CClinicalTrials.gg
TerminatedNCT00667810Updated Jan 8, 2016Results posted

Study Evaluating The Efficacy And Safety Of Bapineuzumab In Alzheimer Disease Patients

A Phase 3 interventional study of bapineuzumab and bapineuzumab in Alzheimer Disease, sponsored by Pfizer. Terminated at 348 sites in 26 countries. Open to participants aged 50 Years to 89 Years. Per ClinicalTrials.gov, last updated 2016-01-08.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

Why this study was terminated
The study was terminated on August 6, 2012, because 2 large Phase 3 studies showed no clinical benefit. This decision was not based on any new safety concerns.
Phase
Phase 3
Study type
Interventional
Enrollment
901
Allocation
Randomized
Ages
50 Years to 89 Years
Sex
All
01

Study summary

This is a study to evaluate the efficacy and safety of multiple doses of bapineuzumab in patients with mild to moderate Alzheimer Disease. Patients will receive either bapineuzumab or placebo. Each patient's participation will last approximately 1.5 years.

02

Conditions studied

  • Alzheimer Disease

Browse trials for

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 901 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 (AD), with Mini Mental State Examination (MMSE) score of 16-26, and brain magnetic resonance imaging (MRI) consistent with the diagnosis of AD
  • Concurrent use of cholinesterase inhibitor or memantine allowed, if stable
  • Caregiver will participate and be able to attend clinic visits with patient

Exclusion criteria

Exclusion Criteria:

  • Significant neurological disease other than AD
  • Major psychiatric disorder
  • Contraindication to undergo brain MRI [e.g., pacemaker, cerebrospinal fluid (CSF) shunt, or foreign metal objects in the body]
  • Women of childbearing potential
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
901 participants (actual)

Study arms

  • Experimental
    Bapineuzumab 0.5 mg/kg

    Drug: bapineuzumab

  • Experimental
    Bapineuzumab 1.0 mg/kg

    Drug: bapineuzumab

  • Placebo comparator
    Placebo

    Drug: placebo

Interventions

  • Drugbapineuzumab

    Bapineuzumab 0.5 mg/kg administered by IV infusion approximately every 13 weeks through week 65.

    Also known as: AAB-001

  • Drugbapineuzumab

    Bapineuzumab 1.0 mg/kg administered by IV infusion approximately every 13 weeks through week 65.

    Also known as: AAB-001

  • Drugplacebo

    Placebo will be administered by IV infusion approximately every 13 weeks through week 65.

06

What researchers measure

Primary outcomes

  1. The Change From Baseline in the Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog)/11 Total Score at Week 78

    The ADAS-Cog is a multi-item, objective measure of cognitive function. The scale evaluates memory, language, and praxis with items such as orientation, word recall, word recognition, object identification, comprehension, and the completion of simple tasks. Analysis of the ADAS-Cog for this study was based upon an 11 item score from the following items 1) word recall task, 2) naming objects and fingers, 3) following commands, 4) constructional praxis, 5) ideational praxis, 6) orientation, 7) word recognition, 8) remembering test instructions, 9) spoken language ability, 10) word finding difficulty in spontaneous speech, and 11) comprehension. This scale had to be administered by a trained and certified psychometric rater who did not have access to any information regarding adverse events experienced. The ADAS-Cog/11 ranged from 0 to 70 points, with higher scores indicating a greater degree of impairment. A negative change from baseline indicates a decrease in cognitive impairment.

    Time frame: 78 weeks

  2. The Change From Baseline in the Disability Assessment for Demential (DAD) Total Score at Week 78

    The DAD measures instrumental and basic activities of daily living in participants with Alzheimer's Disease (AD). The DAD is administered to the participants'caregiver in the form of an interview. This scale had to be administered by a trained and certified global rater who did not have access to any information regarding adverse events experienced by the participant. This scale assesses a participants' ability to initiate, plan, and perform activities related to hygiene, dressing, continence, eating, meal preparation, telephoning, going on an outing, finance and correspondence, medications, leisure, and housework. Each item can be scored as 1 = yes, 0 = no, non applicable = NA. A total score is obtained by adding the rating for each question and converting this total score out of 100. Higher scores indicate better function; a positive change from baseline indicates an improvement.

    Time frame: 78 weeks

Secondary outcomes

  1. The Change From Baseline in Brain Amyloid Burden at Week 71.

    Brain amyloid burden as imaged by 11C-Pittsburgh compound B (PiB) positron emission tomography (PET). The latter is a semiquantitative measure of the extent of fibrillar amyloid in the brain. PIB PET measurements were made in cortical regions found to have the highest burden of fibrillar amyloid at autopsy in participants diagnosed as having Alzheimer's pathology, and also regions reported to have the highest average retention of PIB signal in previous PET studies enrolling participants with probable AD. This parameter reflects overall brain amyloid deposition as indexed by imaging. The change from baseline was measured as average standard uptake value ratio (SUVr) in prespecified regions of interest (ROI) assessed by PIB PET imaging in a subset of participants.

    Time frame: 71 Weeks

  2. The Change From Baseline in Phospho-tau Levels in the Cerebrospinal Fluid (CSF) at Week 71.

    Biomarkers CSF phospho-tau (p-tau) is an indicator of neuronal injury and neurodegeneration. An elevation in levels of tau, as well as specific p-tau species, is thought to be a marker for progressive cellular degeneration in AD. Accordingly, a reduction from baseline in levels of CSF tau in participants who received bapineuzumab compared with participants who received placebo may be indicative of a reduction in neuronal loss in participants treated with bapineuzumab.

