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CompletedNCT00663026Updated Nov 15, 2013Results posted

Study Evaluating Bapineuzumab In Alzheimer Disease Subjects

A Phase 2 interventional study of bapineuzumab and bapineuzumab in Alzheimer Disease, sponsored by Pfizer. Completed at 17 sites in United States. Open to participants aged 50 Years to 89 Years. Per ClinicalTrials.gov, last updated 2013-11-15.

Sponsored by Pfizer · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
79
Allocation
Randomized
Ages
50 Years to 89 Years
Sex
All
01

Study summary

The study will evaluate the safety and effectiveness of bapineuzumab for the treatment of mild to moderate Alzheimer disease. Subjects will be in the study for six months and will receive subcutaneous injections once per week.

02

Conditions studied

  • Alzheimer Disease

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Keywords

  • antibody
  • immunotherapy
03

In context

Alzheimer Disease

3,678 studies on the registry are indexed under Alzheimer Disease; 872 are open to participants now.

This study's enrollment of 79 is above the median of 70 across 2,808 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of probable Alzheimer Disease according to National Institute of Neurological and Communicative Disorders and Stroke/Alzheimer's Disease and Related Disorders Association (NINCDS/ADRDA) criteria
  • Mini-Mental State Examination (MMSE) score 16-26

Exclusion criteria

Exclusion Criteria:

  • Magnetic Resonance Imaging (MRI) showing other brain abnormalities
  • Other diagnosed neurological or psychiatric disorders
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
79 participants (actual)

Study arms

  • Experimental
    A

    5 mg/week

    Drug: bapineuzumab

  • Experimental
    B

    10 mg/week

    Drug: bapineuzumab

  • Experimental
    C

    Placebo

    Drug: placebo

Interventions

  • Drugbapineuzumab

    5 mg bapineuzumab subcutaneous injection once per week for 6 months

  • Drugbapineuzumab

    10 mg bapineuzumab subcutaneous injection once per week for 6 months

  • Drugplacebo

    Placebo subcutaneous injection once per week for 6 months

06

What researchers measure

Primary outcomes

  1. Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 30 days after Week 25 dose that were absent before treatment or that worsened relative to pretreatment state.

    Time frame: Baseline up to 30 days after Week 25 dose

Secondary outcomes

  1. Maximum Observed Serum Concentration (Cmax)

    Time frame: Predose, 4 hours [hrs] postdose, 72 hrs postdose on Day 3 of Week 0 and 25; Predose on Day 7 (Week 1), Week 10, 14, 16, 18, 22, 26, 30; Predose and 4 hrs postdose on Week 12

  2. Average Serum Concentration at Steady State (Cavg,ss)

    Average plasma concentration at steady state (Cavg,ss) = AUCtau divided by dosing interval (1 week). AUCtau is the area under the plasma concentration time curve (AUC) at steady state from time zero (pre-dose) to end of dosing interval (tau), here dosing interval is 1 week.

    Time frame: Predose, 4 hrs postdose, 72 hrs postdose on Day 3 of Week 0 and 25; Predose on Day 7 (Week 1), Week 10, 14, 16, 18, 22, 26, 30; Predose and 4 hrs postdose on Week 12

  3. Serum Decay Half-Life (t1/2)

    Serum decay half-life is the time measured for the serum concentration to decrease by one half.

    Time frame: Predose, 4 hrs postdose, 72 hrs postdose on Day 3 of Week 0 and 25; Predose on Day 7 (Week 1), Week 10, 14, 16, 18, 22, 26, 30; Predose and 4 hrs postdose on Week 12

  4. Time to Reach Maximum Observed Serum Concentration (Tmax)

    Time frame: Predose, 4 hrs postdose, 72 hrs postdose on Day 3 of Week 0 and 25; Predose on Day 7 (Week 1), Week 10, 14, 16, 18, 22, 26, 30; Predose and 4 hrs postdose on Week 12

  5. Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau)

    AUCtau is the area under the serum concentration time curve (AUC) at steady state from time zero (pre-dose) to end of dosing interval (tau), here dosing interval is 1 week.

    Time frame: Predose, 4 hrs postdose, 72 hrs postdose on Day 3 of Week 0 and 25; Predose on Day 7 (Week 1), Week 10, 14, 16, 18, 22, 26, 30; Predose and 4 hrs postdose on Week 12

  6. Apparent Systemic Clearance (CL/F)

    Clearance (CL) of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after subcutaneous dose (apparent systemic clearance) is influenced by the fraction (F) of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. Steady-state apparent systemic clearance (CL/F) was calculated as dose/AUC tau.

