Recent Updates
Recently added Catalysts

Posiphen

Phase 1

Alzheimer Disease | Small molecule | Neurology |Annovis Bio, Inc.|Trials Updated: May 9, 2023

Posiphen development status

Highest phase Phase 1
Registered trials 2 across 1 sponsor since Oct 2016

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment93

FDA Designations

No designations recorded

Posiphen clinical trials

Posiphen · 2 trials · 3 indications

Phase 1 2
NCT04524351Posiphen® Dose-Finding, Biomarker Study in Early Alzheimer's and Parkinson's PatientsAlzheimer Disease
COMPLETED75 Analytics
NCT02925650Safety, Tolerability, PK and PD of Posiphen® in Subjects With Early Alzheimer's DiseaseAlzheimer's Disease
COMPLETED18 Analytics
PHASE1COMPLETED
Posiphen® Dose-Finding, Biomarker Study in Early Alzheimer's and Parkinson's Patients
Alzheimer DiseaseUnlock trial analytics
PHASE1COMPLETED
Safety, Tolerability, PK and PD of Posiphen® in Subjects With Early Alzheimer's Disease
Alzheimer's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Treatment-Emergent Adverse Events
25±2 days

Percent of patients with AEs in the Posiphen treatment arms compared to the Placebo group

Safety and Tolerability of Multiple Ascending Doses of Posiphen: Reports of Adverse Events or Study Discontinuations
Up to 25 days

Number of adverse events or study discontinuations, broken down by dose arm (i.e. Low vs. Medium vs. High vs. Placebo), and further broken down by relatedness to Posiphen (Definitely Related, Probably Related, Possibly Related, Unlikely Related, Unrelated)

The Levels of Posiphen and Its Metabolites Will be Determined in Plasma
The confinement visit occurred following 21-23 days of treatment with either Posiphen or placebo, while also allowing a +/- 2-day visit window. Plasma was collected at 0, 2, 4, 8, 12, 16, 20, and 24hrs during the confinement visit.

Mean plasma concentrations of levels of posiphen tartrate, N1 desmethyl posiphen, and N8 desmethyl Posiphen metabolite were determined for each of the three dose cohorts (Low Dose, Medium Dose, High Dose) by a protein precipitation extraction method using a high performance liquid chromatographic mass spectrometric detection method, with a linear weighted regression to determine their concentrations.

The Levels of Posiphen and Its Metabolites Will be Determined in Cerebrospinal Fluid (CSF)
The confinement visit occurred following 21-23 days of treatment with either Posiphen or placebo, while also allowing a +/- 2-day visit window. Plasma was collected at 0, 2, 4, 8, 12, 16, 20, and 24hrs during the confinement visit.

Mean CSF concentrations of levels of posiphen tartrate, N1 desmethyl posiphen, and N8 desmethyl Posiphen metabolite were determined for each of the three dose cohorts (Low Dose, Medium Dose, High Dose) by a protein precipitation extraction method using a high performance liquid chromatographic mass spectrometric detection method, with a linear weighted regression to determine the concentrations.

Fractional Synthesis Rate of Aβ40 in CSF Using the SILK™ Technique With Multiple Doses of Posiphen
The confinement visit occurred following 21-23 days of treatment with either Posiphen or placebo, while also allowing a +/- 2-day visit window. CSF was collected between 6 and 16hrs during the confinement visit.

The fractional synthesis rate (FSR) of Aβ40 was measured in the CSF using the SILK™ technique. FSR is a measure of the rate of Aβ synthesis in the brain. During 13C6-leucine infusion, 13C6-leucine is incorporated into newly synthesized proteins throughout the body, including the brain, in proportion to the available 13C6-leucine. This FSR is calculated as the rate of change of the ratio of 13C6-leucine-labeled Aβ proteins to unlabeled Aβ proteins in the lumbar CSF between 6 to 16 hours, normalized to the ratio of labeled to unlabeled leucine amino acid in plasma. It is reported as a fraction of 13C6-leucine-labeled to unlabeled Aβ proteins per hour. The ratio of Aβ in CSF containing 13C6-leucine to that containing unlabeled leucine is measured using mass spectrometry.

Secondary Endpoints

Concentration of Posiphen in Plasma
Samples collected over a 6 hour timeframe
Feasibility of CSF Catheter Study With SILK™ Technology to Evaluate Rates of Enrollment
Up to 25 days
Feasibility of CSF Catheter Study With SILK™ Technology to Evaluate %CSF Samples With Enough Volume for Testing
Up to 25 days
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Posiphen, 80mg (Parkinson's Participants)ACTIVE_COMPARATORPosiphen Oral Capsule, 80mg, taken once per day for 25±2 days.
Posiphen, 40mg (Parkinson's Participants)ACTIVE_COMPARATORPosiphen Oral Capsule, 40mg, taken once per day for 25±2 days.
Posiphen, 20mg (Parkinson's Participants)ACTIVE_COMPARATORPosiphen Oral Capsule, 20mg, taken once per day for 25±2 days.
Posiphen, 10mg (Parkinson's Participants)ACTIVE_COMPARATORPosiphen Oral Capsule, 10mg, taken once per day for 25±2 days.
Posiphen, 5mg (Parkinson's Participants)ACTIVE_COMPARATORPosiphen Oral Capsule, 5mg, taken once per day for 25±2 days.
Placebo (Parkinson's Participants)PLACEBO_COMPARATORPlacebo Oral Capsule, taken once per day for 25±2 days.
Placebo (Alzheimer's Participants)PLACEBO_COMPARATORPlacebo Oral Capsule, taken once per day for 25±2 days.
Posiphen, 80mg (Alzheimer's Participants)ACTIVE_COMPARATORPosiphen Oral Capsule, 80mg, taken once per day for 25±2 days.
Low DoseEXPERIMENTALThe study drug Posiphen dosage of 60mg is to be taken orally in divided doses, three times per day for a total 23-25 days.
Medium DoseEXPERIMENTALThe study drug Posiphen dosage of 120mg is to be taken orally in divided doses, three times per day for a total 23-25 days.
High DoseEXPERIMENTALThe study drug Posiphen dosage of 180mg is to be taken orally in divided doses, three times per day for a total 23-25 days.
PlaceboPLACEBO_COMPARATORThe Placebo comparator is to be taken orally in divided doses, three times per day for a total 23-25 days.

Interventions

NameTypeDescription
PosiphenDRUGSolid oral dosage form, capsule
PlaceboDRUGSolid oral dosage form, capsule
Unlock Study Design Details

Eligibility Criteria

Age Range45 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria Subjects must meet the following criteria: 1. Male or female aged 45 years and over. 2. Female participants must be of non-childbearing potential or post-menopausal for at least 2 consecutive years or surgically sterile (bilateral tubal ligation, hysterectomy or bilateral oophor...

Countries:United States
Unlock Eligibility Criteria

Frequently asked questions about Posiphen

What is Posiphen?

Posiphen is an investigational small molecule developed by Annovis Bio, Inc. (ticker ANVS) for Alzheimer disease. It is a Phase 1 clinical-stage candidate in the neurology therapeutic area. Posiphen has been studied in two completed Phase 1 trials with a combined enrollment of 93 participants.

What is Posiphen used for in Alzheimer disease?

Posiphen is being developed for the treatment of Alzheimer disease. Its clinical program has focused on early Alzheimer disease, with one trial also including Parkinson disease patients. Posiphen remains investigational and has not been approved for any indication.

Who makes Posiphen?

Posiphen is developed by Annovis Bio, Inc., which trades under the ticker ANVS. The company sponsors the clinical development program for Posiphen in Alzheimer disease and related neurodegenerative conditions.

What phase is Posiphen in?

Posiphen is in Phase 1 clinical development. Both of its recorded trials are Phase 1 studies, and both have been completed. Posiphen is investigational and has not received FDA approval for Alzheimer disease or any other indication.

What clinical trials is Posiphen in?

Posiphen has been evaluated in two completed Phase 1 trials. NCT04524351 was a dose-finding biomarker study in early Alzheimer and Parkinson disease patients with 75 participants. NCT02925650 examined safety, tolerability, pharmacokinetics, and pharmacodynamics in 18 subjects with early Alzheimer disease. Both were conducted in the United States.

Were the Posiphen trials randomized and placebo controlled?

Yes. The Posiphen Phase 1 program used randomized, double-blind, placebo-controlled designs. The two completed trials enrolled a total of 93 participants, with NCT04524351 enrolling 75 and NCT02925650 enrolling 18. Participants were adults with early Alzheimer disease, and NCT04524351 also included Parkinson disease patients.