    Time frame: 71 Weeks

  3. The Change From Baseline in Brain Volume at Week 71

    Brain volume was examined in a subset of participants by Magnetic Resonance Imaging Brain Boundary Shift Integral (MRI BBSI). Cerebral atrophy correlates closely with the gradual cognitive decline in AD and can be visualized by MRI. The BBSI technique involves positional matching of serial 3-dimensional MRI brain images, such that brain MRI-image volumes were first registered and then subtracted from each other. Atrophy rates would generally be expected to be lower if the underlying disease was attenuated by effective treatment.

    Time frame: 71 Weeks

  4. Divergence of Effect on the ADAS-Cog/11 Total Scores From Week 39 to Week 78

    The MMRM estimated slope (based on linear contrasts) of the differences between bapineuzumab and placebo for the ADAS-Cog/11 total scores from Week 39 to Week 78 was presented.

    Time frame: 39 Weeks

  5. Divergence of Effect on the DAD Total Scores From Week 39 to Week 78

    The MMRM estimated slope (based on linear contrasts)of the differences between bapineuzumab and placebo for the DAD total scores from Week 39 to Week 78 was presented.

    Time frame: 39 weeks

  6. Time to Median Placebo Deterioration on ADAS-Cog/11 Total Score (European Union [EU] Analysis Plan)

    The time to first median placebo deterioration (for the EU) was defined as the first time a subject experienced an increase from baseline (worsening) in ADAS Cog/11 total score greater than or equal to the median worsening observed at Week 78 in the placebo group. The Kaplan Meier estimate of the median time to first median placebo deterioration in ADAS Cog/11 total score was presented.

    Time frame: 78 Weeks

  7. Time to First Clinically Meaningful Deterioration on ADAS-Cog/11 Total Score (United States [US] Analysis Plan)

    The time to first clinically meaningful deterioration (for the US) was defined as the first time a participant experienced an increase (worsening) from baseline in ADAS-Cog/11 total score of \>=7.

    Time frame: 78 weeks

  8. Time to Median Placebo Deterioration on DAD Total Score

    The time to first median placebo deterioration (for the EU) was defined as the first time a participant experienced a decrease (worsening) in DAD total score greater than or equal to the median worsening at Week 78 in the placebo group.

    Time frame: 78 Weeks

  9. Time to First Clinically Meaningful Deterioration on DAD Total Score (US Analysis Plan)

    The time to first clinically meaningful deterioration was defined as the first time a participant experienced a decrease (worsening)from baseline in DAD total score of \>=12.

    Time frame: 78 Weeks

  10. Percentage of Participants With Worsening From Baseline in ADAS-Cog/11 Total Score at Week 78 (European Union Analysis Plan)

    Percentage of participants whose increase (worsening) in ADAS-Cog/11 total score from baseline to Week 78 was at most 0, 3, 7 points.

    Time frame: 78 Weeks

  11. Percentage of Participants With Worsening From Baseline in ADAS-Cog/11 Total Score at Week 78 (US Analysis Plan)

    Percentage of participants whose increase (worsening) from baseline to Week 78 in ADAS-Cog/11 total score is \<7.

    Time frame: 78 Weeks

  12. Percentage of Participants With Worsening From Baseline in DAD Total Score at Week 78 (European Union Analysis Plan)

    Percentage of participants whose decrease (worsening) from baseline to Week 78 in DAD total score was at most 0, 6, 12 points.

    Time frame: 78 Weeks

  13. Percentage of Participants With Worsening From Baseline in DAD Total Score at Week 78 (US Analysis Plan)

    Percentage of participants whose decrease (worsening) from baseline to Week 78 in DAD total score was \<12.

    Time frame: 78 weeks

  14. Change From Baseline in Dependence Scale Total Score at Week 78

    The Dependence Scale (DS) is a 13-item, caregiver-rated instrument for determining the amount of support required by a participant with AD. The DS total score ranges from 0 to 15, with higher scores indicating more need for assistance. The DS was administered as an interview to the caregiver at scheduled study visits.

    Time frame: 78 Weeks

  15. Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SOB) Total Score at Week 78

    The CDR-SOB is a global clinical staging instrument that sums 6 clinical ratings: 1) memory, 2) orientation, 3) judgment and problem solving, 4) involvement in community affairs, 5) home and hobbies, and 6) personal care based on the Clinical Dementia Rating Scale (CDR) interview. The CDR includes discussions with the participant and caregiver using a structured format. This scale had to be administered by a trained and certified global rater who did not have access to any information regarding adverse events experienced by the participant. CDR-SOB total score range is 0 (least impairment) to 18 (most impairment); a negative change from baseline indicates an improvement.

    Time frame: 78 Weeks

07

Results

Posted Jan 8, 2016
Limitations and caveats
The impact of study termination, the shorter observational periods and the resulting small sample size coupled with not having enough participants with post baseline assessments for various reasons were limiting factors for data interpretation.

Participant flow

The study was terminated on 06 August 2012 due to lack of clinical efficacy observed in completed studies ELN115727-301 (ApoE4 non-carriers) and ELN115727-302. A total of 329 participants had completed the study up to and including Week 78 before the decision was taken to terminate the study.

