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COMPLETED
NCT03461276
PHASE2

Safety and Immunogenicity of Repeated Doses of ABvac40 in Patients With a-MCI or Vm-AD

Sponsor: Araclon Biotech S.L.

View on ClinicalTrials.gov

Summary

Alzheimer's disease (AD) is the most common type of dementia, accounting for 50-75% of the estimated 47 million people with dementia worldwide. The amyloid cascade hypothesis of AD proposes that amyloid-β (Aβ) peptide accumulation in the brain, caused by an imbalance between Aβ production and clearance, is the initiating factor of a cascade ultimately leading to dementia. Aβ peptides are generated from sequential cleavage of the amyloid precursor protein (APP), including Aβ40 and Aβ42. Aβ40 is the predominant variant (90%) among the secreted Aβ forms and although Aβ42 is more hydrophobic and prone to aggregate, and Aβ42 oligomers are regarded to be the most neurotoxic species, Aβ40 can also produce highly toxic diffusible aggregates, which can be prevented in vitro by specific anti-Aβ40 antibodies. Several studies have proposed that a high concentration of Aβ40 in the brain distinguishes patients with AD from those who have senile plaques but are cognitively normal, pointing to the importance of Aβ40 in the onset of dementia. In keeping with this, previous studies have demonstrated that specific anti-Aβ40 antibodies label NFTs in the entorhinal cortex and the hippocampus of AD brains, and that these do not co-localize with tau NFTs, suggesting the presence of degenerating neuronal populations filled with C-terminal fragments of Aβx-40. In addition, Aβ40 is the main component of amyloid deposition around cerebral arteries causing cerebral amyloid angiopathy (CAA), which has a prevalence of about 80-90% in patients with AD (for more information see Lacosta et al. Alzheimer's Research \& Therapy (2018) 10:12 DOI 10.1186/s13195-018-0340-8). Considering those previous results suggesting that strategies targeting Aβ40 could represent novel disease-modifying therapies, we have developed ABvac40, the first active vaccine targeting the C-terminal end of the Aβ40 peptide. The purpose of this Phase II study is to confirm in patients with a-MCI or vm-AD the level of safety and tolerability obtained in the ABvac40 Phase I clinical trial in patients with mm-AD. In addition, the study is aimed to better characterize the immune response elicited by ABvac40 and to explore its effects on AD biomarkers.

Official title: A Multi-center, Randomized, Double-blind, Placebo-controlled, 24 Months Study in Patients With Amnestic Mild Cognitive Impairment or Very Mild Alzheimer's Disease to Investigate the Safety, Tolerability and Immune Response of Repeated Subcutaneous Injections of ABvac40

Key Details

Gender

All

Age Range

55 Years - 80 Years

Study Type

INTERVENTIONAL

Enrollment

134

Start Date

2017-12-13

Completion Date

2023-03-23

Last Updated

2026-05-05

Healthy Volunteers

No

Interventions

BIOLOGICAL

ABvac40

ABvac40 consists in a conjugate of Aβx-40 with a carrier protein (KLH) vehiculated in phosphate buffer containing 0.35% aluminum hydroxide as adjuvant.

BIOLOGICAL

Placebo

Placebo consists in the vaccine's vehicle (phosphate buffer containing 0.35% aluminum hydroxide) without the conjugate.

Locations (23)

Hôpital François Mitterrand

Dijon, Bourgogne-Franche-Comté, France

CHU de Montpellier

Montpellier, France

Centre de Recherche Clinique du Gérontopôle

Toulouse, France

San Giovanni di Dio - Fatebenefratelli

Brescia, Italy

Hospital General Universitario de Alicante

Alicante, Alicante, Spain

Barcelona Beta Brain Research Center (BBRC)

Barcelona, Barcelona, Spain

Hospital de la Santa Creu i Sant Pau

Barcelona, Barcelona, Spain

Fundació ACE

Barcelona, Barcelona, Spain

Hospital Vall d'Hebron

Barcelona, Barcelona, Spain

Hospital del Mar

Barcelona, Barcelona, Spain

Hospital Mútua de Terrasa

Terrassa, Barcelona, Spain

Hospital U. de Burgos

Burgos, Burgos, Spain

Hospital Universitario Donosti

Donostia / San Sebastian, Guipuzcoa, Spain

Hospital San Pedro

Logroño, La Rioja, Spain

Hospital Santa Maria de Lleida

Lleida, Lleida, Spain

Hospital Ramón y Cajal

Colmenar Viejo, Madrid, Spain

Complejo Hospitalario Ruber Juan Bravo

Madrid, Madrid, Spain

Hospital Universitario 12 Octubre

Madrid, Madrid, Spain

Hospital Clínico San Carlos

Madrid, Madrid, Spain

CUN - Clínica Universidad de Navarra

Pamplona, Navarre, Spain

Cae Oroitu

Algorta, Vizcaya, Spain

Hospital Clínico Universitario Lozano Blesa

Zaragoza, Zaragoza, Spain

Karolinska Universitetssjukhuset

Stockholm, Sweden