Alzheimer's DiseasePhase 2NCT02246075
Study of the Safety of Two Doses of Investigational Study Drug EVP-6124 in Subjects With Alzheimer's Disease Currently Receiving Memantine
A Phase 2 study testing EVP-6124 in people with Alzheimer's Disease and Dementia, run by FORUM Pharmaceuticals Inc at 2 sites in United States.
Trial summary
The purpose of this study is to evaluate the safety of 2 fixed doses of EVP-6124 hydrochloride (HCl) compared to placebo for 24 weeks in subjects with mild to moderate Alzheimer's disease who are concurrently receiving stable treatment with memantine and currently receiving stable treatment or previously treated with… Read more about this study
- Who is it for?
- Ages 55 to 85 years
- Conditions the study is for
- Alzheimer's Disease, Dementia, Cognition
- What is being tested?
- EVP-6124
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 0 participants
- Where
- 2 sitesUnited States
- Study dates
- Jul 2015to Oct 2016
- Phase
- Phase 2
- 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 55 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Ages ≥55 and ≤85 years
- Informed consent form (ICF) signed by the subject or legally acceptable representative before any study-specific procedures for the subject are performed and an ICF signed by the support person/caregiver before any study-specific procedures for the support person/caregiver are performed
- Clinical diagnosis of dementia due to possible or probable AD consistent with criteria established by a workgroup of the National Institute on Aging and the Alzheimer's Disease Association
- Magnetic resonance imaging (MRI) or computed tomography (CT) scan performed within 12 months before screening, with findings consistent with the diagnosis of dementia due to AD without any other clinically significant comorbid pathologies. If an MRI or CT scan is unavailable or occurred greater than 12 months before screening, this assessment should be completed and the findings confirmed before the subject enters the run-in period (Day -14) (copy of the report will be available at the study site)
- Mini-Mental State Examination (MMSE) score ≥12 and ≤26 at screening
- Modified Hachinski Ischemic Scale (mHIS) score ≤4 at screening
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- Fertile, sexually active subjects (men and women) must use an effective method of contraception during the study. Female subjects and the female partner of male subjects must be surgically sterile (hysterectomy or bilateral tubal ligation), postmenopausal for at least 1-year, or willing to practice adequate methods of contraception if of childbearing potential (defined as consistent use of combined effective methods of contraception [including at least 1 barrier method])
- Reliable and capable support person/caregiver, who if not living in the same household, interacts with the subject regularly and will help facilitate clinic visits of the study subject
- Subject living at home, senior residential setting, or an institutional setting without the need for continuous (ie, 24-hour) nursing care
- General health status acceptable for participation in a 24-week study
- Fluency (oral and written) in the language in which the standardized tests will be administered
- Receiving a stable dose of memantine for at least 3 months (90 days) before screening and with continuous dosing for at least 3 months. Additional co-medication with an AChEI (donepezil in any dose form other than 23 mg once daily (QD), rivastigmine or galantamine) is allowed if stable for at least 3 months (90 days) before screening with total continuous exposure for at least 3 months.
Who cannot join
- Exposure to an experimental drug, experimental biologic or experimental medical device within 2 months (60 days) before screening
- Prior participation in an amyloid vaccination clinical study at any time in the past or completion of a passive amyloid vaccination study within 6 months before screening
- Inability to swallow a tablet
- In the judgment of the investigator, inability of the subject to complete a 24-week study
- Residence in a skilled nursing facility
- Inability to be ≥75% compliant with single-blind study drug
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- Clinically significant (in the judgment of the investigator) abnormal serum electrolytes (sodium, potassium, magnesium) after repeat testing
- Clinically significant untreated hypothyroidism (if treated, thyroid-stimulating hormone level and thyroid supplementation dose must be stable for at least 6 months before screening)
- Insufficiently controlled diabetes mellitus (in the judgment of the investigator) or requiring insulin
- Renal insufficiency (serum creatinine >2.0 mg/dL)
- Malignant tumor within 3 years before screening (except squamous and basal cell carcinoma or cervical carcinoma in situ or localized prostate cancer)
- History of ischemic colitis or ischemic enterocolitis
- Unstable medical condition that is clinically significant in the judgment of the investigator
- Female subjects who are pregnant, nursing, or planning to become pregnant during the study
- Alanine transaminase (ALT) or aspartate transaminase (AST) >2.5 times the upper limit of normal
- History of myocardial infarction or unstable angina within 6 months before screening
- History of more than 1 myocardial infarction within 5 years before screening
- Clinically significant (in the judgment of the investigator) cardiac arrhythmia (including atrial fibrillation), cardiomyopathy, or cardiac conduction defect (subjects with a pacemaker are acceptable)
- Symptomatic hypotension, or uncontrolled hypertension (in the judgment of the investigator)
- Clinically significant abnormality on screening electrocardiogram (ECG), including but not necessarily limited to a confirmed QTc value ≥450 msec for males or ≥470 msec for females. In subjects with a QRS value >120msec, those with a QTc value <500 msec may be eligible following discussion with the Medical Monitor.