Participant flow — Overall Study
MilestoneBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlaceboBapineuzumab 2.0 mg/kg
Started26926434611
Treated26726334411
Completed102941249
Not completed1671702222
Withdrew: Adverse event1314191
Withdrew: Death1130
Withdrew: Lack of efficacy1020
Withdrew: Lost to follow-up1420
Withdrew: Physician decision1120
Withdrew: Protocol violation0200
Withdrew: Withdrawal by subject1420291
Withdrew: Discontinuation of study by sponsor1301181550
Withdrew: Failed to return0020
Withdrew: Loss of caregiver0130
Withdrew: Vasogenic edema recurrence0300
Withdrew: Other6650

Outcome measures

PrimaryThe Change From Baseline in the Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog)/11 Total Score at Week 78

The ADAS-Cog is a multi-item, objective measure of cognitive function. The scale evaluates memory, language, and praxis with items such as orientation, word recall, word recognition, object identification, comprehension, and the completion of simple tasks. Analysis of the ADAS-Cog for this study was based upon an 11 item score from the following items 1) word recall task, 2) naming objects and fingers, 3) following commands, 4) constructional praxis, 5) ideational praxis, 6) orientation, 7) word recognition, 8) remembering test instructions, 9) spoken language ability, 10) word finding difficulty in spontaneous speech, and 11) comprehension. This scale had to be administered by a trained and certified psychometric rater who did not have access to any information regarding adverse events experienced. The ADAS-Cog/11 ranged from 0 to 70 points, with higher scores indicating a greater degree of impairment. A negative change from baseline indicates a decrease in cognitive impairment.

Time frame:
78 weeks
Reported as:
Least squares mean · Units on a scale
The Change From Baseline in the Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog)/11 Total Score at Week 78
Units on a scaleBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlacebo
The Change From Baseline in the Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog)/11 Total Score at Week 786.05 ± 0.718.07 ± 0.737.88 ± 0.64
Statistical analysis
  • Bapineuzumab 0.5 mg/kg vs Placebo · Mixed Models Analysis · p = 0.057 (The p-value is not adjusted for multiple comparison. The Hochberg approach is used to control for multiplicity between the two dose levels (0.5 mg/kg and 1.0 mg/kg) of bapineuzumab.) · Mean difference (final values): -1.83 · 95% CI -3.71 to 0.05
  • Bapineuzumab 1.0 mg/kg vs Placebo · Mixed Models Analysis · p = 0.848 (The p-value is not adjusted for multiple comparison. The Hochberg approach is used to control for multiplicity between the two dose levels (0.5 mg/kg and 1.0 mg/kg) of bapineuzumab.) · Mean difference (final values): 0.19 · 95% CI -1.73 to 2.10
PrimaryThe Change From Baseline in the Disability Assessment for Demential (DAD) Total Score at Week 78

The DAD measures instrumental and basic activities of daily living in participants with Alzheimer's Disease (AD). The DAD is administered to the participants'caregiver in the form of an interview. This scale had to be administered by a trained and certified global rater who did not have access to any information regarding adverse events experienced by the participant. This scale assesses a participants' ability to initiate, plan, and perform activities related to hygiene, dressing, continence, eating, meal preparation, telephoning, going on an outing, finance and correspondence, medications, leisure, and housework. Each item can be scored as 1 = yes, 0 = no, non applicable = NA. A total score is obtained by adding the rating for each question and converting this total score out of 100. Higher scores indicate better function; a positive change from baseline indicates an improvement.

Time frame:
78 weeks
Reported as:
Least squares mean · Units on a scale
The Change From Baseline in the Disability Assessment for Demential (DAD) Total Score at Week 78
Units on a scaleBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlacebo
The Change From Baseline in the Disability Assessment for Demential (DAD) Total Score at Week 78-14.58 ± 1.50-15.07 ± 1.55-16.08 ± 1.36
Statistical analysis
  • Bapineuzumab 0.5 mg/kg vs Placebo · Mixed Models Analysis · p = 0.459 (The p-value is not adjusted for multiple comparison. The Hochberg approach is used to control for multiplicity between the two dose levels (0.5 mg/kg and 1.0 mg/kg) of bapineuzumab.) · Mean difference (final values): 1.51 · 95% CI -2.48 to 5.49
  • Bapineuzumab 1.0 mg/kg vs Placebo · Mixed Models Analysis · p = 0.623 (The p-value is not adjusted for multiple comparison. The Hochberg approach is used to control for multiplicity between the two dose levels (0.5 mg/kg and 1.0 mg/kg) of bapineuzumab.) · Mean difference (final values): 1.01 · 95% CI -3.04 to 5.07
SecondaryThe Change From Baseline in Brain Amyloid Burden at Week 71.

Brain amyloid burden as imaged by 11C-Pittsburgh compound B (PiB) positron emission tomography (PET). The latter is a semiquantitative measure of the extent of fibrillar amyloid in the brain. PIB PET measurements were made in cortical regions found to have the highest burden of fibrillar amyloid at autopsy in participants diagnosed as having Alzheimer's pathology, and also regions reported to have the highest average retention of PIB signal in previous PET studies enrolling participants with probable AD. This parameter reflects overall brain amyloid deposition as indexed by imaging. The change from baseline was measured as average standard uptake value ratio (SUVr) in prespecified regions of interest (ROI) assessed by PIB PET imaging in a subset of participants.

