Alzheimer DiseasePhase 3NCT00676143
Study Evaluating the Safety and Efficacy of Bapineuzumab in Alzheimer Disease Patients
A Phase 3 study testing bapineuzumab in people with Alzheimer Disease, run by Pfizer at 288 sites in 24 countries.
Trial summary
This is a study to evaluate the efficacy and safety of multiple doses of bapineuzumab in patients with mild to moderate Alzheimer Disease. Patients will receive either bapineuzumab or placebo. Each patient's participation will last approximately 1.5 years. Read more about this study
- Who is it for?
- Ages 50 to 88 years
- Conditions the study is for
- Alzheimer Disease
- What is being tested?
- bapineuzumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,100 participants
- Where
- 288 sitesin 24 countries
- Study dates
- Jan 2008to Nov 2012
- Phase
- Phase 3
- 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 88 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of probable AD, with MMSE score of 16-26, and brain MRI consistent with the diagnosis of AD
- Concurrent use of cholinesterase inhibitor or memantine allowed, if stable.
- Caregiver will participate and be able to attend clinic visits with patient.
Who cannot join
- Significant neurological disease other than AD, or a major psychiatric disorder
- Contraindication to undergo brain MRI (e.g., pacemaker, CSF shunt, or foreign metal objects in the body)
- Woman of childbearing potential
Trial locations and contacts
288 sites in 24 countries.
288 sites in 24 countries
United States111 sites
Abington Memorial Hosptial
Abington, Pennsylvania, 19001
Abington Neurological Associates
Abington, Pennsylvania, 19001
Abington Neurological Assoc
Abington, Pennsylvania, 19001
University of Michigan Hospital and Health System
Ann Arbor, Michigan, 48105-2945
University of Michigan Health System
Ann Arbor, Michigan, 48109-5872
University of Michigan Health System
Ann Arbor, Michigan, 48109
University of Michigan Health System
Ann Arbor, Michigan, 48110
JEM Research Institute, LLC
Atlantis, Florida, 33462
JEM Research Institute
Atlantis, Florida, 33462
Medical Specialist of the Palm Beaches
Atlantis, Florida, 33462
The Memory Clinic
Bennington, Vermont, 05201
The Pharmacy
Bennington, Vermont, 05201
Center for Psychiatric Medicine
Birmingham, Alabama, 35294
Participant and Clinical Interactions Resources
Birmingham, Alabama, 35294
UAB Clinical Research Pharmacy-Russell Clinic
Birmingham, Alabama, 35294
University of Alabama-Birmingham
Birmingham, Alabama, 35294
Massachusetts General Hospital
Boston, Massachusetts, 02114
Massachusetts General Hosptial
Boston, Massachusetts, 02114
Brigham & Womens Hospital
Boston, Massachusetts, 02115
Brigham and Women's Hospital
Boston, Massachusetts, 02115
Boston Univeristy ADCRP
Boston, Massachusetts, 02118
General Clincial Research Center (Infusion Location)
Boston, Massachusetts, 02118
IDS Pharmacy (Drug Receipt). Attn:Hyesson Hong
Boston, Massachusetts, 02118
Alpine Clinical Research Center, Inc.
Boulder, Colorado, 80304
Associated Neurologists, PC
Boulder, Colorado, 80304
AC Institute, Incorporated
Carson, California, 90746
Medical University of South Carolina Hospitals and Clinics
Charleston, South Carolina, 29425
Medical University of South Carolina
Charleston, South Carolina, 29425
MUSC
Charleston, South Carolina, 29425
Ohio State University Imaging@Martha Moorehouse
Columbs, Ohio, 43210
The Ohio State University
Columbs, Ohio, 43210
The Ohio State University
Columbus, Ohio, 43210
Texas Neurology, P.A.
Dallas, Texas, 75214
Dekalb Neurology Associates, LLC/NeuroStudies.net, LLC
Decatur, Georgia, 30033
Neurostudies.net
Decatur, Georgia, 30033
Brain Matters Research
Delray Beach, Florida, 33445
Mile HIgh Research Center
Denver, Colorado, 80218
Michigan State University
East Lansing, Michigan, 48824
Rhode Island Mood and Memory Research Institute
East Providence, Rhode Island, 02914
Memory Enhancement Center of America, Inc.
Eatontown, New Jersey, 07724
Pharmcare USA
Edison, New Jersey, 08837
Alexian Brothers Medical Center
Elk Grove Village, Illinois, 60007
Associated Neurologists of Southern Connecticut, P.C.
Fairfield, Connecticut, 06824
Andorra MRI of Flourtown
Flourtown, Pennsylvania, 19031
Dedicated Clinical Research
Goodyear, Arizona, 85395
Bendheim Cancer Center
Greenwich, Connecticut, 06830
Center for Healthy Aging
Greenwich, Connecticut, 06830
Hattiesburg Clinic
Hattiesburg, Mississippi, 39401
The Clinical Trial Center, LLC
Jenkintown, Pennsylvania, 19046
University of Kansas Medical Center
Kansas City, Kansas, 66160
The Center for Pharmaceutical Research P.C.
Kansas City, Missouri, 64114
Lake Charles Clinical Trials
Lake Charles, Louisiana, 70629
NeuroStudies.net
Lawrenceville, Georgia, 30045
Clinical Trials, Inc.
Little Rock, Arkansas, 72205
Neurological Care of Central New York
Liverpool, New York, 13088
Collaborative Neuroscience Network, Inc
Long Beach, California, 90806
Waisman Center (PET only)
Madison, Wisconsin, 53705-2280
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin, 53705
Wm S. Middleton Memorial Veterans Hospital
Madison, Wisconsin, 53705
University of Wisconsin Hospitals and Clinics
Madison, Wisconsin, 53792
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin, 53792
Alzheimer's Disease Research Unit
New Haven, Connecticut, 06510
Hospital Research Unit
New Haven, Connecticut, 06510
Investigational Drug Service
New Haven, Connecticut, 06511
Moshe Hasbani, MD
New Haven, Connecticut, 06511
Norman S. Werdiger, MD
New Haven, Connecticut, 06519
MR Research Center
New Haven, Connecticut, 06520
Yale PET Center
New Haven, Connecticut, 06520
Medical University of South Carolina
North Charleston, South Carolina, 29406
Research Center for Clinical Studies, Inc.
Norwalk, Connecticut, 06851
Compass Research, LLC
Orlando, Florida, 32806
Palm Beach Neurological Center
Palm Beach Gardens, Florida, 33418
Alzheimer's Research Corp./Merician Institute for Aging
Paterson, New Jersey, 08759
Simpson's Pharmacy
Pawtucket, Rhode Island, 02861
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Investigational New Drug Services
Philadelphia, Pennsylvania, 19104
University of Pennsylvania-Penn Memory Center
Philadelphia, Pennsylvania, 19104
UPENN Clinical and Transitional Research Center
Philadelphia, Pennsylvania, 19104
Jefferson Hospital for Neuroscience
Philadelphia, Pennsylvania, 19107
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107
Banner Alzheimer's Institute
Phoenix, Arizona, 85006
Jeffrey S. Gitt, DO, PC
Phoenix, Arizona, 85032
The Compounding Center
Phoenix, Arizona, 85032
HOPE Research Institute
Phoenix, Arizona, 85050
Neuroscience Research of the Berkshires
Pittsfield, Massachusetts, 01201
Neurostudies Inc
Port Charlotte, Florida, 33952
Summit Research Network(Oregon) Inc.
Portland, Oregon, 97210
Providence Brain Institute
Portland, Oregon, 97225
Providence Cognitive Assessment Clinic
Portland, Oregon, 97225
Providence St. Vincent Medical Center
Portland, Oregon, 97225
Butler Hospital
Providence, Rhode Island, 02906
Carolina Neuropsychological Services, Inc
Raleigh, North Carolina, 27607
Healthsouth Blue Ridge Surgery Center
Raleigh, North Carolina, 27607
Raleigh Neurology Associates
Raleigh, North Carolina, 27607
Wake Radiology Associates
Raleigh, North Carolina, 27607
Shields MRI
Russells Mills, Massachusetts, 02747
Innovative Clinical Trials
San Antonio, Texas, 78229
Integra Clinical Research
San Antonio, Texas, 78229
Integra Clinical Research, LLC
San Antonio, Texas, 78231
Integra Clinical Research
San Antonio, Texas, 78231
Vista Infusions
San Antonio, Texas, 78231
Inventive Infusion Solutions
San Antonio, Texas, 78258
Inventive Infusions Solutions
San Antonio, Texas, 78258
San Francisco Clinical Research Center
San Francisco, California, 94109
Roskamp Institute
Sarasota, Florida, 34243
Dr. Michael Gabe (Clinic)
Silverton, Oregon, 97381
Southern Illinois University School of Medicine Department
Springfield, Illinois, 62702
Memorial Medical Center
Springfield, Illinois, 62781
Springfield Neurology Associates, LLC
Springfield, Massachusetts, 01104
University of South Florida
Tampa, Florida, 33613
Abington Neurological Associates
Willow Grove, Pennsylvania, 19090
Japan35 sites
Yachiyo Hospital
Aichi, 446-8510
Kashiwado Hospital
Chiba, 260-8656
National Hospital Organization Chiba-East Hospital
Chiba, 260-8712
Nippon Medical School Chiba Hokusoh Hospital
Chiba, 270-1694
National Hospital Organization Kokura Medical Center
Fukuoka, 802-8533
Maebashi Red Cross Hospital
Gunma, 371-0014
Gunma University Hospital
Gunma, 371-8511
Shinozuka Hospital
Gunma, 375-0017
National Hospital Organization Hiroshima-nishi Medical Ctr.
Hiroshima, 739-0696
Kobe University Hospital
Hyōgo, 650-0017
Nishi-Kobe Medical Center
Hyōgo, 651-2273
Kobe City Hospital Org Kobe City Medical Cente West Hp
Hyōgo, 653-0013
Kagawa University Hospital
Kagawa, 761-0793
Nippon Medical School Musashi Kosugi Hospital
Kanagawa, 211-8533
Yokohama City University Medical Center
Kanagawa, 232-0024
Shonan Atsugi Hospital
Kanagawa, 243-8551
National Hospital Organization Tokyo National Hospital
Kiyose, Tokyo, 204-8585
Rakuwakai Otowa Hospital
Kyoto, 607-8062
National Hospital Organization Minami-Kyoto Hospital
Kyoto, 610-0113
National Hospital Organization Maizuru Medical Center
Kyoto, 625-8502
National Hospital Organization Matsumoto Medical Center
Nagano, 399-0021
Nagoya City University Hospital
Nagoya, Aichi-ken, 467-8602
National Hospital Organization Niigata National Hospital
Niigata, 945-8585
Iwate Medical University Hospital
Numakunai, 020-8505
Okayama University Hospital
Okayama, 700-8558
National Hospital Organization Minami-Okayama Medical Center
Okayama, 701-0304
Osaka City University Hospital
Osaka, 545-8586
Osaka University Hospital
Osaka, 565-0871
Kansai Medical University Takii Hospital
Osaka, 570-8507
National HP.Org.Shizuoka Inst.Epilepsy,Neurological Disorder
Shizuoka, 420-8688
Juntendo University Hospital
Tokyo, 113-8431
Juntendo Tokyo Koto Geriatric Medical Center
Tokyo, 136-0075
Tokyo Metropolitan Health and Med. Treatment Co. Ebara Hosp
Tokyo, 145-0065
Tokyo Medical University Hospital
Tokyo, 160-0023
Tokyo Medical University Hachioji Medical Center
Tokyo, 193-0998
France20 sites
CHU Pellegrin
Bordeaux, 33076
Hopital neurologique du Pr A. Vighetto
Bron, 69677
Centre d'Imagerie medicale de Basse Normandie
Caen, 14000
CHU de Caen
Caen, 14033
Hôpitaux Civils de Colmar
Colmar, 68024
CHU de Dijon
Dijon, France, 21033
CHRU de Lille
Lille, 59037
Hôpital la Timone
Marseille, 13385
CHU Hôpital Gui de Chaulliac
Montpellier, 34295
CHU Nord - Hôpital Guillaume et René Laënnec
Nantes - Saint Herblain, 44093
Hôpital Cimiez C.M.R.R.
Nice, 06000
Service d'Imagerie Medicale
Nice, 06002
Groupe Hospitalier Broca-La Rochefoucauld
Paris, 75013
Hôpital Pitié-Salpétrière
Paris, 75651
Hospital Jean Bernard CIC
Poitiers, 86000
C.H.U de Reims
Reims, 51092
CHU de Rennes
Rennes, 35064
CHU - Hopital Charles Nicolle
Rouen, 76031
Hôpital Purpan
Toulouse, 31059
CHU Toulouse - Site Casselardit
Toulouse, 31300
Spain18 sites
Hospital de Cruces
Barakaldo, Vizcalla, 48903
Hospital del Mar
Barcelona, Barcelona, 08003
Hospital de la Santa Creu i Sant Pau
Barcelona, Barcelona, 08041
Fundacio ACE Institut Catala de Neurociences Aplicades
Barcelona, 08014
Centro Internacional de Medicina Avanzda (CIMA)
Barcelona, 08034
Hospital Divino Valles
Burgos, Burgos, 09006
Hospital de Donostia
Donostia / San Sebastian, Basque Country, 20014
Hospital General Universitario de Elche
Elche, Alicante, 03203
Hospital Universitario Ramon y Cajal
Madrid, Madrid, 28034
Hospital Clinico San Carlos
Madrid, Madrid, 28040
Hospital 12 de Octubre
Madrid, Madrid, 28041
Hospital Universitario La Paz
Madrid, Madrid, 28046
Hospital de la Princesa
Madrid, 28006
Hospital Universitario Virgen de la Arrixaca
Murcia, 30120
Hospital Universitario Son Espases
Palma de Mallorca, Balearic Islands, 07010
CLONUS
Palma de Mallorca, Balearic Islands, 07014
Hospital Virgen del Puerto
Plasencia, Caceres, 10600
Hospital Mutua de Terrassa
Terrassa, Barcelona, 08221
United Kingdom13 sites
MAC UK Neuroscience Ltd
Blackpool, Lancashire, FY2 0JH
Pollard Park Health Centre
Bradford, BD3 0DQ
Clinical Investigation and Research Unit (CIRU)
Brighton, BN2 5BE
Glasgow Memory Clinic
Glasgow, Glasgow, G20 0XA
Kings College Hospital
London, London, SE5 9RS
Dept. of Neurosciences Charing Cross Hospital
London, W6 8RF
Newcastle General Hospital
Newcastle upon Tyne, NE4 5PL
Northampton General Hospital
Northampton, NN1 5BD
Llandough Hospital
Penarth, CF64 2XX
Royal Hallamshire Hospital
Sheffield, S10 2JF
Grenoside Grange Hospital
Sheffield, S35 8QS
Victoria Hospital
Swindon, SN3 6BW
MAC UK Neuroscience, Research Assessment Centre
Trafford Park, Manchester, M32 0UT
Italy11 sites
A.O. Umberto I
Ancona, 60020
Sezione di Neurologia - Dipartimento di Neuroscienze
Ancona, 60020
Clinica Neurologica - II Neurologia
Brescia, 25123
Dipartimento di Neuroscienze,
Catania, 95123
Unita' Operativa Complessa di Neurologia
Catania, 95126
CeSI (Centro di Scienze dell'invecchiamento) -
Chieti, 66013
Fondazione IRCCS- Istituto Neurologico Carlo Besta
Milan, 20133
Ospedale S. Gerardo
Monza, 20052
Clinica Neurologica
Roma, 00128
Unita' Operativa C - Riabilitazione Neurologica
Roma, 00179
Universita degli Studi di Siena
Siena, 53100
Australia9 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
CDAMS Ballarat Base Hospital
Ballarat, Victoria, 3353
Gosford Hospital; Pharmacy Dept
Gosford, New South Wales, 2250
Gosford Hospital
Gosford, New South Wales, 2250
Hornsby Kuringai Hospital
Hornsby, New South Wales, 2077
Hollywood Hospital; Pharmacy Dept
Nedlands, Western Australia, 6009
McCusker Alzheimer's Research Foundation, Inc.
