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CompletedNCT05161715Updated Jan 29, 2025Results posted

Proof-of-concept, Open-label Study in Patients With Early Alzheimer's Disease

A Phase 2 interventional study of Obicetrapib in Early Alzheimer's Disease, sponsored by NewAmsterdam Pharma. Completed at 1 site in Netherlands. Open to participants aged 50 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-01-29.

Sponsored by NewAmsterdam Pharma · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
50 Years to 75 Years
Sex
All
01

Study summary

A Phase 2a study in men and women with early Alzheimer's disease to evaluate the pharmacodynamics, pharmacokinetics and safety of obicetrapib therapy.

Read the detailed description

This study will be a proof of concept, Phase 2a study in patients with early Alzheimer's disease (clinical diagnosis of Alzheimer's disease Stage 3 or 4 based on the National Institute on Aging Alzheimer's Association Research Framework criteria) to evaluate the Pharmacodynamic, cognitive effects, Pharmacokinetic, and safety and tolerability of obicetrapib therapy.

02

Conditions studied

  • Early Alzheimer's Disease

Browse trials for

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 13 is below the median of 70 across 2,808 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

NewAmsterdam Pharma is the lead sponsor of 20 studies on the registry; 3 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 8 (62%) have results posted.

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

04

Who can participate

Ages eligible
50 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • men \& women 50-75 years
  • post-menopausal or women not of child-bearing potential
  • diagnosis of Alzheimer's disease based on National Institute for Aging:
  • Biomarker classification A+T+N+ or A+T+N-
  • Clinical Stage 3 or 4 with Clinical Dementia Rating score >/= 0.5 \& \</= 1; mini-mental state examination (MMSE) score >/=20
  • Have an APOE genotype of E4/E4 or E3/E4
  • not on or on stabilized AD medication
  • Patient \& study partner willing to sign consent

Exclusion criteria

Exclusion Criteria:

  • Other than AD, disorder that may impair cognition
  • Contra-indication for MRI
  • History of neurological, psychiatric or mental conditions;

    • history stroke
    • MI
    • Type 1 diabetes \& Type 2 with HbA1c>8%
    • BP > 150/90 mmHg
    • renal or hepatic impaired
    • hyperaldosteronism
    • cancer
    • depression
    • laboratory abnormalities
    • not able to undergo lumbar puncture
    • taking certain medications including lipid altering
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    10mg obicetrapib tablets

    10mg obicetrapib (5mg tablets) administered orally daily for 24 weeks

    Drug: Obicetrapib

Interventions

  • DrugObicetrapib

    10mg obicetrapib

    Also known as: TA-8995

06

What researchers measure

Primary outcomes

  1. Mean Percent Change in Apolipoprotein A-I (ApoA-I) in Cerebrospinal Fluid (CSF)

    Mean percent change from screening (V1) to end of treatment (V6) in ApoA-I in CSF

    Time frame: 24 weeks

  2. Mean Percent Change in Apolipoprotein A-I (ApoA-I) in Plasma

    Mean percent change in ApoA-I in plasma from baseline (V2) to week 24 (V6)

    Time frame: 24 weeks

  3. Mean Percent Change in Apolipoprotein-E (ApoE) in Cerebrospinal Fluid (CSF)

    Mean percent change from screening (V1) to end of treatment (V6) in ApoE

    Time frame: 24 weeks

  4. Mean Percent Change in Apolipoprotein-E (ApoE) in Plasma

    Mean percent change from baseline (V2) to week 24 (V6) in plasma in ApoE

    Time frame: 24 weeks

  5. Small HDL (s-HDL) Particle Concentration in Cerebrospinal Fluid (CSF) at Baseline

    Small high-density lipoprotein (s-HDL) particle concentration in cerebrospinal fluid (CSF) measured by Ion Mobility Assay (https://doi.org/10.1002/alz.12649)

    Time frame: baseline

  6. Small HDL (s-HDL) Particle Concentration in Cerebrospinal Fluid (CSF) at Week 24

    Small high-density lipoprotein (s-HDL) particle concentration in CSF measured by Ion Mobility Assay (https://doi.org/10.1002/alz.12649)

    Time frame: Week 24

  7. Small HDL (s-HDL) Particle Concentration in Plasma at Baseline

    Small high-density lipoprotein (s-HDL) particle concentration plasma measured by Ion Mobility Assay. For more information on the measurement used please refer to this article: https://doi.org/10.1002/alz.12649

    Time frame: baseline

  8. Small HDL (s-HDL) Particle Concentration in Plasma at Week 24

    Small high-density lipoprotein (s-HDL) particle concentration in plasma measured by Ion Mobility Assay at Week 24 For more information on the measurement used please refer to this article: https://doi.org/10.1002/alz.12649

    Time frame: Week 24

  9. Mean Percent Change in Cholesterol Efflux Capacity in Cerebrospinal Fluid (CSF)

    Mean percent change in cholesterol efflux capacity in CSF from screening (V1) to week 24 (V6)

    Time frame: 24 weeks

07

Results

Posted Nov 19, 2024

Participant flow

Participant flow — Overall Study
Milestone10mg Obicetrapib
Started13
Completed13
Not completed0

Outcome measures

PrimaryMean Percent Change in Apolipoprotein A-I (ApoA-I) in Cerebrospinal Fluid (CSF)

Mean percent change from screening (V1) to end of treatment (V6) in ApoA-I in CSF

Time frame:
24 weeks
Reported as:
Mean · percent change from screening visit
Mean Percent Change in Apolipoprotein A-I (ApoA-I) in Cerebrospinal Fluid (CSF)
percent change from screening visit10mg Obicetrapib
Mean Percent Change in Apolipoprotein A-I (ApoA-I) in Cerebrospinal Fluid (CSF)-8.4 ± 13.6
Statistical analysis
  • 10mg Obicetrapib · Wilcoxon (Mann-Whitney) · p = 0.425 (No multiple testing correction was performed)
PrimaryMean Percent Change in Apolipoprotein A-I (ApoA-I) in Plasma

Mean percent change in ApoA-I in plasma from baseline (V2) to week 24 (V6)

Time frame:
24 weeks
Reported as:
Mean · percent change from baseline
Mean Percent Change in Apolipoprotein A-I (ApoA-I) in Plasma
percent change from baseline10mg Obicetrapib Tablets
Mean Percent Change in Apolipoprotein A-I (ApoA-I) in Plasma37.5 ± 25.2
Statistical analysis
  • 10mg Obicetrapib Tablets · Wilcoxon (Mann-Whitney) · p = 0.0002 (No multiple testing correction was performed)
PrimaryMean Percent Change in Apolipoprotein-E (ApoE) in Cerebrospinal Fluid (CSF)

Mean percent change from screening (V1) to end of treatment (V6) in ApoE

Time frame:
24 weeks
Reported as:
Mean · percent change from screening
Mean Percent Change in Apolipoprotein-E (ApoE) in Cerebrospinal Fluid (CSF)
percent change from screening10mg Obicetrapib Tablets
Mean Percent Change in Apolipoprotein-E (ApoE) in Cerebrospinal Fluid (CSF)3.9 ± 10.3
Statistical analysis
  • 10mg Obicetrapib Tablets · Wilcoxon (Mann-Whitney) · p = 0.0424 (No multiple testing correction was performed)
PrimaryMean Percent Change in Apolipoprotein-E (ApoE) in Plasma

Mean percent change from baseline (V2) to week 24 (V6) in plasma in ApoE

Time frame:
24 weeks
Reported as:
Mean · percent change from baseline
Mean Percent Change in Apolipoprotein-E (ApoE) in Plasma
percent change from baseline10mg Obicetrapib Tablets
Mean Percent Change in Apolipoprotein-E (ApoE) in Plasma47.8 ± 46.9
Statistical analysis
  • 10mg Obicetrapib Tablets · Wilcoxon (Mann-Whitney) · p = 0.001 (No multiple testing correction was performed)
PrimarySmall HDL (s-HDL) Particle Concentration in Cerebrospinal Fluid (CSF) at Baseline

Small high-density lipoprotein (s-HDL) particle concentration in cerebrospinal fluid (CSF) measured by Ion Mobility Assay (https://doi.org/10.1002/alz.12649)

Time frame:
baseline
Reported as:
Mean · average relative abundance
Small HDL (s-HDL) Particle Concentration in Cerebrospinal Fluid (CSF) at Baseline
average relative abundance10mg Obicetrapib Tablets
Small HDL (s-HDL) Particle Concentration in Cerebrospinal Fluid (CSF) at Baseline0.542 ± 0.138
PrimarySmall HDL (s-HDL) Particle Concentration in Cerebrospinal Fluid (CSF) at Week 24

Small high-density lipoprotein (s-HDL) particle concentration in CSF measured by Ion Mobility Assay (https://doi.org/10.1002/alz.12649)

Time frame:
Week 24
Reported as:
Mean · average relative abundance
Small HDL (s-HDL) Particle Concentration in Cerebrospinal Fluid (CSF) at Week 24
average relative abundance10mg Obicetrapib Tablets
Small HDL (s-HDL) Particle Concentration in Cerebrospinal Fluid (CSF) at Week 240.542 ± 0.106
PrimarySmall HDL (s-HDL) Particle Concentration in Plasma at Baseline

Small high-density lipoprotein (s-HDL) particle concentration plasma measured by Ion Mobility Assay. For more information on the measurement used please refer to this article: https://doi.org/10.1002/alz.12649

Time frame:
baseline

No measurements were reported for this outcome.

PrimarySmall HDL (s-HDL) Particle Concentration in Plasma at Week 24

Small high-density lipoprotein (s-HDL) particle concentration in plasma measured by Ion Mobility Assay at Week 24 For more information on the measurement used please refer to this article: https://doi.org/10.1002/alz.12649

Time frame:
Week 24

No measurements were reported for this outcome.

PrimaryMean Percent Change in Cholesterol Efflux Capacity in Cerebrospinal Fluid (CSF)

Mean percent change in cholesterol efflux capacity in CSF from screening (V1) to week 24 (V6)

Time frame:
24 weeks
Reported as:
Mean · percent change from screening
Mean Percent Change in Cholesterol Efflux Capacity in Cerebrospinal Fluid (CSF)
percent change from screening10mg Obicetrapib Tablets
Mean Percent Change in Cholesterol Efflux Capacity in Cerebrospinal Fluid (CSF)1.9 ± 24.1
Statistical analysis
  • 10mg Obicetrapib Tablets · Wilcoxon (Mann-Whitney) · p = 0.556 (No multiple testing correction was performed)

Adverse events

Collected over From first dose of study drug through Week 24.5. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
10mg Obicetrapib Tablets0/13 (0%)0/13 (0%)9/13 (69.2%)
Most frequent other events
Showing 10 of 26
Most frequent other events
Event10mg Obicetrapib Tablets
HeadacheNervous system disorders2/13
Normocytic anemiaBlood and lymphatic system disorders1/13
Angina pectorisCardiac disorders1/13
Benign paroxysmal positional vertigoEar and labyrinth disorders1/13
ConstipationGastrointestinal disorders1/13
Loose stoolsGastrointestinal disorders1/13
ObstipationGastrointestinal disorders1/13
Reflux esophagitisGastrointestinal disorders1/13
Unilateral leg swellingGeneral disorders1/13
Covid-19Infections and infestations1/13

Baseline characteristics

Baseline Population is defined as all participants who received at least one dose of study drug.

Age, Continuous
Age, Continuous(years)10mg Obicetrapib
Mean64.5 ± 6.2
Sex: Female, Male
Sex: Female, Male(Participants)10mg Obicetrapib
Female12
Male1
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)10mg Obicetrapib
08

Study locations

1 site
  • Brain Research Center Amsterdam
    Amsterdam, Netherlands
09

References and documents

Study documents

  • Study protocol · Nov 30, 2021
  • Statistical analysis plan · Nov 28, 2023

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 29, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05161715
Lead sponsor
NewAmsterdam Pharma
Responsible party
Sponsor
First posted
Dec 17, 2021
Start date
Jan 12, 2022
Primary completion
May 9, 2023
Completion
Jun 1, 2023
Results posted
Nov 19, 2024
Last update
Jan 29, 2025

Study contacts

Marc Ditmarsch, MD
study director · NewAmsterdam Pharma

Oversight

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

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