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Alzheimer DementiaPhase 1NCT03944460

SAD Phase I Study (First-in-human) to Investigate Contraloid Acetate

A Phase 1 study testing Contraloid in people with Alzheimer Dementia and Alzheimer Disease, run by Prof. Dr. Dieter Willbold at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a single-center first-in-human single-ascending-dose clinical trial assessing the safety and tolerability of oral dosing of Contraloid acetate in healthy volunteers. The study drug Contraloid (alias RD2, alias PRI-002) is an orally available all-D-peptide, which was developed to directly destroy toxic and… Read more about this study

Who is it for?
Ages 18 to 45 years, men onlyHealthy volunteers can take part
Conditions the study is for
Alzheimer Dementia, Alzheimer Disease
What is being tested?
Contraloid
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
40 participants
Where
1 siteGermany
Study dates
9 Apr 2018to 27 Jul 2018
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • With clinical history and physical examination results within normality.
  • Electrocardiogram without clinically significant pathologic abnormalities and with QTc values lesser than 450 ms.
  • Normotensive as defined by Systolic Blood Pressure ≤ 150 mm Hg. Diastolic Blood Pressure ≤ 90 mm Hg.
  • BMI between 19.0 and 30.0 kg/m2.
  • Body weight between 55 and 85 kg, inclusive
  • Signed ICF

Who cannot join

  • Any chronic medical condition (such as type 1 diabetes) requiring chronic treatment that might increase the risk to the subject or confound the interpretation of safety observations.
  • Evidence of active infection requiring antibiotic therapy within 14 days prior to screening.
  • Medical history of vasculitis or any autoimmune disease excluding seasonal allergic rhinitis and childhood history of atopic dermatitis.
  • History of any treatment for cancer within the past 2 years, other than basal cell or squamous cell carcinoma of the skin.
  • Seropositive for human immunodeficiency virus (HIV).
  • History of acute/chronic hepatitis B or C and/or carriers of hepatitis B (seropositive for Hepatitis B surface antigen [HbsAg] or anti-Hepatitis C [HCV] antibody).
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  • Clinically significant abnormalities in screening laboratory tests, including:
  • Absolute neutrophil count < 1.4 x109
  • Alanine transaminase (ALT) or aspartate transaminase (AST) > 1.5 x the upper limit of normal (ULN)
  • Absolute lymphocyte count < 1.2 x 109
  • Lactate dehydrogenase (LDH) > 1.5 x ULN
  • Total bilirubin level: Out of normal range 0-1.5 mg/dL
  • eGFR < 60 mL/min
  • Hemoglobin (Hgb): out of normal range (male: 13,5-18,0 g/dL)
  • CK level higher than normal values (250U/L)
  • All prescription, over-the-counter and herbal medications are prohibited within 10 days prior to study dosing (with exception of calcium/vitamin D supplements, nasal steroids, ocular medications, and paracetamol ≤1000 mg/day at the discretion of the Investigator).
  • Use of an investigational drug within 2 months prior to dosing in this study.
  • Any disorder that could interfere with the absorption, distribution, metabolism or excretion of drugs (e.g. small bowel disease, Crohn's disease, celiac disease, or liver disease.)
  • Psychiatric history of current or past psychosis, bi-polar disorder, clinical depression, or anxiety disorder requiring chronic medication within the past 5 years.
  • History of substance abuse, including alcohol
  • Smokers
  • History of substance or drug dependence, or positive urine drug screen at screening visit.
  • History of head injury.
  • Chronic kidney disease (defined as the presence of any degree of proteinuria on urine analysis and/or an eGFR of <60 ml/min using the MDRD formula).
  • Any reason or opinion of the investigator that would prevent the subject from participation in the study.
  • Inability to follow the instructions or an unwillingness to collaborate during the study.

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Forschungszentrum Jülich

    Jülich, 52425

Other trials in Germany

About this study

Official title: A Randomized, Double-blind and Placebo-controlled Single Ascending-dose Phase I Study (First-in-human) to Investigate the Safety, Tolerability and Pharmacokinetics of Contraloid Acetate (in Healthy Subjects).

This is a single-center first-in-human single-ascending-dose clinical trial assessing the safety and tolerability of oral dosing of Contraloid acetate in healthy volunteers. The study drug Contraloid (alias RD2, alias PRI-002) is an orally available all-D-peptide, which was developed to directly destroy toxic and replicating A-beta oligomer prions, by disassembling them into A-beta monomers. The study drug is specifically designed for the curative or at least disease-modifying treatment of cognition, memory and behavior deficits in Alzheimer´s disease patients. The study drug is not designed to reduce brain plaque load or total A-beta in cerebrospinal fluid. The study drug is blood-brain-barrier penetrable [1] and has demonstrated target engagement in vitro and in vivo [2, 3]. Preclinical treatments in three different transgenic mouse models in three different laboratories yielded improved cognition and deceleration of neurodegeneration, even under truly non-preventive treatment conditions and even when applied orally [2-5]. The hereby obtained PRI-002 plasma levels have also been achieved in humans after single oral dosing.

Read the detailed description

The investigation on the compound Contraloid acetate in a single-ascending-dose phase I study (first-in-human) has been performed in 40 healthy male participants, randomly assigned to the treatment. Main focus was on the evaluation of the outcome of the safety and tolerability; secondarily the pharmacokinetic characteristics of the compound were assessed. Five different ascending doses (4, 12, 36, 108, and 320 mg Contraloid) administered orally as a single dose, were tested in five cohorts on respectively six participants per cohort, additionally two participants of each cohort received placebo.

In order to maintain the highest level of security for the participants of this first-in-human study a staggered design was used. First, only two sentinels of each cohort were administered with the study drug or placebo (ratio 1:1). Only after assessing all available data by the data safety and monitoring board (DSMB), the rest of the cohort (5 study drug : 1 placebo) were allowed to be treated. This took place on two consecutive days, administering the study drug to three participants per each starting day. After DSMB permission the next higher dose level was started in the next cohort with the same scheme of administration.

During the screening period the informed consent was obtained and the evaluation of the inclusion and exclusion criteria, collection of demographic data and previous medical history, physical examination and health assessment, 12-lead ECG were performed. Additionally vital signs, haemogram, coagulation, biochemistry and urine analysis determination, as well as serology and testing of drug abuse were carried out.

On the first study day the participants received in fasting conditions the study drug after re-evaluation the inclusion/exclusion criteria. For monitoring the laboratory parameters and the pharmacokinetics of Contraloid blood draws were performed in a predetermined frequency. Physical conditions, vital signs, ECG and EEG, concomitant medication, adverse events were monitored closely. Sentinels stayed in the Phase-I Unit for 72 hours, and the remaining participants of the cohort for 24 hours. A follow-up was performed on Days 3, 4 and 8. The study was double-blinded and conducted under the EU regulations and Good Clinical Practice (GCP) and national Austrian law. Monitoring and PV was performed by the CRO NeuroScios, DM by Fundación Teófilo Hernando, Spain, bio-analytics by Triskelion, The Netherlands.

Contraloid (alias RD2, alias PRI-002) is an all-D-peptide, which was developed to directly destroy toxic and replicating A-beta oligomer prions by disassembling them into A-beta monomers. The study drug is specifically designed for the curative or at least disease-modifying treatment of cognition, memory and behavior deficits in Alzheimer´s disease patients. The study drug is not designed to reduce brain plaque load or total A-beta in cerebrospinal fluid. The study drug is blood-brain-barrier penetrable [1] and has demonstrated target engagement in vitro and in vivo [2, 3]. Preclinical treatments in three different transgenic mouse models in three different laboratories yielded improved cognition and deceleration of neurodegeneration, even under truly non-preventive treatment conditions and even when applied orally [2-5]. The hereby obtained PRI-002 plasma levels have also been achieved in humans after single oral dosing.

Being tested
Contraloid
Keywords
anti-prionic, anti-Abeta-pionic, treatment of cognition and memory deficits, AD patients, AD stage-independent, NOT anti-amyloid, neuron specific Ca-ion reduction
Medical subject headings
Alzheimer Disease, Memory Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ContraloidDrug

    Also called PRI-002

    Oral administration of capsules, drug substance or placebo without any excipients.

