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AzTrials

Alzheimer's DiseasePhase 2NCT00722046

Multiple IV Dose Study Of PF-04360365 In Patients With Mild To Moderate Alzheimer's Disease

A Phase 2 study testing PF-04360365 0.1 mg/kg, PF-04360365 0.5 mg/kg and PF-04360365 1 mg/kg in people with Alzheimer's Disease, run by Pfizer at 42 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Purpose of the study is to determine whether multiple dose administration of PF-04360365 is safe and well tolerated in patient with mild to moderate Alzheimer's disease. Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Alzheimer's Disease
What is being tested?
PF-04360365 0.1 mg/kg, PF-04360365 0.5 mg/kg and PF-04360365 1 mg/kg
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
198 participants
Where
42 sitesin 6 countries
Study dates
5 Dec 2008to 16 Aug 2011
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males or females of non childbearing potential, age > or = 50
  • Diagnosis of probable Alzheimer's disease, consistent with criterial from both:
  • National Institute of Neurological and Communicable Disease and Stroke and Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA)
  • Diagnostic and Statistical Manual of Mental Disorders (DSM IV)
  • Mini-mental status exam score of 16-26 inclusive
  • Rosen-Modified Hachinski Ischemia Score of < or = 4

Who cannot join

  • Diagnosis or history of other demential or neurodegenerative disorders
  • Diagnosis or history of clinically significant cerebrovascular disease
  • Specific findings on magnetic resonance imaging (MRI); cortical infarct, micro hemorrhage, multiple white matter lacunes, extensive white matter abnormalities
  • History of autoimmune disorders
  • History of allergic or anaphylactic reactions

Trial locations and contacts

42 sites in 6 countries.

42 sites in 6 countries

United States15 sites
  • Memory Enhancement Center of America, Inc

    Eatontown, New Jersey, 07724

  • Alexian Brothers Medical Center

    Elk Grove Village, Illinois, 60007

  • Alexian Brothers Neurosciences Institute

    Elk Grove Village, Illinois, 60007

  • Neuroscience Consultants, LLC

    Miami, Florida, 33176

  • Central Jersey Radiology

    Oakhurst, New Jersey, 07755

  • Stark Pharmacy

    Overland Park, Kansas, 66209

  • Vince and Associates Clinical Research

    Overland Park, Kansas, 66211

  • Vince and Associates Clinical Research

    Overland Park, Kansas, 66212

  • Pivotal Research Center

    Peoria, Arizona, 85381

  • Sun Radiology- for MRI

    Peoria, Arizona, 85381

  • Dedicated Phase 1

    Phoenix, Arizona, 85013

  • Butler Hospital

    Providence, Rhode Island, 02906

  • Miami Research Associates

    South Miami, Florida, 33143

  • MRA Clinical Research

    South Miami, Florida, 33143

  • Sleep Florida, LLC

    South Miami, Florida, 33143

Other trials in United States

Canada7 sites
  • Parkwood Hospital, Geriatric Medicine

    London, Ontario, N6C 5J1

  • Recherche Clinique de Neurologie

    Montreal, Quebec, H1T 2M4

  • Kawartha Regional Memory Clinic

    Peterborough, Ontario, K9H 2P4

  • Diex Recherche Inc.

    Sherbrooke, Quebec, J1H 1Z1

  • Toronto Memory Program

    Toronto, Ontario, M3B 2S7

  • Sunnybrook Health Sciences Centre

    Toronto, Ontario, M4N 3M5

  • University of British Columbia Hospital, Division of Neurology

    Vancouver, British Columbia, V6T 2B5

Other trials in Canada

South Korea6 sites
  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggi-do, 463-707

