ClinicalTrials.gg
CompletedNCT04491006ACT-ADUpdated Jun 12, 2023Results posted

A Study of ATH-1017 in Mild to Moderate Alzheimer's Disease

A Phase 2 interventional study of ATH-1017 and Placebo in Alzheimer Disease and Dementia of Alzheimer Type, sponsored by Athira Pharma. Completed at 13 sites in 2 countries. Open to participants aged 55 Years to 85 Years. Per ClinicalTrials.gov, last updated 2023-06-12.

Sponsored by Athira Pharma · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
77
Allocation
Randomized
Ages
55 Years to 85 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 1,939 studies in Alzheimer Disease with a site in United States — 345 open to participants now, 445 under way, 40 of them phase 3. Alzheimer Disease · United States.

Enrollment
781st of 1,608
77 · median 73
Started
2020
with 103 others
Phase 2
360 of 1,939
50 open now
Registered
1,222nd of 1,939
by date

Among the 1,939 studies in Alzheimer Disease with a site in United States, this one is the 781st largest by enrollment of the 1,608 interventional ones that give a count, is one of 104 that started in 2020, is one of 360 in phase 2, and was the 1,222nd registered.

Alzheimer Disease

3,967 studies on the registry are indexed under Alzheimer Disease; 928 are open to participants now.

Browse Alzheimer Disease studies →

Open to participants now

345 of the 1,939 studies in Alzheimer Disease with a site in United States are open now. Recruiting first, the newest first:

340 more — sign in →

All 345 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 642 Alzheimer Disease studies recruiting now, 283 (44%) set no upper age limit and 55 (9%) stop at 75 or younger; 34 take children under 18; 284 take healthy volunteers.

This study: 55 Years to 85 Years · all sexes · no healthy volunteers.

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02

Study summary

This study is designed to evaluate treatment effects of ATH-1017 (fosgonimeton) in mild to moderate Alzheimer's subjects with a randomized treatment duration of 26-weeks.

Read the 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.

03

Conditions studied

  • Alzheimer Disease
  • Dementia of Alzheimer Type

Keywords

  • Alzheimer's Disease
  • Cognition
  • Dementia
  • ATH-1017
  • Memory Loss
04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

  • Age 55 to 85 years
  • Mild-to-moderate AD dementia subjects, 14-24, CDR 1 or 2 at Screening
  • 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 are on a stable, approved dose of an AChEI (except for donepezil at 23 mg PO) for at least 3 months before Screening OR
    • Subjects who received an AChEI in the past and discontinued 4 weeks prior to 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
  • (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 abnormality at Screening
  • Renal insufficiency (serum creatinine > 2.0 mg/dL)
  • Hepatic impairment with or aspartate aminotransferase > 2 times the , or class B and C
  • Malignant tumor within 3 years before Screening
  • Memantine in any form, combination or dosage within 4 weeks prior to Screening
  • Donepezil at 23 mg PO
  • The subject has received active amyloid or tau immunization (i.e., vaccination for Alzheimer's disease) at any time, or passive immunization (i.e., monoclonal antibodies for Alzheimer's disease) within 6 months of Screening
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
77 participants (actual)

Study arms

  • Experimental
    Low Dose

    Daily subcutaneous (SC) injection of Low Dose ATH-1017

    Drug: ATH-1017

  • Experimental
    High Dose

    Daily subcutaneous (SC) injection of High Dose ATH-1017

    Drug: ATH-1017

  • Placebo comparator
    Placebo

    Daily subcutaneous (SC) injection of Placebo

    Drug: Placebo

Interventions

  • Daily subcutaneous (SC) injection of ATH-1017 in a pre-filled syringe

  • DrugPlacebo

    Daily subcutaneous (SC) injection of Placebo in a pre-filled syringe

06

What researchers measure

Primary outcomes

  1. Event-related Potential (ERP) P300 Latency at Baseline

    ERP P300 was a method of recording brain activity elicited by external stimuli, for example (e.g.), an oddball auditory stimulus, particularly of working memory access. The participant had to perform a task related to auditory stimuli in order to assess the P300 component (latency). The stimulus consisted of an oddball paradigm with 2 sound stimuli. Stimuli were presented through headphones and auditory stimulation for P300 was assessed in a recording lasting up to 10 minutes. It was calculated as the average across the pre-dose values at Baseline visit. Baseline was defined as Day 1.

