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ACU193

Phase 1

Alzheimer Disease | Small molecule | Neurology |Acumen Pharmaceuticals, Inc.|Trials Updated: Jul 19, 2023

ACU193 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Jun 2021

ACU193 target and mechanism

Molecular targetsoluble amyloid beta oligomers (AβOs)
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment65

FDA Designations

FAST_TRACK

ACU193 clinical trials

ACU193 · 1 trial · 1 indication

Phase 1 1
NCT04931459A Study to Evaluate the Safety, Tolerability, and Blood Levels of ACU193 in Participants With MCI or Mild ADAlzheimer Disease
COMPLETED65 Analytics
PHASE1COMPLETED
A Study to Evaluate the Safety, Tolerability, and Blood Levels of ACU193 in Participants With MCI or Mild AD
Alzheimer DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence and Nature of Treatment-Related Adverse Events (AE) or Serious Adverse Events (SAE) as Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Baseline up to 20 weeks (SAD); 14, 18 or 28 weeks (MAD)

Proportion of participants with AE, discontinuations due to AE or SAE, and withdrawals from the study due to AE

Change in Clinical Laboratory Tests
Baseline up to 20 weeks (SAD); 14, 18 or 28 weeks (MAD)

Incidence and clinically significant abnormal changes in clinical laboratory assessments (hematology, clinical chemistry, urinalysis)

Changes in 12-Lead ECGs
Baseline up to 20 weeks (SAD); 14, 18 or 28 weeks (MAD)

Clinically significant abnormal changes in 12-Lead ECGs for PR, QRS, QT, QTcF, and QTcB

Changes in the Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline up to 20 weeks (SAD); 14, 18 or 28 weeks (MAD)

Presence of suicidal ideation as defined by a positive response to Question 5 on the C-SSRS suicide ideation section

Changes in Magnetic Resonance Imaging (MRI)
Baseline (predose) up to 20 weeks (SAD); 14, 18 or 28 weeks (MAD)

Brain magnetic resonance imaging (MRI) findings to assess amyloid-related imaging abnormalities (ARIA), including incidence of ARIA-E (edema) or ARIA-H (hemosiderosis)

Secondary Endpoints

Estimate Blood Levels of ACU193
Up to 140 days post dose
Estimate Maximum Blood Levels of ACU193
Up to 140 days post dose.
Estimate Time to Reach Maximum Blood Levels of ACU193
Up to 140 days post dose.
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ACU193 AdministrationEXPERIMENTALParticipants will receive 1 to 3 doses of ACU193 by intravenous (IV) infusion.
Placebo AdministrationPLACEBO_COMPARATORParticipants receive 1 to 3 doses of matching ACU193 placebo by intravenous (IV) infusion. 2 participants per cohort will receive placebo.

Interventions

NameTypeDescription
ACU193DRUGIntravenous ACU193
PlaceboDRUGIntravenous Placebo
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Eligibility Criteria

Age Range55 Years to 90 Years
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: 1. Males or females ages 55 to 90 (inclusive). 2. Participant weighs at least 41 kg (90 lbs) and no more than 113 kg (250 lbs) before study drug administration. 3. Female participants must be surgically sterile or be at least two years post-menopausal or at least one year post-m...

Countries:United States
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Frequently asked questions about ACU193

What is ACU193?

ACU193 is an investigational small molecule being developed by Acumen Pharmaceuticals, Inc. for Alzheimer disease. It is designed to target soluble amyloid beta oligomers (AβOs), which are toxic protein aggregates implicated in the disease. ACU193 has completed a Phase 1 clinical trial and has received Fast Track designation from the FDA.

What is ACU193 used for in Alzheimer disease?

ACU193 is being developed for the treatment of Alzheimer disease, specifically for participants with mild cognitive impairment (MCI) or mild Alzheimer disease. It is an investigational therapy and has not been approved for any indication. The completed Phase 1 trial evaluated its safety, tolerability, and blood levels in this patient population.

What does ACU193 target?

ACU193 targets soluble amyloid beta oligomers (AβOs), which are small, soluble aggregates of the amyloid beta protein. These oligomers are considered a key toxic species in Alzheimer disease. By binding to AβOs, ACU193 aims to neutralize their downstream effects. The target is a protein class, and the drug is a small molecule.

Who is developing ACU193?

ACU193 is being developed by Acumen Pharmaceuticals, Inc., a biopharmaceutical company focused on neuroscience. Acumen Pharmaceuticals trades on the Nasdaq under the ticker symbol ABOS. The company is the sole developer of ACU193 and has advanced it through a completed Phase 1 clinical trial.

What phase is ACU193 in?

ACU193 has completed a Phase 1 clinical trial. It is an investigational drug and has not been approved by the FDA for any indication. The Phase 1 study was a randomized, double-blind, placebo-controlled trial that evaluated safety, tolerability, and blood levels in participants with MCI or mild Alzheimer disease.

What clinical trials is ACU193 in?

ACU193 has been studied in one completed clinical trial, NCT04931459, titled "A Study to Evaluate the Safety, Tolerability, and Blood Levels of ACU193 in Participants With MCI or Mild AD." This Phase 1 trial enrolled 65 participants in the United States and was randomized, double-blind, and placebo-controlled. No active trials are currently listed.