Alzheimer DiseasePhase 2NCT00568776
ELND005 in Patients With Mild to Moderate Alzheimer's Disease
A Phase 2 study testing ELND005 in people with Alzheimer Disease, run by OPKO Health, Inc. at 62 sites in 2 countries.
Trial summary
The purpose of this study is to evaluate the dose-related safety and efficacy of multiple oral dosages of ELND005 as treatment for Alzheimer's disease (AD). Read more about this study
- Who is it for?
- Ages 50 to 85 years
- Conditions the study is for
- Alzheimer Disease
- What is being tested?
- ELND005
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 353 participants
- Where
- 62 sitesin 2 countries
- Study dates
- Dec 2007to May 2010
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of probable AD
- Age 50 to 85 years, inclusive
- Mini-Mental Status Exam (MMSE) score of 16-26, inclusive
- Brain magnetic resonance imaging (MRI) scan consistent with the diagnosis of AD
- Fluency in English, French, or Spanish
- Stable doses of medications (cholinesterase inhibitors and memantine allowed)
- Caregiver is able to attend all study visits
Who cannot join
- Significant neurological disease other than AD
- Major psychiatric disorder
- Significant medical illness
- History of stroke or seizure
- History of a heart attack within the last 2 years
- Prior treatment with certain experimental medicines
- Presence of pacemakers or foreign metal objects in the eyes, skin, or body that would prevent patient from having MRI scan
Trial locations and contacts
62 sites in 2 countries.
62 sites in 2 countries
United States50 sites
Abington Neurological Associates, Inc.
Abington, Pennsylvania, 19001
Upstate Clinical Research, LLC
Albany, New York, 12205
Neurological Associates of Albany, PC
Albany, New York, 12208
Albuquerque Neuroscience, Inc.
Albuquerque, New Mexico, 87109
University of Michigan, Taubman Health Care Center, Dept. of Neurology
Ann Arbor, Michigan, 48109
Emory University, Dept. of Neurology
Atlanta, Georgia, 30329
Clinical Neuroscience Research Associates, Inc-The Memory Clinic
Bennington, Vermont, 05201
Comprehensive Clinical Research
Berlin, New Jersey, 08009
Brigham and Women's Hospital, Dept. of Neurology
Boston, Massachusetts, 02115
University of Vermont Medical Center, Fletcher Allen Health Care, Dept. of Neurology
Burlington, Vermont, 05405
University of Virginia Health System
Charlottesville, Virginia, 22903
Dekalb Neurology Associates, LLC
Decatur, Georgia, 30033
Brain Matters Research, Inc.
Delray Beach, Florida, 33445
The Memory Enhancement Center of America, Inc.
Eatontown, New Jersey, 07724
Margolin Brain Institute
Fresno, California, 93720
Collaborative NeuroScience Network, Inc.
Garden Grove, California, 92845
Alliance for Neuro Research, LLC dba Absher Neurology, PA
Greenville, South Carolina, 29615
Sunrise Clinical Research, Inc
Hollywood, Florida, 33021
Department of Neurology - Indiana University Medical Center
Indianapolis, Indiana, 46202
The Clinical Trial Center, LLC
Jenkintown, Pennsylvania, 19046
University of Kansas Medical Center, Department of Neurology
Kansas City, Kansas, 66160
University of Nevada School of Medicine
Las Vegas, Nevada, 89102
UCLA Alzheimer's Disease Center, Dept. of Neurology
Los Angeles, California, 90095
Medford Neurological and Spine Clinic
Medford, Oregon, 97504
Miami Jewish Home and Hospital For The Aged
Miami, Florida, 33137
Avision Research Associates, LLC
Miami, Florida, 33173
Yale University School of Medicine, Alzheimer's Disease Research Unit
New Haven, Connecticut, 06510
Mount Sinai Medical Center
New York, New York, 10029
Columbia University Sergievsky Center
New York, New York, 10032
UC Irvine Medical Center
Orange, California, 92868
Compass Research, LLC
Orlando, Florida, 32806
Innovative Clinical Concepts
Paducah, Kentucky, 42003
Banner Alzheimer's Institute
Phoenix, Arizona, 85006
University of Pittsburgh Alzheimer Disease Research Clinic
Pittsburgh, Pennsylvania, 15213
Summit Research Newtwork, Inc.
