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Cere-110 Gene Delivery in Mild to Moderate Alzheimer's Disease


Study Overview

Current Status:

Recruiting

Purpose:

The purpose of this study is to evaluate the potential benefits of CERE-110 in the treatment of Alzheimer's disease.

Sponsor(s):

Ceregene
Alzheimer's Disease Cooperative Study (ADCS)
National Institute on Aging (NIA)

Official Title:

A Double-Blind, Placebo-Controlled, Randomized, Multicenter Study Evaluating CERE-110 Gene Delivery in Subjects with Mild to Moderate Alzheimer's Disease

Principal Investigator(s):

Paul Aisen  MD, Alzheimer's Disease Cooperative Study (ADCS)

Start Date:

May 2009

Anticipated End Date:

May 2012

Expected Enrollment:

50


Qualifications for this Study

Minimum Age Maximum Age Gender Accepts Healthy Volunteers? Disease Stage Inpatient/Outpatient
55 80 Both No Early
Middle
Both


Inclusion Criteria:

  • Males and females 55-80 years old
  • MMSE between 17 and 26
  • Modified Hachinski score less than or equal to 4
  • Stable doses of approved AD meds for 3 months prior to screening allowed, and must remain stable for at least the first year after administration of CERE-110
  • Stable dose of Vitamin E not to exceed 1000mg twice a day for 3 months prior to screening allowed, and must remain stable for at least the first year after administration of CERE-110
  • Availability of study partner (10 hrs/week contact; participate in all visits)
  • Able to understand and comply with visit schedule and study procedures
  • Physically and mentally capable of performing required assessments
  • Medically able to undergo neurosurgery
  • Brain MRI at baseline without evidence of infection, infarction, or other focal (e.g., subdural hematomas, tumor, etc.) or generalized lesions (e.g., normal pressure or obstructive hydrocephalus, widespread infarcts, etc.)


Exclusion Criteria:

  • Significant neurological disease other than AD
  • Depression, major psychiatric disorder, psychotic features, behavioral problems
  • Alcohol or substance abuse within past 2 years
  • Systemic cancer within past 3 years
  • Aphasia that could interfere with neuropsychometric testing
  • Any significant systemic illness or unstable medical condition


Prohibited Medications:

  • Narcotics, methyldopa, or clonidine except where indicated for pain management in the immediate postoperative period
  • Antiparkinsonian medications including levodopa/carbidopa, amantadine, bromocriptine, pergolide, selegiline
  • Antipsychotics and neuroleptics prior to screening and dosing; may be prescribed during the course of the study if needed



Study Description



Phase 2, Treatment, Randomized, Double Blind , Placebo, Parallel, Safety/Efficacy  Study

CERE-110 is an experimental drug that is designed to help nerve cells in the brain function better. CERE-110 uses a virus to transfer a gene that makes Nerve Growth Factor (NGF), a protein that may make nerve cells in the brain healthier and protect them from dying. The virus used in CERE-110 does not cause disease in people.

CERE-110 has been carefully studied in laboratory animals and is in the early stages of being tested in people.

Fifty patients with mild to moderate Alzheimer's disease will participate in this study. Half of the study participants will have CERE-110 injected into the brain during a surgical procedure, while the other half will undergo a "placebo" surgery where no medication will be injected. All study participants will be followed for at least two years after surgery.

Intervention Type Name Manufacturer Classification
Gene Transfer CERE-110 Ceregene Nerve Growth Factor


 

Study Contact

Name:

Jeffree  Itrich

Telephone:

858-622-5827

Email:

jitrich@ucsd.edu


All U.S. Trial Sites:

State City Zip Code Location Contact
AlabamaBirmingham35294University of Alabama
Denise  Ledlow , RN
205-934-6223
pdledlow@uab.edu
ArizonaSun City85351Sun Health Research Institute
Elizabeth  Karoll , BSN, RN, CCRP
623-974-7394
BETH.KAROLL@BANNERHEALTH.COM
CaliforniaLos Angeles90095University of California, Los Angeles
Jenny  Bardens , RN
310-794-6191
jbardens@mednet.ucla.edu
CaliforniaSan Diego92037University of California, San Diego
Mary Pay, RNNP
858-622-5804 ext.1804
mpay@ucsd.edu
District of ColumbiaWashington20007Georgetown University
Kelly Behan
202-687-0413
keb53@georgetown.edu
GeorgiaAtlanta30329Emory University
Stephanie Vyverberg, NP
404-728-6982
Stephanie.Vyverberg@emoryhealthcare.org
MassachusettsBoston02118Boston University
Carol Rossi
617-414-1198
cjrossi@bu.edu
New YorkNew York10029Mount Sinai School of Medicine
Judy Creighton
347-886-5875
judy.creighton@mssm.edu
North CarolinaDurham27710Duke University
Debra  Heydt , RN, CRC
919-668-2843
debra.heydt@duke.edu
OhioCleveland44120Case Western Reserve University
Valerie  Cwiklinski , RN
216-844-6411
Valerie.cwiklinski@uhhospitals.org
South CarolinaNorth Charleston29406Medical University of South Carolina
Shenequia  Lucas
843-740-1592 ext.20
lucasshe@musc.edu
UtahSalt Lake City84108University of Utah
Sara  Mesley
801-581-3986
sara.mesley@hsc.utah.edu

 

References:

  • Büning H, Perabo L, Coutelle O, Quadt-Humme S, Hallek M. Recent developments in adeno-associated virus vector technology. J Gene Med. 2008 Jul;10(7):717-33. Review. PubMed Link

  • Conner JM, Darracq MA, Roberts J, Tuszynski MH. Nontropic actions of neurotrophins: subcortical nerve growth factor gene delivery reverses age-related degeneration of primate cortical cholinergic innervation. Proc Natl Acad Sci U S A. 2001 Feb 13;98(4):1941-6. PubMed Link

  • Bishop KM, Hofer EK, Mehta A, Ramirez A, Sun L, Tuszynski M, Bartus RT. Therapeutic potential of CERE-110 (AAV2-NGF): targeted, stable, and sustained NGF delivery and trophic activity on rodent basal forebrain cholinergic neurons. Exp Neurol. 2008 Jun;211(2):574-84. Epub 2008 Mar 19. PubMed Link

  • Williams BJ, Eriksdotter-Jonhagen M, Granholm AC. Nerve growth factor in treatment and pathogenesis of Alzheimer's disease. Prog Neurobiol. 2006 Oct;80(3):114-28. Epub 2006 Nov 2. Review. PubMed Link

  • Tuszynski MH, Thal L, Pay M, Salmon DP, U HS, Bakay R, Patel P, Blesch A, Vahlsing HL, Ho G, Tong G, Potkin SG, Fallon J, Hansen L, Mufson EJ, Kordower JH, Gall C, Conner J. A phase 1 clinical trial of nerve growth factor gene therapy for Alzheimer disease. Nat Med. 2005 May;11(5):551-5. Epub 2005 Apr 24. PubMed Link

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