Alzheimer's DiseasePhase 3EXPEDITION 3NCT01900665
Progress of Mild Alzheimer's Disease in Participants on Solanezumab Versus Placebo
A Phase 3 study testing Solanezumab in people with Alzheimer's Disease, run by Eli Lilly and Company at 198 sites in 11 countries.
Trial summary
To test the idea that solanezumab will slow the cognitive decline of Alzheimer's Disease (AD) as compared with placebo in participants with mild AD. Read more about this study
- Who is it for?
- Ages 55 to 90 years
- Conditions the study is for
- Alzheimer's Disease
- What is being tested?
- Solanezumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,129 participants
- Where
- 198 sitesin 11 countries
- Study dates
- Jul 2013to Feb 2017
- 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 55 to 90 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Meets National Institute of Neurological and Communicative Disorders and Stroke/Alzheimer's Disease and Related Disorders Association (NINCDS/ADRDA) criteria for probable AD
- Has a Modified Hachinski Ischemia Scale score of less than or equal to 4
- Has a Mini-Mental State Examination (MMSE) score of 20 through 26 at Screening visit
- Has a Geriatric Depression Scale score of less than or equal to 6 (on the staff-administered short form)
- Has had a magnetic resonance imaging (MRI) or computerized tomography (CT) scan performed within the past 2 years that has confirmed no findings inconsistent with a diagnosis of AD
- Has a florbetapir positron emission tomography (PET) scan or cerebrospinal fluid (CSF) result consistent with the presence of amyloid pathology at screening
Who cannot join
- Does not have a reliable caregiver who is in frequent contact with the participant (defined as at least 10 hours per week), will accompany the participant to the office and/or be available by telephone at designated times, and will monitor administration of prescribed medications
- Meets National Institute of Neurological Disorders and Stroke/Association Internationale pour la Recherche et l'Enseignement en Neurosciences (NINDS/AIREN) criteria for vascular dementia
- Has current serious or unstable illnesses including cardiovascular, hepatic, renal, gastroenterologic, respiratory, endocrinologic, neurologic (other than AD), psychiatric, immunologic, or hematologic disease and other conditions that, in the investigator's opinion, could interfere with the analyses of safety and efficacy in this study; or has a life expectancy of <2 years
- Has had a history within the last 5 years of a serious infectious disease affecting the brain or head trauma resulting in protracted loss of consciousness
- Has a history within the last 5 years of a primary or recurrent malignant disease with the exception of resected cutaneous squamous cell carcinoma in situ, basal cell carcinoma, cervical carcinoma in situ, or in situ prostate cancer with a normal prostate-specific antigen posttreatment
- Has a known history of human immunodeficiency virus (HIV), clinically significant multiple or severe drug allergies, or severe posttreatment hypersensitivity reactions
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- Has received acetylcholinesterase inhibitor (AChEIs), memantine and/or other AD therapy for less than 4 months or has less than 2 months of stable therapy on these treatments
- Has received medications that affect the central nervous system (CNS), except treatments for AD, for less than 4 weeks
- Has a history of chronic alcohol or drug abuse/dependence within the past 5 years
- Has a Visit 1 MRI with results showing >4 Amyloid-related Imaging Abnormality (ARIA), -hemorrhage /hemosiderin deposition (ARIA-H) or presence of ARIA-E (edema/effusions)
Trial locations and contacts
198 sites in 11 countries.
198 sites in 11 countries
United States120 sites
Albany Medical College
Albany, New York, 12206
Albuquerque Neurosciences
Albuquerque, New Mexico, 87109
Dent Neurological Institute
Amherst, New York, 14226
Atlanta Center of Medical Research
Atlanta, Georgia, 30331
Maine Research Associates
Auburn, Maine, 04210
PharmaSite Research Inc
Baltimore, Maryland, 21208
McLean Hospital
Belmont, Massachusetts, 02478
The Memory Clinic
Bennington, Vermont, 05201
Parkinson's Disease and Movement Disorders
Boca Raton, Florida, 33486
Brigham and Womens Hospital
Boston, Massachusetts, 02115
Boston University Medical Center
Boston, Massachusetts, 02118
SPRI Clinical Trials, LLC.
