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Dominantly Inherited Alzheimer Network Trial: An Opportunity to Prevent Dementia. A Study of Potential Disease Modifying Treatments in Individuals at Risk for or With a Type of Early Onset Alzheimer's Disease Caused by a Genetic Mutation. Master Protocol DIAN-TU-001 (DIAN-TU)

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ClinicalTrials.gov Identifier: NCT01760005
Recruitment Status : Recruiting
First Posted : January 3, 2013
Last Update Posted : May 12, 2023
Sponsor:
Collaborators:
Eli Lilly and Company
Hoffmann-La Roche
Alzheimer's Association
National Institute on Aging (NIA)
Avid Radiopharmaceuticals
Accelerating Medicines Partnership (AMP)
Eisai Inc.
Janssen, LP
Information provided by (Responsible Party):
Washington University School of Medicine

Brief Summary:
The purpose of this study is to assess the safety, tolerability, biomarker, cognitive and clinical efficacy of investigational products in participants with an Alzheimer's disease-causing mutation by determining if treatment with the study drug slows the rate of progression of cognitive/clinical impairment or improves disease-related biomarkers.

Condition or disease Intervention/treatment Phase
Alzheimers Disease Dementia Alzheimers Disease, Familial Drug: Gantenerumab Drug: Solanezumab Drug: Matching Placebo (Gantenerumab) Drug: Matching Placebo (Solanezumab) Drug: E2814 Drug: Lecanemab Drug: Matching Placebo (E2814) Phase 2 Phase 3

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 490 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Interventional with a non-interventional run-in component (Future interventions to be added)
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description: One arm is Open-label as noted in the arm descriptions
Primary Purpose: Treatment
Official Title: A Phase II/III Multicenter Randomized, Double-Blind, Placebo-Controlled Platform Trial of Potential Disease Modifying Therapies Utilizing Biomarker, Cognitive, and Clinical Endpoints in Dominantly Inherited Alzheimer's Disease
Actual Study Start Date : December 2012
Estimated Primary Completion Date : October 2027
Estimated Study Completion Date : October 2027

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Gantenerumab
This arm completed and is closed.
Drug: Gantenerumab
Subcutaneously every 4 weeks at escalating doses
Other Name: RO4909832

Experimental: Solanezumab
This arm completed and is closed.
Drug: Solanezumab
Intravenous infusion every 4 weeks at escalating doses
Other Name: LY2062430

Placebo Comparator: Matching placebo (Gantenerumab)
This arm completed and is closed.
Drug: Matching Placebo (Gantenerumab)
Subcutaneous injection of placebo every 4 weeks

Placebo Comparator: Matching Placebo (Solanezumab)
This arm completed and is closed.
Drug: Matching Placebo (Solanezumab)
Intravenous infusion of placebo every 4 weeks

No Intervention: Cognitive Run-in
Active Comparator: Gantenerumab Open Label Extension
Subcutaneously every 4 weeks at escalating doses
Drug: Gantenerumab
Open-label administered Subcutaneously every 4 weeks at escalating doses
Other Name: RO4909832

Experimental: E2814 plus lecanemab

Symptomatic Population (Cohort 1)

At Week 0, participants will receive open-label lecanemab administered intravenously for the full treatment period.

At Week 24, participants randomized to E2814 will receive intravenously in a blinded fashion for the remainder of their treatment period.

Asymptomatic Population (Cohort 2)

At Week 0, participants randomized to E2814 will receive intravenously in a blinded fashion for the full treatment period.

At Week 52, all participants will initiate open-label lecanemab administered intravenously for the remainder of their treatment period.

Drug: E2814
Administered intravenously in a blinded fashion

Drug: Lecanemab
Administered intravenously
Other Name: BAN2401

Experimental: Matching placebo (E2814) plus lecanemab

Symptomatic Population (Cohort 1)

At Week 0, participants will receive open-label lecanemab administered intravenously for the full treatment period.

At Week 24, participants randomized to E2814 placebo will receive placebo intravenously in a blinded fashion for the remainder of their treatment period.

Asymptomatic Population (Cohort 2)

At Week 0, participants randomized to E2814 placebo will receive placebo intravenously in a blinded fashion for the full treatment period.

At Week 52, all participants will initiate open-label lecanemab administered intravenously for the remainder of their treatment period.

Drug: Lecanemab
Administered intravenously
Other Name: BAN2401

Drug: Matching Placebo (E2814)
Placebo administered intravenously in a blinded fashion.




Primary Outcome Measures :
  1. Assess cognitive efficacy in individuals with mutations causing dominantly inherited AD as measured by the change from baseline in the DIAN-Multivariate Cognitive Endpoint (DIAN-MCE) [ Time Frame: Baseline and Weeks 52, 104, 156, and 208 ]
    The DIAN-Multivariate Cognitive Endpoint (DIAN-MCE) consists of 4 cognitive measures: Wechsler Memory Scale-Revised Logical Memory Delayed Recall Test, Wechsler Adult Intelligence Sale Digit Symbol Substitution Test (WAIS), International Shopping List Task (ISLT), Mini-Mental State Examination (MMSE)



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Between 18-80 years of age
  • Individuals who know they have an Alzheimer's disease-causing mutation or are unaware of their genetic status and have dominantly inherited Alzheimer's disease (DIAD) mutation in their family.
  • Are within -15 to + 10 years of the predicted or actual age of cognitive symptom onset. For Cognitive Run-In (CRI): includes participants who are younger than 15 years prior to the expected age of cognitive symptom onset, in addition to those 15 years younger and no more than 10 years older than expected or actual age of cognitive symptom onset.
  • Cognitively normal or with mild cognitive impairment or mild dementia, Clinical Dementia Rating (CDR) of 0-1 (inclusive)
  • Fluency in DIAN-TU trial approved language and evidence of adequate premorbid intellectual functioning
  • Able to undergo Magnetic Resonance Imaging (MRI), Lumbar Puncture (LP), Positron Emission Tomography (PET), and complete all study related testing and evaluations.
  • For women of childbearing potential, if partner is not sterilized, subject must agree to use effective contraceptive measures (hormonal contraception, intra-uterine device, sexual abstinence, barrier method with spermicide).
  • Adequate visual and auditory abilities to perform all aspects of the cognitive and functional assessments.
  • Has a Study Partner who in the investigator's judgment is able to provide accurate information as to the subject's cognitive and functional abilities, who agrees to provide information at the study visits which require informant input for scale completion.

Exclusion Criteria:

  • History or presence of brain MRI scans indicative of any other significant abnormality
  • Alcohol or drug dependence currently or within the past 1 year
  • Presence of pacemakers, aneurysm clips, artificial heart valves, ear implants, or foreign metal objects in the eyes, skin or body which would preclude MRI scan.
  • History or presence of clinically significant cardiovascular disease, hepatic/renal disorders, infectious disease or immune disorder, or metabolic/endocrine disorders
  • Anticoagulants except low dose (≤ 325 mg) aspirin.
  • Have been exposed to a monoclonal antibody targeting beta amyloid peptide within the past six months.
  • History of cancer within the last 5 years, except basal cell carcinoma, non-squamous skin carcinoma, prostate cancer or carcinoma in situ with no significant progression over the past 2 years.
  • Positive urine or serum pregnancy test or plans or desires to become pregnant during the course of the trial.
  • Subjects unable to complete all study related testing, including implanted metal that cannot be removed for MRI scanning, required anticoagulation and pregnancy.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01760005


Contacts
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Contact: Ellen Ziegemeier, MA 844-DIANEXR (342-6397) dianexr@wustl.edu
Contact: Jamie Bartzel 844-DIANEXR (342-6397) dianexr@wustl.edu

Locations
Show Show 38 study locations
Sponsors and Collaborators
Washington University School of Medicine
Eli Lilly and Company
Hoffmann-La Roche
Alzheimer's Association
National Institute on Aging (NIA)
Avid Radiopharmaceuticals
Accelerating Medicines Partnership (AMP)
Eisai Inc.
Janssen, LP
Investigators
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Study Director: Randall J Bateman, MD Washington University School of Medicine
Additional Information:
Publications:

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Responsible Party: Washington University School of Medicine
ClinicalTrials.gov Identifier: NCT01760005    
Other Study ID Numbers: DIAN-TU-001 (Master)
The Alzheimer's Association ( Other Grant/Funding Number: DIAN TTU-12-243040 )
U01AG042791 ( U.S. NIH Grant/Contract )
2013-000307-17 ( EudraCT Number )
R01AG046179 ( U.S. NIH Grant/Contract )
REec-2014-0817 ( Registry Identifier: Spanish Clinical Studies Registry )
The Alzheimer's Association ( Other Grant/Funding Number: DIAN-TU Tau-15-347219 )
GHR Foundation ( Other Grant/Funding Number: File 4401 )
Alzheimer's Association ( Other Identifier: HDE 18S84914 )
The Alzheimer's Association ( Other Grant/Funding Number: DIAN-TU NG-16-434362 )
R56AG053267 ( U.S. NIH Grant/Contract )
U01AG059798 ( U.S. NIH Grant/Contract )
R01AG053267 ( U.S. NIH Grant/Contract )
First Posted: January 3, 2013    Key Record Dates
Last Update Posted: May 12, 2023
Last Verified: May 2023
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Access to DIAN-TU trial data will follow the DIAN-TU data access policy, which complies with the guidelines established by the Collaboration for Alzheimer's Prevention [CAP REF].
Keywords provided by Washington University School of Medicine:
Alzheimer's
Alzheimer's Disease
Dementia
Mutation
Genetic Mutation
Dominantly Inherited Alzheimer's Disease
Dominantly Inherited Alzheimer Network
Autosomal Dominant Alzheimer's Disease
Early Onset Alzheimer's Disease
DIAN
DIAN-TU
DIAN TU
DIAD
Additional relevant MeSH terms:
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Alzheimer Disease
Dementia
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Tauopathies
Neurodegenerative Diseases
Neurocognitive Disorders
Mental Disorders
Antibodies, Monoclonal
Immunologic Factors
Physiological Effects of Drugs