Alzheimer DiseasePhase 3NCT05531526
Phase 3, Double-blind, Randomized, Placebo-controlled Trial to Evaluate the Efficacy and Safety of AR1001 in Participants With Early Alzheimer's Disease (Polaris-AD)
A Phase 3 study testing AR1001 in people with Alzheimer Disease, run by AriBio Co., Ltd. at 198 sites in 13 countries.
Trial summary
This AR1001-ADP3-US01 protocol is a double-blind, randomized, placebo-controlled, multi- center, parallel-group comparison pivotal Phase 3 study to evaluate the efficacy and safety of AR1001 for the treatment of participants with early AD. Read more about this study
- Who is it for?
- Ages 55 to 90 years
- Conditions the study is for
- Alzheimer Disease
- What is being tested?
- AR1001
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,535 participants
- Where
- 198 sitesin 13 countries
- Study dates
- 23 Dec 2022to Oct 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- Male or female participants aged 55 to 90 years of age inclusive at the time of signing the informed consent form
- Mild cognitive impairment or mild dementia consistent with AD defined by stages 3 to 4 according to the National Institute on Aging and Alzheimer's Association (NIA-AA) at Screening
- Participants with a history of subjective cognitive and memory decline with onset within 5 years before Screening, confirmed by study partner.
- Participants who have a MMSE score greater than or equal to 20
- Participants with a CDR global rating of 0.5 or 1
- Participants with a RBANS score based on the Delayed Memory Index (DMI) score less than or equal to 85
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- If an historic magnetic resonance imaging (MRI) is available, findings must exclude other causes of dementia.
- Positive biomarker for brain amyloid pathology as indicated by assessment of at least one of the following:
- Current or historical CSF assessment with FDA-cleared assays, including Lumipulse® beta-amyloid ratio [1-42/1-40] ≤ 0.072, Elecsys® pTau 181/Aβ[1-42] greater than 0.023, Elecsys® tTau /Aβ[1-42] greater than 0.28, or other assays or cut-offs as they become FDA-cleared.
- Historical amyloid positron emission tomography (PET) assessment confirmed by the Sponsor or Designee.
- Participants and caregiver(s) who can sign an informed consent to participate in the study.
- Participants who have one (or more) identified adult study partner(s) who, in the opinion of the Investigator, has sufficient contact with and knowledge about the participant as to be able to report knowledgably about the participant's cognition, function, behavior, and safety, and compliance with the protocol. The informant/care partner must be available by phone to provide information to the Investigator and study staff about the participant as well as agree to attend in-person clinic visits that require partner input for scale completion. The informant/care partner must be able to understand the requirements of participation and provide informed consent and should be available for the duration of the study. The same informant/care partner is required to be consistent across all study visits except under rare, unavoidable circumstances (e.g., unexpected informant health crisis) that are approved by the Investigator and Sponsor.
Who cannot join
- Participants who are female and are either pregnant, nursing, or of childbearing potential and not practicing effective contraception
- Participants who have signs of significant delirium which, in the opinion of the Investigator, would interfere with this study
- Participants who have any diagnosis of dementia or cognitive decline other than that related to AD, including, but not limited to concomitant history of significant head trauma, alcohol abuse, frontotemporal dementia, Huntington disease, Parkinsonism (e.g., Parkinson's disease, dementia with Lewy bodies, etc.), significant cerebrovascular disease and/or significant seizure disorder
- Participants with any current psychiatric diagnosis if, in the judgment of the Investigator, the psychiatric disorder (e.g., schizophrenia) or symptom is likely to confound interpretation of drug effect, affect cognitive assessments, or affect the participant's ability to complete the study
- Participants with a history of vascular dementia
- Participants with evidence of other neurological conditions thought to interfere with the evaluations in this study
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- Participants with a history of myocardial infarction, unstable angina, significant coronary artery disease, and/or New York Heart Association (NYHA) class III or IV heart failure within the last 12 months
- Participants with uncontrolled hypertension (systolic blood pressure (BP) >160 mmHg or diastolic BP > 95 mmHg) or hypotension (systolic BP <90 mmHg or diastolic BP <50 mmHg). Participants may undergo repeated testing to ensure that accurate BP readings are obtained
- Participants with a body mass index (BMI) ≥35 kg/m2
- Participants with any of the following:
- elevation (>2.5x upper limit of normal [ULN]) of AST (aspartate aminotransferase, ALT (alanine transaminase, or total bilirubin (unless known prior history of Gilbert's syndrome)
- deficiency (< lower limit of normal [LLN]) of Vitamin B12
- known history of HIV (human immunodeficiency virus) positivity or positive test for HIV 1/2 at screening
- known history of Hepatitis C virus (HCV) or positive test for HCV antibody (HCVAb) at screening (unless negative on confirmatory PCR test)'
- positive test for Hepatitis B surface antigen (HBsAg)
- known history of neurosyphilis or positive test for RPR at screening
- Participants who have history of cancer or malignant tumor within 5 years prior to screening with the exception of:
- Basal or squamous cell carcinoma of the skin or cervical dysplasia, which has been adequately treated
- In situ Grade 1 cervical cancer, fully treated at least 2 years prior to screening, and without recurrence.
