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History of Changes for Study: NCT04491006
A Translational Study of ATH-1017 in Mild to Moderate Alzheimer's Disease
Latest version (submitted May 20, 2023) on ClinicalTrials.gov
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Study Record Versions
Version A B Submitted Date Changes
1 July 27, 2020 None (earliest Version on record)
2 September 11, 2020 Study Status and Study Identification
3 October 20, 2020 Recruitment Status, Study Status, Contacts/Locations and Oversight
4 November 18, 2020 Study Status and Contacts/Locations
5 November 23, 2020 Study Status
6 December 2, 2020 Study Status and Contacts/Locations
7 December 8, 2020 Contacts/Locations and Study Status
8 December 21, 2020 Contacts/Locations and Study Status
9 December 29, 2020 Contacts/Locations and Study Status
10 January 25, 2021 Contacts/Locations and Study Status
11 February 9, 2021 Study Status and Contacts/Locations
12 February 11, 2021 Contacts/Locations and Study Status
13 February 17, 2021 Contacts/Locations and Study Status
14 February 26, 2021 Contacts/Locations and Study Status
15 March 4, 2021 Study Status and Contacts/Locations
16 March 31, 2021 Contacts/Locations and Study Status
17 April 5, 2021 Study Status and Contacts/Locations
18 April 12, 2021 Contacts/Locations and Study Status
19 April 14, 2021 Contacts/Locations and Study Status
20 May 13, 2021 Study Status and Eligibility
21 August 24, 2021 Contacts/Locations and Study Status
22 October 26, 2021 Recruitment Status, Study Status, Contacts/Locations, Study Design, Sponsor/Collaborators and Study Identification
23 February 28, 2022 Study Status and Study Description
24 July 5, 2022 Recruitment Status and Study Status
25 May 20, 2023 Study Status, Outcome Measures, Document Section, Results, Study Description and Study Identification
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Study NCT04491006
Submitted Date:  July 27, 2020 (v1)

Open or close this module Study Identification
Unique Protocol ID: ATH-1017-AD-0202
Brief Title: A Translational Study of ATH-1017 in Mild to Moderate Alzheimer's Disease
Official Title: A Randomized, Placebo-Controlled, Translational Study of ATH-1017 in Subjects With Mild to Moderate Alzheimer's Disease
Secondary IDs: U1111-1255-9714 [WHO (UTN)]
Open or close this module Study Status
Record Verification: July 2020
Overall Status: Not yet recruiting
Study Start: October 2020
Primary Completion: February 2022 [Anticipated]
Study Completion: March 2022 [Anticipated]
First Submitted: July 23, 2020
First Submitted that
Met QC Criteria:
July 27, 2020
First Posted: July 29, 2020 [Actual]
Last Update Submitted that
Met QC Criteria:
July 27, 2020
Last Update Posted: July 29, 2020 [Actual]
Open or close this module Sponsor/Collaborators
Sponsor: Athira Pharma
Responsible Party: Sponsor
Collaborators:
Open or close this module Oversight
U.S. FDA-regulated Drug: Yes
U.S. FDA-regulated Device: No
Data Monitoring: Yes
Open or close this module Study Description
Brief Summary: This study is designed to evaluate treatment effects of ATH-1017 in mild to moderate Alzheimer's subjects with a randomized treatment duration of 26-weeks.
Detailed Description: This study is designed to assess the correlation of the functional translational biomarker P300 latency and change in ADAS-Cog11 induced by ATH-1017 therapy, over 26-week randomized, double-blind treatment.
Open or close this module Conditions
Conditions: Alzheimer Disease
Dementia of Alzheimer Type
Keywords: Alzheimer's Disease
Cognition
Dementia
ATH-1017
Memory Loss
Open or close this module Study Design
Study Type: Interventional
Primary Purpose: Treatment
Study Phase: Phase 2
Interventional Study Model: Parallel Assignment
Randomized, double-blind, placebo-controlled, parallel-group study
Number of Arms: 3
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Allocation: Randomized
Enrollment: 75 [Anticipated]
Open or close this module Arms and Interventions
Arms Assigned Interventions
Experimental: Low Dose
Daily subcutaneous (SC) injection of Low Dose ATH-1017
Drug: ATH-1017
Daily subcutaneous (SC) injection of ATH-1017 in a pre-filled syringe
Experimental: High Dose
Daily subcutaneous (SC) injection of High Dose ATH-1017
Drug: ATH-1017
Daily subcutaneous (SC) injection of ATH-1017 in a pre-filled syringe
Placebo Comparator: Placebo
Daily subcutaneous (SC) injection of Placebo
Drug: Placebo
Daily subcutaneous (SC) injection of Placebo in a pre-filled syringe
Open or close this module Outcome Measures
Primary Outcome Measures:
1. Event-Related Potential
[ Time Frame: Week 26 ]

Event-related potential (ERP) P300 latency
Secondary Outcome Measures:
1. Cognition
[ Time Frame: Weeks 2, 6, 12, 20, and 26 ]

Alzheimer's Disease Assessment Scale-Cognitive Subscale [ADAS-Cog11] (Range of 0 to 70, where 0 is least impairment and 70 is most severe impairment)
Open or close this module Eligibility
Minimum Age: 55 Years
Maximum Age: 85 Years
Sex: All
Gender Based:
Accepts Healthy Volunteers: No
Criteria:

Key Inclusion Criteria:

  • Age 55 to 85 years
  • Mild-to-moderate AD dementia subjects, MMSE 14-24, CDR 1 or 2 at the Screening visit
  • Clinical diagnosis of dementia, due probably to AD, by Revised National Institute on Aging-Alzheimer's Association criteria (McKhann, 2011)
  • Reliable and capable support person/caregiver
  • Treatment-free or receiving stable acetylcholinesterase inhibitor (AChEI) treatment, defined as:
    • Treatment-naïve, OR
    • Subjects who received continuous dosing for at least 6 months, and are on a stable, approved dose of an AChEI for at least 3 months before Screening OR
    • Subjects who received an AChEI in the past and discontinued, e.g., due to tolerability issues
    • For subjects who received high dose donepezil at 23 mg PO, or galantamine at 24 mg PO or patch, a 3-month drug-free period is required between the last dose received and Screening.

Key Exclusion Criteria:

  • History of significant neurologic disease, other than AD, that may affect cognition, or concurrent with the onset of dementia
  • History of unexplained loss of consciousness, and epileptic fits (unless febrile)
  • Subject has atypical variant presentation of AD, if known from medical history, particularly non-amnestic AD
  • History of brain MRI scan indicative of any other significant abnormality
  • Hearing test result considered unacceptable for auditory ERP P300 assessment
  • Diagnosis of severe major depressive disorder even without psychotic features
  • Significant suicide risk
  • History within 2 years of Screening, or current diagnosis of psychosis
  • Myocardial infarction or unstable angina within the last 6 months
  • Clinically significant (in the judgment of the investigator) cardiac arrhythmia (including atrial fibrillation), cardiomyopathy, or cardiac conduction defect (note: pacemaker is acceptable)
  • Subject has either hypertension (supine diastolic blood pressure > 95 mmHg), or symptomatic hypotension in the judgment of the investigator
  • Clinically significant ECG abnormality at Screening or Baseline
  • Renal insufficiency (serum creatinine > 2.0 mg/dL)
  • Hepatic impairment with alanine aminotransferase or aspartate aminotransferase > 2 times the upper limit of normal, or Child-Pugh class B and C
  • Malignant tumor within 3 years before Screening
  • Memantine (Namenda®) and combination product of donepezil and memantine product (Namzaric®) within 6 weeks prior to Screening
  • The subject has received active amyloid or tau immunization at any time, or passive immunization within 12 months of Screening
Open or close this module Contacts/Locations
Central Contact Person: Xue Hua, Ph.D.
Telephone: 206-221-8112
Email: clinicaltrials@athira.com
Locations:
Open or close this module IPDSharing
Plan to Share IPD:
Open or close this module References
Citations: McKhann GM, Knopman DS, Chertkow H, Hyman BT, Jack CR Jr, Kawas CH, Klunk WE, Koroshetz WJ, Manly JJ, Mayeux R, Mohs RC, Morris JC, Rossor MN, Scheltens P, Carrillo MC, Thies B, Weintraub S, Phelps CH. The diagnosis of dementia due to Alzheimer's disease: recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease. Alzheimers Dement. 2011 May;7(3):263-9. doi: 10.1016/j.jalz.2011.03.005. Epub 2011 Apr 21. PubMed 21514250
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