    Time frame: Predose, 4 hrs postdose, 72 hrs postdose on Day 3 of Week 0 and 25; Predose on Day 7 (Week 1), Week 10, 14, 16, 18, 22, 26, 30; Predose and 4 hrs postdose on Week 12

07

Results

Posted Nov 15, 2013
Limitations and caveats
Designation of outcomes as primary, secondary was based on study team's input as study did not specify them as primary or secondary.

Participant flow

Participant flow — Overall Study
MilestonePlaceboBapineuzumab 5 mgBapineuzumab 10 mg
Started192931
Completed172327
Not completed264
Withdrew: Lost to follow-up100
Withdrew: Other120
Withdrew: Adverse event023
Withdrew: Caregiver request020
Withdrew: Withdrawal by subject001

Outcome measures

PrimaryNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 30 days after Week 25 dose that were absent before treatment or that worsened relative to pretreatment state.

Time frame:
Baseline up to 30 days after Week 25 dose
Reported as:
Number · participants
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
participantsPlaceboBapineuzumab 5 mgBapineuzumab 10 mg
AEs162228
SAEs123
SecondaryMaximum Observed Serum Concentration (Cmax)
Time frame:
Predose, 4 hours [hrs] postdose, 72 hrs postdose on Day 3 of Week 0 and 25; Predose on Day 7 (Week 1), Week 10, 14, 16, 18, 22, 26, 30; Predose and 4 hrs postdose on Week 12
Reported as:
Mean · nanogram per milliliter (ng/mL)
Maximum Observed Serum Concentration (Cmax)
nanogram per milliliter (ng/mL)Bapineuzumab 5 mgBapineuzumab 10 mg
Maximum Observed Serum Concentration (Cmax)4219.97 ± 945.238012.88 ± 2793.53
SecondaryAverage Serum Concentration at Steady State (Cavg,ss)

Average plasma concentration at steady state (Cavg,ss) = AUCtau divided by dosing interval (1 week). AUCtau is the area under the plasma concentration time curve (AUC) at steady state from time zero (pre-dose) to end of dosing interval (tau), here dosing interval is 1 week.

Time frame:
Predose, 4 hrs postdose, 72 hrs postdose on Day 3 of Week 0 and 25; Predose on Day 7 (Week 1), Week 10, 14, 16, 18, 22, 26, 30; Predose and 4 hrs postdose on Week 12
Reported as:
Mean · ng/mL
Average Serum Concentration at Steady State (Cavg,ss)
ng/mLBapineuzumab 5 mgBapineuzumab 10 mg
Average Serum Concentration at Steady State (Cavg,ss)3123.071 ± 1074.1166912.301 ± 2149.143
SecondarySerum Decay Half-Life (t1/2)

Serum decay half-life is the time measured for the serum concentration to decrease by one half.

Time frame:
Predose, 4 hrs postdose, 72 hrs postdose on Day 3 of Week 0 and 25; Predose on Day 7 (Week 1), Week 10, 14, 16, 18, 22, 26, 30; Predose and 4 hrs postdose on Week 12

No measurements were reported for this outcome.

SecondaryTime to Reach Maximum Observed Serum Concentration (Tmax)
Time frame:
Predose, 4 hrs postdose, 72 hrs postdose on Day 3 of Week 0 and 25; Predose on Day 7 (Week 1), Week 10, 14, 16, 18, 22, 26, 30; Predose and 4 hrs postdose on Week 12
Reported as:
Median · hours
Time to Reach Maximum Observed Serum Concentration (Tmax)
hoursBapineuzumab 5 mgBapineuzumab 10 mg
Time to Reach Maximum Observed Serum Concentration (Tmax)3696.00 (1680.00 to 4368.00)4200.00 (72.00 to 4368.00)
SecondaryArea Under the Curve From Time Zero to End of Dosing Interval (AUCtau)

AUCtau is the area under the serum concentration time curve (AUC) at steady state from time zero (pre-dose) to end of dosing interval (tau), here dosing interval is 1 week.

Time frame:
Predose, 4 hrs postdose, 72 hrs postdose on Day 3 of Week 0 and 25; Predose on Day 7 (Week 1), Week 10, 14, 16, 18, 22, 26, 30; Predose and 4 hrs postdose on Week 12
Reported as:
Mean · ng*hr/mL
Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau)
ng*hr/mLBapineuzumab 5 mgBapineuzumab 10 mg
Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau)524675.88 ± 180451.561161266.63 ± 361056.04
SecondaryApparent Systemic Clearance (CL/F)

Clearance (CL) of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after subcutaneous dose (apparent systemic clearance) is influenced by the fraction (F) of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. Steady-state apparent systemic clearance (CL/F) was calculated as dose/AUC tau.