Time frame:
71 Weeks
Reported as:
Least squares mean · SUVr
The Change From Baseline in Brain Amyloid Burden at Week 71.
SUVrBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlaceboPooled Bapineuzumab 0.5/1.0 mg/kg
The Change From Baseline in Brain Amyloid Burden at Week 71.-0.04 ± 0.080.00 ± 0.050.02 ± 0.04-0.01 ± 0.04
Statistical analysis
  • Placebo vs Pooled Bapineuzumab 0.5/1.0 mg/kg · Mixed Models Analysis · p = 0.654 · Mean difference (final values): -0.03 · 95% CI -0.15 to 0.09
SecondaryThe Change From Baseline in Phospho-tau Levels in the Cerebrospinal Fluid (CSF) at Week 71.

Biomarkers CSF phospho-tau (p-tau) is an indicator of neuronal injury and neurodegeneration. An elevation in levels of tau, as well as specific p-tau species, is thought to be a marker for progressive cellular degeneration in AD. Accordingly, a reduction from baseline in levels of CSF tau in participants who received bapineuzumab compared with participants who received placebo may be indicative of a reduction in neuronal loss in participants treated with bapineuzumab.

Time frame:
71 Weeks
Reported as:
Least squares mean · pg/mL
The Change From Baseline in Phospho-tau Levels in the Cerebrospinal Fluid (CSF) at Week 71.
pg/mLBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlaceboPooled Bapineuzumab 0.5/1.0 mg/kg
The Change From Baseline in Phospho-tau Levels in the Cerebrospinal Fluid (CSF) at Week 71.-6.62 ± 3.90-6.35 ± 3.730.70 ± 3.03-6.48 ± 2.67
Statistical analysis
  • Placebo vs Pooled Bapineuzumab 0.5/1.0 mg/kg · ANCOVA · p = 0.085 · Mean difference (final values): -7.18 · 95% CI -15.38 to 1.02
SecondaryThe Change From Baseline in Brain Volume at Week 71

Brain volume was examined in a subset of participants by Magnetic Resonance Imaging Brain Boundary Shift Integral (MRI BBSI). Cerebral atrophy correlates closely with the gradual cognitive decline in AD and can be visualized by MRI. The BBSI technique involves positional matching of serial 3-dimensional MRI brain images, such that brain MRI-image volumes were first registered and then subtracted from each other. Atrophy rates would generally be expected to be lower if the underlying disease was attenuated by effective treatment.

Time frame:
71 Weeks
Reported as:
Least squares mean · mL/year
The Change From Baseline in Brain Volume at Week 71
mL/yearBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlacebo
The Change From Baseline in Brain Volume at Week 7118.55 ± 0.9718.60 ± 1.0017.54 ± 0.86
Statistical analysis
  • Bapineuzumab 0.5 mg/kg vs Placebo · Mixed Models Analysis · p = 0.437 · Mean difference (final values): 1.01 · 95% CI -1.55 to 3.57
  • Bapineuzumab 1.0 mg/kg vs Placebo · Mixed Models Analysis · p = 0.423 · Mean difference (final values): 1.06 · 95% CI -1.54 to 3.66
SecondaryDivergence of Effect on the ADAS-Cog/11 Total Scores From Week 39 to Week 78

The MMRM estimated slope (based on linear contrasts) of the differences between bapineuzumab and placebo for the ADAS-Cog/11 total scores from Week 39 to Week 78 was presented.

Time frame:
39 Weeks
Reported as:
Mean · Units/Year
Divergence of Effect on the ADAS-Cog/11 Total Scores From Week 39 to Week 78
Units/YearBapineuzumab 0.5 mg/kg - PlaceboBapineuzumab 1.0 mg/kg - Placebo
Divergence of Effect on the ADAS-Cog/11 Total Scores From Week 39 to Week 78-1.32 ± 1.060.38 ± 1.09
Statistical analysis
  • Bapineuzumab 0.5 mg/kg - Placebo · Mixed Models Analysis · p = 0.212 · Mean difference (final values): -1.32 · 95% CI -3.40 to 0.76
  • Bapineuzumab 1.0 mg/kg - Placebo · Mixed Models Analysis · p = 0.725 · Mean difference (final values): 0.38 · 95% CI -1.76 to 2.52
SecondaryDivergence of Effect on the DAD Total Scores From Week 39 to Week 78

The MMRM estimated slope (based on linear contrasts)of the differences between bapineuzumab and placebo for the DAD total scores from Week 39 to Week 78 was presented.

Time frame:
39 weeks
Reported as:
Mean · Units/Years
Divergence of Effect on the DAD Total Scores From Week 39 to Week 78
Units/YearsBapineuzumab 0.5 mg/kg - PlaceboBapineuzumab 1.0 mg/kg - Placebo
Divergence of Effect on the DAD Total Scores From Week 39 to Week 783.20 ± 2.222.01 ± 2.27
Statistical analysis
  • Bapineuzumab 0.5 mg/kg - Placebo · Mixed Models Analysis · p = 0.149 · Mean difference (final values): 3.20 · 95% CI -1.15 to 7.56
  • Bapineuzumab 1.0 mg/kg - Placebo · Mixed Models Analysis · p = 0.375 · Mean difference (final values): 2.01 · 95% CI -2.44 to 6.46
SecondaryTime to Median Placebo Deterioration on ADAS-Cog/11 Total Score (European Union [EU] Analysis Plan)

The time to first median placebo deterioration (for the EU) was defined as the first time a subject experienced an increase from baseline (worsening) in ADAS Cog/11 total score greater than or equal to the median worsening observed at Week 78 in the placebo group. The Kaplan Meier estimate of the median time to first median placebo deterioration in ADAS Cog/11 total score was presented.

