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This is a Phase 1, first-in-human (FIH), double-blinded, placebo-controlled study where healthy subjects are randomly allocated to receive APNmAb005 or placebo. Approximately 5 dosing groups (cohorts) are planned with 8 subjects (randomized to 6 active: 2 placebo) per cohort. the starting dose of APNmAb005 is 5 mg/kg and the anticipated doses for subsequent cohorts are 10, 25, 50 and 70 mg/kg. A Safety Review Team (SRT) will review data on an ongoing basis throughout the study and before progression to the next dose level cohort.
Subjects will receive a single dose of either APNmAb005 or placebo administered as a single IV infusion on Day 1 of the study and will remain in the study center until Day 3 (48 hours after dosing). They will return to the study center for 7 outpatient visits. The duration of the study, excluding screening, is approximately 71 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| APNmAb005 (5mg/kg) vs Placebo | Active Comparator | Single Ascending Dose (SAD) |
|
| APNmAb005 (10 mg/kg) vs Placebo | Active Comparator | Single Ascending Dose (SAD) |
|
| APNmAb005 (25 mg/kg) vs Placebo | Active Comparator | Single Ascending Dose (SAD) |
|
| APNmAb005 (50 mg/kg) vs Placebo | Active Comparator | Single Ascending Dose (SAD) |
|
| APNmAb005 (70 mg/kg) vs Placebo | Active Comparator | Single Ascending Dose (SAD) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| APNmAb005 | Drug | Administered by IV infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with Adverse Events (AEs) | Defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. Data collected by subject observations and data collected on AE page of electronic Case Report Form (eCRF), or other documents relevant to subject safety. | Day 70 |
| Number of subjects with Treatment-emergent AEs (TEAEs) | Defined as any event not present before exposure to study drug or any event already present that worsens in intensity or frequency after exposure. Data collected by subject observations and data collected on AE page of electronic Case Report Form (eCRF), or other documents relevant to subject safety. | Day 70 |
| Number of subjects with Serious Adverse Events (SAEs) | Defined as any AE for which there is a reasonable possibility that the study drug caused the AE. Data collected by subject observations and data collected on AE page of electronic Case Report Form (eCRF), or other documents relevant to subject safety. | Day 70 |
| Number of subjects with AEs resulting in Study Discontinuation | Data collected by subject observations and data collected on AE page of electronic Case Report Form (eCRF), or other documents relevant to subject safety. | Day 70 |
| Number of participants with Vital Sign Abnormalities | Measured by systolic and diastolic blood pressures, pulse rate, respiratory rate and body temperature. | Day 70 |
| Number of participants with Electrocardiogram (ECG) Abnormalities |
| Measure | Description | Time Frame |
|---|---|---|
| AUC0-t of APNmAb005 in plasma | Area under the curve from time zero to last quantifiable concentration of APNmAb005. Measured by blood sample analysis. | Thru Day 70 |
| AUC0-t of APNmAb005 in CSF | Area under the curve from time zero to last quantifiable concentration of APNmAb005. Measured by cerebrospinal fluid (CSF) sample analysis. |
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Inclusion Criteria:
Exclusion Criteria:
NOTE: Subjects with treated stable psychiatric conditions (e.g. anxiety, depression) are not allowed.
Other protocol-defined inclusion/exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Steven Reynolds, DO | Collaborative Neuroscience Research, LLC | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Collaborative Neuroscience Research, LLC., 2600 Redondo Ave. | Long Beach | California | 90806 | United States |
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| ID | Term |
|---|---|
| D024801 | Tauopathies |
| D000544 | Alzheimer Disease |
| D020774 | Pick Disease of the Brain |
| ID | Term |
|---|---|
| D019636 | Neurodegenerative Diseases |
| D009422 | Nervous System Diseases |
| D003704 | Dementia |
| D001927 | Brain Diseases |
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| Placebo | Drug | Administered by IV infusion |
|
Measured by 12-lead ECG
| Day 70 |
| Number of participants with Clinical Laboratory Abnormalities | Measured by hematology, coagulation, serum chemistry and urinalysis. | Day 70 |
| Thru Day 14 |
| Cmax of APNmAb005 in blood | Maximum observed plasma concentration of APNmAb005. Measured by blood sample analysis | Thru Day 70 |
| Cmax of APNmAb005 in CSF | Maximum observed plasma concentration of APNmAb005. Measured by cerebrospinal fluid (CSF) sample analysis. | Thru Day 14 |
| Tmax of APNmAb005 in blood | Time to maximum observed plasma concentration following APNmAb005 administration. Measured by blood sample analysis | Thru Day 70 |
| Tmax of APNmAb005 in CSF | Time to maximum observed plasma concentration following APNmAb005 administration. Measured by cerebrospinal fluid (CSF) sample analysis. | Thru Day 14 |
| t1/2 of APNmAb005 in plasma | Terminal phase half-life of APNmAb005. Measured by blood sample analysis | Thru Day 70 |
| t1/2 of APNmAb005 in CSF | Terminal phase half-life of APNmAb005. Measured by cerebrospinal fluid (CSF) sample analysis | Thru Day 14 |
| CL of APNmAb005 in blood. | Total body clearance of APNmAb005 from plasma. Measured by blood sample analysis | Thru Day 70 |
| CL of APNmAb005 in CSF | Total body clearance of APNmAb005 from plasma. Measured by cerebrospinal fluid (CSF) sample analysis | Thru Day 14 |
| Vd of APNmAb005 in plasma | Volume of distribution of APNmAb005. Measured by blood sample analysis | Thru Day 70 |
| Vd of APNmAb005 in CSF | Volume of distribution of APNmAb005. Measured by cerebrospinal fluid (CSF) sample analysis | Thru Day 14 |
| Number of participants with ADA formation against APNmAb005 | Anti-drug antibody (ADA) presence measured by blood sample analysis | Thru Day 70 |
| Number of participants with no ADA formation against APNmAb005 | Anti-drug antibody (ADA) presence measured by blood sample analysis | Thru Day 70 |
| Mean Total tau concentration in plasma | Pharmacodynamic biomarker concentration measured by blood sample analysis | Thru Day 70 |
| Mean change in Total tau concentration in plasma | Pharmacodynamic biomarker concentration measured by blood sample analysis | Baseline and Day 70 |
| Mean Total tau concentration in CSF | Pharmacodynamic biomarker concentration measured by CSF analysis | Thru Day 14 |
| Mean change in Total tau concentration in CSF | Pharmacodynamic biomarker concentration measured by CSF analysis | Baseline and Day 14 |
| Mean p-tau 181 concentration in plasma | Pharmacodynamic biomarker concentration measured by blood sample analysis | Thru Day 70 |
| Mean change in p-tau 181 concentration in plasma | Pharmacodynamic biomarker concentration measured by blood sample analysis | Baseline and Day 70 |
| Mean p-tau 181 concentration in CSF | Pharmacodynamic biomarker concentration measured by CSF analysis | Thru Day 14 |
| Mean change in p-tau 181 concentration in CSF | Pharmacodynamic biomarker concentration measured by CSF analysis | Baseline and Day 14 |
| Mean p-tau 217 concentration in plasma | Pharmacodynamic biomarker concentration measured by blood sample analysis | Thru Day 70 |
| Mean change in p-tau 217 concentration in plasma | Pharmacodynamic biomarker concentration measured by blood sample analysis | Baseline and Day 70 |
| Mean p-tau 217 concentration in CSF | Pharmacodynamic biomarker concentration measured by CSF analysis | Thru Day 14 |
| Mean change in p-tau 217 concentration in CSF | Pharmacodynamic biomarker concentration measured by CSF analysis | Baseline and Day 14 |
| Mean p-tau 231 concentration in plasma | Pharmacodynamic biomarker concentration measured by blood sample analysis | Thru Day 70 |
| Mean change in p-tau 231 concentration in plasma | Pharmacodynamic biomarker concentration measured by blood sample analysis | Baseline and Day 70 |
| Mean p-tau 231 concentration in CSF | Pharmacodynamic biomarker concentration measured by CSF analysis | Thru Day 14 |
| Mean change in p-tau 231 concentration in CSF | Pharmacodynamic biomarker concentration measured by CSF analysis | Baseline and Day 14 |
| D002493 |
| Central Nervous System Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D057180 | Frontotemporal Dementia |
| D057174 | Frontotemporal Lobar Degeneration |