- Prostate cancer, confined to the prostate gland, which has been adequately treated (e.g., surgery and/or radiation or watchful waiting) with normal or low and stable prostate-specific antigen (PSA) levels for 2 years prior to Screening
- Adequately treated non-metastatic breast cancer
- Participants who in the opinion of the Investigator have an inadequately treated thyroid disorder
- Participants with inherited degenerative retinal disease
- Participants who have an undiagnosed or uncontrolled seizure disorder (and/or an epileptic syndrome), which has or could lead to cognitive impairment either from repeated seizures or the medications used to control the seizure disorder
- Participants who are being treated, or likely to require treatment during the study, with any medications prohibited by the study protocol
- Participants who have participated in any investigational drug or device trial within the previous 30 days or five half-lives of an investigational drug at Screening, whichever is longer
- Participants taking a cholinesterase inhibitor and/or memantine not on a stable dose for at least 3 months prior to screening. Treatment and dosing should remain stable, with no changes throughout the trial.
- Participants who have been and/or are currently being treated with anti-amyloid, anti-tau, or any investigational therapy for AD
- Participants who currently take any other PDE-5 inhibitors (e.g., sildenafil)
- Participants who are currently receiving (or unable to stop use for at least 14 days [2 weeks] prior to receiving the first dose of the AR1001 and throughout the study) prescription or nonprescription medications or other products known to be potent inhibitors of cytochrome P450 isozyme 3A4 (CYP3A4)
- Alcohol or substance use disorder within the past 5 years according to Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
- Participants who have previously participated in a clinical trial with AR1001
- Participants who, in the opinion of the Investigator, are unsuitable to participate in the trial
- Participants who, in the opinion of the Investigator, are at significant risk of suicide.
- GDS-15 score ≥ 8 at Screening
- Participants requiring a lumbar puncture (LP) to verify amyloid pathology who have a contraindication to undergoing LP in the opinion of the Investigator. Participants requiring LP who are receiving ongoing anticoagulant therapy or antiplatelet therapy (other than aspirin and non-steroidal anti-inflammatory drugs [NSAIDs]) should also be excluded if it is considered unsafe or contraindicated to temporarily discontinue the therapy.
Trial locations and contacts
198 sites in 13 countries.
198 sites in 13 countries
United States75 sites
Dent Neuroscience Research Center
Amherst, New York, 14226
Topaz Clinical Research
Apopka, Florida, 32803
iResearch -Atlanta
Atlanta, Georgia, 30030
Atlanta Neuroscience Institute
Atlanta, Georgia, 30327
Gadolin Research LLC
Beaumont, Texas, 77702
Sutter Health's Palo Alto Medical Foundation
Burlingame, California, 94010
NeuroScience Research Center, LLC
Canton, Ohio, 44718
Re:Cognition Health - Chicago
Chicago, Illinois, 60611
BayCare Health System, Inc
Clearwater, Florida, 33756
Vertex Research Group
Clermont, Florida, 34711
Neurology Clinic, P.C.