Time frame:
Predose, 4 hrs postdose, 72 hrs postdose on Day 3 of Week 0 and 25; Predose on Day 7 (Week 1), Week 10, 14, 16, 18, 22, 26, 30; Predose and 4 hrs postdose on Week 12
Reported as:
Mean · milliliter/hour/kilogram (mL/hr/kg)
Apparent Systemic Clearance (CL/F)
milliliter/hour/kilogram (mL/hr/kg)Bapineuzumab 5 mgBapineuzumab 10 mg
Apparent Systemic Clearance (CL/F)0.16 ± 0.050.132 ± 0.069

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo—1/19 (5.3%)15/19 (78.9%)
Bapineuzumab 5 mg—2/29 (6.9%)22/29 (75.9%)
Bapineuzumab 10 mg—3/31 (9.7%)27/31 (87.1%)
Most frequent serious events
Most frequent serious events
EventPlaceboBapineuzumab 5 mgBapineuzumab 10 mg
Lobar pneumoniaInfections and infestations1/190/290/31
Serum sicknessImmune system disorders0/191/290/31
ConvulsionNervous system disorders0/191/290/31
Atrial fibrillationCardiac disorders0/190/291/31
Subdural hemorrhageInjury, poisoning and procedural complications0/190/291/31
Subarachnoid hemorrhageNervous system disorders0/190/291/31
DeliriumPsychiatric disorders0/190/291/31
CystoceleReproductive system and breast disorders0/190/291/31
RectoceleReproductive system and breast disorders0/190/291/31
Most frequent other events
Showing 10 of 48
Most frequent other events
EventPlaceboBapineuzumab 5 mgBapineuzumab 10 mg
Upper respiratory tract infectionInfections and infestations2/191/296/31
Vasogenic cerebral oedemaNervous system disorders0/192/296/31
DiarrhoeaGastrointestinal disorders2/195/292/31
FatigueGeneral disorders2/192/290/31
NasopharyngitisInfections and infestations2/191/290/31
SinusitisInfections and infestations2/190/290/31
Urinary tract infectionInfections and infestations2/191/291/31
DizzinessNervous system disorders2/192/292/31
HeadacheNervous system disorders2/192/292/31
CoughRespiratory, thoracic and mediastinal disorders2/190/290/31

Baseline characteristics

Age Continuous
Age Continuous(years)PlaceboBapineuzumab 5 mgBapineuzumab 10 mgTotal
Mean76.16 ± 8.6371.28 ± 8.7372.42 ± 8.8372.90 ± 8.85
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboBapineuzumab 5 mgBapineuzumab 10 mgTotal
Female8181238
Male11111941
08

Study locations

17 sites
  • Pfizer Investigational Site
    Phoenix, Arizona 85006, United States
  • Pfizer Investigational Site
    Sun City, Arizona 85351, United States
  • Pfizer Investigational Site
    Encino, California 91316, United States
  • Pfizer Investigational Site
    Los Alamitos, California 90720, United States
  • Pfizer Investigational Site
    Newport Beach, California 92660, United States
  • Pfizer Investigational Site
    Delray Beach, Florida 33445, United States
  • Pfizer Investigational Site
    Hallandale, Florida 33009, United States
  • Pfizer Investigational Site
    West Palm Beach, Florida 33407, United States
  • Pfizer Investigational Site
    Decatur, Georgia 30033, United States
  • Pfizer Investigational Site
    Lawrenceville, Georgia 30045, United States
  • Pfizer Investigational Site
    Wichita, Kansas 67211, United States
  • Pfizer Investigational Site
    Rochester, New York 14620, United States
  • Pfizer Investigational Site
    East Providence, Rhode Island 02914, United States
  • Pfizer Investigational Site
    Providence, Rhode Island 02906, United States
  • Pfizer Investigational Site
    Dallas, Texas 75214, United States
  • Pfizer Investigational Site
    Bennington, Vermont 05201, United States
  • Pfizer Investigational Site
    Madison, Wisconsin 53705, United States
09

References and documents

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 15, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00663026
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Apr 21, 2008
Start date
Nov 2008
Primary completion
Oct 2010
Completion
Oct 2010
Results posted
Nov 15, 2013
Last update
Nov 15, 2013

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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