Time frame:
78 Weeks
Reported as:
Median · Days
Time to Median Placebo Deterioration on ADAS-Cog/11 Total Score (European Union [EU] Analysis Plan)
DaysBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlacebo
Time to Median Placebo Deterioration on ADAS-Cog/11 Total Score (European Union [EU] Analysis Plan)546.0 (546.0 to NA)462.0 (455.0 to 546.0)540.0 (462.0 to 546.0)
Statistical analysis
  • Bapineuzumab 0.5 mg/kg vs Placebo · Log Rank · p = 0.030 (Not specifed.)
  • Bapineuzumab 1.0 mg/kg vs Placebo · Log Rank · p = 0.567
SecondaryTime to First Clinically Meaningful Deterioration on ADAS-Cog/11 Total Score (United States [US] Analysis Plan)

The time to first clinically meaningful deterioration (for the US) was defined as the first time a participant experienced an increase (worsening) from baseline in ADAS-Cog/11 total score of \>=7.

Time frame:
78 weeks
Reported as:
Median · Days
Time to First Clinically Meaningful Deterioration on ADAS-Cog/11 Total Score (United States [US] Analysis Plan)
DaysBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlacebo
Time to First Clinically Meaningful Deterioration on ADAS-Cog/11 Total Score (United States [US] Analysis Plan)546.0 (546.0 to NA)546.0 (455.0 to 546.0)546.0 (476.0 to 546.0)
Statistical analysis
  • Bapineuzumab 0.5 mg/kg vs Placebo · Log Rank · p = 0.079
  • Bapineuzumab 1.0 mg/kg vs Placebo · Log Rank · p = 0.675
SecondaryTime to Median Placebo Deterioration on DAD Total Score

The time to first median placebo deterioration (for the EU) was defined as the first time a participant experienced a decrease (worsening) in DAD total score greater than or equal to the median worsening at Week 78 in the placebo group.

Time frame:
78 Weeks
Reported as:
Median · Days
Time to Median Placebo Deterioration on DAD Total Score
DaysBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlacebo
Time to Median Placebo Deterioration on DAD Total Score541.0 (455.0 to 546.0)534.0 (372.0 to NA)463.0 (453.0 to 546.0)
Statistical analysis
  • Bapineuzumab 0.5 mg/kg vs Placebo · Log Rank · p = 0.846
  • Bapineuzumab 1.0 mg/kg vs Placebo · Log Rank · p = 0.797
SecondaryTime to First Clinically Meaningful Deterioration on DAD Total Score (US Analysis Plan)

The time to first clinically meaningful deterioration was defined as the first time a participant experienced a decrease (worsening)from baseline in DAD total score of \>=12.

Time frame:
78 Weeks
Reported as:
Median · Days
Time to First Clinically Meaningful Deterioration on DAD Total Score (US Analysis Plan)
DaysBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlacebo
Time to First Clinically Meaningful Deterioration on DAD Total Score (US Analysis Plan)542.0 (456.0 to 546.0)539.0 (450.0 to NA)540.0 (453.0 to 546.0)
Statistical analysis
  • Bapineuzumab 0.5 mg/kg vs Placebo · Log Rank · p = 0.933
  • Bapineuzumab 1.0 mg/kg vs Placebo · Log Rank · p = 0.714
SecondaryPercentage of Participants With Worsening From Baseline in ADAS-Cog/11 Total Score at Week 78 (European Union Analysis Plan)

Percentage of participants whose increase (worsening) in ADAS-Cog/11 total score from baseline to Week 78 was at most 0, 3, 7 points.

Time frame:
78 Weeks
Reported as:
Number · Number of participants
Percentage of Participants With Worsening From Baseline in ADAS-Cog/11 Total Score at Week 78 (European Union Analysis Plan)
Number of participantsBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlacebo
Worsening of 0 points10.6 (7.1 to 15.0)8.7 (5.5 to 12.9)7.3 (4.7 to 10.7)
Worsening of 3 points16.1 (11.8 to 21.2)13.4 (9.5 to 18.3)10.1 (7.0 to 13.8)
Worsening of 7 points23.1 (18.1 to 28.8)19.0 (14.3 to 24.4)19.2 (15.1 to 23.9)
SecondaryPercentage of Participants With Worsening From Baseline in ADAS-Cog/11 Total Score at Week 78 (US Analysis Plan)

Percentage of participants whose increase (worsening) from baseline to Week 78 in ADAS-Cog/11 total score is \<7.

Time frame:
78 Weeks
Reported as:
Number · Percentage of participants
Percentage of Participants With Worsening From Baseline in ADAS-Cog/11 Total Score at Week 78 (US Analysis Plan)
Percentage of participantsBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlacebo
Percentage of Participants With Worsening From Baseline in ADAS-Cog/11 Total Score at Week 78 (US Analysis Plan)22.418.618.6
Statistical analysis
  • Bapineuzumab 0.5 mg/kg vs Placebo · Cochran-Mantel-Haenszel · p = 0.277
  • Bapineuzumab 1.0 mg/kg vs Placebo · Cochran-Mantel-Haenszel · p = 0.996
SecondaryPercentage of Participants With Worsening From Baseline in DAD Total Score at Week 78 (European Union Analysis Plan)

Percentage of participants whose decrease (worsening) from baseline to Week 78 in DAD total score was at most 0, 6, 12 points.

