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The purpose of this study is to determine the safety and efficacy of TRx0237 16 mg/day and 8 mg/day in the treatment of subjects with Alzheimer's Disease compared to placebo. In addition, an open-label, delayed-start phase is included to demonstrate a disease-modifying effect of TRx0237.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TRx0237 16 mg/day | Experimental |
| |
| Control | Placebo Comparator |
| |
| TRx0237 8 mg/day | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TRx0237 16 mg/day | Drug | Oral TRx0237 4-mg tablets administered twice daily |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline on Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-cog11) (16 mg/Day vs Control) | This primary outcome measure was assessed in the TRx0237 16 mg/day group compared to the control group. The scores on this scale range from 0 to 70, with higher numbers indicating a worse outcome (greater impairment). | 52 weeks |
| Change From Baseline on Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL23) (16 mg/Day vs Control) | This primary outcome measure was assessed in the TRx0237 16 mg/day group compared to the control group. The scores on this scale range from 0 to 78, with higher numbers indicating a better outcome (lower impairment). | 52 weeks |
| Number of Study Participants With Serious and Non-serious Adverse Events (16 mg/Day vs Control) | This primary outcome measure was assessed in the TRx0237 16 mg/day group compared to the placebo group. All laboratory test or vital sign parameter abnormalities deemed clinically significant by the Investigator are to be reported as adverse events. | 52 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Annualized Rate of Whole Brain Atrophy (16 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 16 mg/day group compared to the control group. | 52 weeks |
| Change in Standardized Uptake Value Ratio (SUVR) Based on Temporal Lobe 18F-fluorodeoxyglucose Positron Emission Tomography (18F-FDG-PET) (16 mg/Day vs Control) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xenoscience | Phoenix | Arizona | 85004 | United States | ||
| Arizona Research Center |
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| ID | Title | Description |
|---|---|---|
| FG000 | Control | Control: Oral placebo tablets (some of which contain a urinary discolorant) administered twice daily during the double-blind phase, then switched to TRx0237 16 mg/day during the open-label phase |
| FG001 | TRx0237 8 mg/Day |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Double-blind Phase |
|
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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 | Jun 16, 2023 | Jul 3, 2025 |
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| Control |
| Drug |
Oral placebo tablets (some of which contain a urinary discolorant) administered twice daily |
|
| TRx0237 8 mg/day | Drug | Oral TRx0237 4-mg tablet administered twice daily |
|
This secondary outcome measure (normalized to pons) was assessed in the TRx0237 16 mg/day dose group compared to the control group, and restricted to subjects with Clinical Dementia Rating (CDR) 0.5 at Screening. |
| 52 weeks |
| Change in Annualized Rate of Temporoparietal Lobe Atrophy (16 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 16mg/day group compared to the control group. | 52 weeks |
| Change From Baseline on Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-cog11) (8 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 8 mg/day group compared to the control group. The scores on this scale range from 0 to 70, with higher numbers indicating a worse outcome (greater impairment). Note: Estimates for the Control Arm in the primary outcome and this secondary outcome are estimated using separate Mixed Models for Repeated Measures (MMRM). Thus, it is appropriate for the two models to yield two slightly different estimates for the Control Arm change as the comparator is different in each case and the model uses this information to make its estimates. | 52 weeks |
