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ACU193

Phase 1

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment65
FDA Designations
FAST_TRACK
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04931459A Study to Evaluate the Safety, Tolerability, and Blood Levels of ACU193 in Participants With MCI or Mild ADPHASE1 COMPLETED 65Jun 21, 2021Jun 12, 2023Jul 19, 202317 United States
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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 — 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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