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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-002715-15 | EudraCT Number | ||
| 1UF1AG046150-01 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| Banner Alzheimer's Institute | OTHER |
| National Institute on Aging (NIA) | NIH |
| Amgen | INDUSTRY |
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The purpose of this study was to test whether two investigational drugs called CAD106 and CNP520, administered separately, could slow down the onset and progression of clinical symptoms associated with Alzheimer's disease (AD) in participants at the risk to develop clinical symptoms based on their age and genotype.
The study (also known as the Generation Study 1, GS1) was conducted as part of the Alzheimer's Prevention Initiative (API) program.
This trial was a randomized, double-blind, placebo-controlled, parallel group, adaptive design with variable treatment duration planned in cognitively unimpaired APOE4 homozygotes (HMs) aged 60 to 75 years. Participants were enrolled into Cohort I (CAD106) or Cohort II (CNP520).
The planned treatment period of 5 to 8 years was not achieved due to early study termination.
The study was terminated due to unexpected changes in cognitive function, brain volume loss, and body weight loss. Cohort II (CNP520) treatment was stopped and evaluated through an off-treatment follow-up period. After the decision to terminate Cohort II of the study (CNP520), treatment with CAD106 (Cohort I) was also terminated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort I (CAD106) | Experimental | CAD106 (450 µg) + Alum (450 µg) intra-muscular injection at Weeks 1, 7, 13 and every 13 weeks thereafter |
|
| Cohort I (CAD106 Placebo) | Placebo Comparator | Placebo to CAD106 + Alum (450 µg) intra-muscular injection at Weeks 1, 7, 13 and every 13 weeks thereafter |
|
| Cohort II (CNP520) | Experimental | CNP520 (50 mg) capsules taken orally once daily |
|
| Cohort II (CNP520 Placebo) | Placebo Comparator | Matching Placebo to CNP520 capsules taken orally once daily |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CAD106 Immunotherapy | Biological | Participants will be given i.m. injections at Weeks 1, 7, 13 and quarterly i.m. injections (every 13 weeks) thereafter, until the last injection 3 month prior to completion of the Treatment Epoch. |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Event (Diagnosis of Mild Cognitive Impairment or Dementia, Due to Alzheimer's Disease (AD)) | Event was defined as the first confirmed diagnosis of MCI due to Alzheimer's disease (AD) or dementia due to AD (whichever occurred first) after adjudication by the progression adjudication committee (PAC) as triggered either by an investigator diagnosis or an increase in the Clinical Dementia Rating (CDR) global score. An event had to be confirmed by the PAC at two consecutive visits. In case no confirmed event was observed for a participant, the observation was censored, and the censoring date was defined as the last date where the diagnostic classification was assessed. The Study was terminated and only confirmed events collected up to the data cut-off point were counted. Due to the early termination of the study only a small number of events were observed and time-to-event could not be analyzed. Kaplan-Meyer (KM) estimates were provided to estimate probability that a subject would have an event prior to the specified visit. | Baseline to end of exposure for a maximum of 1455 days for CI and 907 days for CII |
| Change in the Alzheimer's Prevention Initiative Composite Cognitive (APCC) Test Score | APCC is a composite score derived from the specific scores from the Repeatable Battery for the Assessment of Neurological Status (RBANS), Mini-Mental State Examination (MMSE) and the Raven's Progressive Matrices. The APCC score is a weighted score with ranges from from 0 to 100 where higher scores correspond to better cognitive performance. | CI = Baseline to Weeks 26, 52,78 104 and Baseline to last assessment; CII = Baseline to Weeks 26, 52, 78, 104 and Baseline to Last on-treatment and Baseline to Last off-treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Clinical Dementia Rating Scale Sum of Boxes (CDR-SOB) Score | The CDR was obtained through semi-structured interviews of participants and informants, and cognitive functioning was rated on a 5-point scale of functioning in six domains: memory, orientation, judgement and problem solving, community affairs, home and hobbies, and personal care. The CDR global score ranged from zero to three, while the CDR-SOB was the sum of the ratings from the six domains, ranging from 0 to 18 with a minimum increment of 0.5. Higher scores indicated greater disease severity. |
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Key Inclusion Criteria:
Key Exclusion Criteria:
For Cohort - II only: Participants with depigmenting or hypopigmenting conditions (e.g. albinism vitiligo) or active / history of chronic urticarial in the past year.
