Dose-Finding Study To Evaluate Safety, Tolerability, and Efficacy of E2609 in Participants With Mild Cognitive Impairment Due to Alzheimer's Disease (Prodromal Alzheimer's Disease) and Mild to Moderate Dementia Due to Alzheimer's Disease

Sponsor
Eisai Inc. (Industry)
Overall Status
Terminated
CT.gov ID
NCT02322021
Collaborator
Biogen (Industry)
70
21
8
60.8
3.3
0.1

Study Details

Study Description

Brief Summary

This is a Phase 2 study to evaluate safety and efficacy in participants with Mild Cognitive Impairment due to Alzheimer's Disease/Prodromal Alzheimer's Disease (referred to as MCI/Prodromal) and mild to moderate dementia due to Alzheimer's Disease (referred to as mild to moderate AD). This study will have a Core Phase and an Extension Phase.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
70 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
A Placebo-Controlled, Double-Blind, Parallel-Group, Randomized, Proof-of-Concept, Dose-Finding Study To Evaluate Safety, Tolerability, and Efficacy of E2609 in Subjects With Mild Cognitive Impairment Due to Alzheimer's Disease (Prodromal Alzheimer's Disease) and Mild to Moderate Dementia Due to Alzheimer's Disease
Actual Study Start Date :
Nov 26, 2014
Actual Primary Completion Date :
Dec 20, 2019
Actual Study Completion Date :
Dec 20, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: MCI/Prodromal Cohort: Low Dose

A low dose of E2609 will be assessed.

Drug: E2609
Each participant will receive 2 tablets, which when combined will make up the required doses of E2609 or placebo, to be administered orally once per day (QD) with food.

Experimental: MCI/Prodromal Cohort: Middle Dose

A middle dose of E2609 will be assessed.

Drug: E2609
Each participant will receive 2 tablets, which when combined will make up the required doses of E2609 or placebo, to be administered orally once per day (QD) with food.

Experimental: MCI/Prodromal Cohort: High Dose

A high dose of E2609 will be assessed.

Drug: E2609
Each participant will receive 2 tablets, which when combined will make up the required doses of E2609 or placebo, to be administered orally once per day (QD) with food.

Placebo Comparator: MCI/Prodromal Cohort: Placebo

Drug: Placebo
Each participant will receive 2 tablets, which when combined will make up the required doses of E2609 or placebo, to be administered orally once per day (QD) with food.

Experimental: Mild to Moderate AD Cohort: Low Dose

A low dose of E2609 will be assessed.

Drug: E2609
Each participant will receive 2 tablets, which when combined will make up the required doses of E2609 or placebo, to be administered orally once per day (QD) with food.

Experimental: Mild to Moderate AD Cohort: High Dose

A high dose of E2609 will be assessed.

Drug: E2609
Each participant will receive 2 tablets, which when combined will make up the required doses of E2609 or placebo, to be administered orally once per day (QD) with food.

Placebo Comparator: Mild to Moderate AD Cohort: Placebo

Drug: Placebo
Each participant will receive 2 tablets, which when combined will make up the required doses of E2609 or placebo, to be administered orally once per day (QD) with food.

Experimental: Mild to Moderate AD cohort: Middle Dose

A middle dose of E2609 will be assessed.

Drug: E2609
Each participant will receive 2 tablets, which when combined will make up the required doses of E2609 or placebo, to be administered orally once per day (QD) with food.

Outcome Measures

Primary Outcome Measures

  1. Core Phase: Number of Participants With Treatment Emergent Adverse Events (TEAEs) [Up to 21 months]

    A TEAE is defined as an adverse event that emerges during treatment, having been absent at pre-treatment (Baseline) or re-emerges during treatment, having been present at pre-treatment (Baseline) but stopped before treatment, or worsens in severity during treatment relative to the pre-treatment state, when the adverse event is continuous.

  2. Core Phase: Number of Participants With Serious Adverse Events (SAEs) [Up to 21 months]

    A SAE is any untoward medical occurrence that at any dose: results in death; is life-threatening (that is, the participant is at immediate risk of death from the adverse event as it occurs, this does not include an event that, has it occurred in a more severe form or is allowed to continue, might have cause death); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity; is a congenital anomaly or birth defect (in the child of a participant who is exposed to the study drug).

  3. Core Phase: Number of Participants With Treatment Emergent Markedly Abnormal Laboratory Safety Test Values [Up to 21 months]

  4. Core Phase: Number of Participants With Markedly Abnormal Vital Sign Values [Month 0(Baseline,Week 2,Week 3,Week 4);Month 1(Week 5,Week 7);Month 2(Week 9,Week 11);Month 3(Week 13);Month 4(Week 17);Month 5(Week 21);Month 6(Week 27);Month 9(Week 40);Month 12(Week 53);Month 15(Week 66);Month 18(Week 79) and Follow-up at Month 1 and 3]

    Participants having no markedly abnormal vital sign values (no markedly abnormal high or no markedly abnormal low) in all core phase arms were not included in the data reported.

  5. Core Phase: Number of Participants With Markedly Abnormal Electrocardiogram (ECG) Findings [Up to 21 months]

    QTcF interval means corrected QT interval (QTc) calculated using Fridericia's formula.

  6. Extension Phase: Number of Participants With TEAEs and SAEs [Up to 34 months]

    TEAE: adverse event that emerges during treatment, having been absent at pre-treatment or reemerges during treatment, having been present at pre-treatment but stopped before treatment, or worsens in severity during treatment relative to pre-treatment state. Number of participants with TEAEs were reported based on safety assessments of laboratory tests, physical examination, regular measurement of vital signs, magnetic resonance imaging and electrocardiogram parameter values. SAE: any untoward medical occurrence that at any dose: results in death; is life-threatening (immediate risk of death from adverse event, this does not include event that, had it occurred in more severe form or is allowed to continue, might have caused death); requires inpatient or prolongation of existing hospitalization; results in persistent/significant disability/incapacity; is congenital anomaly/birth defect (in child of participant exposed to drug). Number of participants with TEAEs and SAEs were reported.

  7. Extension Phase: Number of Participants With Markedly Abnormal Vital Sign Values [Up to 34 months]

  8. Extension Phase: Number of Participants With Markedly Abnormal ECG Findings [Up to 34 months]

    QTcF interval means QTc interval calculated using Fridericia's formula.

  9. Extension Phase: Number of Participants With Treatment Emergent Markedly Abnormal Laboratory Safety Test Values [Up to 34 months]

  10. Extension Phase: Number of Participants With Abnormal Magnetic Resonance Imaging (MRI) Findings [Up to 34 months]

    Brain MRIs are collected to assess for potential drug-related changes that might have constituted a safety concern. Safety brain MRI is assessed using a standardized procedure that included fluid-attenuated inversion recovery (FLAIR), gradient-echo, T1, and diffusion-weighted sequences to determine the presence of focal lesions including, but not limited to, evidence for ischemic and hemorrhagic stroke, subdural hematoma, neoplasm, arteriovenous malformation, micro and macrohemorrhages, superficial siderosis, lacunar infarcts, white matter abnormalities, and vasogenic edema. Participants with abnormal values related to safety brain MRI were reported.

Secondary Outcome Measures

  1. Core Phase: Percent Change From Baseline in Cerebrospinal Fluid (CSF) Amyloid (A) Beta(1-x) and Abeta(1-42) After 1 Month and 18 Months of Treatment [Month 1 (Week 5) and Month 18 (Week 79)]

    The measurement of the amyloid proteins Abeta(1-x) and Abeta(1-42), in CSF have been shown to be important biomarkers for alzheimer's disease.

  2. Core Phase: Mean Concentration of Elenbecestat in CSF [Month 1 (Week 5) and Month 18 (Week 79)]

  3. Core Phase: Mean Concentration of Elenbecestat in Plasma [Month 0 (Week 3), Month 3 (Week 13), Month 6 (Week 27), Month 12 (Week 53): Pre-dose, 1 to 6 hours Post-dose; Month 1 (Week 5), Month 18 (Week 79): Pre-dose, 4 to 8 hours Post-dose]

  4. Extension Phase: Change From Extension Phase Baseline in the Mini-Mental State Examination (MMSE) Scores [Baseline, at Month 3, at Month 6, at Month 9, at Month 12, at Month 15, at Month 18, at Month 21, at Month 24, at Month 28 and at Month 32]

    MMSE is a 30-point scale that measures orientation to time and place, registration, immediate and delayed recall, attention, language, and drawing. Scores ranges from 0 (most impaired) to 30 (no impairment). Lower score indicates more impairment.