Brooklyn, New York, 11235
American Neuropsychiatric Research Institute, Inc
Carson, California, 90746
Valley Medical Research
Centerville, Ohio, 45459
Roper St. Francis Healthcare
Charleston, South Carolina, 29401
PMG Research of Charlotte, LLC
Charlotte, North Carolina, 28203
Behavioral Health Center Research
Charlotte, North Carolina, 28211
Rush Alzheimer's Disease Center
Chicago, Illinois, 60612
Ohio State Univ College Of Medicine
Columbus, Ohio, 43210
The Corvallis Clinic P.C.
Corvallis, Oregon, 97330
Texas Neurology, PA
Dallas, Texas, 75214
University of Texas Southwestern Medical Center at Dallas
Dallas, Texas, 75390
Neurology Specialists Inc.
Dayton, Ohio, 45417
Quantum Laboratories
Deerfield Beach, Florida, 33064
Brain Matters Research
Delray Beach, Florida, 33445
Cohen Medical Associates P.A.
Delray Beach, Florida, 33446
Radiant Research
Denver, Colorado, 80239
Rhode Island Mood & Memory Research Institute
East Providence, Rhode Island, 02914
Alexian Brothers Medical Center
Elk Grove Village, Illinois, 60007
Associated Neurologists of Southern Connecticut
Fairfield, Connecticut, 06824
Neuropsychiatric Research Center of Southwest Florida
Fort Myers, Florida, 33912
Neurology Center of North Orange County
Fullerton, California, 92835
Guilford Neurologic Associates
Greensboro, North Carolina, 27405
Radiant Research
Greer, South Carolina, 29651
MD Clinical
Hallandale, Florida, 33009
Hattiesburg Clinic
Hattiesburg, Mississippi, 39401
Galiz Research
Hialeah, Florida, 33016
Infinity Clinical Research . LLC
Hollywood, Florida, 33021
Indiana University School of Medicine
Indianapolis, Indiana, 46202
Institute for Memory Impairment & Neurological Disorders
Irvine, California, 92697
Jacksonville Center for Clinical Research
Jacksonville, Florida, 32216
Mayo Clinic of Jacksonville
Jacksonville, Florida, 32224
Quillen College of Medicine, East TN State University
Johnson City, Tennessee, 37604
University of Kansas Medical Center
Kansas City, Kansas, 66160
University of California - San Diego
La Jolla, California, 92037
Senior Clinical Trials, Inc.
Laguna Hills, California, 92653
Cleveland Clinic of Las Vegas
Las Vegas, Nevada, 89106
Las Vegas Radiology
Las Vegas, Nevada, 89113
AdvanceMed Research
Lawrenceville, New Jersey, 08648
Baptist Physician's Lexington
Lexington, Kentucky, 40503
Torrance Clinical Research
Lomita, California, 90717
Collaborative Neuroscience Network - CNS
Long Beach, California, 90806
Apostle Clinical Trials, Inc
Long Beach, California, 90813
Univ of Southern California Medical Center
Los Angeles, California, 90033
University of California Los Angeles School of Medicine
Los Angeles, California, 90073
UCLA Medical Center
Los Angeles, California, 90095
ActivMed Practices & Research, Inc
Methuen, Massachusetts, 01844
Miami Jewish Home and Hospital for the Aged
Miami, Florida, 33137
Radiant Research
Murray, Utah, 84123
Vanderbilt Univeristy School of Medicine
Nashville, Tennessee, 37212
Institute for Neurodegenerative Disorders
New Haven, Connecticut, 06510
Yale University School of Medicine
New Haven, Connecticut, 06520-8020
New York University Medical Center
New York, New York, 10016
Mount Sinai Medical Center
New York, New York, 10029-6574
Columbia University Medical Center
New York, New York, 10032
Christiana Care Research Institute
Newark, Delaware, 19713
Hoag Memorial Hospital
Newport Beach, California, 92663
Boston Center for Memory
Newton, Massachusetts, 02459
National Clinical Research - Norfolk Inc
Norfolk, Virginia, 23502
Research Center for Clinical Studies
Norwalk, Connecticut, 06851
Renstar Medical Research
Ocala, Florida, 34471
Red River Medical Center, LLC
Oklahoma City, Oklahoma, 73112
Cutting Edge Research Group
Oklahoma City, Oklahoma, 73116
Univ of Nebraska Med Center
Omaha, Nebraska, 68198
Compass Research
Orlando, Florida, 32806
Pacific Neuroscience Medical Group
Oxnard, California, 93030
Drexel University College of Medicine at EPPI
Philadelphia, Pennsylvania, 19102
Xenoscience
Phoenix, Arizona, 85004
Banner Alzheimer's Institute
Phoenix, Arizona, 85006
St Josephs Hospital and Medical Center
Phoenix, Arizona, 85013
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213
Summit Research Network Inc
Portland, Oregon, 97210
CTT Consultants
Prairie Village, Kansas, 66206
Rhode Island Hospital
Providence, Rhode Island, 02903
Butler Hospital
Providence, Rhode Island, 02906
Wake Research Associates
Raleigh, North Carolina, 27612
Anderson Clinical Research
Redlands, California, 92374
National Clinical Research - Richmond
Richmond, Virginia, 23294
Blue Ridge Research Center
Roanoke, Virginia, 24018
University of California, Davis - Health Systems
Sacramento, California, 95817
University of Utah School of Medicine
Salt Lake City, Utah, 84108
Diagnostic Research Group
San Antonio, Texas, 78229
Artemis Institute for Clinical Research
San Diego, California, 92103
Pacific Research Network Inc
San Diego, California, 92103
Sharp Mesa Vista Hospital
