E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Treatment of Alzheimer’s disease |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10001896 |
E.1.2 | Term | Alzheimer's disease |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the safety of long term treatment with MPC-7869 |
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E.2.2 | Secondary objectives of the trial | |
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Subjects must meet all of the following inclusion criteria during screening in order to participate in the study: 1. Completed, without protocol violations, a Myriad Pharmaceuticals, Inc MPC-7869 clinical trial for Alzheimer’s Disease. OR Discontinued from the Phase 3 trial, MPC-7869-04-005, solely due to MMSE score ≤19. OR Were scheduled for screening prior to cessation of enrollment for MPC-7869-05- 010 and continues to meet all applicable inclusion/exclusion criteria for MPC- 7869-05-010,
Subjects who were scheduled for screening for the MPC-7869-05-010 study must also meet the following criteria: a. Have had a diagnosis of dementia according to the Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition (text revised) (DSM IV [TR]), as described in Appendix B, and meet the National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer’s Disease and Related Disorders Association (NINCDS-ADRDA) criteria for probable Alzheimer’s disease, as described in Appendix C. b. Have a computed tomography (CT) or magnetic resonance imaging (MRI) within the past 12 months, demonstrating absence of clinically significant focal intracranial pathology. If no scan is available in the previous 12 months, then a CT or MRI scan will be obtained. c. Have a screening MMSE score ≥ 20 and ≤ 26. d. Have a screening Modified Hachinski Ischaemic score < 4. e. Men or women ages ≥ 55 years and living in the community at the time of enrollment (ie, not living in a rest home or nursing care facility). f. Female subjects must be surgically sterile or postmenopausal for > 1 year. 2. Signed the subject Informed Consent Form (ICF) and is willing and able to participate in the study. 3. Chronic aspirin use will be limited to cardioprotective therapy (eg, ≤325 mg aspirin per day) for the duration of the study. 4. Must have a reliable caregiver. |
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E.4 | Principal exclusion criteria |
Subjects with any of the following exclusion criteria may not participate in the study: 1. Current evidence or history in the past 2 years of epilepsy, focal brain lesion, head injury with loss of consciousness and/or immediate confusion after the injuries, or DSM-IV (TR) criteria for any major psychiatric disorder including psychosis, major depression, bipolar disorder, alcohol or substance abuse. 2. History of hypersensitivity to flurbiprofen or other NSAIDs including COX-2 specific inhibitors. 3. Chronic use of NSAIDs at any dose or aspirin >325 mg per day, taken on more than 7 days per month. 4. History of upper GI bleeding requiring surgery and/or transfusion within the past 3 years. 5. Documented evidence of active gastric or duodenal ulcer disease within the past 3 months. 6. History of NSAID associated ulcers. 7. Chronic or acute renal, hepatic or metabolic disorder defined by: 1. Creatinine > 1.5 mg/dL A. For Creatinine greater than 1.5 mg/dL a Creatinine clearance should be within normal limits. 2. AST > 2.5 x Upper Limit of Normal (ULN) 3. ALT > 2.5 x ULN 8. Uncontrolled cardiac conditions (New York Heart Association Class III or IV, as described in Appendix D). 9. Treatment with any CYP2C9 inhibitor within a 2-week period prior to enrollment. The following drugs and herbal preparations are examples of CYP2C9 inhibitors: amiodarone, fluconazole, fluvoxamine, isoniazid, phenylbutazone, probenicid, sulfamethoxazole, sulfaphenazole, trimethoprim, zafirlukast; danshen (Salvia miltiorrhiza); Lycium barbarum. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Safety endpoints include incidence of adverse events (AEs), changes in physical examinations, and clinical laboratory test results. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Information not present in EudraCT |
E.6.2 | Prophylaxis | Information not present in EudraCT |
E.6.3 | Therapy | Information not present in EudraCT |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Information not present in EudraCT |
E.6.6 | Pharmacokinetic | Information not present in EudraCT |
E.6.7 | Pharmacodynamic | Information not present in EudraCT |
E.6.8 | Bioequivalence | Information not present in EudraCT |
E.6.9 | Dose response | Information not present in EudraCT |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Information not present in EudraCT |
E.6.12 | Pharmacoeconomic | Information not present in EudraCT |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Information not present in EudraCT |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Information not present in EudraCT |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | Information not present in EudraCT |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 8 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 57 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |