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An Extension To The B1451027 Protocol To Evaluate The Long Term Safety And Tolerability Of Dimebon In Patients With Alzheimer's Disease

An Open Label Extension To The B1451027 Protocol To Evaluate The Long Term Safety And Tolerability Of Dimebon (PF 01913539) In Patients With Alzheimer's Disease

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00939783
Enrollment
649
Registered
2009-07-15
Start date
2009-09-30
Completion date
2010-08-31
Last updated
2012-11-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Alzheimer's Disease

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

Medivation, Inc.
CollaboratorINDUSTRY
Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
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

MeasureTime frameDescription
Percentage of Participants With Abnormal Clinically Significant Vital SignsBaseline 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 ValuesBaseline 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) FindingsBaseline 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

ArmCount
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
Total648

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event39
Overall StudyDeath6
Overall StudyEnrolled but not treated1
Overall StudyLost to Follow-up8
Overall StudyOther16
Overall StudyProtocol Violation3
Overall StudyStudy Terminated by Sponsor498
Overall StudyWithdrawal by Subject78

Baseline characteristics

CharacteristicDimebon
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 typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
313 / 648
serious
Total, serious adverse events
76 / 648

Outcome results

Primary

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.

ArmMeasureValue (NUMBER)
DimebonPercentage of Participants With Adverse Events (AEs)73.1 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesTotal bilirubin(>1.5*ULN) (n=646)0.3 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesEosinophils (>1.2*ULN) (n=646)1.4 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesMonocytes (>1.2*ULN) (n=646)1.5 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesAspartate aminotransferase (>3.0*ULN) (n=645)0.5 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesAlanine aminotransferase (>3.0*ULN) (n=645)0.9 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesAlkaline phosphatase (>3.0*ULN) (n=646)0.2 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesAlbumin (>1.2*ULN) (n=646)0.2 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesBlood urea nitrogen (>1.3*ULN) (n=646)1.4 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesCreatinine (>1.3*ULN) (n=646)1.4 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesSodium (<0.95*LLN) (n=646)0.3 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesSodium (>1.05*ULN) (n=646)0.9 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesPotassium (<0.9*LLN) (n=645)0.6 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesPotassium (>1.1*ULN) (n=645)0.5 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesCalcium (>1.1*ULN) (n=646)0.3 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesMagnesium (<0.9*LLN) (n=646)0.5 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesMagnesium (>1.1*ULN) (n=646)22.0 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesPhosphate (<0.8*LLN) (n=646)0.2 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesPhosphate (>1.2*ULN) (n=646)0.2 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesBicarbonate (<0.9*LLN) (n=646)0.8 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesBicarbonate (>1.1*ULN) (n=646)0.2 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesUrine specific gravity (>1.030) (n=643)3.4 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesGlucose (>1.5*ULN) (n=646)17.6 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesCreatine kinase (>2.0*ULN) (n=646)2.5 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesUrine pH (>8) (n=643)0.3 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesUrine glucose (>=1) (n=643)5.3 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesUrine ketones (>=1) (n=643)2.2 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesUrine protein (>=1) (n=643)3.3 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesUrine blood (>=1) (n=643)52.1 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesUrine leukocyte esterase (>=1) (n=643)29.4 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesUrine RBC (>=6) (n=518)18.1 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesUrine WBC (>=6) (n=562)34.3 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesHemoglobin (<0.8*LLN) (n=646)0.3 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesRed blood cell count (< 0.8*LLN) (n=646)0.5 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesMean corpuscular volume (<0.9*LLN) (n=646)0.8 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesMean corpuscular volume (>1.1*ULN) (n=646)0.2 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesPlatelets (>1.75*ULN) (n=646)0.2 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesWhite blood cell count (<0.6*LLN) (n=646)0.2 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesWhite blood cell count (>1.5*ULN) (n=646)0.2 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesLymphocytes (<0.8*LLN) (n=646)1.4 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesLymphocytes (>1.2*ULN) (n=646)2.6 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesTotal neutrophils (<0.8*LLN) (n=646)0.6 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Laboratory ValuesTotal neutrophils (>1.2*ULN) (n=646)4.3 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
DimebonPercentage of Participants With Abnormal Clinically Significant Vital SignsSystolic BP (<90 mmHg) (n=646)1.1 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Vital SignsIncrease in systolic BP (>=30 mmHg) (n=642)11.5 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Vital SignsDecrease in systolic BP (>=30 mmHg) (n=642)12.0 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Vital SignsDiastolic BP (<50 mmHg) (n=646)2.0 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Vital SignsIncrease in diastolic BP (>=20 mmHg) (n=642)8.1 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Vital SignsDecrease in diastolic BP (>=20 mmHg) (n=642)9.7 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Vital SignsHeart rate (<40 bpm) (n=646)0.0 Percentage of participants
DimebonPercentage of Participants With Abnormal Clinically Significant Vital SignsHeart rate (>120/>140 bpm) (n=646)0.0 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
DimebonPercentage of Participants With Clinically Significant Electrocardiogram (ECG) FindingsPR int (>=300 msec) (n=608)0.3 Percentage of participants
DimebonPercentage of Participants With Clinically Significant Electrocardiogram (ECG) FindingsIncrease in PR int (>=25/50%) (n=605)0.3 Percentage of participants
DimebonPercentage of Participants With Clinically Significant Electrocardiogram (ECG) FindingsIncrease in QRS int (>=25/50%) (n=646)1.4 Percentage of participants
DimebonPercentage of Participants With Clinically Significant Electrocardiogram (ECG) FindingsQTcF int (>450 to <=480 msec) (n=646)18.3 Percentage of participants
DimebonPercentage of Participants With Clinically Significant Electrocardiogram (ECG) FindingsQTcF int (>480 to <=500 msec) (n=646)1.9 Percentage of participants
DimebonPercentage of Participants With Clinically Significant Electrocardiogram (ECG) FindingsQTcF int (>500 msec) (n=646)0.3 Percentage of participants
DimebonPercentage of Participants With Clinically Significant Electrocardiogram (ECG) FindingsIncrease in QTcF int (>30 to <=60 msec) (n=646)8.0 Percentage of participants
DimebonPercentage of Participants With Clinically Significant Electrocardiogram (ECG) FindingsIncrease in QTcF int (>60 msec) (n=646)0.3 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026