San Diego, California, 92123
San Francisco Clinical Research Center
San Francisco, California, 94109
University of California, San Francisco
San Francisco, California, 94158
Apex Research Institute
Santa Ana, California, 92705
St. Joseph Health
Santa Rosa, California, 95403
Maine Neurology
Scarborough, Maine, 04074
Veterans Affairs Puget Sound Health Care System
Seattle, Washington, 98108
Insight Clinical Trials
Shaker Heights, Ohio, 44122
California Neuroscience Research
Sherman Oaks, California, 91403
Private Office: J. Gary Booker
Shreveport, Louisiana, 71104
University Psychiatry Associates Avera Health
Sioux Falls, South Dakota, 57105
Richmond Behavorial Associates
Staten Island, New York, 10312
ANI Arizona Neurological Institute Research, PC
Sun City, Arizona, 85351
Banner Sun Health Research Institute
Sun City, Arizona, 85351
Neurology Clinical Research, Inc
Sunrise, Florida, 33351-6637
Axiom Research
Tampa, Florida, 33609
Stedman Clinical Trials
Tampa, Florida, 33613
University of South Florida
Tampa, Florida, 33613
Northern Michigan Neurology
Traverse City, Michigan, 49684
Center for Neurosciences
Tucson, Arizona, 85718
Arizona Health Sciences Center
Tucson, Arizona, 85724
Georgetown University Hospital
Washington D.C., District of Columbia, 20057
Premiere Research Institute at Palm Beach Neurology
West Palm Beach, Florida, 33407
Heartland Research Associates
Wichita, Kansas, 67207
Via Christi Regional Medical Center
Wichita, Kansas, 67214
PMG Research of Winston-Salem, LLC
Winston-Salem, North Carolina, 27103
France11 sites
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Bron, 69677
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Dijon, 21033
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Lille, 59037
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Marseille, 13385
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Montpellier, 34295
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Paris, 75013
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Reims, 51092
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Rennes, 35033
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Strasbourg, 67098
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Toulouse, 31059
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Villeurbanne, 69100
Japan10 sites
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Aichi, 474-8511
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Hyōgo, 670-0981
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Ibaraki, 305-8576
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Kanagawa, 247-8533
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Kobe, 655-0037
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Kyoto, 616-8255
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Osaka, 545-8586
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Shizuoka, 424-8636
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Tokushima, 770-8503
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Tokyo, 187-8551
United Kingdom9 sites
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Bath, Avon, BA1 3NG
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Crowborough, East Sussex, TN6 1HB
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Glasgow, G31 2ER
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Greater London, London, W1G9JF
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Newcastle, NE4 5PL
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Plymouth, Devon, PL6 8BX
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Salford, Manchester, M6 8HD
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Scotland, Glasgow, G20 0XA
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Swindon, Wiltshire, SN3 6BW
Australia8 sites
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Box Hill, Victoria, 3128
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Caulfield, Victoria, 3162
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Darlinghurst, New South Wales, 2010
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East Gosford, New South Wales, 2250
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Fitzroy, Victoria, 3065
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Heidelberg, Victoria, 3081
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Kogarah, New South Wales, 2217
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Subiaco, Western Australia, 06008
Germany8 sites
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Berlin, 12203
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Böblingen, 71034
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Hanover, 30559
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Mannheim, 68165
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Munich, 81675
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Siegen, 57076
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Ulm, 89081
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Westerstede, 26655