Time frame:
78 Weeks
Reported as:
Number · Percentage of participants
Percentage of Participants With Worsening From Baseline in DAD Total Score at Week 78 (European Union Analysis Plan)
Percentage of participantsBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlacebo
Worsening of 0 points10.2 (6.8 to 14.6)11.9 (8.1 to 16.5)9.1 (6.3 to 12.8)
Worsening of 6 points15.7 (11.4 to 20.7)16.6 (12.2 to 21.8)14.3 (10.7 to 18.6)
Worsening of 12 points20.0 (15.3 to 25.4)22.1 (17.2 to 27.8)19.5 (15.4 to 24.2)
SecondaryPercentage of Participants With Worsening From Baseline in DAD Total Score at Week 78 (US Analysis Plan)

Percentage of participants whose decrease (worsening) from baseline to Week 78 in DAD total score was \<12.

Time frame:
78 weeks
Reported as:
Number · Percentage of participants
Percentage of Participants With Worsening From Baseline in DAD Total Score at Week 78 (US Analysis Plan)
Percentage of participantsBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlacebo
Percentage of Participants With Worsening From Baseline in DAD Total Score at Week 78 (US Analysis Plan)20.022.119.5
Statistical analysis
  • Bapineuzumab 0.5 mg/kg vs Placebo · Cochran-Mantel-Haenszel · p = 0.855
  • Bapineuzumab 1.0 mg/kg vs Placebo · Cochran-Mantel-Haenszel · p = 0.423
SecondaryChange From Baseline in Dependence Scale Total Score at Week 78

The Dependence Scale (DS) is a 13-item, caregiver-rated instrument for determining the amount of support required by a participant with AD. The DS total score ranges from 0 to 15, with higher scores indicating more need for assistance. The DS was administered as an interview to the caregiver at scheduled study visits.

Time frame:
78 Weeks
Reported as:
Least squares mean · Units on a scale
Change From Baseline in Dependence Scale Total Score at Week 78
Units on a scaleBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlacebo
Change From Baseline in Dependence Scale Total Score at Week 781.29 ± 0.191.16 ± 0.191.45 ± 0.17
Statistical analysis
  • Bapineuzumab 0.5 mg/kg vs Placebo · Mixed Models Analysis · p = 0.516 · Mean difference (final values): -0.16 · 95% CI -0.65 to 0.33
  • Bapineuzumab 1.0 mg/kg vs Placebo · Mixed Models Analysis · p = 0.257 · Mean difference (final values): -0.29 · 95% CI -0.79 to 0.21
SecondaryChange From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SOB) Total Score at Week 78

The CDR-SOB is a global clinical staging instrument that sums 6 clinical ratings: 1) memory, 2) orientation, 3) judgment and problem solving, 4) involvement in community affairs, 5) home and hobbies, and 6) personal care based on the Clinical Dementia Rating Scale (CDR) interview. The CDR includes discussions with the participant and caregiver using a structured format. This scale had to be administered by a trained and certified global rater who did not have access to any information regarding adverse events experienced by the participant. CDR-SOB total score range is 0 (least impairment) to 18 (most impairment); a negative change from baseline indicates an improvement.

Time frame:
78 Weeks
Reported as:
Least squares mean · Units on a scale
Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SOB) Total Score at Week 78
Units on a scaleBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlacebo
Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SOB) Total Score at Week 782.23 ± 0.232.41 ± 0.232.59 ± 0.20
Statistical analysis
  • Bapineuzumab 0.5 mg/kg vs Placebo · Mixed Models Analysis · p = 0.238 · Mean difference (final values): -0.36 · 95% CI -0.96 to 0.24
  • Bapineuzumab 1.0 mg/kg vs Placebo · Mixed Models Analysis · p = 0.564 · Mean difference (final values): -0.18 · 95% CI -0.78 to 0.43

Adverse events

Collected over 4 years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Bapineuzumab 0.5 mg/kg—32/267 (12%)109/267 (40.8%)
Bapineuzumab 1.0 mg/kg—34/263 (12.9%)123/263 (46.8%)
Placebo—53/344 (15.4%)124/344 (36%)
Bapineuzumab 2.0 mg/kg—2/11 (18.2%)9/11 (81.8%)
Most frequent serious events
Showing 10 of 136
Most frequent serious events
EventBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlaceboBapineuzumab 2.0 mg/kg
Vasogenic cerebral oedemaNervous system disorders6/26712/2630/3442/11
Cerebral microhaemorrhageNervous system disorders0/2671/2630/3441/11
Confusional statePsychiatric disorders0/2671/2631/3441/11
Multiple injuriesInjury, poisoning and procedural complications2/2670/2630/3440/11
HeadacheNervous system disorders2/2670/2630/3440/11
FallInjury, poisoning and procedural complications0/2671/2632/3440/11
Subdural haematomaInjury, poisoning and procedural complications0/2671/2632/3440/11
Colorectal cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/2670/2632/3440/11
Rectal cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/2670/2632/3440/11
ErythemaSkin and subcutaneous tissue disorders0/2670/2632/3440/11
Most frequent other events
Showing 10 of 37
Most frequent other events
EventBapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlaceboBapineuzumab 2.0 mg/kg
VomitingGastrointestinal disorders9/2679/26310/3443/11
NasopharyngitisInfections and infestations17/26718/26328/3442/11
ContusionInjury, poisoning and procedural complications6/2678/2631/3442/11
Blood pressure increasedInvestigations5/2675/2636/3442/11
HeadacheNervous system disorders17/26715/26329/3442/11
DepressionPsychiatric disorders13/26711/2639/3442/11
HypertensionVascular disorders8/26710/2639/3442/11
TachycardiaCardiac disorders0/2670/2632/3441/11
HypoacusisEar and labyrinth disorders0/2670/2630/3441/11
Vision blurredEye disorders0/2671/2631/3441/11

Baseline characteristics

Safety population included all randomized participants who received at least one infusion or portion of an infusion of study drug.

