Alzheimer's DiseasePhase 1NCT01492374
Study to Evaluate the Safety, Tolerability and the Effect of BMS-241027 on Cerebrospinal Fluid Biomarkers in Subjects With Mild Alzheimer's Disease
A Phase 1 study testing BMS-241027 in people with Alzheimer's Disease, run by Bristol-Myers Squibb at 24 sites in 5 countries.
Trial summary
The purpose of the study is to evaluate safety and the pharmacodynamic effects of BMS-241027 on cerebrospinal fluid (CSF) Tau, connectivity magnetic resonance imaging (MRI), and computerized cognitive tests in mild Alzheimer's disease (AD) subjects, following 9 weekly intravenous (IV) infusions of BMS-241027 Read more about this study
- Who is it for?
- Ages 50 to 90 years
- Conditions the study is for
- Alzheimer's Disease
- What is being tested?
- BMS-241027
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 40 participants
- Where
- 24 sitesin 5 countries
- Study dates
- Feb 2012to Oct 2013
- Phase
- Phase 1
- Are there results?
- None posted in the registry
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 90 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Mild AD Subjects meeting National Institute of Neurological Disorders and Stroke - Alzheimer's Disease Related Disorders Association(NINCDS-ADRDA) and Diagnostic and Statistical Manual of Mental Disorders-Forth Edition, Text Revision (DSM-IV-TR) criteria
- Mini-Mental State Exam (MMSE) Score between 20 \& 26 (inclusive)
- CSF consistent with AD pathology
- Screening brain MRI - normal - commensurate with age or demonstrate atrophy consistent with AD diagnosis (dx); reveal no more than mild white matter disease; up to 2 lacunar infarcts acceptable except in anterior thalamus, genu of internal capsule or basal forebrain; reveal no cortical infarcts; reveal no more than 4 microbleeds; reveal no focal asymmetric lobar atrophy or other findings suggesting primary cause of dementia is attributed to a cause other than AD; reveal no macrohemorrhages (>10 mm)
- Subjects must have reliable study partners
- Men and Women of Non Child Bearing Potentia (WONCBP), ages 50-90 years
Who cannot join
- Subjects with any other medical condition other than mild AD that could explain subjects' memory or cognitive deficits
- Subjects diagnosed with moderate or severe AD per DSM-IV criteria
- Subjects with a history (hx) of stroke
- Subjects with a hx of GI illnesses
- Subjects with Vitamin B12 or folate deficiency
- Subjects with any unstable cardiovascular (CV), pulmonary, Gastrointestinal (GI) or hepatic disease within 30 days prior to screening
Show all 11Show fewer
- Subjects with active liver dx or history of hepatic intolerance
- Subjects with a Geriatric Depression Scale score of ≥ 6 at screening
- Subjects treated for or have had a diagnosis of schizophrenia
- Subjects treated for or have had a diagnosis of bipolar disease within 3 years prior to screening
- Subjects with a history of generalized peripheral neuropathy
Trial locations and contacts
24 sites in 5 countries.
24 sites in 5 countries
United States15 sites
Anaheim Clinical Trials Llc
Anaheim, California, 92801
Brigham And Women'S Hospital
Boston, Massachusetts, 02115
Alpine Clinical Research Center, Inc.
Boulder, Colorado, 80304
The Ohio State University
Columbus, Ohio, 43210
Michigan State University
East Lansing, Michigan, 48824
Alexian Brothers Neurosciences Institute Clinical Research
Elk Grove Village, Illinois, 60007
Associated Neurologists Of Southern Connecticut, P.C.
Fairfield, Connecticut, 06824
The Clinical Trial Center, Llc
Jenkintown, Pennsylvania, 19046
Study site
Long Beach, California, 90806
Compass Research, Llc
Orlando, Florida, 32806
Palm Beach Neurological Center Advanced Research Consultants
Palm Beach Gardens, Florida, 33410
Hospital Of The University Of Pennsylvania
Philadelphia, Pennsylvania, 19104
Penn Memory Center
Philadelphia, Pennsylvania, 19104
Lifetree Clinical Research
Salt Lake City, Utah, 84106
Ucsf Memory And Aging Center
San Francisco, California, 94158
Canada3 sites
Local Institution
Greenfield Park, Quebec, J4V 2J2
Local Institution
London, Ontario, N6C 5J1
Local Institution
Toronto, Ontario, M3B 2S7
France3 sites
Local Institution
Lille, 59037
Local Institution
Paris, 75013
Local Institution
Toulouse, Cedex 9, 31059
Germany2 sites
Local Institution
Berlin, 14050
Local Institution
Heidelberg, 69115
About this study
Official title: A Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability and the Effect of BMS-241027 on Cerebrospinal Fluid Biomarkers in Subjects With Mild Alzheimer's Disease
The purpose of the study is to evaluate safety and the pharmacodynamic effects of BMS-241027 on cerebrospinal fluid (CSF) Tau, connectivity magnetic resonance imaging (MRI), and computerized cognitive tests in mild Alzheimer's disease (AD) subjects, following 9 weekly intravenous (IV) infusions of BMS-241027
- Conditions
- Alzheimer's Disease
- Being tested
- BMS-241027, Placebo matching BMS-241027
- Medical subject headings
- Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BMS-241027Drug
Intravenous (IV), 0.003 mg/kg, Once Weekly, 9 weeks
BMS-241027Drug
Intravenous (IV), 0.01 mg/kg, Once Weekly, 9 weeks
BMS-241027Drug
Intravenous (IV), 0.03 mg/kg, Once Weekly, 9 weeks
Placebo matching BMS-241027Drug
Intravenous (IV), 0.0 mg/kg, Once Weekly, 9 weeks
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: BMS-241027 (0.003 mg/kg) | Experimental | Not described Receives: Drug: BMS-241027 |
| Arm 2: BMS-241027 (0.01 mg/kg) | Experimental | Not described Receives: Drug: BMS-241027 |
| Arm 3: BMS-241027 (0.03 mg/kg) | Experimental | Not described Receives: Drug: BMS-241027 |
| Arm 4: Placebo matching BMS-241027 | Experimental | Not described Receives: Drug: Placebo matching BMS-241027 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety assessments: based on frequency of Serious Adverse Events (SAEs), frequency of Adverse events (AEs), discontinuation due to AEs and dose reduction
Measured: Within the first 70 day after first dose
Biomarker Measures: CSF levels of Tau N-terminal domain fragments
Measured: Within the first 70 day after first dose
Secondary outcomes (9)
Effects of BMS-241027 on CSF levels of the mid-domain Tau fragment
Measured: Within the first 70 days after first dose
Effects of BMS-241027 on cognitive performance using computerized cognitive tests
Measured: Weeks 3, 6 and 9
Effects of BMS-241027 on connectivity MRI
Measured: Within the first 70 days after first dose
Maximal observed plasma concentration (Cmax) of BMS-241027 in subjects with mild Alzheimer's disease
Intensive pharmacokinetic parameter Cmax will be derived from subgroups of subjects at Week 7
Measured: Weeks 1, 4, and 9
Observed plasma concentration at 24 hours post dose (C24) of BMS-241027 in subjects with mild Alzheimer's disease
Intensive pharmacokinetic parameter C24 will be derived from subgroups of subjects at Week 7
Measured: Weeks 1, 4, and 9
Time of maximal observed plasma concentration (Tmax) of BMS-241027 in subjects with mild Alzheimer's disease
Intensive pharmacokinetic parameter Tmax will be derived from subgroups of subjects at Week 7
Measured: Weeks 1, 4, and 9
Area under the concentration-time curve in one dosing interval [AUC(TAU)] of BMS-241027 in subjects with mild Alzheimer's disease
Intensive pharmacokinetic parameter AUC(TAU) will be derived from subgroups of subjects at Week 7
Measured: Weeks 1, 4, and 9
Safety assessments: based on vital sign measurements, ECGs and clinical laboratory tests
Measured: Within the first 70 day after first dose
Effects of BMS-241027 on CSF levels of neurofilaments
Measured: Within the first 70 days after first dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Dec 2011 (estimated)
- Study startFeb 2012
- Primary completionOct 2013
- Study completionOct 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Alzheimer's DiseaseStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe 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 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01492374
- Sponsor's protocol ID
- CN167-003
- Other IDs
- 2011-004065-33
- Status last verified
- Oct 2013
- First submitted
- 13 Dec 2011
- Last updated
- 24 Jul 2014
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 24 Jul 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability and the Effect of BMS-241027 on Cerebrospinal Fluid Biomarkers in Subjects With Mild Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT01492374
- Acronym / sponsor ID
- CN167-003
- Conditions
- Alzheimer's Disease
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 40 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- Feb 2012
- Primary completion
