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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT02985879
Other study ID # M15-562
Secondary ID 2016-001635-12
Status Terminated
Phase Phase 2
First received
Last updated
Start date December 12, 2016
Est. completion date November 20, 2019

Study information

Verified date February 2021
Source AbbVie
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study was to assess efficacy, safety, tolerability, and pharmacokinetics of ABBV-8E12 in participants with progressive supranuclear palsy (PSP).


Description:

This was a Phase 2, randomized, double-blind, placebo-controlled, multiple dose, multicenter study consisting of a screening period of up to 8 weeks (56 days), a 52-week double-blind treatment period, and a post-treatment follow-up period of approximately 20 weeks following last study drug administration (for those participants who prematurely discontinued from treatment, declined to participate in or did not qualify for participation in a long term extension [LTE] study). At the end of the treatment period, extended treatment was available for eligible participants who completed the 52-week treatment period and entered the separate long-term extension study (NCT03391765; Study M15-563). There were 3 cohorts in the study (Cohort 1, Cohort J1, and Cohort 2). Cohort 1 had augmented safety and pharmacokinetic (PK) assessments in the first 30 participants enrolled into the global study from countries other than Japan. Cohort J1 had augmented safety and PK assessments in the first 9 participants enrolled into the study from Japan. Cohort 2 consisted of all other participants enrolled in the global study not participating in Cohort 1 or Cohort J1. This study was prematurely discontinued because the program for progressive supranuclear palsy was discontinued due to lack of efficacy of study drug.


Recruitment information / eligibility

Status Terminated
Enrollment 378
Est. completion date November 20, 2019
Est. primary completion date November 20, 2019
Accepts healthy volunteers No
Gender All
Age group 40 Years and older
Eligibility Key Inclusion Criteria: - Male or female participant with age 40 years or greater at the time of signed consent - Meets the criteria for possible or probable progressive supranuclear palsy (PSP; Steele-Richardson-Olszewski Syndrome) - Presence of PSP symptoms for less than 5 years - Participant is able to walk 5 steps with minimal assistance (stabilization of one arm or use of cane/walker) - Participant has an identified, reliable, study partner (e.g., caregiver, family member, social worker, or friend) Key Exclusion Criteria: - Participants who weigh less than 44 kg (97 lbs) at screening - Mini-Mental State Examination (MMSE) score less than 15 at screening - Any contraindication or inability to tolerate brain magnetic resonance imaging (MRI) - Participant resides at a skilled nursing or dementia care facility, or admission to such a facility is planned during the study period - Evidence of any clinically significant neurological disorder other than PSP - The participant has a history of or currently has schizophrenia, schizoaffective disorder or bipolar disorder according to Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V) or International Classification of Diseases (ICD-10) criteria - Participant has had a significant illness or infection requiring medical intervention in the past 30 days

Study Design


Intervention

Drug:
Placebo
Participants with 44-49 kg body weight (BW) had an intravenous infusion rate of 3.5 mL/min or 210 mL/hr; those with 50-58 kg BW, 4.0 mL/min or 240 mL/hr; and those with a BW >59 kg, 4.7 mL/min or 282 mL/hr.
ABBV-8E12
Participants with 44-49 kg body weight (BW) had an intravenous infusion rate of 3.5 mL/min or 210 mL/hr; those with 50-58 kg BW, 4.0 mL/min or 240 mL/hr; and those with a BW >59 kg, 4.7 mL/min or 282 mL/hr. For participants in Cohort 2, ABBV-8E12 doses may have been decreased after the evaluation by the Data Monitoring Committee of available safety, tolerability and pharmacokinetic data.

