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galantamine

Phase 3

Alzheimer's Disease | Small molecule | Neurology |Johnson & Johnson|Last Updated: Apr 17, 2014

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 Trials3
Total Enrollment802
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00814801An Efficacy and Safety Study of Galantamine for the Treatment of Patients With Alzheimer's DiseasePHASE3 COMPLETED 580Feb 1, 2007Sep 1, 2008Apr 17, 20141 Japan
NCT00082602Safety and Tolerability Study of Extended Release (ER) Galantamine in Alzheimer's DiseasePHASE3 COMPLETED 83May 1, 2004Apr 1, 2005May 20, 2011 -
NCT00309725A Cardiac Safety Study of Galantamine in the Treatment of Alzheimer's Disease.PHASE3 COMPLETED 139 -Oct 1, 1999May 18, 2011 -
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Study Endpoints
Primary Endpoints
Change From Baseline in the Alzheimer's Disease Assessment Scale - Japan Cognitive Subscale (ADAS-J Cog)
Baseline and 24 weeks

ADAS-J cog is the Japanese version of the cognitive function subscale of the Alzheimer's disease assessment scale (ADAS). This scale is used to detect changes in cognitive function in individuals with Alzheimer disease on the basis of three domains: memory, language and behavior. The minimum score is zero (0) and means well cognitive function. The maximum total score is 70 points, and the larger the score, the more severe the degree of impairment.

Distribution of Clinician's Interview-Based Impression of Change Plus - Japan (CIBIC Plus-J)
24 weeks

CIBIC plus-J is the Japanese version of the Clinician's Interview-based Impression of Change plus the caregiver's input (CIBIC plus). It is a seven-point categorical assessment scale for evaluating the efficacy of antidementia drugs, ranging from "markedly improved" to "markedly worse".

The primary end point occurs at Week 8. The primary outcome measures will be tolerability and safety through rates of adverse events.
Hourly mean heart rates and PR intervals during each of the 24-hour Holter monitoring periods; Twenty-four hour mean, minimum and maximum heart rates and PR intervals during each of the 24-hour Holter monitoring periods
Secondary Endpoints
Change From Baseline in the Disability Assessment for Dementia (DAD)
Baseline and 24 weeks
Change From Baseline in the Behavioral Pathology in Alzheimer's Disease Rating Scale (Behave-AD)
Baseline and 24 weeks
Change From Baseline in the Mental Function Impairment Scale (MENFIS)
Baseline and 24 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATOR -
Galantamine 16 mg/dayEXPERIMENTAL -
Galantamine 24 mg/dayEXPERIMENTAL -
Interventions
NameTypeDescription
PlaceboDRUGForm= tablet, route= oral use. Corresponding placebo tablets confirmed to be indistinguishable from the galantamine tablets will be administered for 24 weeks.
Galantamine 16 mg/dayDRUGType= exact number, number= 8, 16, unit= mg/day, form= tablet, route= oral use. Patients will receive 8 mg galantamine daily for the first 4 weeks, and 16 mg galantamine daily for the remaining 20 weeks.
Galantamine 24 mg/dayDRUGType= exact number, number= 8, 16, 24, unit= mg/day, form= tablet, route= oral use. Patients will receive 8 mg galantamine daily for the first 4 weeks, then 16 mg galantamine daily for the following 4 weeks, and 24 mg galantamine daily for the remaining 16 weeks.
galantamine ERDRUG -
galantamineDRUG -
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Eligibility Criteria
Age Range45 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Outpatients with a diagnosis of Alzheimer's disease according to the National Institute of Neurological and Communicative Disorders and the Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) criteria * Having a Mini-Mental Status Examination (MMSE) score of 1...

Countries:Japan
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