E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Early Alzheimer's Disease (mild cognitive impairment due to AD (ie, prodromal AD) and mild dementia of the Alzheimer's type) |
Alzheimer in fase precoce di malattia (lieve deterioramento cognitivo dovuto all’AD [ossia, fase prodromica dell’AD] e demenza lieve dovuta all’Alzheimer)
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E.1.1.1 | Medical condition in easily understood language |
Early Alzheimer's Disease |
Alzheimer in fase precoce di malattia |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10012271 |
E.1.2 | Term | Dementia Alzheimer's type |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
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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 disease modification as outlined in Liu-Seifert (2015). This will be accomplished by testing the three delayed-start hypotheses in both doses of LY3314814 across Study AZES and up to Week 26 (Visit 7) of Study AZFD.
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Valutare la modifica della malattia come indicato in Liu-Seifert (2015). La valutazione sarà effettuata testando le tre ipotesi di inizio ritardato per entrambe le dosi di LY3314814 nello studio AZES e fino alla settimana 26 (visita 7) dello studio AZFD |
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E.2.2 | Secondary objectives of the trial |
1. To evaluate the disease modification of both doses of LY3314814 on functional and cognitive outcomes across Study AZES and up to Week 26 (Visit 7) of Study AZFD using the primary analysis methodology. 2. The delayed start analyses as outlined above will also be examined through Week 104 (Visit 15) for cognitive and functional outcomes. 3. Collect information in order to further characterize the safety and tolerability of LY3314814 in patients with early AD dementia (at the time of entry into Study AZES) |
1. Valutare la modifica della malattia con entrambe le dosi di LY3314814 in termini di outcome funzionali e cognitivi nello studio AZES e fino alla settimana 26 (visita 7) dello studio AZFD utilizzando la metodologia dell’analisi primaria. 2. L'analisi dell’inizio ritardato, come descritta sopra, sarà inoltre effettuata durante la settimana 104 (visita 15) in termini di outcome cognitivi e funzionali. 3. Raccogliere informazioni al fine di caratterizzare ulteriormente la sicurezza e la tollerabilità di LY3314814 nei pazienti con demenza dovuta ad AD in fase precoce (al momento dell’ingresso nello studio AZES) |
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
Pharmacogenetics Version: 3.1; 1.1 Date: 12/07/2017 Title: -Protocol Addendum I8D-MC-AZFD(3) Genetics v 16 Nov 2016 - Protocol Addendum I8D-MC-AZFD(1.1) - FDG PET Imaging biomarker, v 12-Jul-2017 - Protocol Addendum I8D-MC-AZFD (2.1) - Flortaucipir F 18 (18F-AV- 1451) Tau PET Imaging Biomarker, v 12-Jul-2017. Objectives: - being conducted to collect and store whole blood deoxyribonucleic acid (DNA) and ribonucleic acid (RNA) samples for future investigation of variable response to LY3314814 and genetic variants thought to play a role in Alzheimer's disease (AD) and neurodegeneration. - The objectives are to evaluate the effect of LY3314814 on brain metabolic rates using FDG PET and to evaluate change from baseline (in Study AZES) in brain metabolism as measured by FDG PET. - The objective is to evaluate change from baseline (in Study AZES) in tau as measured by flortaucipir F 18 PET.
Other types of substudies Specify title, date and version of each substudy with relative objectives: - To evaluate the effect of LY3314814 on brain amyloid burden using positron emission tomography (PET) in the longitudinal PET sub-study (included in the main protocol). - Protocol Addendum I8D-MC-AZFD(1) - FDG PET Imaging biomarker, v 16 Nov 2016. The objectives are to evaluate the effect of LY3314814 on brain metabolic rates using FDG PET and to evaluate change from baseline (in Study AZES) in brain metabolism as measured by FDG PET. - Protocol Addendum I8D-MC-AZFD (2) - Flortaucipir F 18 (18F-AV-1451) Tau PET Imaging Biomarker, v 16 Nov 2016. The objective is to evaluate change from baseline (in Study AZES) in tau as measured by flortaucipir F 18 PET. -Protocol Addendum I8D-MC-AZFD(3) Genetics v 16 Nov 2016: being conducted to collect and store whole blood deoxyribonucleic acid (DNA) and ribonucleic acid (RNA) samples for future investigation of variable response to LY3314814 and genetic variants thought to play a role in Alzheimer's disease (AD) and neurodegeneration.
