EAD501: A 6-Month Study to Evaluate the Safety & Potential Efficacy of Trappsol Cyclo in Patients With Early Alzheimer's Disease

Sponsor
Cyclo Therapeutics, Inc. (Industry)
Overall Status
Recruiting
CT.gov ID
NCT05607615
Collaborator
(none)
90
5
2
18.2
18
1

Study Details

Study Description

Brief Summary

Approximately 90 patients, aged 50 to 80 years, with a diagnosis of early Alzheimer's disease will take part in this research study. This study will be conducted in the US. There will be 3 treatment groups: 2 Active doses and 1 group will receive placebo completely by chance. Patients, caregiver, Sponsor, nor study staff will know which treatment is assigned. There are 3 periods in this study: Screening to confirm suitability, Treatment to receive study medication, and Follow-up to check overall health post-participation

Condition or Disease Intervention/Treatment Phase
  • Drug: Hydroxypropyl Beta Cyclodextrin
  • Drug: Placebo
Phase 2

Detailed Description

This is a randomized, placebo-controlled, double-blind, parallel-group study that will assess the safety, tolerability, and potential efficacy of Trappsol Cyclo in patients with EAD as defined according to the FDA Guidance for Industry on Early Alzheimer's Disease: Developing Drugs for Treatment. The study will enroll approximately 90 (30 patients/treatment arm) male and female patients aged 50 to 80 years at Screening with characteristic pathophysiologic changes of AD who meet National Institute on Aging-Alzheimer's Association (NIA-AA) criteria for either AD with MCI or mild AD collectively known as EAD (Stages 3 and 4). Enrolled patients must have evidence of progressive cognitive decline in the last year as determined by serial cognitive test scores, if available, or patient or informant/caregiver/study partner (hereafter called caregiver) report as documented by the Investigator

Study Design

Study Type:
Interventional
Anticipated Enrollment :
90 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
This is a randomized, placebo-controlled, double-blind, parallel-group studyThis is a randomized, placebo-controlled, double-blind, parallel-group study
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Randomized, Placebo-controlled, Double-blind, Parallel-group, 6-Month Study to Evaluate the Safety, Tolerability, and Potential Efficacy of Monthly Trappsol® Cyclo™ Infusions in Patients With Early Alzheimer's Disease
Actual Study Start Date :
Sep 23, 2022
Anticipated Primary Completion Date :
Mar 31, 2024
Anticipated Study Completion Date :
Mar 31, 2024

Arms and Interventions

Arm Intervention/Treatment
Experimental: Experimental

Intravenous administration over at least 4 hours by IV infusion Trappsol Cyclo either 500 mg/kg or 1000 mg/kg every 4 weeks

Drug: Hydroxypropyl Beta Cyclodextrin
Minimum active dose of 500 mg/kg (equivalent to 18,500 mg/m2) as an intravenous (IV) infusion once every 28 days
Other Names:
  • Trappsol Cyclo
  • Placebo Comparator: Placebo

    Intravenous administration of 0.5N saline over at least 4 hours every 4 weeks

    Drug: Placebo
    0.5N saline as an intravenous (IV) infusion once every 28 days
    Other Names:
  • 0.5N saline
  • Outcome Measures

    Primary Outcome Measures

    1. Safety assessments to include incidence of Adverse Events and Serious Adverse Events [up to 24 weeks]

      Incidence of AEs, SAEs, incidence of abnormal laboratory test results, abnormal ECGs, abnormal physical exams, abnormal vital signs and abnormal hearing assessments assessments

    Secondary Outcome Measures

    1. Mean change in total ADAS-Cog-14 score from Baseline [Week 12 and 24]

      Memory, Language, and Executive Function

    2. Change in CDR-SB from Baseline [Weeks 12 and 24]

      Memory, Orientation, Judgment and Problem Solving, Community Affairs, Home and Hobbies, and Personal Care

    3. Change in MMSE-2:SV total score from Baseline [Weeks 12 and 24]

      Orientation, Attention, Memory, Language, and Visual-Spatial Skills

    4. Change in ADCS-CGIC from Baseline [Weeks 12 and 24]

      Cognitive, Behavior, and Social and Daily Functioning

    5. Change in ADCS-ADL from Baseline [Weeks 12 and 24]

      Basic Activities of Daily Living Items and Instrumental Activities of Daily Living Items

    Other Outcome Measures

    1. Change in combined Z-scores from Baseline (V2) to Weeks 12 (V5) and 24 (V8) on ADAS-Cog-14 [At week 12 and week 24]

      Memory, Language, and Executive Function

    2. Change in combined Z-scores from Baseline (V2) to Weeks 12 (V5) and 24 (V8) on CDR-SB [At week 12 and week 24]

      Memory, Orientation, Judgment and Problem Solving, Community Affairs, Home and Hobbies, and Personal Care

    3. Change in combined Z-scores from Baseline (V2) to Weeks 12 (V5) and 24 (V8) on MMSE-2:SV [At week 12 and week 24]

      Orientation, Attention, Memory, Language, and Visual-Spatial Skills

    4. Peak Plasma Concentration (Cmax) [Weeks 4, 8, 12, and 24]

      Maximum concentration, determined directly from individual concentration-time data

    5. Time to the Maximum concentration (Tmax) [Weeks 4, 8, 12, and 24]

      Time of the maximum concentration, determined directly from individual concentration-time data

    6. Area under the plasma concentration versus time curve (AUC) [Weeks 4, 8, 12, and 24]

      Area under the concentration-time curve from time-zero to the time of the last quantifiable concentration

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    50 Years to 80 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • MCI due to AD (Stage 3)

    • MMSE-2:SV score 20 and 28 at both Screening (V1) and Baseline (V2) with no more than a 3 point change between visits

    • Positive PrecivityAD blood test biomarker for AD with high APS (58-100) Locally or centrally read MRI of ARIA

    Exclusion Criteria:
    • Clinically significant renal disease

    • Evidence of a neurodegenerative disease other than AD Severe hypothyroidism

    • Abnormally low levels of serum Vitamin B12

    • Lacks visual, auditory acuity and/or language abilities adequate to perform cognitive assessments

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Access Research Institute Brooksville Florida United States 34613
    2 Charter Research Winter Park Florida United States 32792
    3 Tandem/Clincloud, LCC Marrero Louisiana United States 70072
    4 Advanced Clinical Institute Inc Neptune New Jersey United States 07753
    5 Wasatch Clinical Research Salt Lake City Utah United States 84107

    Sponsors and Collaborators

    • Cyclo Therapeutics, Inc.

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Cyclo Therapeutics, Inc.
    ClinicalTrials.gov Identifier:
    NCT05607615
    Other Study ID Numbers:
    • CTD-TCAD-501
    First Posted:
    Nov 7, 2022
    Last Update Posted:
    Nov 23, 2022
    Last Verified:
    Nov 1, 2022
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Cyclo Therapeutics, Inc.
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Nov 23, 2022