The purpose of this study is to assess the safety, tolerability, pharmacokinetics, immunogenicity, and pharmacodynamic response of repeated intravenous infusions of BAN2401 in subjects with mild cognitive impairment (MCI) due to Alzheimer's disease (AD) and mild Alzheimer's disease.
This is a multicenter, randomized, placebo-controlled, double-blind, multiple ascending dose study in a total of 24 subjects (8 subjects per cohort) with MCI due to AD and mild AD. The study consists of three cohorts to evaluate the safety, tolerability and PK of BAN2401 at three dose levels (2.5, 5, and 10 mg/kg). Each cohort consists of Screening Period before randomization, Treatment Period from randomization to last dose, and Follow-up Period after last dose. Cohorts 1, 2, and 3 will receive 2.5 mg/kg, 5 mg/kg, and 10 mg/kg of BAN2401, respectively.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
26
Cohorts 1: Intravenous infusions of 2.5 mg/kg BAN2401 for 60 +/- 10 minutes.
Cohorts 2: Intravenous infusions of 5 mg/kg BAN2401 for 60 +/- 10 minutes.
Cohorts 3: Intravenous infusions of 10 mg/kg BAN2401 for 60 +/- 10 minutes
Intravenous infusions of placebo for 60 +/- 10 minutes.
Unnamed facility
Kobe, Hyōgo, Japan
Unnamed facility
Sendai, Miyagi, Japan
Unnamed facility
Kurashiki, Okayama-ken, Japan
Unnamed facility
Koto-ku, Tokyo, Japan
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Safety assessment variables will include all adverse events (AEs) including serious and non-serious AEs; laboratory parameters (hematology, blood chemistry, and urinalysis); vital signs; electrocardiograms; and physical examination; as well as a risk of suicide using C-SSRS and brain MRI.
Time frame: Up to 14 weeks
Pharmacokinetics of BAN2401: Maximum Concentration (Cmax)
Cmax after single and repeated administrations based on non-compartmental analysis.
Time frame: Up to 14 weeks
Pharmacokinetics of BAN2401: time attain to Cmax (tmax)
tmax after single and repeated administrations based on non-compartmental analysis.
Time frame: Up to 14 weeks
Pharmacokinetics of BAN2401: Area under the curve (AUC)
AUC after single and repeated administrations based on non-compartmental analysis.
Time frame: Up to 14 weeks
Pharmacokinetics of BAN2401: Drug Clearance (CL)
CL after single and repeated administrations based on non-compartmental analysis.
Time frame: Up to 14 weeks
Pharmacokinetics of BAN2401: apparent volume of distribution at steady state (Vss)
Vss after single and repeated administrations based on non-compartmental analysis.
Time frame: Up to 14 weeks
Investigation of the effect of repeated intravenous infusions of BAN2401 on the immunogenicity and CSF biomarkers
Summary statistics (mean, standard deviation, median, minimum and maximum) will be calculated for each measurement of CSF concentrations of AB1-40, AB1-42, AB1-x, total tau and p-tau and their percent changes from baseline.
Time frame: Up to 14 weeks
Investigation of the effect of apolipoprotein allele4 (ApoE4) on the safety, tolerability and pharmacodynamic (PD) response of repeated intravenous infusions of BAN2401
Time frame: Up to 14 weeks
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