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IONIS MAPTRx

Phase 1

Mild Alzheimer's Disease | Small molecule | Neurology |Ionis Pharmaceuticals, Inc.|Last Updated: Apr 8, 2025

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_CONTROLLEDBiomarker
Total Trials1
Total Enrollment46
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03186989Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of IONIS-MAPTRx in Patients With Mild Alzheimer's DiseasePHASE1 COMPLETED 46Oct 12, 2017May 12, 2022Apr 8, 202513 Canada, Finland +4
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Study Endpoints
Primary Endpoints
Part 1: Number of Participants With Adverse Events That Are Related to Treatment With ISIS 814907
From first dose of study drug up to Week 37 in Part 1

An adverse event (AE) was defined as any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of medicinal (investigational) product, whether or not the AE was considered related to the medicinal (investigational) product. A TEAE was defined as any AE that starts or worsens on or after the date of first dose of study treatment. TEAEs were categorised as mild, moderate, and severe to aid in severity assessment.

Part 2: Number of Participants With Adverse Events That Are Related to Treatment With ISIS 814907
From first dose of study drug up to Week 64 in Part 2

An AE was defined as any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of medicinal (investigational) product, whether or not the AE was considered related to the medicinal (investigational) product. A TEAE was defined as any AE that starts or worsens on or after the date of first dose of study treatment. TEAEs were categorised as mild, moderate, and severe to aid in severity assessment.

Secondary Endpoints
CSF Trough Concentration of ISIS 814907
Pre dose on Day 85 in Part 1 and Day 337 in Part 2
Maximum Observed Drug Concentration (Cmax) of ISIS 814907 in Plasma
Pre-dose, 0.5, 1, 2, 3, 4, and 5 hours post-intrathecal (IT) bolus injection on Day 85 in Part 1 and on Day 337 in Part 2
Time Taken to Reach Maximal Concentration (Tmax) of ISIS 814907 in Plasma
Pre-dose, 0.5, 1, 2, 3, 4, and 5 hours post-IT bolus injection on Day 85 in Part 1 and on Day 337 in Part 2
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeOTHER
Treatment Arms
ArmTypeDescription
Part 1: Cohort A: ISIS 814907 10 mgEXPERIMENTALParticipants received 10 milligrams (mg) ISIS 814907 diluted in 20 milliliters (mL) artificial cerebrospinal fluid (CSF), intrathecally, every four weeks (Q4W) on Days 1, 29, 57, and 85 in Part 1 of the study.
Part 1: Cohort B: ISIS 814907 30 mgEXPERIMENTALParticipants received 30 mg ISIS 814907 diluted in 20 mL in artificial CSF, intrathecally, Q4W on Days 1, 29, 57, and 85 in Part 1 of the study.
Part 1: Cohort C: ISIS 814907 60 mgEXPERIMENTALParticipants received 60 mg ISIS 814907 diluted in 20 mL artificial CSF, intrathecally, Q4W on Days 1, 29, 57, and 85 in Part 1 of the study.
Part 1: Cohort D: ISIS 814907 115 mgEXPERIMENTALParticipants received 115 mg ISIS 814907 diluted in 20 mL artificial CSF, intrathecally, every 12 weeks (Q12W) on Days 1 and 85 in Part 1 of the study.
Part 1: Pooled PlaceboPLACEBO_COMPARATORParticipants received 20 mL artificial CSF, intrathecally, as placebo on Days 1, 29, 57, and 85 for the 4-dose regimens, or on Days 1 and 85 for the 2-dose regimens in Part 1 of the study.
Part 2: Late Start Cohort A + Cohort B + Cohort C + ISIS 814907 60 mgEXPERIMENTALParticipants from MAD Cohorts A, B, C that were placebo-treated, received 60 mg ISIS 814907 diluted in 20 mL artificial CSF, intrathecally, Q12W on Days 1, 85, 169, 253, and 337 in Part 2 of the study.
Part 2: Late Start Cohort D + ISIS 814907 115 mgEXPERIMENTALParticipants from MAD Cohort D that were placebo-treated, received 115 mg ISIS 814907 diluted up in 20 mL artificial CSF, intrathecally, Q12W on Days 1, 85, 169, 253, and 337 in Part 2 of the study.
Part 2: Early Start Cohort A + ISIS 814907 60 mgEXPERIMENTALParticipants from MAD Cohort A that were ISIS 814907 10 mg -treated, received 60 mg ISIS 814907 diluted in 20 mL artificial CSF, intrathecally, Q12W on Days 1, 85, 169, 253, and 337 in Part 2 of the study.
Part 2: Early Start Cohort B + ISIS 814907 60 mgEXPERIMENTALParticipants from MAD Cohort B that were ISIS 814907 30 mg-treated, received 60 mg ISIS 814907 diluted in 20 mL artificial CSF, intrathecally, Q12W on Days 1, 85, 169, 253, and 337 in Part 2 of the study.
Part 2: Early Start Cohort C + ISIS 814907 60 mgEXPERIMENTALParticipants from MAD Cohort C that were ISIS 814907 60 mg-treated, received 60 mg ISIS 814907 diluted in 20 mL artificial CSF, intrathecally, Q12W on Days 1, 85, 169, 253, and 337 in Part 2 of the study.
Part 2: Early Start Cohort D + ISIS 814907 115 mgEXPERIMENTALParticipants from MAD Cohort D that were ISIS 814907 115 mg-treated, received 115 mg ISIS 814907 diluted in 20 mL artificial CSF, intrathecally, Q12W on Days 1, 85, 169, 253, and 337 in Part 2 of the study.
Interventions
NameTypeDescription
IONIS MAPTRxDRUGIONIS MAPTRx injections.
PlaceboOTHERArtificial CSF injections.
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Eligibility Criteria
Age Range50 Years — 74 Years
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria for Part 1: * Males or females aged 50-74 years, inclusive, at the time of informed consent * Diagnosed with mild Alzheimers disease, including CSF biomarkers consistent with this diagnosis * Body Mass Index BMI ≥ 18 and ≤ 35 kg/m2 and total body weight \> 50 kg (110 lbs) * Able ...

Countries:CanadaFinlandGermanyNetherlandsSwedenUnited Kingdom
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