  5. Extension Phase: Change From Extension Phase Baseline in the Functional Assessment Questionnaire (FAQ) Score [Baseline, at Month 3, at Month 6, at Month 9, at Month 12, at Month 15, at Month 18, at Month 21, at Month 24, at Month 28 and at Month 32]

    The FAQ has 10 items concerned with performing daily tasks necessary for independent living. The caregiver or informant provides performance ratings on 10 complex activities of daily living performed within the preceding 4 weeks. Score ranges from 0 (independent) to 30 (dependent). Lower score indicates that participant can live independently. Higher score indicates that participant cannot live independently.

  6. Extension Phase: Percent Change From Extension Phase Baseline in Plasma Amyloid (A) Beta(1-x) Measurements at Months 12 and 24 [Month 12 and Month 24]

    The measurement of the amyloid protein Abeta(1-x), in plasma has been shown to be an important biomarker for alzheimer's disease.

  7. Extension Phase: Percent Change From Extension Phase Baseline in Total Hippocampal Volume at Month 24 [Month 24]

    Total hippocampal volume is measured by volumetric magnetic resonance imaging (vMRI). Volumetric imaging is a 3D technique where all the MRI signals are collected from the entire tissue sample and imaged as a whole entity, therefore providing a high signal to noise ratio. Total hippocampal volume is calculated by summing up right and left hippocampal volumes.

  8. Extension Phase: Percent Change From Extension Phase Baseline in Left and Right Hippocampal Volume at Month 24 [Month 24]

    Left and right hippocampal volume is measured by vMRI. Volumetric imaging is a 3D technique where all the MRI signals are collected from the entire tissue sample and imaged as a whole entity, therefore providing a high signal to noise ratio. Left and right hippocampal volumes represent a summary measure in the left and right hippocampal regions.

  9. Extension Phase: Percent Change From Extension Phase Baseline in Whole Brain Volume at Month 24 [Month 24]

    Whole brain volume is measured by vMRI. Volumetric imaging is a 3D technique where all the MRI signals are collected from the entire tissue sample and imaged as a whole entity, therefore providing a high signal to noise ratio. Whole brain volume represents a summary measure of total brain parenchyma which includes the cerebrum, basal ganglia, diencephalon, and cerebellum.

  10. Extension Phase: Percent Change From Extension Phase Baseline in Total Ventricular Volume at Month 24 [Month 24]

    Total Ventricular Volume is measured by vMRI. Volumetric imaging is a 3D technique where all the MRI signals are collected from the entire tissue sample and imaged as a whole entity, therefore providing a high signal to noise ratio. Total ventricular volume represents a summary measure of total including right and left lateral ventricles, third ventricle and fourth ventricle of brain.

Eligibility Criteria

Criteria

Ages Eligible for Study:
50 Years to 85 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion criteria:
Participants must meet all of the following criteria to be included in this study:
  1. Meets the core clinical research criteria of the National Institute on Aging-Alzheimer's Association (NIA-AA) for MCI due to AD (which is consistent with Prodromal AD) or AD dementia and is 'staged' or classified as either MCI or mild to moderate dementia.

  2. Amyloid positive Positron Emission Tomography (PET) image based on centralized PET scan reading.

  3. Male or female, age 50 to 85 years, inclusive at time of consent.

  4. Must have an identified caregiver or informant who is willing and able to provide follow-up information on the participant throughout the course of the study.

  5. If receiving an Acetylcholinesterase Inhibitor (AChEI) or memantine, must have been on a stable dose for at least 12 weeks before the Baseline cognitive assessments, with no plans for dose adjustment in the foreseeable future. Treatment-naive participants can be entered into the study but there should be no plans to initiate treatment with AChEIs or memantine at the time of entry into the study.

  6. Must have been on stable doses of all other permitted chronically used concomitant medications (that is, not related to their cognitive decline) for at least 4 weeks before randomization.

Exclusion criteria:
Participants who meet any of the following criteria will be excluded from this study:
  1. Any neurological condition that may be contributing to cognitive impairment above and beyond that caused by the participant's AD pathology, including any co-morbidities such as cerebrovascular disease, detected by medical history, neurological examination, or magnetic resonance imaging (MRI).

  2. History of transient ischemic attacks or stroke within 12 months of Screening.

  3. History of epilepsy.

  4. Evidence of depression on a rating scale at Screening or any psychiatric diagnosis or symptoms, (example, hallucinations, major depression, etc.) that could confound the diagnosis or could interfere with study assessments or procedures. This includes suicidal ideation or suicidal behavior within 6 months prior to Screening, or hospitalization or treatment for suicidal behavior in the past 5 years.

  5. Abnormally low serum vitamin B12.

  6. Thyroid stimulating hormone above the normal range. This applies to all participants regardless of whether or not they are taking thyroid supplements.

  7. Participants with liver disease (hepatic impairment), at Screening or Baseline. Participant with Gilbert's syndrome need not be excluded.

  8. Not able to have a MRI, PET scanning, or cerebrospinal fluid (CSF) collection by Lumbar Puncture (LP).

  9. Severe visual or hearing impairment that would prevent the participant from performing psychometric tests accurately.

  10. History of immunodeficiency disorders.

  11. Participants with chronic viral hepatitis.

  12. History of Tuberculosis (TB). Participants with no history of TB will be tested for previous TB exposure and a positive test will be exclusionary.

  13. History of ophthalmic shingles or ocular Herpes Simplex Virus (HSV) infection.

  14. Any live vaccine in the 3 months or any active infection within the last 4 weeks before study drug administration (that is, randomization).

  15. Any chronic inflammatory disease that is not adequately controlled or requires immunosuppressive or immunomodulatory therapy.

  16. T helper cell, cytotoxic T cell, or B cell absolute counts below normal.

  17. Immunoglobulin (Ig) IgG, IgA, or IgM levels below normal at Screening or Baseline, unless both the Investigator and the Medical Monitor agree that the finding is not clinically significant.

  18. Clinically significant deviation from normal in physical examination, vital signs, or clinical laboratory tests at Screening or Baseline.

  19. Exclusionary cardiac factors include: prolonged QT interval greater than 450 millisecond from Electrocardiograms (ECGs); history of risk factors for torsade de pointes or the use of concomitant medications that prolong the QT/corrected QT interval (QTc); left bundle branch block; persistent low or high heart rate; persistent low or high blood pressure; history of cardiac arrhythmias; other clinically significant ECG abnormalities.

  20. Type 1 or Type 2 diabetes mellitus that is not well controlled.

  21. Malignant neoplasms within 5 years before Screening (except for basal or squamous cell carcinoma in situ of the skin, or localized prostate cancer that did not require systemic therapy; these do not exclude the participant).

  22. Medical conditions (example, cardiac, respiratory, gastrointestinal, renal disease) that are not stably controlled, or which, in the opinion of the investigator(s), could affect the participant's safety or interfere with the study assessments.

  23. Hypopigmentation conditions (example, albinism and vitiligo).

  24. Known or suspected history of drug or alcohol dependency or abuse within 2 years, current use of recreational drugs or a positive urine drug test.

  25. Planned surgery that requires general, spinal, or epidural anesthesia that would take place during the study.

  26. Participation in any other interventional clinical study related to cognitive impairment within 6 months before Screening unless it can be documented that the participant was in a placebo treatment arm.

  27. Currently enrolled in another clinical study or used any investigational drug or device within 60 days or 5 half-lives of the investigational medication (whichever is longer) proceeding informed consent.

  28. Hypersensitivity to the study drug or any of the excipients or to other Beta Secretase Cleaving Enzyme (BACE) inhibitors, or to the PET tracer, or components of its formulation.

  29. Females who are lactating or pregnant. Females of childbearing potential who do not agree to adhere to the protocol specified methods for avoiding pregnancy.

  30. Males who do not meet the protocol requirements for avoiding their partners becoming pregnant. Sperm donation is not permitted.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Bellflower California United States
2 Costa Mesa California United States
3 Glendale California United States
4 Irvine California United States
5 Aventura Florida United States
6 Boca Raton Florida United States
7 Brooksville Florida United States
8 Lake Worth Florida United States
9 Orlando Florida United States
10 Port Charlotte Florida United States
11 Atlanta Georgia United States
12 Savannah Georgia United States
13 Wichita Kansas United States
14 Kalamazoo Michigan United States
15 Mount Arlington New Jersey United States
16 Scotch Plains New Jersey United States
17 Charlotte North Carolina United States
18 Dayton Ohio United States
19 Port Royal South Carolina United States
20 Dallas Texas United States
21 San Antonio Texas United States

Sponsors and Collaborators

  • Eisai Inc.
  • Biogen

Investigators

None specified.