Canada7 sites
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Gatineau, Quebec, J8T 8J1
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Greenfield Park, Quebec
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London, Ontario, N6C 5J1
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Ottawa, Ontario, K1N 5C8
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Peterborough, Ontario, K9H2P4
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Sherbrooke, Quebec, J1H1Z1
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Toronto, Ontario, M4G 3E8
Italy7 sites
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Florence, 50134
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Genova, 16128
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Milan, 20122
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Pisa, 56126
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Ponderano (BI), 13875
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Rome, 00161
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Torino, 10126
Spain7 sites
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Barakaldo, 48903
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Barcelona, 08014
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Getafe, 28905
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Guipuzcoa, 20014
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Madrid, 28006
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Plasencia, 10600
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Salt-Girona, 17190
Poland6 sites
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Bydgoszcz, 85-796
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Katowice, 40-588
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Krakow, 31-505
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Sopot, 81-824
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Szczecin, 70-215
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Warsaw, 01-813
Sweden5 sites
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Jönköping, 55185
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Malmö, 212 24
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Mölndal, 431 41
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Stockholm, 14186
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Umeå, 90185
About this study
Official title: Effect of Passive Immunization on the Progression of Mild Alzheimer's Disease: Solanezumab (LY2062430) Versus Placebo
To test the idea that solanezumab will slow the cognitive decline of Alzheimer's Disease (AD) as compared with placebo in participants with mild AD.
- Conditions
- Alzheimer's Disease
- Being tested
- Solanezumab, Placebo
- Medical subject headings
- Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SolanezumabDrug
Also called LY2062430, A Beta Antibody
Administered Intravenously (IV)
PlaceboDrug
Administered IV
| Study group | Role | What they receive |
|---|---|---|
| Solanezumab | Experimental | Solanezumab 400 milligrams (mg) every 4 weeks for 76 weeks with an additional 4 weeks of assessments. Participants who complete the full 80 weeks of treatment/assessment and decide to continue will take this regimen for up to an additional 208 weeks. Receives: Drug: Solanezumab |
| Placebo | Placebo comparator | Placebo every 4 weeks for 76 weeks with an additional 4 weeks of assessments. Participants who complete the full 80 weeks of treatment/assessment and decide to continue will switch to solanezumab 400 mg every 4 weeks for up to an additional 208 weeks. 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 14 Item Subscore (ADAS-Cog14)
The ADAS is a rater administered instrument that was designed to assess the severity of the dysfunction in the cognitive and noncognitive behaviors characteristic of persons with AD. The cognitive subscale of the ADAS that was used as the primary efficacy measure consists of 14 items assessing areas of cognitive function most typically impaired in AD: orientation, verbal memory, language, praxis, delayed free recall, digit cancellation, and maze completion measures. The ADAS-Cog14 scale ranges from 0 to 90. Higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Secondary outcomes (17)
Change From Baseline in Alzheimer's Disease Cooperative Study- Instrumental Activities of Daily Living (ADCS-iADL)
The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. The ADCS-ADL measures both basic and instrumental activities of daily living by participants. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive 11 Item Subscore (ADAS-Cog11)
The cognitive subscale of ADAS (ADAS Cog11) consists of 11 items assessing areas of function most typically impaired in Alzheimer's disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity. LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Change From Baseline in Mini-Mental State Examination (MMSE)
MMSE is a brief screening instrument used to assess cognitive function (orientation, memory, attention, ability to name objects, follow verbal/written commands, write a sentence, and copy figures) in elderly participants. Total score ranges from 0 to 30; lower score indicates greater disease severity. LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL)
The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. The ADCS-ADL measures both basic and instrumental activities of daily living by participants. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Change From Baseline in Functional Activities Questionnaire (FAQ)
FAQ is a 10-item, caregiver-based questionnaire and was administered to the study partner who was asked to rate the participant's ability to perform a variety of activities ranging from financial management, shopping, playing games, food preparation, traveling, keeping appointments, keeping track of current events, and understanding media. FAQ total score was calculated by adding the scores from each of the 10 items. A negative change indicated an improvement from baseline. FAQ Total Score is the sum of 10 items, ranging from 0 (best possible outcome) to 100 (worst possible outcome). LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Change From Baseline in Clinical Dementia Rating-Sum of Boxes (CDR-SB)
CDR-SB is a semi-structured interview of participants and their caregivers. Participant's cognitive status is rated across 6 domains of functioning, including memory, orientation, judgment/problem solving, community affairs, home/hobbies, and personal care. Severity score assigned for each of 6 domains; total score (SB) ranges from 0 to 18. Higher scores indicate greater disease severity. LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Change From Baseline in Neuropsychiatric Inventory (NPI)
NPI assesses psychopathology in participants with dementia and other neurologic disorders. Information is obtained from a caregiver familiar with the participant's behavior. Total score ranges from 12 to 144; Higher scores indicate greater disease severity. LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Change From Baseline in Resource Utilization in Dementia-Lite (RUD-Lite)
Assesses healthcare resource utilization (formal and informal care). Information gathered on both caregivers (care-giving time, work status) and participants (accommodation and healthcare resource utilization) was gathered from baseline and follow-up interviews. Reported number of hospitalizations per participant up to 76 weeks. LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Change From Baseline in Quality of Life in Alzheimer's Disease (QoL-AD)
Assesses QoL for AD: participant rates mood, relationships, memory, finances, physical condition, and overall QoL assessment. Each of 13 items, rated on a 4-point scale. Sum of items=total score (range: 13 to 52). Higher scores indicate greater QoL. Participant's primary caregiver asked to complete same measure. LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Change From Baseline in 5-Dimensional EuroQol Quality of Life Scale Proxy Version (EQ-5D Proxy)
EQ-5D (proxy version) measures mobility, self-care, usual activities, pain/discomfort, anxiety/depression. 3 severity levels: no, some, severe problems. Visual analog scale (VAS) assesses caregiver's impression of participant's health state; score ranges: 0 to 100 millimeter (mm). Lower scores=greater disease severity LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Change From Baseline in Integrated Alzheimer's Disease Rating Scale (iADRS)
Integrated Alzheimer's Disease Rating Scale is used to assess that solanezumab slows down the cognitive and functional decline associated with AD compared with placebo. iADRS is a simple linear combination of ADAS-Cog 13 or 14 and the ADCS-iADL. The scale ranges from 0 to 146, where lower scores indicate worse performance. LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Percentage of Participants of Cognitive and Functional Responders
Assess the proportion of participants who reach certain levels of cognitive and functional decline. Decline in cognition was defined as worsening from baseline by at least 6 or 9 points on the ADAS Cog14. If there is a cognitive decline of a specified cut-off or more at any time then the participant is considered a nonresponder. Functional nonresponders are participants who have not had any of the following at any time point: Clinically evident decline in ability to perform one or more basic ADL present at baseline; A clinically evident decline in ability to perform 20% or more of the instrumental ADL present at baseline; An increase in global CDR score of 1 point or more compared with baseline. A decline from no impairment to mild impairment (bADL, iADL is not considered clinically significant, but other declines of 1 or more points and any participant discontinuation within the first 6 months will be considered a non-responder.
