Title

Testing the Safety and Preliminary Efficacy of the New Drug ORY-2001 in Mild to Moderate Alzheimer's Disease
A Multicentre,Randomised, Double-blind, Placebo-controlled, 3-arm, 24-week Parallel-group Study to Evaluate the Safety, Tolerability and Preliminary Efficacy of ORY-2001 in Patients With Mild-moderate Alzheimer's Disease
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Status

    Completed No Results Posted
  • Study Participants

    24
This is a Phase IIa study assessing the safety, tolerability and preliminary efficacy of ORY-2001 in mild to moderate Alzheimer's Disease patients.
This phase IIa study is a double-blind, randomized, parallel-group and multicenter study with a placebo-controlled 24-week treatment period followed by a no placebo-controlled 24-week extension period.

It is planned to randomise 25 patients. In the double-blind placebo-controlled treatment period, all patients will be randomized between two doses of ORY-2001 and placebo. In the double-blind no placebo-controlled extension period, patients in the placebo arm will be re-allocated in one of the two different dose levels of ORY-2001. Randomization will be stratified by cognitive impairment severity.

An independent Data Monitoring Committee (DMC) will review un-blinded safety data throughout the study.
Study Started
May 16
2019
Primary Completion
Nov 12
2020
Study Completion
Nov 12
2020
Last Update
Mar 05
2021

Drug ORY-2001 Low dose

0.6mg ORY-2001 capsule

Drug ORY-2001 High dose

1.2mg ORY-2001 capsule

Drug Placebo

Placebo capsule

ORY-2001 Low dose Active Comparator

0.6mg ORY-2001 capsule

ORY-2001 High dose Active Comparator

1.2mg ORY-2001 capsule

Placebo Placebo Comparator

Placebo capsule

Criteria

Inclusion Criteria:

Probable Alzheimer's Disease (AD) diagnosed according to National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) criteria
MMSE score at Screening and Baseline Visits of at least 16 and not greater than 26
Evidence of the AD pathophysiological process indicated by decreased levels of amyloid antigen binding (AB) and increased levels of total Tau protein or phospho-Tau protein in cerebrospinal fluid (CSF)
Outpatient consulting a general practitioner, or a psychiatrist/neurologist/geriatrician
Knowledgeable and reliable close relative/caregiver who will accompany the patient to all clinic visits during the study
Daily treatment with the same acetylcholinesterase inhibitor on a stable dose
Fertile male and female must use highly effective contraception, from the Screening Visit until 90 days after last dose.
Signed informed consent by patient (or legal representative, if applicable) and a close relative/caregiver prior to the initiation of any study specific procedure

Exclusion Criteria:

Failure to perform screening or baseline examinations
Hospitalization or change of concomitant medication 1 month prior to Screening visit or during Screening Period

Clinical, laboratory or neuroimaging findings consistent with:

Other primary degenerative dementia;
Other neurodegenerative condition;
Cerebrovascular disease;
Other central nervous system diseases;
A current Diagnostic and Statistical Manual-5 (DSM-5) diagnosis of major depression, schizophrenia or bipolar disorder
Positive results for tuberculosis, human immunodeficiency virus (HIV), hepatitis C or hepatitis B (hepatitis B surface antigen [HbsAg]) serology at the Screening Visit
Clinically significant, advanced or unstable disease that may interfere with evaluation.
Disability that may prevent the patients from completing all study requirements.
Chronic drug intake of forbidden concomitant medication.
Treatment with anti-amyloid beta or anti-Tau protein monoclonal antibodies or other disease modifying strategies within three months or five half-lives, whichever is longer, prior to the Screening Visit
Treatment with an active vaccine targeting amyloid beta or Tau protein
Suspected or known drug or alcohol abuse
Metallic implants or any other cause precluding the performance of brain MRI
Enrolment in another investigational study or intake of investigational drug within the previous 3 months since the last dose
Suicide attempt within the last year or significant risk of suicide (in the opinion of the investigator, defined as a "yes" to suicidal ideation questions 4 or 5, or answering "yes" to suicidal behavior on the Columbia-Suicide Severity Rating Scale within the past 12 months)
Any condition that in the opinion of the investigator makes the patient unsuitable for inclusion in the study
No Results Posted