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
Eisai Inc.
ClinicalTrials.gov Identifier:
NCT02322021
Other Study ID Numbers:
  • E2609-G000-202
  • 2014-002723-94
First Posted:
Dec 22, 2014
Last Update Posted:
Mar 5, 2021
Last Verified:
Mar 1, 2021
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Eisai Inc.
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Participants took part in the study at 30 investigative sites in the United States from 26 November 2014 to 20 December 2019.
Pre-assignment Detail A total of 444 participants were screened, of which 374 participants were screen failures and 70 participants were randomized and treated, out of which 43 participants completed the core phase and 41 participants entered the extension phase. No participant completed the extension phase. This study has Core Phase and an Extension Phase.
Arm/Group Title Core Phase: Placebo Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg Extension Phase: Elenbecestat 50 mg
Arm/Group Description Participants with mild cognitive impairment due to alzheimer's disease (AD)/prodromal AD and mild to moderate AD received two elenbecestat matched-placebo tablets, orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat matched-placebo in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received one elenbecestat 5 milligram (mg) tablet and one elenbecestat-matched placebo tablet (to maintain blinding), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 15 mg (one 10 mg and one 5 mg tablets), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 50 mg (two 25 mg tablets), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
Period Title: Core Phase
STARTED 17 17 19 17 0
COMPLETED 12 9 10 12 0
NOT COMPLETED 5 8 9 5 0
Period Title: Core Phase
STARTED 0 0 0 0 41
COMPLETED 0 0 0 0 0
NOT COMPLETED 0 0 0 0 41

Baseline Characteristics

Arm/Group Title Core Phase: Placebo Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg Total
Arm/Group Description Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received two elenbecestat matched-placebo tablets, orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat matched-placebo in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received one elenbecestat 5 mg tablet and one elenbecestat-matched placebo tablet (to maintain blinding), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 15 mg (one 10 mg and one 5 mg tablets), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 50 mg (two 25 mg tablets), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Total of all reporting groups
Overall Participants 17 17 19 17 70
Age, Customized (Count of Participants)
Less than or equal to (<=) 65 years
4
23.5%
3
17.6%
2
10.5%
3
17.6%
12
17.1%
Greater than (>) 65 years
13
76.5%
14
82.4%
17
89.5%
14
82.4%
58
82.9%
Sex: Female, Male (Count of Participants)
Female
11
64.7%
9
52.9%
12
63.2%
10
58.8%
42
60%
Male
6
35.3%
8
47.1%
7
36.8%
7
41.2%
28
40%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
1
5.9%
0
0%
0
0%
2
11.8%
3
4.3%
Not Hispanic or Latino
16
94.1%
17
100%
19
100%
15
88.2%
67
95.7%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
0
0%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
0
0%
0
0%
Asian
0
0%
0
0%
0
0%
0
0%
0
0%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
0
0%
0
0%
Black or African American
2
11.8%
0
0%
2
10.5%
5
29.4%
9
12.9%
White
15
88.2%
17
100%
16
84.2%
12
70.6%
60
85.7%
More than one race
0
0%
0
0%
0
0%
0
0%
0
0%
Unknown or Not Reported
0
0%
0
0%
1
5.3%
0
0%
1
1.4%

Outcome Measures

1. Primary Outcome
Title Core Phase: Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Description A TEAE is defined as an adverse event that emerges during treatment, having been absent at pre-treatment (Baseline) or re-emerges during treatment, having been present at pre-treatment (Baseline) but stopped before treatment, or worsens in severity during treatment relative to the pre-treatment state, when the adverse event is continuous.
Time Frame Up to 21 months

Outcome Measure Data

Analysis Population Description
The safety analysis set was the group of participants who received at least 1 dose of study drug in the core phase and had at least 1 post-dose safety assessment.
Arm/Group Title Core Phase: Placebo Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg
Arm/Group Description Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received two elenbecestat matched-placebo tablets, orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat matched-placebo in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received one elenbecestat 5 mg tablet and one elenbecestat-matched placebo tablet (to maintain blinding), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 15 mg (one 10 mg and one 5 mg tablets), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 50 mg (two 25 mg tablets), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase.
Measure Participants 17 17 19 17
Count of Participants [Participants]
15
88.2%
15
88.2%
18
94.7%
15
88.2%
2. Primary Outcome
Title Core Phase: Number of Participants With Serious Adverse Events (SAEs)
Description A SAE is any untoward medical occurrence that at any dose: results in death; is life-threatening (that is, the participant is at immediate risk of death from the adverse event as it occurs, this does not include an event that, has it occurred in a more severe form or is allowed to continue, might have cause death); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity; is a congenital anomaly or birth defect (in the child of a participant who is exposed to the study drug).
Time Frame Up to 21 months

Outcome Measure Data

Analysis Population Description
The safety analysis set was the group of participants who received at least 1 dose of study drug in the core phase and had at least 1 post-dose safety assessment.
Arm/Group Title Core Phase: Placebo Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg
Arm/Group Description Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received two elenbecestat matched-placebo tablets, orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat matched-placebo in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received one elenbecestat 5 mg tablet and one elenbecestat-matched placebo tablet (to maintain blinding), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 15 mg (one 10 mg and one 5 mg tablets), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 50 mg (two 25 mg tablets), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase.
Measure Participants 17 17 19 17
Count of Participants [Participants]
2
11.8%
2
11.8%
5
26.3%
1
5.9%
3. Primary Outcome
Title Core Phase: Number of Participants With Treatment Emergent Markedly Abnormal Laboratory Safety Test Values
Description
Time Frame Up to 21 months

Outcome Measure Data

Analysis Population Description
The safety analysis set was the group of participants who received at least 1 dose of study drug in the core phase and had at least 1 post-dose safety assessment.
Arm/Group Title Core Phase: Placebo Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg
Arm/Group Description Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received two elenbecestat matched-placebo tablets, orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat matched-placebo in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received one elenbecestat 5 mg tablet and one elenbecestat-matched placebo tablet (to maintain blinding), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 15 mg (one 10 mg and one 5 mg tablets), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 50 mg (two 25 mg tablets), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase.
Measure Participants 17 17 19 17
Markedly Abnormal Low: Lymphocytes
0
0%
2
11.8%
0
0%
0
0%
Markedly Abnormal Low: Leukocytes
1
5.9%
0
0%
0
0%
0
0%
Markedly Abnormal Low: Neutrophils
1
5.9%
0
0%
0
0%
1
5.9%
Markedly Abnormal Low: Hemoglobin
1
5.9%
0
0%
0
0%
0
0%
Markedly Abnormal Low: Calcium
1
5.9%
0
0%
0
0%
0
0%
Markedly Abnormal Low: Potassium
0
0%
0
0%
1
5.3%
0
0%
Markedly Abnormal High: Potassium
2
11.8%
4
23.5%
2
10.5%
0
0%
Markedly Abnormal High: Alkaline Phosphatase
0
0%
0
0%
0
0%
1
5.9%
Markedly Abnormal High: Alanine Aminotransferase
1
5.9%
0
0%
0
0%
1
5.9%
Markedly Abnormal High: Aspartate Aminotransferase
0
0%
0
0%
0
0%
1
5.9%
Markedly Abnormal High: Gamma Glutamyl Transferase
1
5.9%
0
0%
0
0%
1
5.9%
Markedly Abnormal Low: Glucose
0
0%
1
5.9%
0
0%
0
0%
Markedly Abnormal High: Glucose
2
11.8%
4
23.5%
1
5.3%
1
5.9%
Markedly Abnormal High: Cholesterol
1
5.9%
0
0%
0
0%
0
0%
Markedly Abnormal High: Triglycerides
1
5.9%
1
5.9%
3
15.8%
2
11.8%
Markedly Abnormal High: Creatinine
0
0%
2
11.8%
0
0%
0
0%
4. Primary Outcome
Title Core Phase: Number of Participants With Markedly Abnormal Vital Sign Values
Description Participants having no markedly abnormal vital sign values (no markedly abnormal high or no markedly abnormal low) in all core phase arms were not included in the data reported.
Time Frame Month 0(Baseline,Week 2,Week 3,Week 4);Month 1(Week 5,Week 7);Month 2(Week 9,Week 11);Month 3(Week 13);Month 4(Week 17);Month 5(Week 21);Month 6(Week 27);Month 9(Week 40);Month 12(Week 53);Month 15(Week 66);Month 18(Week 79) and Follow-up at Month 1 and 3

Outcome Measure Data

Analysis Population Description
The safety analysis set was the group of participants who received at least 1 dose of study drug in the core phase and had at least 1 post-dose safety assessment. Here "number analyzed" signifies participants who were evaluable for this outcome measure for specific categories at given time points.
Arm/Group Title Core Phase: Placebo Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg
Arm/Group Description Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received two elenbecestat matched-placebo tablets, orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat matched-placebo in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received one elenbecestat 5 mg tablet and one elenbecestat-matched placebo tablet (to maintain blinding), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 15 mg (one 10 mg and one 5 mg tablets), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 50 mg (two 25 mg tablets), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase.
Measure Participants 17 17 19 17
Markedly Abnormal Low: Temperature (Month 0: Baseline)
0
0%
2
11.8%
0
0%
2
11.8%
Markedly Abnormal Low: Temperature (Month 0: Week 2)
0
0%
0
0%
2
10.5%
2
11.8%
Markedly Abnormal Low: Temperature (Month 0: Week 3)
2
11.8%
1
5.9%
4
21.1%
0
0%
Markedly Abnormal Low: Temperature (Month 0: Week 4)
1
5.9%
3
17.6%
1
5.3%
1
5.9%
Markedly Abnormal High: Temperature (Month 0: Week 4)
0
0%
0
0%
1
5.3%
0
0%
Markedly Abnormal Low: Temperature (Month 1: Week 5)
1
5.9%
0
0%
2
10.5%
0
0%
Markedly Abnormal Low: Temperature (Month 1: Week 7)
0
0%
1
5.9%
3
15.8%
0
0%
Markedly Abnormal Low: Temperature (Month 2: Week 9)
0
0%
1
5.9%
1
5.3%
2
11.8%
Markedly Abnormal Low: Temperature (Month 2: Week 11)
1
5.9%
1
5.9%
1
5.3%
2
11.8%
Markedly Abnormal Low: Temperature (Month 3: Week 13)
1
5.9%
2
11.8%
3
15.8%
1
5.9%
Markedly Abnormal Low: Temperature (Month 4: Week 17)
1
5.9%
3
17.6%
1
5.3%
1
5.9%
Markedly Abnormal Low: Temperature (Month 5: Week 21)
1
5.9%
3
17.6%
0
0%
0
0%
Markedly Abnormal Low: Temperature (Month 6: Week 27)
0
0%
1
5.9%
0
0%
1
5.9%
Markedly Abnormal Low: Temperature (Month 9: Week 40)
1
5.9%
2
11.8%
0
0%
1
5.9%
Markedly Abnormal Low: Temperature (Month 12: Week 53)
0
0%
1
5.9%
1
5.3%
0
0%
Markedly Abnormal Low: Temperature (Month 15: Week 66)
0
0%
3
17.6%
2
10.5%
2
11.8%
Markedly Abnormal Low: Temperature (Month 18: Week 79)
0
0%
1
5.9%
0
0%
1
5.9%
Markedly Abnormal Low: Temperature (Follow-up: Month 1)
0
0%
0
0%
2
10.5%
0
0%
Markedly Abnormal Low: Temperature (Follow-up: Month 3)
0
0%
2
11.8%
4
21.1%
0
0%
Markedly Abnormal Low: Weight (Month 0: Baseline)
0
0%
0
0%
1
5.3%
0
0%
Markedly Abnormal High: Weight (Month 0: Baseline)
1
5.9%
3
17.6%
2
10.5%
1
5.9%
Markedly Abnormal High: Weight (Month 3: Week 13)
0
0%
2
11.8%
2
10.5%
2
11.8%
Markedly Abnormal High: Weight (Month 6: Week 27)
0
0%
1
5.9%
1
5.3%
1
5.9%
Markedly Abnormal High: Weight (Month 9: Week 40)
0
0%
0
0%
0
0%
1
5.9%
Markedly Abnormal High: Weight (Follow-up: Month 3)
0
0%
1
5.9%
1
5.3%
0
0%
Markedly Abnormal High: Systolic Blood Pressure (Month 0: Baseline)
0
0%
0
0%
0
0%
1
5.9%
Markedly Abnormal High: Systolic Blood Pressure (Month 0: Week 2)
1
5.9%
0
0%
0
0%
0
0%
Markedly Abnormal High: Systolic Blood Pressure (Month 0: Week 3)
1
5.9%
0
0%
0
0%
0
0%
Markedly Abnormal High: Systolic Blood Pressure (Month 0: Week 4)
1
5.9%
0
0%
0
0%
0
0%
Markedly Abnormal High: Systolic Blood Pressure (Month 1: Week 5)
1
5.9%
0
0%
0
0%
0
0%
Markedly Abnormal High: Systolic Blood Pressure (Month 1: Week 7)
0
0%
1
5.9%
0
0%
0
0%
Markedly Abnormal High: Systolic Blood Pressure (Month 3: Week 13)
0
0%
0
0%
0
0%
1
5.9%
Markedly Abnormal High: Systolic Blood Pressure (Month 4: Week 17)
1
5.9%
0
0%
0
0%
0
0%
Markedly Abnormal High: Systolic Blood Pressure (Month 6: Week 27)
0
0%
0
0%
1
5.3%
1
5.9%
Markedly Abnormal High: Systolic Blood Pressure (Month 9: Week 40)
0
0%
0
0%
1
5.3%
1
5.9%
Markedly Abnormal High: Systolic Blood Pressure (Month 12: Week 53)
0
0%
1
5.9%
1
5.3%
1
5.9%
Markedly Abnormal High: Systolic Blood Pressure (Month 15: Week 66)
1
5.9%
1
5.9%
0
0%
1
5.9%
Markedly Abnormal High: Systolic Blood Pressure (Month 18: Week 79)
0
0%
1
5.9%
1
5.3%
1
5.9%
Markedly Abnormal High: Systolic Blood Pressure (Follow-up: Month 1)
1
5.9%
0
0%
1
5.3%
1
5.9%
Markedly Abnormal High: Systolic Blood Pressure (Follow-up: Month 3)
0
0%
0
0%
0
0%
1
5.9%
Markedly Abnormal High: Diastolic Blood Pressure (Month 0: Week 3)
1
5.9%
0
0%
0
0%
0
0%
Markedly Abnormal Low: Diastolic Blood Pressure (Month 0: Week 4)
1
5.9%
1
5.9%
0
0%
0
0%
Markedly Abnormal Low: Diastolic Blood Pressure (Month 1: Week 5)
0
0%
0
0%
0
0%
1
5.9%
Markedly Abnormal Low: Diastolic Blood Pressure (Month 9: Week 40)
0
0%
1
5.9%
0
0%
0
0%
Markedly Abnormal High: Diastolic Blood Pressure (Month 9: Week 40)
1
5.9%
0
0%
0
0%
0
0%
Markedly Abnormal High: Diastolic Blood Pressure (Follow-up: Month 1)
1
5.9%
0
0%
0
0%
0
0%
Markedly Abnormal High: Diastolic Blood Pressure (Follow-up: Month 3)
0
0%
0
0%
0
0%
1
5.9%
5. Primary Outcome
Title Core Phase: Number of Participants With Markedly Abnormal Electrocardiogram (ECG) Findings
Description QTcF interval means corrected QT interval (QTc) calculated using Fridericia's formula.
Time Frame Up to 21 months

Outcome Measure Data

Analysis Population Description
The safety analysis set was the group of participants who received at least 1 dose of study drug in the core phase and had at least 1 post-dose safety assessment.
Arm/Group Title Core Phase: Placebo Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg
Arm/Group Description Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received two elenbecestat matched-placebo tablets, orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat matched-placebo in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received one elenbecestat 5 mg tablet and one elenbecestat-matched placebo tablet (to maintain blinding), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 15 mg (one 10 mg and one 5 mg tablets), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 50 mg (two 25 mg tablets), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase.
Measure Participants 17 17 19 17
At least one post-baseline increase of >30 millisecond (msec) in QTcF interval
2
11.8%
4
23.5%
4
21.1%
2
11.8%
At least one post-baseline value of >450 msec in QTcF interval
1
5.9%
6
35.3%
4
21.1%
3
17.6%
At least one post-baseline value of >480 msec in QTcF interval
0
0%
0
0%
1
5.3%
0
0%
6. Primary Outcome
Title Extension Phase: Number of Participants With TEAEs and SAEs
Description TEAE: adverse event that emerges during treatment, having been absent at pre-treatment or reemerges during treatment, having been present at pre-treatment but stopped before treatment, or worsens in severity during treatment relative to pre-treatment state. Number of participants with TEAEs were reported based on safety assessments of laboratory tests, physical examination, regular measurement of vital signs, magnetic resonance imaging and electrocardiogram parameter values. SAE: any untoward medical occurrence that at any dose: results in death; is life-threatening (immediate risk of death from adverse event, this does not include event that, had it occurred in more severe form or is allowed to continue, might have caused death); requires inpatient or prolongation of existing hospitalization; results in persistent/significant disability/incapacity; is congenital anomaly/birth defect (in child of participant exposed to drug). Number of participants with TEAEs and SAEs were reported.
Time Frame Up to 34 months

Outcome Measure Data

Analysis Population Description
The safety analysis set was the group of participants who received at least 1 dose of study drug in the extension phase.
Arm/Group Title Extension Phase: Elenbecestat 50 mg
Arm/Group Description Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
Measure Participants 41
TEAEs
30
176.5%
SAEs
6
35.3%
7. Primary Outcome
Title Extension Phase: Number of Participants With Markedly Abnormal Vital Sign Values
Description
Time Frame Up to 34 months

