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| ID | Type | Description | Link |
|---|---|---|---|
| 2018-002102-31 | EudraCT Number |
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Study was discontinued based on futility analysis conducted on Phase 3 trials (NCT02477800 and NCT02484547) and not based on safety concerns.
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The primary objective of the study is to assess the safety impact of continuing aducanumab dosing in asymptomatic Amyloid-related Imaging Abnormalities (ARIA) in participants with mild cognitive impairment (MCI) due to Alzheimer's disease (AD) or with mild AD dementia. The secondary objective of the study is to characterize ARIA, from both the imaging and the clinical perspective and to characterize the safety, tolerability, pharmacokinetics (PK), and immunogenicity of aducanumab.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Experimental | Aducanumab, intravenous infusion, every 4 weeks for up to Week 52 during the randomized treatment period. The dose will be titrated to a desirable dose. Participants will be managed for drug continuation and suspension. Following a 4-week follow-up period, eligible participants will continue to receive aducanumab, intravenous infusion, every 4 weeks for an additional 104 weeks in the long-term extension period. |
|
| Group 2 | Experimental | Aducanumab, intravenous infusion, every 4 weeks for up to Week 52 during the randomized treatment period. The dose will be titrated to a desirable dose. Participants will be managed for drug continuation and suspension. Following a 4-week follow-up period, eligible participants will continue to receive aducanumab, intravenous infusion, every 4 weeks for an additional 104 weeks in the long-term extension period. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aducanumab | Drug | Administered as specified in the treatment arm. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Clinically Impactful Amyloid-related Imaging Abnormalities (ARIA) | up to Week 54 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With ARIA by Severity as Obtained on Magnetic Resonance Imaging (MRI) | ARIA by severity was obtained on Magnetic Resonance Imaging (MRI). | up to Week 54 |
| Time to Onset of ARIA as Obtained on MRI |
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Inclusion/ Exclusion Criteria
Key Inclusion Criteria:
Key Exclusion Criteria:
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Biogen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Banner Alzheimer's Institute | Phoenix | Arizona | 85006 | United States | ||
| Center for Neurosciences |
A total of 52 participants with Alzheimer's disease were enrolled in this study in one of the 2 groups: Group 1 and Group 2 to receive aducanumab titrated up to 10 mg/kg. The groups differed in the protocol specified management rules for amyloid-related imaging abnormalities (ARIA), in the event that moderate or severe asymptomatic ARIA was detected on MRI.
Participants were enrolled at 10 investigative sites in the United States from 20 December 2018 to 30 July 2019.
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| ID | Title | Description |
|---|---|---|
| FG000 | Group 1 | Aducanumab dose titrated up to 10 mg/kg, IV infusion, following Group 1 ARIA management rules. |
| FG001 | Group 2 | Aducanumab dose titrated up to 10 mg/kg, IV infusion, following Group 2 ARIA management rules. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jul 6, 2018 | Jul 6, 2021 |
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| Placebo | Drug | Administered as specified in the treatment arm. |
|
| up to Week 54 |
| Time to Resolution of ARIA as Obtained on MRI | up to Week 54 |
| Number of Participants With Symptomatic ARIA by Severity | ARIA by severity was obtained on Magnetic Resonance Imaging (MRI). | up to Week 54 |
| Time to Onset of Symptomatic ARIA | up to Week 54 |
| Time to Resolution of Symptomatic ARIA | up to Week 54 |
| Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) | An AE is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An SAE is any untoward medical occurrence that at any dose: results in death, in the view of the Investigator, places the participant at immediate risk of death (a life-threatening event), however, this does not include an event that, had it occurred in a more severe form, might have caused death; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; results in a congenital anomaly/birth defect or is a medically important event. | up to Week 54 |
| Change From Baseline in the Montreal Cognitive Assessment (MoCA) at Week 54 | Baseline, Week 54 |