Measured: Baseline through Week 80
Change From Baseline in Plasma Amyloid-Beta (Aβ) Species
Concentration of amino acid peptide known as Aβ 1-42 in plasma. The change in plasma Aβ analytes after treatment were assessed separately for each plasma Aβ parameter. LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Change From Baseline in Volumetric Magnetic Resonance Imaging (vMRI)
The vMRI assessment of right and left hippocampal atrophy, is reported. LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of Solanezumab (LY2062430)
Area Under the Concentration versus Time Curve was evaluated for Solanezumab.
Measured: Visit 2 (Post-dose), Visit 5, 9, 15 (Pre-dose, Post-dose) and Visit 22 (Pre-dose): Pre-dose before the infusion, Post-dose 30 minutes End of Infusion
Change From Baseline in Florbetapir Positron Emission Tomography (PET) Scan
Florbetapir PET imaging was used to confirm the presence of amyloid pathology consistent with AD. Change from baseline was done to test the hypothesis that amyloid burden was reduced in participants in the treatment group. The change from baseline to the postbaseline visit of the composite summary standard uptake value ratio of florbetapir F18 was calculated. LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit. The composite summary measure is an unweighted average of the 6 smaller regions (anterior cingulate, frontal medial orbital, parietal, posterior cingulate, precuneus, and temporal) normalized to whole cerebellum or subject-specific white matter.
Measured: Baseline, Week 80
Change From Baseline in Cerebrospinal Fluid (CSF) Aβ Levels
Concentration of CSF parameters includes amino acid peptide known as Aβ 1-42 and Aβ 1-42. Analyses of these CSF biomarkers was conducted in a subset of participants (as an addendum to the protocol). The dependent variable for each CSF parameter was its change from baseline to endpoint. LS Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
Measured: Baseline, Week 80
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Jul 2013 (estimated)
- Study startJul 2013
- Primary completionOct 2016
- Study completionFeb 2017
Why it stopped: Solanezumab did not meet the study's primary endpoint.
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 (3)Papers the sponsor has linked to this study.
- Other trials for Alzheimer's DiseaseStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe 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
- 2,129 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01900665
- Sponsor's protocol ID
- 15136
- Other IDs
- H8A-MC-LZAX
- Acronym
- EXPEDITION 3
- Status last verified
- Sep 2019
- First submitted
- 12 Jul 2013
- Last updated
- 9 Oct 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Publications
Chandler JM, Lansdall CJ, Ye W, McDougall F, Belger M, Toth B, Mi X, Sink KM, Atkins AS. The Alzheimer's Disease Cooperative Study - Activities of Daily Living dependence score: revision and validation of an algorithm evaluating patient dependence across the spectrum of AD severity. J Prev Alzheimers Dis. 2025 Sep;12(8):100261. doi: 10.1016/j.tjpad.2025.100261. Epub 2025 Jul 1.
PubMed 40603145Holdridge KC, Yaari R, Hoban DB, Andersen S, Sims JR. Targeting amyloid beta in Alzheimer's disease: Meta-analysis of low-dose solanezumab in Alzheimer's disease with mild dementia studies. Alzheimers Dement. 2023 Oct;19(10):4619-4628. doi: 10.1002/alz.13031. Epub 2023 Mar 22.
PubMed 36946603Honig LS, Vellas B, Woodward M, Boada M, Bullock R, Borrie M, Hager K, Andreasen N, Scarpini E, Liu-Seifert H, Case M, Dean RA, Hake A, Sundell K, Poole Hoffmann V, Carlson C, Khanna R, Mintun M, DeMattos R, Selzler KJ, Siemers E. Trial of Solanezumab for Mild Dementia Due to Alzheimer's Disease. N Engl J Med. 2018 Jan 25;378(4):321-330. doi: 10.1056/NEJMoa1705971.