Outcome Measure Data

Analysis Population Description
The safety analysis set was the group of participants who received at least 1 dose of study drug in the extension phase.
Arm/Group Title Extension Phase: Elenbecestat 50 mg
Arm/Group Description Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
Measure Participants 41
Markedly Abnormal High: Diastolic Blood Pressure
1
5.9%
Markedly Abnormal Low: Diastolic Blood Pressure
1
5.9%
Markedly Abnormal High: Systolic Blood Pressure
5
29.4%
Markedly Abnormal High: Temperature
1
5.9%
Markedly Abnormal Low: Temperature
10
58.8%
Markedly Abnormal High: Weight
1
5.9%
8. Primary Outcome
Title Extension Phase: Number of Participants With Markedly Abnormal ECG Findings
Description QTcF interval means QTc interval calculated using Fridericia's formula.
Time Frame Up to 34 months

Outcome Measure Data

Analysis Population Description
The safety analysis set was the group of participants who received at least 1 dose of study drug in the extension phase.
Arm/Group Title Extension Phase: Elenbecestat 50 mg
Arm/Group Description Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
Measure Participants 41
At least one post-baseline increase of >30 msec in QTcF interval
2
11.8%
At least one post-baseline value of >450 msec in QTcF interval
4
23.5%
9. Primary Outcome
Title Extension Phase: Number of Participants With Treatment Emergent Markedly Abnormal Laboratory Safety Test Values
Description
Time Frame Up to 34 months

Outcome Measure Data

Analysis Population Description
The safety analysis set was the group of participants who received at least 1 dose of study drug in the extension phase.
Arm/Group Title Extension Phase: Elenbecestat 50 mg
Arm/Group Description Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
Measure Participants 41
Markedly Abnormal Low: Lymphocytes
4
23.5%
Markedly Abnormal Low: Neutrophils
2
11.8%
Markedly Abnormal Low: Hemoglobin
1
5.9%
Markedly Abnormal High: Potassium
4
23.5%
Markedly Abnormal High: Alanine Aminotransferase
1
5.9%
Markedly Abnormal High: Gamma Glutamyl Transferase
2
11.8%
Markedly Abnormal High: Glucose
3
17.6%
Markedly Abnormal High: Triglycerides
2
11.8%
Markedly Abnormal High: Creatinine
4
23.5%
Markedly Abnormal High: Urate
1
5.9%
Markedly Abnormal Low: Platelets
1
5.9%
10. Primary Outcome
Title Extension Phase: Number of Participants With Abnormal Magnetic Resonance Imaging (MRI) Findings
Description Brain MRIs are collected to assess for potential drug-related changes that might have constituted a safety concern. Safety brain MRI is assessed using a standardized procedure that included fluid-attenuated inversion recovery (FLAIR), gradient-echo, T1, and diffusion-weighted sequences to determine the presence of focal lesions including, but not limited to, evidence for ischemic and hemorrhagic stroke, subdural hematoma, neoplasm, arteriovenous malformation, micro and macrohemorrhages, superficial siderosis, lacunar infarcts, white matter abnormalities, and vasogenic edema. Participants with abnormal values related to safety brain MRI were reported.
Time Frame Up to 34 months

Outcome Measure Data

Analysis Population Description
The safety analysis set was the group of participants who received at least 1 dose of study drug in the extension phase. Here "number analyzed" signifies participants who were evaluable for this outcome measure for specific categories.
Arm/Group Title Extension Phase: Elenbecestat 50 mg
Arm/Group Description Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
Measure Participants 41
Brain Vasogenic Edema
0
0%
Brain Microhemorrhages
4
23.5%
Brain White Matter Disease: Focal Lesions
25
147.1%
Brain White Matter Disease: No Lesions
2
11.8%
Area of superficial siderosis
1
5.9%
Space occupying lesion (extra axial): Meningioma
1
5.9%
Other pituitary lesion
1
5.9%
11. Secondary Outcome
Title Core Phase: Percent Change From Baseline in Cerebrospinal Fluid (CSF) Amyloid (A) Beta(1-x) and Abeta(1-42) After 1 Month and 18 Months of Treatment
Description The measurement of the amyloid proteins Abeta(1-x) and Abeta(1-42), in CSF have been shown to be important biomarkers for alzheimer's disease.
Time Frame Month 1 (Week 5) and Month 18 (Week 79)

Outcome Measure Data

Analysis Population Description
The pharmacodynamic (PD) analysis set was the group of participants who had a baseline PD measurement and at least 1 post-dose PD measurement in the core phase. Here "overall number of participants analyzed" signifies participants who were evaluable for this outcome measure. Here "number analyzed" signifies participants who were evaluable for this outcome measure for specific categories and timepoints.
Arm/Group Title Core Phase: Placebo Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg
Arm/Group Description Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received two elenbecestat matched-placebo tablets, orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat matched-placebo in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received one elenbecestat 5 mg tablet and one elenbecestat-matched placebo tablet (to maintain blinding), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 15 mg (one 10 mg and one 5 mg tablets), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 50 mg (two 25 mg tablets), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase.
Measure Participants 4 7 6 6
Percent Change from Baseline in CSF Abeta(1-x) at Month 1 (Week 5)
6.63
(12.545)
-18.16
(17.873)
-36.43
(16.026)
-56.66
(14.431)
Percent Change from Baseline in CSF Abeta(1-x) at Month 18 (Week 79)
-1.81
(NA)
-33.86
(11.039)
-0.71
(NA)
33.98
(160.017)
Percent Change from Baseline in CSF Abeta(1-42) at Month 1 (Week 5)
-8.53
(16.818)
-9.43
(22.798)
-20.69
(15.488)
-38.89
(16.378)
Percent Change from Baseline in CSF Abeta(1-42) at Month 18 (Week 79)
-6.50
(24.809)
-27.19
(20.172)
-24.02
(19.949)
-56.77
(5.312)
12. Secondary Outcome
Title Core Phase: Mean Concentration of Elenbecestat in CSF
Description
Time Frame Month 1 (Week 5) and Month 18 (Week 79)

Outcome Measure Data

Analysis Population Description
The pharmacokinetic (PK) analysis set was the group of participants with at least 1 quantifiable elenbecestat plasma concentration accompanied by a documented dosing history in the core phase. Here "overall number of participants analyzed" signifies participants who were evaluable for this outcome measure. Here "number analyzed" signifies participants who were evaluable for this outcome measure at given time points.
Arm/Group Title Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg
Arm/Group Description Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received one elenbecestat 5 mg tablet and one elenbecestat-matched placebo tablet (to maintain blinding), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 15 mg (one 10 mg and one 5 mg tablets), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 50 mg (two 25 mg tablets), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase.
Measure Participants 7 6 6
Month 1 (Week 5)
1.10
(0.438)
3.71
(1.360)
9.93
(3.568)
Month 18 (Week 79)
0.10
(0)
2.72
(3.197)
14.46
(3.411)
13. Secondary Outcome
Title Core Phase: Mean Concentration of Elenbecestat in Plasma
Description
Time Frame Month 0 (Week 3), Month 3 (Week 13), Month 6 (Week 27), Month 12 (Week 53): Pre-dose, 1 to 6 hours Post-dose; Month 1 (Week 5), Month 18 (Week 79): Pre-dose, 4 to 8 hours Post-dose

