Cere-110 Gene Delivery in Mild to Moderate Alzheimer's Disease
| Study Overview |
Record IDs: | ADEAR: IA0148, NLM: NCT00876863 |
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)
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Start Date: |
May 2009 |
Anticipated End Date:
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May 2012 |
Expected Enrollment: |
50 |
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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
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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 |
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All U.S. Trial Sites:
| State |
City |
Zip Code |
Location |
Contact |
| Alabama | Birmingham | 35294 | University of Alabama
| Denise Ledlow , RN 205-934-6223 pdledlow@uab.edu
| | Arizona | Sun City | 85351 | Sun Health Research Institute
| Elizabeth Karoll , BSN, RN, CCRP 623-974-7394 BETH.KAROLL@BANNERHEALTH.COM
| | California | Los Angeles | 90095 | University of California, Los Angeles
| Joanna Quach, RN 310-794-6191 jquach@mednet.ucla.edu
| | California | San Diego | 92037 | University of California, San Diego
| Mary Pay, RNNP 858-622-5804 ext.1804 mpay@ucsd.edu
| | District of Columbia | Washington | 20007 | Georgetown University
| Kelly Behan 202-687-0413 keb53@georgetown.edu
| | Georgia | Atlanta | 30329 | Emory University
| Stephanie Vyverberg, NP 404-728-6982 Stephanie.Vyverberg@emoryhealthcare.org
| | New York | New York | 10029 | Mount Sinai School of Medicine
| Priyanka Ghosh 212-659-8885 priyanka.ghosh@mssm.edu
| | North Carolina | Durham | 27710 | Duke University
| Debra Heydt , RN, CRC 919-668-2843 debra.heydt@duke.edu
| | Ohio | Cleveland | 44120 | Case Western Reserve University
| Valerie Cwiklinski , RN 216-844-6411 Valerie.cwiklinski@uhhospitals.org
| | South Carolina | North Charleston | 29406 | Medical University of South Carolina
| Shenequia Lucas 843-740-1592 ext.20 lucasshe@musc.edu
| | Utah | Salt Lake City | 84108 | University of Utah
| Sara Mesley 801-581-3986 sara.mesley@hsc.utah.edu
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References:
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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
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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
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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
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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
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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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