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CompletedNCT03008161Updated Aug 15, 2019

Multiple Dose Safety Study of NPT088 in Patients With Mild to Moderate Probable Alzheimer's Disease

A Phase 1 interventional study of NPT088 and Placebo in Alzheimer Disease, sponsored by Proclara Biosciences, Inc.. Completed at 23 sites in United States. Open to participants aged 50 Years to 85 Years. Per ClinicalTrials.gov, last updated 2019-08-15.

Sponsored by Proclara Biosciences, Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
83
Allocation
Randomized
Ages
50 Years to 85 Years
Sex
All
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Study summary

The purpose of the study is to evaluate the safety and tolerability of multiple doses of NPT088 in patients with mild to moderate probable Alzheimer's Disease. The study will also evaluate the pharmacokinetics, immunogenicity and exploratory pharmacodynamic characteristics of multiple doses of NPT088.

Read the detailed description

This study is a multicenter Phase 1, randomized, double-blind, placebo-controlled, multiple-dose, dose-escalation safety and tolerability study of NPT088 or placebo in patients with Probable AD with a MMSE score of 16-27. Enrolled patients will receive an intravenous infusion of NPT088 or placebo once a month for six months during this study. Four dose cohorts are planned with the first two cohorts enrolling 9 patients each (6 NPT088: 3 placebo) and the final two cohorts enrolling 24 patients each (16 NPT088: 8 placebo) for a total of 66 patients (44 NPT088: 22 placebo).

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Conditions studied

  • Alzheimer Disease

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Keywords

  • GAIM
  • amyloid
  • anti-aBeta
  • anti-tau
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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 83 is above the median of 70 across 2,808 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Proclara Biosciences, Inc. is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
50 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria: For enrollment in the study, participants must

  • be between 50 and 85 years of age, inclusive
  • have a Mini Mental State Examination (MMSE) scores between 16-27 (inclusive)
  • have a Modified Hachinski Score of less than or equal to 4
  • have a diagnosis of Probable Alzheimer's Disease (AD) according to consensus criteria defined by the National Institute on Aging-Alzheimer's Association work group
  • have a Clinical Dementia Rating Scale (CDR) of 0.5 or 1.0, with the memory box score equal to or greater than 0.5
  • have a positive florbetapir positron emission tomography (PET) amyloid scan
  • consent to apolipoprotein E (ApoE) genotyping
  • be willing to undergo repeat Magnetic Resonance Imaging (MRI) and PET imaging
  • be on stable doses of allowed medications for at least 30 days prior to Screening. Concurrent treatment with cholinesterase inhibitors and/or memantine is allowed
  • be in good healthy apart from the clinical diagnosis of AD
  • have a dedicated Caregiver who provides care at least 4 hours a day for 4 days a week and will provide informed consent for their participation

Exclusion Criteria: For enrollment in the study, participants must NOT:

  • have a history of, or screening MRI indicative of any significant brain abnormality
  • have any major medical illness or unstable medical condition or in the opinion of the Investigator have any reason that may interfere with the participants ability to comply with the study procedures and abide by study restrictions or with the ability to interpret safety data
  • reside in a nursing home or need 24-hour care and supervision
  • take excluded medications
  • have exclusionary values on the Screening blood and urine sample
  • have been treated with immunomodulators to treat AD
  • have participated in an investigational drug or device study within 90 days
  • have a known allergy to study drug
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
83 participants (actual)

Study arms

  • Experimental
    Cohort 1

    Participants will receive monthly IV infusions of either low dose NPT088 (6 participants) or placebo (3 participants) for a total of 6 months

    Drug: NPT088 · Drug: Placebo

  • Experimental
    Cohort 2

    Participants will receive monthly IV infusions of either mid-low dose NPT088 (6 participants) or placebo (3 participants) for a total of 6 months

    Drug: NPT088 · Drug: Placebo

  • Experimental
    Cohort 3

    Participants will receive monthly IV infusions of either mid-high dose NPT088 (16 participants) or placebo (8 participants) for a total of 6 months

    Drug: NPT088 · Drug: Placebo

  • Experimental
    Cohort 4

    Participants will receive monthly IV infusions of either high dose NPT088 (16 participants) or placebo (8 participants) for a total of 6 months

    Drug: NPT088 · Drug: Placebo

Interventions

  • DrugNPT088

    IgG1 Fc-GAIM fusion protein, a recombinant fusion protein

    Also known as: IgG1, fusion protein, GAIM, anti-Abeta, anti-Tau

  • DrugPlacebo

    Placebo

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What researchers measure

Primary outcomes

  1. Number of patients with adverse events

    Time frame: Baseline to Week 32

Secondary outcomes

  1. Multiple dose pharmacokinetic (PK) serum concentrations of NPT088

    Time frame: Up to Week 32

  2. Multiple dose PK CSF concentrations of NPT088

    Time frame: Up to Week 32

  3. Multiple dose immunogenicity of NPT088

    Time frame: Up to Week 32

Other outcomes

  1. Change from baseline in florbetapir-fluorine-18 positron emission tomography (PET) imaging in certain brain areas

    Time frame: Baseline and Week 24

  2. Change from baseline in [18F] MNI-960 PET imaging in certain brain areas

    Time frame: Baseline and Week 24

  3. Change in CSF or blood biomarkers

    Time frame: Up to Week 32

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Study locations

23 sites
  • ATP Clinical Research, Inc.
    Costa Mesa, California 92626, United States
  • Neurology Center of North Orange County
    Fullerton, California 92835, United States
  • Collaborative Neuroscience Network
    Long Beach, California 90806, United States
  • Southern California Research
    Simi Valley, California 93065, United States
  • Associated Neurologists of Southern Connecticut
    Fairfield, Connecticut 06824, United States
  • JEM Research Institute
    Atlantis, Florida 33462, United States
  • Indago Research and Health Center
    Hialeah, Florida 33012, United States
  • Alzheimer's Research and Treatment Center
    Lake Worth, Florida 33449, United States
  • Miami Jewish Health Systems
    Miami, Florida 33137, United States
  • Medical Research Group of Central Florida
    Orange City, Florida 32763, United States
  • Compass Research
    Orlando, Florida 32806, United States
  • Progressive Medical Research
    Port Orange, Florida 32137, United States
  • Axiom Clinical Research
    Tampa, Florida 33609, United States
  • Compass-The Villages
    The Villages, Florida 32162, United States
  • Medical Research and Health Education Foundation
    Columbus, Georgia 31909, United States
  • NeuroStudies LLC
    Decatur, Georgia 30033, United States
  • Princeton Medical Institute
    Princeton, New Jersey 08540, United States
  • Neurological Associates of Albany
    Albany, New York 12208, United States
  • Integrative Clinical Trials, Inc.
    Brooklyn, New York 11229, United States
  • Alzheimer's Memory Center
    Charlotte, North Carolina 28270, United States
  • Lehigh Center for Clinical Research
    Allentown, Pennsylvania 18104, United States
  • Abington Neurological Associates, Ltd
    Willow Grove, Pennsylvania 19090, United States
  • Neurology Clinic, PC
    Cordova, Tennessee 38018, United States
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References and documents

Publications

  • Krishnan R, Tsubery H, Proschitsky MY, Asp E, Lulu M, Gilead S, Gartner M, Waltho JP, Davis PJ, Hounslow AM, Kirschner DA, Inouye H, Myszka DG, Wright J, Solomon B, Fisher RA. A bacteriophage capsid protein provides a general amyloid interaction motif (GAIM) that binds and remodels misfolded protein assemblies. J Mol Biol. 2014 Jun 26;426(13):2500-19. doi: 10.1016/j.jmb.2014.04.015. Epub 2014 Apr 22. PubMed 24768993 ↗
  • Levenson JM, Schroeter S, Carroll JC, Cullen V, Asp E, Proschitsky M, Chung CH, Gilead S, Nadeem M, Dodiya HB, Shoaga S, Mufson EJ, Tsubery H, Krishnan R, Wright J, Solomon B, Fisher R, Gannon KS. NPT088 reduces both amyloid-beta and tau pathologies in transgenic mice. Alzheimers Dement (N Y). 2016 Jul 14;2(3):141-155. doi: 10.1016/j.trci.2016.06.004. eCollection 2016 Sep. PubMed 29067301 ↗
  • Krishnan R, Hefti F, Tsubery H, Lulu M, Proschitsky M, Fisher R. Conformation as the Therapeutic Target for Neurodegenerative Diseases. Curr Alzheimer Res. 2017;14(4):393-402. doi: 10.2174/1567205014666170116152622. PubMed 28093972 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 15, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03008161
Lead sponsor
Proclara Biosciences, Inc.
Collaborators
Alzheimer's Association
Responsible party
Sponsor
First posted
Jan 2, 2017
Start date
Dec 2016
Primary completion
Feb 6, 2019
Completion
Feb 6, 2019
Last update
Aug 15, 2019

Study contacts

Proclara Biosciences
study director · Proclara

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2019. You cannot join it, but the record below documents what was studied.

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