Cordova, Tennessee, 38018
Vaught Neurological Services, PLLC
Crab Orchard, West Virginia, 25827
Kerwin Medical Center
Dallas, Texas, 75231
American Clinical Research Institute, LLC
Dayton, Ohio, 45432
Arrow Clinical Trial
Daytona Beach, Florida, 32117
Accel Research Sites
Decatur, Georgia, 30030
Denver Neurological Research
Denver, Colorado, 80210
Mile High Research Center
Denver, Colorado, 80218
Rhode Island Mood and Memory REsearch
East Providence, Rhode Island, 02914
CenExel Rocky Mountain Clinical Research
Englewood, Colorado, 80113
Cognition Health Corporation
Fairfax, Virginia, 22031
Integrated Neurology Services
Falls Church, Virginia, 22043
Neuro-Pain Medical Center
Fresno, California, 93710
Fullerton Neurology and Headache Center
Fullerton, California, 92835
Triad Clinical Trials
Greensboro, North Carolina, 27410
Cognition Health Corporation- Texas
Houston, Texas, 77030
Clinical Trial Network - Houston
Houston, Texas, 77074
Center for Biomedical Research, LLC - Genesis Neuroscience Clinic
Knoxville, Tennessee, 37909
Wake Research- Clinical Research Center of Nevada, LLC
Las Vegas, Nevada, 89106
Alivation
Lincoln, Nebraska, 68526
Brainstorm Research - Loxahatchee
Loxahatchee Groves, Florida, 33470
Bhupesh Dihenia, MD, PA
Lubbock, Texas, 79410
ClinCloud LLC
Maitland, Florida, 32751
AMC Research, LLC
Matthews, North Carolina, 28105
Verus Clinical Research, Corp
Miami, Florida, 33135
Vitae Research Center, LLC
Miami, Florida, 33135
Caro Medcenter and Community Research
Miami, Florida, 33145
Allied Biomedical Research Institute, Inc
Miami, Florida, 33155
Future Life Clinical Trials
Miami, Florida, 33169
Brainstorm Research
Miami, Florida, 33176
Meridian International Research, Inc
Miami Gardens, Florida, 33014
Esperanza Clinical
Murrieta, California, 92562
BTC of New Bedford
New Bedford, Massachusetts, 02740
Tandem Clinical Research
New Orleans, Louisiana, 70072
Mid-Hudson Medical Research, PLLC - New Windsor
New Windsor, New York, 12553
Boston Center for Memory
Newton, Massachusetts, 02459
Valley Clinical Trials, INC
Northridge, California, 91325
Charter Research - Orlando
Orlando, Florida, 32803
K2 Medical Research
Orlando, Florida, 32806
Sharlin Health Neuroscience Research Center
Ozark, Missouri, 65721
JEM Research Institute
Palm Beach, Florida, 33462
Havana Research Institute
Pasadena, California, 91105
IMA Clinical Research Phoenix
Phoenix, Arizona, 85012
Headlands Research - Eastern MA
Plymouth, Massachusetts, 02360
Progressive Medical Research
Port Orange, Florida, 32127
Health Concepts
Rapid City, South Dakota, 57702
Wasatch Clinical Research, LLC
Salt Lake City, Utah, 84107
Kaizen Brain Center
San Diego, California, 92037
Adaptive Research
San Jose, California, 95124
The Neuron Clinic
San Marcos, California, 92069
iResearch
Savannah, Georgia, 31405
Perseverance Research Center, LLC
Scottsdale, Arizona, 85253
Clinical Endpoints - N. Scottsdale
Scottsdale, Arizona, 85258
Kingfisher Cooperative
Spokane, Washington, 99201
Stanford Neuroscience Health Center
Stanford, California, 94305
Banner Sun Health Research Institute
Sun City, Arizona, 85351
Angels Clinical Research Institute, Inc. - Tampa
Tampa, Florida, 33614
Voyage Medical
Tempe, Arizona, 85282
Charter Research - The Villages
The Villages, Florida, 32162
Advanced Memory Research Institute of New Jersey
Toms River, New Jersey, 08755
ClinCloud, LLC Melbourn
Viera, Florida, 32940
Boston Paincare
Waltham, Massachusetts, 02451
Medical College of Wisconsin
Wauwatosa, Wisconsin, 53226
Accellacare of Winston-Salem, Triad Neurological Associates
Winston-Salem, North Carolina, 27103
Conquest Research
Winter Park, Florida, 32789
China24 sites
Beijing Anding Hospital Capital Medical University
Beijing
Beijing Friendship Hospital,Capital Medical University
Beijing
Beijing Tiantan Hospital, Capital Medical University
Beijing
Peking Union Medical College Hospital
Beijing
Peking University Sixth Hospital
Beijing
Xuanwu Hospital Capital Medical University
Beijing
The First Hospital of Jilin University
Changchun
Xiangya Hospital of Central South University
Changsha
The First Affiliated Hospital of Chongqing Medical University
Chongqing
Guangdong Provincial People's Hospital