Outcome Measure Data

Analysis Population Description
The PK analysis set was the group of participants with at least 1 quantifiable elenbecestat plasma concentration accompanied by a documented dosing history in the core phase. Here "overall number of participants analyzed" signifies participants who were evaluable for this outcome measure. Here "number analyzed" signifies participants who were evaluable for this outcome measure at given time points.
Arm/Group Title Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg
Arm/Group Description Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received one elenbecestat 5 mg tablet and one elenbecestat-matched placebo tablet (to maintain blinding), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 15 mg (one 10 mg and one 5 mg tablets), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 50 mg (two 25 mg tablets), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase.
Measure Participants 17 19 16
Month 0 (Week 3): Pre-dose
1.43
(1.105)
5.81
(3.785)
15.77
(11.281)
Month 0 (Week 3): 1 to 6 hours Post-dose
4.28
(3.185)
18.49
(11.272)
70.41
(37.681)
Month 1 (Week 5): Pre-dose
1.47
(0.870)
6.74
(4.246)
15.46
(10.463)
Month 1 (Week 5): 4 to 8 hours Post-dose
4.80
(2.529)
19.59
(7.940)
66.83
(21.370)
Month 3 (Week 13): Pre-dose
1.91
(1.703)
6.90
(8.126)
12.31
(7.007)
Month 3 (Week 13): 1 to 6 hours Post-dose
6.06
(2.456)
20.35
(8.893)
75.15
(27.852)
Month 6 (Week 27): Pre-dose
2.34
(2.196)
9.10
(9.018)
12.03
(8.962)
Month 6 (Week 27): 1 to 6 hours Post-dose
11.11
(15.322)
25.49
(22.247)
71.28
(39.114)
Month 12 (Week 53): Pre-dose
13.84
(18.482)
21.03
(30.897)
16.74
(22.804)
Month 12 (Week 53): 1 to 6 hours Post-dose
49.78
(40.656)
58.38
(65.148)
82.55
(56.084)
Month 18 (Week 79): Pre-dose
7.88
(5.896)
7.13
(6.990)
19.21
(13.602)
Month 18 (Week 79): 4 to 8 hours Post-dose
47.16
(28.651)
51.99
(44.656)
70.43
(22.500)
14. Secondary Outcome
Title Extension Phase: Change From Extension Phase Baseline in the Mini-Mental State Examination (MMSE) Scores
Description MMSE is a 30-point scale that measures orientation to time and place, registration, immediate and delayed recall, attention, language, and drawing. Scores ranges from 0 (most impaired) to 30 (no impairment). Lower score indicates more impairment.
Time Frame Baseline, at Month 3, at Month 6, at Month 9, at Month 12, at Month 15, at Month 18, at Month 21, at Month 24, at Month 28 and at Month 32

Outcome Measure Data

Analysis Population Description
The full analysis set was the group of participants who received at least 1 dose of study drug and had at least 1 post-dose efficacy assessment in the extension phase. Here "number analyzed" signifies participants who were evaluable for this outcome measure at given time points.
Arm/Group Title Extension Phase: Elenbecestat 50 mg
Arm/Group Description Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
Measure Participants 41
Baseline
21.5
(5.67)
Change at Month 3
-0.6
(2.32)
Change at Month 6
-0.6
(2.39)
Change at Month 9
-0.9
(2.89)
Change at Month 12
-1.4
(2.43)
Change at Month 15
-1.8
(2.78)
Change at Month 18
-1.7
(3.01)
Change at Month 21
-2.5
(3.27)
Change at Month 24
-3.9
(4.46)
Change at Month 28
-6.4
(4.28)
Change at Month 32
-2.0
(NA)
15. Secondary Outcome
Title Extension Phase: Change From Extension Phase Baseline in the Functional Assessment Questionnaire (FAQ) Score
Description The FAQ has 10 items concerned with performing daily tasks necessary for independent living. The caregiver or informant provides performance ratings on 10 complex activities of daily living performed within the preceding 4 weeks. Score ranges from 0 (independent) to 30 (dependent). Lower score indicates that participant can live independently. Higher score indicates that participant cannot live independently.
Time Frame Baseline, at Month 3, at Month 6, at Month 9, at Month 12, at Month 15, at Month 18, at Month 21, at Month 24, at Month 28 and at Month 32

Outcome Measure Data

Analysis Population Description
The full analysis set was the group of participants who received at least 1 dose of study drug and had at least 1 post-dose efficacy assessment in the extension phase. Here "number analyzed" signifies participants who were evaluable for this outcome measure at given time points.
Arm/Group Title Extension Phase: Elenbecestat 50 mg
Arm/Group Description Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
Measure Participants 41
Baseline
14.4
(7.31)
Change at Month 3
1.3
(5.51)
Change at Month 6
1.4
(3.74)
Change at Month 9
2.2
(4.33)
Change at Month 12
2.6
(4.86)
Change at Month 15
3.0
(5.17)
Change at Month 18
3.4
(4.83)
Change at Month 21
3.0
(3.88)
Change at Month 24
6.8
(5.92)
Change at Month 28
9.2
(4.67)
Change at Month 32
15.0
(NA)
16. Secondary Outcome
Title Extension Phase: Percent Change From Extension Phase Baseline in Plasma Amyloid (A) Beta(1-x) Measurements at Months 12 and 24
Description The measurement of the amyloid protein Abeta(1-x), in plasma has been shown to be an important biomarker for alzheimer's disease.
Time Frame Month 12 and Month 24

Outcome Measure Data

Analysis Population Description
The PD analysis set was the group of participants who had at least 1 post-treatment PD measurement in the extension phase. Here "overall number of participants analyzed" signifies participants who were evaluable for this outcome measure. Here "number analyzed" signifies participants who were evaluable for this outcome measure at given time points.
Arm/Group Title Extension Phase: Elenbecestat 50 mg
Arm/Group Description Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
Measure Participants 27
Percent Change from Extension Phase Baseline in plasma Abeta(1-x) at Month 12
-71.8
(23.30)
Percent Change from Extension Phase Baseline in plasma Abeta(1-x) at Month 24
-71.1
(31.20)
17. Secondary Outcome
Title Extension Phase: Percent Change From Extension Phase Baseline in Total Hippocampal Volume at Month 24
Description Total hippocampal volume is measured by volumetric magnetic resonance imaging (vMRI). Volumetric imaging is a 3D technique where all the MRI signals are collected from the entire tissue sample and imaged as a whole entity, therefore providing a high signal to noise ratio. Total hippocampal volume is calculated by summing up right and left hippocampal volumes.
Time Frame Month 24

Outcome Measure Data

Analysis Population Description
The full analysis set was the group of participants who received at least 1 dose of study drug and had at least 1 post-dose efficacy assessment in the extension phase. Here "overall number of participants analyzed" signifies participants who were evaluable for this outcome measure.
Arm/Group Title Extension Phase: Elenbecestat 50 mg
Arm/Group Description Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
Measure Participants 12
Mean (Standard Deviation) [percent change]
-4.33
(2.080)
18. Secondary Outcome
Title Extension Phase: Percent Change From Extension Phase Baseline in Left and Right Hippocampal Volume at Month 24
Description Left and right hippocampal volume is measured by vMRI. Volumetric imaging is a 3D technique where all the MRI signals are collected from the entire tissue sample and imaged as a whole entity, therefore providing a high signal to noise ratio. Left and right hippocampal volumes represent a summary measure in the left and right hippocampal regions.
Time Frame Month 24

Outcome Measure Data

Analysis Population Description
The full analysis set was the group of participants who received at least 1 dose of study drug and had at least 1 post-dose efficacy assessment in the extension phase. Here "overall number of participants analyzed" signifies participants who were evaluable for this outcome measure.
Arm/Group Title Extension Phase: Elenbecestat 50 mg
Arm/Group Description Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
Measure Participants 12
Percent Change at Month 24 (Left Hippocampal Volume)
-4.31
(2.065)
Percent Change at Month 24 (Right Hippocampal Volume)
-4.37
(2.667)
19. Secondary Outcome
Title Extension Phase: Percent Change From Extension Phase Baseline in Whole Brain Volume at Month 24
Description Whole brain volume is measured by vMRI. Volumetric imaging is a 3D technique where all the MRI signals are collected from the entire tissue sample and imaged as a whole entity, therefore providing a high signal to noise ratio. Whole brain volume represents a summary measure of total brain parenchyma which includes the cerebrum, basal ganglia, diencephalon, and cerebellum.
Time Frame Month 24

Outcome Measure Data

Analysis Population Description
The full analysis set was the group of participants who received at least 1 dose of study drug and had at least 1 post-dose efficacy assessment in the extension phase. Here "overall number of participants analyzed" signifies participants who were evaluable for this outcome measure.
Arm/Group Title Extension Phase: Elenbecestat 50 mg
Arm/Group Description Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
Measure Participants 12
Mean (Standard Deviation) [percent change]
-3.26
(1.555)
20. Secondary Outcome
Title Extension Phase: Percent Change From Extension Phase Baseline in Total Ventricular Volume at Month 24
Description Total Ventricular Volume is measured by vMRI. Volumetric imaging is a 3D technique where all the MRI signals are collected from the entire tissue sample and imaged as a whole entity, therefore providing a high signal to noise ratio. Total ventricular volume represents a summary measure of total including right and left lateral ventricles, third ventricle and fourth ventricle of brain.
Time Frame Month 24

Outcome Measure Data

Analysis Population Description
The full analysis set was the group of participants who received at least 1 dose of study drug and had at least 1 post-dose efficacy assessment in the extension phase. Here "overall number of participants analyzed" signifies participants who were evaluable for this outcome measure.
Arm/Group Title Extension Phase: Elenbecestat 50 mg
Arm/Group Description Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
Measure Participants 12
Mean (Standard Deviation) [percent change]
15.18
(8.544)

Adverse Events

Time Frame Up to 55 months (Core Phase: Up to 21 months; Extension Phase: Up to 34 months)
Adverse Event Reporting Description Adverse events were collected for all the participants who were in the safety analysis set. The safety analysis set was the group of participants who received at least 1 dose of study drug (Core and Extension Phase) and had at least 1 post-dose safety assessment (only Core Phase).
Arm/Group Title Core Phase: Placebo Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg Extension Phase: Elenbecestat 50 mg
Arm/Group Description Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received two elenbecestat matched-placebo tablets, orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat matched-placebo in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received one elenbecestat 5 mg tablet and one elenbecestat-matched placebo tablet (to maintain blinding), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 15 mg (one 10 mg and one 5 mg tablets), orally, once daily with food up to 18 months. Participants who remained on treatment were reassigned to elenbecestat 50 mg (two 25 mg tablets) if they had at least 3 months (12 weeks) of treatment remaining in the randomization phase (treatment and follow-up), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD received elenbecestat 50 mg (two 25 mg tablets), orally, once daily with food up to 18 months. Participants who completed 18 months treatment or who discontinued taking study drug prematurely were followed up to 3 months (12 weeks) after last dose of elenbecestat in core phase. Eligible participants with mild cognitive impairment due to AD/prodromal AD and mild to moderate AD who completed the core phase entered the extension phase and received one elenbecestat 50 mg tablet, orally, once daily with or without food until early discontinuation of study drug or early termination of the study, whichever occurred first. Participants were followed up to 3 months (12 weeks) after last dose of elenbecestat in extension phase.
All Cause Mortality
Core Phase: Placebo Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg Extension Phase: Elenbecestat 50 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/17 (0%) 0/17 (0%) 0/19 (0%) 0/17 (0%) 1/41 (2.4%)
Serious Adverse Events
Core Phase: Placebo Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg Extension Phase: Elenbecestat 50 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 2/17 (11.8%) 2/17 (11.8%) 5/19 (26.3%) 1/17 (5.9%) 6/41 (14.6%)
Cardiac disorders
Angina pectoris 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Gastrointestinal disorders
Diverticulum Intestinal Haemorrhagic 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
General disorders
Chest pain 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Asthenia 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Infections and infestations
Appendicitis 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Influenza 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Cellulitis 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Localised infection 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Affective disorder 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Meningoencephalitis viral 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Pneumonia 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Pneumonia viral 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Wound Infection 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Injury, poisoning and procedural complications
Rib fracture 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Fall 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Musculoskeletal and connective tissue disorders
Spinal column stenosis 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Nervous system disorders
Syncope 0/17 (0%) 0 1/17 (5.9%) 2 1/19 (5.3%) 1 0/17 (0%) 0 1/41 (2.4%) 1
Dementia Alzheimer's type 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Encephalopathy 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Psychiatric disorders
Major depression 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 1/17 (5.9%) 1 0/41 (0%) 0
Agitation 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Neuropsychiatric symptoms 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Delusion 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Delirium 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Other (Not Including Serious) Adverse Events
Core Phase: Placebo Core Phase: Elenbecestat 5 mg Then 50 mg Core Phase: Elenbecestat 15 mg Then 50 mg Core Phase: Elenbecestat 50 mg Extension Phase: Elenbecestat 50 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 15/17 (88.2%) 15/17 (88.2%) 18/19 (94.7%) 15/17 (88.2%) 30/41 (73.2%)
Blood and lymphatic system disorders
Leukopenia 1/17 (5.9%) 2 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Neutropenia 1/17 (5.9%) 2 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Cardiac disorders
Atrioventricular Block Second Degree 0/17 (0%) 0 1/17 (5.9%) 2 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Cardiac Failure Congestive 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Cardiomegaly 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Heart Valve Incompetence 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Heart Valve Stenosis 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Right Ventricular Enlargement 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Sinus Bradycardia 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Ventricular Extrasystoles 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Ear and labyrinth disorders
Cerumen Impaction 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Vertigo 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 1/17 (5.9%) 1 1/41 (2.4%) 1
Tinnitus 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Endocrine disorders
Thyroid Cyst 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Eye disorders
Dry Eye 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Ocular Rosacea 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Vision Blurred 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Visual Impairment 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Cataract 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Gastrointestinal disorders
Abdominal Pain 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Abdominal Pain Upper 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Anal Incontinence 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Colitis Microscopic 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Constipation 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Diarrhoea 0/17 (0%) 0 2/17 (11.8%) 2 1/19 (5.3%) 1 3/17 (17.6%) 3 0/41 (0%) 0
Dry Mouth 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Dysphagia 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 1/41 (2.4%) 1
Intra-Abdominal Haematoma 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Lip Swelling 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Nausea 0/17 (0%) 0 1/17 (5.9%) 1 1/19 (5.3%) 1 2/17 (11.8%) 3 1/41 (2.4%) 1
Peritoneal Disorder 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Toothache 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Vomiting 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 1/41 (2.4%) 1
Colitis 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Gastrooesophageal Reflux Disease 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Large Intestine Polyp 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Ulcerative Gastritis 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
General disorders
Asthenia 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 1/17 (5.9%) 1 0/41 (0%) 0
Breast Complication Associated With Device 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Fatigue 0/17 (0%) 0 0/17 (0%) 0 3/19 (15.8%) 3 0/17 (0%) 0 0/41 (0%) 0
Gait Disturbance 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Oedema Peripheral 0/17 (0%) 0 0/17 (0%) 0 2/19 (10.5%) 2 0/17 (0%) 0 2/41 (4.9%) 2
Peripheral Swelling 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Propulsive Gait 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Hepatobiliary disorders
Cholelithiasis 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Hepatic Steatosis 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Immune system disorders
Seasonal Allergy 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Infections and infestations
Bronchitis 1/17 (5.9%) 1 1/17 (5.9%) 1 0/19 (0%) 0 1/17 (5.9%) 1 2/41 (4.9%) 2
Diverticulitis 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Fungal Skin Infection 0/17 (0%) 0 1/17 (5.9%) 1 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Furuncle 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Gastroenteritis Viral 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Gastrointestinal Viral Infection 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Influenza 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Nasopharyngitis 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Oral Herpes 0/17 (0%) 0 1/17 (5.9%) 1 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Rhinitis 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Scrotal Infection 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Sinusitis 1/17 (5.9%) 1 2/17 (11.8%) 2 0/19 (0%) 0 0/17 (0%) 0 2/41 (4.9%) 2
Tooth Abscess 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Upper Respiratory Tract Infection 4/17 (23.5%) 6 4/17 (23.5%) 4 1/19 (5.3%) 1 4/17 (23.5%) 6 2/41 (4.9%) 2
Urinary Tract Infection 2/17 (11.8%) 2 2/17 (11.8%) 4 1/19 (5.3%) 3 1/17 (5.9%) 1 3/41 (7.3%) 5
Viral Upper Respiratory Tract Infection 1/17 (5.9%) 2 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Vulvovaginal Candidiasis 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Vulvovaginal Mycotic Infection 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Wound Infection 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Cellulitis 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Gastritis Bacterial 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Gastroenteritis 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Onychomycosis 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Osteomyelitis 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Otitis Media 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Respiratory Syncytial Virus Infection 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Tooth Infection 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Injury, poisoning and procedural complications
Accidental Overdose 1/17 (5.9%) 2 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Arthropod Bite 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 1/17 (5.9%) 1 2/41 (4.9%) 2
Arthropod Sting 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Contusion 0/17 (0%) 0 1/17 (5.9%) 1 1/19 (5.3%) 1 0/17 (0%) 0 2/41 (4.9%) 2
Facial Bones Fracture 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Fall 1/17 (5.9%) 2 1/17 (5.9%) 1 2/19 (10.5%) 2 3/17 (17.6%) 3 4/41 (9.8%) 5
Foot Fracture 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Head Injury 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Laceration 0/17 (0%) 0 1/17 (5.9%) 1 2/19 (10.5%) 2 0/17 (0%) 0 0/41 (0%) 0
Ligament Sprain 1/17 (5.9%) 1 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 2/41 (4.9%) 2
Muscle Strain 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Skin Abrasion 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Wrist Fracture 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Hand Fracture 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 2/41 (4.9%) 2
Meniscus Injury 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 2/41 (4.9%) 2
Product Administration Error 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Skin Laceration 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Spinal Compression Fracture 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Wound 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Investigations
B-Lymphocyte Count Decreased 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 2/17 (11.8%) 2 0/41 (0%) 0
