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This study seeks to evaluate the efficacy and safety of intepirdine (RVT-101) in patients with dementia with Lewy bodies.
The efficacy and safety of RVT-101 at doses of 70 mg and 35 mg daily will be evaluated over a 24-week double-blind treatment period in patients with dementia with Lewy bodies.
The randomization ratio will be 1:1:1 (70 mg RVT-101: 35 mg RVT-101: placebo).
Subjects completing this study will be eligible to enroll in an extension study of RVT-101 (Study RVT-101-2002).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RVT-101 35 mg | Experimental | RVT-101 35 mg once daily |
|
| RVT-101 70 mg | Experimental | RVT-101 70 mg once daily |
|
| Placebo | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RVT-101 35 mg | Drug | once daily, oral, 35-mg tablets |
| |
| RVT-101 70 mg |
| Measure | Description | Time Frame |
|---|---|---|
| Unified Parkinson's Disease Rating Scale-Part III (UPDRS-III) Change From Baseline at Week 24 | The primary endpoint was to assess the effects of intepirdine versus placebo on the UPDRS Part III after 24 weeks of treatment. UPDRS Part III scores range from 0 to 108, with higher scores indicating worse outcome. | Change from Baseline at 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Alzheimer's Disease Assessment Scale - Cognitive Subscale 11 Items (ADAS-Cog-11) Change From Baseline at Week 24 | The 11-item ADAS-Cog assesses a range of cognitive abilities including memory, comprehension, orientation in time and place, and spontaneous speech. The ADAS-Cog-11 total score range is from 0 to 70, with a higher score indicating more severe cognitive impairment. | Change from Baseline at 24 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ilise Lombardo, MD | Axovant Sciences Inc., Senior Vice President, Clinical Research | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| US138 | Phoenix | Arizona | 85006 | United States | ||
| US108 |
484 participants signed consent and were screened for participation. Of these, 306 entered a 2-week single-blind placebo run-in period with treatment with placebo qd. There was an overlap between the participants from the run-in period and the participants that were randomized during the treatment period.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Subjects dosed with two Placebo tablets Placebo: once daily, oral, matching tablets |
| FG001 | RVT-101 35 mg | Subjects dosed with one Placebo tablet + 1 35 mg tablet of RVT-101 RVT-101 35 mg: once daily, oral, 35-mg tablets |
| 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 | Nov 15, 2017 | Dec 17, 2018 |
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| Drug |
once daily, oral, 35-mg tablets |
|
| Placebo | Drug | once daily, oral, matching tablets |
|
| Clinician's Interview-Based Impression of Change Plus Caregiver Input (CIBIC+) Change From Baseline at Week 24 | To assess the effects of RVT-101 versus placebo on global function as measured by the Clinician's Interview-Based Impression of Change Plus Caregiver Input (CIBIC+) after 24 weeks of treatment. CIBIC+ is recorded on a 7-point scale with a score of 4 indicating no change, scores above 4 indicating worsening, and scores below 4 indicating improvement. | Change from Baseline at 24 weeks |
| Phoenix |
| Arizona |
| 85013 |
| United States |
| US139 | Sun City | Arizona | 85351 | United States |
| US125 | Tucson | Arizona | 85704 | United States |
| US119 | Irvine | California | 92868 | United States |
| US134 | Oxnard | California | 93030 | United States |
| US133 | Rancho Mirage | California | 92270 | United States |
| US140 | Sacramento | California | 95816 | United States |
| US141 | Englewood | Colorado | 80113 | United States |
| US123 | Washington D.C. | District of Columbia | 20007 | United States |
| US104 | Boca Raton | Florida | 33431 | United States |
| US116 | Boca Raton | Florida | 33486 | United States |
| US111 | Jacksonville | Florida | 32224 | United States |
| US122 | Orlando | Florida | 32806 | United States |
| US137 | Palm Beach Gardens | Florida | 33410 | United States |
| US126 | Tampa | Florida | 33609 | United States |
| US136 | Atlanta | Georgia | 30331 | United States |
| US112 | Chicago | Illinois | 60612 | United States |
| US118 | Indianapolis | Indiana | 46202 | United States |
| US105 | Lexington | Kentucky | 40536 | United States |
| US135 | Newton | Massachusetts | 02459 | United States |
| US130 | Quincy | Massachusetts | 02196 | United States |
| US102 | Rochester | Minnesota | 55905 | United States |
| US109 | New York | New York | 10032 | United States |
| US100 | Chapel Hill | North Carolina | 27514 | United States |
| US110 | Cleveland | Ohio | 44195 | United States |
| US106 | Columbus | Ohio | 43210 | United States |