| Number of Participants With Aducanumab Concentration in Serum | up to Week 54 |
| Number of Participants With Antiaducanumab Antibodies in Serum | up to Week 54 |
| Tucson |
| Arizona |
| 85718 |
| United States |
| Neurology Center of North Orange County | Fullerton | California | 92835 | United States |
| Pacific Neuroscience Medical Group | Oxnard | California | 93030 | United States |
| Pacific Research Network, Inc | San Diego | California | 92103 | United States |
| California Neuroscience Research Medical Group Inc. | Sherman Oaks | California | 91403 | United States |
| JEM Research Institute | Atlantis | Florida | 33462 | United States |
| Brain Matters Research | Delray Beach | Florida | 33445 | United States |
| Neuropsychiatric Research Center of Southwest Florida | Fort Myers | Florida | 33912 | United States |
| Bioclinica Orlando | Orlando | Florida | 32806 | United States |
| Bioclinica Orlando | The Villages | Florida | 32162 | United States |
| Medical Research Health and Education Foundation, Inc | Columbus | Georgia | 31909 | United States |
| Josephson, Wallack, Munshower Neurology, P.C. | Indianapolis | Indiana | 46256 | United States |
| Las Vegas Medical Research | Las Vegas | Nevada | 89113 | United States |
| Advanced Memory Research Institute of NJ, PC | Toms River | New Jersey | 08755 | United States |
| Lynn Health Science Institute | Oklahoma City | Oklahoma | 73112 | United States |
| Neurology Clinic, PC | Cordova | Tennessee | 38108 | United States |
| Senior Adult Specialty Research | Austin | Texas | 78757 | United States |
| Baylor College Of Medicine | Houston | Texas | 77030 | United States |
| Clinical Trial Network | Houston | Texas | 77074 | United States |
| National Clinical Research Inc.-Richmond | Richmond | Virginia | 23294 | United States |
| Kingfisher Cooperative, LLC | Spokane | Washington | 99202 | United States |
| COMPLETED |
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| NOT COMPLETED |
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The safety population is defined as all randomized participants who had received at least one dose of aducanumab.
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| ID | Title | Description |
|---|---|---|
| BG000 | Group 1 | Aducanumab dose titrated up to 10 mg/kg, IV infusion, following Group 1 ARIA management rules. |
| BG001 | Group 2 | Aducanumab dose titrated up to 10 mg/kg, IV infusion, following Group 2 ARIA management rules. |
| BG002 | 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 |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
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| 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 | Number of Participants With Clinically Impactful Amyloid-related Imaging Abnormalities (ARIA) | Clinically Impactful ARIA was to be assessed by an independent Adjudication Committee. At the time the study was terminated, the Adjudication Committee had not been formed; therefore, this outcome measure was not evaluated due to lack of data. | Posted | up to Week 54 |
|
| |||||||||||||||||||||||
| Secondary | Number of Participants With ARIA by Severity as Obtained on Magnetic Resonance Imaging (MRI) | ARIA by severity was obtained on Magnetic Resonance Imaging (MRI). | The safety population is defined as all randomized participants who had received at least one dose of aducanumab. | Posted | Count of Participants | Participants | up to Week 54 |
|
| ||||||||||||||||||||
| Secondary | Time to Onset of ARIA as Obtained on MRI | Due to small number of ARIA events, data is not reported due to participant confidentiality/human subjects protection assurances. | Posted | up to Week 54 |
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| |||||||||||||||||||||||
| Secondary | Time to Resolution of ARIA as Obtained on MRI | Due to small number of ARIA events, data is not reported due to participant confidentiality/human subjects protection assurances. | Posted | up to Week 54 |
|
| |||||||||||||||||||||||
| Secondary | Number of Participants With Symptomatic ARIA by Severity | ARIA by severity was obtained on Magnetic Resonance Imaging (MRI). | The safety population is defined as all randomized participants who had received at least one dose of aducanumab. | Posted | Count of Participants | Participants | up to Week 54 |
|
| ||||||||||||||||||||
| Secondary | Time to Onset of Symptomatic ARIA | Due to small number of ARIA events, data is not reported due to participant confidentiality/human subjects protection assurances. | Posted | up to Week 54 |
|
| |||||||||||||||||||||||
| Secondary | Time to Resolution of Symptomatic ARIA | Due to small number of ARIA events, data is not reported due to participant confidentiality/human subjects protection assurances. | Posted | up to Week 54 |