Age, Continuous
Age, Continuous(Years)Bapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlaceboBapineuzumab 2.0 mg/kgTotal
Mean71.4 ± 9.3870.8 ± 9.7369.9 ± 9.7666.5 ± 7.9470.6 ± 9.63
Age, Customized
Age, Customized(Years)Bapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlaceboBapineuzumab 2.0 mg/kgTotal
<65 years73811156275
≥65 years1941822295610
Sex: Female, Male
Sex: Female, Male(Participants)Bapineuzumab 0.5 mg/kgBapineuzumab 1.0 mg/kgPlaceboBapineuzumab 2.0 mg/kgTotal
Female1511501994504
Male1161131457381
08

Study locations

348 sites
  • University of Alabama-Birmingham
    Birmingham, Alabama 35294, United States
  • Dedicated Clinical Research
    Goodyear, Arizona 85395, United States
  • Banner Alzheimer's Institute
    Phoenix, Arizona 85006, United States
  • Jeffrey S. Gitt, DO, PC
    Phoenix, Arizona 85032, United States
  • The Compounding Center (IP Mixing Only)
    Phoenix, Arizona 85032, United States
  • Hope Research Institute
    Phoenix, Arizona 85050, United States
  • Clinical Trials, Inc.
    Little Rock, Arkansas 72205, United States
  • ATP Clinical Research, Incorporated
    Costa Mesa, California 92626, United States
  • Pharmacology Research Institute
    Encino, California 91316, United States
  • Margolin Brain Institute
    Fresno, California 93720, United States
  • Infusion Care Pharmacey
    Laguna Hills, California 92653, United States
  • Senior Clinical Trials, Incorporated
    Laguna Hills, California 92653, United States
  • Faculty Physicians and Surgeons of Loma Linda University School of Medicine
    Loma Linda, California 92354, United States
  • Loma Linda University Medical Center
    Loma Linda, California 92354, United States
  • Collaborative Neuroscience Network, Inc.
    Long Beach, California 90806, United States
  • Pharmacology Research Institute
    Los Alamitos, California 90720, United States
  • Pharmacology Research Institute
    Newport Beach, California 92660, United States
  • Coordinated Clinical Research
    San Diego, California 92103, United States
  • LabCorp
    San Diego, California 92103, United States
  • Sharp and Children's MRI Center, LLC
    San Diego, California 92123, United States
  • Sharp Infusion Therapy Center
    San Diego, California 92123, United States
  • Sharp Memorial Hospital
    San Diego, California 92123, United States
  • Sharp Mesa Vista Hospital
    San Diego, California 92123, United States
  • San Francisco Clinical Research Center
    San Francisco, California 94109, United States
  • Alpine Clinical Research Center, Inc.
    Boulder, Colorado 80304, United States
  • Associated Neurologists, PC
    Boulder, Colorado 80304, United States
  • The Mile High Research Center
    Denver, Colorado 80218, United States
  • Associated Neurologists, PC
    Danbury, Connecticut 06810, United States
  • Associated Neurologists of Southern Connecticut, P.C.
    Fairfield, Connecticut 06824, United States
  • Bendheim Cancer Center
    Greenwich, Connecticut 06830, United States
  • Center for Healthy Aging
    Greenwich, Connecticut 06830, United States
  • Institute for Neurodegenerative Disorders
    New Haven, Connecticut 06510, United States
  • Yale University School of Medicine
    New Haven, Connecticut 06510, United States
  • Yale-New Haven Hospital
    New Haven, Connecticut 06510, United States
  • Yale-New Haven Hospital
    New Haven, Connecticut 06511, United States
  • Norman S. Werdiger, MD
    New Haven, Connecticut 06519, United States
  • Institutional Review Board / Ethics Committee
    New Haven, Connecticut 06520, United States
  • Yale PET Center
    New Haven, Connecticut 06520, United States
  • Yale University School of Medicine
    New Haven, Connecticut 06520, United States
  • Research Center for Clinical Studies, Inc.
    Norwalk, Connecticut 06851, United States
  • Chase Medical Research, LLC
    Waterbury, Connecticut 06708, United States
  • JEM Research Institute LLC
    Atlantis, Florida 33462, United States
  • Medical Specialists of the Palm Beaches
    Atlantis, Florida 33462, United States
  • Bradenton Research Center, Incorporated
    Bradenton, Florida 34205, United States
  • North Broward Medical Center
    Deerfield Beach, Florida 33064, United States
  • Brain Matters Research
    Delray Beach, Florida 33445, United States
  • Neurologic Consultants, P.A.
    Fort Lauderdale, Florida 33308, United States
  • MD Clinical
    Hallandale Beach, Florida 33009, United States
  • Renstar Medical Research
    Ocala, Florida 34471, United States
  • Advanced Imaging
    Ocala, Florida 34481, United States
  • Compass Research, LLC
    Orlando, Florida 32806, United States
  • Palm Beach Neurological Center
    Palm Beach Gardens, Florida 33410, United States
  • Neurostudies Inc
    Port Charlotte, Florida 33952, United States
  • Roskamp Institute
    Sarasota, Florida 34243, United States
  • South Bay Internal Medicine
    Sun City, Florida 33573, United States
  • Stedman Clinical Trials, LLC
    Tampa, Florida 33613, United States
  • Premiere Research Institute
    West Palm Beach, Florida 33407, United States
  • NeuroTrials Research, Incorporated
    Atlanta, Georgia 30342, United States
  • Columbus Diagnostic Center (MRI)
    Columbus, Georgia 31901, United States
  • Medical Research and Health Education Foundation, Incorporated
    Columbus, Georgia 31909, United States
  • Dekalb Neurology Associates, LLC/NeuroStudies.net, LLC
    Decatur, Georgia 30033, United States
  • NeuroStudies.net
    Decatur, Georgia 30033, United States
  • Neurostudies.net
    Lawerenceville, Georgia 30045, United States
  • Neurostudies.net
    Lawrenceville, Georgia 30046, United States
  • Alexian Brothers Medical Center
    Elk Grove Village, Illinois 60007, United States
  • Alexian Brothers Neurosciences Institute
    Elk Grove Village, Illinois 60007, United States
  • Methodist Center for Senior Health
    Peoria, Illinois 61602, United States
  • Methodist Medical Center Research Department
    Peoria, Illinois 61602, United States
  • Methodist Diagnostic Center
    Peoria, Illinois 61606, United States
  • Methodist Medical Center of Illinois
    Peoria, Illinois 61636, United States
  • Southern Illinois University School of Medicine
    Springfield, Illinois 62702, United States
  • Memorial Medical Center
    Springfield, Illinois 62781, United States
  • Elkhart Clinic, LLC
    Elkhart, Indiana 46514, United States
  • Psychology Associates
    Mishawaka, Indiana 46545, United States
  • KU - Wichita
    Wichita, Kansas 67207, United States
  • Drug Shipment/ Storage
    Wichitia, Kansas 67205, United States
  • Four Rivers Clinical Research, Incorporated
    Paducah, Kentucky 42003, United States
  • Radio Pharmacy
    Paducah, Kentucky 42003, United States
  • Lake Charles Clinical Trials
    Lake Charles, Louisiana 70629, United States
  • Louisiana Research Associates Inc
    New Orleans, Louisiana 70114, United States
  • James Gary Booker, MD, APMC
    Shreveport, Louisiana 71104, United States
  • Foers Medical Arts Pharmacy
    Bethesda, Maryland 20814, United States
  • CBH Health, LLC
    Rockville, Maryland 20850, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 021147, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
  • Bringham and Women's Hospital
    Boston, Massachusetts 02115, United States
  • Boston University
    Boston, Massachusetts 02118, United States
  • General Clinical Research Center
    Boston, Massachusetts 02118, United States
  • IDS Pharmacy
    Boston, Massachusetts 02118, United States
  • ActivMed Practices and Research, Inc.
    Haverhill, Massachusetts 01830, United States
  • Neurocare, Incorporated
    Newton, Massachusetts 02459, United States
  • Springfield Neurology Associates, LLC
    Springfield, Massachusetts 01104, United States
  • University of Michigan Health System
    Ann Arbor, Michigan 48109-5872, United States
  • University of Michigan Hospital
    Ann Arbor, Michigan 48109, United States
  • University of Michigan Health System
    Ann Arbor, Michigan 48110, United States
  • Michigan State University
    East Lansing, Michigan 48824, United States
  • Michigan State University
    Lansing, Michigan 48910, United States
  • Marty's Pharmacy
    Flowood, Mississippi 39232, United States
  • Precise Research Centers
    Flowood, Mississippi 39232, United States