Guangzhou
The Affiliated Brain Hospital Of Guangzhou Medical University
Guangzhou
The First Affiliated Hospital, Sun Yat-sen University
Guangzhou
Anhui Provincial Hospital
Hefei
Tianjin Medical University General Hospital
Heping
The Second Affiliated Hospital of Nanchang University
Nanchang
Nanjing Drum Tower Hospital
Nanjing
The Second Affiliated Hospital of Nanjing Medical University
Nanjing
Huashan Hospital affiliated to Fudan University
Shanghai
Renji Hospital, Shanghai Jiao Tong University School of Medicine
Shanghai
The First Hospital of Hebei Medical University
Shijiazhuang
The First Affiliated Hospital of Soochow University
Suzhou
The Second Affiliated Hospital of Soochow University
Suzhou
Tongji Hospital Of Tongji University
Wuhan
Xuzhou Central Hospital
Xuzhou
South Korea24 sites
Soonchunhyang University Hospital Cheonan
Cheonan
Hallym University Chuncheon Sacred Heart Hospital
Chuncheon, Gangwon-do, 24253
Kyungpook National University Chilgok Hospital
Daegu, 41404
Yeungnam University Hospital
Daegu
Hanyang University Guri Hospital
Guri-si
Chonnam National University Hospital
Gwangju, Dong-Gu, 61469
Uijeongbu St. Mary's Hospital
Gyeonggi-do
Gachon University Gil Medical Center
Incheon, Namdong-Gu, 21565
Inha University Hospital
Incheon, 400-711
Catholic Kwandong University International St.Mary's Hospital
Incheon
Seoul National University Bundang Hospital
Seongnam-si, Bundang-gu, 13620
Ewha Womans University Seoul Hospital
Seoul, Gangseo-gu, 07804
Severance Hospital, Yonsei University Health System
Seoul, Seodaemun-gu, 03722
Ewha Womans University Mokdong Hospital
Seoul, Seoul
Asan Medical Center
Seoul, 05505
The Catholic University of Korea Seoul St.Mary's Hospital
Seoul, 06591
Chung ang University Hospital
Seoul, 06973
Korea University Guro Hospital
Seoul, 08308
Eunpyeong St.Mary's Hospital
Seoul
Gangnam Severance Hospital, Yonsei University Health System
Seoul
Konkuk University Hospital
Seoul
Samsung Medical Center
Seoul
Severance Hospital, Yonsei University Health System
Seoul
Ajou University Hospital
Suwon
Spain11 sites
Fundacio ACE - Institut Catala de Neurociencies Aplicades (Alzheimer Research Center Memory Clinic)
Barcelona
Hospital del Mar
Barcelona
Hospital Universitario Vall d'Hebron
Barcelona
Hospital Universitario Juan Ramon Jimenez
Huelva
Hospital Universitario 12 de Octubre
Madrid
Hospital Universitario Ramon y Cajal
Madrid
Clinica Universidad de Navarra - Pamplona
Pamplona
Hospital Clinico Universitario de Salamanca
Salamanca
Policlinica Gipuzkoa
San Sebastián
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Universitari i Politecnic La Fe
Valencia
Canada10 sites
Centricity Research - Halifax
Halifax
Okanagan Clinical Trials
Kelowna
Parkwood Institute
London
Baycrest Academy for Research and Education
North York
Kawartha Centre - Redefining Healthy Aging
Peterborough
Centricity Research
Toronto
Sunnybrook Health Sciences Centre
Toronto
University Health Network-Toronto Western Hospital
Toronto
Royal Jubilee Hospital
Victoria
Medical Arts Health Research Group - West Vancouver
West Vancouver
France10 sites
CHU de Lille - Hopital Roger Salengro
Lille
AP-HM - Hopital de la Timone
Marseille
CHU de Nantes - Hopital Nord Laennec
Nantes
AP-HP Hopital Broca
Paris
AP-HP Hopital Lariboisiere
Paris
AP-HP Hopital Pitie-Salpetriere
Paris
CHU Rennes - Hopital Pontchaillou
Rennes, 35033
CHRU de Strasbourg - Hopital de Hautepierre
Strasbourg, 67200
CHU de Toulouse - Hopital La Grave
Toulouse
HCL - Hopital des Charpennes
Villeurbanne
Italy10 sites
Azienda Ospedaliero-Universitaria delle Marche
Ancona
IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli
Brescia
ASST Grande Ospedale Metropolitano Niguarda
Milan
IRCCS Ospedale San Raffaele
Milan
Fondazione IRCCS San Gerardo dei Tintori
Monza
Azienda Ospedaliero Universitaria Pisana
Pisa
Fondazione Policlinico Universitario A. Gemelli IRCCS - Universita Cattolica del Sacro Cuore
Roma, 00168
Azienda Ospedaliero Universitaria Policlinico Umberto I
Roma
AOU Citta della Salute e della Scienza di Torino - Ospedale le Molinette
Torino
Pia Fondazione di Culto e Religione Cardinale Giovanni Panico
Tricase
Czechia8 sites
Fakultni nemocnice u sv. Anny v Brne
Brno
NeuroHK s.r.o.
Choceň
Fakultni nemocnice Hradec Kralove
Hradec Králové
Ambulance Smrkova ulice (A-Shine s.r.o.)
Pilsen
FORBELI s.r.o
Prague
INEP Medical s.r.o.
Prague
Neuropsychiatrie s.r.o.
Prague
Vestra Clinics
Rychnov nad Kněžnou, 516 01
United Kingdom7 sites
Fulbourn Hospital
Cambridge
Cornwall Partnership NHS Foundation Trust
Cornwell
Royal Devon University Healthcare NHS Foundation Trust
Exeter
Hammersmith Hospital
London, W12 0HS
NeuroClin Glasgow
Motherwell
Warneford Hospital
Oxford
Southern Health NHS Foundation Trust
Southampton
Germany6 sites
Universitaetsklinikum Aachen, AoeR
Aachen
Zentrum fuer klinische Forschung Dr. med. I. Schoell
Bad Homburg
Charite Universitaetsmedizin Berlin
Berlin
Bezirkskrankenhaus Guenzburg
Günzburg
Universitaetsklinikum des Saarlandes
Homburg
Institut fuer Studien zur Psychischen Gesundheit (ISPG)
Mannheim, 68165
Poland6 sites
KLIMED Marek Klimkiewicz
Bialystok
Podlaskie Centrum Psychogeriatrii
Bialystok
NEURO-CARE Sp. z o.o. Sp. Komandytowa
Katowice
Osrodek Alzheimerowski Sp. z o.o
Ścinawa
ETG Neurosciences Sp. Z.o.o.
Warsaw
NZOZ Wroclawskie Centrum Alzheimerowski
Wroclaw
Netherlands4 sites
Brain Research Center Den Bosch
's-Hertogenbosch, 5223 LA
Brain Research Center
Amsterdam
Amphia Ziekenhuis - Locatie Breda Molengracht
Breda
Brain Research Center Zwolle
Zwolle
Denmark3 sites
Sanos Clinic - Gandrup
Gandrup, 9362
Sanos Clinic - Herlev
Herlev
Sanos Clinic Syddanmark - Vejle
Vejle
About this study
Official title: A Phase 3 Double-blind, Randomized, Placebo-controlled, Multi-center Trial to Evaluate the Efficacy and Safety of AR1001 Over 52 Weeks in Participants With Early Alzheimer's Disease (Polaris-AD)
This AR1001-ADP3-US01 protocol is a double-blind, randomized, placebo-controlled, multi- center, parallel-group comparison pivotal Phase 3 study to evaluate the efficacy and safety of AR1001 for the treatment of participants with early AD.
Read the detailed description
The purpose of this Study is to evaluate the efficacy and safety of AR1001 in participants with Early Alzheimer's Disease (AD).
AR1001 is a small molecule that has demonstrated its potential as a therapeutic agent for AD via its polypharmacological characteristics with multiple mechanisms to ameliorate AD pathology.
- Conditions
- Alzheimer Disease
- Being tested
- AR1001, Placebo
- Keywords
- AR1001, AD, Early AD, Alzheimer's disease
- Medical subject headings
- Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AR1001Drug
AR1001 Active Oral Tablet
PlaceboDrug
Placebo Oral Tablet
| Study group | Role | What they receive |
|---|---|---|
| Group A - Active Comparator | Active comparator | Active, AR1001 30 mg QD will be administered daily for 52 weeks during the Treatment Phase of the study. In the Extension Phase, all eligible participants who choose to participate will receive AR1001 30 mg QD for 52 weeks. Receives: Drug: AR1001 |
| Group B - Placebo Comparator | Placebo comparator | Placebo QD will be administered daily for 52 weeks during the Treatment Phase of the study. In the Extension Phase, all eligible participants who choose to participate will receive AR1001 30 mg QD for 52 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 the Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) (Overall Population)
CDR-SB is used to assess clinical decline associated with AD. The CDR is a 5-point scale used to stage AD by characterization of the 6 domains of cognitive and functional performance: memory, orientation, judgment and problem solving, community affairs, home and hobbies, and personal care. This information is collected through a semi structured interview of the participant and the informant. Scores range from 0 to 3 (0, 0.5, 1, 2, 3), with a higher score indicating greater impairment. The CDR-SB score is obtained by summing each of the CDR domain box scores, with scores ranging from 0 to 18.
Measured: Baseline to Week 52
Change from Baseline in the Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) (Monotherapy Population)
CDR-SB is used to assess clinical decline associated with AD. The CDR is a 5-point scale used to stage AD by characterization of the 6 domains of cognitive and functional performance: memory, orientation, judgment and problem solving, community affairs, home and hobbies, and personal care. This information is collected through a semi structured interview of the participant and the informant. Scores range from 0 to 3 (0, 0.5, 1, 2, 3), with a higher score indicating greater impairment. The CDR-SB score is obtained by summing each of the CDR domain box scores, with scores ranging from 0 to 18.
The monotherapy population is a subset of the overall population that is not taking concomitant medication for AD during the trial.
Measured: Baseline to Week 52
Secondary outcomes (8)
Change from Baseline in the Alzheimer's Disease Assessment Scale, cognitive subscale (ADAS-Cog 13) (Overall Population)
ADAS-Cog13 is a clinician-administered assessment of cognitive function in individuals with Alzheimer's disease that evaluates domains including memory, language, praxis, orientation, attention, and concentration. Total scores range from 0 to 85, with higher scores indicating greater cognitive impairment.
Measured: Baseline to Week 52
Change from Baseline in the Alzheimer's Disease Assessment Scale, cognitive subscale (ADAS-Cog 13) (Monotherapy Population)
ADAS-Cog13 is a clinician-administered assessment of cognitive function in individuals with Alzheimer's disease that evaluates domains including memory, language, praxis, orientation, attention, and concentration. Total scores range from 0 to 85, with higher scores indicating greater cognitive impairment. The monotherapy population is a subset of the overall population that is not taking concomitant AD medication.
Measured: Baseline to Week 52
Change from Baseline in the Amsterdam-Instrumental Activities of Daily Living Questionnaire-Short Version (A-IADL-Q-SV) (Overall Population)
The A-IADL-Q is an adaptive and computerized questionnaire designed to assess impairments in instrumental activities of daily living (IADL) in early dementia. The questionnaire is completed by a caregiver. Higher scores indicate better everyday functioning
Measured: Baseline to Week 52
Change from Baseline in the Amsterdam-Instrumental Activities of Daily Living Questionnaire-Short Version (A-IADL-Q-SV) (Monotherapy Population)
The A-IADL-Q is an adaptive and computerized questionnaire designed to assess impairments in instrumental activities of daily living (IADL) in early dementia. The questionnaire is completed by a caregiver. Higher scores indicate better everyday functioning. The monotherapy population is a subset of the overall population that is not taking concomitant medication for AD during the trial.
Measured: Baseline to Week 52
Change from Baseline in the Geriatric Depression Scale-15 (GDS-15) (Overall Population)
The GDS-15 assesses depressive symptoms using 15 items. Scores range from 0 to 15, with higher scores indicating more depressive symptoms.
Measured: Baseline to Week 52
Change from Baseline in the Geriatric Depression Scale-15 (GDS-15) (Monotherapy Population)
The GDS-15 is a validated 15-item self-report questionnaire used to screen for depressive symptoms in older adults. Total scores range from 0 to 15, with higher scores indicating greater depressive symptom severity. The monotherapy population is a subset of the overall population that is not taking concomitant medication for AD during the trial.
Measured: Baseline to Week 52
Change from Baseline in the Mini-Mental Status Examination (MMSE) (Overall Population)
The MMSE is a clinician-administered assessment of global cognitive function that evaluates orientation, attention, memory, language, and visuospatial abilities. Total scores range from 0 to 30, with lower scores indicating greater cognitive impairment.
Measured: Baseline to Week 52
Change from Baseline in the Mini-Mental Status Examination (MMSE) (Monotherapy Population)
The MMSE is a clinician-administered assessment of global cognitive function that evaluates orientation, attention, memory, language, and visuospatial abilities. Total scores range from 0 to 30, with lower scores indicating greater cognitive impairment. The monotherapy population is a subset of the overall population that is not taking concomitant medication for AD during the trial.
Measured: Baseline to Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Sep 2022
- Study start23 Dec 2022
- Primary completion29 Jun 2026
- Study completionOct 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Alzheimer 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
- Randomised
- Intervention model
- Parallel groups
- Model description
- A Phase 3 Double-blind, Randomized, Placebo-controlled, Multi-center Trial to Evaluate the Efficacy and Safety of AR1001 over 52 Weeks in Participants with Early Alzheimer's Disease
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,535 participants (actual)
Sponsor and investigators
- Lead sponsor
- AriBio Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- James Rock, Study director, AriBio Co., Ltd.Sharon Sha, MD, MS, Principal investigator, Stanford University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05531526
- Sponsor's protocol ID
- AR1001-ADP3-US01
- Status last verified
- Oct 2026
- First submitted
- 31 Aug 2022
- Last updated
- 14 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Double-blind, Randomized, Placebo-controlled, Multi-center Trial to Evaluate the Efficacy and Safety of AR1001 Over 52 Weeks in Participants With Early Alzheimer's Disease (Polaris-AD)
- ClinicalTrials.gov ID
- NCT05531526
- Acronym / sponsor ID
- AR1001-ADP3-US01
- Conditions
- Alzheimer Disease
- Keywords
- AR1001, AD, Early AD, Alzheimer's disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,535 participants (actual)
- Lead sponsor
- AriBio Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 23 Dec 2022 (actual)
- Primary completion
- 29 Jun 2026 (actual)
- Study completion
- Oct 2027 (estimated)
- First posted
- 8 Sep 2022 (actual)
- 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.
This AR1001-ADP3-US01 protocol is a double-blind, randomized, placebo-controlled, multi- center, parallel-group comparison pivotal Phase 3 study to evaluate the efficacy and safety of AR1001 for the treatment of participants with early AD.
Detailed description
The purpose of this Study is to evaluate the efficacy and safety of AR1001 in participants with Early Alzheimer's Disease (AD).
AR1001 is a small molecule that has demonstrated its potential as a therapeutic agent for AD via its polypharmacological characteristics with multiple mechanisms to ameliorate AD pathology.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- A Phase 3 Double-blind, Randomized, Placebo-controlled, Multi-center Trial to Evaluate the Efficacy and Safety of AR1001 over 52 Weeks in Participants with Early Alzheimer's Disease
| Arm | Type | Receives |
|---|---|---|
| Group A - Active Comparator | Active comparator | Drug: AR1001Active, AR1001 30 mg QD will be administered daily for 52 weeks during the Treatment Phase of the study. In the Extension Phase, all eligible participants who choose to participate will receive AR1001 30 mg QD for 52 weeks. |
| Group B - Placebo Comparator | Placebo comparator | Drug: PlaceboPlacebo QD will be administered daily for 52 weeks during the Treatment Phase of the study. In the Extension Phase, all eligible participants who choose to participate will receive AR1001 30 mg QD for 52 weeks. |
Who may qualify
- Ages
- 55 to 90 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Male or female participants aged 55 to 90 years of age inclusive at the time of signing the informed consent form
- Mild cognitive impairment or mild dementia consistent with AD defined by stages 3 to 4 according to the National Institute on Aging and Alzheimer's Association (NIA-AA) at Screening
- Participants with a history of subjective cognitive and memory decline with onset within 5 years before Screening, confirmed by study partner.
- Participants who have a MMSE score greater than or equal to 20
- Participants with a CDR global rating of 0.5 or 1
Key exclusion criteria (36 listed)
- Participants who are female and are either pregnant, nursing, or of childbearing potential and not practicing effective contraception
- Participants who have signs of significant delirium which, in the opinion of the Investigator, would interfere with this study
- Participants who have any diagnosis of dementia or cognitive decline other than that related to AD, including, but not limited to concomitant history of significant head trauma, alcohol abuse, frontotemporal dementia, Huntington disease, Parkinsonism (e.g., Parkinson's disease, dementia with Lewy bodies, etc.), significant cerebrovascular disease and/or significant seizure disorder
- Participants with any current psychiatric diagnosis if, in the judgment of the Investigator, the psychiatric disorder (e.g., schizophrenia) or symptom is likely to confound interpretation of drug effect, affect cognitive assessments, or affect the participant's ability to complete the study
- Participants with a history of vascular dementia
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 |
|---|---|---|
| AR1001AR1001 Active Oral Tablet | Drug | Group A - Active Comparator |
| PlaceboPlacebo Oral Tablet | Drug | Group B - Placebo Comparator |
Primary outcome
Change from Baseline in the Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) (Overall Population)
Time frame: Baseline to Week 52
CDR-SB is used to assess clinical decline associated with AD. The CDR is a 5-point scale used to stage AD by characterization of the 6 domains of cognitive and functional performance: memory, orientation, judgment and problem solving, community affairs, home and hobbies, and personal care. This information is collected through a semi structured interview of the participant and the informant. Scores range from 0 to 3 (0, 0.5, 1, 2, 3), with a higher score indicating greater impairment. The CDR-SB score is obtained by summing each of the CDR domain box scores, with scores ranging from 0 to 18.
Change from Baseline in the Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) (Monotherapy Population)
Time frame: Baseline to Week 52
CDR-SB is used to assess clinical decline associated with AD. The CDR is a 5-point scale used to stage AD by characterization of the 6 domains of cognitive and functional performance: memory, orientation, judgment and problem solving, community affairs, home and hobbies, and personal care. This information is collected through a semi structured interview of the participant and the informant. Scores range from 0 to 3 (0, 0.5, 1, 2, 3), with a higher score indicating greater impairment. The CDR-SB score is obtained by summing each of the CDR domain box scores, with scores ranging from 0 to 18. The monotherapy population is a subset of the overall population that is not taking concomitant medication for AD during the trial.
8 secondary outcomes
Change from Baseline in the Alzheimer's Disease Assessment Scale, cognitive subscale (ADAS-Cog 13) (Overall Population)
Time frame: Baseline to Week 52
Change from Baseline in the Alzheimer's Disease Assessment Scale, cognitive subscale (ADAS-Cog 13) (Monotherapy Population)
Time frame: Baseline to Week 52
Change from Baseline in the Amsterdam-Instrumental Activities of Daily Living Questionnaire-Short Version (A-IADL-Q-SV) (Overall Population)
Time frame: Baseline to Week 52
Change from Baseline in the Amsterdam-Instrumental Activities of Daily Living Questionnaire-Short Version (A-IADL-Q-SV) (Monotherapy Population)
Time frame: Baseline to Week 52
Change from Baseline in the Geriatric Depression Scale-15 (GDS-15) (Overall Population)
Time frame: Baseline to Week 52
Change from Baseline in the Geriatric Depression Scale-15 (GDS-15) (Monotherapy Population)
Time frame: Baseline to Week 52
Change from Baseline in the Mini-Mental Status Examination (MMSE) (Overall Population)
Time frame: Baseline to Week 52
Change from Baseline in the Mini-Mental Status Examination (MMSE) (Monotherapy Population)
Time frame: Baseline to Week 52
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Oct 2026.
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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.
James Rock study director
AriBio Co., Ltd.
Sharon Sha, MD, MS principal investigator
Stanford University
198 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing AR1001 in people with Alzheimer Disease, run by AriBio Co., Ltd. at 198 sites in 13 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 12 inclusion and 36 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: under way, not looking for participants, as of the sponsor's last update on 14 Oct 2026. 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, China, South Korea, Spain, Canada and 8 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?
This study is still under way. Results are not available in the source record yet.
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 the Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) (Overall Population) (time frame: Baseline to Week 52). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2026.