PubMed 29365294
Study at a glance
From the registry record, last updated by the sponsor on 9 Oct 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Passive Immunization on the Progression of Mild Alzheimer's Disease: Solanezumab (LY2062430) Versus Placebo
- ClinicalTrials.gov ID
- NCT01900665
- Acronym / sponsor ID
- EXPEDITION 3 / 15136
- Conditions
- Alzheimer's Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Solanezumab did not meet the study's primary endpoint.
- Enrolment
- 2,129 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- Jul 2013
- Primary completion
- Oct 2016 (actual)
- Study completion
- Feb 2017 (actual)
- First posted
- 16 Jul 2013 (estimated)
- Results
- Posted 14 Mar 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To test the idea that solanezumab will slow the cognitive decline of Alzheimer's Disease (AD) as compared with placebo in participants with mild AD.
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 |
|---|---|---|
| Solanezumab | Experimental | Drug: SolanezumabSolanezumab 400 milligrams (mg) every 4 weeks for 76 weeks with an additional 4 weeks of assessments. Participants who complete the full 80 weeks of treatment/assessment and decide to continue will take this regimen for up to an additional 208 weeks. |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo every 4 weeks for 76 weeks with an additional 4 weeks of assessments. Participants who complete the full 80 weeks of treatment/assessment and decide to continue will switch to solanezumab 400 mg every 4 weeks for up to an additional 208 weeks. |
Who may qualify
- Ages
- 55 to 90 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Meets National Institute of Neurological and Communicative Disorders and Stroke/Alzheimer's Disease and Related Disorders Association (NINCDS/ADRDA) criteria for probable AD
- Has a Modified Hachinski Ischemia Scale score of less than or equal to 4
- Has a Mini-Mental State Examination (MMSE) score of 20 through 26 at Screening visit
- Has a Geriatric Depression Scale score of less than or equal to 6 (on the staff-administered short form)
- Has had a magnetic resonance imaging (MRI) or computerized tomography (CT) scan performed within the past 2 years that has confirmed no findings inconsistent with a diagnosis of AD
Key exclusion criteria (10 listed)
- Does not have a reliable caregiver who is in frequent contact with the participant (defined as at least 10 hours per week), will accompany the participant to the office and/or be available by telephone at designated times, and will monitor administration of prescribed medications
- Meets National Institute of Neurological Disorders and Stroke/Association Internationale pour la Recherche et l'Enseignement en Neurosciences (NINDS/AIREN) criteria for vascular dementia
- Has current serious or unstable illnesses including cardiovascular, hepatic, renal, gastroenterologic, respiratory, endocrinologic, neurologic (other than AD), psychiatric, immunologic, or hematologic disease and other conditions that, in the investigator's opinion, could interfere with the analyses of safety and efficacy in this study; or has a life expectancy of <2 years
- Has had a history within the last 5 years of a serious infectious disease affecting the brain or head trauma resulting in protracted loss of consciousness
- Has a history within the last 5 years of a primary or recurrent malignant disease with the exception of resected cutaneous squamous cell carcinoma in situ, basal cell carcinoma, cervical carcinoma in situ, or in situ prostate cancer with a normal prostate-specific antigen posttreatment
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 |
|---|---|---|
| SolanezumabAlso: LY2062430, A Beta AntibodyAdministered Intravenously (IV) | Drug | Solanezumab |
| PlaceboAdministered IV | Drug | Placebo |
Primary outcome
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive 14 Item Subscore (ADAS-Cog14)
Time frame: Baseline, Week 80
The ADAS is a rater administered instrument that was designed to assess the severity of the dysfunction in the cognitive and noncognitive behaviors characteristic of persons with AD. The cognitive subscale of the ADAS that was used as the primary efficacy measure consists of 14 items assessing areas of cognitive function most typically impaired in AD: orientation, verbal memory, language, praxis, delayed free recall, digit cancellation, and maze completion measures. The ADAS-Cog14 scale ranges from 0 to 90. Higher scores indicate greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, baseline age, pooled investigator, treatment and visit.
