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    Clinical Trial Results:
    A Multicenter, Open-Label, Long-Term Extension Of Phase III Studies (BN29552/BN29553) Of Crenezumab In Patients With Alzheimer’s Disease

    Summary
    EudraCT number
    2017-002702-12
    Trial protocol
    ES   DE   LT   GB   SE   DK   FI   HU   FR   BE   IT  
    Global end of trial date
    31 May 2019

    Results information
    Results version number
    v2(current)
    This version publication date
    29 Jul 2020
    First version publication date
    11 Jun 2020
    Other versions
    v1
    Version creation reason

    Trial information

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    Trial identification
    Sponsor protocol code
    BN40031
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03491150
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    F. Hoffmann-La Roche AG
    Sponsor organisation address
    Grenzacherstrasse 124, Basel, Switzerland, CH4070
    Public contact
    F. Hoffmann-La Roche AG, F. Hoffmann-La Roche AG, +41 616878333, global.trial_information@roche.com
    Scientific contact
    F. Hoffmann-La Roche AG, F. Hoffmann-La Roche AG, +41 616878333, global.trial_information@roche.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    31 May 2019
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    31 May 2019
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    To assess the long-term safety of Crenezumab
    Protection of trial subjects
    All study subjects were required to read and sign an Informed Consent Form.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    11 Apr 2018
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Canada: 12
    Country: Number of subjects enrolled
    Germany: 3
    Country: Number of subjects enrolled
    Australia: 3
    Country: Number of subjects enrolled
    Spain: 15
    Country: Number of subjects enrolled
    Finland: 3
    Country: Number of subjects enrolled
    France: 1
    Country: Number of subjects enrolled
    United Kingdom: 2
    Country: Number of subjects enrolled
    Hong Kong: 1
    Country: Number of subjects enrolled
    Italy: 4
    Country: Number of subjects enrolled
    Korea, Republic of: 5
    Country: Number of subjects enrolled
    Lithuania: 1
    Country: Number of subjects enrolled
    Mexico: 6
    Country: Number of subjects enrolled
    Poland: 1
    Country: Number of subjects enrolled
    Russian Federation: 6
    Country: Number of subjects enrolled
    Turkey: 1
    Country: Number of subjects enrolled
    United States: 85
    Worldwide total number of subjects
    149
    EEA total number of subjects
    30
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    23
    From 65 to 84 years
    118
    85 years and over
    8

    Subject disposition

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    Recruitment
    Recruitment details
    The study was conducted at 66 centers in 16 countries.

    Pre-assignment
    Screening details
    A total of 149 subjects were enrolled at 66 centers. These 149 subjects represented the Safety Analysis population and data for this population is presented here.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Parent Placebo
    Arm description
    Subjects (who were treated with Placebo in the BN29552/BN29553 Studies) received intravenous (IV) infusion of Crenezumab every 4 weeks (Q4W).
    Arm type
    Placebo

    Investigational medicinal product name
    Crenezumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Crenezumab was administered by Intravenous (IV) infusion every 4 weeks (Q4W) at a dose of 60mg/kg.

    Arm title
    Parent Crenezumab
    Arm description
    Subjects (who were treated with Crenezumab in the BN29552/BN29553 Studies) received intravenous (IV) infusion of Crenezumab every 4 weeks (Q4W).
    Arm type
    Experimental

    Investigational medicinal product name
    Crenezumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Crenezumab was administered by Intravenous (IV) infusion every 4 weeks (Q4W) at a dose of 60mg/kg.

    Number of subjects in period 1
    Parent Placebo Parent Crenezumab
    Started
    76
    73
    Completed
    0
    0
    Not completed
    76
    73
         Consent withdrawn by subject
    1
    2
         Adverse event, non-fatal
    1
    -
         Unknown
    -
    1
         Study Terminated by Sponsor
    74
    70

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Parent Placebo
    Reporting group description
    Subjects (who were treated with Placebo in the BN29552/BN29553 Studies) received intravenous (IV) infusion of Crenezumab every 4 weeks (Q4W).

    Reporting group title
    Parent Crenezumab
    Reporting group description
    Subjects (who were treated with Crenezumab in the BN29552/BN29553 Studies) received intravenous (IV) infusion of Crenezumab every 4 weeks (Q4W).

    Reporting group values
    Parent Placebo Parent Crenezumab Total
    Number of subjects
    76 73 149
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    10 13 23
        From 65-84 years
    59 59 118
        85 years and over
    7 1 8
    Age Continuous
    Units: Years
        arithmetic mean (standard deviation)
    73.8 ± 7.6 72.0 ± 7.6 -
    Sex: Female, Male
    Units:
        Female
    37 38 75
        Male
    39 35 74
    Race/Ethnicity, Customized
    Units: Subjects
        Hispanic or Latino
    6 3 9
        Not Hispanic or Latino
    69 69 138
        Not Stated
    1 1 2
    Race/Ethnicity, Customized
    Units: Subjects
        Asian
    4 2 6
        Black or African American
    0 1 1
        Unknown
    0 3 3
        White
    72 67 139

    End points

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    End points reporting groups
    Reporting group title
    Parent Placebo
    Reporting group description
    Subjects (who were treated with Placebo in the BN29552/BN29553 Studies) received intravenous (IV) infusion of Crenezumab every 4 weeks (Q4W).

