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ACC-001+ QS-21

Phase 2

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

ACC-001+ QS-21 target and mechanism

ModalityMonoclonal antibody

Also known as ACC-001

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials5
Total Enrollment478

FDA Designations

No designations recorded

ACC-001+ QS-21 clinical trials

ACC-001+ QS-21 · 5 trials · 2 indications

Phase 2 5
NCT00955409Long Term Extension Study Evaluating Safety, Tolerability and Immunogenicity Of ACC-001 In Subjects With Mild To Moderate Alzheimer's DiseaseAlzheimer Disease
COMPLETED160 Analytics
NCT00959192Safety, Tolerability, And Immunogenicity Study Of ACC-001 In Japanese Subjects With Mild To Moderate Alzheimer's DiseaseAlzheimer's Disease
COMPLETED32 Analytics
NCT00752232Study Evaluating ACC-001 in Japanese Patients With Mild To Moderate Alzheimer's DiseaseAlzheimer Disease
COMPLETED40 Analytics
NCT00498602Study Evaluating ACC-001 In Subjects With Mild To Moderate Alzheimer's DiseaseAlzheimer Disease
COMPLETED160 Analytics
NCT00479557Study Evaluating Safety, Tolerability, And Immunogenicity Of ACC-001 In Subjects With Mild To Moderate Alzheimer's DiseaseAlzheimer Disease
COMPLETED86 Analytics
PHASE2COMPLETED
Long Term Extension Study Evaluating Safety, Tolerability and Immunogenicity Of ACC-001 In Subjects With Mild To Moderate Alzheimer's Disease
Alzheimer DiseaseUnlock trial analytics
PHASE2COMPLETED
Safety, Tolerability, And Immunogenicity Study Of ACC-001 In Japanese Subjects With Mild To Moderate Alzheimer's Disease
Alzheimer's DiseaseUnlock trial analytics
PHASE2COMPLETED
Study Evaluating ACC-001 in Japanese Patients With Mild To Moderate Alzheimer's Disease
Alzheimer DiseaseUnlock trial analytics
PHASE2COMPLETED
Study Evaluating ACC-001 In Subjects With Mild To Moderate Alzheimer's Disease
Alzheimer DiseaseUnlock trial analytics
PHASE2COMPLETED
Study Evaluating Safety, Tolerability, And Immunogenicity Of ACC-001 In Subjects With Mild To Moderate Alzheimer's Disease
Alzheimer DiseaseUnlock trial analytics

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 radiologists.

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 and 30 micrograms, at Day 1, month 1, 3, 6 and 12
QS-21PLACEBO_COMPARATORAdjuvant, IM injection, dose 50 micrograms, at Day 1, month 1, 3, 6 and 12
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
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 and 30 micrograms, at Day 1, month 1, 3, 6 and 12
QS-21OTHERIM injection, dose of 50 micrograms, at Day 1, month 1, 3, 6 and 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 to 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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Frequently asked questions about ACC-001+ QS-21

What is ACC-001+ QS-21?

ACC-001+ QS-21 is an investigational monoclonal antibody-based vaccine being studied for Alzheimer disease. It combines ACC-001 with the QS-21 adjuvant and was developed by Pfizer, Inc. (PFE). The program reached Phase 2 clinical development, and all of its recorded trials are now completed.

What is ACC-001+ QS-21 used for in Alzheimer disease?

ACC-001+ QS-21 was studied for the treatment of mild to moderate Alzheimer disease. Its Phase 2 trials enrolled adults aged 50 years and older with that diagnosis. The program is investigational and is not an approved therapy for Alzheimer disease.

Who makes ACC-001+ QS-21?

Pfizer, Inc. (ticker PFE) is the developer of ACC-001+ QS-21. The company sponsored the Phase 2 clinical program evaluating the vaccine candidate in patients with mild to moderate Alzheimer disease across sites in the United States, Japan, and Europe.

What phase is ACC-001+ QS-21 in?

ACC-001+ QS-21 reached Phase 2 clinical development. Five trials were conducted in total, all of which are completed, with no active trials ongoing. The candidate remains investigational and has not been approved for marketing.

What clinical trials is ACC-001+ QS-21 in?

ACC-001+ QS-21 was evaluated in five completed Phase 2 trials, including NCT00498602 and NCT00955409, each enrolling 160 patients, plus NCT00752232 and NCT00959192 in Japan. The studies were randomized, double-blind, and controlled, with total enrollment of 478 participants.

Is ACC-001+ QS-21 the same as ACC-001?

ACC-001+ QS-21 is the combination of ACC-001 with the QS-21 adjuvant, and it is also written as ACC-001 + QS-21, ACC-001+ QS21, or ACC-001(3µg) + QS21. Searches for ACC-001 refer to the same Pfizer Alzheimer disease vaccine program.