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A Study of LY3154207 in Participants With Dementia Due to Lewy Body Dementia (LBD) Associated With Idiopathic Parkinson's Disease (PD) or Dementia With Lewy Bodies (DLB) (PRESENCE)

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ClinicalTrials.gov Identifier: NCT03305809
Recruitment Status : Recruiting
First Posted : October 10, 2017
Last Update Posted : August 19, 2019
Sponsor:
Information provided by (Responsible Party):
Eli Lilly and Company

Brief Summary:
A randomized placebo-controlled trial to evaluate the safety and efficacy of three doses of study drug LY3154207 treated for 12 weeks in participants with mild-to-moderate dementia associated with LBD (PDD or DLB).

Condition or disease Intervention/treatment Phase
Lewy Body Dementia Drug: LY3154207 Drug: Placebo Phase 2

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 340 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: Effect of LY3154207 on Cognition in Mild-to-Moderate Dementia Due to Lewy Body Dementia (LBD) Associated With Idiopathic Parkinson's Disease (PD) or Dementia With Lewy Bodies (DLB)
Actual Study Start Date : November 9, 2017
Estimated Primary Completion Date : June 22, 2020
Estimated Study Completion Date : June 22, 2020


Arm Intervention/treatment
Experimental: LY3154207 High Dose
LY3154207 administered orally.
Drug: LY3154207
Administered orally.

Experimental: LY3154207 Mid Dose
LY3154207 administered orally.
Drug: LY3154207
Administered orally.

Experimental: LY3154207 Low Dose
LY3154207 administered orally.
Drug: LY3154207
Administered orally.

Placebo Comparator: Placebo
Placebo administered orally.
Drug: Placebo
Administered orally.




Primary Outcome Measures :
  1. Change from Baseline in the Continuity of Attention (CoA) Composite Score of the Cognitive Drug Research Computerized Cognition Battery (CDR-CCB) [ Time Frame: Baseline, Week 12 ]
    Change from baseline in the CoA composite score of the CDR-CCB


Secondary Outcome Measures :
  1. Change from Baseline on the Alzheimer's Disease Cooperative Study-Clinician Global Impression of Change (ADCS-CGIC) Score [ Time Frame: Baseline, Week 12 ]
    Change from baseline on the ADCS-CGIC score

  2. Change from Baseline on the CDR-CCB Power of Attention (PoA) Composite Score [ Time Frame: Baseline, Week 12 ]
    Change from baseline on the CDR-CCB PoA composite score

  3. Change from Baseline in the 13-item Alzheimer's Disease Assessment Scale - Cognitive subscale (ADAS-Cog13) [ Time Frame: Baseline, Week 12 ]
    Change from baseline in the 13-item ADAS-Cog13

  4. Change from Screening in the Montreal Cognitive Assessment (MoCA) Score [ Time Frame: Screening, Week 12 ]
    Change from Screening in the MoCA score

  5. Change from Baseline in the Neuropsychiatric Inventory (NPI) Total Score [ Time Frame: Baseline, Week 12 ]
    Change from baseline in the NPI total score

  6. Change from Baseline in the Epworth Sleepiness Scale (ESS) Score [ Time Frame: Baseline, Week 12 ]
    Change from baseline in the ESS score

  7. Change from Baseline in the Movement Disorder Society's Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Total Score [ Time Frame: Baseline, Week 12 ]
    Change from baseline in the MDS-UPDRS total score

  8. Change from Baseline in the Penn Parkinson's Daily Activities Questionnaire-15 (PDAQ-15) Total Score [ Time Frame: Baseline, Week 12 ]
    Change from baseline in the PDAQ-15 total score

  9. Change from Baseline in Delis-Kaplan Executive Function System (D-KEFS) Verbal Fluency Test Score [ Time Frame: Baseline, Week 12 ]
    Change from baseline in D-KEFS verbal fluency test score

  10. Change from Baseline in Systolic Blood Pressure (SBP) to Week 12 [ Time Frame: Baseline, Week 12 ]
    Change from baseline in SBP to week 12