| Change From Baseline on Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL23) (8 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 8 mg/day group compared to the control group. The scores on this scale range from 0 to 78, with higher numbers indicating a better outcome (lower impairment). Note: Estimates for the Control Arm in the primary outcome and this secondary outcome are estimated using separate Mixed Models for Repeated Measures (MMRM). Thus, it is appropriate for the two models to yield two slightly different estimates for the Control Arm change as the comparator is different in each case and the model uses this information to make its estimates. | 52 weeks |
| Change in Standardized Uptake Value Ratio (SUVR) Based on Temporal Lobe 18F-fluorodeoxyglucose Positron Emission Tomography (18F-FDG-PET) (8 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 8mg/day dose group compared to the control group, and restricted to subjects with Clinical Dementia Rating (CDR) 0.5 at Screening. Note: Estimates for the Control Arm in the TRx0237 16 mg/day dose group comparison and this secondary outcome are estimated using separate Mixed Models for Repeated Measures (MMRM). Thus, it is appropriate for the two models to yield two slightly different estimates for the Control Arm change as the comparator is different in each case and the model uses this information to make its estimates. | 52 weeks |
| Change in Annualized Rate of Temporoparietal Lobe Atrophy (8 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 8 mg/day dose group compared to the control group. Note: Estimates for the Control Arm in the TRx0237 16 mg/day dose group comparison and this secondary outcome are estimated using separate Mixed Models for Repeated Measures (MMRM). Thus, it is appropriate for the two models to yield two slightly different estimates for the Control Arm change as the comparator is different in each case and the model uses this information to make its estimates. | 52 weeks |
| Change From Open-Label Baseline on Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-cog11) | This secondary outcome measure was assessed for the open-label period of the study comparing subjects originally randomized to placebo to subjects originally randomized to either dose of TRx0237. The scores on this scale range from 0 to 70, with higher numbers indicating a worse outcome (greater impairment). Note: It was prespecified to combine subjects who received TRx0237 8 mg/day or TRx0237 16 mg/day in the double-blind phase as early starters; thus these are combined for this comparison. | 104 weeks |
| Number of Study Participants With Serious and Non-serious Adverse Events (8 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 8 mg/day group compared to the control group over 52 weeks. All laboratory test or vital sign parameter abnormalities deemed clinically significant by the Investigator were to be reported as adverse events. | 52 weeks |
| Number of Study Participants With Serious and Non-serious Adverse Events (Open-label) | This secondary outcome measure was assessed for all subjects receiving TRx0237 in the open-label phase of the study (in which subjects had received TRx0237 for up to 104 weeks). Note: Subjects who received TRx0237 8 mg/day or TRx0237 16 mg/day arms in the double-blind phase are combined for this comparison as all had previously received TRx0237 as compared to those subjects in the control arm who were receiving TRx0237 for the first time in the open-label phase. | 104 weeks |
| Phoenix |
| Arizona |
| 85053 |
| United States |
| Imaging Endpoints Research | Scottsdale | Arizona | 85258 | United States |
| Atria Clinical Research | Little Rock | Arkansas | 72209 | United States |
| ATP Clinical Research, Inc. | Costa Mesa | California | 92626 | United States |
| HB Clinical Trials Inc. | Fountain Valley | California | 92708 | United States |
| Fullerton Neurology and Headache Center | Fullerton | California | 92835 | United States |
| Senior Clinical Trials, Inc. | Laguna Hills | California | 92653 | United States |
| Hoag Memorial Hospital Presbyterian | Newport Beach | California | 92663 | United States |
