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ACC-001 + QS-21

Phase 2

Alzheimer Disease | Monoclonal antibody | Neurology |Pfizer, Inc.|Last Updated: Mar 25, 2021

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-BlindCONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment446
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00955409Long Term Extension Study Evaluating Safety, Tolerability and Immunogenicity Of ACC-001 In Subjects With Mild To Moderate Alzheimer's DiseasePHASE2 COMPLETED 160Nov 5, 2009Dec 17, 2013Mar 25, 202117 France, Germany +1
NCT00752232Study Evaluating ACC-001 in Japanese Patients With Mild To Moderate Alzheimer's DiseasePHASE2 COMPLETED 40Dec 1, 2008Jul 1, 2012Jan 1, 201610 Japan
NCT00498602Study Evaluating ACC-001 In Subjects With Mild To Moderate Alzheimer's DiseasePHASE2 COMPLETED 160Nov 1, 2007Feb 1, 2013Jan 1, 201627 United States
NCT00479557Study Evaluating Safety, Tolerability, And Immunogenicity Of ACC-001 In Subjects With Mild To Moderate Alzheimer's DiseasePHASE2 COMPLETED 86May 1, 2007Jan 1, 2013Jan 1, 201624 France, Germany +1
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Study Endpoints
Primary Endpoints
Percentage of Participants With Treatment-emergent AEs or Serious Adverse Events (SAEs)
24 months

An AE was any untoward, undesired, or unplanned clinical event in the form of signs, symptoms, disease, or laboratory or physiologic observations occurring in a person given study drug or in a sponsor's clinical study. The event did not need to be causally related to the study drug or the clinical studies. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment, or worsened during the treatment period relative to the pretreatment state. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Incidence of Treatment-emergent Adverse Events (AEs) by Severity
Baseline up to 24 months

Number of participants who experienced mild, moderate, or severe AEs (mild = does not interfere with subject's usual function; moderate = interferes to some extent with subject's usual function; severe = interferes significantly with subject's usual function)

Number of Participants With Brain Abnormalities in Magnetic Resonance Imaging (MRI) Data
Baseline up to 24 months

Number of participants with brain abnormalities in MRI data that are either consistent or not consistent with AD, as determined by investigator.

Number of Participants With Abnormalities in Neurological Examination
Baseline up to 24 months

Number of participants with abnormalities in neurological examinations as determined by the investigators. Neurological examinations included Mental Status, Speech, Cranial Nerves (including pupil equality and reactivity), Visual field, Sensory, Motor, Coordination, Gait, Primitive reflexes, Tendon reflexes and Romberg.

Secondary Endpoints
Anti-a-beta IgG Titer at Specified Visits
Baseline up to 24 months
Anti-a-beta IgM Titer at Specified Visits
Baseline up to 24 months
Geometric Mean Titers (GMTs) of Anti-A-beta Immunoglobulin G (IgG) Total Using an Enzyme-linked Immunosorbent Assay (ELISA) at Weeks 2, 4, 6, 8, 10, 14, 16, 24, 28, 30, 40, 50, 54, 56, 66, 78, 91, and 104
Baseline, Week 2, 4, 6, 8, 10, 14, 16, 24, 28, 30, 40, 50, 54, 56, 66, 78, 91, and 104
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ACC-001(3µg) + QS21EXPERIMENTALACC-001(3µg) + QS21
ACC-001(10µg) + QS21EXPERIMENTALACC-001(10µg) + QS21
ACC-001(30µg) + QS21EXPERIMENTALACC-001(30µg) + QS21
ACC-001+QS-21EXPERIMENTALActive vaccine + adjuvant, IM injection, dose of 3, 10, 30 micrograms, Day 1, month 3, 6, 9, 12
ACC-001EXPERIMENTALActive vaccine, IM injection, dose of 3, 10, 30 micrograms, Day 1, month 3, 6, 9, 12
QS-21PLACEBO_COMPARATORAdjuvant, IM injection, dose of 50 micrograms, Day 1, month 3, 6, 9, 12
PBSPLACEBO_COMPARATORPlacebo, IM injection, Day 1, month 3, 6, 9, 12
1EXPERIMENTALACC-001
2OTHERQS-21
3OTHERDiluent: Phosphate Buffered Saline
4EXPERIMENTALACC-001
Interventions
NameTypeDescription
ACC-001(3µg) + QS21BIOLOGICALVanutide Cridificar (ACC-001) 3µg + QS-21 (50µg), IM on Day 1, Month 6, Month 12 and Month 18
ACC-001(10µg) + QS21BIOLOGICALVanutide Cridificar (ACC-001) 10µg + QS-21 (50µg), IM on Day 1, Month 6, Month 12 and Month 18
ACC-001(30µg) + QS21BIOLOGICALVanutide Cridificar (ACC-001) 30 µg + QS-21 (50µg), IM on Day 1, Month 6, Month 12 and Month 18
ACC-001BIOLOGICALIM injection, dose of 3, 10, 30 micrograms, Day 1, month 3, 6, 9, 12
QS-21OTHERIM injection, dose of 50 micrograms, Day 1, month 3, 6, 9, 12
PBSOTHERIM injection, Day 1, month 3, 6, 9, 12
ACC-001 + QS-21BIOLOGICALIM injection, ACC-001 (3ug, or 10ug, or 30ug) + QS-21 50ug at Day 1 and weeks 4, 12, 26, and 52
Diluent: Phosphate Buffered SalineOTHERIM injection, PBS Diluent at Day 1 and weeks 4, 12, 26, and 52
Placebo: Phosphate buffered salineDRUGPhosphate buffered Saline (pH : 7.4), IM on day 1, month 1, month 3, month 6 and month 12
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Eligibility Criteria
Age Range50 Years — 85 Years
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: * Subjects randomized under previous 3134K1-200 study (NCT00479557) and met all inclusion/and none of the exclusion criteria * Screening brain MRI scan is consistent with the diagnosis of AD ' Mini-Mental State Examination (MMSE) score ≥10 Exclusion Criteria: * Significant Neu...

Countries:FranceGermanySpainJapanUnited States
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