Dementia ModeratePhase 2/3XanaMIANCT06125951
Effect of 10 mg Xanamem on Dementia Due to Alzheimer's Disease
A Phase 2/3 study testing Xanamem in people with Dementia Moderate and Dementia, Mild, run by Actinogen Medical at 34 sites in 2 countries.
Trial summary
Xanamem® is being developed as a potential treatment for symptomatic, early stages of Alzheimer's Disease (AD) and Major Depressive Disorder (MDD). This XanaMIA Phase 2b/3 study is to investigate the safety, tolerability, and efficacy of Xanamem in in mild or moderate dementia due to AD. Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Dementia Moderate, Dementia, Mild, Alzheimer Disease
- What is being tested?
- Xanamem
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 247 participants
- Where
- 34 sitesin 2 countries
- Study dates
- 12 Apr 2024to Feb 2028
- Phase
- Phase 2/3
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
- Male or female aged 50 years or older, inclusive at the time of Screening.
- Clinical syndrome of mild or moderate dementia, likely to be due to AD in the opinion of the Investigator, at Screening, including meeting the following criteria:
- Clinical Dementia Rating (CDR) global score of 0.5 to 1.0
- Mini-mental state examination (MMSE) score of 18 to 26
- Magnetic resonance imaging (MRI) or computerized tomography (CT) scan within 1 year prior to randomization that excludes alternative diagnoses for dementia such as large stroke, likely vascular dementia, brain tumor, subdural hematoma, or other non-AD dementia type findings
- Positive plasma AD biomarker signature at Pre-screening, comprising fasting levels of a tau species protein.
Show all 11Show fewer
- If receiving symptomatic AD medications, the dosing regimen must have been stable for 3 months prior to Screening.
- Has a consenting trial partner who, in the Investigator's judgment, has frequent and sufficient contact with the participant to be able to provide accurate information as to the participant's cognitive and functional abilities. The trial partner must be available to provide information to the Investigator and trial site staff about the participant and agrees to attend all trial site visits in person for scale completion. A trial partner should be available for the duration of the trial. The measure of adequate availability will be at the Investigator's discretion.
- Participants must be able to comfortably abstain from caffeine intake for 4 hours prior to scheduled cognitive assessments.
- Smokers are eligible if they are able to comfortably abstain from nicotine / tobacco products for 2 hours prior to scheduled cognitive assessments.
- Must provide written informed consent to participate in the trial and be willing and able to participate for the maximum of 9 months of treatment and up to 11.5 months of site visits.
Who cannot join
- Use of anti-amyloid or anti-tau antibody within 6 months.
- Diagnosis of a non-AD dementia including traumatic brain injury.
- Diagnosis of an active major mental illness of concern in the opinion in the Investigator, including major depressive disorder, bipolar illness, or schizophrenia.
- Participation in another clinical trial of a drug or device
- Has a body mass index or body weight that will interfere with participation in the trial, including inadequate venous access to complete the trial assessments, to be determined at the discretion of the Investigator.
- Previous clinically significant systemic illness or infection, including test positive COVID-19, within the past 4 weeks prior to Screening.
Show all 11Show fewer
- Clinical diagnosis of Type I or Type II diabetes requiring insulin.
- Exhibit physical, cognitive, or language impairments, in the opinion of the Investigator, of such severity as to adversely affect the validity of the data derived from the neuropsychological tests.
- Trial participants with evidence of current infection with HIV, hepatitis B, or hepatitis C.
- Participants with a history of clinically significant drug abuse or addiction in the past 2 years
- Evidence or history of alcohol abuse
Trial locations and contacts
34 sites in 2 countries.
