This is an open-label, pilot study designed to explore whether daratumumab may have a clinically meaningful effect in patients with mild to moderate Alzheimer's disease.
Daratumumab is a human antibody that targets CD38. It is FDA-approved for the treatment of multiple myeloma, has broad-ranging immunomodulatory effects on nonplasma cells that express CD38, and is able to cross the blood-brain barrier. CD38 expression on CD8+ T-cells is significantly increased in the blood of early AD patients as compared with age-matched controls, and activated T-cells are capable of trafficking into the central nervous system and exerting toxic effects. This study is designed to explore whether treatment with Daratumumab may have a clinically meaningful effect on patients with mild to moderate Alzheimer's disease.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
16
Daratumumab SC 1800 mg (daratumumab 1800 mg with rHuPH20 30,000 units) subcutaneous infusion
The Litwin-Zucker Research Center
Manhasset, New York, United States
Number of Participants With an Improvement of ≥ 4 Points on the ADAS-cog/11
The standard 11-item version of the Alzheimer's Disease Assessment Scale, cognitive subscale score (ADAS-cog/11) includes both subject-completed tests and observer-based assessments. Specific tasks include Word Recall, Naming Objects and Fingers, Commands, Constructional Praxis, Ideational Praxis, Orientation, Word Recognition, and Language. The score ranges from 0 to 70 with each point representing a performance error and higher scores reflecting worse performance. An improvement (decrease) of ≥ 4 points in ADAS-cog/11 score has been deemed to be clinically meaningful.
Time frame: 25 weeks
The Number of Subjects Who Are Unchanged or Improved From Baseline on ADAS-cog/12 Score
The 12-item version of the Alzheimer's Disease Assessment Scale, cognitive subscale (ADAS-Cog/12) adds a delayed word recall task, scored from 0 to 10. The ADAS-Cog/12 score is the total of the ADAS-Cog/11 plus the delayed recall score, and therefore has a range of 0 to 80. Higher scores reflect worse performance.
Time frame: 25 weeks
The Number of Subjects Who Are Unchanged or Improved From Baseline on the MMSE
The Mini-Mental State Examination (MMSE) is a 30-point scale that measures orientation to time and place, registration, immediate and delayed recall, attention, language, and drawing. Scores range from 0 (most impaired) to 30 (no impairment).
Time frame: 25 weeks
The Number of Subjects Who Are Unchanged or Improved From Baseline on the CDR-SB
The Clinical Dementia Rating Scale Sum of Boxes (CDR-SB) is a clinical global rating scale requiring the interviewing of both the subject and a study partner who knows and has contact with the subject. The CDR-SB is a clinician-directed assessment of both cognition and function, and is intended to capture the state and therefore the disease stage of the individual. The range of scores is from 0-18, with higher scores being worse.
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Time frame: 25 weeks
The Number of Subjects Who Are Unchanged or Improved From Baseline on the ADCOMS
The AD Composite Score (ADCOMS) is derived from a weighted combination of selected items from the ADAS-cog/12, MMSE, and CDR-SB. The range of the ADCOMS is between 0 and 1.97. A higher score is indicative of greater impairment.
Time frame: 25 weeks
Treatment Emergent Adverse Effects
The proportion of subjects with treatment-emergent adverse effects from initial treatment through final follow-up study visit.
Time frame: 35 weeks
Treatment Emergent Serious Adverse Effects
The proportion of subjects with treatment-emergent serious adverse effects from initial treatment through final follow-up study visit.
Time frame: 35 weeks