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Banner Alzheimer's Institute | Phoenix | Arizona | 85006 | United States | ||
| Novartis Investigative Site |
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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713 participants were screened
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| ID | Title | Description |
|---|---|---|
| FG000 | Cohort I (CI) CAD106 | CAD106 (450 µg) + Alum (450 µg) intra-muscular injection at Weeks 1, 7, 13 and every 13 weeks thereafter |
| FG001 | Cohort I (CI) CAD106 Placebo | Placebo to CAD106 + Alum (450 µg) intra-muscular injection at Weeks 1, 7, 13 and every 13 weeks thereafter |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jan 7, 2020 | Apr 29, 2021 |
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| Placebo to CAD106 | Other | Participants will be given i.m. injections at Weeks 1, 7, 13 and quarterly i.m. injections (every 13 weeks) thereafter, until the last injection 3 month prior to completion of the Treatment Epoch. |
|
| CNP520 | Drug | CNP520 50 mg capsule p.o. for the duration of the Treatment Epoch. |
|
| Placebo to CNP520 | Other | Placebo to CNP520 p.o. for the duration of the Treatment Epoch |
|
| Alum | Other | Alum was mixed with reconstituted CAD106 as adjuvant therapy to maximize the effectiveness of CAD106 |
|
| CI = Baseline to Weeks 26, 52,78 104 and Baseline to last assessment; CII = Baseline to Weeks 26, 52, 78, 104 and Baseline to Last on-treatment and Baseline to Last off-treatment |
| Change in the Total Scores of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). | Repeatable Battery for the Assessment of Neurological Status (RBANS) is a clinical tool designed to detect and characterize the earliest neurocognitive changes associated with dementia. The RBANS generates age-adjusted index scores for five neurocognitive domains: Immediate Memory, Visuospatial/Constructional, Language, Attention and Delayed Memory, which are used to calculate a Total Scale Index score. Index scores and total score range from 40 to 160 and a higher score indicates better cognitive functioning. | CI = Baseline to Weeks 26, 52,78 104 and Baseline to last assessment; CII = Baseline to Weeks 26, 52, 78, 104 and Baseline to Last on-treatment and Baseline to Last off-treatment |
| Change in the Index Scores of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). | Repeatable Battery for the Assessment of Neurological Status (RBANS) is a clinical tool designed to detect and characterize the earliest neurocognitive changes associated with dementia. The RBANS generates age-adjusted index scores for five neurocognitive domains: Immediate Memory, Visuospatial/Constructional, Language, Attention and Delayed Memory, which are used to calculate a Total Scale Index score. Index scores and total score range from 40 to 160 and a higher score indicates better cognitive functioning. | CI = Baseline to Weeks 26, 52 and Baseline to last assessment; CII = Baseline to Weeks 26, 52 and Baseline to Last on-treatment and Baseline to Last off-treatment |
| Change in the Everyday Cognition Scale (ECog-Subject) Total Scores | Everyday Cognition Scale (ECog) measures cognitively-relevant everyday abilities comprised of 39 items covering 6 cognitively-relevant domains: Everyday Memory, Everyday Language, Everyday Visuospatial Abilities, Everyday Planning, Everyday Organization, and Everyday Divided Attention. The questionnaire is a self-reported measure completed by both participant and study partner (informant). The total score for the 39 items ranges from 39 to 195, with greater scores indicating worse daily function. | CI = Baseline to Weeks 26, 52 and Baseline to last assessment; CII = Baseline to Weeks 26, 52 and Baseline to Last on-treatment and Baseline to Last off-treatment |
| Change in the Everyday Cognition Scale (ECog-Informant) Total Scores | Everyday Cognition Scale (ECog) measures cognitively-relevant everyday abilities comprised of 39 items covering 6 cognitively-relevant domains: Everyday Memory, Everyday Language, Everyday Visuospatial Abilities, Everyday Planning, Everyday Organization, and Everyday Divided Attention. The questionnaire is a self-reported measure completed by both participant and study partner (informant). The total score for the 39 items ranges from 39 to 195, with greater scores indicating worse daily function. Cohort I=C I and Cohort II=C II. | CI = Baseline to Weeks 26, 52 and Baseline to last assessment; CII = Baseline to Weeks 26, 52 and Baseline to Last on-treatment and Baseline to Last off-treatment |
| Number of Participants With Newly Occurring Safety MRI Abnormalities (ARIA-E, ARIA-H,White Matter Disease and Any Other MRI Abnormalities) | Safety MRI included sequences necessary for ascertainment of possible ARIA-E (Amyloid Related Imaging Abnormality-Edema), ARIA-H (Amyloid Related Imaging Abnormality- Hemorrhage, including superficial siderosis and microhemorrhages), assessment of recent infarcts and white matter integrity examination (White matter disease worsening since baseline) and a general assessment of brain abnormalities. Assessment of cerebral amyloid angiopathy (CAA) is included in the overall safety MRI findings results. | Baseline to end of exposure for a maximum of 1455 days for CI and 907 days for CII |
| Annualized Percent Change on Volume of Brain Regions | Annualized % change from baseline in volume of specific brain regions of interest (ROIs): whole brain (WB), hippocampus (Hip), and lateral ventricles (LV). Annualized percentage change was calculated as (percentage per participant / time interval (in days)) x 365.25. Time interval (in days) was derived as date of current MRI assessment on study drug - date of baseline MRI assessment + 1. | CI = Baseline to Weeks 26, 52 and Baseline to last assessment; CII = Baseline to Weeks 26, 52 and Baseline to Last on-treatment and Baseline to Last off-treatment |
| Change in Cerebrospinal Fluid (CSF) Levels of Amyloid Beta 40 (Aβ40) | Alzheimer's Disease-related biomarkers analyzed in cerebrospinal fluid (CSF): Amyloid Beta 40 (Aβ40) | Baseline to last assessment |
| Change in Cerebrospinal Fluid (CSF) Levels of Amyloid Beta 42 (Aβ42) | Alzheimer's Disease-related biomarkers analyzed in cerebrospinal fluid (CSF): Amyloid Beta 42 (Aβ42) | Baseline to last assessment |
