NCT04867616

Brief Summary

The purpose of the study is to investigate the effect of bepranemab versus (vs) placebo on the Clinical Dementia Rating Scale Sum of Boxes (CDR-SB) up to Week 80 in study participants with prodromal or mild Alzheimer's Disease (AD).

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
466

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jun 2021

Typical duration for phase_2

Geographic Reach
10 countries

103 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 27, 2021

Completed
3 days until next milestone

First Posted

Study publicly available on registry

April 30, 2021

Completed
1 month until next milestone

Study Start

First participant enrolled

June 9, 2021

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 24, 2024

Completed
1.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2025

Completed
Last Updated

August 29, 2025

Status Verified

August 1, 2025

Enrollment Period

3 years

First QC Date

April 27, 2021

Last Update Submit

August 28, 2025

Conditions

Keywords

Alzheimer's DiseaseBepranemabUCB0107Phase 2

Outcome Measures

Primary Outcomes (1)

  • Change from Baseline to Week 80 in the Clinical Dementia Rating Scale Sum of Boxes (CDR-SB) total score

    The Clinical Dementia Rating (CDR) scale is a clinician-rated dementia staging system that tracks the progression of cognitive impairment in 6 categories (memory, orientation, judgment and problem solving, community affairs, home and hobbies, and personal care). Each category is scored on a 5-point scale in which None=0, Questionable=0.5, Mild=1, Moderate=2, and Severe=3. The global CDR score is established by clinical scoring rules and has values of 0 (no dementia), 0.5, (questionable dementia), 1 (mild dementia), 2 (moderate dementia), and 3 (severe dementia). The Clinical Dementia Rating Scale Sum of Boxes (CDR-SB) is obtained by adding the ratings in each of the 6 categories and ranges from 0 to 18 with higher scores indicative of greater impairment.

    From from Baseline to Week 80

Secondary Outcomes (10)

  • Incidence of treatment-emergent adverse events (TEAEs)

    From Baseline to the Safety Follow-Up (Week 152)

  • Incidence of treatment-emergent serious adverse events (TESAEs)

    From Baseline to the Safety Follow-Up (Week 152)

  • Incidence of TEAEs leading to discontinuation or death

    From Baseline to the Safety Follow-Up (Week 152)

  • Incidence of Drug-related TEAEs

    From Baseline to the Safety Follow-Up (Week 152)

  • Change from Baseline in suicidal ideation and behavior as assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS)

    From from Baseline to Week 80

  • +5 more secondary outcomes

Study Arms (3)

Dose level 1 bepranemab

EXPERIMENTAL

Participants randomized to this arm will receive pre-specified doses (Dose level 1) of bepranemab during the Double-blind Treatment Period and the Open-label Extension Period.

Biological: Bepranemab

Dose level 2 bepranemab

EXPERIMENTAL

Participants randomized to this arm will receive pre-specified doses (Dose level 2) of bepranemab during the Double-blind Treatment Period and the Open-label Extension Period.

Biological: Bepranemab

Placebo Arm

PLACEBO COMPARATOR

Participants randomized to this arm will receive Placebo to maintain the blinding during the Double-blind Treatment Period and will re-randomized during the Open-label Extension Period to receive pre-specified doses of bepranemab.

Other: PlaceboBiological: Bepranemab

Interventions

PlaceboOTHER

* Pharmaceutical form: Solution for infusion * Route of administration: Intravenous infusion Participants will receive Placebo during the Double-blind Treatment Period.

Placebo Arm
BepranemabBIOLOGICAL

* Pharmaceutical form: Solution for infusion * Route of administration: Intravenous infusion Participants will receive pre-specified doses of bepranemab during the Double-blind Treatment Period and the Open-label Extension Period.

Dose level 1 bepranemabDose level 2 bepranemabPlacebo Arm

Eligibility Criteria

Age50 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • to 80 years of age
  • Diagnosis of prodromal/mild cognitive impairment (MCI) due to Alzheimer's Disease (AD) or mild AD according to National Institute of Aging-Alzheimer's Association (NIA-AA)
  • A global Clinical Dementia Rating (CDR) score of 0.5 to 1.0 and CDR-Memory Box (CDRMB) score ≥0.5 at Screening and Baseline
  • Score of ≤85 for the delayed recall domain of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) at Screening
  • Mini-Mental State Examination (MMSE) score ≥20 at Screening
  • Participant has an identified informant that has and will maintain sufficient contact (minimum of 5 hours per week) with the participant to be able to provide accurate information on the participant's cognitive, functional, and emotional states and of the participant's personal care
  • At least 6 years of formal education after the age of 5 or work experience to exclude mental deficits other than prodromal or mild AD dementia
  • Evidence of cerebral Aβ accumulation by either positive amyloid assessment by either positron emission tomography (PET) scan or cerebrospinal fluid pTau181/Aβ1-42 ratio assessment

