A study to assess safety and target engagement of E2814 in participants with mild to moderate cognitive impairment due to dominantly inherited Alzheimer's disease
Information about the drug that will be tested in the study
Administration
The drug will be administered via an intravenous infusion (an injection into the vein).
Is the drug already on the market for another medical condition?
No
Will all participants receive the same drug?
Participants will be selected at random to either receive one of the following options:
- An intravenous infusion of E2814, at set intervals over 12 weeks in Phase Ib
- An intravenous infusion of E2814, at set intervals over 96 weeks in Phase II.
Information about participating in the trial
What are the researchers trying to find out?
The purpose of the study is to assess the safety and target engagement of E2814 in people with mild to moderate cognitive impairment due to dominantly inherited Alzheimer's disease (DIAD).
How long will the treatment last?
Around 2.5 years
What your involvement will entail?
- During the study, participants will be asked to complete some laboratory/biological tests (i.e., blood, heart rate – ECG) to evaluate the emergent adverse effects (unfavourable signs, symptoms or diseases temporally associated with the use of the drug tested in the study)
- Complete a test that will assess memory, orientation, judgment and problem solving, personal care and community affairs (this is a test called CDR-SB)
- Participants will be asked to undertake brain scans (MRI, PET) or lumbar punctures (CSF) to see changes in biomarkers in the brain
Further information on the procedures, tests and number of visits can be obtained from the study team.
Who can participate in this study?
Who can participate in the study?
To take part in the study, participants must:
- Be between 18 and 80 years old
- Have a mutation positive associated with dominantly inherited Alzheimer's disease (i.e. presenilin 1 (PSEN1), amyloid precursor protein (APP), or presenilin 2 (PSEN2) gene)
- Have a score between 5 and 12 in the Clinical Dementia Rating-Global Score (CDR). This would suggest that the person has an impairment in their memory that is at a mild to moderate stage
- Have evidence of abnormal accumulation of amyloid in their brain (PET scan)
- Able to undergo brain scans, lumbar puncture and complete all study-related testing and evaluations
- Have a study partner who has a sufficient contact with the participant is willing to participate in study procedures throughout the study duration
Who cannot participate in the study?
People cannot take part in the study if they have or have experienced:
- A pregnancy or lactation for female participants
- A disease or conditions that may interfere with the safety, tolerability and/or study assessments, or put the participant at special risk (e.g. psychiatric symptoms, auto-immune disease, inflammatory neurological disorders)
- History of a stroke, transient ischemic attack or seizures within the past 12 months
- Contraindication to PET brain scans
- History of HIV or hepatitis B/C infection
- Drug or alcohol abuse or dependence
- Participation in other clinical studies involving any anti-amyloid therapies within the past six months
- Current participation in a clinical study involving any anti-tau therapies.
The above list is not exhaustive. It includes the most common conditions and diseases that might exclude people from the study.
Information for your doctor
EudraCT Number
2020-005728-12
Clinicaltrials.gov identifier
NCT04971733
Study contact information
Link to full text
https://clinicaltrials.gov/ct2/show/NCT04971733
The information contained in this document is based on information available on public registries (e.g. clinicaltrials.gov website) on August 2023.
This document has been reviewed by a member of the European Working Group of People with Dementia.