Locations

Country Name City State
Australia Royal Adelaide Hospital /ID# 153157 Adelaide South Australia
Australia Q-Pharm Pty Limited /ID# 154410 Herston Queensland
Australia Alfred Hospital /ID# 153158 Melbourne Victoria
Australia Neurodegenerative Disorders Re /ID# 153770 West Perth Western Australia
Australia Westmead Hospital /ID# 154403 Westmead New South Wales
Canada University of Calgary /ID# 154393 Calgary Alberta
Canada OCT Research ULC /ID# 169688 Kelowna British Columbia
Canada Crchum /Id# 152819 Montreal Quebec
Canada Montreal Neurological Institut /ID# 156413 Montreal Quebec
Canada Toronto Western Hospital /ID# 152818 Toronto Ontario
France Chu de Bordeaux Hopital /Id# 153151 Bordeaux
France Hopital B Roger Salengro /ID# 153943 Lille
France Hopital de la Timone /ID# 153113 Marseille CEDEX 05 Provence-Alpes-Cote-d Azur
France Hopital Pitie Salpetriere /ID# 153942 Paris
France CHU Strasbourg Hautepierre Hos /ID# 206942 Strasbourg
France Hopital Universitaire Purpan /ID# 153152 Toulouse Haute-Garonne
Germany St. Josef-Hospital /ID# 201984 Bochum Nordrhein-Westfalen
Germany KH Agatharied /ID# 154166 Hausham
Germany Universitaetsklinikum Leipzig /ID# 201761 Leipzig Sachsen
Germany TU Uniklinik Munchen /ID# 153154 Munich
Germany Universitaetsklinikum Ulm /ID# 153155 Ulm Thueringen
Italy Universita di Catanzaro Magna Graecia /ID# 166322 Catanzaro Calabria
Italy Fondazione IRCCS Istituto Neurologico Carlo Besta /ID# 201982 Milan
Italy Istituto Neuro Mediterraneo IR /ID# 153106 Pozzilli
Italy Policlinico Agostino Gemelli /ID# 153104 Rome Lazio
Italy IBD Center - IRCCS Istituto Clinico Humanitas /ID# 155092 Rozzano Milano
Italy A.O. Santa Maria /ID# 153102 Terni
Italy IRCCS Ospedale San Camillo /ID# 153101 Venezia LIDO
Japan National Hospital Organization Asahikawa Medical Center /ID# 201585 Asahikawa Hokkaido
Japan Juntendo University Hospital /ID# 200870 Bunkyo-ku Tokyo
Japan National Center of Neurology and Psychiatry /ID# 202037 Kodaira Tokyo
Japan National Hospital Organization Utano National Hospital /ID# 201979 Kyoto City Kyoto
Japan National Hospital Organization Higashinagoya National Hospital /ID# 201514 Nagoya-shi Aichi
Japan Niigata University Medical & Dental Hospital /ID# 201680 Niigata-shi Niigata
Japan NHO Sendai Nishitaga National Hospital /ID# 202132 Sendai Miyagi
Japan Tohoku University Hospital /ID# 202307 Sendai-shi Miyagi
Japan Osaka University Hospital /ID# 201980 Suita-shi Osaka
Spain Hospital General Universitario Gregorio Maranon /ID# 200876 Madrid
Spain Hosp Univ Virgen del Rocio /ID# 201039 Sevilla
United States Georgia Regents University /ID# 144908 Augusta Georgia
United States Cedars-Sinai Medical Center /ID# 149775 Beverly Hills California
United States University of Alabama at Birmingham - Main /ID# 144892 Birmingham Alabama
United States Rush University Medical Center /ID# 144894 Chicago Illinois
United States University of Chicago /ID# 148672 Chicago Illinois
United States Cleveland Clinic Main Campus /ID# 144885 Cleveland Ohio
United States Kerwin Research Center /ID# 144904 Dallas Texas
United States Rocky Mountain Movement Disorders Center /ID# 153397 Englewood Colorado
United States University of Florida - Archer /ID# 144906 Gainesville Florida
United States McGovern Medical School /ID# 149236 Houston Texas
United States Indiana University /ID# 149036 Indianapolis Indiana
United States Mayo Clinic /ID# 144911 Jacksonville Florida
United States St. Luke's Hosp. of Kansas Cit /ID# 168629 Kansas City Missouri
United States Ucsd /Id# 144905 La Jolla California
United States Cleveland Clinic Lou Ruvo Cent /ID# 148919 Las Vegas Nevada
United States University of Kentucky Chandler Medical Center /ID# 144891 Lexington Kentucky
United States University of California, Los Angeles /ID# 144896 Los Angeles California
United States Usc /Id# 149773 Los Angeles California
United States Vanderbilt Univ Med Ctr /ID# 144898 Nashville Tennessee
United States Rutgers Robert Wood Johnson /ID# 144901 New Brunswick New Jersey
United States COLUMBIA University Medical Center /ID# 149037 New York New York
United States Oregon Health and Science University /ID# 149774 Portland Oregon
United States Mayo Clinic - Rochester /ID# 144895 Rochester Minnesota
United States Central Texas Neurology Consul /ID# 167417 Round Rock Texas
United States Univ California, San Francisco /ID# 144897 San Francisco California
United States Mayo Clinic - Scottsdale /ID# 144893 Scottsdale Arizona
United States University of South Florida /ID# 144912 Tampa Florida

Sponsors (1)

Lead Sponsor Collaborator
AbbVie

Countries where clinical trial is conducted

United States,  Australia,  Canada,  France,  Germany,  Italy,  Japan,  Spain, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change From Baseline to Week 52 in Progressive Supranuclear Palsy Rating Scale (PSPRS) Total Score The PSPRS consists of 28 items grouped in six domains: daily activities (by history); behavior; bulbar; ocular motor; limb motor; and gait/midline. Items are scored on a 0 to 4 scale, except for six items that are scored on a 0 to 2 scale, with the total score ranging from 0 to 100. Higher scores indicate more severe disability or movement abnormality. Positive changes in score indicate worsening from baseline. Baseline, Week 52
Primary Number of Participants With Adverse Events An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each event to the use of study drug as either reasonable possibility or no reasonable possibility. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the subject and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent events (TEAEs) are defined as any event that began or worsened in severity from first dose of study drug until 20 weeks after the last dose. For more details on AEs please see the Adverse Event section. From the first dose of study drug until 20 weeks following discontinuation of study drug administration have elapsed (approximately 5 half-lives), up to 80 weeks
Secondary Mean Change From Baseline to Week 52 in Unified Parkinson's Disease Rating Scale (UPDRS) Part II (Activities of Daily Living) The Unified Parkinson's Disease Rating Scale (UPDRS) is an Investigator-used rating tool to follow the longitudinal course of Parkinson's disease. The Part II score is the sum of the answers to the 13 questions related to Activities of Daily Living, and ranges from 0-52. Higher scores are associated with more disability. Positive changes in score indicate worsening from baseline. Baseline, Week 52
Secondary Clinical Global Impression of Change (CGI-C) Score at Week 52 The Clinical Global Impression of Change (CGI-C) score is a clinician's rating scale for assessing Global Improvement of Change. The CGI-C rates improvement by 7 categories: very much improved (1), much improved (2), minimally improved (3), no change (4), minimally worse (5), much worse (6), very much worse (7). The CGI-C score ranges from 1 to 7, with lower scores indicating improvement. Week 52
Secondary Mean Change From Baseline to Week 52 in Midbrain Atrophy As Measured by Volumetric Magnetic Resonance Imaging (MRI) Magnetic resonance imaging (MRI) of several different brain regions was performed and volumetric analysis was conducted to quantify midbrain atrophy. Negative changes in values indicate a reduction in volume. Baseline, Week 52
Secondary Mean Change From Baseline to Week 52 in Schwab and England Activities of Daily Living Scale (SEADL) The Schwab and England Activities of Daily Living (SEADL) consists of ten items intended to evaluate the daily life activities of a participant. The SEADL is composed of two sections: the first is a self-reported questionnaire in which participants grade their own daily life activities, such as dressing, using the toilet, resting, eating, and social activities (subjective assessment), and the second is an assessment of motor functions, such as postural balance, speaking, rigidity, and tremors, conducted by a clinician (objective assessment). It is a percentage scale divided into deciles, and the results are reported between 0% (bedridden) and 100% (healthy). Negative changes in values indicate a decline in health. Baseline, Week 52
Secondary Maximum Observed Serum Concentration (Cmax) for ABBV-8E12 The maximum observed serum concentration after the first and the fifth doses in Cohort 1 and Cohort J1 was determined. First Dosing Interval, 2 weeks, Day 1-14; Fifth Dosing Interval, 4 weeks, Day 85-113
Secondary Time to Maximum Observed Serum Concentration (Tmax) for ABBV-8E12 The time to maximum plasma concentration (Tmax; measured in hours) is the time it takes for a drug to achieve Cmax, the maximum plasma concentration. Tmax was measured after the first and the fifth doses in Cohort 1 and Cohort J1. First Dosing Interval, 2 weeks, Day 1-14; Fifth Dosing Interval, 4 weeks, Day 85-113
Secondary Area Under the Concentration Time Curve (AUC) for ABBV-8E12 The area under the plasma concentration-time curve (AUC; measured in µg•day/mL) is a method of measurement to determine the total exposure of a drug in blood plasma. The AUC24 of ABBV-8E12 was estimated using non-compartmental methods after the first and the fifth doses in Cohort 1 and Cohort J1. First Dosing Interval, 2 weeks, Day 1-14; Fifth Dosing Interval, 4 weeks, Day 85-113
Secondary Serum Concentration of ABBV-8E12 Prior to Infusion of a Day of Dosing (Ctrough) The concentration of ABBV-8E12 immediately prior to infusion of the fifth dose (Ctrough; measured in µg/mL) was estimated using non-compartmental methods in Cohort 1 and Cohort J1. First day of the Fifth Dosing Interval, Day 85
Secondary Mean Change From Baseline to Week 52 in Clinical Global Impression of Severity (CGI-S) Score The CGI-S is a clinician's rating of disease severity. The CGI-S rates severity of illness on a 7-point scale, using a range of responses from 1 (normal) through 7 (the most severely ill). This rating is based upon observed and reported symptoms, behavior, and function in the past 7 days. Positive changes in score indicate worsening from baseline. Baseline, Week 52
Secondary Mean Change From Baseline to Week 52 in Progressive Supranuclear Palsy Health Related Quality of Life Scale (PSP-QoL) Total Score The PSP-QoL is a validated patient-reported outcome measure, specifically designed to assess the quality of life of participants with PSP. There are 45 items and two subscales: physical and mental impact. Items are scored from 0 (no problem) to 4 (extreme problems). The total subscale sum scores are linearly converted into a 0 to 100 scale, and higher scores indicate a lower quality of life. Positive changes in score indicate a decline in quality of life. Baseline, Week 52
Secondary Mean Change From Baseline to Week 52 in Progressive Supranuclear Palsy Staging System Score (PSP-SS) Score The Progressive Supranuclear Palsy Rating Scale (PSPRS) consists of 28 items grouped in six domains: daily activities (by history); behavior; bulbar; ocular motor; limb motor; and gait/midline. Items are scored on a 0 to 4 scale, except for four items that are scored on a 0 to 2 scale, with the total score ranging from 0 to 100. Higher scores indicate more severe disability or movement abnormality. The PSP-SS score is a composite of the dysphagia and gait items from the PSPRS. Positive changes in score indicate worsening from baseline. Baseline, Week 52
Secondary Mean Change From Baseline to Week 52 in Third Ventricle Atrophy As Measured by Volumetric Magnetic Resonance Imaging (MRI) Magnetic resonance imaging (MRI) of several different brain regions was performed and volumetric analysis was conducted to quantify third ventricle atrophy. Positive changes in values indicate an increase in volume. Baseline, Week 52
Secondary Mean Change From Baseline to Week 52 in Superior Cerebellar Peduncle Atrophy As Measured by Volumetric Magnetic Resonance Imaging (MRI) Magnetic resonance imaging (MRI) of several different brain regions was performed and volumetric analysis was conducted to quantify Superior cerebellar peduncle atrophy. Negative changes in values indicate a reduction in volume. Baseline, Week 52
Secondary Mean Change From Baseline to Week 52 in Brainstem Atrophy As Measured by Volumetric Magnetic Resonance Imaging (MRI) Magnetic resonance imaging (MRI) of several different brain regions was performed and volumetric analysis was conducted to quantify brainstem atrophy. Negative changes in values indicate a reduction in volume. Baseline, Week 52
Secondary Mean Change From Baseline to Week 52 in Whole Brain Atrophy As Measured by Volumetric Magnetic Resonance Imaging (MRI) Magnetic resonance imaging (MRI) of several different brain regions was performed and volumetric analysis was conducted to quantify whole brain atrophy. Negative changes in values indicate a reduction in volume. Baseline, Week 52
Secondary Mean Change From Baseline to Week 52 in Frontal Lobe Atrophy As Measured by Volumetric Magnetic Resonance Imaging (MRI) Magnetic resonance imaging (MRI) of several different brain regions was performed and volumetric analysis was conducted to quantify frontal lobe atrophy. Positive changes in values indicate an increase in volume. Baseline, Week 52
Secondary Time to Loss of Ability to Walk Independently as Measured by Progressive Supranuclear Palsy Rating Scale (PSPRS) Item 26 The PSPRS consists of 28 items grouped in six domains: daily activities (by history); behavior; bulbar; ocular motor; limb motor; and gait/midline. Items are scored on a 0 to 4 scale, except for six items that are scored on a 0 to 2 scale, with the total score ranging from 0 to 100. Higher scores indicate more severe disability or movement abnormality. Item 26 pertains to gait, scored as either 0 (normal); 1 (slightly wide-based or irregular or slight pulsion on turns); 2 (must walk slowly or occasionally use walls or helper to avoid falling, especially on turns); 3 (must use assistance all or almost all the time); or 4 (unable to walk, even with walker; may be able to transfer). From Baseline to Week 52
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