| Excell Research, Inc. | Oceanside | California | 92056 | United States |
| Sharp Mesa Vista Hospital | San Diego | California | 92123 | United States |
| Syrentis Clinical Research | Santa Ana | California | 92705 | United States |
| California Neuroscience Medical Group | Sherman Oaks | California | 91403 | United States |
| Visionary Investigators Network | Aventura | Florida | 33180 | United States |
| Finlay Medical Research | Greenacres City | Florida | 33467 | United States |
| MD Clinical | Hallandale | Florida | 33009 | United States |
| Indago Research & Health Center, Inc. | Hialeah | Florida | 33012 | United States |
| Merrit Island Medical Research | Merritt Island | Florida | 32952 | United States |
| Health Care Family Rehab and Research | Miami | Florida | 33015 | United States |
| Optimus Clinical Research | Miami | Florida | 33125 | United States |
| Biomed Research Institute, Inc | Miami | Florida | 33126 | United States |
| Finlay Medical Research | Miami | Florida | 33126 | United States |
| CCM Clinical Research Group | Miami | Florida | 33133 | United States |
| Advance Medical Research Center | Miami | Florida | 33135 | United States |
| Vitae Research Center, LLC | Miami | Florida | 33135 | United States |
| L&C Professional Medical Research Institute | Miami | Florida | 33144 | United States |
| Allied Biomedical Research Institute | Miami | Florida | 33155 | United States |
| Future Care Solution, LLC | Miami | Florida | 33165 | United States |
| Florida International Research Center | Miami | Florida | 33173 | United States |
| Miami Dade Medical Research Institute, LLC | Miami | Florida | 33176 | United States |
| Visionary Investigators Network | Miami | Florida | 33176 | United States |
| Sensible Healthcare | Ocoee | Florida | 34761 | United States |
| Bioclinica Research | Orlando | Florida | 32806 | United States |
| IMIC Inc | Palmetto Bay | Florida | 33157 | United States |
| Emerald Coast Center for Neurological Disorders | Pensacola | Florida | 32504 | United States |
| Progressive Medical Research | Port Orange | Florida | 32127 | United States |
| The Roskamp Institute, Inc. | Sarasota | Florida | 34243 | United States |
| Stedman Clinical Trials | Tampa | Florida | 33613 | United States |
| Alzheimer's Research and Treatment Center | Wellington | Florida | 33414 | United States |
| NeuroStudies.net, LLC | Decatur | Georgia | 30033 | United States |
| Georgia Neurology and Sleep Medicine Associates | Suwanee | Georgia | 30024 | United States |
| Josephson Wallack Munshower Neurology P.C. | Indianapolis | Indiana | 46256 | United States |
| Advanced Memory Research of NJ PC | Toms River | New Jersey | 08755 | United States |
| Albany Medical College | Albany | New York | 12208 | United States |
| UBMD Neurology | Buffalo | New York | 14203 | United States |
| Richmond Behavioral Associates | Staten Island | New York | 10312 | United States |
| Alzheimer's Memory Center | Charlotte | North Carolina | 28270 | United States |
| Neuroscience Research Center, LLC | Canton | Ohio | 44718 | United States |
| Valley Medical Research | Centerville | Ohio | 45459 | United States |
| The Lindner Research Center | Cincinnati | Ohio | 45219 | United States |
| Neurology Diagnostics Inc. | Dayton | Ohio | 45459 | United States |
| Neuro-Behavioral Clinical Research, Inc. | North Canton | Ohio | 44321 | United States |
| IPS Research Company | Oklahoma City | Oklahoma | 73106 | United States |
| Tulsa Clinical Research LLC | Tulsa | Oklahoma | 74136 | United States |
| Neural Net Research | Portland | Oregon | 97225 | United States |
| CBRI - Roper Hospital | Charleston | South Carolina | 29414 | United States |
| Coastal Neurology | Port Royal | South Carolina | 29935 | United States |
| Re:Cognition Health | Fairfax | Virginia | 22031 | United States |
| Kingfisher Cooperative, LLC | Spokane | Washington | 99202 | United States |
| Universal Research Group, LLC | Tacoma | Washington | 98405 | United States |
| Cliniques Universitaires Saint-Luc | Brussels | 1200 | Belgium |