| US131 | Portland | Oregon | 97210 | United States |
| US120 | Willow Grove | Pennsylvania | 19090 | United States |
| US124 | Dallas | Texas | 75390 | United States |
| US101 | Charlottesville | Virginia | 22908 | United States |
| CA200 | Toronto | Ontario | M4N 3M5 | Canada |
| CA201 | Sherbrooke | Quebec | J1J 3H5 | Canada |
| FR952 | Toulouse | Haute-Garonne | 31052 | France |
| FR957 | Lille | Nord | 59037 | France |
| FR951 | Villeurbanne | Rhône | 69100 | France |
| FR954 | Bron | 69677 | France |
| FR959 | Paris | 75010 | France |
| FR956 | Paris | 75013 | France |
| FR960 | Paris | 75013 | France |
| FR953 | Saint-Herblain | 44800 | France |
| FR950 | Strasbourg | 67000 | France |
| FR955 | Vandœuvre-lès-Nancy | 54500 | France |
| IT304 | Tricase | Lecce | 73039 | Italy |
| IT300 | Genoa | Liguria | 16132 | Italy |
| IT302 | Brescia | Lombardy | 25125 | Italy |
| IT306 | Brescia | 25123 | Italy |
| IT301 | Milan | 20133 | Italy |
| IT305 | Venice | I-30126 | Italy |
| NE402 | Amsterdam | North Holland | 1081 HV | Netherlands |
| NE401 | 's-Hertogenbosch | 5223 GZ | Netherlands |
| NE400 | Rotterdam | 3015 CE | Netherlands |
| SP600 | Barcelona | 08028 | Spain |
| SP605 | Barcelona | 08041 | Spain |
| SP602 | Burgos | 09006 | Spain |
| UK801 | Cambridge | Cambridgeshire | CB21 5EF | United Kingdom |
| UK808 | Epping | Essex | CM16 6TN | United Kingdom |
| UK804 | Southampton | Hampshire | SO30 3JB | United Kingdom |
| UK807 | Bristol | BS10 5NB | United Kingdom |
| UK806 | Dundee | DD1 9SY | United Kingdom |
| UK805 | Isleworth | TW76FY | United Kingdom |
| UK800 | London | SE5 8AF | United Kingdom |
| UK809 | London | W1G 9RU | United Kingdom |
| UK802 | Manchester | M8 5RB | United Kingdom |
| UK803 | Newcastle upon Tyne | NE4 5PL | United Kingdom |
| FG002 | RVT-101 70 mg | Subjects dosed with two RVT-101 35 mg tablets RVT-101 70 mg: once daily, oral, 35-mg tablets |
| Safety Population | The Safety population included subjects who took at least 1 dose of double-blind study drug |
|
| Intent to Treat (ITT) Population | Subjects took at least 1 dose of double-blind study drug and had at least 1 post-baseline assessment |
|
| Per-Protocol Population | Subjects in the ITT population who had no major protocol violations |
|
| Completers Population | Subjects in the ITT population who completed the study |
|
| UPDRS Primary Population |
|
| COMPLETED | Subjects who completed every visit per protocol |
|
| NOT COMPLETED |
|
|
Safety Population
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Subjects dosed with two Placebo tablets Placebo: once daily, oral, matching tablets |
| BG001 | RVT-101 35 mg | Subjects dosed with one Placebo tablet + 1 35 mg tablet of RVT-101 RVT-101 35 mg: once daily, oral, 35-mg tablets |
| BG002 | RVT-101 70 mg | Subjects dosed with two RVT-101 35 mg tablets RVT-101 70 mg: once daily, oral, 35-mg tablets |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Full Range | years |
| ||||||||||
| Age, Customized | Count of Participants | Participants |
| |||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| |||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| |||||||||||
| BMI | Data was missing for two subjects | Mean | Full Range | kg/m^2 |
|
| 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 | Unified Parkinson's Disease Rating Scale-Part III (UPDRS-III) Change From Baseline at Week 24 | The primary endpoint was to assess the effects of intepirdine versus placebo on the UPDRS Part III after 24 weeks of treatment. UPDRS Part III scores range from 0 to 108, with higher scores indicating worse outcome. | UPDRS Primary Population | Posted | Least Squares Mean | Standard Error | units on a scale | Change from Baseline at 24 weeks |
|
|
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Alzheimer's Disease Assessment Scale - Cognitive Subscale 11 Items (ADAS-Cog-11) Change From Baseline at Week 24 | The 11-item ADAS-Cog assesses a range of cognitive abilities including memory, comprehension, orientation in time and place, and spontaneous speech. The ADAS-Cog-11 total score range is from 0 to 70, with a higher score indicating more severe cognitive impairment. | ITT Population | Posted | Least Squares Mean | Standard Error | units on a scale | Change from Baseline at 24 weeks |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Clinician's Interview-Based Impression of Change Plus Caregiver Input (CIBIC+) Change From Baseline at Week 24 | To assess the effects of RVT-101 versus placebo on global function as measured by the Clinician's Interview-Based Impression of Change Plus Caregiver Input (CIBIC+) after 24 weeks of treatment. CIBIC+ is recorded on a 7-point scale with a score of 4 indicating no change, scores above 4 indicating worsening, and scores below 4 indicating improvement. | ITT Population | Posted | Least Squares Mean | Standard Error | units on a scale | Change from Baseline at 24 weeks |
|
Screening through post treatment (up to 33 weeks)
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Placebo Placebo: once daily, oral, matching tablets | 1 | 91 | 11 | 91 | 66 | 91 |
| EG001 | RVT-101 35 mg | RVT-101 35 mg once daily RVT-101 35 mg: once daily, oral, 35-mg tablets | 1 | 89 | 11 | 89 | 69 | 89 |
| EG002 | RVT-101 70 mg | RVT-101 70 mg once daily RVT-101 70 mg: once daily, oral, 35-mg tablets | 2 | 88 | 13 | 88 | 59 | 88 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Deep vein Thrombosis | Vascular disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Concussion | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
| |
| Facial bones fracture | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
| |
| Femur fracture | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
| |
| Spinal compression fracture | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
| |
| Atrial Flutter | Cardiac disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Trifascicular block | Cardiac disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Squamous cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 19.1 | Systematic Assessment |
| |
| Basal cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 19.1 | Systematic Assessment |
| |
| Prostatic adenoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 19.1 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Ischaemic stroke | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Dementia | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Encephalopathy | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Haemorrhagic stroke | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Metabolic encephalopathy | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Transient ischaemic attack | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Subdural haematoma | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
| |
| Delirium | Psychiatric disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Hallucination, visual | Psychiatric disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Mental status change | Psychiatric disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Neuropsychiatric syndrome | Psychiatric disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Rectal Haemorrhage | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Diverticulum intestinal haemorrhagic | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Enteritis | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Intestinal obstruction | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Volvulus | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Cholecystitiis acute | Hepatobiliary disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Nephrolithiasis | Renal and urinary disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Escherichia urinary tract infection | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Lower respiratory tract infection | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Pyelonephritis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Urosepsis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Hip fracture | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Fall | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Orthostatic hypotension | Vascular disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Nasopharygitis | Respiratory, thoracic and mediastinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Hallucination, visual | Psychiatric disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Confusional state | Psychiatric disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 19.1 | Systematic Assessment |
|
All proposed manuscripts, publications or abstracts must be reviewed and approved by the Sponsor 60 days prior to submission for publication. All confidential information identified by the Sponsor must be deleted prior to submission.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Ilise Lombardo, MD | Axovant Sciences, Inc. | 646-822-8626 | ilise.lombardo@axovant.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 14, 2017 | Dec 17, 2018 | SAP_001.pdf |
| ID | Term |
|---|---|
| D020961 | Lewy Body Disease |
| D003704 | Dementia |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
Not provided
Not provided
| ID | Term |
|---|---|
| C548140 | 3-benzenesulfonyl-8-piperazin-1-ylquinoline |
Not provided
Not provided
Not provided
|
|
| >/= 74 years |
|
|
| < 65 years |
|
|
| >/=65 years |
|
|
|
|
|
|
| 0.6069 |
The threshold for statistical significance was p=0.05 |
| Mean Difference (Final Values) |
| 0.74 |
| 2-Sided |
| 95 |
| -2.08 |
| 3.55 |
Placebo - active |
| Superiority |
| Participants |
|
|
|
| Units |
|---|
| Counts |
|---|
| Participants |
|
|
|