GAIN Trial: Phase 2/3 Study of COR388 in Subjects With Alzheimer's Disease
GAIN Trial: A Randomized, Double-Blind, Placebo-Controlled Study of COR388 in Subjects With Alzheimer's Disease
Status
Recruiting
Start date
03/28/2019
Healthy
No
Contact
Michael J Detke, MD, PhD
415-910-5717
clinicaltrials@cortexyme.com
Age
55 Years
— 80 Years
Gender
All
Summary
This is a randomized, double-blind, placebo-controlled study that will assess the efficacy, safety, and tolerability of 2 dose levels of COR388 in subjects with a clinical diagnosis of mild to moderate AD dementia.
Overview
This is a randomized, double-blind, placebo-controlled study that will assess the efficacy, safety, and tolerability of 2 dose levels of COR388 oral capsules in subjects with probable AD dementia according to the National Institute on Aging-Alzheimer's Association (NIA-AA) criteria. The study will enroll approximately 573 generally healthy male and female subjects ≥55 and ≤80 years of age. Enrolled subjects must have a documented diagnosis of mild to moderate AD dementia. The subject should not have other conditions or brain imaging abnormalities that can explain the symptoms of dementia. All subjects will be encouraged to have LPs (during screening, week 24 and week 48) in the absence of medical conditions that can increase the risk of the procedure in the opinion of the Investigator. Cerebrospinal fluid (CSF), saliva, and blood will be analyzed for measurements of biomarkers of AD and neuroinflammation, and for the presence of bacterial deoxyribonucleic acid (DNA) of Porphyromonas gingivalis (P. gingivalis [Pg]). A subset of sites will monitor subjects for clinical evidence of periodontitis at baseline, 24 and 48 weeks.
The study will consist of 3 periods: a screening period of up to 6 weeks, a treatment period of up to 48 weeks, and a safety follow-up period of 6 weeks.
Eligibility Criteria
Key Inclusion Criteria:
Subject has probable AD dementia according to the NIA-AA criteria.
Subject has an MMSE score 12 and 24 inclusive at both screening and Visit 2 and a ≤3-point difference between these visits.
Subject has brain MRI scan consistent with the diagnosis of AD performed during the screening period. Computed Tomography scan can be used only if the subject has an absolute contraindication for MRI.
Subject has a Modified Hachinski score ≤4 at screening.
Subjects with background symptomatic therapy with acetylcholine esterase inhibitors, and/or memantine, are allowed as long as the dose has been stable for 90 days prior to screening and no changes are planned during the study.
Subject has a primary caregiver willing to accept responsibility for supervising the treatment (e.g., administering study drug) and assessing the condition of the subject throughout the study in accordance with all protocol requirements.
Subject has body mass index <38 kg/m2 at Screening
Key Exclusion Criteria:
Subject has imaging consistent with a dementia diagnosis other than AD.
Subject has had an increase or restoration of cognition based on medical history.
Subject with history or current evidence of major psychiatric illness such as schizophrenia, bipolar disorder, or major depressive disorder that may interfere with the patient's ability to perform the study and all assessments. NOTE: Mild depression or depressive mood arising in the context of AD are not criteria for exclusion. The use of anti-depressants or the use of anti epileptic medication for non seizure-related treatment is allowed if the dose has remained stable for at least 60 days prior to enrollment.
Subject has any of the following laboratory findings at screening:
Alanine aminotransferase >3 x upper limit of normal (ULN), aspartate aminotransferase >3 x ULN, or history of clinically significant liver disease in the Investigator's judgment.
Hemoglobin ≤10 g/dl.
Creatinine clearance (CL) of <45 ml/min.
Poorly controlled diabetes as defined by hemoglobin A1C (HbA1C) >8.
Positive blood screen for Human Immunodeficiency Virus (HIV 1 and 2), Hepatitis B surface antigen (HBsAg), or Hepatitis C virus antibodies (HCV-Ab) at Screening.
Methuen, Massachusetts 01844 Active, not recruiting
Albuquerque, New Mexico 87109 Recruiting
Robert Kushner, MD
505-848-3773
robert@albneuro.com
Geraldine Dempsey, BSN, CCRC
505-848-3773
gerrie@albneuro.com
Glen Michael Dempsey, MD
Elk Grove Village, Illinois 60007 Recruiting
Jennifer Coates, MPH
847-593-8553
jennifer.coates@amitahealth.org
Concetta Forchetti, MD
Long Beach, California 90807 Terminated
Lake Worth, Florida 33449 Recruiting
Jennifer Lipofsky
561-209-2400
jlipofsky@researchalz.com
David Watson, MD
Pensacola, Florida 32502 Recruiting
Lynn Head-Jolliff, RN, BSN
850-433-6760
lheadjolliff@anchorneuroscience.com
Kevin Groom, MD
Charlotte, North Carolina 28270 Recruiting
Marissa McRae
704-364-4000
mmcrae@amcneurology.com
Mohammad Boulori, MD
Quincy, Massachusetts 02169 Active, not recruiting
Wichita, Kansas 67214 Recruiting
Janie Krull
316-291-4673
janie.krull@ascension.org
Lisa Aragon
316-291-4673
lisa.aragon@ascension.org
Paul Murphy, MD
Costa Mesa, California 92626 Recruiting
Phoenix, Arizona 85006 Recruiting
Jenna Leger
602-839-4894
jenna.leger@bannerhealth.com
Po-Heng Tsai, MD
Sun City, Arizona 85351 Recruiting
Nadira Trncic
623-832-6590
nadira.trncic@bannerhealth.com
Bryan Spann, MD
Orlando, Florida 32806 Recruiting
Matthew Bubalo
407-841-0502
matthew.bubalo@bioclinica.com
Ira Goodman, MD
Delray Beach, Florida 33445 Recruiting
Jetliza Lesmes
561-381-9060
jlesmes@brainmattersresearch.com
Mark Brody, MD
Stuart, Florida 34997 Recruiting
Jetliza Lesmes
561-381-9060
jlesmes@brainmattersresearch.com
Mark Brody, MD
Amsterdam, 1081 GN Recruiting
Den Bosch, 5223 LA Recruiting
Thomas Dautzenberg
+ 31 (0)73 200 4111
t.dautzenberg@brainresearchcenter.nl
Paul Dautzenberg, MD
Zwolle, 8025 AZ Recruiting
Ad Kamper, MD
Lille, 59037 Recruiting
Jean-Louis Vincent
+03 20 44 60 21
jean-louis.vincent@chru-lille.fr
Prof Florence Pasquier, MD
Warszawa, 01-684 Recruiting
Marta Biel
+48 22 468 15 48
marta.biel@neuroprotect.pl
Maciej Czarnecki, MD
Kraków, 30-363 Withdrawn
Vandoeuvre les Nancy, 54500 Recruiting
Georges Valérie
+03 83 15 52 58
v.georges@chru-nancy.fr
Anathase Benetos, MD
Santa Ana, California 92705 Recruiting
Las Vegas, Nevada 89106 Recruiting
Houston, Texas 77074 Recruiting
Contact
281-533-5000
Djamchild Lotfi
Edgbaston, Birmingham B16 8LT Recruiting
Karen Faulkner, MD
441216550174
gziff@re-cognitionhealth.com
Karen Faulkner, MD
Guildford, GU2 7YD Recruiting
Ahmad Ebadi
+441483388020
aebadi@re-cognitionhealth.com
Emer MacSweeney, MD
London, W1G 9JF Recruiting
Emer MacSweeney, MD
+442033553536
Emer MacSweeney, MD
Plymouth, Science Park PL5 8BT Recruiting
Hannah Smith
+(01752) 875604
hsmith@re-cognitionhealth.com
Stephen Pearson, MD
Columbus, Georgia 31909 Recruiting
Jonathan Liss, MD
706-653-8455
cmc@lissmd.com
Jonathan Liss, MD
Albany, New York 12208 Recruiting
Richard Holub, MD
518-426-0575
research@naaresearch.com
Richard Holub, MD
Szczecin, 70-111 Recruiting