    Reporting group title
    Parent Crenezumab
    Reporting group description
    Subjects (who were treated with Crenezumab in the BN29552/BN29553 Studies) received intravenous (IV) infusion of Crenezumab every 4 weeks (Q4W).

    Primary: Percentage of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)

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    End point title
    Percentage of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) [1]
    End point description
    An Adverse Event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.
    End point type
    Primary
    End point timeframe
    Baseline up to 16 weeks after the last dose of study drug (up to 54 weeks).
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analyses were performed as this study has only one arm.
    End point values
    Parent Placebo Parent Crenezumab
    Number of subjects analysed
    76
    73
    Units: Percentage of Subjects
    number (not applicable)
        AEs
    32.9
    42.5
        SAEs
    3.9
    5.5
    No statistical analyses for this end point

    Primary: Percentage of Subjects with Anti-Crenezumab Antibodies

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    End point title
    Percentage of Subjects with Anti-Crenezumab Antibodies [2]
    End point description
    Please note that for this Outcome Measure, no Subjects were evaluated at all as the existing immunogenicity data from a parent study (Study BN29552) showed a low potential of Crenezumab to induce Anti-Drug Antibodies (ADAs).
    End point type
    Primary
    End point timeframe
    Baseline up to end of study (up to 54 weeks).
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analyses were performed as this study has only one arm.
    End point values
    Parent Placebo Parent Crenezumab
    Number of subjects analysed
    0 [3]
    0 [4]
    Units: Percentage of Subjects
        number (not applicable)
    Notes
    [3] - ADAs were not collected in this study due to low induction potential of Crenezumab.
    [4] - ADAs were not collected in this study due to low induction potential of Crenezumab.
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Baseline up to 16 weeks after the last dose of study drug (up to 54 weeks).
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    22.0
    Reporting groups
    Reporting group title
    Parent Placebo
    Reporting group description
    Subjects (who were treated with Placebo in the BN29552/BN29553 Studies) received intravenous (IV) infusion of Crenezumab every 4 weeks (Q4W).

    Reporting group title
    Parent Crenezumab
    Reporting group description
    Subjects (who were treated with Crenezumab in the BN29552/BN29553 Studies) received intravenous (IV) infusion of Crenezumab every 4 weeks (Q4W).

    Serious adverse events
    Parent Placebo Parent Crenezumab
    Total subjects affected by serious adverse events
         subjects affected / exposed
    3 / 76 (3.95%)
    4 / 73 (5.48%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    Injury, poisoning and procedural complications
    FALL
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 73 (1.37%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    CEREBROVASCULAR ACCIDENT
         subjects affected / exposed
    1 / 76 (1.32%)
    0 / 73 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Eye disorders
    OPTIC ISCHAEMIC NEUROPATHY
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 73 (1.37%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    INCARCERATED INGUINAL HERNIA
         subjects affected / exposed
    1 / 76 (1.32%)
    0 / 73 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    RECTAL HAEMORRHAGE
         subjects affected / exposed
    1 / 76 (1.32%)
    0 / 73 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    PNEUMONIA
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 73 (1.37%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    UROSEPSIS
         subjects affected / exposed
    0 / 76 (0.00%)
    1 / 73 (1.37%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Parent Placebo Parent Crenezumab
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    4 / 76 (5.26%)
    4 / 73 (5.48%)
    Injury, poisoning and procedural complications
    FALL
         subjects affected / exposed
    4 / 76 (5.26%)
    4 / 73 (5.48%)
         occurrences all number
    5
    4

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    05 Aug 2018
    Following updates were made: [1] Improved alignment with CREAD 1 and 2 parent studies; [2] Language updated for China as China extensions activated in CREAD 1/2 studies; [3] Updating of information to align with latest Investigator's brochure; [4] Updates made to Exploratory Efficacy Objectives; [5] Number of Sites amended; [6] Recruitment period updated based on shortening of recruitment periods for CREAD 1/2 studies; [7] First Dose Window duration amended; [8] Update to Inclusion Criteria; [9] Addition of text to recognize country variability in designation of non-investigational medicinal product/investigational medicinal product status to positron emission tomography (PET) tracers; [10] Modification of physical and neurologic examination assessment; [11] Harmonisation of Vital Signs language and [12] Further updates including to Lab Samples, PD Biomarkers, Safety, Patient withdrawal, order of Clinical Assessments, timing of Brain MRI and Schedule of Activities.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    This study was discontinued due to an interim analysis in the BN29552 study, which indicated that Crenezumab was unlikely to meet its primary endpoint.
    For support, Contact us.
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