  • Hanyang University Hospital

    Seoul, 133-792

  • Samsung Medical Center

    Seoul, 135-710

  • Korea University Anam Hospital

    Seoul, 136-705

  • Asan Medical Center

    Seoul, 138-736

  • Konkuk University Medical Center

    Seoul, 143-914

Other trials in South Korea

United Kingdom6 sites
  • The Pharmacy Department

    Cheadle, Chesire, SK8 2PX

  • MAC UK Neuroscience Ltd

    Manchester, M50 2GY

  • Wellcome Trust Clinical Research Facility

    Southampton, SO16 6YD

  • Memory Assessment and Research Centre

    Southampton, SO30 3JB

  • The Shalbourne Suite

    Swindon, Wiltshire, SN3 6BB

  • Kingshill Research Centre

    Swindon, Wiltshire, SN3 6BW

Other trials in United Kingdom

Australia4 sites
  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000

  • Heidelberg Repatriation Hospital, Austin Health

    Heidelberg West, Victoria, 3084

  • The McCusker Foundation for Alzheimer's Disease Research

    Nedlands, Western Australia, 6009

  • The Queen Elizabeth Hospital and Health Service

    Woodville South, South Australia, 5011

Other trials in Australia

Belgium4 sites
  • ZNA Middelheim / Neurology

    Antwerp, 2020

  • UZ Antwerpen, Department of Neurology

    Edegem, 2650

  • UZ Brussel / Geriatrie

    Jette, 1090

  • U.Z. Gasthuisberg / Neurologie

    Leuven, 3000

Other trials in Belgium

About this study

Official title: A PHASE 2 MULTICENTER, RANDOMIZED, DOUBLE BLIND, PLACEBO CONTROLLED STUDY OF THE SAFETY, TOLERABILITY, AND PHARMACOKINETICS OF MULTIPLE DOSES OF PF 04360365 IN PATIENTS WITH MILD TO MODERATE ALZHEIMER'S DISEASE.

Purpose of the study is to determine whether multiple dose administration of PF-04360365 is safe and well tolerated in patient with mild to moderate Alzheimer's disease.

Being tested
PF-04360365 0.1 mg/kg, PF-04360365 0.5 mg/kg, PF-04360365 1 mg/kg, Placebo, PF-04360365 3 mg/kg
Keywords
Alzheimer's disease, antibody, amyloid
Medical subject headings
Alzheimer Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PF-04360365 0.1 mg/kgBiological

    0.1 mg/kg every 60 days (10 doses total)

  • PF-04360365 0.5 mg/kgBiological

    0.5 mg/kg every 60 days (10 doses total)

  • PF-04360365 1 mg/kgBiological

    1 mg/kg every 60 days (10 doses total)

  • PlaceboDrug

    Placebo every 60 days (10 doses total)

  • PF-04360365 3 mg/kgBiological

    3 mg/kg every 60 days (10 doses total)

  • PF-04360365 8.5 mg/kgBiological

    8.5 mg/kg every 60 days (10 doses total)

Study groups in NCT00722046
Study groupRoleWhat they receive
PF-04360365 0.1 mg/kgExperimentalNot described
Receives: Biological: PF-04360365 0.1 mg/kg
PF-04360365 0.5 mg/kgExperimentalNot described
Receives: Biological: PF-04360365 0.5 mg/kg
PF-04360365 1 mg/kgExperimentalNot described
Receives: Biological: PF-04360365 1 mg/kg
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
PF-04360365 3 mg/kgExperimentalNot described
Receives: Biological: PF-04360365 3 mg/kg
PF-04360365 8.5 mg/kgExperimentalNot described
Receives: Biological: PF-04360365 8.5 mg/kg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship. SAE: an AE resulting in any of following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs are events between first dose of study medication and up to 6 months after last dose that were absent before treatment or worsened relative to pre-treatment state.

    Measured: Day 1 up to 6 months after last dose of study medication, assessed up to Month 24

  2. Number of Participants With Change From Baseline in Brain Magnetic Resonance Imaging (MRI) Abnormalities

    Number of participants with new clinical findings not evident on the baseline scans, such as brain edema, hemorrhage, encephalitis and other pathology (cerebral/meningeal enhancement, parenchymal hematoma, subarachnoid hemorrhage, subdural hematoma, cortical infarcts, subcortical grey matter infarcts, white matter infarcts and white matter hyperintensities) were assessed from structural MRI. Participants with brain abnormality other than those listed above, assessed using MRI scan, were reported under other abnormality. Baseline was defined as the last assessment prior to the first study drug infusion.

    Measured: Baseline up to Month 24

  3. Number of Participants With Gadolinium Use in Brain Magnetic Resonance Imaging (MRI)

    Brain MRI included gadolinium contrast if investigator determined this was necessary for participant care either based on clinical signs or the non-contrast MRI. This decision was made by the investigator on the basis of change in the clinical examination or in response to a possible abnormality seen on the non-contrast brain MRI. Baseline was defined as the last assessment prior to the first study drug infusion.

