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Solanezumab

Phase 3

Cognition Disorders | Small molecule | Other |Eli Lilly and Company|Last Updated: Dec 28, 2023

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 Enrollment1,169
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02008357Clinical Trial of Solanezumab for Older Individuals Who May be at Risk for Memory LossPHASE3 COMPLETED 1,169Feb 28, 2014Jun 8, 2023Dec 28, 202368 United States, Australia +2
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Study Endpoints
Primary Endpoints
Change From Baseline of the Preclinical Alzheimer Cognitive Composite (PACC) Score
Baseline, Week approximately 240

PACC has 4 components: Free and Cued Selective Reminding Test (0 (worst)-96 (best recall); Delayed Paragraph Recall test (Range 0 (worst)-25 (best recall); Wechsler Adult Intelligence scale: Digit Symbol Substitution Test (DSST): (ranges 0 \[none\]-91 \[best performance\]) and Mini Mental State Examination (Range 0 \[worst\] - 30 \[best performance\]). Component scores are transformed using an established normalization method into z-scores. Each of 4 component change scores is divided by baseline sample standard deviation (SD) of that component. These z scores are summed to form the composite score. Thus, a change of 1 baseline standard deviation on each component would correspond to a 4-point change on the composite. A z-score of 0 is equal to the mean and implies how many SD higher or lower score as compared with baseline score, with increase signifying improvement.

Secondary Endpoints
Change From Baseline in Cognitive Function Index (CFI)
Baseline, Week approximately 240
Change From Baseline in Alzheimer's Disease Cooperative Study-Activities Daily Living-Prevention Questionnaire (ADCS-ADL-Prevention Questionnaire) Score
Baseline, Week approximately 240
Change From Baseline in Mean Composite Standardized Uptake Value Ratio (SUVr)
Baseline, Week approximately 240
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Solanezumab/SolanezumabEXPERIMENTALParticipants received 400 milligram (mg) solanezumab followed by 800 mg solanezumab and then 1600 milligram solanezumab administered intravenously (IV) every 4 weeks (Q4W) for approximately 240 weeks in double-blind placebo-controlled period. Participants begin open label extension and received 1600 mg solanezumab Q4W for 204 weeks (from week 240 to week 444).
Placebo/SolanezumabPLACEBO_COMPARATORParticipants received placebo administered IV Q4W for approximately 240 weeks in double-blind period. Participants begin open label extension period and received 1600 mg solanezumab Q4W for 204 weeks (from week 240 to week 444).
Interventions
NameTypeDescription
PlaceboDRUGAdministered IV
SolanezumabDRUGAdministered IV
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Eligibility Criteria
Age Range65 Years — 85 Years
SexALL
Healthy VolunteersNo
Study Sites68

Inclusion Criteria: * Has a Mini-Mental State Examination (MMSE) score at screening of 25 to 30 * Has a global Clinical Dementia Rating (CDR) scale score at screening of 0 * Has a Logical Memory II score at screening of 6 to 18 * Has a florbetapir positron emission tomography (PET) scan that shows ...

Countries:United StatesAustraliaCanadaJapan
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