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Zagotenemab

Phase 2

Alzheimer Disease (AD) | Small molecule | Neurology |Eli Lilly and Company|Last Updated: Aug 30, 2022

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_CONTROLLEDDMC
Total Trials1
Total Enrollment360
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03518073A Study of LY3303560 in Participants With Early Symptomatic Alzheimer's DiseasePHASE2 COMPLETED 360Apr 30, 2018Oct 25, 2021Aug 30, 202260 United States, Canada +1
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Study Endpoints
Primary Endpoints
Change From Baseline on the Integrated Alzheimer's Disease Rating Scale (iADRS)
Baseline, Week 104

Integrated Alzheimer's Disease Rating Scale (iADRS) is a simple linear combination of scores from 13-item alzheimer's disease assessment scale-cognitive subscale (ADAS-Cog13) and the Alzheimer's disease cooperative study-instrumental activities of daily living scale (ADCS-iADL). It is used to assess whether zagotenemab slows down the cognitive and functional decline associated with early symptomatic Alzheimer's Disease, compared to placebo. The iADRS score ranges from 0 to 144 with lower scores indicating worse performance and higher score better performance. Change from baseline was calculated using Bayesian disease progression model (DPM) with fixed, categorical effects of treatment, pooled site, acetylcholinesterase inhibitor (AChEI) use at baseline (yes/no), and the continuous effects of baseline score and age at baseline. Data presented are posterior mean with 95% credible interval.

Secondary Endpoints
Change From Baseline on the Alzheimer's Disease Assessment Scale- Cognitive Subscale (ADAS-Cog13) Score
Baseline, Week 104
Change From Baseline on the Alzheimer's Disease Cooperative Study-Instrumental Activities of Daily Living Scale (ADCS-iADL) Score
Baseline, Week 104
Change From Baseline on the Clinical Dementia Rating Scale Sum of Boxes (CDR-SB) Score
Baseline, Week 104
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORParticipants received intravenous (IV) infusion of placebo once every four weeks (Q4W) for 100 weeks.
Zagotenemab 1400 mgEXPERIMENTALParticipants received IV infusion of 1400 milligram (mg) zagotenemab Q4W for 100 weeks.
Zagotenemab 5600 mgEXPERIMENTALParticipants received IV infusion of 5600 mg zagotenemab Q4W for 100 weeks.
Interventions
NameTypeDescription
ZagotenemabDRUGAdministered IV
PlaceboDRUGAdministered IV
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Eligibility Criteria
Age Range60 Years — 85 Years
SexALL
Healthy VolunteersNo
Study Sites60

Inclusion Criteria: * Participants must have gradual and progressive change in memory function for \>6 months. * Participants must have a family member or close friend who is with you at least 10 hours per week and can attend study appointments. Exclusion Criteria: * Participants must not have si...

Countries:United StatesCanadaJapan
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