Bacterial Test Positive 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Blood Calcium Decreased 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Blood Cholesterol Increased 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Blood Creatinine Increased 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Blood Glucose Increased 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Blood Immunoglobulin G Increased 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Blood Potassium Decreased 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Blood Potassium Increased 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Blood Pressure Decreased 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Blood Pressure Increased 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Blood Sodium Increased 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Cd4 Lymphocytes Decreased 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Cd8 Lymphocytes Decreased 2/17 (11.8%) 4 0/17 (0%) 0 1/19 (5.3%) 1 2/17 (11.8%) 2 0/41 (0%) 0
Glomerular Filtration Rate Decreased 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Lymphocyte Count Decreased 0/17 (0%) 0 1/17 (5.9%) 1 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Monocyte Count Increased 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Neurological Examination Abnormal 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Neutrophil Count Increased 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Olfactory Test Abnormal 2/17 (11.8%) 2 1/17 (5.9%) 1 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Platelet Count Decreased 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Primitive Reflex Test Positive 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Respiratory Rate Increased 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Romberg Test Positive 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Temperature Perception Test Decreased 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Transaminases Increased 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Urinary Casts 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Weight Decreased 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 1/17 (5.9%) 1 0/41 (0%) 0
Weight Increased 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
White Blood Cells Urine Positive 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Activated Partial Thromboplastin Time Prolonged 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Liver Function Test Increased 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Occult Blood Positive 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Prostatic Specific Antigen Increased 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Metabolism and nutrition disorders
Decreased Appetite 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 1/17 (5.9%) 1 0/41 (0%) 0
Dehydration 0/17 (0%) 0 0/17 (0%) 0 2/19 (10.5%) 2 0/17 (0%) 0 0/41 (0%) 0
Gout 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Hypercholesterolaemia 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Hyperglycaemia 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Vitamin D Deficiency 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Hyperlipidaemia 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Musculoskeletal and connective tissue disorders
Arthralgia 1/17 (5.9%) 2 2/17 (11.8%) 2 1/19 (5.3%) 1 0/17 (0%) 0 1/41 (2.4%) 1
Arthritis 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Back Pain 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 1/41 (2.4%) 1
Coccydynia 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Muscle Spasms 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Myalgia 0/17 (0%) 0 1/17 (5.9%) 1 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Osteopenia 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Pain In Extremity 0/17 (0%) 0 0/17 (0%) 0 2/19 (10.5%) 2 0/17 (0%) 0 1/41 (2.4%) 1
Spinal Column Stenosis 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Tendonitis 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Flank Pain 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Intervertebral Disc Protrusion 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Pain In Jaw 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal Cell Carcinoma 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 2/41 (4.9%) 2
Skin Papilloma 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Squamous Cell Carcinoma Of Skin 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Adrenal Adenoma 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Nervous system disorders
Cerebellar Microhaemorrhage 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Cerebral Microhaemorrhage 1/17 (5.9%) 1 0/17 (0%) 0 1/19 (5.3%) 1 1/17 (5.9%) 4 0/41 (0%) 0
Decreased Vibratory Sense 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 2/17 (11.8%) 2 0/41 (0%) 0
Dementia 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Disturbance In Attention 1/17 (5.9%) 2 1/17 (5.9%) 1 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Dizziness 1/17 (5.9%) 1 1/17 (5.9%) 1 3/19 (15.8%) 3 0/17 (0%) 0 2/41 (4.9%) 2
Dysgeusia 1/17 (5.9%) 1 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Dysmetria 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Headache 1/17 (5.9%) 1 1/17 (5.9%) 1 3/19 (15.8%) 3 3/17 (17.6%) 3 0/41 (0%) 0
Hypoaesthesia 1/17 (5.9%) 1 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Hypokinesia 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Hyposmia 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 1/17 (5.9%) 1 0/41 (0%) 0
Memory Impairment 0/17 (0%) 0 1/17 (5.9%) 1 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Neuropathy Peripheral 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Nystagmus 1/17 (5.9%) 1 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Presyncope 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Superficial Siderosis Of Central Nervous System 1/17 (5.9%) 1 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Syncope 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Transient Ischaemic Attack 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Tremor 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 1/17 (5.9%) 2 1/41 (2.4%) 1
Vasogenic Cerebral Oedema 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Aphasia 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Balance Disorder 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 2/41 (4.9%) 2
Cervical Radiculopathy 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Coordination Abnormal 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Lethargy 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Postural Tremor 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Sciatica 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Dementia Alzheimer's Type 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Psychiatric disorders
Abnormal Dreams 0/17 (0%) 0 2/17 (11.8%) 2 1/19 (5.3%) 1 3/17 (17.6%) 3 0/41 (0%) 0
Agitation 0/17 (0%) 0 1/17 (5.9%) 1 1/19 (5.3%) 1 3/17 (17.6%) 4 5/41 (12.2%) 6
Anxiety 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Confusional State 0/17 (0%) 0 1/17 (5.9%) 1 1/19 (5.3%) 1 1/17 (5.9%) 1 1/41 (2.4%) 1
Depressed Mood 0/17 (0%) 0 0/17 (0%) 0 2/19 (10.5%) 2 0/17 (0%) 0 1/41 (2.4%) 1
Depression 1/17 (5.9%) 1 0/17 (0%) 0 2/19 (10.5%) 2 0/17 (0%) 0 3/41 (7.3%) 3
Hallucination, Visual 1/17 (5.9%) 2 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Hypersexuality 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Insomnia 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 1/17 (5.9%) 1 4/41 (9.8%) 5
Nightmare 1/17 (5.9%) 1 2/17 (11.8%) 2 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Psychotic Disorder 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Rapid Eye Movement Sleep Behaviour Disorder 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Restlessness 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Suicidal Ideation 0/17 (0%) 0 1/17 (5.9%) 1 1/19 (5.3%) 1 1/17 (5.9%) 1 0/41 (0%) 0
Thinking Abnormal 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Delusion 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Major Depression 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Renal and urinary disorders
Dysuria 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Pollakiuria 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Polyuria 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Renal Artery Stenosis 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Renal Impairment 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Urinary Incontinence 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Reproductive system and breast disorders
Breast Cyst 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Erectile Dysfunction 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Uterine Prolapse 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Respiratory, thoracic and mediastinal disorders
Asthma 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Atelectasis 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Cough 0/17 (0%) 0 2/17 (11.8%) 2 0/19 (0%) 0 0/17 (0%) 0 3/41 (7.3%) 3
Epistaxis 0/17 (0%) 0 1/17 (5.9%) 2 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Lower Respiratory Tract Congestion 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Nasal Congestion 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Nasal Turbinate Hypertrophy 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Oropharyngeal Pain 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Pleural Thickening 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Rhinorrhoea 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Rhonchi 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Upper Respiratory Tract Congestion 0/17 (0%) 0 1/17 (5.9%) 1 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Hypoxia 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Lung Cyst 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Sleep Apnoea Syndrome 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 2/41 (4.9%) 2
Throat Irritation 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Skin and subcutaneous tissue disorders
Acne 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 2 0/17 (0%) 0 0/41 (0%) 0
Actinic Keratosis 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Alopecia 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Dermatitis 0/17 (0%) 0 1/17 (5.9%) 1 1/19 (5.3%) 1 2/17 (11.8%) 2 0/41 (0%) 0
Dermatitis Contact 1/17 (5.9%) 1 3/17 (17.6%) 3 2/19 (10.5%) 3 3/17 (17.6%) 3 3/41 (7.3%) 3
Erythematotelangiectatic Rosacea 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Hyperhidrosis 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Ingrowing Nail 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Night Sweats 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Pruritus 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Skin Lesion 1/17 (5.9%) 1 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Skin Ulcer 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Dermatitis Atopic 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Rash 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Surgical and medical procedures
Rhinoplasty 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Tooth Extraction 1/17 (5.9%) 1 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 0/41 (0%) 0
Cataract Operation 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Hip Arthroplasty 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1
Vascular disorders
Aortic Arteriosclerosis 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 0/17 (0%) 0 0/41 (0%) 0
Hypertension 2/17 (11.8%) 2 0/17 (0%) 0 0/19 (0%) 0 1/17 (5.9%) 1 0/41 (0%) 0
Orthostatic Hypotension 0/17 (0%) 0 0/17 (0%) 0 1/19 (5.3%) 1 1/17 (5.9%) 1 0/41 (0%) 0
Thrombosis 0/17 (0%) 0 0/17 (0%) 0 0/19 (0%) 0 0/17 (0%) 0 1/41 (2.4%) 1

Limitations/Caveats

This study was terminated early by the sponsor on the recommendation of an independent data safety monitoring board following review of unblinded data from the Phase 3 studies E2609-G000-301 (NCT02956486) and E2609-G000-302 (NCT03036280).

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Eisai Ltd.
Organization Eisai Medical Information
Phone +1-888-274-2378
Email esi_medinfo@eisai.com
Responsible Party:
Eisai Inc.
ClinicalTrials.gov Identifier:
NCT02322021
Other Study ID Numbers:
  • E2609-G000-202
  • 2014-002723-94
First Posted:
Dec 22, 2014
Last Update Posted:
Mar 5, 2021
Last Verified:
Mar 1, 2021