Showing the first 100 of 348 sites across 26 countries.

09

References and documents

Publications

  • Vandenberghe R, Rinne JO, Boada M, Katayama S, Scheltens P, Vellas B, Tuchman M, Gass A, Fiebach JB, Hill D, Lobello K, Li D, McRae T, Lucas P, Evans I, Booth K, Luscan G, Wyman BT, Hua L, Yang L, Brashear HR, Black RS; Bapineuzumab 3000 and 3001 Clinical Study Investigators. Bapineuzumab for mild to moderate Alzheimer's disease in two global, randomized, phase 3 trials. Alzheimers Res Ther. 2016 May 12;8(1):18. doi: 10.1186/s13195-016-0189-7. PubMed 27176461 ↗
  • Lacey L, Bobula J, Rudell K, Alvir J, Leibman C. Quality of Life and Utility Measurement in a Large Clinical Trial Sample of Patients with Mild to Moderate Alzheimer's Disease: Determinants and Level of Changes Observed. Value Health. 2015 Jul;18(5):638-45. doi: 10.1016/j.jval.2015.03.1787. Epub 2015 Apr 10. PubMed 26297092 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 8, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00667810
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Apr 28, 2008
Start date
Jun 2008
Primary completion
Oct 2012
Completion
Aug 2013
Results posted
Jan 8, 2016
Last update
Jan 8, 2016

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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This study is terminated, as verified in Dec 2015. You cannot join it, but the record below documents what was studied.

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