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semagacestat

Phase 3

Alzheimer's Disease | Small molecule | Neurology |Eli Lilly and Company|Last Updated: Sep 25, 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
UNCONTROLLED
Total Trials1
Total Enrollment180
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01035138A Study of Semagacestat for Alzheimer's PatientsPHASE3 COMPLETED 180Dec 1, 2009Apr 1, 2011Sep 25, 201471 United States, Australia +12
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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.

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 -
Interventions
NameTypeDescription
semagacestatDRUG140mg administered orally, once daily for 24 months; dose reduction to 100mg or 60 mg possible due to intolerability
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Eligibility Criteria
Age Range55 Years — 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 AfricaSpainSweden
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