| Okanagan Clinical Trials, Ltd. | Kelowna | British Columbia | V1Y 1Z9 | Canada |
| Memory Clinic (Ottawa) | Ottawa | Ontario | K1Z 1G3 | Canada |
| Clinique Mémoire de l'Outaouais | Gatineau | Quebec | J8T 8J1 | Canada |
| Alpha Recherche Clinique | Québec | G3K 2P8 | Canada |
| CHU Bordeaux - Pellegrin | Bordeaux | 33076 | France |
| Hôpital Neurologique Pierre Wertheimer | Bron | 69677 | France |
| CHU de Limoges | Limoges | 87042 | France |
| Timone Adults Hospital | Marseille | 13385 | France |
| Guidechauliac Hospital | Montpellier | 34295 | France |
| Hôpital Laënnec - CHU de Nantes | Nantes | 44093 | France |
| CHU de Rennes | Rennes | 35009 | France |
| CRC Gerontopole Cite de la Sante, Hôpital La Grave | Toulouse | 31059 | France |
| Hopital des Charpennes | Villeurbanne | 69100 | France |
| IRCCS Centro S. Giovanni di Dio Fatebenefratelli | Brescia | 25125 | Italy |
| Foundation Institute G.Giglio | Cefalù | 90015 | Italy |
| Azienda Ospedaliera San Gerardo - Clinica Neurologica | Monza | 20900 | Italy |
| Istituto Neurologico Casimiro Mondino, IRCCS | Pavia | 27100 | Italy |
| University of Perugia, Ospedale S.M. della Misericordia | Perugia | 06156 | Italy |
| Ospedale San Giovanni Calibita Fatebenefratelli | Roma | 00186 | Italy |
| Azienda Ospedaliera Sant'Andrea | Roma | 00189 | Italy |
| IRCCS Fondazione Santa Lucia | Rome | 00179 | Italy |
| Clinica Neurologica Santa Maria della Misericordia | Udine | 33100 | Italy |
| Podlaskie Centrum Psychogeriatrii | Bialystok | 15-756 | Poland |
| Centrum Medyczne NEUROMED | Bydgoszcz | 85-163 | Poland |
| NZOZ Wielospecjalistyczna Poradnia Lekarska Synapsis | Katowice | 40-123 | Poland |
| Indywidualna Praktyka Lekarska | Lublin | 20-582 | Poland |
| NZOZ Neuro-Kard | Poznan | 61-853 | Poland |
| Euromedis Sp. z o.o. | Szczecin | 70-111 | Poland |
| Centrum Medyczne NeuroProtect | Warsaw | 01-684 | Poland |
| Hospital General de Catalunya | Barcelona | 08195 | Spain |
| Hospitales de Madrid | Madrid | 28015 | Spain |
| Hospital Universitario 12 de Octubre | Madrid | 28041 | Spain |
| Hospital Universitario QuironSalud Madrid | Madrid | 28223 | Spain |
| Centro de salud de San Juan, Unidad de Investigación Neurociencias | Salamanca | 37005 | Spain |
| Hospital Virgen de la Macarena | Seville | 41009 | Spain |
| Hospital Universitario Mutua Terrassa | Terrassa | 08222 | Spain |
| Hospital Universitario Doctor Peset | Valencia | 46017 | Spain |
| Re:Cognition Health | Birmingham | B16 8LT | United Kingdom |
| Glasgow Memory Clinic Ltd | Glasgow | G20 0XA | United Kingdom |
| Re:Cognition Health | Guildford | GU2 7YD | United Kingdom |
| Re:Cognition Health - Central London | London | W1G 9JF | United Kingdom |
| Re:Cognition Health | Plymouth | PL6 8BT | United Kingdom |
TRx0237 8 mg/day: Oral TRx0237 4-mg tablet administered twice daily during the double-blind phase, then switched to TRx0237 16 mg/day during the open-label phase
| FG002 | TRx0237 16 mg/Day | TRx0237 16 mg/day: Oral TRx0237 4-mg tablets administered twice daily during the double-blind phase, continued on TRx0237 16 mg/day during the open-label phase |
| COMPLETED |
|
| NOT COMPLETED |
|
| Open-label Phase (All TRx0237 16 mg/Day) |
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Control | Control: Oral placebo tablets (some of which contain a urinary discolorant) administered twice daily |
| BG001 | TRx0237 8 mg/Day | TRx0237 8 mg/day: Oral TRx0237 4-mg tablet administered twice daily |
| BG002 | TRx0237 16 mg/Day | TRx0237 16 mg/day: Oral TRx0237 4-mg tablets administered twice daily |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline on Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-cog11) (16 mg/Day vs Control) | This primary outcome measure was assessed in the TRx0237 16 mg/day group compared to the control group. The scores on this scale range from 0 to 70, with higher numbers indicating a worse outcome (greater impairment). | Data analyzed using the E-MITTv5 Population, which includes all subjects randomized to Protocol Version 5.0+ who received at least one dose of study drug and have a Baseline and at least one valid postbaseline efficacy assessment; results reported for subjects in this population with Baseline and Week 52 data. Change from Baseline to Week 52 is included in the LSM calculation (restricted maximum likelihood-based MMRM with fixed effects, including Baseline ADAS-cog11 as a covariate). | Posted | Least Squares Mean | 95% Confidence Interval | score on a scale | 52 weeks |
