This is a safety and tolerability study investigating the effect of HPP854 in subjects with mild cognitive impairment or a diagnosis of mild Alzheimer's disease. The study will assess the pharmacokinetic and pharmacodynamic relationships of HPP854 in plasma, pharmacodynamic relationship in cerebral spinal fluid and plasma concentration profiles for Amyloid-Beta.
Inclusion Criteria:
* Medical history for at least 6 months prior to screening of mild cognitive impairment with a Mini Mental State Exam (MMSE) score between 20 and 26 or diagnosis of mild Alzheimer's disease;
* Must be able to swallow dose of study medication;
* Body Mass Index (BMI) between 18.0 and 35.0; and
* Subject and Project Partner are willing to participate and agree to comply with all study requirements.
Exclusion Criteria:
* Blood pressure \> 160 mmHg (systolic) and \> 90 mmHg (diastolic);
* Received HPP854 in a previous trial;
* Participation in another clinical trial involving any marketed or investigational drug within 30 days of screening and until after the final study visit.
* Current evidence or history within the last 3 years of a neurological or psychiatric illness that could contribute to dementia including but not limited to: anxiety, epilepsy, focal brain lesion, Parkinson's disease, seizure disorder, or head injury with loss of consciousness and alcohol or substance abuse;
* Clinically significant cardiovascular, cerebrovascular disease, diabetic condition, hematologic, renal hepatic, pulmonary, endocrine, neurological, coagulation disorder;
* History or presence of cancer except for non melanoma skin cancer. Subjects with a history of prostate cancer stable for \> 3 yrs with no active treatment for \> 3 years prior to Screening may be considered for eligibility;
* Use of the following medications/therapy from 14 days before dosing until after the Final Visit: anti-cholinergic, tricyclic antidepressants, lithium, typical or atypical antipsychotic medications, anticonvulsant medications, immunosuppressive agents, oral corticosteroids, and radiotherapy;
* HbA1C \> 6.5 % at the Screening Visit;
* Vitamin B12 level \< 211 pg/mL at the Screening Visit;
* Any suicidal risk determined by C-SSRS administered by a study staff member appropriately certified for administration of the scale (Baseline/Screening, Phase 1 Study Version) at Screening Visit, Day -6 or Day -1;
* A score of 15 or more on the modified Geriatric Depression Scale (GDS); and
* A score of 5 or more on the Hashinski Ischemic Scale (Rosen modification.
* Contraindications of MRI including: Metallic fragments, clips or devices in the brain, eye, spinal canal, etc; Cardiac pacemakers, insulin pumps, neurostimulators, cochlear implants, etc.
* Contraindications for blood or CSF sampling, including: Bleeding disorder or taking anticoagulants/antiplatelet, chronic active infection.
Locations (3)
Elite Research Institute
Miami, Florida, United States
Duke Clinical Research Unit
Durham, North Carolina, United States
High Point Clinical Trials Center
High Point, North Carolina, United States
Outcomes
Primary Outcomes
Number of Participant Adverse Events
Time frame: Day 1 to Day 30
Secondary Outcomes
Evaluation of participant plasma HPP854 concentrations
Time frame: Day 1 to Day 30
Change in cerebrospinal fluid concentration of Amyloid-Beta