Alzheimer Disease
Conditions
Brief summary
The purpose of this study is to study the effect of monthly dosing with a single dose of Lu AF20513, with and without booster vaccine, on antibody response.
Detailed description
Cohort 1 encompasses 8 patients enrolled prior to the Protocol Amendment (PA) 1, dose regimen 1. Cohort 2 includes patients enrolled under the PA and will consist of 20 patients, randomly assigned to two arms: * dose regimen 2: 10 patients who will receive one administration of booster vaccine 4 weeks prior to the first IMP administration * dose regimen 3: 10 patients who will not receive a booster vaccine After the PA1, the study consists of the following periods: * Screening Period - up to 12 weeks * Priming period: 28 weeks, monthly dosing with Lu AF20513 * Maintenance Period - 56 weeks, quarterly dosing with Lu AF20513 * Follow-up Period - 4 weeks
Interventions
Lu AF20513 suspension for injection
booster vaccine (Cohort 2) - to be administered as per national recommendations
Sponsors
Study design
Eligibility
Inclusion criteria
* The patient has a diagnosis of AD or Mild Cognitive Impairment (MCI) due to AD. * The patient has evidence of an abnormal amyloid and tau status, consistent with AD, by means of a positive CSF test at screening * The patient is aged ≥50 and ≤85 years. If a woman, the patient must be post-menopausal.
Exclusion criteria
* The patient has participated in a clinical study where he/she has received passive or active anti-Aβ immunotherapy or other active immunisation for the treatment of AD. * The patient has, in the investigator's opinion, evidence and/or history (clinically or on MRI) of any clinically significant neurodegenerative disease, serious neurological disorder, other intracranial or systemic diseases or conditions resulting in a definite or probable diagnosis of Major or Mild Neuro-Cognitive disorder other than AD, per DSM-5® criteria. Other in- and
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| AUC | From Week 0 to Week 28 | Area under antibody titre curve (AUC) induced upon treatment with Lu AF20513 |
| Cmax | From Week 0 to Week 28 | maximum antibody titre (Cmax) induced upon treatment with Lu AF20513 |
| Titre response | From Week 0 to Week 28 | Any patients with antibody titre above the patient's baseline titre in either of the applied assays for antibody assessment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Amyloid load | From baseline to week 84 | Change in composite cortical standard uptake volume ratio based on PET scans (amyloid PET-SUVR) |
Countries
Finland, Sweden