Nedlands, Western Australia, 6009
Heidelberg Repatriation Hospital
West Heidelberg, Victoria, 3081
The Queen Elizabeth Hospital
Woodville South, South Australia, 5011
Netherlands9 sites
Jeroen Bosch Ziekenhuis
's-Hertogenbosch, 5223 GZ
Medisch Centrum Alkmaar
Alkmaar, 1815 JD
Vrije Universiteit Medisch Centrum
Amsterdam, 1081 HV
Amphia Ziekenhuis
Breda, North Brabant, 4818 CK
Catharina Ziekenhuis
Eindhoven, 5623 EJ
Kennemer Gasthuis
Haarlem, The Netherlands, 2035 RC
Tergooi Ziekenhuizen
Hilversum, North Holland, 1213 XZ
Medisch Centrum Leeuwarden
Leeuwarden, 8934 AD
Erasmus MC
Rotterdam, 3015 CE
Belgium6 sites
ZNA Middelheim
Antwerp, 2020
Az. St. Jan Ruddershove 35
Bruges, 8000
Cliniques Universitaires St Luc
Brussels, 1200
Universitair Ziekenhuis Antwerpen
Edegem, 2650
Universitair Ziekenhuis Gasthuisberg
Leuven, 3000
H.-Hartziekenhuis Roeselare-Menen
Roeselare, 8800
Germany6 sites
Charite-Universitätsmedizin Berlin
Berlin, State of Berlin, 14050
St. Josef-Klinikum
Bochum, 44791
Universitaetsklinikum Dresden
Dresden, 01307
Klinikum der Albert-Ludwigs-Universitaet Freiburg
Freiburg im Breisgau, 79106
Ortenau Klinikum Offenburg
Offenburg, 77654
Universitaetsklinikum Ulm
Ulm, 89081
South Africa6 sites
Flexivest Fourteen Research Center
Bellville, Western Cape, 7530
St Augustine's Medical Centre 2
Durban, KwaZulu-Natal, 4001
Boithuso Caregivers
Johannesburg, Gauteng, 1709
The Osteoporosis and Memory Centre
Johannesburg, Gauteng, 2196
Panorama Psychiatry and Memory Clinic
Panorama, Western Cape, 7500
Denmar Clinic
Pretoria, Gauteng, 0081
Argentina5 sites
Instituto Medico Congreso
Buenos Aires, Buenos Aires, 1090
Instituto Medico Congreso
Buenos Aires, 1090
Cemic University Hospital
Buenos Aires, 1431
Hospital Italiano de Buenos Aires
Buenos Aires, C1199ABD
Instituto Kremer
Córdoba, 5004
Austria5 sites
Medizinische Universitaet Graz
Graz, 8036
Landeskrankenhaus Klagenfurt
Klagenfurt, A-9020
Allg. Krankenhaus der Stadt Wien
Vienna, 1090
SZ Sued - Kaiser-Franz-Josef-Spital
Vienna, 1220
Donauspital
Vienna, A-1220
Poland5 sites
NZOZ Dom Suer Ryder, Pallmed Sp. z o.o.
Bydgoszcz, 85-796
Szpital Uniwersytecki, Oddzial Kliniczny Klinik Chorob Wewnetrznych i
Krakow, Poland, 31-531
NZOZ "NEURO-KARD" "ILKOWSKI I PARTNERZY" Spolka Partnerska Lekarzy
Poznan, Poland, 61-289
Oddzial Neurologiczny i Udarowy Szpital Wolski im. dr Anny Gostynskiej,
Warsaw, 01-211
Samodzielny Publiczny Centralny Szpital Kliniczny, Katedra i Klinika
Warsaw, 02-097
Serbia5 sites
Klinicki centar Srbije
Belgrade, 11000
Diagnostic Imaging Center
Kamenitz, 21204
Institute for Cardiovascular Diseases of Vojvodina
Kamenitz, 21204
Clinical Centre Kragujevac, Clinic of Psichiatry
Kragujevac, 34000
Klinicki Centar Vojvodina
Novi Sad, 21000
Slovakia4 sites
Psychiatricka ambulancia
Bratislava, 820 07
Univerzitna nemocnica Bratislava
Bratislava, 825 56
Psychiatricka nemocnica Michalovce, n.o.
Michalovce, 071 01
Vseobecna nemocnica Rimavska Sobota
Rimavská Sobota, 979 12
Sweden4 sites
Malmo University Hospital
Malmö, 21 224
Uppsala Imanet AB
Uppsala, 751 09
Akademiska Sjukhuset
Uppsala, 75185
ORKI, enheten for radiologi
Uppsala, 75185
Switzerland4 sites
Memory Clinic Neuro-Psychologie Zentrum
Basel, Canton of Basel-City, CH-4031
CHUV Lausanne
Lausanne, Canton of Vaud, 1005
Hopitaux Universitaires de Geneve
Les Acacias, Canton of Geneva, 1227
Hopitaux Universitaires de Geneve
Thonex-Geneva, CH-1226
Portugal3 sites
Hospital Fernando da Fonseca
Amadora, Amadora, 2720-276
Hospitais Da Universidade De Coimbra
Coimbra, Coimbra District, 3000-075
Hospital Santa Maria
Lisbon, Lisbon District, 1649-028
Chile2 sites
Psicomedica Research Group
Santiago, Chile, 7530193
Especialidades Medicas LyS
Santiago
Finland2 sites
Ita-Suomen Yliopisto
Kuopio, FIN-70210
University of Turku / CRST
Turku, 20520
Mexico2 sites
Instituto Biomedico de Investigacion A.C
Aguascalientes, 20127
OCA Hospital
Monterrey, Nuevo León, 64000
New Zealand2 sites
The Memory Clinic
Auckland, NZ, 0622
Signet Research
Christchurch, 8014
About this study
Official title: A Phase Iii, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group, Efficacy And Safety Trial Of Bapineuzumab (Aab 001, Eln115727) In Subjects With Mild To Moderate Alzheimer Disease Who Are Apolipoprotein E 4 Carriers
This is a study to evaluate the efficacy and safety of multiple doses of bapineuzumab in patients with mild to moderate Alzheimer Disease. Patients will receive either bapineuzumab or placebo. Each patient's participation will last approximately 1.5 years.
- Conditions
- Alzheimer Disease
- Being tested
- bapineuzumab, placebo
- Keywords
- antibody, immunotherapy
- Medical subject headings
- Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
bapineuzumabDrug
Also called AAB-001
Bapineuzumab 0.5 mg/kg administered by IV infusion approximately every 13 weeks through week 65.
placeboDrug
Placebo will be administered by IV infusion approximately every 13 weeks through week 65.
| Study group | Role | What they receive |
|---|---|---|
| Bapineuzumab 0.5 mg/kg | Experimental | Not described Receives: Drug: bapineuzumab |
| Placebo | Placebo comparator | Not described Receives: Drug: placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog)/11 Subscale Total Score at Week 78
The ADAS-Cog is a multi-item, objective measure of cognitive function. The scale evaluates memory, language, and praxis with items such as orientation, word recall, word recognition, object identification, comprehension, and the completion of simple tasks. Analysis of the ADAS-Cog for this study was based upon an 11 item score from the following items 1) word recall task, 2) naming objects and fingers, 3) following commands, 4) constructional praxis, 5) ideational praxis, 6) orientation, 7) word recognition, 8) remembering test instructions, 9) spoken language ability, 10) word finding difficulty in spontaneous speech, and 11) comprehension.
This scale had to be administered by a trained and certified psychometric rater who did not have access to any information regarding adverse events experienced.
The ADAS-Cog/11 ranged from 0 to 70 points, with higher scores indicating a greater degree of impairment. A negative change from baseline indicates a decrease in cognitive impairment.
Measured: Baseline and 78 weeks
Change From Baseline in Disability Assessment for Dementia (DAD) Total Score at Week 78
The DAD measures instrumental and basic activities of daily living in participants with Alzheimer's Disease (AD). The DAD is administered to the participants'caregiver in the form of an interview. This scale had to be administered by a trained and certified psychometric rater who did not have access to any information regarding adverse events experienced by the participant.
This scale assesses a participants' ability to initiate, plan, and perform activities related to hygiene, dressing, continence, eating, meal preparation, telephoning, going on an outing, finance and correspondence, medications, leisure, and housework. Each item can be scored as 1 = yes, 0 = no, non applicable = NA. A total score is obtained by adding the rating for each question and converting this total score out of 100. Higher scores indicate better function; a positive change from baseline indicates an improvement.
Measured: Baseline and 78 weeks
Secondary outcomes (15)
Change From Baseline in Brain Amyloid Burden at Week 71
Brain amyloid burden as imaged by 11C-Pittsburgh compound B (PIB) positron emission tomography (PET). The latter is a semi-quantitative measure of the extent of fibrillar amyloid in the brain. PIB PET measurements were made in cortical regions found to have the highest burden of fibrillar amyloid at autopsy in participants diagnosed as having Alzheimer's pathology, and also regions reported to have the highest average retention of PIB signal in previous PET studies enrolling participants with probable AD. This parameter reflects overall brain amyloid deposition as indexed by imaging. The change from baseline was measured as average standard uptake value ratio (SUVr) in prespecified regions of interest (ROI) assessed by PIB PET imaging in a subset of participants.
Measured: Baseline and 71 weeks
Change From Baseline in Cerebrospinal Fluid (CSF) Phospho-tau Levels at Week 71
Biomarkers CSF phospho-tau is an indicator of neuronal injury and neurodegeneration. An elevation in levels of tau, as well as specific p-tau species, is thought to be a marker for progressive cellular degeneration in AD. Accordingly, a reduction from baseline in levels of CSF tau in participants who received bapineuzumab compared with participants who received placebo may be indicative of a reduction in neuronal loss in participants treated with bapineuzumab.
Measured: Baseline and 71 Weeks
Change From Baseline in Brain Volume, as Assessed by Magnetic Resonance Imaging Brain Boundary Shift Integral (MRI BBSI), at Week 71
Cerebral atrophy correlates closely with the gradual cognitive decline in AD and can be visualized by MRI. The BBSI technique involves positional matching of serial 3-dimensional MRI brain images, such that brain MRI-image volumes were first registered and then subtracted from each other. Atrophy rates would generally be expected to be lower if the underlying disease was attenuated by effective treatment.
Measured: Baseline and 71 Weeks
Divergence of Effect on the ADAS-Cog/11 Total Scores From Week 39 to Week 78
Treatment differences are estimated using least-squares (LS) means with factor levels weighted according to overall analysis population proportions. ADAS-Cog/11 total score range is 0 (least impairment) to 70 (most impairment); a negative treatment difference (bapineuzumab minus placebo) favors bapineuzumab. Within the MMRMs for ADAS-Cog/11 described for the primary analyses, linear contrasts were formed to test increasing trend of the differences between bapineuzumab and placebo from Week 39 (the 9-month visit) through Week 78 (the 18 -month visit) for each variable, which is equivalent to testing a positive slope of the differences between each bapineuzumab dose group and placebo from Week 39 through Week 78. Results are from a restricted maximum likelihood (REML)-based mixed model for MMRM.
Measured: Week 39 to Week 78
Divergence of Effect on the DAD Total Scores From Week 39 to Week 78
Treatment differences are estimated using least-squares (LS) means with factor levels weighted according to overall analysis population proportions. DAD total score range is 0 to 100; a positive treatment difference (bapineuzumab minus placebo) favors bapineuzumab. Within the MMRMs for ADAS-Cog/11 described for the primary analyses, linear contrasts were formed to test increasing trend of the differences between bapineuzumab and placebo from Week 39 (the 9-month visit) through Week 78 (the 18 -month visit) for each variable, which is equivalent to testing a positive slope of the differences between each bapineuzumab dose group and placebo from Week 39 through Week 78. Results are from a restricted maximum likelihood (REML)-based mixed model for MMRM.
Measured: Week 39 to Week 78
Time to First Median Placebo Deterioration on ADAS-Cog/11 Total Score (European Union [EU] Analysis Plan)
The time to first median placebo deterioration, defined as the first time a participant experienced an increase (worsening) from baseline in ADAS-Cog/11 total score greater than or equal to the median worsening observed at Week 78 in the placebo group. The Kaplan Meier estimate of median time to first median placebo deterioration was presented.
Measured: Baseline and 78 Weeks
Time to First Clinically Meaningful Deterioration on ADAS-Cog/11 Total Score (United States [US] Analysis Plan)
The time to first clinically meaningful deterioration was defined as the first time a participant experienced an increase (worsening) from baseline in ADAS-Cog/11 total score of >=7.
Measured: Baseline and 78 Weeks
Time to First Median Placebo Deterioration on DAD Total Score (EU Analysis Plan)
The time to first median placebo deterioration was defined as the first time a participant experienced a decrease (worsening) in DAD total score greater than or equal to the median worsening at Week 78 in the placebo group.
Measured: Baseline and 78 Weeks
Time to First Clinically Meaningful Deterioration on DAD Total Score (US Analysis)
The time to first clinically meaningful deterioration was defined as the first time a participant experienced a decrease (worsening) from baseline in DAD total score of >=12.
Measured: Baseline and 78 Weeks
Change From Baseline in Dependence Scale Total Score at Week 78
The Dependence Scale (DS) is a 13-item, caregiver-rated instrument for determining the amount of support required by a participant with AD. The DS total score ranges from 0 to 15, with higher scores indicating more need for assistance. The DS was administered as an interview to the caregiver at scheduled study visits.
Measured: Baseline and 78 Weeks
Percentage of Participants With Worsening From Baseline in ADAS-Cog/11 Total Score at Week 78 (EU Analysis Plan)
Percentage of participants with worsening from baseline to Week 78 in ADAS-Cog/11 total score of ≤0, ≤3, and ≤7 points were reported. In order to calculate time to first median placebo deterioration in ADAS-Cog/11, the median change from baseline to Week 78 among the placebo participants of the mITT analysis population were determined. The median changes were used as the cutpoints for determining "deterioration" for Alzheimer's disease participants in the study. If the median change from baseline to Week 78 in the ADAS-Cog/11 total score among the placebo participants of the mITT Analysis Population is 7 points, then the first median placebo deterioration is the first time where there is a worsening on the ADAS-Cog/11 total score of 7 points or more and the worsening is confirmed by the ADAS-Cog/11 assessment at the next non-missing visit.
Measured: Baseline and 78 Weeks
Percentage of Responders for ADAS-Cog/11 Total Score at Week 78 (US Analysis Plan)
Percentage of participants whose increase (worsening) from baseline to Week 78 in ADAS-Cog/11 total score was <7.
Measured: Baseline and 78 Weeks
Percentage of Participants With Worsening From Baseline in DAD Total Score at Week 78 (EU Analysis Plan)
Percentage of participants whose decrease (worsening) from baseline to Week 78 in DAD total score of ≤ 0, ≤ 6, and ≤ 12 points. In order to calculate time to first median placebo deterioration in DAD, the median change from baseline to Week 78 among the placebo participants of the mITT analysis population were determined. The median changes were used as the cutpoints for determining "deterioration" for Alzheimer's disease participants in the study. If the median change from baseline to Week 78 in the DAD total score among the placebo participants of the mITT Analysis Population is 7 points, then the first median placebo deterioration is the first time where there is a worsening on the DAD total score of 7 points or more and the worsening is confirmed by the DAD assessment at the next non-missing visit.
Measured: Baseline and 78 Weeks
Percentage of Responders for DAD Total Score at Week 78 (US Analysis Plan)
Percentage of participants whose decrease (worsening) from baseline to Week 78 in DAD total score was <12.
Measured: Baseline and 78 Weeks
Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SOB) Total Score at Week 78
The CDR-SOB is a global clinical staging instrument that sums 6 clinical ratings: 1) memory, 2) orientation, 3) judgment and problem solving, 4) involvement in community affairs, 5) home and hobbies, and 6) personal care based on the Clinical Dementia Rating Scale (CDR) interview. The CDR includes discussions with the participant and caregiver using a structured format. This scale had to be administered by a trained and certified global rater who did not have access to any information regarding adverse events experienced by the participant. CDR-SOB total score range is 0 (least impairment) to 18 (most impairment); a negative change from baseline indicates an improvement.
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 posted12 May 2008 (estimated)
- Study startJan 2008
- Primary completionOct 2012
- Study completionNov 2012
Why it stopped: The study was terminated on August 6, 2012, because 2 large Phase 3 studies showed no clinical benefit. This decision was not based on any new safety concerns.
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.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Alzheimer DiseaseStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,100 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00676143
- Sponsor's protocol ID
- 3133K1-3001
- Other IDs
- B2521002, 2007-005995-14
- Status last verified
- May 2016
- First submitted
- 2 May 2008
- Last updated
- 10 Jun 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Vandenberghe R, Rinne JO, Boada M, Katayama S, Scheltens P, Vellas B, Tuchman M, Gass A, Fiebach JB, Hill D, Lobello K, Li D, McRae T, Lucas P, Evans I, Booth K, Luscan G, Wyman BT, Hua L, Yang L, Brashear HR, Black RS; Bapineuzumab 3000 and 3001 Clinical Study Investigators. Bapineuzumab for mild to moderate Alzheimer's disease in two global, randomized, phase 3 trials. Alzheimers Res Ther. 2016 May 12;8(1):18. doi: 10.1186/s13195-016-0189-7.
PubMed 27176461Lacey L, Bobula J, Rudell K, Alvir J, Leibman C. Quality of Life and Utility Measurement in a Large Clinical Trial Sample of Patients with Mild to Moderate Alzheimer's Disease: Determinants and Level of Changes Observed. Value Health. 2015 Jul;18(5):638-45. doi: 10.1016/j.jval.2015.03.1787. Epub 2015 Apr 10.
PubMed 26297092
Study at a glance
From the registry record, last updated by the sponsor on 10 Jun 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase Iii, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group, Efficacy And Safety Trial Of Bapineuzumab (Aab 001, Eln115727) In Subjects With Mild To Moderate Alzheimer Disease Who Are Apolipoprotein E 4 Carriers
- ClinicalTrials.gov ID
- NCT00676143
- Acronym / sponsor ID
- 3133K1-3001
- Conditions
- Alzheimer Disease
- Keywords
- antibody, immunotherapy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The study was terminated on August 6, 2012, because 2 large Phase 3 studies showed no clinical benefit. This decision was not based on any new safety concerns.
- Enrolment
- 1,100 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- Jan 2008
- Primary completion
- Oct 2012 (actual)
- Study completion
- Nov 2012 (actual)
- First posted
- 12 May 2008 (estimated)
- Results
- Posted 10 Jun 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a study to evaluate the efficacy and safety of multiple doses of bapineuzumab in patients with mild to moderate Alzheimer Disease. Patients will receive either bapineuzumab or placebo. Each patient's participation will last approximately 1.5 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Bapineuzumab 0.5 mg/kg | Experimental | Drug: bapineuzumab |
| Placebo | Placebo comparator | Drug: placebo |
Who may qualify
- Ages
- 50 to 88 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Diagnosis of probable AD, with MMSE score of 16-26, and brain MRI consistent with the diagnosis of AD
- Concurrent use of cholinesterase inhibitor or memantine allowed, if stable.
- Caregiver will participate and be able to attend clinic visits with patient.
Key exclusion criteria (3 listed)
- Significant neurological disease other than AD, or a major psychiatric disorder
- Contraindication to undergo brain MRI (e.g., pacemaker, CSF shunt, or foreign metal objects in the body)
- Woman of childbearing potential
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 |
|---|---|---|
| bapineuzumabAlso: AAB-001Bapineuzumab 0.5 mg/kg administered by IV infusion approximately every 13 weeks through week 65. | Drug | Bapineuzumab 0.5 mg/kg |
| placeboPlacebo will be administered by IV infusion approximately every 13 weeks through week 65. | Drug | Placebo |
Primary outcome
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog)/11 Subscale Total Score at Week 78
Time frame: Baseline and 78 weeks
The ADAS-Cog is a multi-item, objective measure of cognitive function. The scale evaluates memory, language, and praxis with items such as orientation, word recall, word recognition, object identification, comprehension, and the completion of simple tasks. Analysis of the ADAS-Cog for this study was based upon an 11 item score from the following items 1) word recall task, 2) naming objects and fingers, 3) following commands, 4) constructional praxis, 5) ideational praxis, 6) orientation, 7) word recognition, 8) remembering test instructions, 9) spoken language ability, 10) word finding difficulty in spontaneous speech, and 11) comprehension. This scale had to be administered by a trained and certified psychometric rater who did not have access to any information regarding adverse events experienced. The ADAS-Cog/11 ranged from 0 to 70 points, with higher scores indicating a greater degree of impairment. A negative change from baseline indicates a decrease in cognitive impairment.
Change From Baseline in Disability Assessment for Dementia (DAD) Total Score at Week 78
Time frame: Baseline and 78 weeks
The DAD measures instrumental and basic activities of daily living in participants with Alzheimer's Disease (AD). The DAD is administered to the participants'caregiver in the form of an interview. This scale had to be administered by a trained and certified psychometric rater who did not have access to any information regarding adverse events experienced by the participant. This scale assesses a participants' ability to initiate, plan, and perform activities related to hygiene, dressing, continence, eating, meal preparation, telephoning, going on an outing, finance and correspondence, medications, leisure, and housework. Each item can be scored as 1 = yes, 0 = no, non applicable = NA. A total score is obtained by adding the rating for each question and converting this total score out of 100. Higher scores indicate better function; a positive change from baseline indicates an improvement.
15 secondary outcomes
Change From Baseline in Brain Amyloid Burden at Week 71
Time frame: Baseline and 71 weeks
Change From Baseline in Cerebrospinal Fluid (CSF) Phospho-tau Levels at Week 71
Time frame: Baseline and 71 Weeks
Change From Baseline in Brain Volume, as Assessed by Magnetic Resonance Imaging Brain Boundary Shift Integral (MRI BBSI), at Week 71
Time frame: Baseline and 71 Weeks
Divergence of Effect on the ADAS-Cog/11 Total Scores From Week 39 to Week 78
Time frame: Week 39 to Week 78
Divergence of Effect on the DAD Total Scores From Week 39 to Week 78
Time frame: Week 39 to Week 78
Time to First Median Placebo Deterioration on ADAS-Cog/11 Total Score (European Union [EU] Analysis Plan)
Time frame: Baseline and 78 Weeks
Time to First Clinically Meaningful Deterioration on ADAS-Cog/11 Total Score (United States [US] Analysis Plan)
Time frame: Baseline and 78 Weeks
Time to First Median Placebo Deterioration on DAD Total Score (EU Analysis Plan)
Time frame: Baseline and 78 Weeks
Time to First Clinically Meaningful Deterioration on DAD Total Score (US Analysis)
Time frame: Baseline and 78 Weeks
Change From Baseline in Dependence Scale Total Score at Week 78
Time frame: Baseline and 78 Weeks
Percentage of Participants With Worsening From Baseline in ADAS-Cog/11 Total Score at Week 78 (EU Analysis Plan)
Time frame: Baseline and 78 Weeks
Percentage of Responders for ADAS-Cog/11 Total Score at Week 78 (US Analysis Plan)
Time frame: Baseline and 78 Weeks
Percentage of Participants With Worsening From Baseline in DAD Total Score at Week 78 (EU Analysis Plan)
Time frame: Baseline and 78 Weeks
Percentage of Responders for DAD Total Score at Week 78 (US Analysis Plan)
Time frame: Baseline and 78 Weeks
Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SOB) Total Score at Week 78
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 10 Jun 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 27176461Vandenberghe R, Rinne JO, Boada M, Katayama S, Scheltens P, Vellas B, Tuchman M, Gass A, Fiebach JB, Hill D, Lobello K, Li D, McRae T, Lucas P, Evans I, Booth K, Luscan G, Wyman BT, Hua L, Yang L, Brashear HR, Black RS; Bapineuzumab 3000 and 3001 Clinical Study Investigators. Bapineuzumab for mild to moderate Alzheimer's disease in two global, randomized, phase 3 trials. Alzheimers Res Ther. 2016 May 12;8(1):18. doi: 10.1186/s13195-016-0189-7.
- Derived from this study: PubMed 26297092Lacey L, Bobula J, Rudell K, Alvir J, Leibman C. Quality of Life and Utility Measurement in a Large Clinical Trial Sample of Patients with Mild to Moderate Alzheimer's Disease: Determinants and Level of Changes Observed. Value Health. 2015 Jul;18(5):638-45. doi: 10.1016/j.jval.2015.03.1787. Epub 2015 Apr 10.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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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.
Pfizer CT.gov Call Center study director
Pfizer
288 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing bapineuzumab in people with Alzheimer Disease, run by Pfizer at 288 sites in 24 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 3 inclusion and 3 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: stopped early, as of the sponsor's last update on 10 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 288 sites in United States, Japan, France, Spain, United Kingdom and 19 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 10 Jun 2016). 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 in Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog)/11 Subscale Total Score at Week 78 (time frame: Baseline and 78 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00676143, which also lists 2 linked publications.
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 10 Jun 2016.