- Oct 2013 (actual)
- Study completion
- Oct 2013 (actual)
- First posted
- 15 Dec 2011 (estimated)
- Results
- Not posted in the source record
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 the study is to evaluate safety and the pharmacodynamic effects of BMS-241027 on cerebrospinal fluid (CSF) Tau, connectivity magnetic resonance imaging (MRI), and computerized cognitive tests in mild Alzheimer's disease (AD) subjects, following 9 weekly intravenous (IV) infusions of BMS-241027
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 |
|---|---|---|
| Arm 1: BMS-241027 (0.003 mg/kg) | Experimental | Drug: BMS-241027 |
| Arm 2: BMS-241027 (0.01 mg/kg) | Experimental | Drug: BMS-241027 |
| Arm 3: BMS-241027 (0.03 mg/kg) | Experimental | Drug: BMS-241027 |
| Arm 4: Placebo matching BMS-241027 | Experimental | Drug: Placebo matching BMS-241027 |
Who may qualify
- Ages
- 50 to 90 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Mild AD Subjects meeting National Institute of Neurological Disorders and Stroke - Alzheimer's Disease Related Disorders Association(NINCDS-ADRDA) and Diagnostic and Statistical Manual of Mental Disorders-Forth Edition, Text Revision (DSM-IV-TR) criteria
- Mini-Mental State Exam (MMSE) Score between 20 \& 26 (inclusive)
- CSF consistent with AD pathology
- Screening brain MRI - normal - commensurate with age or demonstrate atrophy consistent with AD diagnosis (dx); reveal no more than mild white matter disease; up to 2 lacunar infarcts acceptable except in anterior thalamus, genu of internal capsule or basal forebrain; reveal no cortical infarcts; reveal no more than 4 microbleeds; reveal no focal asymmetric lobar atrophy or other findings suggesting primary cause of dementia is attributed to a cause other than AD; reveal no macrohemorrhages (>10 mm)
- Subjects must have reliable study partners
Key exclusion criteria (11 listed)
- Subjects with any other medical condition other than mild AD that could explain subjects' memory or cognitive deficits
- Subjects diagnosed with moderate or severe AD per DSM-IV criteria
- Subjects with a history (hx) of stroke
- Subjects with a hx of GI illnesses
- Subjects with Vitamin B12 or folate deficiency
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 |
|---|---|---|
| BMS-241027Intravenous (IV), 0.003 mg/kg, Once Weekly, 9 weeks | Drug | Arm 1: BMS-241027 (0.003 mg/kg) |
| BMS-241027Intravenous (IV), 0.01 mg/kg, Once Weekly, 9 weeks | Drug | Arm 2: BMS-241027 (0.01 mg/kg) |
| BMS-241027Intravenous (IV), 0.03 mg/kg, Once Weekly, 9 weeks | Drug | Arm 3: BMS-241027 (0.03 mg/kg) |
| Placebo matching BMS-241027Intravenous (IV), 0.0 mg/kg, Once Weekly, 9 weeks | Drug | Arm 4: Placebo matching BMS-241027 |
Primary outcome
Safety assessments: based on frequency of Serious Adverse Events (SAEs), frequency of Adverse events (AEs), discontinuation due to AEs and dose reduction
Time frame: Within the first 70 day after first dose
Biomarker Measures: CSF levels of Tau N-terminal domain fragments
Time frame: Within the first 70 day after first dose
9 secondary outcomes
Effects of BMS-241027 on CSF levels of the mid-domain Tau fragment
Time frame: Within the first 70 days after first dose
Effects of BMS-241027 on cognitive performance using computerized cognitive tests
Time frame: Weeks 3, 6 and 9
Effects of BMS-241027 on connectivity MRI
Time frame: Within the first 70 days after first dose
Maximal observed plasma concentration (Cmax) of BMS-241027 in subjects with mild Alzheimer's disease
Time frame: Weeks 1, 4, and 9
Observed plasma concentration at 24 hours post dose (C24) of BMS-241027 in subjects with mild Alzheimer's disease
Time frame: Weeks 1, 4, and 9
Time of maximal observed plasma concentration (Tmax) of BMS-241027 in subjects with mild Alzheimer's disease
Time frame: Weeks 1, 4, and 9
Area under the concentration-time curve in one dosing interval [AUC(TAU)] of BMS-241027 in subjects with mild Alzheimer's disease
Time frame: Weeks 1, 4, and 9
Safety assessments: based on vital sign measurements, ECGs and clinical laboratory tests
Time frame: Within the first 70 day after first dose
Effects of BMS-241027 on CSF levels of neurofilaments
Time frame: Within the first 70 days after first dose
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jul 2014.
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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.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
24 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing BMS-241027 in people with Alzheimer's Disease, run by Bristol-Myers Squibb at 24 sites in 5 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 11 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 24 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 24 sites in United States, Canada, France, Germany, Sweden. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Safety assessments: based on frequency of Serious Adverse Events (SAEs), frequency of Adverse events (AEs), discontinuation due to AEs and dose reduction (time frame: Within the first 70 day after first dose). 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?
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 24 Jul 2014.