Alzheimer's DiseasePhase 3NCT02916056
2-Year Extension Study of Azeliragon in Subjects With Alzheimer's Disease (STEADFAST Extension)
A Phase 3 study testing Azeliragon 5mg in people with Alzheimer's Disease, run by vTv Therapeutics at 71 sites in 2 countries.
Trial summary
This is an open-label extension study in patients with mild Alzheimer's disease who have completed participation in the azeliragon Phase 3 (STEADFAST) trial. Patients will receive azeliragon 5 mg/day for up to 2 years. Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Alzheimer's Disease
- What is being tested?
- Azeliragon 5mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 297 participants
- Where
- 71 sitesin 2 countries
- Study dates
- Dec 2016to 1 Jun 2018
- 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 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Successful completion of Study TTP488-301 through the Month 18 Visit without ongoing serious adverse events or history of serious adverse drug reactions during study TTP488-301.
- Patients must enroll in the present study within 7 days of completion of study TTP488-301.
- Evidence of a personally signed and dated informed consent document indicating that the subject (or a legally authorized representative) and caregiver/informant has been informed of all pertinent aspects of the study. Participants must be able to provide assent (where this is in accordance with local laws, regulations and ethics committee policy) and assent may be re-evaluated during the study at regular intervals.
- Participants and caregiver/informants who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
- The subject must have a reliable caregiver/informant with regular contact (i.e., 10 hours a week as combination of face-to-face visits and telephone contact acceptable) who will facilitate the subject's full participation in the study. Caregivers/informant must have sufficient subject interaction to be able to provide meaningful input into the rating scales administered in this study where caregiver/informant input is required, in particular the CDR and evidence of this should be documented in source documentation. Participants who reside in assisted living facilities are permitted provided that they meet caregiver/informant criteria.
- Participants and caregiver/informants must be able to read, write, and speak the language in which psychometric tests are provided with visual and auditory acuity (corrected) sufficient to allow for accurate psychometric testing.
- Subject must be able to ingest oral medications.
Who cannot join
- The subject is felt by the investigator to be unsuitable (on the basis of health, compliance, caregiver availability, or for any other reason) for inclusion in the study.
- Subjects with serious suicide risk. If there are "yes" answers on items 4, 5 or on any behavioral question of the C-SSRS, a suicide risk assessment must be done by a qualified mental health professional with expertise in the evaluation of suicidality in the elderly (e.g., psychiatrist, geriatrician or neurologist specializing in treatment of patients with AD) to determine whether it is safe for the subject to participate in the study.
- Subjects demonstrating a QTcF > 480 msec or a >45 msec change from the TTP488-301 Baseline value based on the locally read ECG performed at the TTP488-301 Month 18 Visit (TTP488-303 Baseline). Participants with known history of bundle branch block (either right or left) are allowed if absolute QTcF value does not exceed 500 msec. Participants with a functioning pacemaker, indicated by an ECG displaying paced rhythm, are allowed with no QTc upper limit.
- Other acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may prevent the subject from completing the 2-year study or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this trial.
Trial locations and contacts
71 sites in 2 countries.
