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LY450139

Phase 3

Alzheimer Disease | Small molecule | Neurology |Eli Lilly and Company|Trials Updated: Mar 17, 2015

LY450139 development status

Highest phase Phase 3
Registered trials 4 across 1 sponsor since Jan 2008

LY450139 target and mechanism

ModalitySmall molecule

Also known as LY450139 dihydrate, Semagacestat

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials5
Total Enrollment2,900

FDA Designations

No designations recorded

LY450139 clinical trials

LY450139 · 5 trials · 2 indications

Phase 3 3Phase 2 1Phase 1 1
NCT01035138A Study of Semagacestat for Alzheimer's PatientsAlzheimer's Disease
COMPLETED180 Analytics
NCT00762411Effects of LY450139, on the Progression of Alzheimer's Disease as Compared With PlaceboAlzheimer's Disease
COMPLETED1,111 Analytics
NCT00594568Effect of LY450139 on the Long Term Progression of Alzheimer's DiseaseAlzheimer's Disease
COMPLETED1,537 Analytics
PHASE3COMPLETED
A Study of Semagacestat for Alzheimer's Patients
Alzheimer's DiseaseUnlock trial analytics
PHASE3COMPLETED
Effects of LY450139, on the Progression of Alzheimer's Disease as Compared With Placebo
Alzheimer's DiseaseUnlock trial analytics
PHASE3COMPLETED
Effect of LY450139 on the Long Term Progression of Alzheimer's Disease
Alzheimer's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog11) at Week 16 After Cessation of Study Drug
Baseline (LFAN randomization), 16 weeks (LFBF) after cessation of study drug

The cognitive subscale of the ADAS (ADAS-Cog11) consists of 11 items assessing areas of function most typically impaired in Alzheimer's Disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity.

Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL) at Week 16 After Cessation of Study Drug
Baseline (LFAN randomization), 16 weeks (LFBF) after cessation of study drug

The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. It measures both basic and instrumental activities of daily living. The total score ranges from 0 to 78, with lower scores indicating greater disease severity.

Change From Baseline in Alzheimer's Disease Assessment Scale- Cognitive Subscale (ADAS-Cog11) at 76 Weeks
Baseline (randomization), 76 weeks

The cognitive subscale of the ADAS (ADAS Cog11) was used as a primary efficacy measure and consists of 11 items assessing areas of function most typically impaired in Alzheimer's disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.

Change From Baseline in Alzheimer's Disease Assessment Scale- Cognitive Subscale (ADAS-Cog11) at 16 Weeks After Cessation of Study Drug
Baseline (randomization), 16 weeks following treatment cessation

The cognitive subscale of ADAS (ADAS Cog11) consists of 11 items assessing areas of function most typically impaired in Alzheimer's disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.

Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL) at 76 Weeks
Baseline (randomization), 76 weeks

The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. The ADCS-ADL measures both basic and instrumental activities of daily living by participants. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.

Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL) at 16 Weeks After Cessation of Study Drug
Baseline (randomization), 16 weeks following treatment cessation

The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. The ADCS-ADL measures both basic and instrumental activities of daily living by participants. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.

Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog11) Score at 76 Weeks
Baseline (randomization), 76 weeks

ADAS-Cog11 was used as a primary efficacy measure. It consists of 11 items assessing areas of function most typically impaired in Alzheimer's disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.

Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog11) Score at 16 Weeks After Cessation of Study Drug
Baseline (randomization), 16 weeks following treatment cessation

ADAS-Cog11 consists of 11 items assessing areas of function most typically impaired in Alzheimer's disease (AD): orientation, verbal memory, language, and praxis. The scale ranges from 0 to 70, with higher scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.

Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living (ADCS-ADL) Inventory Score at 76 Weeks
Baseline (randomization), 76 weeks

ADCS-ADL is a 23-item inventory developed as a Rater-administered questionnaire answered by the participant's caregiver. It measures performance of basic and instrumental activities of daily living by participants. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.

Change From Baseline in Alzheimer's Disease Cooperative Study Activities of Daily Living (ADCS-ADL) Inventory Score at 16 Weeks After Cessation of Study Drug
Baseline (randomization), 16 weeks following treatment cessation

ADCS-ADL is a 23-item inventory developed as a Rater-administered questionnaire answered by the participant's caregiver. It measures performance of basic and instrumental activities of daily living by participants. The total score ranges from 0 to 78, with lower scores indicating greater disease severity. Least Squares (LS) Mean value was controlled for baseline value, age, investigator, visit, and concomitant standard of care (SOC) medication.

Safety and tolerability
To test hypothesis that LY450139, a gamma-secretase inhibitor, will reduce the rate of synthesis of 13C6-leucine-labeled Aβ (newly synthesized) in lumbar cerebrospinal fluid (CSF).
0-36 hours post dose

Secondary Endpoints

Percent Change From Baseline in Amyloid Beta (Aβ) 1-42 Plasma Concentration at Week 12
Baseline (LFAN Randomization ), 6 hours pose-dose at Week 12 (LFBF)
Change From Baseline in Hippocampal Volume Using Volumetric Magnetic Resonance Imaging (vMRI) at Week 12
Baseline (LFAN Randomization), 12 weeks (LFBF)
Change From Baseline in Amyloid Imaging Positron Emission Tomography (AV-45-PET) at Week 12
Baseline (LFAN Randomization), 12 weeks (LFBF)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Drug: semagacestatEXPERIMENTAL -
LY450139EXPERIMENTALParticipants received 60 milligrams (mg) LY450139 orally once daily for 2 weeks followed by 100 mg LY450139 orally once daily for 2 weeks, then 140 mg LY450139 orally once daily until Week 88.
PlaceboPLACEBO_COMPARATORParticipants received placebo orally once daily for the first 76 weeks. At the end of 76 weeks, participants in the placebo arm received LY450139 titrated up to 140 mg orally once daily until Week 88.
100 mg LY450139EXPERIMENTALParticipants received 60 mg LY450139 orally once daily for 2 weeks, followed by 100 mg LY450139 orally once daily until Week 88.
140 mg LY450139EXPERIMENTALParticipants received 60 mg LY450139 orally once daily for 2 weeks, followed by 100 mg LY450139 orally once daily for 2 weeks, then 140 mg LY450139 orally once daily until Week 88.
1EXPERIMENTAL100 mg LY 450139 oral
2EXPERIMENTAL140 mg LY450139 oral
3EXPERIMENTAL280 mg LY450139 oral
4EXPERIMENTALPlacebo

Interventions

NameTypeDescription
semagacestatDRUG140mg administered orally, once daily for 24 months; dose reduction to 100mg or 60 mg possible due to intolerability
LY450139DRUGAdministered orally once daily.
PlaceboDRUGAdministered orally once daily.
LY450139 dihydrateDRUG -
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Eligibility Criteria

Age Range55 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites71

Inclusion Criteria: * Meets National Institute of Neurological and Communicative Disorders and Stroke/Alzheimer's Disease and Related Disorders Association (NINCDS/ADRDA) criteria for probable Alzheimer's Disease * Completed semagacestat study LFAN or study LFBC through 88 weeks * Must continue to ...

Countries:United StatesAustraliaCanadaChileFinlandFranceGermanyIsraelItalyJapanPolandSouth AfricaSpainSwedenBrazilBulgariaChinaHungaryMexicoRomaniaRussiaSerbiaSouth KoreaTaiwanTurkey (Türkiye)UkraineArgentinaBelgiumDenmarkIndiaUnited Kingdom
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Frequently asked questions about LY450139

What is LY450139?

LY450139 is an investigational small molecule developed by Eli Lilly and Company for Alzheimer disease. It was studied in Phase 3 clinical development as a potential treatment for the condition. All four of its registered clinical trials have been completed, and no trials are currently active.

What is LY450139 used for in Alzheimer disease?

LY450139 was developed as a treatment for Alzheimer disease. It was evaluated in Phase 2 and Phase 3 clinical trials involving patients with mild to moderate Alzheimer disease, as well as in a Phase 1 study of healthy volunteers. It is an investigational agent and is not an approved therapy.

Who makes LY450139?

LY450139 is made by Eli Lilly and Company, which trades on the New York Stock Exchange under the ticker LLY. Eli Lilly sponsored all four registered clinical trials of the compound, including the Phase 3 studies conducted across North America, Europe, Asia, and South America.

What phase is LY450139 in?

LY450139 reached Phase 3 clinical development. Two Phase 3 trials were conducted: NCT00762411, which enrolled 1,111 participants, and NCT00594568, which enrolled 1,537 participants. Both Phase 3 studies and the earlier Phase 1 and Phase 2 trials have been completed, and no trials are currently active.

What clinical trials is LY450139 in?

LY450139 has been studied in four completed clinical trials. These include the Phase 1 study NCT00765115, the Phase 2 study NCT00244322, and the Phase 3 studies NCT00762411 and NCT00594568. Together these trials enrolled approximately 2,720 participants, with the Phase 3 studies using randomized, double-blind, controlled designs.

Is LY450139 the same as LY450139 dihydrate?

Yes, LY450139 dihydrate is an alternative name for LY450139. The dihydrate form was used in the Phase 2 trial NCT00244322, titled Effects of LY450139 Dihydrate on Subjects With Mild to Moderate Alzheimer's Disease. Searches for either name refer to the same Eli Lilly compound.