You may not qualify if:

  • Any evidence of a condition that may affect cognition other than AD
  • Contraindications to PET imaging
  • Inability to tolerate or contraindication to magnetic resonance imaging
  • Any serious medical condition or abnormality that in the opinion of the investigator would preclude safe participation in and completion of the study or interfere with study assessments and/or study interpretation
  • Alcohol or drug abuse within 2 years of screening
  • Use of any experimental therapy within the past 6 months (or 5 half lives) prior to screening
  • Previous treatment with medication intended to treat a neurodegenerative disorder (other than AD) within 1 year of screening
  • Chronic daily treatment with atypical antipsychotics, opiates or opioids, benzodiazepines, barbiturates, hypnotics, or any medication with clinically significant centrally acting antihistamine or anticholinergic activitiy
  • Received treatment with monoclonal antibodies (mAbs), cytokines, immunoglobulins, or other blood products within 3 months or 5 half-lives (whichever is longer) prior to first dosing

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (103)

Ah0003 50428

Fresno, California, 93710, United States

Location

Ah0003 50431

Fullerton, California, 92835, United States

Location

Ah0003 50442

Irvine, California, 92614, United States

Location

Ah0003 50458

Long Beach, California, 90807, United States

Location

Ah0003 50450

Palo Alto, California, 94303, United States

Location

Ah0003 50452

Pasadena, California, 91106, United States

Location

Ah0003 50447

San Diego, California, 92123, United States

Location

Ah0003 50434

Santa Ana, California, 92705, United States

Location

Ah0003 50422

New Haven, Connecticut, 06510, United States

Location

Ah0003 50467

New Haven, Connecticut, 06510, United States

Location

Ah0003 50421

Stamford, Connecticut, 06905, United States

Location

Ah0003 50465

Atlantis, Florida, 33462, United States

Location

Ah0003 50449

Aventura, Florida, 33180, United States

Location

Ah0003 50435

Boca Raton, Florida, 33487, United States

Location

Ah0003 50430

Delray Beach, Florida, 33445, United States

Location

Ah0003 50429

Fort Myers, Florida, 33912, United States

Location

Ah0003 50436

Hialeah, Florida, 33016, United States

Location

Ah0003 50426

Maitland, Florida, 32751, United States

Location

Ah0003 50427

Miami, Florida, 33125, United States

Location

Ah0003 50478

Naples, Florida, 34105, United States

Location

Ah0003 50464

Ocoee, Florida, 34761, United States

Location

Ah0003 50438

Pensacola, Florida, 32502, United States

Location

Ah0003 50623

Pensacola, Florida, 32503, United States

Location

Ah0003 50457

Port Orange, Florida, 32127, United States

Location

Ah0003 50454

Tampa, Florida, 33613, United States

Location

Ah0003 50444

West Palm Beach, Florida, 33407, United States

Location

Ah0003 50476

West Palm Beach, Florida, 33409, United States

Location

Ah0003 50446

Westchester, Florida, 33155, United States

Location

Ah0003 50479

Decatur, Georgia, 30033, United States

Location

Ah0003 50445

Braintree, Massachusetts, 02184, United States

Location

Ah0003 50453

Newton, Massachusetts, 02459, United States

Location

Ah0003 50448

Saint Paul, Minnesota, 55130, United States

Location

Ah0003 50420

Neptune City, New Jersey, 07753, United States

Location

Ah0003 50451

Cincinnati, Ohio, 45219, United States

Location

Ah0003 50423

East Providence, Rhode Island, 02914, United States

Location

Ah0003 50455

Cordova, Tennessee, 38018, United States

Location

Ah0003 50380

Houston, Texas, 77054, United States

Location

Ah0003 50424

Fairfax, Virginia, 22031, United States

Location

Ah0003 50432

Norfolk, Virginia, 23507, United States

Location

Ah0003 50440

Bellevue, Washington, 98007, United States

Location

Ah0003 40123

Brussels, Belgium

Location

Ah0003 40575

Brussels, Belgium

Location

Ah0003 40576

Kortrijk, Belgium

Location

Ah0003 40002

Leuven, Belgium

Location

Ah0003 50463

Kelowna, Canada

Location

Ah0003 50461

Ottawa, Canada

Location

Ah0003 50520

Québec, Canada

Location

Ah0003 50045

Toronto, Canada

Location

Ah0003 50291

Toronto, Canada

Location

Ah0003 50462

Toronto, Canada

Location

Ah0003 50522

West Vancouver, Canada

Location

Ah0003 40129

Bordeaux, France

Location

Ah0003 40580

Bron, France

Location

Ah0003 40493

Marseille, France

Location

Ah0003 40635

Nantes, France

Location

Ah0003 40578

Paris, France

Location

Ah0003 40201

Rennes, France

Location

Ah0003 40581

Toulouse, France

Location

Ah0003 40579

Villeurbanne, France

Location

Ah0003 40028

Berlin, Germany

Location

Ah0003 40430

Munich, Germany

Location

Ah0003 40371

Monza, Italy

Location

Ah0003 40600

Parma, Italy

Location

Ah0003 40597

Pavia, Italy

Location

Ah0003 40438

Roma, Italy

Location

Ah0003 40596

Rome, Italy

Location

Ah0003 40598

Rome, Italy

Location

Ah0003 40449

's-Hertogenbosch, Netherlands

Location

Ah0003 40450

Amsterdam, Netherlands

Location

Ah0003 40601

Zwolle, Netherlands

Location

Ah0003 40603

Bialystok, Poland

Location

Ah0003 40606

Bydgoszcz, Poland

Location

Ah0003 40605

Katowice, Poland

Location

Ah0003 40609

Katowice, Poland

Location

Ah0003 40774

Katowice, Poland

Location

Ah0003 40608

Szczecin, Poland

Location

Ah0003 40638

Ścinawa, Poland

Location

Ah0003 40602

Warsaw, Poland

Location

Ah0003 40604

Warsaw, Poland

Location

Ah0003 40607

Warsaw, Poland

Location

Ah0003 40611

Wroclaw, Poland

Location

Ah0003 40159

Barcelona, Spain

Location

Ah0003 40160

Barcelona, Spain

Location

Ah0003 40267

Barcelona, Spain

Location

Ah0003 40612

Barcelona, Spain

Location

Ah0003 40105

Córdoba, Spain

Location

Ah0003 40614

Donostia / San Sebastian, Spain

Location

Ah0003 40540

Madrid, Spain

Location

Ah0003 40615

Madrid, Spain

Location

Ah0003 40352

Pamplona, Spain

Location

Ah0003 40280

Sant Cugat del Vallès, Spain

Location

Ah0003 40049

Seville, Spain

Location

Ah0003 40453

Terrassa, Spain

Location

Ah0003 40230

Valencia, Spain

Location

Ah0003 40613

Valencia, Spain

Location

Ah0003 40616

Zaragoza, Spain

Location

Ah0003 40662

Birmingham, United Kingdom

Location

Ah0003 40619

Bristol, United Kingdom

Location

Ah0003 40622

Guildford, United Kingdom

Location

Ah0003 40618

London, United Kingdom

Location

Ah0003 40621

London, United Kingdom

Location

Ah0003 40623

Plymouth, United Kingdom

Location

Ah0003 40691

Winchester, United Kingdom

Location

MeSH Terms

Conditions

Alzheimer Disease

Condition Hierarchy (Ancestors)

DementiaBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesTauopathiesNeurodegenerative DiseasesNeurocognitive DisordersMental Disorders

Study Officials

  • UCB Cares

    001 844 599 2273 (UCB)

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Upon completion of the 80-week Double-blind Treatment Period, study participants will be eligible to enter a 48-week Open-label Extension Period with planned treatments of bepranemab for 44 weeks, followed by a Safety Follow-up Visit 20 weeks after the last infusion of investigational medicinal product.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 27, 2021

First Posted

April 30, 2021

Study Start

June 9, 2021

Primary Completion

May 24, 2024

Study Completion

August 1, 2025

Last Updated

August 29, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will share

Data from this trial may be requested by qualified researchers six months after product approval in the US and/or Europe, or global development is discontinued, and 18 months after trial completion. Investigators may request access to anonymized individual patient-level data and redacted trial documents which may include: analysis-ready datasets, study protocol, annotated case report form, statistical analysis plan, dataset specifications, and clinical study report. Prior to use of the data, proposals need to be approved by an independent review panel at www.Vivli.org and a signed data sharing agreement will need to be executed. All documents are available in English only, for a prespecified time, typically 12 months, on a password protected portal. This plan may change if the risk of reidentifying trial participants is determined to be too high after the trial is completed; in this case and to protect participants, individual patient-level data would not be made available.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Data from this trial may be requested by qualified researchers six months after product approval in the US and/or Europe or global development is discontinued, and 18 months after trial completion.
Access Criteria
Qualified researchers may request access to anonymized IPD and redacted study documents which may include: raw datasets, analysis-ready datasets, study protocol, blank case report form, annotated case report form, statistical analysis plan, dataset specifications, and clinical study report. Prior to use of the data, proposals need to be approved by an independent review panel at www.Vivli.org and a signed data sharing agreement will need to be executed. All documents are available in English only, for a pre-specified time, typically 12 months, on a password protected portal.
More information

Locations