This is a phase 2B multicenter, randomized, double-blind, placebo-controlled, parallel group dose finding study to evaluate the safety, tolerability and efficacy of PQ912, an inhibitor of the glutaminyl cyclase enzyme, in 250 subjects with mild cognitive impairment and mild dementia due to Alzheimer 's Disease.
In the parallel group dose finding part of the study the first 90 subjects will be randomized 1:1:1 between PQ912 300 mg BID, 600 mg BID, and placebo. When the 90th patient has completed the week 24 treatment visit, the DSMB will decide on the dose of PQ912 to be continued. The decision is based on safety findings only, no efficacy data will be considered. After the DSMB has reached a decision on the dose to be continued, all subjects randomized to receive PQ912 will be reallocated to this dose (1:1). The duration of Subjects participation in the study is either 48, 60, 72, 84 or 96 weeks of treatment (depending on time of randomization). Subjects recruited early into the study will be kept on treatment for 96 weeks or until the regular, scheduled study visit which is closest to the scheduled week 48 visit of the last subject recruited in the study, whichever comes first.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
259
Sanos Clinics
Ganderup, Denmark
Sanos Clinics
Herlev, Denmark
Primary safety: The proportion of participants who experience any Adverse Event (AE), Serious Adverse Event (SAE), Adverse Event of Interest (AE-I)
The safety analysis will include the number of subjects with, and the number of any AE, any SAE (both overall and related), AEs leading to discontinuation of treatment, AEs leading to temporary treatment interruption, treatment compliance, the number of subjects with AEs of interest as defined above, the severity, duration and outcome of AEs
Time frame: 48 weeks
Primary efficacy: within-participant linear change with time of the combinded z-score for cognition compared between active arm and placebo.
The within-participant change over time in cognition measured by the combined z-score of the Detection test, Identification test and the 'One Back' test (attention and working memory domains) of the Neurological Test Battery
Time frame: 48 weeks and EoT (96 weeks at maximum)
Secondary efficacy: The within-participant linear change from baseline to week 48 in quantitative EEG (global relative theta wave power), compared between active and placebo.
Using a quantitative EEG the within-participant change from baseline to week 48 of the global relative theta wave power (4-8 Hz) will serve as a primary efficacy outcome.
Time frame: 48 weeks at minimum or until EoT (96 weeks at maximum)
Secondary efficacy: The within-participant linear change with time in overall cognition as measured by the CogState Brief Battery (CBB) Z-score compared between active arm and placebo
he within-participant linear change with time in overall cognition as measured by the CBB (CogState Detection, Identification, One Card Learning and One Back test) -Z-score
Time frame: 48 weeks and EoT (96 weeks at maximum)
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Sanos Clinics
Vejle, Denmark
Charité - Universitätsmedizin Berlin
Berlin, Germany
Universitätsklinikum Schleswig-Holstein (UKSH), Klinik für Neurologie
Kiel, Germany
Universitätsklinikum Magdeburg / Institut für Kognitive Neurologie und Demenzforschung
Magdeburg, Germany
Institut für Studien zur Psychischen Gesundheit (ISPG)
Mannheim, Germany
Klinikum rechts der Isar der TU München / Klinik für Psychiatrie und Psychotherapie
München, Germany
Universitätsklinikum Münster / Klinik für Allgemeine Neurologie
Münster, Germany
Klinik für Neurologie Universitätsklinikum Ulm
Ulm, Germany
...and 11 more locations