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Alzheimer's DiseasePhase 1PRIMENCT01677572

Multiple Dose Study of Aducanumab (BIIB037) (Recombinant, Fully Human Anti-Aβ IgG1 mAb) in Participants With Prodromal or Mild Alzheimer's Disease

A Phase 1 study testing Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb) in people with Alzheimer's Disease, run by Biogen at 32 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

The primary objective of this study is to evaluate the safety and tolerability of multiple doses of Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb) in participants with prodromal or mild Alzheimer's Disease (AD). 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?
Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
197 participants
Where
32 sitesUnited States
Study dates
5 Oct 2012to 31 Jul 2019
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

  • Participants must be ambulatory.
  • Participants must meet the following core clinical criteria as determined by the Investigator:
  • Prodromal Alzheimer's Disease (AD) (all of the criteria must apply):
  • Mini Mental State Examination (MMSE) scores between 24-30 (inclusive)
  • a spontaneous memory complaint
  • objective memory loss defined as a free recall score of ≤27 on the Free and Cued Selective Reminding Test (FCSRT)
Show all 17Show fewer
  • a global Clinical Dementia Rating Scale (CDR) score of 0.5
  • absence of significant levels of impairment in other cognitive domains
  • essentially preserved activities of daily living, and an absence of dementia. OR
  • Mild Alzheimer's Disease (AD) criteria (all criteria must apply):
  • Mini Mental State Examination (MMSE) scores between 20-26 (inclusive)
  • a global Clinical Dementia Rating Scale (CDR) of 0.5 or 1.0
  • meeting the National Institute on Aging-Alzheimer's Association core clinical criteria for probable AD.
  • Participants must have a positive florbetapir positron emission tomography (PET) amyloid scan.
  • Participants must consent to apolipoprotein E (ApoE) genotyping.
  • Apart from clinical diagnosis of Alzheimer's Disease (AD), participant must be in good health.
  • Must have a reliable informant or caregiver.

Who cannot join

  • Any medical or neurological condition (other than Alzheimer's Disease) that might be a contributing cause of the participant's cognitive impairment.
  • Have had a stroke or Transient Ischemic Attack (TIA) or unexplained loss of consciousness in the past 1 year.
  • Clinically significant psychiatric illness in past 6 months.
  • Seizure in the past 3 years.
  • Poorly controlled diabetes mellitus.
  • History of unstable angina, myocardial infarction, chronic heart failure, or clinical significant conduction abnormalities within 1 year prior to Screening.
Show all 17Show fewer
  • Indication of impaired renal or liver function.
  • Have human immunodeficiency virus (HIV) infection.
  • Have a significant systematic illness or infection in past 30 days.
  • Brain MRI showing evidence of acute or sub-acute micro or macrohemorrhage, greater than 4 microhemorrhages, cortical infarct or greater than one 1 lunar infarct.
  • Any contraindications to brain MRI or positron emission tomography (PET) scans.
  • Negative positron emission tomography (PET) scan with any amyloid-targeting ligand within 48 weeks of Screening.
  • Clinically significant 12-lead electrocardiogram (ECG) abnormalities.
  • Alcohol or substance abuse in past 1 year.
  • Taking blood thinners (except for aspirin at a prophylactic dose or less)
  • Have changes in medications or doses of medication in past 4 weeks.
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

32 sites in 1 country.

32 sites in 1 country

United States32 sites
  • Insight Clinical Trials LLC

    Beachwood, Ohio, 44122

  • Neurostudies.net, LLC

    Decatur, Georgia, 30033

  • Brain Matters Research, Inc.

    Delray Beach, Florida, 33445

  • Brown Hospital

    East Providence, Rhode Island, 02906

  • Memory Enhancement Center of America, Inc.

    Eatontown, New Jersey, 07724

  • Alexian Brothers Neurosciences Institute

    Elk Grove Village, Illinois, 60007

  • Neuropsychiatric Research Center of Southwest Florida

    Fort Myers, Florida, 33912

  • MD Clinical Trials, Inc.

    Hallandale, Florida, 33009

  • Indiana University School of Medicine

    Indianapolis, Indiana, 46202

  • Senior Clinical Trials, Inc.

    Laguna Hills, California, 92653

  • Empire Neurology, PC

    Latham, New York, 12110

  • Torrance Clinical Research Institute, Inc.

    Lomita, California, 90717

  • Collaborative Neuroscience Network, LLC

    Long Beach, California, 90806

  • University of California, Los Angeles

    Los Angeles, California, 90095

  • CRI Lifetree

    Marlton, New Jersey, 08053

  • Miami Jewish Health Systems

    Miami, Florida, 33137

  • Galiz Research, LLC

    Miami Springs, Florida, 33166

  • Alzheimer's Disease Research Unit, Yale University

    New Haven, Connecticut, 06520

  • Compass Research, LLC

    Orlando, Florida, 32806

  • Pacific Neuroscience Medical Group

    Oxnard, California, 93030

  • Summit Research Network (Oregon) Inc.

    Portland, Oregon, 97210

  • Rhode Island Hospital

    Providence, Rhode Island, 02903

  • Pacific Research Network, Inc.

    San Diego, California, 92103

  • San Francisco Clinical Research Center

    San Francisco, California, 94109

  • St. Louis Clinical Trials, LLC

    St Louis, Missouri, 63118

  • Stanford University Medical Center

    Stanford, California, 94304

  • Infinity Clinical Research, Inc.

    Sunrise, Florida, 33351

  • Axiom Clinical Research of Florida

    Tampa, Florida, 33609

  • Stedman Clinical Trials, LLC

    Tampa, Florida, 33613

  • Advanced Memory Research Institute of NJ

    Toms River, New Jersey, 08755

  • NNS Clinical Research, LLC

    Tucson, Arizona, 85704

  • Georgetown University Hospital

    Washington D.C., District of Columbia, 20057

Other trials in United States

About this study

Official title: A Randomized, Double-Blinded, Placebo-Controlled Multiple Dose Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BIIB037 in Subjects With Prodromal or Mild Alzheimer's Disease

The primary objective of this study is to evaluate the safety and tolerability of multiple doses of Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb) in participants with prodromal or mild Alzheimer's Disease (AD). The secondary objectives of this study are to assess the effect on cerebral amyloid plaque content as measured by florbetapir-fluorine-18 (18F-AV-45F-AV-45) positron emission tomography (PET) imaging, to assess the multiple dose serum concentrations of Aducanumab and to evaluate the immunogenicity of Aducanumab after multiple dose administration in this population.

Read the detailed description

The study consists of a placebo-controlled period to study week 54, followed by a long-term extension to study week 518. The placebo-controlled period is conducted with a staggered, parallel group design, with the first 3 treatment arms conducted in parallel, 2 further treatment arms subsequently beginning in parallel, 2 additional treatment arms beginning in parallel, and the last 2 treatment arms subsequently beginning in parallel. Qualifying participants can enter the long-term extension period for up to 42 additional doses of active drug for the first 3 years of LTE. Furthermore, up until the last participant in Arms 8 and 9 has had his or her last dose in the fifth year of the LTE, eligible participants will be able to continue treatment beyond the third year of the LTE.

Being tested
Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb), Placebo
Keywords
Aducanumab, BIIB037
Medical subject headings
Alzheimer Disease

What participants receive

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

  • Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb)Drug

    Also called IgG1, anti-A* mAb, Fully human

    Participants will receive an infusion of Aducanumab on Days 1, 29, 57, 85, 113, 141, 169, 197, 225, 253, 281, 309, 337, and 365 (±2 days) at the study clinic and assigned does levels. The infusion will be administered for approximately 1 hour. The study is conducted with a staggered, parallel group design, with the first 3 treatment arms conducted in parallel, 2 further treatment arms subsequently beginning in parallel and the 2 last treatment arms subsequently beginning in parallel. Qualifying participants can enter the long-term extension period at doses described in the treatment arms for up to an additional 112 doses.

  • PlaceboDrug

    Placebo to mimic the low dose, mid-dose and high-dose treatment arms of the experimental intervention; administered by intravenous (IV) infusion on Days 1, 29, 57, 85, 113, 141, 169, 197, 225, 253, 281, 309, 337, and 365 (±2 days) at the study clinic. Qualifying participants can enter the long-term extension period at doses described in the treatment arms for up to an additional 112 doses.