- Stroke within 18 months before screening, or history of a stroke concomitant with onset of dementia
- History of brain tumor, subdural hematoma, or other clinically significant (in the judgment of the investigator) space-occupying lesion on CT or MRI
- Head trauma with clinically significant (in the judgment of the investigator) loss of consciousness within 12 months before screening or concurrent with the onset of dementia
- Onset of dementia secondary (in the judgment of the investigator) to cardiac arrest, surgery with general anesthesia, or resuscitation
- Specific degenerative CNS disease diagnosis other than AD (eg, Huntington's disease, Creutzfeld-Jacob disease, Down's syndrome, Fronto-Temporal Dementia, Parkinson's disease)
- Wernicke's encephalopathy
- Active acute or chronic CNS infection
- Donepezil 23 mg QD currently or within 3 months prior to randomization
- Discontinued AChEI <30 days prior to randomization
- Antipsychotics; low doses (in the judgment of the investigator, except clozapine) are allowed only if given for sleep disturbances, agitation and/or aggression, and only if the subject has received a stable dose for at least 3 months before randomization
- Tricyclic antidepressants and monoamine oxidase inhibitors; all other antidepressants are allowed only if the subject has received a stable dose for at least 3 months before randomization
- Anxiolytics or sedative-hypnotics, including barbiturates (unless given in low doses for benign tremor); low doses of benzodiazepines and zolpidem (in the judgment of the investigator) are allowed only if given for insomnia/sleep disturbance, and only if the subject has received a stable dose for at least 3 months before randomization
- Peripherally acting drugs with effects on cholinergic transmission
- Immunosuppressants, including systemic corticosteroids, if taken in clinically immunosuppressive doses in the judgment of the investigator (Note: steroid use for allergy or other inflammation is permitted)
- Antiepileptic medications if taken for control of seizures
- Chronic intake of opioid-containing analgesics
- Sedating H1 antihistamines
- Nicotine therapy (all dosage forms including a patch), varenicline (Chantix), or similar therapeutic agent within 30 days before screening
- Clinically significant urine drug screen (UDS) or serum alcohol test result in the judgment of the investigator (including medical marijuana)
Trial locations and contacts
2 sites in 1 country.
United States2 sites
Study site
Albuquerque, New Mexico
Study site
Delray Beach, Florida
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, 24-Week, Phase 2 Study of Two Doses of EVP-6124 Hydrochloride or Placebo in Subjects With Mild to Moderate Alzheimer's Disease Currently Receiving Memantine Medication With or Without Additional Acetylcholinesterase Inhibitor Co-Medication
The purpose of this study is to evaluate the safety of 2 fixed doses of EVP-6124 hydrochloride (HCl) compared to placebo for 24 weeks in subjects with mild to moderate Alzheimer's disease who are concurrently receiving stable treatment with memantine and currently receiving stable treatment or previously treated with an acetylcholinesterase inhibitor.
- Conditions
- Alzheimer's Disease, Dementia, Cognition
- Being tested
- EVP-6124
- Keywords
- Alzheimer's disease, Cognition, Alpha-7 nAChR
- Medical subject headings
- Alzheimer Disease, Dementia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EVP-6124Drug
Also called encenicline
| Study group | Role | What they receive |
|---|---|---|
| EVP-6124, low dose | Experimental | Low dose, Tablet, Once Daily, Day 1 through Day 168 Receives: Drug: EVP-6124 |
| EVP-6124, high dose | Experimental | High dose, Tablet, Once Daily, Day 1 through Day 168 Receives: Drug: EVP-6124 |
| EVP-6124, Placebo | Placebo comparator | Placebo, Tablet, Once Daily, Day 1 through Day 168 Receives: Drug: EVP-6124 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety/Tolerability of EVP-6124 with concurrent memantine
- Number of subjects with AEs
- Percentage of subjects with AEs
- Number of subjects with SAEs
- Percentage of subjects with SAEs
- Number of subjects who discontinue due to AEs
- Percentage of subjects who discontinue due to AEs
- Number of subject deaths
- Percentage of subject deaths
Measured: Baseline to Day 168
Secondary outcomes (1)
Change from Baseline in the Mini-Mental State Examination (MMSE)
Measured: Baseline to Day 168
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Sep 2014 (estimated)
- Study startJul 2015
- Primary completionOct 2016 (estimated)
Why it stopped: Forum has decided not to proceed with this study at this time.
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.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- FORUM Pharmaceuticals Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Quintiles, Inc.
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02246075
- Sponsor's protocol ID
- EVP-6124-027
- Status last verified
- Oct 2015
- First submitted
- 17 Sep 2014
- Last updated
- 15 Oct 2015
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 15 Oct 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, 24-Week, Phase 2 Study of Two Doses of EVP-6124 Hydrochloride or Placebo in Subjects With Mild to Moderate Alzheimer's Disease Currently Receiving Memantine Medication With or Without Additional Acetylcholinesterase Inhibitor Co-Medication
- ClinicalTrials.gov ID
- NCT02246075
- Acronym / sponsor ID
- EVP-6124-027
- Conditions
- Alzheimer's Disease, Dementia, Cognition
- Keywords
- Alzheimer's disease, Cognition, Alpha-7 nAChR
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: Forum has decided not to proceed with this study at this time.
- Enrolment
- 0 participants (actual)
- Lead sponsor
- FORUM Pharmaceuticals IncIndustry (pharma, biotech, devices)
- Collaborators
- Quintiles, Inc.
- Study start
- Jul 2015
- Primary completion
- Oct 2016 (estimated)
- First posted
- 22 Sep 2014 (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 this study is to evaluate the safety of 2 fixed doses of EVP-6124 hydrochloride (HCl) compared to placebo for 24 weeks in subjects with mild to moderate Alzheimer's disease who are concurrently receiving stable treatment with memantine and currently receiving stable treatment or previously treated with an acetylcholinesterase inhibitor.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| EVP-6124, low dose | Experimental | Drug: EVP-6124Low dose, Tablet, Once Daily, Day 1 through Day 168 |
| EVP-6124, high dose | Experimental | Drug: EVP-6124High dose, Tablet, Once Daily, Day 1 through Day 168 |
| EVP-6124, Placebo | Placebo comparator | Drug: EVP-6124Placebo, Tablet, Once Daily, Day 1 through Day 168 |
Who may qualify
- Ages
- 55 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Ages ≥55 and ≤85 years
- Informed consent form (ICF) signed by the subject or legally acceptable representative before any study-specific procedures for the subject are performed and an ICF signed by the support person/caregiver before any study-specific procedures for the support person/caregiver are performed
- Clinical diagnosis of dementia due to possible or probable AD consistent with criteria established by a workgroup of the National Institute on Aging and the Alzheimer's Disease Association
- Magnetic resonance imaging (MRI) or computed tomography (CT) scan performed within 12 months before screening, with findings consistent with the diagnosis of dementia due to AD without any other clinically significant comorbid pathologies. If an MRI or CT scan is unavailable or occurred greater than 12 months before screening, this assessment should be completed and the findings confirmed before the subject enters the run-in period (Day -14) (copy of the report will be available at the study site)
- Mini-Mental State Examination (MMSE) score ≥12 and ≤26 at screening
Key exclusion criteria (39 listed)
- Exposure to an experimental drug, experimental biologic or experimental medical device within 2 months (60 days) before screening
- Prior participation in an amyloid vaccination clinical study at any time in the past or completion of a passive amyloid vaccination study within 6 months before screening
- Inability to swallow a tablet
- In the judgment of the investigator, inability of the subject to complete a 24-week study
- Residence in a skilled nursing facility
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 |
|---|---|---|
| EVP-6124Also: encenicline | Drug | EVP-6124, Placebo, EVP-6124, high dose, EVP-6124, low dose |
Primary outcome
Safety/Tolerability of EVP-6124 with concurrent memantine
Time frame: Baseline to Day 168
* Number of subjects with AEs * Percentage of subjects with AEs * Number of subjects with SAEs * Percentage of subjects with SAEs * Number of subjects who discontinue due to AEs * Percentage of subjects who discontinue due to AEs * Number of subject deaths * Percentage of subject deaths
1 secondary outcome
Change from Baseline in the Mini-Mental State Examination (MMSE)
Time frame: Baseline to Day 168
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Oct 2015.
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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.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing EVP-6124 in people with Alzheimer's Disease and Dementia, run by FORUM Pharmaceuticals Inc at 2 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 12 inclusion and 39 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: withdrawn, as of the sponsor's last update on 15 Oct 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 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 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?
The study was withdrawn before enrolling participants, so there are no results.
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/Tolerability of EVP-6124 with concurrent memantine (time frame: Baseline to Day 168). 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 15 Oct 2015.