ClinicalTrials.gg
TerminatedNCT04831281Updated Mar 4, 2025Results posted

ATH-1017 Treatment in Subjects With Parkinson's Disease Dementia or Dementia With Lewy Bodies (SHAPE Trial)

A Phase 2 interventional study of ATH-1017 and Placebo in Parkinson Disease Dementia and Dementia With Lewy Bodies, sponsored by Athira Pharma. Terminated at 10 sites in United States. Open to participants aged 40 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-03-04.

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

Why this study was terminated
Enrollment ended early due to study design limitations.
Phase
Phase 2
Study type
Interventional
Enrollment
28
Allocation
Randomized
Ages
40 Years to 85 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 110 studies in Lewy Body Disease with a site in United States — 32 open to participants now, 40 under way, 1 of them phase 3. Lewy Body Disease · United States.

Enrollment
63rd of 78
28 · median 86
Started
2022
with 8 others
Phase 2
21 of 110
4 open now
Registered
64th of 110
by date

Among the 110 studies in Lewy Body Disease with a site in United States, this one is the 63rd largest by enrollment of the 78 interventional ones that give a count, is one of 9 that started in 2022, is one of 21 in phase 2, and was the 64th registered.

Lewy Body Disease

239 studies on the registry are indexed under Lewy Body Disease; 89 are open to participants now.

Browse Lewy Body Disease studies →

Open to participants now

32 of the 110 studies in Lewy Body Disease with a site in United States are open now. Recruiting first, the newest first:

27 more — sign in →

All 32 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 63 Lewy Body Disease studies recruiting now, 41 (65%) set no upper age limit and none (0%) stop at 75 or younger; 10 take children under 18; 31 take healthy volunteers.

This study: 40 Years to 85 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 110 studies in Lewy Body Disease with a site in United States, or all of them as a file.
02

Study summary

This study is designed to evaluate the safety and treatment effects of fosgonimeton (ATH-1017) in subjects with Parkinson's Disease Dementia or Dementia with Lewy Bodies, with a randomized treatment duration of 26 weeks.

Read the detailed description

The study is designed to evaluate the safety and treatment effects of ATH-1017 in subjects with Parkinson's Disease Dementia or Dementia with Lewy Bodies, with a randomized, double-blind, placebo-controlled, parallel-arm treatment duration of 26 weeks.

03

Conditions studied

  • Parkinson Disease Dementia
  • Dementia With Lewy Bodies

Keywords

  • Parkinson's Disease Dementia
  • Dementia with Lewy Bodies
  • Dementia
  • HGF/MET
  • Hepatocyte Growth Factor
  • Neurotrophic
  • ATH-1017
  • Event-Related Potential
  • ERP P300
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subjects with confirmed diagnosis of Parkinson's disease or Dementia with Lewy Bodies
  • score 11 to 23, inclusive, at screening
  • Probable Parkinson's Disease Dementia or Lewy Body Dementia
  • between ≥ 16and ≤ 35 kg/m2 for females and between≥ 18 and ≤ 35 kg/m2 for males at Screening
  • Reliable and capable support person/caregiver, who is willing to accept responsibility for supervising the treatment or, if required, administering study drug, and assessing the condition of the subject throughout the study in accordance with all protocol requirements

Exclusion criteria

Exclusion Criteria:

  • Hoehn-Yahr stage 5
  • History of significant neurological disease other than PDD or DLB that may affect cognition at onset of dementia
  • Subjects on deep brain stimulation
  • History of brain MRI scan indicative of any other significant abnormality
  • History of unexplained loss of consciousness, and epileptic fits
  • Hearing test result considered unacceptable for auditory ERP P300 assessment
  • Diagnosis of severe major depressive disorder even without psychotic features (GDS score [15-item scale] >7 at Screening)
  • Significant suicide risk based on C-SSRS
  • Significant psychosis (according to )
  • Moderate or severe substance abuse disorder (according to DSM-5)
  • Myocardial infarction or unstable angina within the last 6 months
  • cardiac arrhythmia (including atrial fibrillation), cardiomyopathy, or cardiac conduction defect (note: pacemaker is acceptable)
  • Clinically significant abnormality at Screening
  • Chronic kidney disease ( \< 45 mL/min using formula)
  • Hepatic impairment with or aspartate aminotransferase > 2 times the , or class B and C
  • Malignant tumor within 3 years before Screening
  • Memantine at any dose or combination
  • Donepezil at 23 mg
Terms in these criteria, in plain language(10)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