Portland, Oregon, 97210
Global Medical Institutes
Princeton, New Jersey, 08540
Butler Hospital, Memory and Aging Center
Providence, Rhode Island, 02906
Raleigh Neurology Associates
Raleigh, North Carolina, 27607
AD-CARE, Monroe Community Hospital
Rochester, New York, 14620
University of Utah, Dept. of Neurology
Salt Lake City, Utah, 84108
Radiant Research San Antonio
San Antonio, Texas, 78229
UCSF Medical Center, Dept. of Neurology
San Francisco, California, 94143
Roskamp Institute
Sarasota, Florida, 34243
Sun Health Research Institute
Sun City, Arizona, 85351
Neurology Clinical Research, Inc.
Sunrise, Florida, 33351
University of South Florida Suncoast Alzheimer's and Gerontology Center
Tampa, Florida, 33617
Neurology & Neuroscience Center of Ohio
Toledo, Ohio, 43623
University of Arizona, Health Sciences Center, Dept. of Neurology
Tucson, Arizona, 85724
Georgetown University Medical Center, Dept. of Neurology
Washington D.C., District of Columbia, 20057
Premiere Research Institute
West Palm Beach, Florida, 33407
Canada12 sites
Glenrose Rehabilitation Hospital
Edmonton, Alberta, T5G 0B7
Neuro-Rive-Sud Memory Clinic
Greenfield Park, Quebec, J4V 2J2
Hotel Dieu Hospital
Kingston, Ontario, K7L 5G2
Saint Joseph's Health Care London, Saint Joseph's Hospital, Dept. of Cognitive Neurology
London, Ontario, N6A 4V2
Parkwood Hospital
London, Ontario, N6C 5J1
Recherche Clinique de Neurologie (Hospital Maisonneuve Rosemont)
Montreal, Quebec, H1T 2M4
Sisters of Charity of Ottawa Health Service
Ottawa, Ontario, K1N 5C8
Kawartha Regional Memory Clinic
Peterborough, Ontario, K9H 2P4
Toronto Memory Program
Toronto, Ontario, M3B 2S7
Whitby Mental Health Memory Clinic
Toronto, Ontario, M5T 2S8
Gerontion Research, Inc.
Toronto, Ontario, M6M 3Z5
University of British Columbia Hospital, Division of Neurology
Vancouver, British Columbia, V6T 2B5
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging, Safety and Efficacy Study of Oral ELND005 (AZD-103) in Alzheimer's Disease
The purpose of this study is to evaluate the dose-related safety and efficacy of multiple oral dosages of ELND005 as treatment for Alzheimer's disease (AD).
Read the detailed description
ELND005 (formerly known as AZD-103), scyllo-inositol, is being investigated as an orally administered treatment for AD. ELND005 may prevent or inhibit the build up of amyloid protein in the brains of AD patients.
This is a randomized, double-blind, placebo-controlled, dose-ranging, safety and efficacy study of oral ELND005 in male and female participants aged 50-85 years with mild to moderate AD. Approximately 340 patients will be enrolled into the study at approximately 65 study sites. Patients will be randomized to receive either ELND005 or placebo. Each patient's participation will last approximately 18 months.
- Conditions
- Alzheimer Disease
- Being tested
- Placebo Control, ELND005
- Medical subject headings
- Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Placebo ControlDrug
Also called scyllo-inositol
ELND005 matched placebo capsules for oral administration, bid for 78 weeks
ELND005Drug
ELND005 capsules for oral administration at a dose of 2000 mg bid for 78 weeks
ELND005Drug
Also called scyllo-inositol
ELND005 capsules for oral administration at a dose of 250 mg bid for 78 weeks
ELND005Drug
Also called scyllo-inositol
ELND005 capsules for oral administration at a dose of 1000 mg bid for 78 weeks
| Study group | Role | What they receive |
|---|---|---|
| 1 | Placebo comparator | Not described Receives: Drug: Placebo Control |
| 2 | Active comparator | Not described Receives: Drug: ELND005 |
| 3 | Active comparator | Not described Receives: Drug: ELND005 |
| 4 | Active comparator | Not described Receives: Drug: ELND005 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline to Week 78 in Neuropsychological Test Battery (NTB) Z-score (Full Analysis Set; FAS)
The NTB assessment is comprised of 9 instruments that measure cognition and executive function. Three of these tests measure immediate memory, next three measure delayed memory, and remaining three assess executive function. The total score is a weighted mean of the nine tests, referred to as the Z-score. Typically, scores range from -3 and 3, with lower scores suggesting greater cognitive impairment.
Measured: Baseline and 78 weeks
Additional Analysis of Primary Outcome Measure: Change From Baseline to Week 78 in Neuropsychological Test Battery (NTB) Z-score (Per Protocol Set; PPS)
The NTB assessment is comprised of 9 instruments that measure cognition and executive function. Three of these tests measure immediate memory, next three measure delayed memory, and remaining three assess executive function. The total score is a weighted mean of the nine tests, referred to as the Z-score. Typically, scores range from -3 and 3, with lower scores suggesting greater cognitive impairment.
Measured: Baseline and 78 weeks
Change From Baseline to Week 78 in Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL) Score (Full Analysis Set; FAS)
The ADCS-ADL is a 23-item scale that measures a subject's functional abilities as assessed by the subject's caregiver. This scale ranges from 0 to 78, with lower scores suggesting greater functional impairment.
Measured: Baseline and 78 weeks
Additional Analysis of Primary Outcome Measure: Change From Baseline to Week 78 in Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL) Score (Per Protocol Set; PPS)
The ADCS-ADL is a 23-item scale that measures a subject's functional abilities as assessed by the subject's caregiver. This scale ranges from 0 to 78, with lower scores suggesting greater functional impairment.
Measured: Baseline and 78 weeks
Secondary outcomes (3)
Change in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) Score From Baseline to Week 78 (Full Analysis Set; FAS)
The ADAS-Cog primarily measures cognitive ability. The version used in this study was comprised of 12 items with scores ranging from 0 to 75. Higher scores suggest greater cognitive impairment.
Measured: Baseline and 78 weeks
Change in Clinical Dementia Rating - Sum of Boxes (CDR-SB) Score From Baseline to Week 78 (Full Analysis Set; FAS)
The CDR-SB consists of 6 items; 3 measuring cognitive ability and 3 measuring functional ability. The score for each of the six items range from 0 to 3; hence the total score is between 0 and 18. Higher scores suggest greater cognitive impairment.
Measured: Baseline and 78 weeks
Change in Neuropsychiatric Inventory (NPI) Score From Baseline to Week 78 (Full Analysis Set; FAS)
The NPI is used to obtain information on the presence of severity of neuropsychological symptoms, and was specifically designed for use in Alzheimer's disease subjects. The scale consists of 12 items with each item having outcomes from 0 to 12; hence the total score ranges from 0 to 144. Higher scores suggest greater psychiatric impairment.
Measured: Baseline and 78 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Dec 2007 (estimated)
- Study startDec 2007
- Primary completionMay 2010
- Study completionMay 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Alzheimer DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 353 participants (actual)
Sponsor and investigators
- Lead sponsor
- OPKO Health, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00568776
- Sponsor's protocol ID
- ELND005-AD201
- Status last verified
- Oct 2019
- First submitted
- 4 Dec 2007
- Last updated
- 1 Nov 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 1 Nov 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging, Safety and Efficacy Study of Oral ELND005 (AZD-103) in Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT00568776
- Acronym / sponsor ID
- ELND005-AD201
- Conditions
- Alzheimer Disease
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 353 participants (actual)
- Lead sponsor
- OPKO Health, Inc.Industry (pharma, biotech, devices)
- Study start
- Dec 2007
- Primary completion
- May 2010 (actual)
- Study completion
- May 2010 (actual)
- First posted
- 6 Dec 2007 (estimated)
- Results
- Posted 29 Mar 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the dose-related safety and efficacy of multiple oral dosages of ELND005 as treatment for Alzheimer's disease (AD).
Detailed description
ELND005 (formerly known as AZD-103), scyllo-inositol, is being investigated as an orally administered treatment for AD. ELND005 may prevent or inhibit the build up of amyloid protein in the brains of AD patients.