Jakub Burdanowski
+48 91 813 63 22
jakub.burdanowski@euromedis.pl
Marcin Ratajczak, MD
Barcelona, 8028 Recruiting
Merce Boada, MD
+34 934304720
Merce Boada, MD
Miami, Florida 33165 Active, not recruiting
Glasgow, G20 0XA Recruiting
Toulouse, Cedex 31059 Recruiting
Isabelle Carrie
+05 61 77 79 73
carrie.i@chu-toulouse.fr
Emmanuelle HULLIGER SAURT
+05 61 77 79 73
hulliger-saurt.e@chu-toulouse.fr
Pierre Jean Ousset, MD
Strasbourg, 67098 Recruiting
Thouma-La CHANTHAVINOUT
+33 (0) 3 88 12 84 23
thouma-la.chanthavinout@chru-strasbourg.fr
Frederic Blanc, MD
Barcelona, 08036 Recruiting
Barcelona, 8005 Recruiting
Rafael Blesa Gonzalez, MD
+34618846138
Rafael Blesa Gonzalez, MD
Alicante, 03010 Recruiting
Rosa Mª Sánchez Pérez, MD
+34 639 748 878
Rosa Mª Sánchez Pérez, MD
+34 665 478 784
Rosa Mª Sánchez Pérez, MD
Sant Cugat Del Vallès, 8195 Recruiting
Ernest Balaguer Martinez, MD
+34 937 151 575
Ernest Balaguer Martinez, MD
Santander, 39008 Recruiting
Pascual Sanchez Juan, MD
+34942204084
Pascual Sanchez Juan, MD
Madrid, 28034 Recruiting
Guillermo Garcia Ribas, MD
+34629385547
Guillermo Garcia Ribas, MD
Houston, Texas 77030 Recruiting
Stephanie Wenzlawsh
713-441-9484
swenzlawsh@houstonmethodist.org
Joseph Masdeu, MD
Hialeah, Florida 33012 Recruiting
Gdańsk, 80-438 Recruiting
Adam Włodarczyk
+48 503 642 588
aswlodarczyk@gmail.com
Wiesław Jerzy Cubala, MD
Beachwood, Ohio 44122 Recruiting
Elisa Poggi
216-526-1843
epoggi1@gmail.com
Mark Stillman, MD
Brooklyn, New York 11229 Active, not recruiting
Zwolle, 8025 AB Not yet recruiting
Lonneke Buitenhuis
+31 38 424 8221
l.buitenhuis@isala.nl
Ad Kamper, MD
Atlantis, Florida 33462 Recruiting
Meslissa Daggerhart, MBA, CCRP
561-968-2933
mdaggerhart@jemri.net
Mark Goldstein, MD
Dallas, Texas 75231 Recruiting
Jennifer Vo
214-345-4449
jennifervo@kerwinresearchcenter.com
Diana Kerwin, MD
Swindon, SN3 6BW Recruiting
Carol Hall
01793327954
carol.hall11@nhs.net
Sabarigirivasan Muthukrishnan, MD
Kraków, 31-505 Recruiting
Marta Pinkosz
+48 663 506 020
marta.pinkosz@neurologia.org.pl
Andrzej Szczudlik, MD
Hallandale Beach, Florida 33009 Recruiting
Evelyn Quiles
954-455-5757
equiles@mdclinical.org
Beth Safirstein, MD
Milwaukee, Wisconsin 53226 Recruiting
Barb Blaney
414-955-0609
Malgorzata Franczak, MD
Southampton, UK SO30 3JB Recruiting
Clive Holmes, MD
Hattiesburg, Mississippi 39401 Recruiting
Kayleigh Russell
601-579-5016
kayleigh.russell@hattiesburgclinic.com
Richard Schwartz, MD
Portland, Oregon 97210 Recruiting
Tawnya
503-228-2273
oregon@summitnetwork.com
Scott Losk, MD
Miami, Florida 33176 Recruiting
Ramon Avellana
305-722-7210
ravellana@miamimedresearch.com
Mabel Cruz
mcruz@miamimedresearch.com
Orlando Puente, MD
New Windsor, New York 12553 Recruiting
Sashi Makam, MD
844-337-8839
crc@mhmresearch.com
Sashi Makam, MD
Siemianowice Śląskie, 41-100 Recruiting
Weronika Czarnik
+0048 539 333 444
w.czarnik@neuro-care.pl
Gabriela Klodowska, MD