|
|
| ||||||||||||||||||||||||||||
| Primary | Change From Baseline on Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL23) (16 mg/Day vs Control) | This primary outcome measure was assessed in the TRx0237 16 mg/day group compared to the control group. The scores on this scale range from 0 to 78, with higher numbers indicating a better outcome (lower impairment). | Data analyzed using the E-MITTv5 Population, which includes all subjects randomized to Protocol Version 5.0+ who received at least one dose of study drug and have a Baseline and at least one valid postbaseline efficacy assessment; results reported for subjects in this population with Baseline and Week 52 data. Change from Baseline to Week 52 is included in the LSM calculation (restricted maximum likelihood-based MMRM with fixed effects, including Baseline ADCS-ADL23 as a covariate). | Posted | Least Squares Mean | 95% Confidence Interval | score on a scale | 52 weeks |
|
| |||||||||||||||||||||||||||||
| Primary | Number of Study Participants With Serious and Non-serious Adverse Events (16 mg/Day vs Control) | This primary outcome measure was assessed in the TRx0237 16 mg/day group compared to the placebo group. All laboratory test or vital sign parameter abnormalities deemed clinically significant by the Investigator are to be reported as adverse events. | Posted | Count of Participants | Participants | 52 weeks |
|
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| Secondary | Change in Annualized Rate of Whole Brain Atrophy (16 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 16 mg/day group compared to the control group. | Data analyzed using the MI-MITTv5 Population, which includes all subjects randomized to Protocol Version 5.0+ who received at least one dose of study drug and have a Baseline and at least one valid postbaseline MRI assessment; results reported for subjects in this population with Baseline and Week 52 data. Change from Baseline to Week 52 is included in the LSM calculation (restricted maximum likelihood-based MMRM with fixed effects, including Baseline MRI whole brain volume as a covariate). | Posted | Least Squares Mean | 95% Confidence Interval | mm3/year | 52 weeks |
|
| |||||||||||||||||||||||||||||
| Secondary | Change in Standardized Uptake Value Ratio (SUVR) Based on Temporal Lobe 18F-fluorodeoxyglucose Positron Emission Tomography (18F-FDG-PET) (16 mg/Day vs Control) | This secondary outcome measure (normalized to pons) was assessed in the TRx0237 16 mg/day dose group compared to the control group, and restricted to subjects with Clinical Dementia Rating (CDR) 0.5 at Screening. | Data analyzed using the PI-MITTv5 Population, which includes all subjects randomized to Protocol Version 5.0+ who received at least one dose of study drug and have a Baseline and at least one valid postbaseline 18F-FDG-PET SUVR assessment; results reported for subjects with Baseline and Week 52 data. Change from Baseline to Week 52 is included in the LSM calculation (ANCOVA with fixed effects, including Baseline PET temporal lobe glucose uptake as a covariate). | Posted | Least Squares Mean | 95% Confidence Interval | ratio | 52 weeks |
|
| |||||||||||||||||||||||||||||
| Secondary | Change in Annualized Rate of Temporoparietal Lobe Atrophy (16 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 16mg/day group compared to the control group. | Data analyzed using the MI-MITTv5 Population (all subjects randomized to Protocol Version 5.0+ who received at least one dose of study drug and have a Baseline and at least one valid postbaseline MRI assessment); results reported for subjects in this population with Baseline and Week 52 data. Change from Baseline to Week 52 is included in the LSM calculation (restricted maximum likelihood-based MMRM with fixed effects, including Baseline MRI whole temporoparietal lobe volume as a covariate). | Posted | Least Squares Mean | 95% Confidence Interval | mm3/year | 52 weeks |
|
| |||||||||||||||||||||||||||||
| Secondary | Change From Baseline on Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-cog11) (8 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 8 mg/day group compared to the control group. The scores on this scale range from 0 to 70, with higher numbers indicating a worse outcome (greater impairment). Note: Estimates for the Control Arm in the primary outcome and this secondary outcome are estimated using separate Mixed Models for Repeated Measures (MMRM). Thus, it is appropriate for the two models to yield two slightly different estimates for the Control Arm change as the comparator is different in each case and the model uses this information to make its estimates. | Data analyzed using the E-MITTv5 Population, which includes all subjects randomized to Protocol Version 5.0+ who received at least one dose of study drug and have a Baseline and at least one valid postbaseline efficacy assessment; results reported for subjects in this population with Baseline and Week 52 data. Change from Baseline to Week 52 is included in the LSM calculation (restricted maximum likelihood-based MMRM with fixed effects, including Baseline ADAS-cog11 as a covariate). | Posted | Least Squares Mean | 95% Confidence Interval | score on a scale | 52 weeks |
| ||||||||||||||||||||||||||||||
| Secondary | Change From Baseline on Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL23) (8 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 8 mg/day group compared to the control group. The scores on this scale range from 0 to 78, with higher numbers indicating a better outcome (lower impairment). Note: Estimates for the Control Arm in the primary outcome and this secondary outcome are estimated using separate Mixed Models for Repeated Measures (MMRM). Thus, it is appropriate for the two models to yield two slightly different estimates for the Control Arm change as the comparator is different in each case and the model uses this information to make its estimates. | Data analyzed using the E-MITTv5 Population, which includes all subjects randomized to Protocol Version 5.0+ who received at least one dose of study drug and have a Baseline and at least one valid postbaseline efficacy assessment; results reported for subjects in this population with Baseline and Week 52 data. Change from Baseline to Week 52 is included in the LSM calculation (restricted maximum likelihood-based MMRM with fixed effects, including Baseline ADCS-ADL23 as a covariate). | Posted | Least Squares Mean | 95% Confidence Interval | score on a scale | 52 weeks |
| ||||||||||||||||||||||||||||||
| Secondary | Change in Standardized Uptake Value Ratio (SUVR) Based on Temporal Lobe 18F-fluorodeoxyglucose Positron Emission Tomography (18F-FDG-PET) (8 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 8mg/day dose group compared to the control group, and restricted to subjects with Clinical Dementia Rating (CDR) 0.5 at Screening. Note: Estimates for the Control Arm in the TRx0237 16 mg/day dose group comparison and this secondary outcome are estimated using separate Mixed Models for Repeated Measures (MMRM). Thus, it is appropriate for the two models to yield two slightly different estimates for the Control Arm change as the comparator is different in each case and the model uses this information to make its estimates. | Data analyzed using the PI-MITTv5 Population, which includes all subjects randomized to Protocol Version 5.0+ who received at least one dose of study drug and have a Baseline and at least one valid postbaseline 18F-FDG-PET SUVR assessment; results reported for subjects with Baseline and Week 52 data. Change from Baseline to Week 52 is included in the LSM calculation (ANCOVA with fixed effects, including Baseline PET temporal lobe glucose uptake as a covariate). | Posted | Least Squares Mean | 95% Confidence Interval | ratio | 52 weeks |
| ||||||||||||||||||||||||||||||
| Secondary | Change in Annualized Rate of Temporoparietal Lobe Atrophy (8 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 8 mg/day dose group compared to the control group. Note: Estimates for the Control Arm in the TRx0237 16 mg/day dose group comparison and this secondary outcome are estimated using separate Mixed Models for Repeated Measures (MMRM). Thus, it is appropriate for the two models to yield two slightly different estimates for the Control Arm change as the comparator is different in each case and the model uses this information to make its estimates. | Data analyzed using the MI-MITTv5 Population (all subjects randomized to Protocol Version 5.0+ who received at least one dose of study drug and have a Baseline and at least one valid postbaseline MRI assessment); results reported for subjects in this population with Baseline and Week 52 data. Change from Baseline to Week 52 is included in the LSM calculation (restricted maximum likelihood-based MMRM with fixed effects, including Baseline MRI whole temporoparietal volume as a covariate). | Posted | Least Squares Mean | 95% Confidence Interval | mm3/year | 52 weeks |
| ||||||||||||||||||||||||||||||
| Secondary | Change From Open-Label Baseline on Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-cog11) | This secondary outcome measure was assessed for the open-label period of the study comparing subjects originally randomized to placebo to subjects originally randomized to either dose of TRx0237. The scores on this scale range from 0 to 70, with higher numbers indicating a worse outcome (greater impairment). Note: It was prespecified to combine subjects who received TRx0237 8 mg/day or TRx0237 16 mg/day in the double-blind phase as early starters; thus these are combined for this comparison. | Data analyzed using the ITTv5-OL Population, which includes all subjects randomized to Protocol Version 5.0+ who received at least one dose of study drug in the open-label (OL) phase; results reported for subjects in this population with a Baseline-OL value and Week 104 data (52 weeks of OL drug). Change from Baseline-OL to Week 104 (52 weeks) is included in the LSM calculation (restricted maximum likelihood-based MMRM with fixed effects, including Baseline-OL ADAS-cog11 as a covariate). | Posted | Least Squares Mean | 95% Confidence Interval | score on a scale | 104 weeks |
| ||||||||||||||||||||||||||||||
| Secondary | Number of Study Participants With Serious and Non-serious Adverse Events (8 mg/Day vs Control) | This secondary outcome measure was assessed in the TRx0237 8 mg/day group compared to the control group over 52 weeks. All laboratory test or vital sign parameter abnormalities deemed clinically significant by the Investigator were to be reported as adverse events. | Posted | Count of Participants | Participants | 52 weeks |
|
| |||||||||||||||||||||||||||||||
| Secondary | Number of Study Participants With Serious and Non-serious Adverse Events (Open-label) | This secondary outcome measure was assessed for all subjects receiving TRx0237 in the open-label phase of the study (in which subjects had received TRx0237 for up to 104 weeks). Note: Subjects who received TRx0237 8 mg/day or TRx0237 16 mg/day arms in the double-blind phase are combined for this comparison as all had previously received TRx0237 as compared to those subjects in the control arm who were receiving TRx0237 for the first time in the open-label phase. | A total of 7 subjects had discontinued study drug in the double-blind phase but completed this phase and continued to attend study visits in the open-label (OL) phase off-treatment. As these subjects did not receive TRX0237 16 mg/day in the OL phase, they are not included in the OL-Safety Population (N=449) and thus are not included in these comparisons. | Posted | Count of Participants | Participants | 104 weeks |
|
104 weeks (2 years)
AEs were ascertained at each study visit by asking the subject and study partner how the subject had been since the last visit. Additionally, AEs were also reported based on study safety assessments performed at each study visit.
