The study is a 24-week, randomized, double-blind, multi-site, placebo-controlled study in participants with mild cognitive impairment (MCI) or early dementia due to Alzheimer's disease (AD).
The study is a 24-week, randomized, double-blind, multi-site, placebo-controlled study in participants with mild cognitive impairment (MCI) or early dementia due to Alzheimer's disease (AD). The study is designed to evaluate the safety, tolerability, drug target engagement and neurobiological effects of treatment with AMX0035 over 24 weeks. The study is designed to yield deep phenotyping insight for the purposes of demonstrating the effects of AMX0035 on mechanistic targets of engagement and disease biology. The study will evaluate diverse disease-relevant markers and produce an informative dataset that will allow for evaluation and correlation of imaging-based markers, neurobiological changes, functional measures, and cognitive outcomes. Participants receive orally administered study drug twice daily for a treatment duration of approximately 24 weeks and attend clinic visits at Screening, Baseline, Week 6, Week 12, Week 18, and Week 24.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
95
Clinical Neuroscience Solutions, Inc. - Jacksonville
Jacksonville, Florida, United States
Clinical Neuroscience Solutions, Inc. - Orlando
Orlando, Florida, United States
International Medical Investigational Centers (IMIC)
Palmetto Bay, Florida, United States
Number of Participants With Treatment-Emergent Adverse Event (TEAEs)
Comparison between the AMX0035 Group and Placebo of the number of participants with TEAEs
Time frame: From first dose to 24 weeks
Effect of Treatment on a Global Composite Statistical Test of Cognition, Function, and Neuroanatomy (GST)
Change from Baseline in GST (global statistical test combining three measures relevant to disease trajectory (cognition \[MADCOMS: Mild/Moderate Alzheimer's Disease Composite Score\], function \[FAQ: Functional Activities Questionnaire\], and total hippocampal volume on magnetic resonance imaging)) for AMX0035 relative to placebo. For MADCOMS and FAQ, a higher score indicates a worse outcome. A larger hippocampal volume is better, so it was reversed before being normalized. Each of the three were normalized against respective baseline means and standard deviations. The mean of the three normalized scores is the final GST. A higher GST score indicates a worse outcome. Standard deviations above the mean are worse; standard deviations below the mean are better. The expected value of the GST at baseline is 0 because it is the mean of three z-scores whose expected values at baseline are 0. AD is multifaceted and the GST was designed to be sensitive to changes in multiple dimensions.
Time frame: 24 weeks
Effect of Treatment on Cognition
Impact of AMX0035 on clinical symptoms as measured by Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog). Scoring is in the range of 0 to 90 with a higher score indicating greater cognitive impairment.
Time frame: 24 weeks
Effect of Treatment on Functioning
Impact of AMX0035 on Functional Activities Questionnaire (FAQ) scores. FAQ total score can range from 0 to 30, with higher scores indicating less functional independence.
Time frame: 24 weeks
Effect of Treatment on Dementia Severity
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Rush University Medical Center
Chicago, Illinois, United States
University of Kansas Clinical Research Center
Fairway, Kansas, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Rowan University School of Osteopathic Medicine
Stratford, New Jersey, United States
Mount Sinai Alzheimer's Disease Research Center
New York, New York, United States
Columbia University
New York, New York, United States
Hospital of the University of Pennsylvania, Penn Memory Center
Philadelphia, Pennsylvania, United States
...and 1 more locations
Impact of AMX0035 on Dementia Severity Rating Scale (DSRS) scores. Total score can range from 0 to 54, with higher scores indicating greater severity of dementia.
Time frame: 24 weeks
Effect of Treatment on Cognitive Impairment
Impact of AMX0035 on the Montreal Cognitive Assessment (MoCA) scores. MoCA scores can range from 0 to 30, with lower scores indicating greater cognitive impairment.
Time frame: 24 weeks
Effect of Treatment on Neuropsychiatric Symptoms
Impact of AMX0035 on neuropsychiatric symptoms as assessed by the Neuropsychiatric Inventory (NPI). The total score ranges from 0 to 36, with higher scores indicating a greater severity of symptoms.
Time frame: 24 weeks
Regional Brain Volume
Impact of AMX0035 on levels of hippocampal atrophy, as assessed by volumetric Magnetic Resonance Imaging (vMRI)
Time frame: 24 weeks