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NCT02322021

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

Terminated Phase 2 Results posted Last updated 5 March 2021
What this trial tests

Phase 2 trial testing E2609 in Alzheimer Disease in 70 participants. Terminated before completion.

Timeline
26 November 2014
Primary endpoint
20 December 2019
20 December 2019

Quick facts

Lead sponsorEisai Inc.
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment70
Start date26 November 2014
Primary completion20 December 2019
Estimated completion20 December 2019
Sites21 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Eisai Inc. — full company profile →

Who can join

Adults 50 to 85, any sex, with Alzheimer Disease or Dementia, Alzheimer Type. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Core Phase: Number of Participants With Treatment Emergent Adverse Events (TEAEs) Primary · 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.

GroupValue95% CI
Core Phase: Placebo15
Core Phase: Elenbecestat 5 mg Then 50 mg15
Core Phase: Elenbecestat 15 mg Then 50 mg18
Core Phase: Elenbecestat 50 mg15
Core Phase: Number of Participants With Serious Adverse Events (SAEs) Primary · 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).

GroupValue95% CI
Core Phase: Placebo2
Core Phase: Elenbecestat 5 mg Then 50 mg2
Core Phase: Elenbecestat 15 mg Then 50 mg5
Core Phase: Elenbecestat 50 mg1
Core Phase: Number of Participants With Treatment Emergent Markedly Abnormal Laboratory Safety Test Values Primary · Up to 21 months
Markedly Abnormal Low: Lymphocytes
GroupValue95% CI
Core Phase: Placebo0
Core Phase: Elenbecestat 5 mg Then 50 mg2
Core Phase: Elenbecestat 15 mg Then 50 mg0
Core Phase: Elenbecestat 50 mg0
Markedly Abnormal Low: Leukocytes
GroupValue95% CI
Core Phase: Placebo1
Core Phase: Elenbecestat 5 mg Then 50 mg0
Core Phase: Elenbecestat 15 mg Then 50 mg0
Core Phase: Elenbecestat 50 mg0
Markedly Abnormal Low: Neutrophils
GroupValue95% CI
Core Phase: Placebo1
Core Phase: Elenbecestat 5 mg Then 50 mg0
Core Phase: Elenbecestat 15 mg Then 50 mg0
Core Phase: Elenbecestat 50 mg1
Markedly Abnormal Low: Hemoglobin
GroupValue95% CI
Core Phase: Placebo1
Core Phase: Elenbecestat 5 mg Then 50 mg0
Core Phase: Elenbecestat 15 mg Then 50 mg0
Core Phase: Elenbecestat 50 mg0
Markedly Abnormal Low: Calcium
GroupValue95% CI
Core Phase: Placebo1
Core Phase: Elenbecestat 5 mg Then 50 mg0
Core Phase: Elenbecestat 15 mg Then 50 mg0
Core Phase: Elenbecestat 50 mg0
Markedly Abnormal Low: Potassium
GroupValue95% CI
Core Phase: Placebo0
Core Phase: Elenbecestat 5 mg Then 50 mg0
Core Phase: Elenbecestat 15 mg Then 50 mg1
Core Phase: Elenbecestat 50 mg0
Markedly Abnormal High: Potassium
GroupValue95% CI
Core Phase: Placebo2
Core Phase: Elenbecestat 5 mg Then 50 mg4
Core Phase: Elenbecestat 15 mg Then 50 mg2
Core Phase: Elenbecestat 50 mg0
Markedly Abnormal High: Alkaline Phosphatase
GroupValue95% CI
Core Phase: Placebo0
Core Phase: Elenbecestat 5 mg Then 50 mg0
Core Phase: Elenbecestat 15 mg Then 50 mg0
Core Phase: Elenbecestat 50 mg1
Core Phase: Number of Participants With Markedly Abnormal Vital Sign Values Primary · 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.

Markedly Abnormal Low: Temperature (Month 0: Baseline)
GroupValue95% CI
Core Phase: Placebo0
Core Phase: Elenbecestat 5 mg Then 50 mg2
Core Phase: Elenbecestat 15 mg Then 50 mg0
Core Phase: Elenbecestat 50 mg2
Markedly Abnormal Low: Temperature (Month 0: Week 2)
GroupValue95% CI
Core Phase: Placebo0
Core Phase: Elenbecestat 5 mg Then 50 mg0
Core Phase: Elenbecestat 15 mg Then 50 mg2
Core Phase: Elenbecestat 50 mg2
Markedly Abnormal Low: Temperature (Month 0: Week 3)
GroupValue95% CI
Core Phase: Placebo2
Core Phase: Elenbecestat 5 mg Then 50 mg1
Core Phase: Elenbecestat 15 mg Then 50 mg4
Core Phase: Elenbecestat 50 mg0
Markedly Abnormal Low: Temperature (Month 0: Week 4)
GroupValue95% CI
Core Phase: Placebo1
Core Phase: Elenbecestat 5 mg Then 50 mg3
Core Phase: Elenbecestat 15 mg Then 50 mg1
Core Phase: Elenbecestat 50 mg1
Markedly Abnormal High: Temperature (Month 0: Week 4)
GroupValue95% CI
Core Phase: Placebo0
Core Phase: Elenbecestat 5 mg Then 50 mg0
Core Phase: Elenbecestat 15 mg Then 50 mg1
Core Phase: Elenbecestat 50 mg0
Markedly Abnormal Low: Temperature (Month 1: Week 5)
GroupValue95% CI
Core Phase: Placebo1
Core Phase: Elenbecestat 5 mg Then 50 mg0
Core Phase: Elenbecestat 15 mg Then 50 mg2
Core Phase: Elenbecestat 50 mg0
Markedly Abnormal Low: Temperature (Month 1: Week 7)
GroupValue95% CI
Core Phase: Placebo0
Core Phase: Elenbecestat 5 mg Then 50 mg1
Core Phase: Elenbecestat 15 mg Then 50 mg3
Core Phase: Elenbecestat 50 mg0
Markedly Abnormal Low: Temperature (Month 2: Week 9)
GroupValue95% CI
Core Phase: Placebo0
Core Phase: Elenbecestat 5 mg Then 50 mg1
Core Phase: Elenbecestat 15 mg Then 50 mg1
Core Phase: Elenbecestat 50 mg2
Core Phase: Number of Participants With Markedly Abnormal Electrocardiogram (ECG) Findings Primary · Up to 21 months

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

At least one post-baseline increase of >30 millisecond (msec) in QTcF interval
GroupValue95% CI
Core Phase: Placebo2
Core Phase: Elenbecestat 5 mg Then 50 mg4
Core Phase: Elenbecestat 15 mg Then 50 mg4
Core Phase: Elenbecestat 50 mg2
At least one post-baseline value of >450 msec in QTcF interval
GroupValue95% CI
Core Phase: Placebo1
Core Phase: Elenbecestat 5 mg Then 50 mg6
Core Phase: Elenbecestat 15 mg Then 50 mg4
Core Phase: Elenbecestat 50 mg3
At least one post-baseline value of >480 msec in QTcF interval
GroupValue95% CI
Core Phase: Placebo0
Core Phase: Elenbecestat 5 mg Then 50 mg0
Core Phase: Elenbecestat 15 mg Then 50 mg1
Core Phase: Elenbecestat 50 mg0
Extension Phase: Number of Participants With TEAEs and SAEs Primary · 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 fr

TEAEs
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg30
SAEs
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg6
Extension Phase: Number of Participants With Markedly Abnormal Vital Sign Values Primary · Up to 34 months
Markedly Abnormal High: Diastolic Blood Pressure
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg1
Markedly Abnormal Low: Diastolic Blood Pressure
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg1
Markedly Abnormal High: Systolic Blood Pressure
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg5
Markedly Abnormal High: Temperature
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg1
Markedly Abnormal Low: Temperature
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg10
Markedly Abnormal High: Weight
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg1
Extension Phase: Number of Participants With Markedly Abnormal ECG Findings Primary · Up to 34 months

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

At least one post-baseline increase of >30 msec in QTcF interval
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg2
At least one post-baseline value of >450 msec in QTcF interval
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg4
Extension Phase: Number of Participants With Treatment Emergent Markedly Abnormal Laboratory Safety Test Values Primary · Up to 34 months
Markedly Abnormal Low: Lymphocytes
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg4
Markedly Abnormal Low: Neutrophils
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg2
Markedly Abnormal Low: Hemoglobin
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg1
Markedly Abnormal High: Potassium
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg4
Markedly Abnormal High: Alanine Aminotransferase
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg1
Markedly Abnormal High: Gamma Glutamyl Transferase
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg2
Markedly Abnormal High: Glucose
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg3
Markedly Abnormal High: Triglycerides
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg2
Extension Phase: Number of Participants With Abnormal Magnetic Resonance Imaging (MRI) Findings Primary · 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

Brain Vasogenic Edema
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg0
Brain Microhemorrhages
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg4
Brain White Matter Disease: Focal Lesions
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg25
Brain White Matter Disease: No Lesions
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg2
Area of superficial siderosis
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg1
Space occupying lesion (extra axial): Meningioma
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg1
Other pituitary lesion
GroupValue95% CI
Extension Phase: Elenbecestat 50 mg1
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 Secondary · 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.