71 sites in 2 countries
United States65 sites
Study site
Albany, New York, 12208
Study site
Albuquerque, New Mexico, 87109
Study site
Atlantis, Florida, 33462
Study site
Baltimore, Maryland, 21208
Study site
Bellflower, California, 90706
Study site
Canton, Ohio, 44718
Study site
Charlotte, North Carolina, 28270
Study site
Chicago, Illinois, 60640
Study site
Columbus, Georgia, 31909
Study site
Cordova, Tennessee, 38018
Study site
Costa Mesa, California, 92626
Study site
Creve Coeur, Missouri, 63141
Study site
Dallas, Texas, 75231
Study site
Delray Beach, Florida, 33445
Study site
East Providence, Rhode Island, 02914
Study site
East Providence, Rhode Island, 02916
Study site
Fairway, Kansas, 66205
Study site
Fullerton, California, 92835
Study site
Glendale, California, 91206
Study site
Hallandale, Florida, 33009
Study site
Hattiesburg, Mississippi, 39401
Study site
Hialeah, Florida, 33016
Study site
Imperial, California, 92251
Study site
Irvine, California, 92614
Study site
Jacksonville, Florida, 32216
Study site
Kirkland, Washington, 98033
Study site
Laguna Hills, California, 92653
Study site
Lake Success, New York, 11042
Study site
Lake Worth, Florida, 33449
Study site
Lexington, Kentucky, 40504
Study site
Long Beach, California, 90806
Study site
Miami, Florida, 33122
Study site
Miami, Florida, 33137
Study site
Miami Beach, Florida, 33140
Study site
Miami Lakes, Florida, 33014
Study site
Murray, Utah, 84123
Study site
New York, New York, 10032
Study site
Newton, Massachusetts, 02459
Study site
Oklahoma City, Oklahoma, 73103
Study site
Oklahoma City, Oklahoma, 73118
Study site
Orlando, Florida, 32806
Study site
Phoenix, Arizona, 85004
Study site
Phoenix, Arizona, 85013
Study site
Plains, Pennsylvania, 18705
Study site
Plymouth, Massachusetts, 02360
Study site
Portland, Oregon, 97210
Study site
Portland, Oregon, 97225
Study site
Princeton, New Jersey, 08540
Study site
Quincy, Massachusetts, 02169
Study site
Raleigh, North Carolina, 27607
Study site
Riverside, California, 92506
Study site
San Antonio, Texas, 78229
Study site
San Antonio, Texas, 78232
Study site
San Bernardino, California, 92408
Study site
Santa Ana, California, 92705
Study site
Sarasota, Florida, 34243
Study site
Shaker Heights, Ohio, 44122
Study site
St Louis, Missouri, 63141
Study site
Staten Island, New York, 10312
Study site
Sunrise, Florida, 33351
Study site
The Villages, Florida, 32162
Study site
Tucson, Arizona, 85724
Study site
Wichita Falls, Texas, 76309
Study site
Wilmington, North Carolina, 28401
Study site
Winston-Salem, North Carolina, 27157
Canada6 sites
Study site
Calgary, Alberta, T2N 4Z6
Study site
Chatham, Ontario, N7L 1C1
Study site
Gatineau, Quebec, J8T 8J1
Study site
Greenfield Park, Quebec, J4V 2J2
Study site
Medicine Hat, Alberta, T1B 4E7
Study site
Toronto, Ontario, M3B 2S7
About this study
Official title: Open Label Extension Study for Continued Safety and Efficacy Evaluation of Azeliragon in Patients With Mild Alzheimer's Disease
This is an open-label extension study in patients with mild Alzheimer's disease who have completed participation in the azeliragon Phase 3 (STEADFAST) trial. Patients will receive azeliragon 5 mg/day for up to 2 years.
- Conditions
- Alzheimer's Disease
- Being tested
- Azeliragon 5mg
- Keywords
- Alzheimer's disease, RAGE, ADAS-cog, CDR-sb
- Medical subject headings
- Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Azeliragon 5mgDrug
Also called TTP488
| Study group | Role | What they receive |
|---|---|---|
| Azeliragon 5 mg | Experimental | Azeliragon (TTP488) 5mg orally once daily for 2 years Receives: Drug: Azeliragon 5mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Subjects With at Least One Treatment-Emergent Adverse Event
Measured: up to 18 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Sep 2016 (estimated)
- Study startDec 2016
- Primary completion1 Jun 2018
- Study completion1 Jun 2018
Why it stopped: Not due to safety but due to a lack of efficacy at the 5 mg azeliragon dose.