Study groups in NCT01677572
Study groupRoleWhat they receive
Low-dose #1 AducanumabExperimentalIntravenous doses of low-dose level #1 Aducanumab administered approximately 4 weeks apart over approximately 52 weeks (a total of 14 doses). Qualifying participants can continue into the long-term extension at a dose administered approximately 4 weeks apart for up to an additional 112 doses.
Receives: Drug: Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb)
Low-dose #2 AducanumabExperimentalIntravenous doses of low-dose level #2 Aducanumab administered approximately 4 weeks apart over approximately 52 weeks (a total of 14 doses). Qualifying participants can continue into the long-term extension at a dose administered approximately 4 weeks apart for up to an additional 112 doses.
Receives: Drug: Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb)
Placebo (low dose group)Placebo comparatorIntravenous doses of placebo administered approximately 4 weeks apart over approximately 52 weeks (a total of 14 doses). Qualifying participants can continue into the long-term extension at a dose approximately 4 weeks apart for up to an additional 112 doses.
Receives: Drug: Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb); Drug: Placebo
Mid-dose AducanumabExperimentalIntravenous doses of mid-dose Aducanumab administered approximately 4 weeks apart over approximately 52 weeks (a total of 14 doses). Qualifying participants can continue into the long-term extension at a dose administered approximately 4 weeks apart for up to an additional 112 doses.
Receives: Drug: Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb)
Placebo (mid dose group)Placebo comparatorIntravenous doses of placebo administered approximately 4 weeks apart over approximately 52 weeks (a total of 14 doses). Qualifying participants can continue into the long-term extension at a dose administered approximately 4 weeks apart for up to an additional 112 doses.
Receives: Drug: Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb); Drug: Placebo
High-dose AducanumabExperimentalIntravenous doses of high-dose Aducanumab administered approximately 4 weeks apart over approximately 52 weeks (a total of 14 doses). Qualifying participants can continue into the long-term extension at a dose administered approximately 4 weeks apart for up to an additional 112 doses.
Receives: Drug: Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb)
Placebo (high dose group)Placebo comparatorIntravenous doses of placebo administered approximately 4 weeks apart over approximately 52 weeks (a total of 14 doses). Qualifying participants can continue into the long-term extension at a dose administered approximately 4 weeks apart for up to an additional 112 doses.
Receives: Drug: Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb); Drug: Placebo
Aducanumab TitrationExperimentalIntravenous doses of Aducanumab administered approximately 4 weeks apart over approximately 52 weeks (a total of 14 doses). Qualifying participants can continue into the long-term extension at a dose approximately 4 weeks apart for up to an additional 112 doses.
Receives: Drug: Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb)
Placebo (Titration Group)Placebo comparatorIntravenous doses of placebo administered approximately 4 weeks apart over approximately 52 weeks (a total of 14 doses). Qualifying participants can continue into the long-term extension at a dose approximately 4 weeks apart for up to an additional 112 doses.
Receives: Drug: Placebo

What is being measured

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

  1. Number of Participants with Adverse Events

    Measured: Baseline to week 518

Secondary outcomes (3)
  1. Change from baseline in florbetapir-fluorine-18 (18F-AV-45F-AV-45) positron emission tomography (PET) imaging in certain brain areas.

    Measured: Day 1, Weeks 26, 54, End of year 2, 3, and 4

  2. Multiple dose pharmacokinetic (PK) serum concentrations of Aducanumab

    Measured: Up to week 518

  3. Change from Baseline in Incidence of Anti-Aducanumab Antibodies in Serum.

    Measured: Up to week 518

Timeline

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

  1. First posted3 Sep 2012 (estimated)
  2. Study start5 Oct 2012
  3. Primary completion31 Jul 2019
  4. Study completion31 Jul 2019

Why it stopped: Study was discontinued based on futility analysis conducted on Phase 3 trials (NCT02477800 and NCT02484547) and not based on safety concerns.

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
197 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01677572
Sponsor's protocol ID
221AD103
Other IDs
2012-000349-10
Acronym
PRIME
Status last verified
Jul 2020
First submitted
30 Aug 2012
Last updated
3 Aug 2020
Results posted
No
Data monitoring committee
Yes

Publications

  • Chen T, O'Gorman J, Castrillo-Viguera C, Rajagovindan R, Curiale GG, Tian Y, Patel D, von Rosenstiel P, von Hehn C, Salloway S, Hock C, Nitsch RM, Haeberlein SB, Sandrock A, Singhal P. Results from the long-term extension of PRIME: A randomized Phase 1b trial of aducanumab. Alzheimers Dement. 2024 May;20(5):3406-3415. doi: 10.1002/alz.13755. Epub 2024 Apr 3.

    PubMed 38567735
  • Sevigny J, Chiao P, Bussiere T, Weinreb PH, Williams L, Maier M, Dunstan R, Salloway S, Chen T, Ling Y, O'Gorman J, Qian F, Arastu M, Li M, Chollate S, Brennan MS, Quintero-Monzon O, Scannevin RH, Arnold HM, Engber T, Rhodes K, Ferrero J, Hang Y, Mikulskis A, Grimm J, Hock C, Nitsch RM, Sandrock A. The antibody aducanumab reduces Abeta plaques in Alzheimer's disease. Nature. 2016 Sep 1;537(7618):50-6. doi: 10.1038/nature19323.

    PubMed 27582220

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Aducanumab (recombinant, fully human anti-Aβ IgG1 mAb) in people with Alzheimer's Disease, run by Biogen at 32 sites in United States.

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 17 inclusion and 17 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 3 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in United States. 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 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 was stopped early (reason given: Study was discontinued based on futility analysis conducted on Phase 3 trials (NCT02477800 and NCT02484547) and not based on safety concerns.). Results are not available in the source record.

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 Adverse Events (time frame: Baseline to week 518). 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 NCT01677572, 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 3 Aug 2020.

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