    Time frame: At Baseline (Day 1)

Secondary outcomes

  1. Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog11) at Baseline

    The ADAS-Cog11 was designed to measure cognitive symptom change in participants with Alzheimer's Disease (AD) and consisted of 11 tasks. It was performed to evaluate the correlation of ERP P300 latency and cognition. The standard 11 items (and corresponding score range) were: word recall (0-10), commands (0-5), constructional praxis (0-5), naming objects and fingers (0-5), ideational praxis (0-5), orientation (0-8), word recognition (0-12), spoken language ability (0-5), comprehension of spoken language (0-5), word-finding difficulty (0-5), and remembering test instructions (0-5). The test included 7 performance items and 4 clinician-rated items. The ADAS-Cog11 total score was the sum of all 11 individual items, with a total score ranging from 0 (no impairment) to 70 (severe impairment). Higher scores indicated more severe cognitive impairment. Baseline was defined as Day 1.

    Time frame: At Baseline (Day 1)

07

Results

Posted Jun 12, 2023

Participant flow

The study was conducted at a total of 6 centers in Australia and 8 centers in the United States (US).

Participant flow — Overall Study
MilestonePlaceboATH-1017 40 Milligrams (mg)ATH-1017 70 mg
Started242726
Completed232419
Not completed137
Withdrew: Adverse event035
Withdrew: Withdrawal by subject102

Outcome measures

PrimaryEvent-related Potential (ERP) P300 Latency at Baseline

ERP P300 was a method of recording brain activity elicited by external stimuli, for example (e.g.), an oddball auditory stimulus, particularly of working memory access. The participant had to perform a task related to auditory stimuli in order to assess the P300 component (latency). The stimulus consisted of an oddball paradigm with 2 sound stimuli. Stimuli were presented through headphones and auditory stimulation for P300 was assessed in a recording lasting up to 10 minutes. It was calculated as the average across the pre-dose values at Baseline visit. Baseline was defined as Day 1.

Time frame:
At Baseline (Day 1)
Reported as:
Mean · Milliseconds (ms)
Event-related Potential (ERP) P300 Latency at Baseline
Milliseconds (ms)PlaceboATH-1017 40 mgATH-1017 70 mg
Event-related Potential (ERP) P300 Latency at Baseline361.5 ± 32.23382.3 ± 40.18375.3 ± 35.77
SecondaryAlzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog11) at Baseline

The ADAS-Cog11 was designed to measure cognitive symptom change in participants with Alzheimer's Disease (AD) and consisted of 11 tasks. It was performed to evaluate the correlation of ERP P300 latency and cognition. The standard 11 items (and corresponding score range) were: word recall (0-10), commands (0-5), constructional praxis (0-5), naming objects and fingers (0-5), ideational praxis (0-5), orientation (0-8), word recognition (0-12), spoken language ability (0-5), comprehension of spoken language (0-5), word-finding difficulty (0-5), and remembering test instructions (0-5). The test included 7 performance items and 4 clinician-rated items. The ADAS-Cog11 total score was the sum of all 11 individual items, with a total score ranging from 0 (no impairment) to 70 (severe impairment). Higher scores indicated more severe cognitive impairment. Baseline was defined as Day 1.

