trial sites as a Part 1 substudy.
Posted
Mean
Standard Deviation
Percent Change
Baseline and Week 104 in Part 1
ID
Title
Description
OG000
Arm A. Verubecestat 12 mg (Part 1); 12 mg (Part 2)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
OG001
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Time Frame
[Part 1]: Up to Week 106 of Part 1 (up to 2 weeks following cessation of study treatment in Part 1); [Part 2]: From Week 104 (start of treatment in Part 2) up to Week 210 (up to 2 weeks following cessation of study treatment in Part 2).
Description
[Part 1] Includes all randomized participants in Part 1 (Base Study) receiving ≥1 dose of study treatment. [Part 2] Includes all randomized participants continuing to Part 2 (Extension Study) receiving ≥1 dose of study treatment in Part 2. For Part 2-specific arms, only the AEs occurring during Part 2 are reported.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Arm A. Verubecestat 12 mg (Part 1)
[Part 1] Verubecestat 12 mg once daily for 104 weeks in Part 1 (Base Study).
3
483
124
483
221
483
EG001
Arm B. Verubecestat 40 mg (Part 1)
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study).
1
484
101
484
223
484
EG002
Arm C. Placebo (Part 1)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study).
3
484
96
484
202
484
EG003
Arm A. Verubecestat 12 mg (Part 2)
[Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 12 mg once daily for an additional 260 weeks.
0
197
10
197
39
197
EG004
Arm B. Verubecestat 40 mg (Part 2)
[Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
3
191
22
191
31
191
EG005
Arm C. Verubecestat 40 mg (Part 2)
[Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
0
204
24
204
40
204
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Acute myocardial infarction
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0011 events1 affected484 at risk
EG0022 events2 affected484 at risk
EG0030 events0 affected197 at risk
EG0040 events0 affected191 at risk
EG0050 events0 affected204 at risk
Angina pectoris aggravated
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Angina unstable
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Aortic valve stenosis
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Arrhythmia
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Atrial fibrillation
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0023 events2 affected484 at risk
EG003
Atrial fibrillation aggravated
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Atrial fibrillation with rapid ventricular response
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Atrial flutter
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Bradycardia
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0011 events1 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Cardiac failure congestive
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Coronary artery disease
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Coronary artery disease aggravated
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0002 events2 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Myocardial infarction
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0012 events2 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Non ST segment elevation myocardial infarction
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Paroxysmal supraventricular tachycardia
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Recurrent atrial fibrillation
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Sick sinus syndrome
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Sinus bradycardia
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Supraventricular tachycardia
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Ventricular bigeminy
Cardiac disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Bronchogenic cyst
Congenital, familial and genetic disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Benign paroxysmal positional vertigo
Ear and labyrinth disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Vertigo
Ear and labyrinth disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Inappropriate antidiuretic hormone secretion
Endocrine disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Cataract
Eye disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Cataract bilateral NOS
Eye disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Right cataract
Eye disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Abdominal pain
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Acute enterocolitis
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Colitis
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Colitis ischaemic
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Diarrhoea
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Diverticular perforation
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Duodenal ulcer
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Gastric ulcer
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Gastritis
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Gastrointestinal obstruction
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Gastrointestinal upset
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Gastrooesophageal reflux disease
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Haematochezia
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Haemorrhoids aggravated
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Indirect inguinal hernia
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Intestinal obstruction
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0002 events2 affected483 at risk
EG0010 events0 affected484 at risk
EG0023 events1 affected484 at risk
EG003
Large intestine polyp
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0002 events2 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Left inguinal hernia
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Left upper quadrant pain
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Oesophageal ulcer
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Rectal prolapse
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0022 events1 affected484 at risk
EG003
Reflux oesophagitis
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Right inguinal hernia
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Small intestinal obstruction
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Tenderness epigastric
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Upper gastrointestinal haemorrhage
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Vomiting
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0012 events2 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Acute chest pain
General disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Chest pain
General disorders
MedDRA 21.0
Systematic Assessment
EG0003 events3 affected483 at risk
EG0013 events2 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Chest pain aggravated
General disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Chest pressure
General disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Fever
General disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Fever of unknown origin
General disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Gait abnormal
General disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Non-cardiac chest pain
General disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Bile duct stone
Hepatobiliary disorders
MedDRA 21.0
Systematic Assessment
EG0002 events2 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Biliary tract disorder
Hepatobiliary disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Cholangitis
Hepatobiliary disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Cholecystitis
Hepatobiliary disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0022 events2 affected484 at risk
EG003
Cholelithiasis
Hepatobiliary disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Acute appendicitis
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Acute diverticulitis
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Bacillus bacteraemia
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Bacterial parotitis
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Bacterial sepsis
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Cellulitis
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Cellulitis of foot
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Cellulitis of hand
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Cellulitis of leg
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Diverticulitis
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Influenza B virus infection
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0012 events2 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Liver abscess
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Lobar pneumonia
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Lung infection
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Osteomyelitis
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Osteomyelitis acute
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Pneumonia
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0002 events2 affected483 at risk
EG0012 events2 affected484 at risk
EG0024 events3 affected484 at risk
EG003
Pneumonia bacterial
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Postoperative wound infection
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Prosthesis related infection
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Pseudomonas infection
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Pyelonephritis
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Septic arthritis
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Septic shock
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Spinal cord infection
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0003 events3 affected483 at risk
EG0011 events1 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Viral infection
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Viral syndrome
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Alcohol intoxication
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Arm fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Bimalleolar fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Bruise of head
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Cervical vertebral fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Chronic subdural haematoma
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Clavicle fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0012 events1 affected484 at risk
EG0023 events3 affected484 at risk
EG003
Femoral neck fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Femur fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Finger injury
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Fracture of intertrochanteric section of femur, closed
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Fractured mandible
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Head injury
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Hip fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0002 events2 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Humerus fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0012 events2 affected484 at risk
EG0022 events2 affected484 at risk
EG003
Joint ligament rupture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Lumbar spine compression fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Lumbar vertebral fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Multiple fractures
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Near drowning
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Olecranon fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Pain trauma activated
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Patella fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Pelvic fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Post procedural pain
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Postoperative haematoma
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Postoperative hypotension
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Radius fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Rib fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0002 events2 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Scapula fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Spinal compression fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Subarachnoid bleeding
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Subarachnoid haemorrhage
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Subdural haematoma (traumatic)
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Thoracic vertebral fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Thoracic vertebral fracture T12
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Traffic accident
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Trochanteric femoral fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Vertebral fracture
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Wound dehiscence
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Creatinine increased
Investigations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Faecal occult blood
Investigations
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Prostatic specific antigen increased
Investigations
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Dehydration
Metabolism and nutrition disorders
MedDRA 21.0
Systematic Assessment
EG0002 events2 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Hypokalaemia
Metabolism and nutrition disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Hyponatraemia
Metabolism and nutrition disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Hyponatraemia aggravated
Metabolism and nutrition disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Cervical spinal stenosis
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Cervical spondylosis
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Costochondritis
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Coxarthrosis
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Herniated disc
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Herniated nucleus pulposus
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Hips osteoarthritis
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Knee osteoarthritis
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Lumbar disc herniation
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Musculoskeletal chest pain
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Myalgia
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Osteoarthritis aggravated
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0003 events3 affected483 at risk
EG0011 events1 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Osteoporosis
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Rhabdomyolysis
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Rotator cuff syndrome
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Rotator cuff tear
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Spinal stenosis NOS
Musculoskeletal and connective tissue disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Adenocarcinoma of colon
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Adenocarcinoma of prostate
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0012 events2 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Atypical fibroxanthoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Basal cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG00014 events13 affected483 at risk
EG00110 events8 affected484 at risk
EG0027 events6 affected484 at risk
EG003
Bladder cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Bladder neoplasm
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Bowen's disease
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Breast cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Breast cancer metastatic
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Breast cancer recurrent
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Carcinoma in situ of breast ductal
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Cervical cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Chronic lymphocytic leukaemia
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Clear cell renal cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Colonic tubular adenoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Endometrial cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Follicular thyroid cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Gastric adenoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Gastric cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Lentigo melanoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Lip basal cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0022 events1 affected484 at risk
EG003
Lung adenocarcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Lung adenocarcinoma metastatic
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Malignant melanoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Malignant melanoma in situ
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Melanoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Melanoma in situ
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Metastases to lymph nodes
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Metastatic gastric cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Multiple myeloma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Nodular basal cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Pancreas cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Prostate cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0003 events3 affected483 at risk
EG0012 events2 affected484 at risk
EG0025 events5 affected484 at risk
EG003
Prostate cancer recurrent
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Prostate carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Rectal cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Renal cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Skin cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Skin carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0021 events1 affected484 at risk
EG003
Squamous cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0003 events3 affected483 at risk
EG0012 events2 affected484 at risk
EG0022 events2 affected484 at risk
EG003
Squamous cell carcinoma of head and neck
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Squamous cell carcinoma of skin
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0006 events5 affected483 at risk
EG0014 events3 affected484 at risk
EG0025 events5 affected484 at risk
EG003
Squamous cell carcinoma of skin in situ
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0002 events1 affected483 at risk
EG0012 events2 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Squamous cell carcinoma of skin well differentiated
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Squamous cell carcinoma of the nasal cavity
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Superficial basal cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0003 events3 affected483 at risk
EG0010 events0 affected484 at risk
EG0023 events3 affected484 at risk
EG003
Throat cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0011 events1 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Transitional cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0001 events1 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Urothelial carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Dysarthria
Nervous system disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Lacunar infarction
Nervous system disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Neurologic reaction
Nervous system disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Acute delirium
Psychiatric disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Ovarian cyst
Reproductive system and breast disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Haemothorax
Respiratory, thoracic and mediastinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Pneumothorax
Respiratory, thoracic and mediastinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Respiratory distress
Respiratory, thoracic and mediastinal disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Hives
Skin and subcutaneous tissue disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Aortic stenosis
Vascular disorders
MedDRA 21.0
Systematic Assessment
EG0000 events0 affected483 at risk
EG0010 events0 affected484 at risk
EG0020 events0 affected484 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Diarrhoea
Gastrointestinal disorders
MedDRA 21.0
Systematic Assessment
EG00035 events28 affected483 at risk
EG00122 events21 affected484 at risk
EG00238 events36 affected484 at risk
EG0037 events6 affected197 at risk
EG0042 events2 affected191 at risk
EG0053 events3 affected204 at risk
Cold
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG00020 events16 affected483 at risk
EG00128 events25 affected484 at risk
EG00234 events24 affected484 at risk
EG003
Common cold syndrome
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG00033 events22 affected483 at risk
EG00148 events32 affected484 at risk
EG00238 events26 affected484 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG00037 events31 affected483 at risk
EG00124 events21 affected484 at risk
EG00238 events31 affected484 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 21.0
Systematic Assessment
EG00037 events30 affected483 at risk
EG00135 events26 affected484 at risk
EG00230 events23 affected484 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA 21.0
Systematic Assessment
EG00056 events42 affected483 at risk
EG00148 events36 affected484 at risk
EG00241 events33 affected484 at risk
EG003
Weight decreased
Investigations
MedDRA 21.0
Systematic Assessment
EG00027 events27 affected483 at risk
EG00132 events32 affected484 at risk
EG00210 events10 affected484 at risk
EG003
Dizziness
Nervous system disorders
MedDRA 21.0
Systematic Assessment
EG00049 events37 affected483 at risk
EG00136 events31 affected484 at risk
EG00225 events25 affected484 at risk
EG003
Headache
Nervous system disorders
MedDRA 21.0
Systematic Assessment
EG00036 events32 affected483 at risk
EG00127 events26 affected484 at risk
EG00228 events24 affected484 at risk
EG003
Depression
Psychiatric disorders
MedDRA 21.0
Systematic Assessment
EG00017 events17 affected483 at risk
EG00129 events28 affected484 at risk
EG00215 events13 affected484 at risk
EG003
Suicidal ideation
Psychiatric disorders
MedDRA 21.0
Systematic Assessment
EG00048 events31 affected483 at risk
EG00150 events40 affected484 at risk
EG00226 events25 affected484 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
The Sponsor must have the opportunity to review all proposed abstracts, manuscripts or presentations regarding this trial 45 days prior to submission for publication/presentation. Any information identified by the Sponsor as confidential must be deleted prior to submission; this confidentiality does not include efficacy and safety results. Sponsor review can be expedited to meet publication timelines.
Point of Contact
Title
Organization
Phone
Extension
Email
Senior Vice President, Global Clinical Development
Analysis model includes categorical factors of geographic region, time, treatment, gender, APOE genotype, baseline use of Vitamin E, baseline use of AChEI, and the interaction of time by treatment, with baseline value, the interaction of baseline value and time, the baseline value of MMSE and the baseline value of age included as continuous covariates.
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
OG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Units
Counts
Participants
OG000120
OG001113
OG002124
Title
Denominators
Categories
Title
Measurements
OG0002.0± 2.5
OG0011.9± 2.2
OG0021.5± 2.1
OG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Units
Counts
Participants
OG000483
OG001484
OG002484
Title
Denominators
Categories
Title
Measurements
OG00091.3
OG00192.1
OG00287.0
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Difference in % vs Placebo
4.32
2-Sided
95
0.40
8.31
Difference in % = Arm A - Arm C
Other
OG001
OG002
Difference in % vs Placebo
5.17
2-Sided
95
1.33
9.09
Difference in % = Arm B - Arm C
Other
OG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Units
Counts
Participants
OG000483
OG001484
OG002484
Title
Denominators
Categories
Title
Measurements
OG0006.6
OG00110.1
OG0024.5
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Difference in % vs Placebo
2.08
2-Sided
95
-0.84
5.10
Difference in % = Arm A - Arm C
Other
OG001
OG002
Difference in % vs Placebo
5.58
2-Sided
95
2.35
8.99
Difference in % = Arm B - Arm C
Other
OG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Units
Counts
Participants
OG000197
OG001191
OG002204
Title
Denominators
Categories
Title
Measurements
OG00059.4
OG00155.5
OG00266.2
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Difference in % vs Placebo
-6.79
2-Sided
95
-16.16
2.68
Difference in % = Arm A - Arm C
Other
OG001
OG002
Difference in % vs Placebo
-10.68
2-Sided
95
-20.16
-1.04
Difference in % = Arm B - Arm C
Other
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
OG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Units
Counts
Participants
OG000197
OG001191
OG002204
Title
Denominators
Categories
Title
Measurements
OG0001.0
OG0011.0
OG0023.4
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Difference in % vs Placebo
-2.42
2-Sided
95
-6.03
0.61
Difference in % = Arm A - Arm C
Other
OG001
OG002
Difference in % vs Placebo
-2.38
2-Sided
95
-6.01
0.71
Difference in % = Arm B - Arm C
Other
OG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Units
Counts
Participants
OG000480
OG001481
OG002481
Title
Denominators
Categories
Title
Measurements
OG00024.5
OG00125.5
OG00219.3
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Regression, Cox
0.0222
Hazard Ratio (HR)
1.301
2-Sided
97.51
1.005
1.684
HR = Arm A / Arm C
Superiority
Based on Cox regression model with Efron's method of tie handling with treatment, background AD treatment (use, no use), sex, APOE4 status (carrier, non-carrier) and baseline use of Vitamin E as categorical covariates and age and baseline MMSE value as continuous covariates.
OG001
OG002
Regression, Cox
0.0050
Hazard Ratio (HR)
1.382
2-Sided
97.51
1.067
1.790
HR = Arm B / Arm C
Superiority
Based on Cox regression model with Efron's method of tie handling with treatment, background AD treatment (use, no use), sex, APOE4 status (carrier, non-carrier) and baseline use of Vitamin E as categorical covariates and age and baseline MMSE value as continuous covariates.
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
OG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Units
Counts
Participants
OG000465
OG001458
OG002469
Title
Denominators
Categories
Title
Measurements
OG0001.5(1.3 to 1.7)
OG0011.8(1.5 to 2.0)
OG0021.5(1.3 to 1.7)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Longitudinal ANCOVA
0.9109
Difference in Least Squares Mean (LSM)
0.0
2-Sided
97.51
-0.3
0.4
Difference in LSM = Arm A - Arm C
Superiority
Analysis model includes categorical factors of geographic region, time, treatment, gender, APOE genotype, baseline use of Vitamin E, baseline use of AChEI, and the interaction of time by treatment, with baseline value, the interaction of baseline value and time, the baseline value of MMSE and the baseline value of age included as continuous covariates.
OG001
OG002
Longitudinal ANCOVA
0.0824
Difference in Least Squares Mean (LSM)
0.3
2-Sided
97.51
-0.1
0.7
Difference in LSM = Arm B - Arm C
Superiority
Analysis model includes categorical factors of geographic region, time, treatment, gender, APOE genotype, baseline use of Vitamin E, baseline use of AChEI, and the interaction of time by treatment, with baseline value, the interaction of baseline value and time, the baseline value of MMSE and the baseline value of age included as continuous covariates.
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
OG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Units
Counts
Participants
OG000441
OG001424
OG002440
Title
Denominators
Categories
Title
Measurements
OG0000.8(0.7 to 0.9)
OG0010.8(0.7 to 0.9)
OG0020.8(0.7 to 0.9)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Longitudinal ANCOVA
0.9510
Difference in Least Squares Mean (LSM)
0.0
2-Sided
97.51
-0.2
0.2
Difference in LSM = Arm A - Arm C
Superiority
Analysis model includes categorical factors of geographic region, time, treatment, gender, APOE genotype, baseline use of Vitamin E, baseline use of AChEI, and the interaction of time by treatment, with baseline value, the interaction of baseline value and time, the baseline value of MMSE and the baseline value of age included as continuous covariates.
OG001
OG002
Longitudinal ANCOVA
0.9392
Difference in Least Squares Mean (LSM)
0.0
2-Sided
97.51
-0.2
0.2
Difference in LSM = Arm B - Arm C
Superiority
Analysis model includes categorical factors of geographic region, time, treatment, gender, APOE genotype, baseline use of Vitamin E, baseline use of AChEI, and the interaction of time by treatment, with baseline value, the interaction of baseline value and time, the baseline value of MMSE and the baseline value of age included as continuous covariates.
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Units
Counts
Participants
OG000168
OG001181
OG002191
Title
Denominators
Categories
Title
Measurements
OG000-6.5(-6.9 to -6.2)
OG001-6.7(-7.1 to -6.3)
OG002-6.1(-6.5 to -5.7)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Longitudinal ANCOVA
0.1133
Difference in Least Squares Mean (LSM)
-0.4
2-Sided
97.51
-1.0
0.2
Difference in LSM = Arm A - Arm C
Superiority
Analysis model includes categorical factors of geographic region, time, treatment, gender, APOE genotype, baseline use of Vitamin E, baseline use of AChEI, and the interaction of time by treatment, with baseline value, the interaction of baseline value and time, the baseline value of MMSE and the baseline value of age included as continuous covariates.
OG001
OG002
Longitudinal ANCOVA
0.0310
Difference in Least Squares Mean (LSM)
-0.6
2-Sided
97.51
-1.2
0.0
Difference in LSM = Arm B - Arm C
Superiority
Analysis model includes categorical factors of geographic region, time, treatment, gender, APOE genotype, baseline use of Vitamin E, baseline use of AChEI, and the interaction of time by treatment, with baseline value, the interaction of baseline value and time, the baseline value of MMSE and the baseline value of age included as continuous covariates.
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
OG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Units
Counts
Participants
OG00063
OG00159
OG00265
Title
Denominators
Categories
Title
Measurements
OG000-0.03(-0.04 to -0.03)
OG001-0.04(-0.05 to -0.04)
OG0020.02(0.02 to 0.03)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Longitudinal ANCOVA
<0.0001
Difference in Least Squares Mean (LSM)
-0.05
2-Sided
97.51
-0.06
-0.04
Difference in LSM = Arm A - Arm C
Superiority
Analysis model includes categorical factors of geographic region, time, treatment, gender, APOE genotype, baseline use of Vitamin E, baseline use of AChEI, and the interaction of time by treatment, with baseline value, the interaction of baseline value and time, the baseline value of MMSE and the baseline value of age included as continuous covariates.
OG001
OG002
Longitudinal ANCOVA
<0.0001
Difference in Least Squares Mean (LSM)
-0.06
2-Sided
97.51
-0.07
-0.05
Difference in LSM = Arm B - Arm C
Superiority
Analysis model includes categorical factors of geographic region, time, treatment, gender, APOE genotype, baseline use of Vitamin E, baseline use of AChEI, and the interaction of time by treatment, with baseline value, the interaction of baseline value and time, the baseline value of MMSE and the baseline value of age included as continuous covariates.
Arm B. Verubecestat 40 mg (Part 1); 40 mg (Part 2)
[Part 1] Verubecestat 40 mg once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
OG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.
Units
Counts
Participants
OG000469
OG001462
OG002472
Title
Denominators
Categories
Title
Measurements
OG000-5.2(-6.1 to -4.3)
OG001-5.8(-6.8 to -4.8)
OG002-4.1(-5.0 to -3.3)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Longitudinal ANCOVA
0.0960
Difference in Least Squares Mean (LSM)
-1.0
2-Sided
97.51
-2.4
0.4
Difference in LSM = Arm A - Arm C
Superiority
Analysis model includes categorical factors of geographic region, time, treatment, gender, APOE genotype, baseline use of Vitamin E, baseline use of AChEI, and the interaction of time by treatment, with baseline value, the interaction of baseline value and time, the baseline value of MMSE and the baseline value of age included as continuous covariates.
OG001
OG002
Longitudinal ANCOVA
0.0110
Difference in Least Squares Mean (LSM)
-1.7
2-Sided
97.51
-3.2
-0.2
Difference in LSM = Arm B - Arm C
Superiority
Analysis model includes categorical factors of geographic region, time, treatment, gender, APOE genotype, baseline use of Vitamin E, baseline use of AChEI, and the interaction of time by treatment, with baseline value, the interaction of baseline value and time, the baseline value of MMSE and the baseline value of age included as continuous covariates.
OG002
Arm C. Placebo (Part 1); Verubecestat 40 mg (Part 2)
[Part 1] Placebo once daily for 104 weeks in Part 1 (Base Study). [Part 2] Participants completing Part 1 and continuing to Part 2 (Extension Study) receive verubecestat 40 mg once daily for an additional 260 weeks.