    Measured: Baseline up to Month 24

  4. Mean Cerebrospinal Fluid (CSF) Concentration of PF-04360365 at 0 Hour on Day 0

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 0 Hour on Day 0

  5. Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 1

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 0 Hour (pre-dose) on Day 1

  6. Mean Plasma Concentration of PF-04360365 at 2 Hours on Day 1

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 2 Hours on Day 1

  7. Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 60

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 0 Hour (pre-dose) on Day 60

  8. Mean Plasma Concentration of PF-04360365 at 2 Hours on Day 60

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 2 Hours on Day 60

  9. Mean Plasma and Cerebrospinal Fluid (CSF) Concentration of PF-04360365 on Day 90

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: Day 90

  10. Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 120

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 0 Hour (pre-dose) on Day 120

  11. Mean Plasma Concentration of PF-04360365 at 2 Hours on Day 120

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 2 Hours on Day 120

  12. Mean Plasma Concentration of PF-04360365 on Day 150

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: Day 150

  13. Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 180

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 0 Hour (pre-dose) on Day 180

  14. Mean Plasma Concentration of PF-04360365 at 2 Hours on Day 180

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 2 Hours on Day 180

  15. Mean Plasma Concentration of PF-04360365 on Day 210

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: Day 210

  16. Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 240

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 0 Hour (pre-dose) on Day 240

  17. Mean Plasma Concentration of PF-04360365 at 2 Hours on Day 240

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 2 Hours on Day 240

  18. Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 300

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 0 Hour (pre-dose) on Day 300

  19. Mean Plasma Concentration of PF-04360365 at 2 Hours on Day 300

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 2 Hours on Day 300

  20. Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 360

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 0 Hour (pre-dose) on Day 360

  21. Mean Plasma Concentration of PF-04360365 at 2 Hours on Day 360

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 2 Hours on Day 360

  22. Mean Plasma Concentration of PF-04360365 on Day 390

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: Day 390

  23. Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 420

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 0 Hour (pre-dose) on Day 420

  24. Mean Plasma Concentration of PF-04360365 at 2 Hours on Day 420

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 2 Hours on Day 420

  25. Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 480

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 0 Hour (pre-dose) on Day 480

  26. Mean Plasma Concentration of PF-04360365 at 2 Hours on Day 480

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 2 Hours on Day 480

  27. Mean Plasma Concentration of PF-04360365 at 0 Hour on Day 540

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 0 Hour (pre-dose) on Day 540

  28. Mean Plasma Concentration of PF-04360365 at 2 Hours on Day 540

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: 2 Hours on Day 540

  29. Mean Plasma and Cerebrospinal Fluid (CSF) Concentration of PF-04360365 on Day 570

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: Day 570

  30. Mean Plasma Concentration of PF-04360365 on Day 660

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: Day 660

  31. Mean Plasma Concentration of PF-04360365 on Day 720

    Only participants received PF-04360365 were analyzed for this outcome measure.

    Measured: Day 720

Secondary outcomes (13)
  1. Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-cog) Score at Baseline

    ADAS-cog is a structured scale assessing the severity of cognitive impairment in Alzheimer's Disease. It comprised of following 11 items (range): word recall (0-10), naming objects and fingers (0-5), following commands (0-5), constructional praxis (0-5), ideational praxis (0-5), orientation (0-8), word recognition (0-12), recall of test instructions (0-5), spoken language ability (0-5), word-finding difficulty (0-5), comprehension of spoken language (0-5). ADAS-cog total score was calculated as the sum of scores for the 11 items and ranged from 0 to 70. Higher total and individual item scores indicate greater cognitive impairment. Baseline was defined as the last assessment prior to the first study drug infusion.

    Measured: Baseline

  2. Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-cog) Score at Month 19

    ADAS-cog is a structured scale assessing the severity of cognitive impairment in Alzheimer's Disease. It comprised of following 11 items (range): word recall (0-10), naming objects and fingers (0-5), following commands (0-5), constructional praxis (0-5), ideational praxis (0-5), orientation (0-8), word recognition (0-12), recall of test instructions (0-5), spoken language ability (0-5), word-finding difficulty (0-5), comprehension of spoken language (0-5). ADAS-cog total score was calculated as the sum of scores for the 11 items and ranged from 0 to 70. Higher total and individual item scores indicate greater cognitive impairment. Baseline was defined as the last assessment prior to the first study drug infusion.

    Measured: Baseline and Month 19

  3. Disability Assessment for Dementia (DAD) Score at Baseline

    DAD is a functional assessment based on interview with the caregiver. It consisted of 40 items, 17 related to self-care and 23 items involving instrumental activities of daily living. Each item was scored as yes = 1, no = 0 and not applicable= N/A. A total score was obtained by adding the rating for each question and converting this to a total score out of 100. The items rated N/A were not considered for the total score. DAD total score ranged from 0 to 100, with higher scores indicating better functioning. Baseline was defined as the last assessment prior to the first study drug infusion.

    Measured: Baseline

  4. Change From Baseline in Disability Assessment for Dementia (DAD) Score at Month 19

    DAD is a functional assessment based on interview with the caregiver. It consisted of 40 items, 17 related to self-care and 23 items involving instrumental activities of daily living. Each item was scored as yes = 1, no = 0 and not applicable= N/A. A total score was obtained by adding the rating for each question and converting this to a total score out of 100. The items rated N/A were not considered for the total score. DAD total score ranged from 0 to 100, with higher scores indicating better functioning. Baseline was defined as the last assessment prior to the first study drug infusion.

    Measured: Baseline and Month 19

  5. Mean Plasma Concentration of Amyloid Beta 1-x (Aβ1-x)

    Measured: 0 Hour (pre-dose) and 2 hours on Day 1, 60, 120, 180, 240, 300, 360, 420, 480, 540; Day 90, 150, 210, 390, 570, 660, 720

  6. Mean Plasma Concentration of Amyloid Beta 1-40 (Aβ1-40)

    Measured: 0 Hour (pre-dose) and 2 hours on Day 1, 60, 120, 180, 240, 300, 360, 420, 480, 540; Day 90, 150, 210, 390, 570, 660, 720

  7. Mean Plasma Concentration of Amyloid Beta 1-42 (Aβ1-42)

    Results are not reported for PF-04360365 0.1, 0.5, 1.0 mg/kg, Placebo (Part A and B) arms because plasma Aβ1-42 concentrations were sporadic and below the lower limit of quantification (20 pg/mL).

    Measured: 0 Hour (pre-dose) and 2 hours on Day 1, 60, 120, 180, 240, 300, 360, 420, 480, 540; Day 90, 150, 210, 390, 570, 660, 720

  8. Mean Cerebrospinal Fluid (CSF) Concentration of Amyloid Beta 1-x (Aβ1-x)

    Measured: Day 0 (Hour 0), 90, 570

  9. Mean Cerebrospinal Fluid (CSF) Concentration of Amyloid Beta 1-40 (Aβ1-40)

    Measured: Day 0 (Hour 0), 90, 570

  10. Mean Cerebrospinal Fluid (CSF) Concentration of Amyloid Beta 1-42 (Aβ1-42)

    Measured: Day 0 (Hour 0), 90, 570

  11. Mean Cerebrospinal Fluid (CSF) Concentration of Total Tau and Phospho-tau (P-tau)

    Measured: Day 0 (Hour 0), 90, 570

  12. Number of Participants With Abnormal Cerebrospinal Fluid (CSF) Protein, Red Blood Cells (RBCs), White Blood Cells (WBCs), and Glucose Concentration

    Abnormality was defined as concentration either less than lower limit of normal (LLN) or more than upper limit of normal (ULN). Baseline was defined as the last assessment prior to the first study drug infusion

    Measured: Baseline up to Month 24

  13. Number of Participants With Serum Anti-Drug Anti Body (ADA)

    Serum samples were analyzed for the presence or absence of anti-PF-04360365 antibodies using validated semi-quantitative enzyme linked immunosorbent assay (ELISA). Only participants receiving PF-04360365 were analyzed for this outcome measure.

    Measured: Day 1 up to Month 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Jul 2008 (estimated)
  2. Study start5 Dec 2008
  3. Primary completion16 Aug 2011
  4. Study completion16 Aug 2011

Resources

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
198 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00722046
Sponsor's protocol ID
A9951002
Other IDs
2008-000986-42, MD IN AD PATIENT, 2008
Status last verified
Oct 2022
First submitted
23 Jul 2008
Last updated
7 Nov 2022
Data monitoring committee
Yes
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PF-04360365 0.1 mg/kg, PF-04360365 0.5 mg/kg and PF-04360365 1 mg/kg in people with Alzheimer's Disease, run by Pfizer at 42 sites in 6 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 6 inclusion and 5 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 7 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in United States, Canada, South Korea, United Kingdom, Australia and 1 more country. 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 7 Nov 2022). 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?

Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs) (time frame: Day 1 up to 6 months after last dose of study medication, assessed up to Month 24). The study lists 31 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 7 Nov 2022.

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