Alzheimer's Disease
Conditions
Brief summary
The purpose of this study is to evaluate the long-term safety and tolerability of Dimebon in patients with Alzheimer's disease.
Detailed description
This study was terminated on May 7, 2010 as part of modification of the dimebon development plan following lack of demonstration of efficacy in the completed DIM14 (CONNECTION) Study. The study was not terminated due to any safety findings. Dimebon has been well -tolerated in clinical trials. Demonstration of efficacy for dimebon in Alzheimer's disease is pending completion of the ongoing DIM18 (CONCERT) Study.
Interventions
Tablet for oral administration
Sponsors
Study design
Eligibility
Inclusion criteria
* Completion of previous Phase 3 Dimebon study (B1451027).
Exclusion criteria
* Have any severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the patient inappropriate for entry into this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Adverse Events (AEs) | Baseline up to Week 65 (end of treatment) | An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Abnormal Clinically Significant Vital Signs | Baseline up to Week 65 (end of treatment) | Abnormal clinically significant vital signs included absolute systolic blood pressure (BP) values less than (\<) 90 millimeter of mercury (mmHg), maximum increase or decrease of greater than or equal to (\>=) 30 mmHg from baseline for systolic BP; absolute diastolic BP \<50 mmHg with maximum increase or decrease of \>=20 mmHg from baseline and absolute heart rate values \<40 beats per minute (bpm), \>120 bpm for supine or sitting measurement, \>140 bpm for standing measurement. |
| Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Baseline up to Week 65 (end of treatment) | For hematology, liver function, renal function, electrolytes, clinical chemistry, abnormality was reported if observed value was more than or less than X times upper limit of normal (ULN) or lower limit of normal (LLN); X=specified in categories of each parameter in measured values section. For urinalysis abnormality was reported if result was \>=1 in qualitative test of all parameters except red and white blood cells which were reported if result was \>=6, indicating levels in urine were abnormal. Urine pH abnormality reported if \>8 and urine specific gravity abnormality if \<1.003 or \>1.030. |
| Percentage of Participants With Clinically Significant Electrocardiogram (ECG) Findings | Baseline up to Week 65 (end of treatment) | Abnormal ECG findings included maximum value of \>=300 millisecond (msec), maximum increase of \>=25% for baseline value of \>200 msec and maximum increase of \>=50% for baseline value of \<=200 msec for PR interval (int); maximum increase of \>=25% for baseline value of \>100 msec and maximum increase of \>=50% for baseline value of \<=100 msec for QRS interval; maximum value of \>450 to \<=480, \>480 to \<=500 and \>500 msec, increase of \>30 to \<=60 and \>60 msec for QT interval corrected using Fridericia's formula (QTcF). |
Countries
Canada, Puerto Rico, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Dimebon Dimebon (latrepirdine) 10 milligram (mg) tablet orally three times a day for 1 week (titration period), followed by 20 mg tablet orally three times a day. Treatment was administered until participant withdrawal or study termination. | 648 |
| Total | 648 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 39 |
| Overall Study | Death | 6 |
| Overall Study | Enrolled but not treated | 1 |
| Overall Study | Lost to Follow-up | 8 |
| Overall Study | Other | 16 |
| Overall Study | Protocol Violation | 3 |
| Overall Study | Study Terminated by Sponsor | 498 |
| Overall Study | Withdrawal by Subject | 78 |
Baseline characteristics
| Characteristic | Dimebon |
|---|---|
| Age, Customized 50 to 59 years | 32 Participants |
| Age, Customized 60 to 69 years | 100 Participants |
| Age, Customized 70 to 79 years | 269 Participants |
| Age, Customized 80 to 85 years | 187 Participants |
| Age, Customized Greater than 85 years | 60 Participants |
| Sex: Female, Male Female | 342 Participants |
| Sex: Female, Male Male | 306 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 313 / 648 |
| serious Total, serious adverse events | 76 / 648 |
Outcome results
Percentage of Participants With Adverse Events (AEs)
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.
Time frame: Baseline up to Week 65 (end of treatment)
Population: Safety analysis set included all the participants who received at least one dose of study medication, including partial doses.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Dimebon | Percentage of Participants With Adverse Events (AEs) | 73.1 Percentage of participants |
Percentage of Participants With Abnormal Clinically Significant Laboratory Values
For hematology, liver function, renal function, electrolytes, clinical chemistry, abnormality was reported if observed value was more than or less than X times upper limit of normal (ULN) or lower limit of normal (LLN); X=specified in categories of each parameter in measured values section. For urinalysis abnormality was reported if result was \>=1 in qualitative test of all parameters except red and white blood cells which were reported if result was \>=6, indicating levels in urine were abnormal. Urine pH abnormality reported if \>8 and urine specific gravity abnormality if \<1.003 or \>1.030.
Time frame: Baseline up to Week 65 (end of treatment)
Population: Safety analysis set included all the participants who received at least one dose of study medication, including partial doses. Here 'N' (number of participants analyzed) is signifying those participants who were evaluable for this measure and 'n' is signifying those participants who were evaluable for a particular laboratory parameter.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Total bilirubin(>1.5*ULN) (n=646) | 0.3 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Eosinophils (>1.2*ULN) (n=646) | 1.4 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Monocytes (>1.2*ULN) (n=646) | 1.5 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Aspartate aminotransferase (>3.0*ULN) (n=645) | 0.5 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Alanine aminotransferase (>3.0*ULN) (n=645) | 0.9 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Alkaline phosphatase (>3.0*ULN) (n=646) | 0.2 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Albumin (>1.2*ULN) (n=646) | 0.2 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Blood urea nitrogen (>1.3*ULN) (n=646) | 1.4 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Creatinine (>1.3*ULN) (n=646) | 1.4 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Sodium (<0.95*LLN) (n=646) | 0.3 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Sodium (>1.05*ULN) (n=646) | 0.9 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Potassium (<0.9*LLN) (n=645) | 0.6 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Potassium (>1.1*ULN) (n=645) | 0.5 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Calcium (>1.1*ULN) (n=646) | 0.3 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Magnesium (<0.9*LLN) (n=646) | 0.5 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Magnesium (>1.1*ULN) (n=646) | 22.0 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Phosphate (<0.8*LLN) (n=646) | 0.2 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Phosphate (>1.2*ULN) (n=646) | 0.2 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Bicarbonate (<0.9*LLN) (n=646) | 0.8 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Bicarbonate (>1.1*ULN) (n=646) | 0.2 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Urine specific gravity (>1.030) (n=643) | 3.4 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Glucose (>1.5*ULN) (n=646) | 17.6 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Creatine kinase (>2.0*ULN) (n=646) | 2.5 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Urine pH (>8) (n=643) | 0.3 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Urine glucose (>=1) (n=643) | 5.3 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Urine ketones (>=1) (n=643) | 2.2 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Urine protein (>=1) (n=643) | 3.3 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Urine blood (>=1) (n=643) | 52.1 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Urine leukocyte esterase (>=1) (n=643) | 29.4 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Urine RBC (>=6) (n=518) | 18.1 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Urine WBC (>=6) (n=562) | 34.3 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Hemoglobin (<0.8*LLN) (n=646) | 0.3 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Red blood cell count (< 0.8*LLN) (n=646) | 0.5 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Mean corpuscular volume (<0.9*LLN) (n=646) | 0.8 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Mean corpuscular volume (>1.1*ULN) (n=646) | 0.2 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Platelets (>1.75*ULN) (n=646) | 0.2 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | White blood cell count (<0.6*LLN) (n=646) | 0.2 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | White blood cell count (>1.5*ULN) (n=646) | 0.2 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Lymphocytes (<0.8*LLN) (n=646) | 1.4 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Lymphocytes (>1.2*ULN) (n=646) | 2.6 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Total neutrophils (<0.8*LLN) (n=646) | 0.6 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Laboratory Values | Total neutrophils (>1.2*ULN) (n=646) | 4.3 Percentage of participants |
Percentage of Participants With Abnormal Clinically Significant Vital Signs
Abnormal clinically significant vital signs included absolute systolic blood pressure (BP) values less than (\<) 90 millimeter of mercury (mmHg), maximum increase or decrease of greater than or equal to (\>=) 30 mmHg from baseline for systolic BP; absolute diastolic BP \<50 mmHg with maximum increase or decrease of \>=20 mmHg from baseline and absolute heart rate values \<40 beats per minute (bpm), \>120 bpm for supine or sitting measurement, \>140 bpm for standing measurement.
Time frame: Baseline up to Week 65 (end of treatment)
Population: Safety analysis set included all the participants who received at least one dose of study medication, including partial doses. Here 'N' (number of participants analyzed) is signifying those participants who were evaluable for this measure and 'n' is signifying those participants who were evaluable for a particular category.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Vital Signs | Systolic BP (<90 mmHg) (n=646) | 1.1 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Vital Signs | Increase in systolic BP (>=30 mmHg) (n=642) | 11.5 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Vital Signs | Decrease in systolic BP (>=30 mmHg) (n=642) | 12.0 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Vital Signs | Diastolic BP (<50 mmHg) (n=646) | 2.0 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Vital Signs | Increase in diastolic BP (>=20 mmHg) (n=642) | 8.1 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Vital Signs | Decrease in diastolic BP (>=20 mmHg) (n=642) | 9.7 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Vital Signs | Heart rate (<40 bpm) (n=646) | 0.0 Percentage of participants |
| Dimebon | Percentage of Participants With Abnormal Clinically Significant Vital Signs | Heart rate (>120/>140 bpm) (n=646) | 0.0 Percentage of participants |
Percentage of Participants With Clinically Significant Electrocardiogram (ECG) Findings
Abnormal ECG findings included maximum value of \>=300 millisecond (msec), maximum increase of \>=25% for baseline value of \>200 msec and maximum increase of \>=50% for baseline value of \<=200 msec for PR interval (int); maximum increase of \>=25% for baseline value of \>100 msec and maximum increase of \>=50% for baseline value of \<=100 msec for QRS interval; maximum value of \>450 to \<=480, \>480 to \<=500 and \>500 msec, increase of \>30 to \<=60 and \>60 msec for QT interval corrected using Fridericia's formula (QTcF).
Time frame: Baseline up to Week 65 (end of treatment)
Population: Safety analysis set included all the participants who received at least one dose of study medication, including partial doses. Here 'N' (number of participants analyzed) is signifying those participants who were evaluable for this measure and 'n' is signifying those participants who were evaluable for a particular category.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Dimebon | Percentage of Participants With Clinically Significant Electrocardiogram (ECG) Findings | PR int (>=300 msec) (n=608) | 0.3 Percentage of participants |
| Dimebon | Percentage of Participants With Clinically Significant Electrocardiogram (ECG) Findings | Increase in PR int (>=25/50%) (n=605) | 0.3 Percentage of participants |
| Dimebon | Percentage of Participants With Clinically Significant Electrocardiogram (ECG) Findings | Increase in QRS int (>=25/50%) (n=646) | 1.4 Percentage of participants |
| Dimebon | Percentage of Participants With Clinically Significant Electrocardiogram (ECG) Findings | QTcF int (>450 to <=480 msec) (n=646) | 18.3 Percentage of participants |
| Dimebon | Percentage of Participants With Clinically Significant Electrocardiogram (ECG) Findings | QTcF int (>480 to <=500 msec) (n=646) | 1.9 Percentage of participants |
| Dimebon | Percentage of Participants With Clinically Significant Electrocardiogram (ECG) Findings | QTcF int (>500 msec) (n=646) | 0.3 Percentage of participants |
| Dimebon | Percentage of Participants With Clinically Significant Electrocardiogram (ECG) Findings | Increase in QTcF int (>30 to <=60 msec) (n=646) | 8.0 Percentage of participants |
| Dimebon | Percentage of Participants With Clinically Significant Electrocardiogram (ECG) Findings | Increase in QTcF int (>60 msec) (n=646) | 0.3 Percentage of participants |