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CompletedNCT04983368XanaMIA-DRUpdated Jan 23, 2025

A Double-Blind, Placebo-Controlled, Dose Ranging Study of Xanamem® in Healthy Elderly Volunteers

A Phase 1/2 interventional study of Xanamem® 5 mg and Placebo in Mild Cognitive Impairment and Alzheimer's Disease, sponsored by Actinogen Medical. Completed at 5 sites in Australia. Open to participants aged 50 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-01-23.

Sponsored by Actinogen Medical · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Feb 2022, 4 years 7 months ago, and no results have been posted to the registry.
Phase
Phase 1/2
Study type
Interventional
Enrollment
107
Allocation
Randomized
Ages
50 Years to 80 Years
Sex
All
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Study summary

Xanamem® is being developed as a potential drug for Mild Cognitive Impairment in Alzheimer's disease. This study drug has been designed to change the cortisol levels in the brain. Cortisol is a naturally occurring hormone in the body. It is believed that reducing the level of cortisol will be a benefit in the treatment of Mild Cognitive Impairment in Alzheimer's disease.

The purpose of this study in older volunteers is to investigate the smallest dose of Xanamem® (5 mg or 10 mg) which works and to investigate which dose in this study will be used in the upcoming clinical trials in patients.

02

Conditions studied

  • Mild Cognitive Impairment
  • Alzheimer's Disease

Keywords

  • Cognitive Function
  • Healthy Volunteers
  • emestedastat
03

In context

Cognitive Dysfunction

3,843 studies on the registry are indexed under Cognitive Dysfunction; 1,100 are open to participants now.

This study's enrollment of 107 is above the median of 65 across 2,808 interventional studies indexed under Cognitive Dysfunction.

Browse Cognitive Dysfunction studies →

Lead sponsor

Actinogen Medical is the lead sponsor of 6 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 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Male or female aged 50 to 80
  2. Body mass index 17.5 to \< 35 kg/m2, inclusive at the time of screening
  3. Mini-Mental State Score of ≥ 25 points at screening
  4. Must provide written informed consent

Exclusion criteria

Exclusion Criteria:

  1. Abnormalities in vital signs at screening or baseline
  2. Clinically significant abnormal hematology or biochemistry values, as determined by the investigator at screening and/or baseline.
  3. Previous clinically significant systemic illness or infection within the past 4 weeks prior to screening or baseline, as determined by the investigator
  4. Clinically significant ECG abnormalities
  5. Use of tobacco- or nicotine-containing products in the past month or unwillingness to abstain during study participation
  6. Participation in another clinical study of a drug or device
  7. Known allergy to the study drug (Xanamem®) or any of the excipients
  8. Subjects who are likely to be unable to comply with the study schedule and/ or subjects with an inability to communicate well with the investigator
  9. Positive testing for human immunodeficiency virus (HIV), hepatitis B surface antigen, or hepatitis C antibodies at screening
  10. Subjects with a history of drug abuse or addiction in the past 5 years.
  11. Evidence of alcohol abuse (defined as greater than 21 standard units per week for males and greater than 14 standard units per week for females)
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
107 participants (actual)

Study arms

  • Experimental
    Xanamem® 5 mg

    Oral Xanamem® capsules 5 mg, to be administered once daily

    Drug: Xanamem® 5 mg

  • Experimental
    Xanamem® 10 mg

    Oral Xanamem® capsules 10 mg, to be administered once daily

    Drug: Xanamem® 10 mg

  • Placebo comparator
    Placebo

    Matching placebo which is identical in appearance to the test product except that it contains no active ingredient, to be administered once daily.

    Drug: Placebo

Interventions

  • DrugXanamem® 5 mg

    Oral Xanamem® ("UE2343") capsules 5 mg, administered orally once daily.

  • DrugPlacebo

    Matching placebo which is identical in appearance to the test product (5 mg, 10 mg Xanamem® QD) except that it contains no active ingredient.

  • DrugXanamem® 10 mg

    Oral Xanamem® ("UE2343") capsules 10 mg, administered orally once daily.

06

What researchers measure

Primary outcomes

  1. Short-term efficacy: Assessment of changes of different doses of Xanamem® on cognition.

    Using a tailored Cogstate Neuropsychological Test Battery (NTB), changes from baseline, as well as composite scores based on a combination of these variables at each treatment visit \[Week 2, Week 4, Week 6 (End of Treatment), Week 10 (Follow-Up)\] will be analyzed.

    Time frame: Baseline, Week 2, Week 4, Week 6 (End of Treatment), Week 10 (Follow-Up)

  2. Assessment of safety and tolerability of different Xanamem® doses by the occurrence of Treatment-Emergent Adverse Events (TEAEs).

    The number, type, and severity of Treatment-Emergent Adverse Events (TEAEs) that are reported from Baseline to Follow-up Visit will be collected and evaluated.

    Time frame: 10 Weeks [Baseline to Week 10 Follow-Up (4 Weeks Post Last Dose of Study Drug)]

Secondary outcomes

  1. Short-term efficacy of different doses of Xanamem® on cognition

    Using the International Daily Digit Symbol Substitution Test-Symbols, to analyze changes from Screening to, Baseline, Week 2, Week 4, Week 6 (End of Treatment), Week 10 (Follow-Up).

    Time frame: Screening, Baseline, Week 2, Week 4, Week 6 (End of Treatment), Week 10 (Follow-Up)

07

Study locations

5 sites
  • Paratus Clinical Research Canberra
    Bruce, Australian Capital Territory 2617, Australia
  • Paratus Clinical Research Western Sydney
    Blacktown, New South Wales 2148, Australia
  • Paratus Clinical Research Central Coast
    Kanwal, New South Wales 2259, Australia
  • Paratus Clinical Research Brisbane
    Albion, Queensland 4010, Australia
  • USC Clinical Trials
    Sippy Downs, Queensland 4556, Australia
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References and documents

Publications

  • Webster SP, McBride A, Binnie M, Sooy K, Seckl JR, Andrew R, Pallin TD, Hunt HJ, Perrior TR, Ruffles VS, Ketelbey JW, Boyd A, Walker BR. Selection and early clinical evaluation of the brain-penetrant 11beta-hydroxysteroid dehydrogenase type 1 (11beta-HSD1) inhibitor UE2343 (Xanamem). Br J Pharmacol. 2017 Mar;174(5):396-408. doi: 10.1111/bph.13699. Epub 2017 Jan 25. PubMed 28012176 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04983368
Lead sponsor
Actinogen Medical
Collaborators
Avance Clinical Pty Ltd.
Responsible party
Sponsor
First posted
Jul 30, 2021
Start date
Jun 30, 2021
Primary completion
Feb 11, 2022
Completion
Feb 11, 2022
Last update
Jan 23, 2025

Study contacts

Miriam Roesner
study director · Actinogen Medical Limited

Oversight

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

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This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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