Proof-of-Concept Study of a Selective p38 MAPK Alpha Inhibitor, Neflamapimod, in Subjects With Mild Alzheimer's Disease
Status: | Active, not recruiting |
---|---|
Conditions: | Alzheimer Disease |
Therapuetic Areas: | Neurology |
Healthy: | No |
Age Range: | 55 - 85 |
Updated: | 3/16/2019 |
Start Date: | December 29, 2017 |
End Date: | July 31, 2019 |
A Double-Blind, Placebo-Controlled Proof-of-Concept Study of a Selective p38 MAP Kinase Alpha Inhibitor, Neflamapimod, Administered for 24 Weeks in Subjects With Mild Alzheimer's Disease
This is a phase 2b, double-blind, placebo controlled proof-of-concept study of a an oral
small molecule selective inhibitor of p38 alpha kinase, neflamapimod, administered for 24
weeks in subjects with mild Alzheimer's disease. The primary objective is to demonstrate
significant improvement relative to placebo-treatment in episodic memory function, as
assessed by the Hopkins Verbal Learning Test. Secondary endpoints include Clinical Dementia
Rating scale (CDR), Wechsler Memory Scale (WMS), Mini-Mental-Status-Examination (MMSE) and
Cerebrospinal fluid (CSF) biomarkers of AD disease activity and progression.
small molecule selective inhibitor of p38 alpha kinase, neflamapimod, administered for 24
weeks in subjects with mild Alzheimer's disease. The primary objective is to demonstrate
significant improvement relative to placebo-treatment in episodic memory function, as
assessed by the Hopkins Verbal Learning Test. Secondary endpoints include Clinical Dementia
Rating scale (CDR), Wechsler Memory Scale (WMS), Mini-Mental-Status-Examination (MMSE) and
Cerebrospinal fluid (CSF) biomarkers of AD disease activity and progression.
Details provided elsewhere.
Inclusion Criteria:
1. Men and women age 55 to 85 years, inclusive.
2. Willing and able to provide informed consent.
3. Must have mild cognitive impairment (MCI) or mild AD with evidence of progression
("Mild-AD"), as defined by the following:
1. CDR-Global Score of 0.5 or 1.0, with CDR memory subscore of at least 0.5.
2. MMSE score ranging from 20 to 28, inclusive.
3. Positive biomarker for AD, as defined by a CSF Aβ1-42R below the threshold and
phospho-tau above the threshold for the assay utilized in the study and assessed
by the central laboratory.
4. Computed tomography (CT) or magnetic resonance imaging (MRI) findings within 2 years
of Screening that are compatible with AD and no other pathologic processes that might
potentially account for the subject's cognitive impairment.
5. If the subject is taking a single drug for AD (e.g., donepezil or other cholinesterase
inhibitors or memantine; dual therapy is excluded), he/she has been on a stable dose
for at least 2 months prior to baseline, and the dose must remain unchanged during the
study unless required for management of adverse events (AEs).
6. Adequate visual and auditory abilities to perform all aspects of the cognitive and
functional assessments.
7. Must have reliable informant or caregiver.
Exclusion Criteria:
1. Evidence that the primary basis for cognitive impairment is neurodegenerative disease
other than AD, including, but not limited to, vascular dementia, dementia with Lewy
bodies, and Parkinson's disease.
2. Suicidality, defined as active suicidal thoughts within 6 months before Screening or
at Baseline, defined as answering yes to items 4 or 5 on the Columbia-Suicide Severity
Rating Scale (C-SSRS), or history of suicide attempt in previous 2 years, or, in the
Investigator's opinion, at serious risk of suicide.
3. History of major and active psychiatric disorder, moderate to severe depressive
symptoms, and or other concurrent medical condition that, EIP-VX17-745-304, Version
1.0, 17 November, 2017 Page 7 of 46 EIP Pharma, LLC Confidential in the opinion of the
Investigator, might compromise safety and/or compliance with study requirements.
4. Diagnosis of alcohol or drug abuse within the previous 2 years.
5. History of cancer within the last 5 years, except basal cell carcinoma, squamous skin
carcinoma, prostate cancer or carcinoma in situ with no significant progression over
the past 2 years.
6. Poorly controlled clinically significant medical illness.
7. History of serum B12 abnormality, anemia with hemoglobin ≤10 g/dL, thyroid function
abnormality, electrolyte abnormality, or positive syphilis serology that have not been
corrected and/or otherwise addressed.
8. History of epilepsy or unexplained seizure within the past 5 years.
9. Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >3 × the upper
limit of normal (ULN), total bilirubin >2 × ULN, and/or International Normalized Ratio
(INR) >1.5
10. Known human immunodeficiency virus, hepatitis B, or active hepatitis C virus
infection.
11. Subject participated in a study of an investigational drug less than 3 months or 5
half-lives of the investigation drug, whichever is longer, before enrollment in this
study.
We found this trial at
17
sites
Port Orange, Florida 32127
Principal Investigator: Alexander White, MD
Phone: 386-304-7070
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Boise, Idaho 83704
Principal Investigator: Brock McConnehey, DO
Phone: 208-685-0600
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Charlestown, Massachusetts 02129
Principal Investigator: Steven Arnold, MD
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Charlotte, North Carolina 28270
Principal Investigator: Mohammed Bolouri, MD
Phone: 704-364-4000
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Long Beach, California 90804
Principal Investigator: Elizabeth Zarate-Rowell, MD
Phone: 562-548-8500
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286 Westward Drive
Miami, Florida 33176
Miami, Florida 33176
Principal Investigator: Maria Paricio, MD
Phone: 786-391-1639
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New York, New York 10022
Principal Investigator: Judith Joseph, MD
Phone: 646-678-4196
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Ocoee, Florida 34761
Principal Investigator: Kelly Taylor, MD
Phone: 407-654-2724
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Pensacola, Florida 32502
Principal Investigator: Kevin Groom, PhD
Phone: 850-433-1656
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Saint Petersburg, Florida 33713
Principal Investigator: Alberto Vasquez, MD
Phone: 727-894-1818
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San Diego, California 92103
Principal Investigator: Stephen Thein, MD
Phone: 619-294-4302
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Santa Ana, California 92705
Principal Investigator: Evagelos Coskinas, MD
Phone: 714-979-4101
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1951 152nd Place Northeast
Seattle, Washington 98007
Seattle, Washington 98007
Principal Investigator: Arifulla Khan, MD
Phone: 425-453-0404
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Simi Valley, California 93065
Principal Investigator: Brock Summers, MD
Phone: 805-350-7878
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Temecula, California 92591
Principal Investigator: David Schwartz, MD
Phone: 951-383-4424
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Winter Park, Florida 32789
Principal Investigator: Manuel Gonzalez, MD
Phone: 407-740-8078
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