  11. Change from Baseline in SBP to 8 Hours Post Dose [ Time Frame: Baseline, 8 Hours Post Dose ]
    Change from baseline in SBP to 8 hours post dose

  12. Change from Baseline in Pulse Rate to Week 12 [ Time Frame: Baseline, Week 12 ]
    Change from baseline in pulse rate to week 12

  13. Change from Baseline in Pulse Rate to 8 Hours Post Dose [ Time Frame: Baseline, 8 Hours Post Dose ]
    Change from baseline in pulse rate to 8 hours post dose

  14. Change from Week 12 in the Physician Withdrawal Checklist (PWC)-20 Total Score [ Time Frame: Week 12, Follow-up (2 Days after Week 12 Visit) ]
    Change from week 12 in PWC-20 to Follow-up

  15. Pharmacokinetics (PK): Steady-State Trough Plasma Concentrations of LY3154207 [ Time Frame: Week 12 ]
    PK: Steady-State Trough Plasma Concentrations of LY3154207



Information from the National Library of Medicine

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Ages Eligible for Study:   40 Years to 85 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Have dementia as defined by a decline in cognitive function, which in the opinion of the investigator has resulted in functional impairment.
  • Meet diagnostic criteria for PD per MDS criteria or DLB per 4th Consensus Report of the DLB Consortium.
  • Have a score on the MoCA of 10 - 23.
  • Are Modified Hoehn and Yahr Stages 0 - 4.
  • Have a blood pressure (BP) or pulse rate at screening and randomization, as determined by three sequential BP/pulse rate measurements in a seated position:

    • Participants <60 years old:

      1. A mean systolic BP less than or equal to 140 millimeters of mercury (mmHg), a mean diastolic BP less than or equal to 90 mmHg and a mean pulse rate less than or equal 90 beats/minute in a seated position.
      2. Each of the 3 systolic BP measurement must be less than 180 mmHg
    • Participants ≥60 years old:

      1. A mean systolic BP less than or equal to 150 mmHg, a mean diastolic BP less than or equal to 90 mmHg and a mean pulse rate less than or equal to 90 beats/min in a seated position.
      2. Each of the 3 systolic BP measurement must be less than 180 mmHg
  • If on anti-parkinsonian agents, participants must be on stable dosage for at least 3 weeks prior to screening, and should remain on stable doses during the course of the study.
  • If on medications affecting cognition (rivastigmine, galantamine, donepezil, memantine), participants must be on stable dosage for at least 3 weeks prior to screening and should remain at a stable dosage during the course of the study.
  • If on antidepressant medications, participants must be on stable dosage for at least 3 weeks prior to screening and should remain at a stable dosage during the course of the study.
  • If on clozapine, quetiapine, and pimavanserin to address drug induced or disease related psychosis, participants must be on stable dosage for 3 weeks prior to screening and should remain at a stable dosage during the course of the study.
  • If on antihypertensive medications, participants must be on stable dosage for at least 3 weeks prior to screening.
  • Men should use appropriate contraception.
  • All participants must have a reliable caregiver who is in frequent contact with the participant (defined as at least 10 hours per week) and will accompany the participant to screening, baseline, day 7, day 42, day 84 and follow-up.

Exclusion Criteria:

  • Are women of childbearing potential.
  • Have significant central nervous system or psychiatric disease, other than PD or DLB, that in the investigator's opinion may affect cognition or the ability to complete the study.
  • Have a history in the last 6 months of transient ischemic attacks or ischemic stroke.
  • Have a history of intra cerebral hemorrhage due to hypertension.
  • Have a history of hypertensive encephalopathy.
  • Have atypical or secondary parkinsonism due to drugs (e.g., antipsychotics) or disease (such as progressive supranuclear palsy, essential tremor, multiple system atrophy (e.g. striatonigral degeneration, olivopontocerebellar atrophy), or postencephalitic parkinsonism).
  • Have a current implantable intracranial stimulator or history of intracranial ablation surgery (e.g., subthalamic, globus pallidus-internal segment [GPi]).
  • Have a history of substance abuse within the past 1 year (drug categories defined by the Diagnostic and Statistical Manual of Mental Disorder, 5th Edition [DSM-5], and/or substance dependence within the past 1 year, not including caffeine and nicotine.
  • Have a serious or unstable medical illness, other than idiopathic LBD (PDD or DLB), including cardiovascular, hepatic, respiratory, hematologic, endocrinologic, neurologic, or renal disease, or clinically significant laboratory or electrocardiogram (ECG) abnormality as determined by the investigator.