Percent Change from Baseline in CSF Abeta(1-x) at Month 1 (Week 5)
GroupValue95% CI
Core Phase: Placebo6.63± 12.545
Core Phase: Elenbecestat 5 mg Then 50 mg-18.16± 17.873
Core Phase: Elenbecestat 15 mg Then 50 mg-36.43± 16.026
Core Phase: Elenbecestat 50 mg-56.66± 14.431
Percent Change from Baseline in CSF Abeta(1-x) at Month 18 (Week 79)
GroupValue95% CI
Core Phase: Placebo-1.81± NA
Core Phase: Elenbecestat 5 mg Then 50 mg-33.86± 11.039
Core Phase: Elenbecestat 15 mg Then 50 mg-0.71± NA
Core Phase: Elenbecestat 50 mg33.98± 160.017
Percent Change from Baseline in CSF Abeta(1-42) at Month 1 (Week 5)
GroupValue95% CI
Core Phase: Placebo-8.53± 16.818
Core Phase: Elenbecestat 5 mg Then 50 mg-9.43± 22.798
Core Phase: Elenbecestat 15 mg Then 50 mg-20.69± 15.488
Core Phase: Elenbecestat 50 mg-38.89± 16.378
Percent Change from Baseline in CSF Abeta(1-42) at Month 18 (Week 79)
GroupValue95% CI
Core Phase: Placebo-6.50± 24.809
Core Phase: Elenbecestat 5 mg Then 50 mg-27.19± 20.172
Core Phase: Elenbecestat 15 mg Then 50 mg-24.02± 19.949
Core Phase: Elenbecestat 50 mg-56.77± 5.312
Core Phase: Mean Concentration of Elenbecestat in CSF Secondary · Month 1 (Week 5) and Month 18 (Week 79)
Month 1 (Week 5)
GroupValue95% CI
Core Phase: Elenbecestat 5 mg Then 50 mg1.10± 0.438
Core Phase: Elenbecestat 15 mg Then 50 mg3.71± 1.360
Core Phase: Elenbecestat 50 mg9.93± 3.568
Month 18 (Week 79)
GroupValue95% CI
Core Phase: Elenbecestat 5 mg Then 50 mg0.10± 0
Core Phase: Elenbecestat 15 mg Then 50 mg2.72± 3.197
Core Phase: Elenbecestat 50 mg14.46± 3.411

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 55 months (Core Phase: Up to 21 months; Extension Phase: Up to 34 months). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Core Phase: Placebo
Serious: 2/17 (12%)
Deaths: 0/17
Core Phase: Elenbecestat 5 mg Then 50 mg
Serious: 2/17 (12%)
Deaths: 0/17
Core Phase: Elenbecestat 15 mg Then 50 mg
Serious: 5/19 (26%)
Deaths: 0/19
Core Phase: Elenbecestat 50 mg
Serious: 1/17 (6%)
Deaths: 0/17
Extension Phase: Elenbecestat 50 mg
Serious: 6/41 (15%)
Deaths: 1/41

Serious adverse events (24 terms)

ReactionSystemCore Phase: PlaceboCore Phase: Elenbecestat 5…Core Phase: Elenbecestat 1…Core Phase: Elenbecestat 5…Extension Phase: Elenbeces…
AppendicitisInfections and infestations
InfluenzaInfections and infestations
CellulitisInfections and infestations
Localised infectionInfections and infestations
SyncopeNervous system disorders
Major depressionPsychiatric disorders
Affective disorderInfections and infestations
AgitationPsychiatric disorders
Neuropsychiatric symptomsPsychiatric disorders
Angina pectorisCardiac disorders
Chest painGeneral disorders
Rib fractureInjury, poisoning and procedural complications
Spinal column stenosisMusculoskeletal and connective tissue disorders
DelusionPsychiatric disorders
Meningoencephalitis viralInfections and infestations
PneumoniaInfections and infestations
Pneumonia viralInfections and infestations
Dementia Alzheimer's typeNervous system disorders
EncephalopathyNervous system disorders
AstheniaGeneral disorders
FallInjury, poisoning and procedural complications
DeliriumPsychiatric disorders
Diverticulum Intestinal HaemorrhagicGastrointestinal disorders
Wound InfectionInfections and infestations
Other adverse events (244 terms — click to expand)

ReactionSystemCore Phase: PlaceboCore Phase: Elenbecestat 5…Core Phase: Elenbecestat 1…Core Phase: Elenbecestat 5…Extension Phase: Elenbeces…
AgitationPsychiatric disorders
Upper Respiratory Tract InfectionInfections and infestations
FallInjury, poisoning and procedural complications
InsomniaPsychiatric disorders
DiarrhoeaGastrointestinal disorders
FatigueGeneral disorders
Urinary Tract InfectionInfections and infestations
DizzinessNervous system disorders
HeadacheNervous system disorders
Abnormal DreamsPsychiatric disorders
DepressionPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
Dermatitis ContactSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
Oedema PeripheralGeneral disorders
BronchitisInfections and infestations
SinusitisInfections and infestations
Arthropod BiteInjury, poisoning and procedural complications
ContusionInjury, poisoning and procedural complications
LacerationInjury, poisoning and procedural complications
Ligament SprainInjury, poisoning and procedural complications
B-Lymphocyte Count DecreasedInvestigations
Cd8 Lymphocytes DecreasedInvestigations
Olfactory Test AbnormalInvestigations
DehydrationMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Pain In ExtremityMusculoskeletal and connective tissue disorders
Basal Cell CarcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Decreased Vibratory SenseNervous system disorders
Depressed MoodPsychiatric disorders
NightmarePsychiatric disorders
DermatitisSkin and subcutaneous tissue disorders
HypertensionVascular disorders
Hand FractureInjury, poisoning and procedural complications
Meniscus InjuryInjury, poisoning and procedural complications
Balance DisorderNervous system disorders
Sleep Apnoea SyndromeRespiratory, thoracic and mediastinal disorders
LeukopeniaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
Atrioventricular Block Second DegreeCardiac disorders

Most-reported serious reactions: Appendicitis, Influenza, Cellulitis, Localised infection, Syncope, Major depression, Affective disorder, Agitation.

Data from ClinicalTrials.gov NCT02322021 adverse events section.

Sponsor's own description

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.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Alzheimer's disease drug development pipeline: 2019.
    Cummings J, Lee G, Ritter A, Sabbagh M, et al · · 2019 · cited 485× · PMID 31334330 · DOI 10.1016/j.trci.2019.05.008
  2. Alzheimer's disease drug development pipeline: 2018.
    Cummings J, Lee G, Ritter A, Zhong K. · · 2018 · cited 402× · PMID 29955663 · DOI 10.1016/j.trci.2018.03.009
  3. Alzheimer's disease drug development pipeline: 2020.
    Cummings J, Lee G, Ritter A, Sabbagh M, et al · · 2020 · cited 350× · PMID 32695874 · DOI 10.1002/trc2.12050
  4. Alzheimer's disease drug development pipeline: 2017.
    Cummings J, Lee G, Mortsdorf T, Ritter A, et al · · 2017 · cited 258× · PMID 29067343 · DOI 10.1016/j.trci.2017.05.002
  5. The Amyloid Cascade Hypothesis in Alzheimer's Disease: It's Time to Change Our Mind.
    Ricciarelli R, Fedele E. · · 2017 · cited 246× · PMID 28093977 · DOI 10.2174/1570159x15666170116143743
  6. A Close Look at BACE1 Inhibitors for Alzheimer's Disease Treatment.
    Das B, Yan R. · · 2019 · cited 142× · PMID 30830576 · DOI 10.1007/s40263-019-00613-7
  7. Drug Development for Alzheimer's Disease: Microglia Induced Neuroinflammation as a Target?
    Dong Y, Li X, Cheng J, Hou L. · · 2019 · cited 97× · PMID 30696107 · DOI 10.3390/ijms20030558
  8. Alzheimer's drug-development pipeline: 2016.
    Cummings J, Morstorf T, Lee G. · · 2016 · cited 78× · PMID 29067309 · DOI 10.1016/j.trci.2016.07.001

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02322021.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing