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This clinical study is designed as a multi-center, randomized, double-blind, placebo-controlled, parallel design, prospective, phase II clinical trial.
An eligible subject who meets inclusion and exclusion criteria is randomly assigned to three groups: study group 1 (GV1001 0.56 mg), study group 2 (GV1001 1.12 mg) or placebo group. A randomized subject is administered either GV1001 or placebo in a total of 14 times and will be evaluated for the efficacy and safety at week of 24.
GV1001 0.56 mg, 1.12 mg or placebo is subcutaneously administered once weekly schedule for 4 weeks (4 times) followed by every two weeks until week 24 (10 times). A total number of administration is 14 times.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | Placebo Comparator | Normal saline 0.9% |
|
| Study group 1 | Experimental | GV1001 0.56 mg |
|
| Study group 2 | Experimental | GV1001 1.12 mg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Normal Saline 0.9% | Drug | Normal saline 0.9% is subcutaneously administered once weekly schedule for 4 weeks (4 times) followed by every two weeks until week 24 (10 times). A total number of administration is 14 times. |
| Measure | Description | Time Frame |
|---|---|---|
| SIB (Severe Impairment Battery) | Change in SIB compared to the baseline and week 24 | week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| K-MMSE (Korean-Mini-Mental State Examination) | Change in K-MMSE compared to the baseline and week 24 | week 24 |
| CDR-SOB (Clinical Dementia Rating-Sum of Box) | Change in CDR-SOB compared to the baseline and week 24 |
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Inclusion Criteria:
Exclusion Criteria:
Any other cause of dementia shown by CT / MRI findings and neurological examination within 12 months of screening visit
Vitamin B12, folic acid, syphilis serology, and thyroid stimulating hormone (TSH) results are thought to contribute to the severity of dementia or cause dementia
A patient who are considered ineligible for this study by investigator due to concurrent or history of significant psychiatric conditions (eg. schizophrenia or bipolar affective disorder)
A patient with a history of known or suspected seizures including febrile seizures, a history of significant head trauma with loss of consciousness or recent unconsciousness that is not explained
A patient with acute or unstable cardiovascular disease, active peptic ulcer, uncontrolled hypertension, uncontrolled diabetes or insulin dependent patients or any medical condition that may interfere with the completion of clinical trials
Hypersensitivity to investigational medicinal products
History of alcohol, substance abuse or dependence (except nicotine dependence) within the last 2 years
Concurrent malignancies or invasive cancers diagnosed within the past 5 years except for non-metastatic basal cell carcinoma or squamous cell carcinoma of skin, in situ carcinoma of the uterine cervix or non-metastatic prostate cancer
Renal impairment (creatinine clearance (CLcr) <30 mL / min)
Severe liver dysfunction (ALT or AST> 2 times the upper limit of normal)
A patient taking other drugs other than donepezil to treat Alzheimer's disease or other cognitive impairment
A patient taking other drugs other than anticholinergic drugs, cholinergic drugs (local usages are allowable, such as pilocarpine eye drops), antidepressants (tricyclic antidepressant, MAO inhibitor) antipsychotics, donepezil to treat Alzheimer's disease
Women at childbearing age who do not consent using medicinally acceptable contraception (such as surgical sterilization, intrauterine contraceptive device, condom or diaphragm, an injectable or inserted contraceptive) during the study
Pregnancy or breast feeding
A patient who participated in other clinical trials within 4 weeks prior to this study
35 kg weight or below
A patient who had experienced this study drug
A patient who had participated in a clinical trial for Alzheimer dementia vaccine within last 6 months
Any other patients who are considered to be ineligible for this study by an investigator
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| Name | Affiliation | Role |
|---|---|---|
| Hyoung Gon Song, MD., PhD. | GemVax & Kael | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hanyang University Guri Hospital | Guri-si | Gyunggi-do | 11923 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37545861 | Derived | Kwon HS, Koh SH, Choi SH, Jeong JH, Na HR, Lee CN, Yang Y, Lee AY, Lee JH, Park KW, Han HJ, Kim BC, Park J, Lee JY, Lee KY, Kim S. Effects of GV1001 on Language Dysfunction in Patients With Moderate-to-Severe Alzheimer's Disease: Post Hoc Analysis of Severe Impairment Battery Subscales. Dement Neurocogn Disord. 2023 Jul;22(3):100-108. doi: 10.12779/dnd.2023.22.3.100. Epub 2023 Jul 11. | |
| 33771205 |
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| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| ID | Term |
|---|---|
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
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|
| GV1001 0.56 mg | Drug | GV1001 0.56 mg is subcutaneously administered once weekly schedule for 4 weeks (4 times) followed by every two weeks until week 24 (10 times). A total number of administration is 14 times. |
|
|
| GV1001 1.12 mg | Drug | GV1001 1.12 mg is subcutaneously administered once weekly schedule for 4 weeks (4 times) followed by every two weeks until week 24 (10 times). A total number of administration is 14 times. |
|
|
| week 24 |
| NPI (Neuropsychiatric Inventory) | Change in NPI compared to the baseline and week 24 | week 24 |
| GDS (Global Deterioration Scale) | Change in GDS compared to the baseline and week 24 | week 24 |
| ADCS-ADL-severe (Alzheimer's Disease Cooperative Study-Activities of Daily Living scale-severe) | Change in ADCS-ADL-severe compared to the baseline and week 24 | week 24 |
| CIBIC-plus (Clinician Interview-Based Impression of Change-Plus) | Change in CIBIC-plus compared to the baseline and week 24 | week 24 |
| Derived |
| Koh SH, Kwon HS, Choi SH, Jeong JH, Na HR, Lee CN, Yang Y, Lee AY, Lee JH, Park KW, Han HJ, Kim BC, Park JS, Lee JY, Kim S, Lee KY. Efficacy and safety of GV1001 in patients with moderate-to-severe Alzheimer's disease already receiving donepezil: a phase 2 randomized, double-blind, placebo-controlled, multicenter clinical trial. Alzheimers Res Ther. 2021 Mar 26;13(1):66. doi: 10.1186/s13195-021-00803-w. |
| D024801 |
| Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |