Alzheimer's Disease
Conditions
Brief summary
The primary purpose of this study is to confirm the clinical efficacy and mechanism of action of GV-971, and identify incidence of known adverse reactions in long-term use and observe new adverse reactions, providing more guidance for clinical use.
Interventions
Administered PO
Administered PO
Sponsors
Study design
Eligibility
Inclusion criteria
* Mild to moderate AD per NIA-AA. * History of cognitive and functional decline over at least 1 year. * MMSE scores between 11 and 24 (inclusive) at baseline. * Hachinski Ischemic Score (HIS) scale total score ≤ 4. * Hamilton Rating Scale for Depression/17 items (HAMD) total score ≤ 10. * Brain MRI scan show the highest possibility of AD. * Have a reliable study partner/caregiver. * Sign the informed consent form.
Exclusion criteria
* Diagnosis of a dementia-related central nervous system disease other than AD. * Major structural brain disease as judged by MRI. * A resting heart rate of \< 50 beats per minute (bpm) after 10 minutes of rest. * Major medical illness or unstable medical condition within 12 months of screening. * Concomitant use of donepezil, rivastigmine, galanthamine, huperzine A, memantine, or aducanumab within 6 moinths prior to baseline. * Inadequate hepatic function. * Inadequate organ function. * ECG clinically significant abnormalities.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in the ADAS-cog/12 score | Baseline, 36 weeks | Change from baseline in Alzheimer's Disease Assessments Scale - cognitive (ADAS-cog/12) scale total score. The total score of ADAS-cog/12 is 0-75, with higher scores mean a worse outcome. |
| Change from baseline in ADCS-ADL23 score | Baseline, 36 weeks | Change from baseline in Alzheimer's Disease Cooperative Study - Activities of Daily Living-23-item Scale (ADCS-ADL23) score in moderate AD participants. The total score of ADCS-ADL23 is 0-78, with higher scores mean a better outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in the CIBIC-Plus score | Baseline, 36 weeks | Change from baseline on Clinician's Interview-Based Impression of Change Plus (CIBIC-Plus) scale total score. The total score of CIBIC-Plus is 1-7, with higher scores mean a worse outcome. |
| Change from baseline in MMSE score | Baseline, 36 weeks | Change from baseline in Mini-Mental State Examination (MMSE) score. The total score of MMSE is 0-30, with higher scores mean a better outcome. |
| Change from baseline in NPI score | Baseline, 36 weeks | Change from baseline in Neuropsychiatric Inventory (NPI) score. The total score of NPI is 0-144, with higher scores mean a worse outcome. |
| Change from baseline in ADCS-ADL23 score | Baseline, 36 weeks | Change from baseline in Alzheimer's Disease Cooperative Study - Activities of Daily Living-23-item Scale (ADCS-ADL23) score. The total score of ADCS-ADL23 is 0-78, with higher scores mean a better outcome. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline on Tau protein of CSF | Baseline, 36 weeks | Change from baseline on biomarkers of CSF Tau protein after 36 weeks of treatment. |
| Change from baseline on A-beta protein of CSF | Baseline, 36 weeks | Change from baseline on biomarkers of CSF A-beta protein after 36 weeks of treatment. |
| Change from baseline on biomarkers of Th1/Th2 cell subtypes | Baseline, 36 weeks | Change from baseline on biomarkers of peripheral blood immune cell subtypes of Th1/Th2 after 36 weeks of treatment. |
Countries
China