| Change in Cerebrospinal Fluid (CSF) Levels of Total Tau and Phosphorylated Tau | Alzheimer's Disease-related biomarkers analyzed in cerebrospinal fluid (CSF): total tau protein and phosphorylated tau protein levels | Baseline to last assessment |
| Change in Neurofibrillary Tangle Burden as Measured by Standardized Uptake Ratio (SUVR) of PET Scans With Tau Radiotracer (Where Available) | To demonstrate the effects of CNP520 vs placebo on tau pathology in the brain | Baseline to last assessment |
| Cohort I : Annualized Change in Amyloid Deposition as Measured by Centiloids of Positron Emission Tomography (PET) Scan With Amyloid Radiotracer | To demonstrate the effects of CAD106 vs placebo on Alzheimer's Disease-related biomarkers | Baseline up to approximately Week 104 |
| Change in Serum Neurofilaments | Alzheimer's Disease-related biomarkers analyzed in blood serum: light chain neurofilaments (NfL) | Baseline to Week 26 and week 52, CI baseline to last assessment. CII baseline to last on-treatment and to last off-treatment |
| Number of Suicidal Ideation or Behavior Events | Prospective suicidality assessment was performed with the use of Columbia-Suicide Severity Rating Scale (C-SSRS), a questionnaire using a detailed branched logic algorithm evaluating participant's suicidality ideation and behavior. Answer "yes" on item 4 or 5 of the Suicidal Ideation section or "yes" on any item of the Suicidal Behavior section was considered positive. | Baseline to end of exposure for a maximum of 1455 days for CI and 907 days for CII |
| Cohort I : Change in Cognition as Measured by APCC and CDR-SOB Scores and Antibody Response | Month 6 to Month 60 |
| Cohort I: Peak Concentration (Cmax) of CAD106 Induced Abeta-specific Antibody Titers | Cmax is the maximum Titer Concentration of any post-baseline 'on treatment' visit. A visit is considered as 'on treatment' if visit date is within {last injection + 180 days}. - Geometric mean and CI's are back-transformed from the estimates for Log mean and CI's. | Week 9, 13, 15, 26 and quarterly thereafter (trough values) |
| Cohort I: Area Under the Concentration Curve (AUC) of CAD106 Induced Abeta-specific Antibody Titers | AUC is calculated based on 'on treatment' visit only.(missing values for peak visits were linearly interpolated for calculation; missing values for trough visits were imputed by average of non-missing trough values.). | Week 9, 13, 15, 26 and quarterly thereafter (trough values) |
| Phoenix |
| Arizona |
| 85006 |
| United States |
| Novartis Investigative Site | Scottsdale | Arizona | 85259 | United States |
| Banner Sun City Research Institute | Sun City | Arizona | 85351 | United States |
| ATP Clinical Research, Inc. | Costa Mesa | California | 92626 | United States |
| Irvine Center for Clinical Research | Irvine | California | 92614 | United States |
| University of Southern California Keck School of Medicine Alzheimer Disease Research Center | Los Angeles | California | 90033 | United States |
| Novartis Investigative Site | Palo Alto | California | 94304 | United States |
| Novartis Investigative Site | San Diego | California | 92103 | United States |
| Syrentis Clinical Research | Santa Ana | California | 92705 | United States |
| Novartis Investigative Site | Sebastopol | California | 95472 | United States |
| California Neuroscience Research Medical Group, Inc. | Sherman Oaks | California | 91316 | United States |
| Novartis Investigative Site | Temecula | California | 92591 | United States |
| Novartis Investigative Site | Basalt | Colorado | 81621 | United States |
| Yale University Alzheimer's Disease Research Unit | New Haven | Connecticut | 06510 | United States |
| New England Institute for Clinical Research | Stamford | Connecticut | 06905 | United States |
| Georgetown University | Washington D.C. | District of Columbia | 20057 | United States |
| Novartis Investigative Site | Washington D.C. | District of Columbia | 20059 | United States |
| JEM Research Institute | Atlantis | Florida | 33462-6608 | United States |
| Florida Atlantic University, Clinical Translational Research Unit | Boca Raton | Florida | 33431 | United States |
| Brain Matters Research | Delray Beach | Florida | 33445 | United States |
| Novartis Investigative Site | Jacksonville | Florida | 32224 | United States |
| Meridien Research | Maitland | Florida | 32751 | United States |
| Merritt Island Medical Research | Merritt Island | Florida | 32952 | United States |
| University of Miami | Miami | Florida | 33136 | United States |
| Mount Sinai Medical Center - The Wien Center | Miami Beach | Florida | 33140 | United States |
| Novartis Investigative Site | Orlando | Florida | 32806 | United States |
| Compass Research | Orlando | Florida | 32812 | United States |
| Progressive Medical Research | Port Orange | Florida | 32127 | United States |
| USF Health Byrd Alzheimer's Institute | Tampa | Florida | 33613 | United States |
| Novartis Investigative Site | Atlanta | Georgia | 30322 | United States |
| Medical Research & Health Education Foundation, Inc. | Columbus | Georgia | 31909 | United States |
| NeuroStudies | Decatur | Georgia | 30033 | United States |
| Advanced Clinical Research | Meridian | Idaho | 83642 | United States |
| Rush University Medical Center | Chicago | Illinois | 60612 | United States |
| Great Lakes Clinical Trials | Chicago | Illinois | 60640 | United States |
| Indiana University | Indianapolis | Indiana | 46202 | United States |
| University of Kansas Alzheimer's Disease Center | Fairway | Kansas | 66205 | United States |
| Via Christi Research | Wichita | Kansas | 67214 | United States |
| Sanders Brown Center on Aging, University of Kentucky | Lexington | Kentucky | 40504 | United States |
| Novartis Investigative Site | Bangor | Maine | 04401 | United States |
| Novartis Investigative Site | Boston | Massachusetts | 02115 | United States |
| Novartis Investigative Site | Boston | Massachusetts | 02118 | United States |
| Novartis Investigative Site | Kalamazoo | Michigan | 49008 | United States |
| Novartis Investigative Site | Saint Paul | Minnesota | 55130 | United States |
| Novartis Investigative Site | St Louis | Missouri | 63104 | United States |
| Memory Disorders Program, Department of Neurological Sciences, University of Nebraska Medical Center | Omaha | Nebraska | 68198-7680 | United States |
| Cleveland Clinic Lou Ruvo Center for Brain Health | Las Vegas | Nevada | 89106 | United States |