This is a randomized, double-blind, placebo-controlled, dose-ranging, safety and efficacy study of oral ELND005 in male and female participants aged 50-85 years with mild to moderate AD. Approximately 340 patients will be enrolled into the study at approximately 65 study sites. Patients will be randomized to receive either ELND005 or placebo. Each patient's participation will last approximately 18 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| 1 | Placebo comparator | Drug: Placebo Control |
| 2 | Active comparator | Drug: ELND005 |
| 3 | Active comparator | Drug: ELND005 |
| 4 | Active comparator | Drug: ELND005 |
Who may qualify
- Ages
- 50 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Diagnosis of probable AD
- Age 50 to 85 years, inclusive
- Mini-Mental Status Exam (MMSE) score of 16-26, inclusive
- Brain magnetic resonance imaging (MRI) scan consistent with the diagnosis of AD
- Fluency in English, French, or Spanish
Key exclusion criteria (7 listed)
- Significant neurological disease other than AD
- Major psychiatric disorder
- Significant medical illness
- History of stroke or seizure
- History of a heart attack within the last 2 years
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Placebo ControlAlso: scyllo-inositolELND005 matched placebo capsules for oral administration, bid for 78 weeks | Drug | 1 |
| ELND005ELND005 capsules for oral administration at a dose of 2000 mg bid for 78 weeks | Drug | 4 |
| ELND005Also: scyllo-inositolELND005 capsules for oral administration at a dose of 250 mg bid for 78 weeks | Drug | 2 |
| ELND005Also: scyllo-inositolELND005 capsules for oral administration at a dose of 1000 mg bid for 78 weeks | Drug | 3 |
Primary outcome
Change From Baseline to Week 78 in Neuropsychological Test Battery (NTB) Z-score (Full Analysis Set; FAS)
Time frame: Baseline and 78 weeks
The NTB assessment is comprised of 9 instruments that measure cognition and executive function. Three of these tests measure immediate memory, next three measure delayed memory, and remaining three assess executive function. The total score is a weighted mean of the nine tests, referred to as the Z-score. Typically, scores range from -3 and 3, with lower scores suggesting greater cognitive impairment.
Additional Analysis of Primary Outcome Measure: Change From Baseline to Week 78 in Neuropsychological Test Battery (NTB) Z-score (Per Protocol Set; PPS)
Time frame: Baseline and 78 weeks
The NTB assessment is comprised of 9 instruments that measure cognition and executive function. Three of these tests measure immediate memory, next three measure delayed memory, and remaining three assess executive function. The total score is a weighted mean of the nine tests, referred to as the Z-score. Typically, scores range from -3 and 3, with lower scores suggesting greater cognitive impairment.
Change From Baseline to Week 78 in Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL) Score (Full Analysis Set; FAS)
Time frame: Baseline and 78 weeks
The ADCS-ADL is a 23-item scale that measures a subject's functional abilities as assessed by the subject's caregiver. This scale ranges from 0 to 78, with lower scores suggesting greater functional impairment.
Additional Analysis of Primary Outcome Measure: Change From Baseline to Week 78 in Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL) Score (Per Protocol Set; PPS)
Time frame: Baseline and 78 weeks
The ADCS-ADL is a 23-item scale that measures a subject's functional abilities as assessed by the subject's caregiver. This scale ranges from 0 to 78, with lower scores suggesting greater functional impairment.
3 secondary outcomes
Change in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) Score From Baseline to Week 78 (Full Analysis Set; FAS)
Time frame: Baseline and 78 weeks
Change in Clinical Dementia Rating - Sum of Boxes (CDR-SB) Score From Baseline to Week 78 (Full Analysis Set; FAS)
Time frame: Baseline and 78 weeks
Change in Neuropsychiatric Inventory (NPI) Score From Baseline to Week 78 (Full Analysis Set; FAS)
Time frame: Baseline and 78 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Nov 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
62 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing ELND005 in people with Alzheimer Disease, run by OPKO Health, Inc. at 62 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Nov 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 62 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 29 Mar 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline to Week 78 in Neuropsychological Test Battery (NTB) Z-score (Full Analysis Set; FAS) (time frame: Baseline and 78 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Nov 2019.