This first-time-in-man study is mainly designed to assess the safety and tolerability of AADvac1 in the treatment of Alzheimer's disease. AADvac1 is a vaccine directed against pathologically modified Alzheimer tau protein that is the main constituent of neurofibrillary tangles (NFTs), and is intended to be a disease-modifying treatment for Alzheimer's disease, i.e. to halt its progress. As this study is a Phase I study focused on tolerability and safety, efficacy will be assessed in an exploratory manner.
AADvac1 is a candidate therapeutic vaccine for Alzheimer's disease that targets misfolded tau protein, a common denominator of neurofibrillary pathology. Based on preclinical results, the intervention is expected to reduce the number of neurofibrillary tangles, remove hyperphosphorylated tau protein and reduce the amount of oligomerized and insoluble pathological tau in the brain, to halt the spread of neurofibrillary pathology through the brain, and thus prevent associated cognitive decline. The vaccine's antigenic determinant is a synthetic peptide derived from a tau protein sequence, which is coupled to keyhole limpet hemocyanin (KLH) and uses aluminum hydroxide (Alhydrogel) as an adjuvant. At present AADvac1 is intended as an active immunotherapy for patients with diagnosed Alzheimer's disease (AD). Patients will receive 3 - 6 immunization doses; the raised titers of therapeutic antibodies and possible benefits of the treatment can extend beyond the duration of the study. Because of the central role of pathological misfolded tau protein in the etiology of AD, the vaccine is expected to be more effective than active or passive immunotherapies aiming to eliminate the amyloid β plaques that have been clinically investigated so far.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
30
Univeristätsklinik für Neurologie, PMU, Christian-Doppler Klinik
Salzburg, Salzburg, Austria
Medizinische Universitat Graz
Graz, Styria, Austria
Medizinische Universitat Wien
Vienna, Vienna, Austria
Tolerability and safety profile of AADvac1 in patients with mild-to-moderate Alzheimer's disease
Safety is assessed via recording of all Adverse Events and Adverse Events Patients are observed via: * MRI * Clinical \& neuro-psychiatric observation * Cognitive testing * ECG * Blood biochemistry, hematology, coagulation measurement * Urine analysis
Time frame: Tolerability & safety are assessed over a period of 3 months / 3 administrations
Immunogenicity of AADvac1
Measurement of: * Titres of antibodies reactive with AADvac1 * Titres of antibodies reactive with Alzheimer tau protein * Antibody isotype profiles
Time frame: Immune response to the vaccine will be assessed over 3 months / 3 administrations
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