About this trial
The purpose of this study is to assess the safety, tolerability, immunogenicity and pharmacodynamic effects of ACI-24.060 in subjects with prodromal Alzheimer's disease and in non-demented adults with Down syndrome.
Eligibility criteria
Qualifiers
Age ≥50 and ≤85 years at screening.
Diagnosis of prodromal AD: MCI due to AD according to National Institute on Aging Alzheimer's Association (NIA-AA) criteria.
PET scan at screening consistent with the presence of amyloid pathology.
Clinical Dementia Rating (CDR)-Global Score of 0.5.
Disqualifiers
Any unstable and/or clinically significant medical condition likely to hamper the evaluation of safety and/or efficacy of the study treatment (eg, moderate and/or severe untreated obstructive sleep apnea, clinically significant reduction in serum B12 or folate levels, clinically significant abnormalities of thyroid function, stroke, or other cerebrovascular conditions), as per investigator's judgement.
DSM-5 criteria for substance use disorders drug or alcohol abuse or dependence (with the exception of tobacco use disorder) currently met within the past 5 years.
History or presence of uncontrolled seizures. If there is a history of seizures, they must be well controlled, with no occurrence of seizures in the 2 years before study screening. The use of antiepileptic medications is permitted.
Concomitant or history of clinically significant and/or unstable psychiatric or neurologic disorder other than those considered to be related to AD (eg, head injury with loss of consciousness, symptomatic stroke, Parkinson's disease, severe carotid occlusive disease, transient ischemic attacks, hemorrhagic and/or non-hemorrhagic stroke). Subjects with a history of major depressive disorder may be included if they have been free of major episodes for at least 1 year before screening.
Trial design
Treatments tested in this trial
- Placebo (Study Part 1a)
- ACI-24.060 at Dose A in Study Part 1a
- ACI-24.060 at Dose B in Study Part 1a
- ACI-24.060 at Dose C in Study Part 1a
- ACI-24.060 with an additional adjuvant at Dose D in Study Part 1b
- Placebo (Study Part 2)
- ACI-24.060 at Dose A in Study Part 2
- ACI-24.060 at Dose B in Study Part 2
- ACI-24.060 at Dose C in Study Part 2
- Placebo (Study Part 1b)
- ACI-24.060 with an additional adjuvant at Dose E in Study Part 1b
Treatment groups
11
Treatment groupsSee each treatment group below.
Sponsors and collaborators
AC Immune SA
Lead sponsor
Worldwide Clinical Trials
Collaborator