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NCT02565511: GS1

A Study of CAD106 and CNP520 Versus Placebo in Participants at Risk for the Onset of Clinical Symptoms of Alzheimer's Disease

Terminated Phase 2, PHASE3 Results posted Last updated 8 July 2021
What this trial tests

Phase 2, PHASE3 trial testing CAD106 Immunotherapy in Alzheimers Disease in 480 participants. Terminated before completion.

Timeline
30 November 2015
Primary endpoint
30 April 2020
30 April 2020

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 2, PHASE3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment480
Start date30 November 2015
Primary completion30 April 2020
Estimated completion30 April 2020
Sites129 locations across Finland, Netherlands, Belgium, United Kingdom, Germany, Canada, Switzerland, Australia

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

Adults 60 to 75, any sex, with Alzheimers Disease. 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.

Time to Event (Diagnosis of Mild Cognitive Impairment or Dementia, Due to Alzheimer's Disease (AD)) Primary · Baseline to end of exposure for a maximum of 1455 days for CI and 907 days for CII

Event was defined as the first confirmed diagnosis of MCI due to Alzheimer's disease (AD) or dementia due to AD (whichever occurred first) after adjudication by the progression adjudication committee (PAC) as triggered either by an investigator diagnosis or an increase in the Clinical Dementia Rating (CDR) global score. An event had to be confirmed by the PAC at two consecutive visits. In case no confirmed event was observed for a participant, the observation was censored, and the censoring date was defined as the last date where the diagnostic classification was assessed. The Study was termin

Week 26
GroupValue95% CI
Cohort I (CI) CAD1061.001.00 – 1.00
Cohort I (CI) CAD106 Placebo1.001.00 – 1.00
Cohort II (CII) CNP5200.980.95 – 0.99
Cohort II (CII) CNP520 Placebo0.980.94 – 0.99
Week 52
GroupValue95% CI
Cohort I (CI) CAD1061.001.00 – 1.00
Cohort I (CI) CAD106 Placebo1.001.00 – 1.00
Cohort II (CII) CNP5200.930.88 – 0.96
Cohort II (CII) CNP520 Placebo0.950.90 – 0.98
Week 78
GroupValue95% CI
Cohort I (CI) CAD1060.970.83 – 1.00
Cohort I (CI) CAD106 Placebo1.001.00 – 1.00
Cohort II (CII) CNP5200.880.79 – 0.93
Cohort II (CII) CNP520 Placebo0.850.63 – 0.94
Week 104
GroupValue95% CI
Cohort I (CI) CAD1060.970.83 – 1.00
Cohort I (CI) CAD106 Placebo1.001.00 – 1.00
Cohort II (CII) CNP5200.880.79 – 0.93
Cohort II (CII) CNP520 Placebo0.850.63 – 0.94
Change in the Alzheimer's Prevention Initiative Composite Cognitive (APCC) Test Score Primary · CI = Baseline to Weeks 26, 52,78 104 and Baseline to last assessment; CII = Baseline to Weeks 26, 52, 78, 104 and Baseline to Last on-treatment and Baseline to Last off-treatment

APCC is a composite score derived from the specific scores from the Repeatable Battery for the Assessment of Neurological Status (RBANS), Mini-Mental State Examination (MMSE) and the Raven's Progressive Matrices. The APCC score is a weighted score with ranges from from 0 to 100 where higher scores correspond to better cognitive performance.

