Phase 3 IGIV, 10% in Alzheimer´s Disease
This study has been terminated.
(The study was terminated because the first Phase 3 did not demonstrate efficacy on the co-primary endpoints. The known safety profile remained unchanged.)
Sponsor:
Baxter Healthcare Corporation
Information provided by (Responsible Party):
Baxter Healthcare Corporation
ClinicalTrials.gov Identifier:
NCT01524887
First received: January 20, 2012
Last updated: May 19, 2013
Last verified: May 2013
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Purpose
The purpose of this study is to provide evidence of efficacy and safety to support the development of IGIV, 10% as a treatment option for patients with mild to moderate Alzheimer´s Disease.
| Condition | Intervention | Phase |
|---|---|---|
|
Alzheimer´s Disease |
Biological: Immune Globulin Intravenous (Human), 10% Solution Biological: Human albumin 0.25% |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | A Phase 3 Randomized, Double-blind, Placebo-Controlled Study of the Safety and Effectiveness of Immune Globulin Intravenous (Human), 10% Solution (IGIV, 10%) for the Treatment of Mild to Moderate Alzheimer's Disease |
Resource links provided by NLM:
Genetics Home Reference related topics:
Alzheimer disease
MedlinePlus related topics:
Alzheimer's Disease
Drug Information available for:
Albumins, human
U.S. FDA Resources
Further study details as provided by Baxter Healthcare Corporation:
Primary Outcome Measures:
- Cognitive subscale of the Alzheimer´s Disease Assessment Scale (ADAS-Cog) [ Time Frame: Baseline, 3 Months, 6 Months, 9 Months, 12 Months, 15 Months, and 18 Months ] [ Designated as safety issue: No ]
- Alzheimer´s Disease Cooperative Study (ADCS)-Activities of Daily Living (ADL) inventory [ Time Frame: Baseline, 3 Months, 6 Months, 9 Months, 12 Months, 15 Months, and 18 Months ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- ADCS-Clinical Global Impression of Change (CGIC) [ Time Frame: Baseline, 3 Months, 6 Months, 9 Months, 12 Months, 15 Months, and 18 Months ] [ Designated as safety issue: No ]
- Neuropsychiatric Inventory (NPI) [ Time Frame: Baseline, 3 Months, 6 Months, 9 Months, 12 Months, 15 Months, and 18 Months ] [ Designated as safety issue: No ]
- Change in volumetric magnetic resonance imaging (MRI) parameters [ Time Frame: Baseline and 18 months ] [ Designated as safety issue: No ]
- Logsdon Quality of Life in Alzheimer's Disease (QOL-AD) [ Time Frame: Baseline, 6 Months, 9 Months, 12 Months, and 18 Months ] [ Designated as safety issue: No ]
- Impact of Alzheimer's Disease on Caregiver Questionnaire (IADCQ) [ Time Frame: Baseline, 6 Months, 9 Months, 12 Months, and 18 Months ] [ Designated as safety issue: No ]
- Number (percentage) of participants experiencing related adverse events (AEs) and/or serious adverse events (SAEs) [ Time Frame: Throughout the study period, 18 Months ] [ Designated as safety issue: Yes ]
- Number (percentage) of participants experiencing any AEs and/or SAEs [ Time Frame: Throughout the study period, 18 Months ] [ Designated as safety issue: Yes ]
- Number (percentage) of infusions temporally associated with AEs and/or SAEs [ Time Frame: During or within 72 hours of completion of an infusion ] [ Designated as safety issue: Yes ]
- Number (percentage) of infusions associated with AEs and/or SAEs occurring during or within 7 days of completion of an infusion [ Time Frame: During or within 7 days of completion of an infusion ] [ Designated as safety issue: Yes ]
- Number (percentage) of infusions causally associated with AEs and/or SAEs [ Time Frame: Throughout the study period, 18 Months ] [ Designated as safety issue: Yes ]
- Number and proportion of infusions discontinued, slowed, or interrupted due to an AE [ Time Frame: Throughout infusions, approximately 2-5 hours ] [ Designated as safety issue: Yes ]
| Enrollment: | 530 |
| Study Start Date: | January 2012 |
| Estimated Study Completion Date: | March 2015 |
| Estimated Primary Completion Date: | March 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: IGIV, 10% at Dose A (high dose) |
Biological: Immune Globulin Intravenous (Human), 10% Solution
Intravenous infusion every 2 weeks over 18 months
Other Name: IGIV, 10%
|
| Experimental: IGIV, 10% at Dose B (low dose) |
Biological: Immune Globulin Intravenous (Human), 10% Solution
Intravenous infusion every 2 weeks over 18 months
Other Name: IGIV, 10%
|
| Placebo Comparator: Placebo control |
Biological: Human albumin 0.25%
Intravenous infusion every 2 weeks over 18 months
|
Eligibility| Ages Eligible for Study: | 50 Years to 89 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Main Inclusion Criteria:
- Written informed consent - subject (or the subject's legally acceptable representative) and caregiver who are willing and able to participate for the duration of the study
- Diagnosis of probable Alzheimer´s Disease (AD)
- Dementia of mild to moderate severity defined as Mini-Mental State Examination (MMSE) 16-26 inclusive at screening
- Neuroimaging performed after symptom onset consistent with AD diagnosis
- On stable doses of AD medication(s) for at least 12 weeks prior to screening. These medications must be continued throughout this study.
- If receiving psychoactive medications (e.g., antidepressants other than monoamine oxidase inhibitors [MAOIs] and most tricyclics, antipsychotics, anxiolytics, anticonvulsants, mood stabilizers, etc.), must be on stable doses for at least 6 weeks prior to screening
Main Exclusion Criteria:
- Possible AD or non-AD dementia
- Current residence in a skilled nursing facility
- Contraindication to undergoing MRI (eg pacemaker, severe claustrophobia, ferromagnetic implants such as a metal plate)
- Clinically significant cardiovascular problems (e.g. uncontrolled blood pressure, heart disease, clotting disorders, strokes, atrial fibrillation, unstable angina (angina at rest) or recent heart attack)
- Clinically significant congestive heart failure (e.g. New York Heart Association [NYHA] Class III/IV symptoms or untreated Class II)
- History of thrombosis and/or thromboembolic disease (central or peripheral) within the 12 months prior to screening
- Specific findings on brain MRI (microhemorrhages, superficial siderosis, a macrohemorrhage, major stroke, or multiple lacunae)
- Active malignancy or history of malignancy within 5 years prior to screening with the exception of the following: adequately treated basal cell or squamous cell carcinoma of the skin, carcinoma in situ of the cervix, and stable prostate cancer not requiring treatment
- Active autoimmune or neuro-immunologic disorder
- Uncontrolled major depression, psychosis, or other major psychiatric disorder(s)
- Poorly controlled diabetes
- Serious problems with liver or kidneys
- Known history of hypersensitivity following infusions of human blood or blood components (e.g. human immunoglobulins or human albumin)
- Current or recent treatment with immunoglobulin and/or immunomodulatory therapies
- Recent use of investigational drugs or biologics, including those aimed at altering AD progression
- Active immunization for the treatment of AD at any time
There are reasons why it might not be appropriate to participate in this trial.
Please contact Medical Information at medinfo@baxter.com for details.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01524887
Show 70 Study Locations
Show 70 Study LocationsSponsors and Collaborators
Baxter Healthcare Corporation
Investigators
| Study Director: | Kathy Tobias, MD | Baxter Healthcare Corporation |
More Information
No publications provided
| Responsible Party: | Baxter Healthcare Corporation |
| ClinicalTrials.gov Identifier: | NCT01524887 History of Changes |
| Other Study ID Numbers: | 161003, 2011-000914-21 |
| Study First Received: | January 20, 2012 |
| Last Updated: | May 19, 2013 |
| Health Authority: | United States: Food and Drug Administration Canada: Health Canada Belgium: Federal Agency for Medicinal Products and Health Products United Kingdom: Medicines and Healthcare Products Regulatory Agency Spain: Spanish Agency of Medicines Germany: Paul-Ehrlich-Institut Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products Australia: Department of Health and Ageing Therapeutic Goods Administration Japan: Pharmaceuticals and Medical Devices Agency |
Additional relevant MeSH terms:
|
Alzheimer Disease Dementia Brain Diseases Central Nervous System Diseases Nervous System Diseases Tauopathies Neurodegenerative Diseases Delirium, Dementia, Amnestic, Cognitive Disorders |
Mental Disorders Antibodies Immunoglobulins Immunoglobulins, Intravenous Rho(D) Immune Globulin Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 17, 2013