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 | Double-blind Control | Control: Oral placebo tablets (some of which contain a urinary discolorant) administered twice daily | 1 | 266 | 17 | 266 | 30 | 266 |
| EG001 | Double-blind TRx0237 8 mg/Day | TRx0237 8 mg/day: Oral TRx0237 4-mg tablet administered twice daily | 0 | 80 | 6 | 80 | 12 | 80 |
| EG002 | Double-blind TRx0237 16 mg/Day | TRx0237 16 mg/day: Oral TRx0237 4-mg tablets administered twice daily in the double-blind phase | 1 | 252 | 18 | 252 | 22 | 252 |
| EG003 | Open-label TRx0237 16 mg/Day | TRx0237 16 mg/day: Oral TRx0237 4-mg tablets administered twice daily in the open-label phase (all subjects who completed the double-blind phase and entered the open-label phase transitioned to receive this treatment) | 8 | 449 | 27 | 449 | 40 | 449 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Acute myocardial infarction | Cardiac disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Angina pectoris | Cardiac disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Myocardial infarction | Cardiac disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Tympanic membrane perforation | Ear and labyrinth disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Vertigo positional | Ear and labyrinth disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Lens discolouration | Eye disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Vision blurred | Eye disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Diverticulum | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Hiatus hernia | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Incarcerated inguinal hernia | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Inguinal hernia | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Retroperitoneal haemorrhage | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Small intestinal obstruction | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Gait inability | General disorders | MedDRA 20.1 | Systematic Assessment |
| |
| General physical health deterioration | General disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Cholelithiasis | Hepatobiliary disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Abdominal abscess | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
| |
| Cholecystitis infective | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
| |
| Corona virus infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
| |
| Diverticulitis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
| |
| Postoperative abscess | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
| |
| Pyelonephritis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
| |
| Respiratory syncytial virus bronchitis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
| |
| Urosepsis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
| |
| Vestibular neuronitis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
| |
| Accidental overdose | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
| |
| Costal cartilage fracture | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
| |
| Femoral neck fracture | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
| |
| Femur fracture | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
| |
| Head injury | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
| |
| Hip fracture | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
| |
| Post procedural haematuria | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
| |
| Radius fracture | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
| |
| Skeletal injury | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
| |
| Spinal fracture | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
| |
| Subdural haematoma | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Arthritis | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Intervertebral disc degeneration | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Bladder transitional cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.1 | Systematic Assessment |
| |
| Colon cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.1 | Systematic Assessment |
| |
| Lung neoplasm malignant | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.1 | Systematic Assessment |
| |
| Malignant pleural effusion | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.1 | Systematic Assessment |
| |
| Metastasis | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.1 | Systematic Assessment |
| |
| Metastatic squamous cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.1 | Systematic Assessment |
| |
| Non-small cell lung cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.1 | Systematic Assessment |
| |
| Papillary renal cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.1 | Systematic Assessment |
| |
| Plasma cell myeloma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.1 | Systematic Assessment |
| |
| Prostate cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.1 | Systematic Assessment |
| |
| Tumour compression | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.1 | Systematic Assessment |
| |
| Cauda equina syndrome | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Cerebral haemorrhage | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Cerebrovascular accident | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Metabolic encephalopathy | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Normal pressure hydrocephalus | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Parkinsonism | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Presyncope | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Psychomotor hyperactivity | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Seizure | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Aggression | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Agitation | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Delirium | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Neuropsychiatric symptoms | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Bladder disorder | Renal and urinary disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Haematuria | Renal and urinary disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Aspiration | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Circulatory collapse | Vascular disorders | MedDRA 20.1 | Systematic Assessment |
| |
| Peripheral venous disease | Vascular disorders | MedDRA 20.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Corona virus infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Sotereos Gates, PhD | TauRx Therapeutics Management Ltd. | +44 (0) 7771 570707 | s.gates@taurx.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jun 7, 2023 | Aug 13, 2025 | SAP_002.pdf |
Not provided
| 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 |
|---|---|
| C011010 | hydromethylthionine |
Not provided
Not provided
Not provided
| Male |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Participants |
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| Participants |
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|---|---|
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