34 sites in 2 countries
United States19 sites
ACW Investigative Site 214
Albany, New York, 12208
ACW Investigative Site 220
Austin, Texas, 78757
ACW Investigative Site 215
Bellevue, Washington, 98007
ACW Investigative Site 218
Carlsbad, California, 92011
ACW Investigative Site 210
Dayton, Ohio, 45459
ACW Investigative Site 207
Decatur, Georgia, 30030
ACW Investigative Site 203
Delray Beach, Florida, 33445
ACW Investigative Site 211
Denver, Colorado, 80218
ACW Investigative Site 216
East Providence, Rhode Island, 02914
ACW Investigative Site 208
Englewood, Colorado, 80113
ACW Investigative Site 217
Independence, Ohio, 44131
ACW Investigative Site 206
Marlton, New Jersey, 08053
ACW Investigative site 201
Miami, Florida, 33176
ACW Investigative site 202
New Port Richey, Florida, 34652
ACW Investigative site 204
Orlando, Florida, 32803
ACW Investigative Site 212
Portland, Oregon, 97225
ACW Investigative Site 209
Sherman Oaks, California, 91403
ACW Investigative Site 219
Staten Island, New York, 10314
ACW Investigative site 205
The Villages, Florida, 32162
Australia15 sites
ACW Investigative Site 114
Bedford Park, South Australia
ACW Investigative Site 113
Birtinya, Queensland
ACW Investigative Site 115
Carlton, Victoria
ACW Investigative Site 105
Chermside, Queensland
ACW Investigative Site 106
Darlinghurst, New South Wales
ACW Investigative Site 103
Erina, New South Wales
ACW Investigative Site 101
Ivanhoe, Victoria
ACW Investigative Site 102
Kogarah, New South Wales
ACW Investigative Site 107
Macquarie Park, New South Wales
ACW Investigative Site 108
Malvern, Victoria
ACW Investigative Site 104
Nedlands, Western Australia
ACW Investigative Site 111
Newcastle, New South Wales
ACW Investigative Site 112
Parkville, Victoria
ACW Investigative Site 109
West Perth, Western Australia
ACW Investigative Site 110
Woodville South, South Australia
About this study
Official title: A Phase 2b/3, Double-Blind, Placebo-Controlled, Parallel-Group, 36-Week, 2-Arm Trial With an Open-Label Extension Phase to Assess the Safety, Tolerability, and Efficacy of Xanamem® 10 mg Daily in Patients With Mild or Moderate Dementia Due to Alzheimer's Disease
Xanamem® is being developed as a potential treatment for symptomatic, early stages of Alzheimer's Disease (AD) and Major Depressive Disorder (MDD).
This XanaMIA Phase 2b/3 study is to investigate the safety, tolerability, and efficacy of Xanamem in in mild or moderate dementia due to AD. Trial participants will be randomized to either receive 10mg of Xanamem once daily or a placebo for 36 weeks at a 1:1 ratio in a double-blinded fashion. Participants who have completed the main trial will be eligible to participate in an open-label phase, which involves treatment with 10mg Xanamem once daily for a treatment period of up to a maximum of 108 weeks. The OLE is intended to finish when all participants have completed at least 60 weeks of treatment and a follow-up visit 4 weeks later.
- Conditions
- Dementia Moderate, Dementia, Mild, Alzheimer Disease
- Being tested
- Xanamem, Placebo
- Keywords
- Xanamem, Actinogen, Alzheimer's Disease, Cortisol, emestedastat
- Medical subject headings
- Dementia, Lymphoma, Follicular, Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
XanamemDrug
Also called UE2343
Xanamem drug product is formulated as an immediate-release film-coated tablet formulation for oral administration. Each Xanamem tablet contains 10 mg Xanamem (UE2343) drug substance and excipients.
PlaceboDrug
Matching placebo which is identical in appearance to the test product (10 mg Xanamem once daily) except that it contains no active ingredient.
| Study group | Role | What they receive |
|---|---|---|
| 10 mg Xanamem | Experimental | 10 mg Xanamem tablet, to be administered orally once every morning with or without food Receives: Drug: Xanamem |
| Placebo | Placebo comparator | Placebo tablet, to be administered orally once every morning with or without food Receives: Drug: Placebo |
| Open label phase | Experimental | Participants enrolled in the open-label phase after the main trial will receive 10 mg Xanamem, to be administered orally once every morning with or without food Receives: Drug: Xanamem |
What is being measured
The primary outcome is the main question the study is designed to answer.
Effects of 10 mg Xanamem on integrated cognitive and functional abilities
Change from Baseline to end of treatment (EOT) in the Clinical Dementia Ratio - Sum of Boxes (CDR-SB). The CDR-SB is calculated as an average score, with lower scores indicating improvement.
Measured: 36 weeks
Incidence and severity of treatment-emergent adverse events (TEAEs) [safety and tolerability of Xanamem]
Incidence and severity of TEAEs
Measured: 36 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Nov 2023
- Study start12 Apr 2024
- Primary completion22 Sep 2026
- Study completionFeb 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Dementia ModerateStudies 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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- After completion of the randomized, placebo-controlled, parallel-group main trial, participants who have completed the main trial will be eligible to take part in an open-label phase with 10 mg Xanamem
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 247 participants (actual)
Sponsor and investigators
- Lead sponsor
- Actinogen Medical
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Global Program Lead, Study director, Actinogen Medical Ltd
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06125951
- Sponsor's protocol ID
- ACW0009
- Acronym
- XanaMIA
- Status last verified
- Oct 2026
- First submitted
- 23 Oct 2023
- Last updated
- 21 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No