| Memory Enhancement Center | Eatontown | New Jersey | 07724 | United States |
| The Memory Center of Northeastern New York | Latham | New York | 12110 | United States |
| NYU Langone Medical Center | New York | New York | 10016 | United States |
| The Nathan S. Kline Institute | Orangeburg | New York | 10962 | United States |
| University of Rochester Medical Center | Rochester | New York | 14620 | United States |
| Alzheimer's Memory Center | Charlotte | North Carolina | 28270 | United States |
| Duke University Medical center | Durham | North Carolina | 27705 | United States |
| Triad Clinical Trials, LLC | Greensboro | North Carolina | 27410 | United States |
| University Hospitals Cleveland Medical Center / Case Western Reserve University | Beachwood | Ohio | 44122 | United States |
| Novartis Investigative Site | Centerville | Ohio | 45459 | United States |
| Novartis Investigative Site | Columbus | Ohio | 43210 | United States |
| IPS Research Company | Oklahoma City | Oklahoma | 73103 | United States |
| Novartis Investigative Site | Oklahoma City | Oklahoma | 73112 | United States |
| Memory Health Center at Summit Research Network | Portland | Oregon | 97210 | United States |
| The Clinical Trial Center, LLC | Jenkintown | Pennsylvania | 19046 | United States |
| Novartis Investigative Site | Philadelphia | Pennsylvania | 19104 | United States |
| Abington Neurological Associates | Willow Grove | Pennsylvania | 19090 | United States |
| Butler Hospital Memory and Aging Program | Providence | Rhode Island | 02906 | United States |
| Roper St. Francis - CBRI | Charleston | South Carolina | 29401 | United States |
| Novartis Investigative Site | Knoxville | Tennessee | 37920 | United States |
| CNS Healthcare | Memphis | Tennessee | 38119 | United States |
| Novartis Investigative Site | Nashville | Tennessee | 37212 | United States |
| Senior Adults Specialty Research | Austin | Texas | 78757 | United States |
| Kerwin Research Center & Memory Care | Dallas | Texas | 75231 | United States |
| Houston Methodist Hospital | Houston | Texas | 77030 | United States |
| University of Texas Health Science Center, Houston | Houston | Texas | 77054 | United States |
| Clinical Trial Network | Houston | Texas | 77074 | United States |
| The Memory Clinic | Bennington | Vermont | 05201 | United States |
| Universal Research Group | Tacoma | Washington | 98405 | United States |
| The Medical College of WI | Milwaukee | Wisconsin | 53226 | United States |
| Novartis Investigative Site | Darlinghurst | New South Wales | 2010 | Australia |
| Novartis Investigative Site | Heidelberg Heights | Victoria | 3081 | Australia |
| Novartis Investigative Site | Nedlands | Western Australia | 6009 | Australia |
| Novartis Investigative Site | Ghent | 9000 | Belgium |
| Novartis Investigative Site | Leuven | 3000 | Belgium |
| Okanagan Clinical Trials | Kelowna | British Columbia | V1Y1Z9 | Canada |
| Novartis Investigative Site | Kentville | Nova Scota | B4N 4K9 | Canada |
| Novartis Investigative Site | Halifax | Nova Scotia | B3S 1M7 | Canada |
| Novartis Investigative Site | London | Ontario | N6C 0A7 | Canada |
| Toronto Memory Program | Toronto | Ontario | M3B 2S7 | Canada |
| The Centre for Memory and Aging | Toronto | Ontario | M4G 3E8 | Canada |
| Novartis Investigative Site | Toronto | Ontario | M4N 3M5 | Canada |
| Novartis Investigative Site | Gatineau | Quebec | J8T 8J1 | Canada |
| Novartis Investigative Site | Québec | Quebec | G1J 1Z4 | Canada |
| Novartis Investigative Site | Sherbrooke | Quebec | J1H 5N4 | Canada |
| Novartis Investigative Site | Sherbrooke | Quebec | J1J 2G2 | Canada |
| Novartis Investigative Site | Turku | 20520 | Finland |
| Novartis Investigative Site | Bayreuth | 95445 | Germany |
| Novartis Investigative Site | Berlin | 13353 | Germany |
| Novartis Investigative Site | Böblingen | 71032 | Germany |
| Novartis Investigative Site | Cologne | 50937 | Germany |
| Novartis Investigative Site | Göttingen | 37075 | Germany |
| Novartis Investigative Site | Halle | 06120 | Germany |
| Novartis Investigative Site | Kiel | 24105 | Germany |
| Novartis Investigative Site | Leipzig | 04107 | Germany |
| Novartis Investigative Site | Mannheim | 68159 | Germany |
| Novartis Investigative Site | Münster | 48149 | Germany |
| Novartis Investigative Site | Siegen | 57076 | Germany |
| Novartis Investigative Site | Wenzenbach | 93173 | Germany |
| Novartis Investigative Site | Amsterdam | 1081 GN | Netherlands |
| Novartis Investigative Site | Terrassa | Barcelona | 08221 | Spain |
| Novartis Investigative Site | Pozuelo de Alarcón | Madrid | 28223 | Spain |
| Novartis Investigative Site | Barcelona | 08005 | Spain |
| Novartis Investigative Site | Barcelona | 08014 | Spain |
| Novartis Investigative Site | Donostia / San Sebastian | 20009 | Spain |
| Novartis Investigative Site | Basel | CH | 4002 | Switzerland |
| Novartis Investigative Site | Westbruy on Trym | Bristol | BS10 5NB | United Kingdom |
| Novartis Investigative Site | Exeter | Devon | EX2 5DW | United Kingdom |
| Novartis Investigative Site | Plymouth | Devon | PL6 8BT | United Kingdom |
| Novartis Investigative Site | Guildford | Surrey | GU27YD | United Kingdom |
| Novartis Investigative Site | Avon | BA1 3NG | United Kingdom |
| Novartis Investigative Site | Birmingham | B16 8QQ | United Kingdom |
| Novartis Investigative Site | Dundee | DD1 9SY | United Kingdom |
| Novartis Investigative Site | Glasgow | G20 0XA | United Kingdom |
| Novartis Investigative Site | Glasgow | United Kingdom |
| Novartis Investigative Site | London | SE5 8AD | United Kingdom |
| Novartis Investigative Site | London | W12 0HS | United Kingdom |
| Novartis Investigative Site | London | W1G 9JF | United Kingdom |
| Novartis Investigative Site | London | W2 1NY | United Kingdom |
| Novartis Investigative Site | London | W2 1PG | United Kingdom |
| Novartis Investigative Site | Manchester | M13 9WL | United Kingdom |
| FG002 | Cohort II (CII) CNP520 | CNP520 (50 mg) capsules taken once daily orally |
| FG003 | Cohort II (CII) CNP520 Placebo | Placebo to CNP520 capsules taken once daily orally |
| 3 Patients Were Mis-randomized |
|
| COMPLETED |
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| NOT COMPLETED |
|
|
Three participants were included in the Participant Flow in Cohort II but not included in Baseline Characteristics because they were mis-randomized.