Week 26
GroupValue95% CI
Cohort I (CI) CAD106-1.1± 4.10
Cohort I (CI) CAD106 Placebo-2.0± 3.90
Cohort II (CII) CNP520-3.3± 4.54
Cohort II (CII) CNP520 Placebo-1.0± 4.65
Week 52
GroupValue95% CI
Cohort I (CI) CAD1060.9± 4.24
Cohort I (CI) CAD106 Placebo1.4± 3.36
Cohort II (CII) CNP5200.3± 4.27
Cohort II (CII) CNP520 Placebo2.2± 6.11
Week 78
GroupValue95% CI
Cohort I (CI) CAD1060.2± 4.15
Cohort I (CI) CAD106 Placebo-0.7± 5.48
Cohort II (CII) CNP520-4.1± 4.14
Cohort II (CII) CNP520 Placebo2.4± 4.23
Week 104
GroupValue95% CI
Cohort I (CI) CAD106-1.4± 4.67
Cohort I (CI) CAD106 Placebo0.3± 4.00
Cohort II (CII) CNP520-6.7± 3.95
CI-Last post BL assessment
GroupValue95% CI
Cohort I (CI) CAD1060.0± 4.62
Cohort I (CI) CAD106 Placebo0.1± 3.87
CII - Last on treatment
GroupValue95% CI
Cohort II (CII) CNP520-1.7± 4.81
Cohort II (CII) CNP520 Placebo0.1± 4.58
CII-Last off treatment
GroupValue95% CI
Cohort II (CII) CNP520-0.1± 4.72
Cohort II (CII) CNP520 Placebo0.2± 4.56
Change in Clinical Dementia Rating Scale Sum of Boxes (CDR-SOB) Score Secondary · CI = Baseline to Weeks 26, 52,78 104 and Baseline to last assessment; CII = Baseline to Weeks 26, 52, 78, 104 and Baseline to Last on-treatment and Baseline to Last off-treatment

The CDR was obtained through semi-structured interviews of participants and informants, and cognitive functioning was rated on a 5-point scale of functioning in six domains: memory, orientation, judgement and problem solving, community affairs, home and hobbies, and personal care. The CDR global score ranged from zero to three, while the CDR-SOB was the sum of the ratings from the six domains, ranging from 0 to 18 with a minimum increment of 0.5. Higher scores indicated greater disease severity.

Week 26
GroupValue95% CI
Cohort I (CI) CAD106-0.04± 0.234
Cohort I (CI) CAD106 Placebo0.00± 0.000
Cohort II (CII) CNP5200.04± 0.361
Cohort II (CII) CNP520 Placebo0.00± 0.336
Week 52
GroupValue95% CI
Cohort I (CI) CAD106-0.01± 0.237
Cohort I (CI) CAD106 Placebo0.02± 0.104
Cohort II (CII) CNP520-0.02± 0.281
Cohort II (CII) CNP520 Placebo-0.08± 0.541
Week 78
GroupValue95% CI
Cohort I (CI) CAD106-0.04± 0.237
Cohort I (CI) CAD106 Placebo0.03± 0.118
Cohort II (CII) CNP5200.14± 0.802
Cohort II (CII) CNP520 Placebo-0.14± 0.244
Week 104
GroupValue95% CI
Cohort I (CI) CAD1060.15± 0.460
Cohort I (CI) CAD106 Placebo0.06± 0.167
Cohort II (CII) CNP520-0.17± 0.764
CI Last post baseline assessment
GroupValue95% CI
Cohort I (CI) CAD1060.04± 0.343
Cohort I (CI) CAD106 Placebo0.00± 0.302
CII Last on-treatment
GroupValue95% CI
Cohort II (CII) CNP5200.06± 0.505
Cohort II (CII) CNP520 Placebo0.03± 0.410
CII Last off-treatment
GroupValue95% CI
Cohort II (CII) CNP5200.05± 0.464
Cohort II (CII) CNP520 Placebo-0.01± 0.519
Change in the Total Scores of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Secondary · CI = Baseline to Weeks 26, 52,78 104 and Baseline to last assessment; CII = Baseline to Weeks 26, 52, 78, 104 and Baseline to Last on-treatment and Baseline to Last off-treatment

Repeatable Battery for the Assessment of Neurological Status (RBANS) is a clinical tool designed to detect and characterize the earliest neurocognitive changes associated with dementia. The RBANS generates age-adjusted index scores for five neurocognitive domains: Immediate Memory, Visuospatial/Constructional, Language, Attention and Delayed Memory, which are used to calculate a Total Scale Index score. Index scores and total score range from 40 to 160 and a higher score indicates better cognitive functioning.

Total Week 26
GroupValue95% CI
Cohort I (CI) CAD106-5.1± 7.25
Cohort I (CI) CAD106 Placebo-3.0± 7.51
Cohort II (CII) CNP520-4.1± 8.58
Cohort II (CII) CNP520 Placebo-2.6± 7.83
Total Week 52
GroupValue95% CI
Cohort I (CI) CAD106-1.2± 7.82
Cohort I (CI) CAD106 Placebo4.5± 7.10
Cohort II (CII) CNP520-0.1± 7.91
Cohort II (CII) CNP520 Placebo1.4± 8.06
Total Week 78
GroupValue95% CI
Cohort I (CI) CAD106-2.1± 7.69
Cohort I (CI) CAD106 Placebo-4.0± 7.82
Cohort II (CII) CNP520-12.1± 7.40
Cohort II (CII) CNP520 Placebo-4.8± 5.99
Total Week 104
GroupValue95% CI
Cohort I (CI) CAD106-1.4± 6.74
Cohort I (CI) CAD106 Placebo-3.0± 8.34
Cohort II (CII) CNP520-7.7± 15.57
Total CI Last post baseline assessment
GroupValue95% CI
Cohort I (CI) CAD106-1.0± 9.27
Cohort I (CI) CAD106 Placebo0.4± 7.20
Total CII Last on-treatment
GroupValue95% CI
Cohort II (CII) CNP520-2.7± 8.65
Cohort II (CII) CNP520 Placebo-0.2± 9.22
Total CII Last off-treatment
GroupValue95% CI
Cohort II (CII) CNP520-1.5± 9.20
Cohort II (CII) CNP520 Placebo-0.6± 8.83
Change in the Index Scores of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Secondary · CI = Baseline to Weeks 26, 52 and Baseline to last assessment; CII = Baseline to Weeks 26, 52 and Baseline to Last on-treatment and Baseline to Last off-treatment

Repeatable Battery for the Assessment of Neurological Status (RBANS) is a clinical tool designed to detect and characterize the earliest neurocognitive changes associated with dementia. The RBANS generates age-adjusted index scores for five neurocognitive domains: Immediate Memory, Visuospatial/Constructional, Language, Attention and Delayed Memory, which are used to calculate a Total Scale Index score. Index scores and total score range from 40 to 160 and a higher score indicates better cognitive functioning.

Immediate memory - Week 26
GroupValue95% CI
Cohort I (CI) CAD106-8.6± 10.68
Cohort I (CI) CAD106 Placebo-3.8± 11.16
Cohort II (CII) CNP520-7.4± 13.11
Cohort II (CII) CNP520 Placebo-3.7± 12.15
Immediate memory - Week 52
GroupValue95% CI
Cohort I (CI) CAD1061.3± 10.81
Cohort I (CI) CAD106 Placebo4.8± 8.68
Cohort II (CII) CNP5200.6± 13.55
Cohort II (CII) CNP520 Placebo5.1± 11.73
CI Immediate memory - Last post baseline assessment
GroupValue95% CI
Cohort I (CI) CAD106-1.1± 13.11
Cohort I (CI) CAD106 Placebo1.1± 14.52
CII Immediate memory - Last on-treatment
GroupValue95% CI
Cohort II (CII) CNP520-3.7± 14.43
Cohort II (CII) CNP520 Placebo0.6± 13.54
CII Immediate memory - Last off-treatment
GroupValue95% CI
Cohort II (CII) CNP520-3.2± 13.76
Cohort II (CII) CNP520 Placebo-2.0± 11.90
Visuospatial Week 26
GroupValue95% CI
Cohort I (CI) CAD106-6.5± 15.21
Cohort I (CI) CAD106 Placebo0.7± 12.39
Cohort II (CII) CNP520-3.5± 14.98
Cohort II (CII) CNP520 Placebo-2.4± 13.00
Visuospatial Week 52
GroupValue95% CI
Cohort I (CI) CAD106-6.5± 14.59
Cohort I (CI) CAD106 Placebo3.0± 15.09
Cohort II (CII) CNP520-1.4± 14.29
Cohort II (CII) CNP520 Placebo-4.8± 12.60
CI Visuospatial Last post baseline assessment
GroupValue95% CI
Cohort I (CI) CAD106-4.7± 13.91
Cohort I (CI) CAD106 Placebo1.9± 12.72
Change in the Everyday Cognition Scale (ECog-Subject) Total Scores Secondary · CI = Baseline to Weeks 26, 52 and Baseline to last assessment; CII = Baseline to Weeks 26, 52 and Baseline to Last on-treatment and Baseline to Last off-treatment

Everyday Cognition Scale (ECog) measures cognitively-relevant everyday abilities comprised of 39 items covering 6 cognitively-relevant domains: Everyday Memory, Everyday Language, Everyday Visuospatial Abilities, Everyday Planning, Everyday Organization, and Everyday Divided Attention. The questionnaire is a self-reported measure completed by both participant and study partner (informant). The total score for the 39 items ranges from 39 to 195, with greater scores indicating worse daily function.

Week 26
GroupValue95% CI
Cohort I (CI) CAD106-1.0± 2.94
Cohort I (CI) CAD106 Placebo2.3± 4.80
Cohort II (CII) CNP5201.8± 6.03
Cohort II (CII) CNP520 Placebo0.6± 6.45
Week 52
GroupValue95% CI
Cohort I (CI) CAD1060.6± 5.23
Cohort I (CI) CAD106 Placebo0.4± 2.99
Cohort II (CII) CNP5202.7± 6.16
Cohort II (CII) CNP520 Placebo0.2± 5.01
CI Last post baseline assessment
GroupValue95% CI
Cohort I (CI) CAD1060.6± 5.02
Cohort I (CI) CAD106 Placebo1.6± 4.07
CII Last on-treatment
GroupValue95% CI
Cohort II (CII) CNP5202.6± 7.81
Cohort II (CII) CNP520 Placebo0.9± 6.48
CII Last off-treatment
GroupValue95% CI
Cohort II (CII) CNP5201.6± 6.77
Cohort II (CII) CNP520 Placebo0.8± 6.13
Change in the Everyday Cognition Scale (ECog-Informant) Total Scores Secondary · CI = Baseline to Weeks 26, 52 and Baseline to last assessment; CII = Baseline to Weeks 26, 52 and Baseline to Last on-treatment and Baseline to Last off-treatment

Everyday Cognition Scale (ECog) measures cognitively-relevant everyday abilities comprised of 39 items covering 6 cognitively-relevant domains: Everyday Memory, Everyday Language, Everyday Visuospatial Abilities, Everyday Planning, Everyday Organization, and Everyday Divided Attention. The questionnaire is a self-reported measure completed by both participant and study partner (informant). The total score for the 39 items ranges from 39 to 195, with greater scores indicating worse daily function. Cohort I=C I and Cohort II=C II.

Week 26
GroupValue95% CI
Cohort I (CI) CAD106-0.4± 4.21
Cohort I (CI) CAD106 Placebo-1.0± 4.87
Cohort II (CII) CNP5200.1± 6.84
Cohort II (CII) CNP520 Placebo-0.7± 8.69
Week 52
GroupValue95% CI
Cohort I (CI) CAD106-0.2± 3.15
Cohort I (CI) CAD106 Placebo-0.3± 5.12
Cohort II (CII) CNP5201.4± 5.18
Cohort II (CII) CNP520 Placebo-0.2± 9.59
CI Last post baseline assessment
GroupValue95% CI
Cohort I (CI) CAD106-1.1± 4.23
Cohort I (CI) CAD106 Placebo-1.0± 4.88
CII Last on-treatment
GroupValue95% CI
Cohort II (CII) CNP5201.3± 8.76
Cohort II (CII) CNP520 Placebo0.1± 9.12
CII Last off-treatment
GroupValue95% CI
Cohort II (CII) CNP5201.4± 8.49
Cohort II (CII) CNP520 Placebo-0.5± 10.10
Number of Participants With Newly Occurring Safety MRI Abnormalities (ARIA-E, ARIA-H,White Matter Disease and Any Other MRI Abnormalities) Secondary · Baseline to end of exposure for a maximum of 1455 days for CI and 907 days for CII

Safety MRI included sequences necessary for ascertainment of possible ARIA-E (Amyloid Related Imaging Abnormality-Edema), ARIA-H (Amyloid Related Imaging Abnormality- Hemorrhage, including superficial siderosis and microhemorrhages), assessment of recent infarcts and white matter integrity examination (White matter disease worsening since baseline) and a general assessment of brain abnormalities. Assessment of cerebral amyloid angiopathy (CAA) is included in the overall safety MRI findings results.