Dallas, Texas 75243 Recruiting
Research Department
214-750-9977
research@neurologydallas.com
Duc Tran, MD
Dayton, Ohio 45459 Recruiting
Ridwan Ahmad
937-224-8200
ridwan.ahmad@neurologydiagnostics.com
Joel Vandersluis, MD
West Long Branch, New Jersey 07764 Active, not recruiting
Fort Myers, Florida 33912 Recruiting
Bernardo Avila
239-939-7777
neurocontact@ergclinical.com
Wendy Bond, MD
Decatur, Georgia 30033 Recruiting
Jenn Cavin
404-475-0552
jcavin@neurostudies.net
Marshall Nash, MD
Plains, Pennsylvania 18507 Recruiting
Luanne Paul
570-262-0664
Mario Cornacchione, MD
Bellevue, Washington 98007 Recruiting
Boise, Idaho 83704 Recruiting
Katowice, 40-123 Recruiting
Anna Blaszta
+48 602 643 900
annablaszta@vp.pl
Lech Szczechowski, MD
Wrocław, 53-659 Recruiting
Katarzyna Łuszczek
+48 691288132
katarina.sc@alzheimer.wroclaw.pl
Marzena Zboch, MD
San Sebastián, Gipuzkoa 20014 Recruiting
Gurutz Linazasoro, MD
+34943002818
Gurutz Linazasoro, MD
Beek, 6191 JW Recruiting
Vivienne van de Walle, MD
+31 (0)46 475 8687
info@ptr.nu
Vivienne van de Walle, MD
Princeton, New Jersey 08540 Recruiting
Miami, Florida 33144 Terminated
London, W1G 9JF Recruiting
Study Specialist Team
571-418-0142
marketing@re-cognitionhealth.com
Raymond Turner, MD
Bath, Recruiting
Marianne Roots
44 (0)1225 476420
mr699@bath.ac.uk
Roy Jones, MD
Austin, Texas 78757 Recruiting
Mario Velasquez
512-407-8628
mvelasquez@senioradults.net
Jaron Winston, MD
Ocoee, Florida 34761 Recruiting
Kelly Taylor, MD
407-654-2724
drtaylor@sensiblehealthcare.net
Kelly Taylor, MD
Nice, 6100 Recruiting
Justine Lemaire
04 92 03 47 78
lemaire.j@chu-ice.fr
Renaud David, MD
Simi Valley, California 93065 Active, not recruiting
Brooklyn, New York 11235 Active, not recruiting
Barbican, London EC2Y 8EA Recruiting
Cristina Perez
+0203 8651142
cristinaperez@stpancrasclinical.com
John Ndikum, MD
Palo Alto, California 94305 Recruiting
Amanda Ng
650-485-9560
amandang@standford.edu
Sharron Sha, MD
Tampa, Florida 33613 Recruiting
Shaun Crittenden
813-971-8311
shaun_crittenden@stedmanclinicaltrials.com
Mary Stedman, MD
Saint Petersburg, Florida 33713 Recruiting
Chelsea Morris Rizer
727-202-2629
cmorris@suncoastneuroresearch.com
Alberto Vasquez, MD
Santa Ana, California 92705 Active, not recruiting
Newton, Massachusetts 02459 Recruiting
Crystal Tarrago, CRC
617-699-6927
crystal@bostonmemory.com
Paul Solomon, MD
Springfield, New Jersey 07081 Recruiting
Kavita Doshi
973-850-4622
kdoshi@thecrcnj.com
Chelsea Nigro
973-850-4622
cnigro@thecrcnj.com
Michelle Papka, MD
Marseille Cedex 5, 13385 Recruiting
Julie Pelat
+33 491385928
julie.pelat@ap-hm.fr
Mathieu Ceccaldi, MD
Charlottesville, Virginia 22903 Recruiting
Colleen Webber, CCRC
434-243-5898
cmn6x@virginia.edu
Carol Manning, MD
Seattle, Washington 98104 Recruiting
Yeung Tutterrow
206-897-6350
ylt2@uw.edu
Charles Bernick, MD
Phoenix, Arizona 85004 Recruiting
Randi Carr
602-274-9500
rcarr@xenoscience.com
Stephen Flitman, MD