|
| |||||||||||||||||||||||
| Secondary | Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) | An AE is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An SAE is any untoward medical occurrence that at any dose: results in death, in the view of the Investigator, places the participant at immediate risk of death (a life-threatening event), however, this does not include an event that, had it occurred in a more severe form, might have caused death; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; results in a congenital anomaly/birth defect or is a medically important event. | The safety population is defined as all randomized participants who had received at least one dose of aducanumab. | Posted | Count of Participants | Participants | up to Week 54 |
| |||||||||||||||||||||
| Secondary | Change From Baseline in the Montreal Cognitive Assessment (MoCA) at Week 54 | Due to early termination of the study, none of the participants reached the week 54 timepoint; therefore, data is not available for analysis. | Posted | Baseline, Week 54 |
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| |||||||||||||||||||||||
| Secondary | Number of Participants With Aducanumab Concentration in Serum | The safety population is defined as all randomized participants who had received at least one dose of aducanumab. | Posted | Count of Participants | Participants | up to Week 54 |
|
| |||||||||||||||||||||
| Secondary | Number of Participants With Antiaducanumab Antibodies in Serum | The safety population is defined as all randomized participants who received at least one dose of aducanumab. | Posted | Count of Participants | Participants | up to Week 54 |
|
|
Up to Week 54
The safety population is defined as all randomized participants who had received at least one dose of aducanumab.
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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 | Group 1 | Aducanumab dose titrated up to 10 mg/kg, IV infusion, following Group 1 ARIA management rules. | 0 | 26 | 2 | 26 | 11 | 26 |
| EG001 | Group 2 | Aducanumab dose titrated up to 10 mg/kg, IV infusion, following Group 2 ARIA management rules. | 0 | 26 | 0 | 26 | 7 | 26 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Fall | Injury, poisoning and procedural complications | MedDRA 22.0 | Non-systematic Assessment |
| |
| Femur Fracture | Injury, poisoning and procedural complications | MedDRA 22.0 | Non-systematic Assessment |
| |
| Humerus fracture | Injury, poisoning and procedural complications | MedDRA 22.0 | Non-systematic Assessment |
| |
| Bradycardia | Cardiac disorders | MedDRA 22.0 | Non-systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | MedDRA 22.0 | Non-systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 22.0 | Non-systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 22.0 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 22.0 | Non-systematic Assessment |
| |
| Amyloid related imaging abnormality-microhaemorrhages and haemosiderin deposits | Nervous system disorders | MedDRA 22.0 | Non-systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA 22.0 | Non-systematic Assessment |
|
Study was discontinued based on futility analysis conducted on Phase 3 trials (NCT02477800 and NCT02484547). Enrolment and dosing was halted immediately upon the study termination announcement.
Our agreement is subject to confidentiality but generally the PI can publish, for noncommercial purposes only, results and methods of the trial, but no other Sponsor Confidential Information. PI must give Sponsor no less than 60 days to review any manuscript for a proposed publication and must delay publication for up to an additional 90 days thereafter if Sponsor needs to file any patent application to protect any of Sponsor's intellectual property contained in the proposed publication.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| US Biogen Clinical Trial Center | Biogen | 866-633-4636 | clinicaltrials@biogen.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 29, 2019 | Jul 6, 2021 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D060825 | Cognitive Dysfunction |
| D000544 | Alzheimer Disease |
| ID | Term |
|---|---|
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |
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| ID | Term |
|---|---|
| C000600266 | aducanumab |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| Units |
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| Counts |
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| Participants |
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