Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as PTI-125
simufilam · 7 trials · 6 indications
The change from baseline to Week 52 in the ADAS-Cog12, a psychometrician-administered battery comprised of several cognitive domains including memory, comprehension, praxis, orientation, and spontaneous speech. Scores range from 0 (best) to 80 (worst).
The change from baseline to Week 52 in the ADCS-ADL, a 23-item study partner questionnaire that covers both basic activities of daily living (ADL) and more complex ADL or instrumental ADL. Scores range from 0 to 78, with a lower score indicating greater severity of functional loss.
Blood draws will be done to evaluate levels of PTI-125 in the plasma using non-compartmental methods in WinNonlin.
Levels of PTI-125 will be assessed to determine how long it takes to reach the Cmax
Levels of PTI-125 will be assessed to determine the last time point where PTI-125 can be detected.
Levels of PTI-125 will be assessed to determine the elapsed time to where PTI-125 can last be detected in the plasma.
AUC for PTI-125 plasma concentration from time zero to the last quantifiable plasma concentration.
Assessment of the half-life in plasma of PTI-125
Alzheimer's Disease Assessment Scale-Cognitive Subscale 11-item: Change from baseline in cognition over the course of 24 months Possible range in score: 0-70; Subscales are summed; Higher values represent a more cognitively impaired participant Decrease in mean value represents improvement in cognition from one timepoint to the next.
Alzheimer's Disease Assessment Scale-Cognitive Subscale 11-item: Change from baseline in cognition Starting at month 12 through month 24; Possible range in score: 0-70; Higher values represent a more cognitively impaired participant; Decrease in mean value represents improvement in cognition from one timepoint to the next.
The most frequently reported Treatment Emergent Adverse Events indicative of abnormal vital signs (hypertension/worsening of hypertension and blood pressure increase) of simufilam (PTI-125) during the open label portion of the study: Open-label period 1 (Day 1 to Month 12) and open-label period 2 (Month 18 to Month 24)
The most frequently reported Treatment Emergent Adverse Event indicative of abnormal vital signs (hypotension) of simufilam (PTI-125) or placebo during the randomized withdraw portion of the study : Month 12 to Month 18
The number of subjects that had Treatment Emergent Adverse Events indicative of abnormal Electrocardiogram results while on simufilam (PTI-125) during the open label portion of the study: Open-label period 1 (Day 1 to Month 12) and open-label period 2 (Month 18 to Month 24)
The number of subjects that had Treatment Emergent Adverse Events indicative of abnormal Electrocardiogram results while on simufilam (PTI-125) or placebo during the randomized withdraw portion of the study: Month 12 to Month 18
The most frequently reported Treatment Emergent Adverse Events indicative of abnormal physical examination (weight increase or weight decrease) while administered simufilam (PTI-125) during the open label portion of the study: Open-label period 1 (Day 1 to Month 12) and open-label period 2 (Month 18 to Month 24)
The number of subjects that had Treatment Emergent Adverse Events of indicative of abnormal physical examination while on simufilam (PTI-125) or placebo during the randomized withdraw portion of the study: Month 12 to Month 18
Treatment Emergent Adverse Events when three or more subjects reported abnormal clinical laboratory results while on simufilam (PTI-125) during the open label portion of the study: Open-label period 1 (Day 1 to Month 12) and open-label period 2 (Month 18 to Month 24)
Treatment Emergent Adverse Events when two or more subjects reported abnormal clinical laboratory results while on simufilam (PTI-125) or placebo during the randomized withdraw portion of the study: Month 12 to Month 18
Change from Baseline (screening sample) to Day 28 in cerebrospinal fluid levels of Amyloid beta42
Change from Baseline (screening sample) to Day 28 in cerebrospinal fluid total tau.
Change from Baseline (screening) to Day 28 in cerebrospinal fluid P-tau181
Change from Baseline (screening) to Day 28 in cerebrospinal fluid neurogranin
Change from Baseline (screening) to Day 28 in cerebrospinal fluid neurofilament light chain
Change from Baseline (screening) in cerebrospinal fluid YKL-40
The time to peak drug concentration will be obtained directly from the data without interpolation
The elimination rate constant (λz) will be calculated.
The terminal elimination half-life (T1/2) will be calculated.
The AUC from time zero to the time of the last quantifiable concentration (AUClast) will be calculated.
The AUC from time zero extrapolated to infinity (AUCinf) will be calculate.
The percentage of AUCinf based on extrapolation (AUCextrap\[%\]).
The apparent oral clearance will be calculated.
Vz/F, apparent volume of distribution will be calculated.
Area Under the Curve of simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)
Maximum simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)
Time to maximum simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)
Half-life of simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)
Elimination rate constant of simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)
Area Under the Curve for each total radioactivity, parent drug and metabolite(s) in plasma.
Maximum concentration for each total radioactivity, parent drug and metabolite(s) in plasma.
Time to maximum concentration for each total radioactivity, parent drug and metabolite(s) in plasma.
Half-life for each total reactivity, parent drug and metabolite(s) in plasma.
