Lack of efficacy of the drug; no safety concern
TOMMORROW
A Double Blind, Randomized, Placebo Controlled, Parallel Group Study to Simultaneously Qualify a Biomarker Algorithm for Prognosis of Risk of Developing Mild Cognitive Impairment Due to Alzheimer's Disease (MCI Due to AD) and to Test the Safety and Efficacy of Pioglitazone (AD-4833 SR 0.8 mg QD) to Delay the Onset of MCI Due to AD in Cognitively Normal Subjects
Sponsor study identifier
Secondary identifiers
EUDRACT_NUMBER
REGISTRY · WHO UTN
interventional
3,494
5 countries
55
Study Start
August 1, 2013
Actual (reported)Primary Completion
July 24, 2018
Actual (reported)Study Completion
September 6, 2018
Actual (reported)The purpose of this study is to qualify the biomarker risk algorithm for prognosis of the risk of developing Mild Cognitive Impairment due to Alzheimer's Disease (MCI-AD), and also to evaluate the efficacy of pioglitazone compared with placebo to delay the onset of MCI-AD in cognitively-normal participants who are at high-risk for developing MCI within 5 years.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
September 6, 2018
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
August 1, 2013
Actual (reported)August 26, 2013
Actual (reported)August 29, 2013
Actual (reported)July 24, 2018
Actual (reported)September 6, 2018
Actual (reported)August 14, 2019
Actual (reported)Time to Diagnosis of Mild Cognitive Impairment Due to Alzheimer's Disease (MCI-AD) for Placebo-treated, High-risk, Non-Hispanic/Latino Caucasian Participants Versus Placebo-treated, Low-risk, Non-Hispanic/Latino Caucasian Participants
The event definition for MCI-AD was the time in days from the randomization date to the date of the first of two consecutive scheduled visits at which a participant was assessed with a diagnosis of MCI due to AD confirmed by adjudication committee. Here, the time to event was reported as the restricted mean survival time. The restricted mean survival time was defined as the area under the curve of the survival function up to the largest event time.
Baseline to the end of study (approximately up to 5 years)
Time to Diagnosis of MCI Due to AD for Pioglitazone-treated, High-risk, Non-Hispanic/Latino Caucasian Participants Versus Placebo-treated, High-risk, Non-Hispanic/Latino, Caucasian Participants
The event definition for MCI-AD was the time in days from the randomization date to the date of the first of two consecutive scheduled visits at which a participant was assessed with a diagnosis of MCI due to AD confirmed by adjudication committee. Here, the time to event was reported as the restricted mean survival time. The restricted mean survival time was defined as the area under the curve of the survival function up to the largest event time.
Baseline to the end of study (approximately up to 5 years)
Change From Baseline for Cognitive Decline on Composite Score on the Cognitive Test Battery for Pioglitazone-treated Participants Versus Placebo-treated Participants in the High-risk Stratum
Baseline and Month 48
Change From Baseline in Instrumental Activities of Daily Living (Alzheimer's Disease Cooperative Study Activities of Daily Living - Prevention Instrument [ADCS ADL-PI]) Between Pioglitazone-treated and Placebo-treated Groups of the High-risk Stratum
Baseline and Month 48
Pioglitazone placebo-matching tablets, orally, once daily to participants assigned to low risk group for developing MCI-AD for up to 5 years.
Pioglitazone placebo-matching tablets, orally, once daily to participants assigned to high risk group for developing MCI-AD for up to 5 years.
Pioglitazone 0.8 mg, sustained release (SR) tablets, orally, once daily to participants assigned to high risk group for developing MCI-AD for up to 5 years.
Pioglitazone SR tablets
Pioglitazone placebo-matching tablets
Phoenix, Arizona, United States
Sun City, Arizona, United States
Long Beach, California, United States
San Diego, California, United States
San Francisco, California, United States
Delray Beach, Florida, United States
Fort Myers, Florida, United States
Zou H, Luo S, Liu H, Lutz MW, Bennett DA, Plassman BL, Welsh-Bohmer KA. Genotypic Effects of the TOMM40'523 Variant and APOE on Longitudinal Cognitive Change over 4 Years: The TOMMORROW Study. J Prev Alzheimers Dis. 2023;10(4):886-894. doi: 10.14283/jpad.2023.115.
Burns DK, Alexander RC, Welsh-Bohmer KA, Culp M, Chiang C, O'Neil J, Evans RM, Harrigan P, Plassman BL, Burke JR, Wu J, Lutz MW, Haneline S, Schwarz AJ, Schneider LS, Yaffe K, Saunders AM, Ratti E; TOMMORROW study investigators. Safety and efficacy of pioglitazone for the delay of cognitive impairment in people at risk of Alzheimer's disease (TOMMORROW): a prognostic biomarker study and a phase 3, randomised, double-blind, placebo-controlled trial. Lancet Neurol. 2021 Jul;20(7):537-547. doi: 10.1016/S1474-4422(21)00043-0.
Medical Director
Takeda
3,494 participants (actual enrollment reported by the registry).
First Submitted
August 26, 2013
First Posted
August 29, 2013
Study Start
August 1, 2013
Actual (reported)Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Contact the study team to confirm eligibility.
Lady Lake, Florida, United States
Lake Worth, Florida, United States
Merritt Island, Florida, United States
Orlando, Florida, United States
Port Orange, Florida, United States
St. Petersburg, Florida, United States
Weston, Florida, United States
Atlanta, Georgia, United States
Decatur, Georgia, United States
Chicago, Illinois, United States
Elk Grove, Illinois, United States
Elk Grove Village, Illinois, United States
Iowa City, Iowa, United States
Farmington Hills, Michigan, United States
St Louis, Missouri, United States
Las Vegas, Nevada, United States
Marlton, New Jersey, United States
New York, New York, United States
Concord, North Carolina, United States
Durham, North Carolina, United States
Akron, Ohio, United States
Portland, Oregon, United States
Charleston, South Carolina, United States
Cordova, Tennessee, United States
Houston, Texas, United States
Salt Lake City, Utah, United States
Middleton, Wisconsin, United States
North Ryde, New South Wales, Australia
Southport, Queensland, Australia
West Heidelberg, Victoria, Australia
Nedlands, Western Australia, Australia
Stuttgart, Baden-Wurttemberg, Germany
Siegen, North Rhine-Westphalia, Germany
Halle, Saxony-Anhalt, Germany
Berlin, Germany
Basel, Switzerland
Exeter, Devon, United Kingdom
Plymouth, Devon, United Kingdom
Hammersmith, Greater London, United Kingdom
London, Greater London, United Kingdom
Manchester, Greater Manchester, United Kingdom
Salford, Greater Manchester, United Kingdom
Blackpool, Lancashire, United Kingdom
Isleworth, Middlesex, United Kingdom
Glasgow, Strathclyde, United Kingdom
Dundee, Tayside Region, United Kingdom
Perth, Tayside Region, United Kingdom
Bristol, United Kingdom
Primary Completion
July 24, 2018
Actual (reported)Study Completion
September 6, 2018
Actual (reported)Last Updated
September 16, 2019
Results First Posted
August 14, 2019
Record last verified: 2019-08
Takeda makes patient-level, de-identified data sets and associated documents available for all interventional studies after applicable marketing approvals and commercial availability have been received (or program is completely terminated), an opportunity for the primary publication of the research and final report development has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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