Questionable presence of ARIA-E
GroupValue95% CI
Cohort I (CI) CAD1060
Cohort I (CI) CAD106 Placebo0
Cohort II (CII) CNP5200
Cohort II (CII) CNP520 Placebo1
Presence of ARIA-E
GroupValue95% CI
Cohort I (CI) CAD1061
Cohort I (CI) CAD106 Placebo0
Cohort II (CII) CNP5200
Cohort II (CII) CNP520 Placebo2
ARIA-E - If present, the worst Severity=moderate
GroupValue95% CI
Cohort I (CI) CAD1061
Cohort I (CI) CAD106 Placebo0
Cohort II (CII) CNP5200
Cohort II (CII) CNP520 Placebo2
Presence of ARIA-H - >4 microhemorrhages (new hemosiderin deposits < 10 mm)
GroupValue95% CI
Cohort I (CI) CAD1062
Cohort I (CI) CAD106 Placebo0
Cohort II (CII) CNP5206
Cohort II (CII) CNP520 Placebo2
White matter disease worsening: 1-3 increase
GroupValue95% CI
Cohort I (CI) CAD1060
Cohort I (CI) CAD106 Placebo2
Cohort II (CII) CNP5206
Cohort II (CII) CNP520 Placebo1
White matter disease worsening: 4 - 8 increase
GroupValue95% CI
Cohort I (CI) CAD1060
Cohort I (CI) CAD106 Placebo0
Cohort II (CII) CNP5200
Cohort II (CII) CNP520 Placebo0
White matter disease worsening > 8 increase
GroupValue95% CI
Cohort I (CI) CAD1060
Cohort I (CI) CAD106 Placebo0
Cohort II (CII) CNP5200
Cohort II (CII) CNP520 Placebo0
Any other MRI abnormalities
GroupValue95% CI
Cohort I (CI) CAD1062
Cohort I (CI) CAD106 Placebo1
Cohort II (CII) CNP5200
Cohort II (CII) CNP520 Placebo0
Annualized Percent Change on Volume of Brain Regions Secondary · CI = Baseline to Weeks 26, 52 and Baseline to last assessment; CII = Baseline to Weeks 26, 52 and Baseline to Last on-treatment and Baseline to Last off-treatment

Annualized % change from baseline in volume of specific brain regions of interest (ROIs): whole brain (WB), hippocampus (Hip), and lateral ventricles (LV). Annualized percentage change was calculated as (percentage per participant / time interval (in days)) x 365.25. Time interval (in days) was derived as date of current MRI assessment on study drug - date of baseline MRI assessment + 1.

WB Week 26
GroupValue95% CI
Cohort I (CI) CAD106-0.7570± 1.33114
Cohort I (CI) CAD106 Placebo-0.6044± 1.29608
Cohort II (CII) CNP520-0.9318± 1.06843
Cohort II (CII) CNP520 Placebo-0.4616± 1.00537
WB Week 52
GroupValue95% CI
Cohort I (CI) CAD106-0.5144± 0.66578
Cohort I (CI) CAD106 Placebo-0.3395± 0.75810
Cohort II (CII) CNP520-0.6590± 0.64838
Cohort II (CII) CNP520 Placebo-0.4227± 0.58778
WB CI Last post baseline assessment
GroupValue95% CI
Cohort I (CI) CAD106-0.4645± 0.57503
Cohort I (CI) CAD106 Placebo-0.5321± 0.46526
WB CII Last on-treatment
GroupValue95% CI
Cohort II (CII) CNP520-0.8268± 0.94889
Cohort II (CII) CNP520 Placebo-0.5181± 0.92086
WB CII Last off-treatment
GroupValue95% CI
Cohort II (CII) CNP520-0.6748± 0.62542
Cohort II (CII) CNP520 Placebo-0.3317± 0.62616
Hip Week 26
GroupValue95% CI
Cohort I (CI) CAD106-1.3262± 2.35453
Cohort I (CI) CAD106 Placebo-0.9245± 2.81731
Cohort II (CII) CNP520-1.6603± 2.65529
Cohort II (CII) CNP520 Placebo-0.8817± 2.06227
Hip Week 52
GroupValue95% CI
Cohort I (CI) CAD106-1.0376± 1.44310
Cohort I (CI) CAD106 Placebo-0.7780± 1.81604
Cohort II (CII) CNP520-1.2438± 1.79988
Cohort II (CII) CNP520 Placebo-0.9567± 1.42941
Hip CI Last post baseline assessment
GroupValue95% CI
Cohort I (CI) CAD106-1.0801± 1.38061
Cohort I (CI) CAD106 Placebo-1.0477± 1.33603
Cohort I : Annualized Change in Amyloid Deposition as Measured by Centiloids of Positron Emission Tomography (PET) Scan With Amyloid Radiotracer Secondary · Baseline up to approximately Week 104

To demonstrate the effects of CAD106 vs placebo on Alzheimer's Disease-related biomarkers

GroupValue95% CI
Cohort I (CI) CAD106-0.911± 5.6596
Cohort I (CI) CAD106 Placebo8.367± 6.6805
Change in Serum Neurofilaments Secondary · Baseline to Week 26 and week 52, CI baseline to last assessment. CII baseline to last on-treatment and to last off-treatment

Alzheimer's Disease-related biomarkers analyzed in blood serum: light chain neurofilaments (NfL)

Week 26
GroupValue95% CI
Cohort I (CI) CAD1061.44± 3.165
Cohort I (CI) CAD106 Placebo-3.89± 13.058
Cohort II (CII) CNP5200.644± 3.4879
Cohort II (CII) CNP520 Placebo0.362± 6.7547
Week 52
GroupValue95% CI
Cohort I (CI) CAD1062.63± 5.716
Cohort I (CI) CAD106 Placebo-6.09± 16.542
Cohort II (CII) CNP5201.921± 4.0515
Cohort II (CII) CNP520 Placebo-4.852± 14.2270
C I Last post baseline assessment
GroupValue95% CI
Cohort I (CI) CAD1061.77± 4.643
Cohort I (CI) CAD106 Placebo-3.31± 12.858
C II Last on-treatment
GroupValue95% CI
Cohort II (CII) CNP5200.647± 3.5357
Cohort II (CII) CNP520 Placebo0.280± 6.8289
C II Last off-treatment
GroupValue95% CI
Cohort II (CII) CNP520-0.004± 3.7102
Cohort II (CII) CNP520 Placebo-2.145± 2.6799
Number of Suicidal Ideation or Behavior Events Secondary · Baseline to end of exposure for a maximum of 1455 days for CI and 907 days for CII

Prospective suicidality assessment was performed with the use of Columbia-Suicide Severity Rating Scale (C-SSRS), a questionnaire using a detailed branched logic algorithm evaluating participant's suicidality ideation and behavior. Answer "yes" on item 4 or 5 of the Suicidal Ideation section or "yes" on any item of the Suicidal Behavior section was considered positive.

Any suicidal ideation
GroupValue95% CI
Cohort I (CI) CAD1062
Cohort I (CI) CAD106 Placebo1
Cohort II (CII) CNP52012
Cohort II (CII) CNP520 Placebo4
Any suicidal behavior
GroupValue95% CI
Cohort I (CI) CAD1060
Cohort I (CI) CAD106 Placebo0
Cohort II (CII) CNP5201
Cohort II (CII) CNP520 Placebo1

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were reported from first dose of study treatment plus 31 days of washout period for a maximum duration of 1455 days for CI and 907 days for CII. Reporting threshold: 2.5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort I @CAD106
Serious: 4/42 (10%)
Deaths: 0/42
Cohort I @Placebo
Serious: 3/23 (13%)
Deaths: 0/23
Cohort II (CNP520 50)
Serious: 8/249 (3%)
Deaths: 0/249
Cohort II Placebo
Serious: 7/163 (4%)
Deaths: 0/163

Serious adverse events (28 terms)

ReactionSystemCohort I @CAD106Cohort I @PlaceboCohort II (CNP520 50)Cohort II Placebo
Atrial flutterCardiac disorders
Cardiac failure congestiveCardiac disorders
Coronary artery diseaseCardiac disorders
Stress cardiomyopathyCardiac disorders
Hiatus herniaGastrointestinal disorders
NauseaGastrointestinal disorders
AstheniaGeneral disorders
Feeling jitteryGeneral disorders
Non-cardiac chest painGeneral disorders
Abscess limbInfections and infestations
CellulitisInfections and infestations
Animal biteInjury, poisoning and procedural complications
FallInjury, poisoning and procedural complications
Femoral neck fractureInjury, poisoning and procedural complications
Fibula fractureInjury, poisoning and procedural complications
Rib fractureInjury, poisoning and procedural complications
HyponatraemiaMetabolism and nutrition disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
Rotator cuff syndromeMusculoskeletal and connective tissue disorders
Malignant melanoma in situNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebellar haemorrhageNervous system disorders
Cerebrovascular accidentNervous system disorders
Subarachnoid haemorrhageNervous system disorders
SyncopeNervous system disorders
Transient ischaemic attackNervous system disorders
Other adverse events (101 terms — click to expand)

ReactionSystemCohort I @CAD106Cohort I @PlaceboCohort II (CNP520 50)Cohort II Placebo
Abnormal dreamsPsychiatric disorders
FatigueGeneral disorders
Upper respiratory tract infectionInfections and infestations
AnxietyPsychiatric disorders
Injection site painGeneral disorders
NasopharyngitisInfections and infestations
PruritusSkin and subcutaneous tissue disorders
Urine albumin/creatinine ratio increasedInvestigations
HeadacheNervous system disorders
InsomniaPsychiatric disorders
BronchitisInfections and infestations
SinusitisInfections and infestations
FallInjury, poisoning and procedural complications
ConstipationGastrointestinal disorders
PyrexiaGeneral disorders
Weight decreasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
DiarrhoeaGastrointestinal disorders
Pain in extremityMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
Influenza like illnessGeneral disorders
Urinary tract infectionInfections and infestations
Muscle spasmsMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
Injection site reactionGeneral disorders
Arthropod biteInjury, poisoning and procedural complications
Vitamin B12 deficiencyMetabolism and nutrition disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
TinnitusEar and labyrinth disorders
MalaiseGeneral disorders
InfluenzaInfections and infestations
ContusionInjury, poisoning and procedural complications
Musculoskeletal painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Atrial fibrillationCardiac disorders
Deafness bilateralEar and labyrinth disorders
HypothyroidismEndocrine disorders
Abdominal pain upperGastrointestinal disorders

Most-reported serious reactions: Atrial flutter, Cardiac failure congestive, Coronary artery disease, Stress cardiomyopathy, Hiatus hernia, Nausea, Asthenia, Feeling jittery.

Data from ClinicalTrials.gov NCT02565511 adverse events section.

Sponsor's own description

The purpose of this study was to test whether two investigational drugs called CAD106 and CNP520, administered separately, could slow down the onset and progression of clinical symptoms associated with Alzheimer's disease (AD) in participants at the risk to develop clinical symptoms based on their age and genotype.

Publications & conference data

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

  1. Recent advances in Alzheimer's disease: Mechanisms, clinical trials and new drug development strategies.
    Zhang J, Zhang Y, Wang J, Xia Y, et al · · 2024 · cited 489× · PMID 39174535 · DOI 10.1038/s41392-024-01911-3
  2. 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
  3. Alzheimer's disease prevention: from risk factors to early intervention.
    Crous-Bou M, Minguillón C, Gramunt N, Molinuevo JL. · · 2017 · cited 437× · PMID 28899416 · DOI 10.1186/s13195-017-0297-z
  4. Anti-Amyloid-β Monoclonal Antibodies for Alzheimer's Disease: Pitfalls and Promise.
    van Dyck CH. · · 2018 · cited 415× · PMID 28967385 · DOI 10.1016/j.biopsych.2017.08.010
  5. 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
  6. 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
  7. Drug candidates in clinical trials for Alzheimer's disease.
    Hung SY, Fu WM. · · 2017 · cited 281× · PMID 28720101 · DOI 10.1186/s12929-017-0355-7
  8. 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

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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/NCT02565511.

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