Alzheimer Disease
Conditions
Brief summary
The goal of this open-label extension study is to assess long-term safety and tolerability of simufilam 100 mg in subjects who have completed the RETHINK-ALZ or REFOCUS-ALZ Phase 3 clinical trials.
Detailed description
This is a multi-national, multi-center, fixed-dose, 52-week, open-label extension study. After completing participation in either RETHINK-ALZ (PTI-125-06) or REFOCUS-ALZ (PTI-125-07), subjects will have the option to participate in this study. After the subject provides consent and the Investigator confirms the subject satisfies both inclusion and exclusion criteria, the study drug will be administered at the research site on Study Day 1 and subsequent visits will be scheduled. We anticipate up to 1600 subjects may enroll in this study. Approximately up to 150 clinical sites in the USA, Canada, South Korea, and Australia will have the option to participate in this collaborative research effort. For subjects electing to participate, the clinical and laboratory assessments from the Week 76 (REFOCUS-ALZ) or Week 52 (RETHINK-ALZ) End-of-Treatment visit will serve as Baseline Visit assessments for the open-label study on Study Day 1. All subjects will return in 4 weeks and every 12 weeks thereafter for safety assessments. At all post-baseline visits, subjects will report any adverse events since their last visit. In addition to adverse event monitoring, safety will be evaluated at every visit by vital signs, brief examinations, clinical laboratory tests (biochemistry, hematology, and urinalysis) and the Columbia Suicide Severity Rating Scale (C-SSRS). Study drug use since the last visit will be assessed and a new bottle of study drug will be dispensed. The emerging subject safety assessments will be monitored throughout the study by an independent Data Safety Monitoring Board (DSMB).
Interventions
simufilam 100 mg oral tablet, twice daily
Sponsors
Study design
Intervention model description
Open-label extension
Eligibility
Inclusion criteria
Inclusion Criterion: * Completed RETHINK-ALZ (PTI-125-07) or REFOCUS-ALZ (PTI-125-06). * Clinical presentation continues to be consistent with Alzheimer's disease. * Availability of a study partner.
Exclusion criteria
* Residence in a skilled nursing facility requiring 24-hour care. * Evidence of a neurologic condition other than AD that significantly contributes to the subject's dementia. * Current clinically significant psychiatric diagnosis other than AD. * Unstable, clinically significant medical condition other than AD. * Any medical condition that in the opinion of the investigator may affect safety or ability to complete the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Adverse Events | Baseline to 52 weeks | To evaluate the long-term safety and tolerability of simufilam 100 mg tablets in subjects who have completed one of the two double-blind simufilam phase 3 studies. |
Countries
Australia, Canada, Puerto Rico, South Korea, United States
Participant flow
Pre-assignment details
This was an open-label extension study.
Participants by arm
| Arm | Count |
|---|---|
| Simufilam simufilam 100 mg oral tablet, twice daily | 1,079 |
| Total | 1,079 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 24 |
| Overall Study | Death | 7 |
| Overall Study | Lost to Follow-up | 16 |
| Overall Study | Non-Compliance | 3 |
| Overall Study | Other | 17 |
| Overall Study | Physician Decision | 6 |
| Overall Study | Sponsor Requests to be Withdrawn | 7 |
| Overall Study | Study Terminated by Sponsor | 630 |
| Overall Study | Withdrawal by Subject | 71 |
Baseline characteristics
| Characteristic | Simufilam |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 935 Participants |
| Age, Categorical Between 18 and 65 years | 144 Participants |
| Age, Continuous | 73.9 years STANDARD_DEVIATION 7.77 |
| BMI | 26.59 kg/m2 STANDARD_DEVIATION 6.892 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 87 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 977 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 15 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 2 Participants |
| Race (NIH/OMB) Asian | 45 Participants |
| Race (NIH/OMB) Black or African American | 54 Participants |
| Race (NIH/OMB) More than one race | 1 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 2 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 13 Participants |
| Race (NIH/OMB) White | 962 Participants |
| Region of Enrollment Australia | 45 participants |
| Region of Enrollment Canada | 115 participants |
| Region of Enrollment Puerto Rico | 7 participants |
| Region of Enrollment South Korea | 22 participants |
| Region of Enrollment United States | 890 participants |
| Sex: Female, Male Female | 583 Participants |
| Sex: Female, Male Male | 496 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 9 / 1,079 |
| other Total, other adverse events | 0 / 1,079 |
| serious Total, serious adverse events | 92 / 1,079 |
Outcome results
Number of Participants With Adverse Events
To evaluate the long-term safety and tolerability of simufilam 100 mg tablets in subjects who have completed one of the two double-blind simufilam phase 3 studies.
Time frame: Baseline to 52 weeks
Population: The number of subjects in the analysis (1079) differs by two subjects compared to the Participant Flow module (1081), because there are two subjects who were enrolled but did not receive study treatment and were not included in the Safety Analysis set.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Simufilam 100mg | Number of Participants With Adverse Events | Number of subjects with mild AEs | 299 Participants |
| Simufilam 100mg | Number of Participants With Adverse Events | Number of subjects with moderate AEs | 198 Participants |
| Simufilam 100mg | Number of Participants With Adverse Events | Number of subjects with severe AEs | 63 Participants |
| Simufilam 100mg | Number of Participants With Adverse Events | Number of subjects with no AEs | 519 Participants |