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
28 participants (actual)

Study arms

  • Experimental
    40mg Dose

    Daily subcutaneous injection of 40mg ATH-1017

    Drug: ATH-1017

  • Experimental
    70mg Dose

    Daily subcutaneous injection of 70mg ATH-1017

    Drug: ATH-1017

  • Placebo comparator
    Placebo

    Daily subcutaneous injection of Placebo

    Drug: Placebo

Interventions

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

  • DrugPlacebo

    Daily subcutaneous injection of Placebo in a pre-filled syringe

06

What researchers measure

Primary outcomes

  1. Global Statistical Test (GST) Score at Baseline

    The Global Statistical Test (GST) score is a composite of the change from baseline (CFB) z-scores to Week 26 in the Alzheimer's Disease Assessment Scale - Cognitive Subscale, 13-Item Version (ADAS-Cog13; range 0-85; higher scores indicate greater impairment) and Event Related Potential P300 Latency (ERP P300; longer latency (milliseconds) indicates greater impairment). This composite approach was used to assess overall change in disease status and treatment effects of ATH-1017. The GST score was defined as a single outcome variable based on standardizing and combining individual patient-level z-score of change from baseline cognition (ADAS-Cog13) and ERP P300 latency scores. The between-group difference was calculated by subtracting the mean GST score for placebo from the mean GST score for ATH-1017. A negative value based on GST scores (ATH-1017 minus placebo) indicates a favorable response to ATH-1017, while a positive value favors placebo.

    Time frame: Baseline

Secondary 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.

    Time frame: Baseline

  2. Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog13) at Baseline

    The Alzheimer's Disease Assessment Scale - Cognitive Subscale, 13-Item Version (ADAS-Cog13) is designed to measure cognitive symptom change. The test comprises 9 performance items and 4 clinician-rated items (total score ranging from 0 to 85). Higher scores indicate more severe cognitive impairment.

    Time frame: Baseline

07

Results

Posted Mar 4, 2025
Limitations and caveats
This study was stopped early prior to the accrual of the planned sample size of approximately 75 evaluable participants.

Participant flow

The study was conducted at a total of 7 centers in the United States (US).

Participant flow — Overall Study
MilestonePlaceboATH-1017 40 Milligrams (mg)ATH-1017 70 mg
Started9910
Completed775
Not completed225
Withdrew: Adverse event103
Withdrew: Withdrawal by subject012
Withdrew: Undetermined110

Outcome measures

PrimaryGlobal Statistical Test (GST) Score at Baseline

The Global Statistical Test (GST) score is a composite of the change from baseline (CFB) z-scores to Week 26 in the Alzheimer's Disease Assessment Scale - Cognitive Subscale, 13-Item Version (ADAS-Cog13; range 0-85; higher scores indicate greater impairment) and Event Related Potential P300 Latency (ERP P300; longer latency (milliseconds) indicates greater impairment). This composite approach was used to assess overall change in disease status and treatment effects of ATH-1017. The GST score was defined as a single outcome variable based on standardizing and combining individual patient-level z-score of change from baseline cognition (ADAS-Cog13) and ERP P300 latency scores. The between-group difference was calculated by subtracting the mean GST score for placebo from the mean GST score for ATH-1017. A negative value based on GST scores (ATH-1017 minus placebo) indicates a favorable response to ATH-1017, while a positive value favors placebo.

Time frame:
Baseline
Reported as:
Mean · Z-score
Global Statistical Test (GST) Score at Baseline
Z-scorePlaceboATH-1017 40 mgATH-1017 70 mg
Global Statistical Test (GST) Score at Baseline-0.222 ± 0.63650.332 ± 0.6337-0.036 ± 1.0050
SecondaryEvent-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.

Time frame:
Baseline
Reported as:
Mean · Millisecond (ms)
Event-related Potential (ERP) P300 Latency at Baseline
Millisecond (ms)PlaceboATH-1017 40 Milligrams (mg)ATH-1017 70 mg
Event-related Potential (ERP) P300 Latency at Baseline381.84 ± 51.739373.19 ± 18.669367.84 ± 45.635
SecondaryAlzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog13) at Baseline

The Alzheimer's Disease Assessment Scale - Cognitive Subscale, 13-Item Version (ADAS-Cog13) is designed to measure cognitive symptom change. The test comprises 9 performance items and 4 clinician-rated items (total score ranging from 0 to 85). Higher scores indicate more severe cognitive impairment.

Time frame:
Baseline
Reported as:
Mean · score on a scale
Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog13) at Baseline
score on a scalePlaceboATH-1017 40 Milligrams (mg)ATH-1017 70 mg
Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog13) at Baseline16.9 ± 6.9429.7 ± 10.0323.8 ± 11.49

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/9 (0%)1/9 (11.1%)7/9 (77.8%)
ATH-1017 40 Milligrams (mg)0/9 (0%)1/9 (11.1%)9/9 (100%)
ATH-1017 70 mg1/10 (10%)1/10 (10%)9/10 (90%)
Most frequent serious events
Most frequent serious events
EventPlaceboATH-1017 40 Milligrams (mg)ATH-1017 70 mg
Femoral neck fractureInjury, poisoning and procedural complications1/90/90/10
Psychotic symptomPsychiatric disorders0/91/90/10
Subarachnoid haemorrhageNervous system disorders0/90/91/10
Most frequent other events
Showing 10 of 58
Most frequent other events
EventPlaceboATH-1017 40 Milligrams (mg)ATH-1017 70 mg
Injection site reactionGeneral disorders0/92/94/10
FallInjury, poisoning and procedural complications3/92/94/10
Injection site noduleGeneral disorders0/93/92/10
Urinary tract infectionInfections and infestations1/92/91/10
Injection site painGeneral disorders0/91/92/10
AnaemiaBlood and lymphatic system disorders1/90/90/10
TinnitusEar and labyrinth disorders0/91/90/10
DiarrhoeaGastrointestinal disorders1/90/90/10
DysphagiaGastrointestinal disorders0/91/90/10
Intestinal obstructionGastrointestinal disorders1/90/90/10

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
Mean74.9 ± 4.8670.7 ± 9.8974.2 ± 7.573.3 ± 7.62
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboATH-1017 40 mgATH-1017 70 mgTotal
Female4127
Male58821
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboATH-1017 40 mgATH-1017 70 mgTotal
Hispanic or Latino0011
Not Hispanic or Latino99927
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboATH-1017 40 mgATH-1017 70 mgTotal
American Indian or Alaska Native0000
Asian0000
Native Hawaiian or Other Pacific Islander0000
Black or African American0000
White891027
More than one race0000
Unknown or Not Reported1001
08

Study locations

10 sites
  • Parkinson's Disease and Movement Disorders Center of Boca Raton
    Boca Raton, Florida 33486, United States
  • Premiere Research Institute
    West Palm Beach, Florida 33407, United States
  • iResearch Atlanta, LLC
    Decatur, Georgia 30030, United States
  • QUEST Research Institute
    Farmington Hills, Michigan 48334, United States
  • Summit Research Network
    Portland, Oregon 97210, United States
  • Center for Cognitive Health
    Portland, Oregon 97225, United States
  • Keystone Clinical Studies LLC
    Plymouth Meeting, Pennsylvania 19462, United States
  • Northwest Clinical Research Center
    Bellevue, Washington 98007, United States
  • Evergreen Health Research
    Kirkland, Washington 98034, United States
  • Inland Northwest Research LLC
    Spokane, Washington 99202, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2022 to primary completion in Apr 2023, 14 months.

Results were first posted in Mar 2025, 1 year 10 months after primary completion. A results delay was requested in Apr 2024.

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

Registered
Apr 1, 2021
First posted
Apr 5, 2021
StartActual
Jan 20, 2022
Primary completionActual
Apr 19, 2023
CompletionActual
Apr 19, 2023
Results delay requested
Apr 10, 2024
Results first posted
Mar 4, 2025
Last update
Mar 4, 2025
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 Mar 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04831281
Lead sponsor
Athira Pharma
Responsible party
Sponsor
First posted
Apr 5, 2021
Start date
Jan 20, 2022
Primary completion
Apr 19, 2023
Completion
Apr 19, 2023
Results posted
Mar 4, 2025
Last update
Mar 4, 2025

Oversight

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

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Discussion

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Studies of the drug tested here: Fosgonimeton sodium

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