17 secondary outcomes
Change From Baseline in Alzheimer's Disease Cooperative Study- Instrumental Activities of Daily Living (ADCS-iADL)
Time frame: Baseline, Week 80
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive 11 Item Subscore (ADAS-Cog11)
Time frame: Baseline, Week 80
Change From Baseline in Mini-Mental State Examination (MMSE)
Time frame: Baseline, Week 80
Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL)
Time frame: Baseline, Week 80
Change From Baseline in Functional Activities Questionnaire (FAQ)
Time frame: Baseline, Week 80
Change From Baseline in Clinical Dementia Rating-Sum of Boxes (CDR-SB)
Time frame: Baseline, Week 80
Change From Baseline in Neuropsychiatric Inventory (NPI)
Time frame: Baseline, Week 80
Change From Baseline in Resource Utilization in Dementia-Lite (RUD-Lite)
Time frame: Baseline, Week 80
Change From Baseline in Quality of Life in Alzheimer's Disease (QoL-AD)
Time frame: Baseline, Week 80
Change From Baseline in 5-Dimensional EuroQol Quality of Life Scale Proxy Version (EQ-5D Proxy)
Time frame: Baseline, Week 80
Change From Baseline in Integrated Alzheimer's Disease Rating Scale (iADRS)
Time frame: Baseline, Week 80
Percentage of Participants of Cognitive and Functional Responders
Time frame: Baseline through Week 80
Change From Baseline in Plasma Amyloid-Beta (Aβ) Species
Time frame: Baseline, Week 80
Change From Baseline in Volumetric Magnetic Resonance Imaging (vMRI)
Time frame: Baseline, Week 80
Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of Solanezumab (LY2062430)
Time frame: Visit 2 (Post-dose), Visit 5, 9, 15 (Pre-dose, Post-dose) and Visit 22 (Pre-dose): Pre-dose before the infusion, Post-dose 30 minutes End of Infusion
Change From Baseline in Florbetapir Positron Emission Tomography (PET) Scan
Time frame: Baseline, Week 80
Change From Baseline in Cerebrospinal Fluid (CSF) Aβ Levels
Time frame: Baseline, Week 80
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Oct 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40603145Chandler JM, Lansdall CJ, Ye W, McDougall F, Belger M, Toth B, Mi X, Sink KM, Atkins AS. The Alzheimer's Disease Cooperative Study - Activities of Daily Living dependence score: revision and validation of an algorithm evaluating patient dependence across the spectrum of AD severity. J Prev Alzheimers Dis. 2025 Sep;12(8):100261. doi: 10.1016/j.tjpad.2025.100261. Epub 2025 Jul 1.
- Derived from this study: PubMed 36946603Holdridge KC, Yaari R, Hoban DB, Andersen S, Sims JR. Targeting amyloid beta in Alzheimer's disease: Meta-analysis of low-dose solanezumab in Alzheimer's disease with mild dementia studies. Alzheimers Dement. 2023 Oct;19(10):4619-4628. doi: 10.1002/alz.13031. Epub 2023 Mar 22.
- Derived from this study: PubMed 29365294Honig LS, Vellas B, Woodward M, Boada M, Bullock R, Borrie M, Hager K, Andreasen N, Scarpini E, Liu-Seifert H, Case M, Dean RA, Hake A, Sundell K, Poole Hoffmann V, Carlson C, Khanna R, Mintun M, DeMattos R, Selzler KJ, Siemers E. Trial of Solanezumab for Mild Dementia Due to Alzheimer's Disease. N Engl J Med. 2018 Jan 25;378(4):321-330. doi: 10.1056/NEJMoa1705971.
- Individual participant dataSharing planned: Yes. Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
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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.
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
198 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Solanezumab in people with Alzheimer's Disease, run by Eli Lilly and Company at 198 sites in 11 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 10 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 9 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 198 sites in United States, France, Japan, United Kingdom, Australia and 6 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 14 Mar 2018). 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 14 Item Subscore (ADAS-Cog14) (time frame: Baseline, Week 80). 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 NCT01900665, which also lists 3 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 9 Oct 2019.