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| ID | Title | Description |
|---|---|---|
| BG000 | Cohort I (CI) CAD106 | CAD106 (450 µg) + Alum (450 µg) intra-muscular injection at Weeks 1, 7, 13 and every 13 weeks thereafter |
| BG001 | Cohort I (CI) CAD106 Placebo | Placebo to CAD106 + Alum (450 µg) intra-muscular injection at Weeks 1, 7, 13 and every 13 weeks thereafter |
| BG002 | Cohort II (CII) CNP520 | CNP520 (50 mg) capsules taken once daily orally |
| BG003 | Cohort II (CII) CNP520 Placebo | Placebo to CNP520 capsules taken once daily orally |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Number | participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Number | participants |
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| Cohort I API Preclinical Composite Cognitive Battery (APCC) | APCC (API Preclinical Compo site Cognitive Battery) is a composite score derived from RBANS (Repeatable Battery for Assessment of Neurological Status), MMSE (Mini-Mental State Examination) and the Raven's Progressive Matrices; scores are 0-100 and higher scores indicate better cognitive performance. | Numbers in row represent participants in either Cohort I or Cohort II | Mean | Standard Deviation | Scores on a scale |
| ||||||||
| Cohort I Repeatable Battery for Assessment of Neurological Status (RBANS) | RBANS is a tool to detect/characterize neurocognitive dementia changes in 5 neurocognitive domains; scores are 40-160 and higher scores indicate better cognitive functioning. | Numbers in row represent participants in either Cohort I or Cohort II | Mean | Standard Deviation | Scores on a scale |
| ||||||||
| Cohort I Clinical Dementia Rating Sum of Boxes (CDR-SOB) | Clinical Dementia Rating Sum of Boxes (CDR-SOB) measures cognition and functioning in 6 domains; scores are : 0-18 and higher scores indicate greater disease severity | Numbers in row represent participants in either Cohort I or Cohort II | Mean | Standard Deviation | scores on a scale |
| ||||||||
| Cohort II API Preclinical Composite Cognitive Battery (APCC) | Assessment of Neurological Status), MMSE(Mini-Mental State Examination) and the Raven's Progressive Matrices; scores are 0-100 and higher scores indicate better cognitive APCC(API Preclinical Composite Cognitive Battery) is a composite score derived from RBANS(Repeatable Battery for performance | Numbers in row represent participants in either Cohort I or Cohort II | Mean | Standard Deviation | scores on a scale |
| ||||||||
| Cohort II Repeatable Battery for Assessment of Neurological Status (RBANS) | RBANS is a tool to detect/characterize neurocognitive dementia changes in 5 neurocognitive domains; scores are 40-160 and higher scores indicate better cognitive functioning | Numbers in row represent participants in either Cohort I or Cohort II | Mean | Standard Deviation | scores on a scale |
| ||||||||
| Cohort II Clinical Dementia Rating Sum of Boxes (CDR-SOB) | Clinical Dementia Rating Sum of Boxes (CDR-SOB) measures cognition and functioning in 6 domains; scores are : 0-18 and higher scores indicate greater disease severity | Numbers in row represent participants in either Cohort I or Cohort II | Mean | Standard Deviation | scores on a scale |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Time to Event (Diagnosis of Mild Cognitive Impairment or Dementia, Due to Alzheimer's Disease (AD)) | Event was defined as the first confirmed diagnosis of MCI due to Alzheimer's disease (AD) or dementia due to AD (whichever occurred first) after adjudication by the progression adjudication committee (PAC) as triggered either by an investigator diagnosis or an increase in the Clinical Dementia Rating (CDR) global score. An event had to be confirmed by the PAC at two consecutive visits. In case no confirmed event was observed for a participant, the observation was censored, and the censoring date was defined as the last date where the diagnostic classification was assessed. The Study was terminated and only confirmed events collected up to the data cut-off point were counted. Due to the early termination of the study only a small number of events were observed and time-to-event could not be analyzed. Kaplan-Meyer (KM) estimates were provided to estimate probability that a subject would have an event prior to the specified visit. | n=number of participants at risk to experience an event at the time-point | Posted | Number | 95% Confidence Interval | proportion of participants | Baseline to end of exposure for a maximum of 1455 days for CI and 907 days for CII |
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| Primary | Change in the Alzheimer's Prevention Initiative Composite Cognitive (APCC) Test Score | APCC is a composite score derived from the specific scores from the Repeatable Battery for the Assessment of Neurological Status (RBANS), Mini-Mental State Examination (MMSE) and the Raven's Progressive Matrices. The APCC score is a weighted score with ranges from from 0 to 100 where higher scores correspond to better cognitive performance. | Only participants with a value at both Baseline and that visit are included. For CI: last post-baseline assessment collected during the study. For CII: Last on-treatment is the last assessment before or at last day on study drug + 31 days. Last off-treatment is the last assessment after last day on study drug + 31 days. | Posted | Mean | Standard Deviation | Total scores | CI = Baseline to Weeks 26, 52,78 104 and Baseline to last assessment; CII = Baseline to Weeks 26, 52, 78, 104 and Baseline to Last on-treatment and Baseline to Last off-treatment |
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| Secondary | Change in Clinical Dementia Rating Scale Sum of Boxes (CDR-SOB) Score | The CDR was obtained through semi-structured interviews of participants and informants, and cognitive functioning was rated on a 5-point scale of functioning in six domains: memory, orientation, judgement and problem solving, community affairs, home and hobbies, and personal care. The CDR global score ranged from zero to three, while the CDR-SOB was the sum of the ratings from the six domains, ranging from 0 to 18 with a minimum increment of 0.5. Higher scores indicated greater disease severity. | Only participants with a value at both Baseline and that visit are included. For CI: last post-baseline assessment collected during the study. For CII: Last on-treatment is the last assessment before or at last day on study drug + 31 days. Last off-treatment is the last assessment after last day on study drug + 31 days. | Posted | Mean | Standard Deviation | Scores on a scale | CI = Baseline to Weeks 26, 52,78 104 and Baseline to last assessment; CII = Baseline to Weeks 26, 52, 78, 104 and Baseline to Last on-treatment and Baseline to Last off-treatment |
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| Secondary | Change in the Total Scores of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). | Repeatable Battery for the Assessment of Neurological Status (RBANS) is a clinical tool designed to detect and characterize the earliest neurocognitive changes associated with dementia. The RBANS generates age-adjusted index scores for five neurocognitive domains: Immediate Memory, Visuospatial/Constructional, Language, Attention and Delayed Memory, which are used to calculate a Total Scale Index score. Index scores and total score range from 40 to 160 and a higher score indicates better cognitive functioning. | Only participants with a value at both Baseline and that visit are included. For CI: last post-baseline assessment collected during the study. For CII: Last on-treatment is the last assessment before or at last day on study drug + 31 days. Last off-treatment is the last assessment after last day on study drug + 31 days. | Posted | Mean | Standard Deviation | scores | CI = Baseline to Weeks 26, 52,78 104 and Baseline to last assessment; CII = Baseline to Weeks 26, 52, 78, 104 and Baseline to Last on-treatment and Baseline to Last off-treatment |
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| Secondary | Change in the Index Scores of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). | Repeatable Battery for the Assessment of Neurological Status (RBANS) is a clinical tool designed to detect and characterize the earliest neurocognitive changes associated with dementia. The RBANS generates age-adjusted index scores for five neurocognitive domains: Immediate Memory, Visuospatial/Constructional, Language, Attention and Delayed Memory, which are used to calculate a Total Scale Index score. Index scores and total score range from 40 to 160 and a higher score indicates better cognitive functioning. | Only participants with a value at both Baseline and that visit are included. For CI: last post-baseline assessment collected during the study. For CII: Last on-treatment is the last assessment before or at last day on study drug + 31 days. Last off-treatment is the last assessment after last day on study drug + 31 days. | Posted | Mean | Standard Deviation | scores | CI = Baseline to Weeks 26, 52 and Baseline to last assessment; CII = Baseline to Weeks 26, 52 and Baseline to Last on-treatment and Baseline to Last off-treatment |
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| Secondary | Change in the Everyday Cognition Scale (ECog-Subject) Total Scores | Everyday Cognition Scale (ECog) measures cognitively-relevant everyday abilities comprised of 39 items covering 6 cognitively-relevant domains: Everyday Memory, Everyday Language, Everyday Visuospatial Abilities, Everyday Planning, Everyday Organization, and Everyday Divided Attention. The questionnaire is a self-reported measure completed by both participant and study partner (informant). The total score for the 39 items ranges from 39 to 195, with greater scores indicating worse daily function. | Only participants with a value at both Baseline and that visit are included. For CI: last post-baseline assessment collected during the study. For CII: Last on-treatment is the last assessment before or at last day on study drug + 31 days. Last off-treatment is the last assessment after last day on study drug + 31 days. | Posted | Mean | Standard Deviation | Total scores | CI = Baseline to Weeks 26, 52 and Baseline to last assessment; CII = Baseline to Weeks 26, 52 and Baseline to Last on-treatment and Baseline to Last off-treatment |
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| Secondary | Change in the Everyday Cognition Scale (ECog-Informant) Total Scores | Everyday Cognition Scale (ECog) measures cognitively-relevant everyday abilities comprised of 39 items covering 6 cognitively-relevant domains: Everyday Memory, Everyday Language, Everyday Visuospatial Abilities, Everyday Planning, Everyday Organization, and Everyday Divided Attention. The questionnaire is a self-reported measure completed by both participant and study partner (informant). The total score for the 39 items ranges from 39 to 195, with greater scores indicating worse daily function. Cohort I=C I and Cohort II=C II. | Only participants with a value at both Baseline and that visit are included. For CI: last post-baseline assessment collected during the study. For CII: Last on-treatment is the last assessment before or at last day on study drug + 31 days. Last off-treatment is the last assessment after last day on study drug + 31 days. | Posted | Mean | Standard Deviation | Total scores | CI = Baseline to Weeks 26, 52 and Baseline to last assessment; CII = Baseline to Weeks 26, 52 and Baseline to Last on-treatment and Baseline to Last off-treatment |
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| Secondary | Number of Participants With Newly Occurring Safety MRI Abnormalities (ARIA-E, ARIA-H,White Matter Disease and Any Other MRI Abnormalities) | Safety MRI included sequences necessary for ascertainment of possible ARIA-E (Amyloid Related Imaging Abnormality-Edema), ARIA-H (Amyloid Related Imaging Abnormality- Hemorrhage, including superficial siderosis and microhemorrhages), assessment of recent infarcts and white matter integrity examination (White matter disease worsening since baseline) and a general assessment of brain abnormalities. Assessment of cerebral amyloid angiopathy (CAA) is included in the overall safety MRI findings results. | Safety analysis set - only participants with a value at both Baseline and that visit are included. For CI: last post-baseline assessment collected during the study. For CII: Last on-treatment is the last assessment before or at last day on study drug + 31 days. Last off-treatment is the last assessment after last day on study drug + 31 days. | Posted | Count of Participants | Participants | Baseline to end of exposure for a maximum of 1455 days for CI and 907 days for CII |
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| Secondary | Annualized Percent Change on Volume of Brain Regions | Annualized % change from baseline in volume of specific brain regions of interest (ROIs): whole brain (WB), hippocampus (Hip), and lateral ventricles (LV). Annualized percentage change was calculated as (percentage per participant / time interval (in days)) x 365.25. Time interval (in days) was derived as date of current MRI assessment on study drug - date of baseline MRI assessment + 1. | Safety analysis set - only participants with a value at both Baseline and that visit are included. For CI: last post-baseline assessment collected during the study. For CII: Last on-treatment is the last assessment before or at last day on study drug + 31 days. Last off-treatment is the last assessment after last day on study drug + 31 days. | Posted | Mean | Standard Deviation | Percentage of volume change | CI = Baseline to Weeks 26, 52 and Baseline to last assessment; CII = Baseline to Weeks 26, 52 and Baseline to Last on-treatment and Baseline to Last off-treatment |
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| Secondary | Change in Cerebrospinal Fluid (CSF) Levels of Amyloid Beta 40 (Aβ40) | Alzheimer's Disease-related biomarkers analyzed in cerebrospinal fluid (CSF): Amyloid Beta 40 (Aβ40) | No lumbar punctures for CSF collection were performed due to early termination of trial | Posted | Baseline to last assessment |
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| Secondary | Change in Cerebrospinal Fluid (CSF) Levels of Amyloid Beta 42 (Aβ42) | Alzheimer's Disease-related biomarkers analyzed in cerebrospinal fluid (CSF): Amyloid Beta 42 (Aβ42) | No lumbar punctures for CSF collection were performed due to early termination of trial | Posted | Baseline to last assessment |
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| Secondary | Change in Cerebrospinal Fluid (CSF) Levels of Total Tau and Phosphorylated Tau | Alzheimer's Disease-related biomarkers analyzed in cerebrospinal fluid (CSF): total tau protein and phosphorylated tau protein levels | No lumbar punctures for CSF collection were performed due to early termination of trial | Posted | Baseline to last assessment |
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| Secondary | Change in Neurofibrillary Tangle Burden as Measured by Standardized Uptake Ratio (SUVR) of PET Scans With Tau Radiotracer (Where Available) | To demonstrate the effects of CNP520 vs placebo on tau pathology in the brain | No post baseline data collected | Posted | Baseline to last assessment |
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| Secondary | Cohort I : Annualized Change in Amyloid Deposition as Measured by Centiloids of Positron Emission Tomography (PET) Scan With Amyloid Radiotracer | To demonstrate the effects of CAD106 vs placebo on Alzheimer's Disease-related biomarkers | Only available for Cohort I. For Cohort II, no post-baseline (year 2) amyloid PET scans could be obtained due to the early trial termination | Posted | Mean | Standard Deviation | Centiloids | Baseline up to approximately Week 104 |
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| Secondary | Change in Serum Neurofilaments | Alzheimer's Disease-related biomarkers analyzed in blood serum: light chain neurofilaments (NfL) | Only participants with a value at both Baseline and that visit are included. CI last post-baseline assessment. CII Last on-treatment is the last assessment before or at last day on study drug + 31 days. | Posted | Mean | Standard Deviation | pg/mL | Baseline to Week 26 and week 52, CI baseline to last assessment. CII baseline to last on-treatment and to last off-treatment |
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| Secondary | Number of Suicidal Ideation or Behavior Events | Prospective suicidality assessment was performed with the use of Columbia-Suicide Severity Rating Scale (C-SSRS), a questionnaire using a detailed branched logic algorithm evaluating participant's suicidality ideation and behavior. Answer "yes" on item 4 or 5 of the Suicidal Ideation section or "yes" on any item of the Suicidal Behavior section was considered positive. | Safety analysis set which includes only participants with events | Posted | Number | events | Baseline to end of exposure for a maximum of 1455 days for CI and 907 days for CII |
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| Secondary | Cohort I : Change in Cognition as Measured by APCC and CDR-SOB Scores and Antibody Response | No analysis performed due to early termination, no month 60 data | Posted | Month 6 to Month 60 |
|
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| Secondary | Cohort I: Peak Concentration (Cmax) of CAD106 Induced Abeta-specific Antibody Titers | Cmax is the maximum Titer Concentration of any post-baseline 'on treatment' visit. A visit is considered as 'on treatment' if visit date is within {last injection + 180 days}. - Geometric mean and CI's are back-transformed from the estimates for Log mean and CI's. | Safety population | Posted | Geometric Mean | 95% Confidence Interval | Days x titer levels rel. to ref. serum | Week 9, 13, 15, 26 and quarterly thereafter (trough values) |
|
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| Secondary | Cohort I: Area Under the Concentration Curve (AUC) of CAD106 Induced Abeta-specific Antibody Titers | AUC is calculated based on 'on treatment' visit only.(missing values for peak visits were linearly interpolated for calculation; missing values for trough visits were imputed by average of non-missing trough values.). | Safety population | Posted | Geometric Mean | 95% Confidence Interval | Days x titer levels rel. to ref. serum | Week 9, 13, 15, 26 and quarterly thereafter (trough values) |
|
|
Adverse events were reported from first dose of study treatment plus 31 days of washout period for a maximum duration of 1455 days for CI and 907 days for CII
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Cohort I @CAD106 | Cohort I @CAD106 | 0 | 42 | 4 | 42 | 36 | 42 |
| EG001 | Cohort I @Placebo | Cohort I @Placebo | 0 | 23 | 3 | 23 | 21 | 23 |
| EG002 | Cohort II (CNP520 50) | CNP520 (50 mg) capsules taken once daily orally | 0 | 249 | 8 | 249 | 106 | 249 |
| EG003 | Cohort II Placebo | Cohort II @Placebo | 0 | 163 | 7 | 163 | 76 | 163 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial flutter | Cardiac disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Cardiac failure congestive | Cardiac disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Coronary artery disease | Cardiac disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Stress cardiomyopathy | Cardiac disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Hiatus hernia | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Feeling jittery | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Non-cardiac chest pain | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Abscess limb | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Animal bite | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Femoral neck fracture | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Fibula fracture | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Rib fracture | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Rotator cuff syndrome | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Malignant melanoma in situ | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (23.0) | Systematic Assessment |
| |
| Cerebellar haemorrhage | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Cerebrovascular accident | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Subarachnoid haemorrhage | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Transient ischaemic attack | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Pneumothorax | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Pulmonary mass | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial fibrillation | Cardiac disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Atrial flutter | Cardiac disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Palpitations | Cardiac disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Type V hyperlipidaemia | Congenital, familial and genetic disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Deafness bilateral | Ear and labyrinth disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Tinnitus | Ear and labyrinth disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Hypothyroidism | Endocrine disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Thyroid mass | Endocrine disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Glaucoma | Eye disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Vitreous detachment | Eye disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Eosinophilic oesophagitis | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Pancreatic cyst | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Salivary gland disorder | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Chills | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Influenza like illness | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Injection site erythema | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Injection site pain | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Injection site pruritus | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Injection site reaction | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Malaise | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Non-cardiac chest pain | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Seasonal allergy | Immune system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Acute sinusitis | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Conjunctivitis bacterial | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Dacryocanaliculitis | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Gastroenteritis viral | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Pharyngitis | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Respiratory tract infection | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