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.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 297 participants (actual)
Sponsor and investigators
- Lead sponsor
- vTv Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Ann Gooch, Ph.D., Study director, vTv Therapeutics LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02916056
- Sponsor's protocol ID
- TTP488-303
- Status last verified
- May 2021
- First submitted
- 10 Aug 2016
- Last updated
- 1 Jun 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Jun 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Open Label Extension Study for Continued Safety and Efficacy Evaluation of Azeliragon in Patients With Mild Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT02916056
- Acronym / sponsor ID
- TTP488-303
- Conditions
- Alzheimer's Disease
- Keywords
- Alzheimer's disease, RAGE, ADAS-cog, CDR-sb
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Not due to safety but due to a lack of efficacy at the 5 mg azeliragon dose.
- Enrolment
- 297 participants (actual)
- Lead sponsor
- vTv TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- Dec 2016 (actual)
- Primary completion
- 1 Jun 2018 (actual)
- Study completion
- 1 Jun 2018 (actual)
- First posted
- 27 Sep 2016 (estimated)
- Results
- Posted 1 Jun 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an open-label extension study in patients with mild Alzheimer's disease who have completed participation in the azeliragon Phase 3 (STEADFAST) trial. Patients will receive azeliragon 5 mg/day for up to 2 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Azeliragon 5 mg | Experimental | Drug: Azeliragon 5mgAzeliragon (TTP488) 5mg orally once daily for 2 years |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Successful completion of Study TTP488-301 through the Month 18 Visit without ongoing serious adverse events or history of serious adverse drug reactions during study TTP488-301.
- Patients must enroll in the present study within 7 days of completion of study TTP488-301.
- Evidence of a personally signed and dated informed consent document indicating that the subject (or a legally authorized representative) and caregiver/informant has been informed of all pertinent aspects of the study. Participants must be able to provide assent (where this is in accordance with local laws, regulations and ethics committee policy) and assent may be re-evaluated during the study at regular intervals.
- Participants and caregiver/informants who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
- The subject must have a reliable caregiver/informant with regular contact (i.e., 10 hours a week as combination of face-to-face visits and telephone contact acceptable) who will facilitate the subject's full participation in the study. Caregivers/informant must have sufficient subject interaction to be able to provide meaningful input into the rating scales administered in this study where caregiver/informant input is required, in particular the CDR and evidence of this should be documented in source documentation. Participants who reside in assisted living facilities are permitted provided that they meet caregiver/informant criteria.
Key exclusion criteria (4 listed)
- The subject is felt by the investigator to be unsuitable (on the basis of health, compliance, caregiver availability, or for any other reason) for inclusion in the study.
- Subjects with serious suicide risk. If there are "yes" answers on items 4, 5 or on any behavioral question of the C-SSRS, a suicide risk assessment must be done by a qualified mental health professional with expertise in the evaluation of suicidality in the elderly (e.g., psychiatrist, geriatrician or neurologist specializing in treatment of patients with AD) to determine whether it is safe for the subject to participate in the study.
- Subjects demonstrating a QTcF > 480 msec or a >45 msec change from the TTP488-301 Baseline value based on the locally read ECG performed at the TTP488-301 Month 18 Visit (TTP488-303 Baseline). Participants with known history of bundle branch block (either right or left) are allowed if absolute QTcF value does not exceed 500 msec. Participants with a functioning pacemaker, indicated by an ECG displaying paced rhythm, are allowed with no QTc upper limit.
- Other acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may prevent the subject from completing the 2-year study or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this trial.
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 |
|---|---|---|
| Azeliragon 5mgAlso: TTP488 | Drug | Azeliragon 5 mg |
Primary outcome
Number of Subjects With at Least One Treatment-Emergent Adverse Event
Time frame: up to 18 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jun 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Related InfoLink provided by the sponsor.
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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.
Ann Gooch, Ph.D. study director
vTv Therapeutics LLC
71 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Azeliragon 5mg in people with Alzheimer's Disease, run by vTv Therapeutics at 71 sites in 2 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 7 inclusion and 4 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 1 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 71 sites in United States, Canada. 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 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 1 Jun 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Subjects With at Least One Treatment-Emergent Adverse Event (time frame: up to 18 months). 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 1 Jun 2021.