Time frame:
At Baseline (Day 1)
Reported as:
Mean · Scores on a scale
Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog11) at Baseline
Scores on a scalePlaceboATH-1017 40 mgATH-1017 70 mg
Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog11) at Baseline23.0 ± 7.9622.4 ± 8.9420.7 ± 7.18

Adverse events

Collected over Up to Week 30. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/24 (0%)0/24 (0%)18/24 (75%)
ATH-1017 40 mg0/27 (0%)3/27 (11.1%)24/27 (88.9%)
ATH-1017 70 mg0/26 (0%)0/26 (0%)26/26 (100%)
Most frequent serious events
Most frequent serious events
EventPlaceboATH-1017 40 mgATH-1017 70 mg
VertigoEar and labyrinth disorders0/241/270/26
Hip fractureInjury, poisoning and procedural complications0/241/270/26
Cholinergic syndromeNervous system disorders0/241/270/26
Most frequent other events
Showing 10 of 122
Most frequent other events
EventPlaceboATH-1017 40 mgATH-1017 70 mg
Injection site reactionGeneral disorders1/2417/2721/26
EosinophiliaBlood and lymphatic system disorders1/246/275/26
Injection site vesiclesGeneral disorders0/244/271/26
FatigueGeneral disorders0/244/271/26
HeadacheNervous system disorders1/244/272/26
PruritusSkin and subcutaneous tissue disorders1/244/271/26
Injection site noduleGeneral disorders0/240/273/26
DizzinessNervous system disorders2/242/273/26
DiarrhoeaGastrointestinal disorders0/241/273/26
Injection site painGeneral disorders0/243/271/26

Baseline characteristics

Safety Population: included all randomized participants who received at least one dose of the study medication.

Age, Continuous
Age, Continuous(Years)PlaceboATH-1017 40 mgATH-1017 70 mgTotal
Mean70.0 ± 8.0370.6 ± 6.5473.4 ± 7.2671.4 ± 7.32
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboATH-1017 40 mgATH-1017 70 mgTotal
Female12151239
Male12121438
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboATH-1017 40 mgATH-1017 70 mgTotal
Hispanic or Latino3003
Not Hispanic or Latino21272674
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboATH-1017 40 mgATH-1017 70 mgTotal
American Indian or Alaska Native0000
Asian1012
Native Hawaiian or Other Pacific Islander0000
Black or African American1214
White22252471
More than one race0000
Unknown or Not Reported0000
08

Study locations

13 sites
  • Syrentis Clinical Research
    Santa Ana, California 92705, United States
  • Premiere Research Institute
    West Palm Beach, Florida 33407, United States
  • iResearch Atlanta
    Decatur, Georgia 30030, United States
  • Neurological Associates of Albany
    Albany, New York 12208, United States
  • Center for Cognitive Health
    Portland, Oregon 97225, United States
  • Evergreen Health Research Program
    Kirkland, Washington 98034, United States
  • University of Washington
    Seattle, Washington 98104, United States
  • Central Coast Neurosciences Research
    Central Coast, New South Wales 2261, Australia
  • St Vincent's Centre for Applied Medical Research, Translational Research Centre
    Darlinghurst, New South Wales 2010, Australia
  • Hammondcare Greenwich Hospital
    Greenwich, New South Wales 2065, Australia
  • KaRa MINDS
    Macquarie Park, New South Wales 2113, Australia
  • HammondCare
    Malvern, Victoria 3144, Australia
  • Australian Alzheimer's Research Organization
    Nedlands, Western Australia 6009, Australia
09

References and documents

Publications

  • 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 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2020 to primary completion in May 2022, 17 months.

Results were first posted in Jun 2023, 1 year after primary completion.

Of 130 industry-sponsored phase 2 interventional studies under Alzheimer Disease, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 39. This study's 17 months is below that.

Counting every sponsor, half of 257 studies reached it within 37 months; a quarter within 21 and three quarters within 58.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 23, 2020
First posted
Jul 29, 2020
StartActual
Nov 23, 2020
Primary completionActual
May 20, 2022
CompletionActual
May 20, 2022
Results first posted
Jun 12, 2023
Last update
Jun 12, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 12, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04491006
Lead sponsor
Athira Pharma
Responsible party
Sponsor
First posted
Jul 29, 2020
Start date
Nov 23, 2020
Primary completion
May 20, 2022
Completion
May 20, 2022
Results posted
Jun 12, 2023
Last update
Jun 12, 2023

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Fosgonimeton sodium

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