First in Human Study for Safety and Tolerability of AL003.

• Sponsor: Alector Inc. (Industry)
• Overall Status: Completed
• CT.gov ID: NCT03822208
• Collaborator: (none)
• Enrollment: 54
• Locations: 6
• Arms: 2
• Actual Duration (Months): 25.3
• Patients Per Site: 9
• Patients Per Site Per Month: 0.4

Study Details

Study Description

Brief Summary

This is a multi-center, randomized, double-blind, placebo-controlled, dose escalation first in human (FIH) study in healthy adults and in patients with mild to moderate Alzheimer's disease. The study is designed to systematically assess the safety (including immunogenicity) and tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of AL003.

Condition or Disease	Intervention/Treatment	Phase
Healthy; Alzheimer Disease	Biological: AL003; Other: Saline Solution	Phase 1

Detailed Description

The study will be conducted in 2 phases:

In the single ascending dose (SAD) phase, up to approximately 42 healthy adult participants will be sequentially enrolled into up to approximately 7 cohorts. In the multiple-dose (MD) phase, approximately 12 patients with mild to moderate Alzheimer's disease will be enrolled in one cohort.

Study Design

• Study Type: Interventional
• Actual Enrollment: 54 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Triple (Participant, Care Provider, Investigator)
• Primary Purpose: Treatment
• Official Title: A Phase I Study Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of Single and Multiple Doses of AL003 in Healthy Participants and in Participants With Mild to Moderate Alzheimer's Disease.
• Actual Study Start Date: Mar 29, 2019
• Actual Primary Completion Date: May 6, 2021
• Actual Study Completion Date: May 6, 2021

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: AL003 by intravenous (IV) infusion Single-doses of AL003 in dose-escalating cohorts Multiple doses of AL003 in single cohort	Biological: AL003; Single-doses of AL003 in dose-escalating cohorts Multiple doses of AL003 in a single cohort
Placebo Comparator: Placebo by intravenous (IV) infusion Matching saline solution will be administered for placebo subjects	Other: Saline Solution; Saline Solution will be administered as a single infusion for each dose escalation cohort in a ratio of 6 active and 2 placebo and as multiple infusions in the single cohort in a ratio of 10 active and 2 placebo

Outcome Measures

Primary Outcome Measures

1. Evaluation of safety and tolerability of AL003 measured by number of subjects with adverse events and dose limiting adverse events (DLAE) [141 days]

   Incidence of adverse events during the treatment and follow up periods through out the study.

Secondary Outcome Measures

1. Pharmacokinetics (PK) of AL003 [85 days]

   Serum and CSF concentration of AL003 at specific time points

2. Maximum concentration (Cmax) for AL003 [85 days]

   Evaluate Cmax for serum and CSF concentration of AL003 at specified time points

3. Area under the curve concentration (AUC) for AL003 [85 days]

   Evaluate AUC for serum and CSF concentration of AL003 at specified time points

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years to 85 Years
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Inclusion Criteria:

1. Total body weight between 50 and 120 kg, inclusive

2. Clinical laboratory evaluations (including chemistry panel fasted [at least 8 hours], complete blood count (CBC), and urine analysis) within the reference range for the test laboratory, unless deemed not clinically significant by the Investigator. A count of the segmented neutrophils and bands should be performed when results from the white blood cells (WBCs) are not within the reference range.

3. Negative test for selected drugs of abuse at screening (dose not include alcohol) and at admission (does include alcohol breath test). A positive result may be verified by re-testing (up to one false positive result permitted) and may be followed up at the discretion of the Investigator.

4. Females must be non-pregnant and non-lactating, and either surgically sterile, using double barrier method or abstinence.

5. In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead electrocardiogram (ECG), laboratory tests, and vital signs.

For MD cohort

1. Ages 50-85 years, inclusive.

2. The participant should be capable of completing assessments alone, per local guidelines.

3. Availability of a person ("study partner") who, in the Investigator's judgment, has frequent and sufficient contact with the participant and is able to provide accurate information regarding the participant's cognitive and functional abilities, agrees to provide information at clinic visits, which require partner input for scale completion, and signs the necessary consent form, per local guidelines.

4. Clinical diagnosis of probable Alzheimer's disease dementia based on National Institute on Aging Alzheimer's Association criteria.

Exclusion Criteria:

1. Pregnant or lactating, or intending to become pregnant within 16 weeks after last dose of study drug.

2. Participation in a clinical trial within 30 days before randomization; use of any experimental oral therapy within 30 days or 5 half-lives prior to Day 1, whichever is greater; or use of any biologic therapy within 12 weeks or 5 half-lives prior to Day 1, whichever is greater. Participants who have received an experimental therapy that has no half-life, like a vaccine, should have completed that therapy at least 12 weeks prior to Day 1. Participants who have received an experimental vaccine against a central nervous system (CNS) target, such as beta-amyloid or tau, are not eligible for this study.

3. Any non-experimental vaccine within 2 weeks of randomization, until 2 weeks after the last dose. It is advised that prospective participants receive their annual influenza vaccine as early as possible in advance of the flu season, and then wait 2 weeks prior to randomization. It is permitted to receive the annual influenza vaccine during the screening period.

4. Surgery or hospitalization during the 4 weeks prior to screening.

5. Planned procedure or surgery during the study.

6. Systemically, clinically significantly immunocompromised patients, owing to continuing effects of immune suppressing medication.

7. Known history of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric, human, or humanized antibodies or fusion proteins.

8. Past history of seizures, with the exception of childhood febrile seizures.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Brain Matters Research	Delray Beach	Florida	United States	33445
2	Charter Research	Lady Lake	Florida	United States	32159
3	PPD Clinical Research Unit	Orlando	Florida	United States	32806
4	Synexus AES	The Villages	Florida	United States	32162
5	Columbia University	New York	New York	United States	10032
6	Nucleus Network	Melbourne		Australia

Sponsors and Collaborators

• Alector Inc.

Investigators

• Study Director: Robert Paul, MD, Alector Inc.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Alector Inc.
• ClinicalTrials.gov Identifier: NCT03822208
• Other Study ID Numbers: AL003-1
• First Posted: Jan 30, 2019
• Last Update Posted: Sep 17, 2021
• Last Verified: Sep 1, 2021

• Individual Participant Data (IPD) Sharing Statement: Yes
• Plan to Share IPD: Yes
• Studies a U.S. FDA-regulated Drug Product: Yes
• Studies a U.S. FDA-regulated Device Product: No
• Additional relevant MeSH terms: Alzheimer Disease

Study Results

No Results Posted as of Sep 17, 2021