    • Have a history in the last 6 months of exertional angina, unstable angina, myocardial infarction, and acute coronary syndrome.
    • Have a history of heart failure of either New York Heart Association Class III or IV.
    • A history of additional risk factors for Torsades de Pointes (TdP; [e.g., chronic hypokalemia, family history of Long QT Syndrome]).
  • Participants with acute liver disease (e.g. acute viral hepatitis, alcoholic hepatitis); participants with a known chronic liver disease (e.g. hepatitis B, C, alcoholic liver disease, cirrhosis); alanine aminotransferase (ALT) or aspartate aminotransferase (AST) equal to or higher than 2X upper limit of normal (ULN); total bilirubin (TBL) equal to or higher than 1.5X ULN; (except for participants with Gilbert's syndrome); or alkaline phosphatase (ALP) equal to or higher than 2X ULN.
  • Participants have answered 'yes' to either Question 4 (Active Suicidal Ideation with Some Intent to Act, Without Specific Plan) or Question 5 (Active Suicidal Ideation with Specific Plan and Intent) on the "Suicidal Ideation" portion of the Columbia Suicide Severity Rating Scale (C-SSRS)- Children's version, or answer "yes" to any of the suicide-related behaviors (actual attempt, interrupted attempt, aborted attempt).
  • Have used antipsychotic medications, with the exception of clozapine, quetiapine, pimavanserin in the 6 months prior to screening and at any time during the course of the study.
  • Have used anticholinergics trihexyphenidyl and benztropine in the 4 weeks prior to screening and at any time during the course of the study.
  • Have motor conditions for which the antiparkinsonian treatment is expected to change during the course of the study, as well as unpredictable motor fluctuations that in the investigator's opinion would interfere with administering assessments.
  • Are taking any medications or food, herbal or dietary supplements that are inhibitors (e.g., ketoconazole, grapefruit juice), or strong/moderate inducers of cytochrome P450 3A4 (CYP3A4) (e.g., rifampicin) or are unable or unwilling to discontinue usage of them 4 weeks prior to first dose of study drug.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03305809


Contacts
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Contact: There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Clinicaltrials.gov@lilly.com

  Show 78 Study Locations
Sponsors and Collaborators
Eli Lilly and Company
Investigators
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Study Director: Call 1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) Eli Lilly and Company

Additional Information:
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Responsible Party: Eli Lilly and Company
ClinicalTrials.gov Identifier: NCT03305809     History of Changes
Other Study ID Numbers: 16261
I7S-MC-HBEH ( Other Identifier: Eli Lilly and Company )
First Posted: October 10, 2017    Key Record Dates
Last Update Posted: August 19, 2019
Last Verified: August 1, 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description:

Lilly provides access to the individual patient data from studies on approved medicines and indications as defined by the sponsor specific information on ClinicalStudyDataRequest.com.

This access is provided in a timely fashion after the primary publication is accepted. Researchers need to have an approved research proposal submitted through ClinicalStudyDataRequest.com. Access to the data will be provided in a secure data sharing environment after signing a data sharing agreement.


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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Eli Lilly and Company:
Parkinson Disease Dementia
Parkinson Disease
Dopamine
Cognition
Lewy Body Dementia
Dementia with Lewy Bodies

Additional relevant MeSH terms:
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Parkinson Disease
Alzheimer Disease
Lewy Body Disease
Parkinsonian Disorders
Basal Ganglia Diseases
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Movement Disorders
Neurodegenerative Diseases
Neurocognitive Disorders
Mental Disorders
Dementia
Tauopathies