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Farmacogenetica Versione: 3.1; 1.1 Data: 12/07/2017 Titolo: - Addendum al protocollo I8D-MC-AZFD (3.1) Genetica v 12 Jul 2017 - Protocol Addendum I8D-MC-AZFD(1.1) - FDG PET Imaging biomarker, v 12-Jul-2017 - Protocol Addendum I8D-MC-AZFD (2.1) - Flortaucipir F 18 (18F-AV- 1451) Tau PET Imaging Biomarker, v 12-Jul-2017 (Non applicabile per Italia) Obiettivi: - condotto per prelevare e conservare campioni di acido desossiribonucleico (DNA) e acido ribonucleico (RNA) da sangue intero per future ricerche sulla risposta variabile a LY3314814 e sulle varianti genetiche che si ritiene abbiano un ruolo nella malattia di Alzheimer (AD) e nella neurodegenerazione. - Valutare l'effetto di LY3314814 sul metabolismo cerebrale come misurato da FDG PET - Valutare le modifiche di Tau dal baseline (Studio AZES) misurata tramite flortaucipir F 18 PET (Non applicabile per Italia)
Altre tipologie di sottostudi specificare il titolo, la data e la versione di ogni sottostudio con i relativi obiettivi: - Valutare gli effetti di LY3314814 sull’accumulo di amiloide a livello cerebrale mediante tomografia a emissione di positroni (PET) nel sottostudio longitudinale sulla PET (incluso nel protocollo principale). – Addendum al protocollo I8D-MC-AZFD (1) - Biomarcatore imaging per FDG-PET, v 16 Nov 2016. Gli obiettivi sono valutare gli effetti di LY3314814 sui tassi metabolici cerebrali utilizzando la FDG-PET e valutare la variazione rispetto al basale (nello studio AZES) del metabolismo cerebrale misurato tramite FDG-PET. – Addendum al protocollo I8D-MC-AZFD (2) - Biomarcatore imaging per PET flortaucipir F 18 (18F-AV-1451) specifico per tau, v 16 Nov 2016. L’obiettivo è valutare la variazione rispetto al basale (nello studio AZES) della tau, misurata tramite PET con flortaucipir F 18. - Addendum al protocollo I8D-MC-AZFD (3) Genetica v 16 Nov 2016: condotto per prelevare e conservare campioni di acido desossiribonucleico (DNA) e acido ribonucleico (RNA) da sangue intero per future ricerche sulla risposta variabile a LY3314814 e sulle varianti genetiche che si ritiene abbiano un ruolo nella malattia di Alzheimer (AD) e nella neurodegenerazione.
