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First in Human Study for Safety and Tolerability of AL003.

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT03822208
Recruitment Status : Completed
First Posted : January 30, 2019
Last Update Posted : September 17, 2021
Information provided by (Responsible Party):
Alector Inc.

Brief Summary:
This is a multi-center, randomized, double-blind, placebo-controlled, dose escalation first in human (FIH) study in healthy adults and in patients with mild to moderate Alzheimer's disease. The study is designed to systematically assess the safety (including immunogenicity) and tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of AL003.

Condition or disease Intervention/treatment Phase
Healthy Alzheimer Disease Biological: AL003 Other: Saline Solution Phase 1

Detailed Description:

The study will be conducted in 2 phases:

In the single ascending dose (SAD) phase, up to approximately 42 healthy adult participants will be sequentially enrolled into up to approximately 7 cohorts. In the multiple-dose (MD) phase, approximately 12 patients with mild to moderate Alzheimer's disease will be enrolled in one cohort.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 54 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Treatment
Official Title: A Phase I Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of Single and Multiple Doses of AL003 in Healthy Participants and in Participants With Mild to Moderate Alzheimer's Disease.
Actual Study Start Date : March 29, 2019
Actual Primary Completion Date : May 6, 2021
Actual Study Completion Date : May 6, 2021

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Active Comparator: AL003 by intravenous (IV) infusion
Single-doses of AL003 in dose-escalating cohorts Multiple doses of AL003 in single cohort
Biological: AL003

Single-doses of AL003 in dose-escalating cohorts

Multiple doses of AL003 in a single cohort

Placebo Comparator: Placebo by intravenous (IV) infusion
Matching saline solution will be administered for placebo subjects
Other: Saline Solution
Saline Solution will be administered as a single infusion for each dose escalation cohort in a ratio of 6 active and 2 placebo and as multiple infusions in the single cohort in a ratio of 10 active and 2 placebo

Primary Outcome Measures :
  1. Evaluation of safety and tolerability of AL003 measured by number of subjects with adverse events and dose limiting adverse events (DLAE) [ Time Frame: 141 days ]
    Incidence of adverse events during the treatment and follow up periods through out the study.

Secondary Outcome Measures :
  1. Pharmacokinetics (PK) of AL003 [ Time Frame: 85 days ]
    Serum and CSF concentration of AL003 at specific time points

  2. Maximum concentration (Cmax) for AL003 [ Time Frame: 85 days ]
    Evaluate Cmax for serum and CSF concentration of AL003 at specified time points

  3. Area under the curve concentration (AUC) for AL003 [ Time Frame: 85 days ]
    Evaluate AUC for serum and CSF concentration of AL003 at specified time points

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 85 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  1. Total body weight between 50 and 120 kg, inclusive
  2. Clinical laboratory evaluations (including chemistry panel fasted [at least 8 hours], complete blood count (CBC), and urine analysis) within the reference range for the test laboratory, unless deemed not clinically significant by the Investigator. A count of the segmented neutrophils and bands should be performed when results from the white blood cells (WBCs) are not within the reference range.
  3. Negative test for selected drugs of abuse at screening (dose not include alcohol) and at admission (does include alcohol breath test). A positive result may be verified by re-testing (up to one false positive result permitted) and may be followed up at the discretion of the Investigator.
  4. Females must be non-pregnant and non-lactating, and either surgically sterile, using double barrier method or abstinence.
  5. In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead electrocardiogram (ECG), laboratory tests, and vital signs.

For MD cohort

  1. Ages 50-85 years, inclusive.
  2. The participant should be capable of completing assessments alone, per local guidelines.
  3. Availability of a person ("study partner") who, in the Investigator's judgment, has frequent and sufficient contact with the participant and is able to provide accurate information regarding the participant's cognitive and functional abilities, agrees to provide information at clinic visits, which require partner input for scale completion, and signs the necessary consent form, per local guidelines.
  4. Clinical diagnosis of probable Alzheimer's disease dementia based on National Institute on Aging Alzheimer's Association criteria.

Exclusion Criteria:

  1. Pregnant or lactating, or intending to become pregnant within 16 weeks after last dose of study drug.
  2. Participation in a clinical trial within 30 days before randomization; use of any experimental oral therapy within 30 days or 5 half-lives prior to Day 1, whichever is greater; or use of any biologic therapy within 12 weeks or 5 half-lives prior to Day 1, whichever is greater. Participants who have received an experimental therapy that has no half-life, like a vaccine, should have completed that therapy at least 12 weeks prior to Day 1. Participants who have received an experimental vaccine against a central nervous system (CNS) target, such as beta-amyloid or tau, are not eligible for this study.
  3. Any non-experimental vaccine within 2 weeks of randomization, until 2 weeks after the last dose. It is advised that prospective participants receive their annual influenza vaccine as early as possible in advance of the flu season, and then wait 2 weeks prior to randomization. It is permitted to receive the annual influenza vaccine during the screening period.
  4. Surgery or hospitalization during the 4 weeks prior to screening.
  5. Planned procedure or surgery during the study.
  6. Systemically, clinically significantly immunocompromised patients, owing to continuing effects of immune suppressing medication.
  7. Known history of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric, human, or humanized antibodies or fusion proteins.
  8. Past history of seizures, with the exception of childhood febrile seizures.

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): NCT03822208

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United States, Florida
Brain Matters Research
Delray Beach, Florida, United States, 33445
Charter Research
Lady Lake, Florida, United States, 32159
PPD Clinical Research Unit
Orlando, Florida, United States, 32806
Synexus AES
The Villages, Florida, United States, 32162
United States, New York
Columbia University
New York, New York, United States, 10032
Nucleus Network
Melbourne, Australia
Sponsors and Collaborators
Alector Inc.
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Study Director: Robert Paul, MD Alector Inc.
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Responsible Party: Alector Inc.
ClinicalTrials.gov Identifier: NCT03822208    
Other Study ID Numbers: AL003-1
First Posted: January 30, 2019    Key Record Dates
Last Update Posted: September 17, 2021
Last Verified: September 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Alzheimer Disease
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Neurodegenerative Diseases
Neurocognitive Disorders
Mental Disorders