Elimination rate constant for each total reactivity, parent drug and metabolite(s) in plasma.
| Arm | Type | Description |
|---|---|---|
| Placebo | PLACEBO_COMPARATOR | Matching placebo, supplied by Cassava as coated tablets, and taken twice daily (b.i.d.) for 52 weeks |
| Simufilam 100 mg | EXPERIMENTAL | Simufilam 100 mg, supplied by Cassava as coated tablets, and taken b.i.d. for 52 weeks |
| Simufilam (PTI-125) | EXPERIMENTAL | Simufilam (PTI-125) 100 mg oral tablets administered twice daily (BID) |
| Simufilam 100 mg oral tablets throughout | EXPERIMENTAL | Simufilam 100 mg oral tablets administered twice daily (BID) for the full 24 months (including the randomized period Month 12 to Month 18) |
| Simufilam 100 mg oral tablets / Placebo / Simufilam 100 mg oral tablets | PLACEBO_COMPARATOR | This placebo arm is only for Month 12 to Month 18. Day 1 to Month 12, as well as Month 18 to Month 24 are open-label treatment periods of simufilam 100 mg b.i.d. for all subjects. |
| Placebo Cohort | PLACEBO_COMPARATOR | Subjects administered placebo oral tablets twice daily (BID) |
| Simufilam (PTI-125) 100 mg tablets Cohort | EXPERIMENTAL | Subjects administered simufilam (PTI-125) 100 mg oral tablets twice daily (BID) |
| Simufilam (PTI-125) 50 mg tablets Cohort | EXPERIMENTAL | Subjects administered simufilam (PTI-125) 50 mg oral tablets twice daily (BID) |
| 50 mg PTI-125 | ACTIVE_COMPARATOR | Six (6) subjects will receive a single orally administered dose of 50 mg PTI-125 in this cohort. |
| 50 mg PTI-125 Placebo | PLACEBO_COMPARATOR | Two (2) subjects will receive a single orally administered dose of 50 mg Placebo PTI-125 in this cohort. |
| 100 mg PTI-125 | ACTIVE_COMPARATOR | Six (6) subjects will receive a single orally administered dose of 100 mg PTI-125 in this cohort. |
| 100 mg PTI-125 Placebo | PLACEBO_COMPARATOR | Two (2) subjects will receive a single orally administered dose of 100 mg Placebo PTI-125 in this cohort. |
| 200 mg PTI-125 | ACTIVE_COMPARATOR | Six (6) subjects will receive a single orally administered dose of 200 mg PTI-125 in this cohort. |
| 200 mg PTI-125 Placebo | PLACEBO_COMPARATOR | Two (2) subjects will receive a single orally administered dose of 200 mg Placebo PTI-125 in this cohort. |
| Moderate Hepatic Impairment | EXPERIMENTAL | - |
| Healthy Volunteer | EXPERIMENTAL | - |
| Mild Hepatic Impairment | EXPERIMENTAL | - |
| Name | Type | Description |
|---|---|---|
| Simufilam | DRUG | Simufilam is a novel drug candidate designed to treat and slow the progression of AD. Simufilam binds with femtomolar affinity to an altered conformation of filamin A that is present in the brain of patients with AD and critical to the toxicity of Aβ42. In this study, simufilam will be given b.i.d. for 52 weeks at a dose of 100 mg. |
| Placebo | DRUG | Matching placebo given b.i.d. for 52 weeks. |
| PTI-125, 100 mg tablets | DRUG | PTI-125, 100 mg tablets taken twice a day for 28 days |
| Simufilam 100 mg oral tablet | DRUG | Simufilam 100 mg oral tablet for b.i.d. administration |
| Placebo oral tablet | DRUG | Oral placebo tablet |
| Simufilam 100 mg tablet | DRUG | Simufilam 100 mg oral tablet |
| Simufilam 50 mg oral tablet | DRUG | Simufilam 50 mg oral tablet |
| 50 mg PTI-125 | DRUG | PTI-125 50 mg Oral Solution |
| 100 mg PTI-125 | DRUG | PTI-125 100 mg Oral Solution |
| 200 mg PTI-125 | DRUG | PTI-125 200 mg Oral Solution |
Key Inclusion Criteria: 1. Meets National Institute on Aging and Alzheimer's Association Research Framework criteria for individuals in clinical Stage 4 or 5 of the Alzheimer's continuum. 2. Evidence for AD pathophysiology, confirmed either prior to or during screening. 3. MMSE score ≥ 16 and ≤ 27 ...
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Simufilam is an investigational small molecule developed by Filana Therapeutics, Inc. (ticker FLNA). It is being studied in clinical trials for Alzheimer disease, hepatic insufficiency, and absorption, metabolism, and excretion. Simufilam is also known as simufilam 100 mg tablet or simufilam 100 mg oral tablet. It has not been approved by the FDA and remains in clinical development.
Simufilam targets FLNA and acts as a positive modulator. By binding to FLNA, simufilam is designed to modulate its activity. This mechanism is being investigated in conditions such as Alzheimer disease and hepatic insufficiency.
Simufilam is being developed by Filana Therapeutics, Inc., which trades under the ticker symbol FLNA. The company is responsible for the clinical development of simufilam across its studied indications.
Simufilam is in Phase 1 development. It has completed three clinical trials, including Phase 1 studies in hepatic insufficiency and absorption, as well as a Phase 2 and a Phase 3 trial in Alzheimer disease. Simufilam is investigational and has not been approved by the FDA.
Simufilam has been studied in several completed trials. These include NCT06390410, a Phase 1 pharmacokinetic study in hepatic insufficiency; NCT06195319, a Phase 1 absorption, metabolism, and excretion study; NCT04994483, a Phase 3 trial in mild-to-moderate Alzheimer disease; and NCT04388254, a Phase 2 trial in mild-to-moderate Alzheimer disease.