| |
| Arthropod bite | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Injection related reaction | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Mallet finger | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Meniscus injury | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Pelvic fracture | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| Skin abrasion | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
| |
| C-reactive protein increased | Investigations | MedDRA (23.0) | Systematic Assessment |
| |
| Lumbar puncture | Investigations | MedDRA (23.0) | Systematic Assessment |
| |
| Urine albumin/creatinine ratio increased | Investigations | MedDRA (23.0) | Systematic Assessment |
| |
| Weight decreased | Investigations | MedDRA (23.0) | Systematic Assessment |
| |
| Weight increased | Investigations | MedDRA (23.0) | Systematic Assessment |
| |
| Hyperlipidaemia | Metabolism and nutrition disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Vitamin B12 deficiency | Metabolism and nutrition disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Exostosis | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Flank pain | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Foot deformity | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Musculoskeletal stiffness | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Rotator cuff syndrome | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Tendonitis | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Basal cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (23.0) | Systematic Assessment |
| |
| Benign neoplasm of thyroid gland | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (23.0) | Systematic Assessment |
| |
| Haemangioma of liver | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (23.0) | Systematic Assessment |
| |
| Melanocytic naevus | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (23.0) | Systematic Assessment |
| |
| Uterine leiomyoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (23.0) | Systematic Assessment |
| |
| Ageusia | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Carpal tunnel syndrome | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Cerebral cyst | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Cervical radiculopathy | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Lethargy | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Paraesthesia | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Presyncope | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Radiculopathy | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Abnormal dreams | Psychiatric disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Irritability | Psychiatric disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Cystitis haemorrhagic | Renal and urinary disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Dysuria | Renal and urinary disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Hypercalciuria | Renal and urinary disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Throat irritation | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Nail disorder | Skin and subcutaneous tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA (23.0) | Systematic Assessment |
| |
| Essential hypertension | Vascular disorders | MedDRA (23.0) | Systematic Assessment |
|
The study was terminated due to unexpected changes in cognitive function, brain volume loss, and body weight loss. Cohort II (CNP520) treatment was stopped and evaluated through an off-treatment follow-up period. After the decision to terminate Cohort II of the study (CNP520), treatment with CAD106 (Cohort I) was also terminated
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Novartis Pharmaceuticals | + 1 862 778 8300 | Novartis.email@Novartis.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jan 29, 2021 | Apr 29, 2021 | SAP_001.pdf |
| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| ID | Term |
|---|---|
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
Not provided
Not provided
| ID | Term |
|---|---|
| C000628578 | Umibecestat |
| C041524 | aluminum sulfate |
Not provided
Not provided
Not provided
|
| 65-69 years |
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| >70 years |
|
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| Black |
|
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| Asian |
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| Pacific Islander |
|
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| Other |
|
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| Unknown |
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| Week 52 |
|
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| Week 78 |
|
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| Week 104 |
|
|
CNP520 (50 mg) capsules taken once daily orally |
| OG003 | Cohort II (CII) CNP520 Placebo | Placebo to CNP520 capsules taken once daily orally |
|
|
| OG002 | Cohort II (CII) CNP520 | CNP520 (50 mg) capsules taken once daily orally |
| OG003 | Cohort II (CII) CNP520 Placebo | Placebo to CNP520 capsules taken once daily orally |
|
|
| OG002 | Cohort II (CII) CNP520 | CNP520 (50 mg) capsules taken once daily orally |
| OG003 | Cohort II (CII) CNP520 Placebo | Placebo to CNP520 capsules taken once daily orally |
|
|
| OG002 | Cohort II (CII) CNP520 | CNP520 (50 mg) capsules taken once daily orally |
| OG003 | Cohort II (CII) CNP520 Placebo | Placebo to CNP520 capsules taken once daily orally |
|
|
| OG002 | Cohort II (CII) CNP520 | CNP520 (50 mg) capsules taken once daily orally |
| OG003 | Cohort II (CII) CNP520 Placebo | Placebo to CNP520 capsules taken once daily orally |
|
|
| OG002 | Cohort II (CII) CNP520 | CNP520 (50 mg) capsules taken once daily orally |
| OG003 | Cohort II (CII) CNP520 Placebo | Placebo to CNP520 capsules taken once daily orally |
|
|
| OG002 | Cohort II (CII) CNP520 | CNP520 (50 mg) capsules taken once daily orally |
| OG003 | Cohort II (CII) CNP520 Placebo | Placebo to CNP520 capsules taken once daily orally |
|
|
| Cohort II (CII) CNP520 |
CNP520 (50 mg) capsules taken once daily orally |
| OG003 | Cohort II (CII) CNP520 Placebo | Placebo to CNP520 capsules taken once daily orally |
|
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| Participants |
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| Participants |
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| Participants |
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|
Placebo to CNP520 capsules taken once daily orally |
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