Study groups in NCT03944460
Study groupRoleWhat they receive
Contraloid 4 mgActive comparator4 mg Contraloid/participant in a single oral dose with a staggered dose for sentinels followed by the rest of the cohort
Receives: Drug: Contraloid
Contraloid 12 mgActive comparator12 mg Contraloid/participant in a single oral dose with a staggered dose for sentinels followed by the rest of the cohort
Receives: Drug: Contraloid
Contraloid 36 mgActive comparator36 mg Contraloid/participant in a single oral dose with a staggered dose for sentinels followed by the rest of the cohort
Receives: Drug: Contraloid
Contraloid 108 mgActive comparator108 mg Contraloid/participant in a single oral dose with a staggered dose for sentinels followed by the rest of the cohort
Receives: Drug: Contraloid
Contraloid 320 mgActive comparator320 mg Contraloid/participant in a single oral dose with a staggered dose for sentinels followed by the rest of the cohort
Receives: Drug: Contraloid
Placebo (for Contraloid) 4 mgPlacebo comparator4 mg placebo/participant in a single oral dose with a staggered dose for sentinels followed by the rest of the cohort
Receives: Drug: Contraloid
Placebo (for Contraloid) 12 mgPlacebo comparator12 mg placebo/participant in a single oral dose with a staggered dose for sentinels followed by the rest of the cohort
Receives: Drug: Contraloid
Placebo (for Contraloid) 36 mgPlacebo comparator36 mg placebo/participant in a single oral dose with a staggered dose for sentinels followed by the rest of the cohort
Receives: Drug: Contraloid
Placebo (for Contraloid) 108 mgPlacebo comparator108 mg placebo/participant in a single oral dose with a staggered dose for sentinels followed by the rest of the cohort
Receives: Drug: Contraloid
Placebo (for Contraloid) 320 mgPlacebo comparator320 mg placebo/participant in a single oral dose with a staggered dose for sentinels followed by the rest of the cohort
Receives: Drug: Contraloid

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Assessment of safety and tolerability of Contraloid by monitoring vital signs, ECG, EEG, and lab values

    To evaluate the safety and tolerability of Contraloid acetate in healthy subjects by assessing the number, severity and type of adverse events, including changes in vital signs, physical examinations, laboratory safety tests and ECGs.

    Measured: 8 days

  2. Assessment of pharmacokinetics of Contraloid: Area under curve (AUC) in plasma

    Area under curve (AUC) in plasma

    Measured: 72 hours

  3. Assessment of pharmacokinetics of Contraloid: Cmax in plasma

    Cmax in plasma

    Measured: 72 hours

  4. Assessment of pharmacokinetics of Contraloid: Tmax in plasma

    Tmax in plasma

    Measured: 72 hours

  5. Assessment of pharmacokinetics of Contraloid: Terminal elimination half-life (t1/2) in plasma

    Terminal elimination half-life (t1/2) in plasma

    Measured: 72 hours

  6. Assessment of pharmacokinetics of Contraloid: Apparent total clearance (Cl/F) in plasma

    Apparent total clearance (Cl/F) in plasma

    Measured: 72 hours

  7. Assessment of pharmacokinetics of Contraloid: Volume of distribution (Vd) in plasma

    Volume of distribution (Vd) in plasma

    Measured: 72 hours

  8. AUC0-24 of Contraloid does not exceed of 2.3 µg·h/mL

    Additionally, the AUC0-24 values of Contraloid in plasma will be determined in order to ensure that the recommended AUC0-24 of Contraloid does not exceed of 2.3 µg·h/mL in any of the subjects.

    Measured: 72 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 May 2019
  2. Study start9 Apr 2018
  3. Primary completion27 Jul 2018
  4. Study completion27 Jul 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
Randomized, double-blind, placebo-controlled, multi-cohort trial.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03944460
Sponsor's protocol ID
EUDRA-CT: 2017-000396-93
Status last verified
May 2019
First submitted
26 Apr 2019
Last updated
9 May 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Only as far as covered by the EU GDPR and regulated by GCP

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Contraloid in people with Alzheimer Dementia and Alzheimer Disease, run by Prof. Dr. Dieter Willbold at 1 site in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 May 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Assessment of safety and tolerability of Contraloid by monitoring vital signs, ECG, EEG, and lab values (time frame: 8 days). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 May 2019.

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