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E.3 | Principal inclusion criteria |
Participants previously enrolled in AMARANTH (NCT02245737) who meet eligibility criteria for delayed start I8D-MC-AZFD |
Partecipanti precedentemente arruolati nello studio AMARANTH (NCT02245737) che soddisfano i criteri di eleggibilità per lo studio I8D-MC-AZFD a inizio ritardato |
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E.4 | Principal exclusion criteria |
Participants who participate in AMARANTH (NCT02245737) who develop new conditions precluding them from enrolling into I8D-MC-AZFD. |
Partecipanti allo studio AMARANTH (NCT02245737) che sviluppano nuove condizioni che ne precludono l’arruolamento nello studio I8D-MC-AZFD. |
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E.5 End points |
E.5.1 | Primary end point(s) |
1. Delayed start analysis on the ADAS-Cog13 |
1. Analisi di inizio ritardato su ADAS-Cog13 |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1. Visit 5, 7 and at early discontinuation |
1. Visite 5, 7 e interruzione anticipate |
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E.5.2 | Secondary end point(s) |
1. Delayed start analysis on the ADCS-iADL 2. Delayed start analysis on the FAQ 3. Delayed start analysis on the iADRS 4. Delayed start analysis on the MMSE 5. Delayed start analysis on the ADAS-Cog13 Standard safety assessments: 6. Spontaneously reported AEs 7. Clinical laboratory tests 8. Vital signs 9. Body weight 10. 12-lead ECGs 11. Physical examinations including neurological examinations • Additional safety assessments: 12. Eye examinations 13. Skin examinations 14. Serial MRI 15. Columbia-Suicide Severity Rating Scale (C-SSRS) |
1. Analisi di inizio ritardato su ADAS-iADL 2. Analisi di inizio ritardato su FAQ 3. Analisi di inizio ritardato su iADRS 4. Analisi di inizio ritardato su MMSE 5. Analisi di inizio ritardato su ADAS-Cog13 Valutazioni standard di sicurezza: 6. EA riferiti spontaneamente 7. Test clinici di laboratorio 8. Segni vitali 9. Peso corporeo 10. ECG a 12 derivazioni 11. Esami obiettivi, incluse valutazioni neurologiche • Ulteriori valutazioni di sicurezza: 12. Esami oculistici 13. Esami della cute 14. Immagini RM seriate 15. Scala Columbia-Suicide Severity Rating (C-SSRS) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. V. 7, 11, 13, 15 & early discontinuation 2. V. 7, 11, 13, 15 & early discontinuation 3. V. 7, 11, 13, 15 & early discontinuation 4. V. 5, 7, 11, 13, 15 & early discontinuation 5. V. 5, 7, 11, 13, 15 & early discontinuation 6, As observed 7. V. 3, 4, 5, 7, 9, 11,12, 13, 14, 15 & early discontinuation 8. V2, 3, 4, 5, 6, 7, 9, 10, 11,12, 13, 14, 15 & early discontinuation 9 V. 5, 7, 11, 15 & early discontinuation 10. V. 2, 3, 5, 7, 9, 11, 13, 15 & early discontinuation 11. V. 3, 5, 7, 9, 11, 12, 13, 14, 15 & early discontinuation 12. V. 11, 15 & early discontinuation 13. V. 5, 11, 15 & early discontinuation 14. V. 11, 15 & early discontinuation 15. V. 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15 & early discontinuation and follow-up |
1. Visite 7, 11, 13, 15 e interruzione anticipata 2. Visite 7, 11, 13, 15 e interruzione anticipata 3. Visite 7, 11, 13, 15 e interruzione anticipata 4. Visite 5, 7, 11, 13, 15 e interruzione anticipata 5. Visite 5, 7, 11, 13, 15 e interruzione anticipata 6. Secondo osservazione 7. Visite 3, 4, 5, 7, 9, 11,12, 13, 14, 15 e interruzione anticipata 8. Visite 2, 3, 4, 5, 6, 7, 9, 10, 11,12, 13, 14, 15 e interruzione anticipata 9. Visite 5, 7, 11, 15 e interruzione anticipata 10. Visite 2, 3, 5, 7, 9, 11, 13, 15 e interruzione anticipata 11. Visite 3, 5, 7, 9, 11, 12, 13, 14, 15 e interruzione anticipata 12. Visite 11, 15 e interruzione anticipata 13. Visite 5, 11, 15 e interruzione anticipata 14. Visite 11,15 e interruzione anticipata 15. Visite 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
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 | Yes |
E.8.2.3.1 | Comparator description |
LY3314814 either 20 mg or 50 mg |
LY3314814 either 20 mg or 50 mg |
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E.8.2.4 | Number of treatment arms in the trial | 4 |
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 | 14 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 113 |
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 |
Australia |
Canada |
Japan |
Korea, Republic of |
United States |
Belgium |
France |
Germany |
Hungary |
Italy |
Poland |
Romania |
Spain |
United Kingdom |
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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 | 4 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 4 |
E.8.9.2 | In all countries concerned by the trial days | 0 |