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Exploratory PLatform Trial on Anti-Inflammatory Agents in Alzheimer's Disease (EXPLAIN-AD): A Randomized, Placebo-controlled, Multicenter Platform Study to Evaluate the Efficacy, Safety, Tolerability and Pharmacokinetics of Various Anti-inflammatory Agents in Patients With Mild Cognitive Impairment Due to Alzheimer's Disease and Mild Alzheimer's Disease
The purpose of this platform study was to evaluate the effect of anti-inflammatory agents on cognition in early Alzheimer's disease. Additionally, the safety and tolerability and their effects on central and peripheral inflammation were evaluated. Due to early termination only a single agent could be studied.
This was a randomized, placebo-controlled, participant- and investigator-blinded study in participants with either mild cognitive impairment or mild Alzheimer's disease with evidence of peripheral inflammation. This study was originally planned as a platform study, designed to investigate different agents in a continuous manner. However, due to early termination of the study only one experimental arm was enrolled. The study included a screening period (Day -60 to Day -8), followed by a baseline period of 7 days (Day -7 to Day -1), a treatment period of 20 weeks (Day 1 to Day 141), a study completion evaluation (EOC1) approximately 30 days after the last agent administration (Day 171) and a second end of cohort visit (EOC2) approximately 140 days after the last agent administration (Day 281).
Age
45 - 90 years
Sex
ALL
Healthy Volunteers
No
Massachusetts General Hospital
Charlestown, Massachusetts, United States
SUNY at Stony Brook
Stony Brook, New York, United States
Novartis Investigative Site
Kuopio, Finland
Novartis Investigative Site
Turku, Finland
Novartis Investigative Site
Reykjavik, Iceland
Novartis Investigative Site
Plymouth, Devon, United Kingdom
Novartis Investigative Site
Guildford, Surrey, United Kingdom
Novartis Investigative Site
London, United Kingdom
Novartis Investigative Site
Motherwell, United Kingdom
Novartis Investigative Site
Southampton, United Kingdom
Start Date
October 28, 2021
Primary Completion Date
March 7, 2024
Completion Date
March 7, 2024
Last Updated
October 16, 2025
34
ACTUAL participants
Canakinumab
BIOLOGICAL
Placebo
OTHER
Lead Sponsor
Novartis Pharmaceuticals
NCT07220668
NCT07178210
Data Source & Attribution
This clinical trial information is sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.
Modifications: This data has been reformatted for display purposes. Eligibility criteria have been parsed into inclusion/exclusion sections. Location data has been geocoded to enable distance-based search. For the authoritative and most current information, please visit ClinicalTrials.gov.
Neither the United States Government nor Clareo Health make any warranties regarding the data. Check ClinicalTrials.gov frequently for updates.
View ClinicalTrials.gov Terms and ConditionsNCT04123314