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Tolerability and Safety of Subcutaneous Administration of Affitope AD01 in Mild to Moderate Alzheimer's Disease

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. Identifier: NCT00495417
Recruitment Status : Completed
First Posted : July 3, 2007
Last Update Posted : October 19, 2010
Information provided by:
Affiris AG

Tracking Information
First Submitted Date  ICMJE July 2, 2007
First Posted Date  ICMJE July 3, 2007
Last Update Posted Date October 19, 2010
Study Start Date  ICMJE July 2007
Actual Primary Completion Date August 2009   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: July 2, 2007)
Tolerability [ Time Frame: One year ]
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: July 2, 2007)
Immunological and clinical efficacy (evaluated in explorative manner) [ Time Frame: One year ]
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
Descriptive Information
Brief Title  ICMJE Tolerability and Safety of Subcutaneous Administration of Affitope AD01 in Mild to Moderate Alzheimer's Disease
Official Title  ICMJE Randomized, Controlled, Parallel Group, Patient-blinded, Single-center Phase I Pilot Study to Assess Tolerability and Safety of Repeated s.c. Administration of a Single-dose of Affitope AD01 Applied With or Without Adjuvant to Patients With Mild to Moderate Alzheimer's Disease
Brief Summary The purpose of this study is to assess the tolerability and safety of repeated subcutaneous injection of a single dose of Affitope AD01 in patients with mild to moderate Alzheimer's Disease.
Detailed Description

Alzheimer's Disease (AD) is a devastating neurodegenerative disorder for which there is no cure.

Although the etiology of AD is not fully understood, recent research suggests that Aβ is central to the disease process. Consequently, approaches capable of removing Aβ from the brain, such as Aβ immunotherapy, are expected to possess disease-modifying potential. This view is supported by evidence gathered in mouse models of AD and studies involving AD patients.

Based on the view that active Aβ immunotherapy has disease-modifying potential both in animal models of AD and in patients, and on the knowledge gathered on the side-effects of Aβ-based immunotherapy encountered in humans, we designed a new generation of AD vaccines. Rather than using full length Aβ itself, we choose to use mimotopes of the N-terminal end of Aβ as the antigenic component of our vaccine (Mimotopes discovered by Affiris GmbH have been termed Affitopes). Mimotopes are peptides that functionally mimic the native antigenic epitope but do not show sequence identity to it. Thus, while being different from the original antigen, mimotopes are recognized by the same antibodies and, vice versa, are capable of inducing antibodies that cross-react with the original antigen itself. A major advantage offered by mimotopes is the lack of tolerance mechanisms that would prevent the induction of an immune response to it (as is the case with self peptides/proteins such as Aβ). To further increase the vaccine's safety profile, the length of the mimotope used was limited to preclude the elicitation of Aβ-specific T cells. Also, the mimotope used has been designed to generate antibodies directed exclusively to Aβ (i.e., they do not recognize parental APP itself). To provide helper epitopes for the generation of an antibody response, the mimotope is coupled to a carrier.

The trial is designed as a patient-blinded, single-center, randomized, controlled, parallel group, phase I clinical study of repeated once every 4 weeks administration by subcutaneous injection of Affitope AD01 alone or adsorbed to aluminum hydroxide in 24 patients with mild to moderate Alzheimer's Disease. In total, each patient will receive 4 immunizations. Patients will be randomized to receive Affitope AD01 alone or adsorbed to aluminum hydroxide. Each treatment group consists of 12 patients. For safety reasons, inclusion of patients will be done in a stepwise manner.

Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 1
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Condition  ICMJE Alzheimer's Disease
Intervention  ICMJE
  • Biological: AFFITOPE AD01
    s.c. injection
  • Biological: AFFITOPE AD01 adjuvanted
    s.c. injection
Study Arms  ICMJE
  • Active Comparator: 1
    Intervention: Biological: AFFITOPE AD01
  • Active Comparator: 2
    Intervention: Biological: AFFITOPE AD01 adjuvanted
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: July 2, 2007)
Original Estimated Enrollment  ICMJE Same as current
Actual Study Completion Date  ICMJE August 2009
Actual Primary Completion Date August 2009   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Diagnosis of probable Alzheimer's disease based on the NINCDS/ADRDA criteria.
  • Assessing the severity of Alzheimer's disease of mild to moderate degree by the Mini Mental State Examination (MMSE 16-26)
  • Hachinski Ischemia Scale ≤ 4.
  • Magnetic Resonance Imaging scan (MRI) of brain consistent with diagnosis of AD.
  • Informed consent capability (as determined by an independent neurologist)
  • Written informed consent signed and dated by the patient or the patient's legal representative and the caregiver.
  • Age >50 years.
  • Availability of a partner/caregiver knowing the patient and being able to accompany the patient to the visits and being available for the telephone interviews.
  • Adequate visual and auditory acuity to allow neuropsychological testing.
  • Female patients of childbearing potential using a medically accepted contraceptive method.
  • AD therapies on stable doses for at least 3 months prior to Visit 1 and during the entire trial period.
  • Stable doses of all other medications for at least 30 days prior to Visit 1 if considered relevant by the investigator.

Exclusion Criteria:

  • Pregnant women.
  • Sexually active women of childbearing potential not using a medically accepted birth control method.
  • Presence or history of allergy to components of the vaccine.
  • Contraindication for MRI imaging.
  • Operation (under general anaesthesia) within 3 months prior to study entry and scheduled elective operation during the whole study period.
  • Participation in another clinical trial.
  • History of questionable compliance to visit schedule; patients not expected to complete the clinical trial.
  • Prior and/or current treatment with experimental immunotherapeutics including IVIG or vaccines for AD.
  • Prior and/or current treatment with immunosuppressive drugs, concurrent treatment with beta-blockers.
  • History and/or presence of autoimmune disease.
  • Recent (≤3 years since last specific treatment) history of cancer (Exceptions: basal cell carcinoma, intraepithelial cervical neoplasia).
  • Major psychiatric disorder (e.g. schizophrenia), if considered relevant by the investigator.
  • Active infectious disease (e.g., Hepatitis B, C).
  • Presence and/or history of Immunodeficiency (e.g., HIV).
  • Significant neurological disease other than AD.
  • Significant systemic illness.
  • History of stroke or seizure.
  • Change in dose of standard treatments for AD within 3 months prior to visit 1.
  • Change in dose of other previous and current medications within the last 30 days prior to visit 1, if considered relevant by the investigator.
  • Alcoholism or substance abuse within the past year (alcohol or drug intoxication).
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 50 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE Austria
Removed Location Countries  
Administrative Information
NCT Number  ICMJE NCT00495417
Other Study ID Numbers  ICMJE Affiris 001
EUDRACT Number 2006-007063-90
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE Not Provided
Current Responsible Party Affiris GmbH
Original Responsible Party Not Provided
Current Study Sponsor  ICMJE Affiris AG
Original Study Sponsor  ICMJE Same as current
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Markus Müller, UnivProf.Dr. Medical University of Vienna
PRS Account Affiris AG
Verification Date September 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP