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NCT04735536

Pilot Clinical Study of CT1812 in Mild to Moderate Alzheimer's Disease Using EEG

Completed Phase 2 Results posted Last updated 29 November 2024
What this trial tests

Phase 2 trial testing CT1812 in Alzheimer Disease in 16 participants. Completed in 26 April 2023.

Timeline
9 July 2020
Primary endpoint
26 April 2023
26 April 2023

Quick facts

Lead sponsorCognition Therapeutics
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingquadruple
Primary purposetreatment
Enrollment16
Start date9 July 2020
Primary completion26 April 2023
Estimated completion26 April 2023
Sites1 location across Netherlands

Drugs / interventions tested

Conditions studied

Sponsor

Cognition Therapeutics — full company profile →

Who can join

Adults 50 to 85, any sex, with Alzheimer 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.

Number of TEAEs, Related TEAEs, SAEs, and Related SAEs Primary · Up to 126 days

Adverse events were captured from the start of study-related procedures at Visit 1 (including diagnostic assessments or signing of ICF) onward during the course of this study. Adverse events were coded using MedDRA Version 22.0

All TEAEs
GroupValue95% CI
Placebo6
CT181211
Mild TEAEs
GroupValue95% CI
Placebo4
CT18127
Moderate TEAEs
GroupValue95% CI
Placebo2
CT18124
Severe TEAEs
GroupValue95% CI
Placebo0
CT18120
Related TEAEs
GroupValue95% CI
Placebo3
CT18123
TEAEs Leading to Treatment Discontinuation
GroupValue95% CI
Placebo0
CT18120
SAEs
GroupValue95% CI
Placebo0
CT18120
Related SAEs
GroupValue95% CI
Placebo0
CT18120
Change in the Brain Activity Reflected by Changes of Spectral Power in Conventional Frequency Bands Measured by the Global Relative Theta (4-8 Hz) Power Obtained Through EEG Assessment. Primary · Day 1 through Day 29 of Period 1 and Day 1 (study day 44) and Day 29 (study day 72) of Period 2

Global relative theta power was quantified and summarized descriptively (observed values, change from the pre-treatment values) by treatment and time point using the Safety Population. The change from period baseline in global relative theta power within each period was analyzed using a linear mixed model with fixed effects for treatment group (CT1812 or placebo), sequence, and period, and a random effect for subject within sequence. The analysis was conducted using PROC MIXED. The ability of CT1812 to rapidly restore synapse number to normal was expected to result in a decrease in EEG theta p

Global Relative Theta Power Day 1
GroupValue95% CI
Placebo0.2133± 0.06158
CT18120.2071± 0.08209
Global Relative Theta Power Day 29
GroupValue95% CI
Placebo0.2276± 0.07872
CT18120.1971± 0.07569
Change from Day 1 to Day 29
GroupValue95% CI
Placebo0.0104± 0.03210
CT1812-0.0100± 0.04280
Changes in Predose CT1812 Plasma Concentrations. Primary · Baseline through Day 84: Pre and Post- Dose on Days 1, 29 AND Pre Dose Days 8, 15, 22.

For the measurements of pre-dose and post-dose plasma concentrations of CT1812, samples were collected 1± 0.25 hour predose. Single concentrations of CT1812 at selected predose and post-dose time points were reported.

Period Day 1, Predose
GroupValue95% CI
CT18120.00± 0.000
Period Day 1, Post-dose
GroupValue95% CI
CT1812179.64± 136.717
Period Day 8, Predose
GroupValue95% CI
CT181225.49± 25.017
Period Day 15, Predose
GroupValue95% CI
CT181214.93± 7.826
Period Day 22, Predose
GroupValue95% CI
CT181213.76± 8.000
Period Day 29, Predose
GroupValue95% CI
CT181214.08± 8.984
Period Day 29, Post-dose
GroupValue95% CI
CT1812169.20± 246.150
Changes in Predose CT1812 Plasma Concentrations. Primary · Baseline through Day 84: Pre and Post- Dose on Days 1, 29 AND Pre Dose Days 8, 15, 22.

For the measurements of pre-dose and post-dose plasma concentrations of CT1812, samples were collected 1± 0.25 hour predose. Single concentrations of CT1812 at selected predose and post-dose time points were reported.

Period Day 1, Post-dose
GroupValue95% CI
CT1812161.504.1 – 406.0
Period Day 8, Predose
GroupValue95% CI
CT181223.052.5 – 106.0
Period Day 15, Predose
GroupValue95% CI
CT181213.202.9 – 28.6
Period Day 22, Predose
GroupValue95% CI
CT181212.403.6 – 28.8
Period Day 29, Predose
GroupValue95% CI
CT181212.602.6 – 36.0
Period Day 29, Post-dose
GroupValue95% CI
CT181296.357.5 – 949.0

Adverse events — posted to ClinicalTrials.gov

Time frame: 126 days. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 0/15 (0%)
Deaths: 0/15
CT1812
Serious: 0/16 (0%)
Deaths: 0/16
Other adverse events (15 terms — click to expand)

ReactionSystemPlaceboCT1812
Procedural headacheInjury, poisoning and procedural complications
NauseaGastrointestinal disorders
HeadacheNervous system disorders
HematomaVascular disorders
DiarrheaGastrointestinal disorders
VomitingGastrointestinal disorders
Bone contusionInjury, poisoning and procedural complications
Burns first degreeInjury, poisoning and procedural complications
Post procedural contusionInjury, poisoning and procedural complications
Blood creatinine increasedInvestigations
Hepatic enzyme increasedInvestigations
ParaesthesiaNervous system disorders
Atrial fibrillationCardiac disorders
Corona virus infectionInfections and infestations
PneumoniaInfections and infestations

Data from ClinicalTrials.gov NCT04735536 adverse events section.

Sponsor's own description

This is a single-site, randomized, double-blind, placebo-controlled, 29-day, 2-period crossover Phase 2 study of 1 dose level of CT1812 (active) or placebo in adults with mild to moderate AD.

Publications & conference data

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

  1. Alzheimer's disease drug development pipeline: 2022.
    Cummings J, Lee G, Nahed P, Kambar MEZN, et al · · 2022 · cited 369× · PMID 35516416 · DOI 10.1002/trc2.12295
  2. Alzheimer's disease drug development pipeline: 2023.
    Cummings J, Zhou Y, Lee G, Zhong K, et al · · 2023 · cited 326× · PMID 37251912 · DOI 10.1002/trc2.12385
  3. Alzheimer's and Parkinson's disease therapies in the clinic.
    Chopade P, Chopade N, Zhao Z, Mitragotri S, et al · · 2023 · cited 96× · PMID 36684083 · DOI 10.1002/btm2.10367
  4. Targeting Sigma Receptors for the Treatment of Neurodegenerative and Neurodevelopmental Disorders.
    Malar DS, Thitilertdecha P, Ruckvongacheep KS, Brimson S, et al · · 2023 · cited 39× · PMID 37166702 · DOI 10.1007/s40263-023-01007-6
  5. Sigma-2 Receptors-From Basic Biology to Therapeutic Target: A Focus on Age-Related Degenerative Diseases.
    Lizama BN, Kahle J, Catalano SM, Caggiano AO, et al · · 2023 · cited 38× · PMID 37047224 · DOI 10.3390/ijms24076251
  6. Discovery of Investigational Drug CT1812, an Antagonist of the Sigma-2 Receptor Complex for Alzheimer's Disease.
    Rishton GM, Look GC, Ni ZJ, Zhang J, et al · · 2021 · cited 29× · PMID 34531947 · DOI 10.1021/acsmedchemlett.1c00048
  7. The Sigma Receptors in Alzheimer's Disease: New Potential Targets for Diagnosis and Therapy.
    Wang T, Jia H. · · 2023 · cited 19× · PMID 37569401 · DOI 10.3390/ijms241512025
  8. A phase 1b randomized clinical trial of CT1812 to measure Aβ oligomer displacement in Alzheimer's disease using an indwelling CSF catheter.
    LaBarbera KM, Sheline YI, Izzo NJ, Yuede CM, et al · · 2023 · cited 19× · PMID 37173791 · DOI 10.1186/s40035-023-00358-w

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Trials by the same sponsor.

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