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Ponezumab

Phase 2

Cerebral Amyloid Angiopathy | Monoclonal antibody | Neurology |Pfizer, Inc.|Trials Updated: May 10, 2017

Ponezumab development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Mar 2013

Ponezumab target and mechanism

Molecular targetAPP
Target classBinding Agent
ModalityMonoclonal antibody

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment36

FDA Designations

No designations recorded

Ponezumab clinical trials

Ponezumab · 1 trial · 1 indication

Phase 2 1
NCT01821118Study Evaluating the Safety,Tolerability and Efficacy of PF-04360365 in Adults With Probable Cerebral Amyloid AngiopathyCerebral Amyloid Angiopathy
COMPLETED36 Analytics
PHASE2COMPLETED
Study Evaluating the Safety,Tolerability and Efficacy of PF-04360365 in Adults With Probable Cerebral Amyloid Angiopathy
Cerebral Amyloid AngiopathyUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline to Day 2 in Cerebrovascular Reactivity as Measured by the Slope (Amplitude Over Time to Peak) From Visual Task-evoked Functional Magnetic Resonance Imaging (fMRI)
Baseline, Day 2

Blood Oxygen Level Dependant (BOLD) fMRI was performed at Screening (Baseline) and on Days 2 and 90. During each of these sessions, BOLD fMRI images were acquired in rapid succession as a flashing radial black and white checkerboard was presented alternately with a gray screen. This well established visual stimulus is known to produce a reliable increase in BOLD fMRI signal within the visual cortex region of the occipital lobe. The time course of the BOLD fMRI signal was used to assess the vascular reactivity. Imaging sites also acquired cerebral blood flow data using Arterial Spin Labeled (ASL) scans at Screening and on Days 2 and 90. A standard T1-weighted image was also acquired to aid image analysis. All efficacy scans were analyzed centrally. Geometric means are presented in the original scale and standard errors (SE) are presented in logarithmic (log e) scale.

Change From Baseline to Day 90 in Cerebrovascular Reactivity as Measured by the Slope (Amplitude Over Time to Peak) From Visual Task-evoked fMRI
Baseline, Day 90

BOLD fMRI was performed at Screening (Baseline) and on Days 2 and 90. During each of these sessions, BOLD fMRI images were acquired in rapid succession as a flashing radial black and white checkerboard was presented alternately with a gray screen. This well established visual stimulus is known to produce a reliable increase in BOLD fMRI signal within the visual cortex region of the occipital lobe. The time course of the BOLD fMRI signal was used to assess the vascular reactivity. Imaging sites also acquired cerebral blood flow data using ASL scans at Screening and on Days 2 and 90. A standard T1-weighted image was also acquired to aid image analysis. All efficacy scans were analyzed centrally. Geometric means are presented in the original scale and SEs are presented in log e scale.

Secondary Endpoints

Change From Baseline to Day 2 and Day 90 in Cerebrovascular Reactivity as Measured by the Time to Peak From Visual Task-evoked fMRI
Baseline, Day 2, Day 90
Change From Baseline to Day 2 and Day 90 in Cerebrovascular Reactivity as Measured by the Amplitude From Visual Task-evoked fMRI
Baseline, Day 2, Day 90
Change From Baseline to Day 2 and Day 90 in Cerebrovascular Reactivity as Measured by the Time to Return to Baseline From Visual Task-evoked fMRI
Baseline, Day 2, Day 90
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTAL -
2PLACEBO_COMPARATOR -

Interventions

NameTypeDescription
PonezumabBIOLOGICALInfusion of Ponezumab (Day 1=10mg/kg; Day 30 and Day 60 dose = 7.5mg/kg) or placebo (saline); administered via infusion for a total infusion time of 20 minutes.
placeboOTHERplacebo (saline)- given via infusion total infusion time of 20 minutes
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Eligibility Criteria

Age Range55 Years to 90 Years
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria: * Patients diagnosed with probable CAA using the Boston criteria; with no clinical cognitive impairment * In general good health Exclusion Criteria: * Co-morbid diagnosis of clinically documented Alzheimer's disease or significant cognitive impairment * Clinically significant ...

Countries:United StatesCanadaFranceNetherlandsUnited Kingdom
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Frequently asked questions about Ponezumab

What is Ponezumab used for?

Ponezumab was developed for cerebral amyloid angiopathy, a neurological condition in which amyloid protein deposits build up in the blood vessels of the brain. It was studied in adults with probable cerebral amyloid angiopathy, a patient population aged 55 years and older. It is an investigational therapy and is not an approved treatment.

What does Ponezumab target?

Ponezumab targets amyloid precursor protein, or APP. It is a monoclonal antibody designed to bind APP, the protein from which amyloid beta peptides are derived. Because cerebral amyloid angiopathy involves amyloid deposition in cerebral blood vessels, targeting APP was the intended approach for this antibody in that condition.

Who makes Ponezumab?

Ponezumab was developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer sponsored the clinical research program for the antibody, including the Phase 2 study conducted in patients with probable cerebral amyloid angiopathy across sites in the United States, Canada, France, the Netherlands, and the United Kingdom.

What phase is Ponezumab in?

Ponezumab reached Phase 2 clinical development for cerebral amyloid angiopathy. It is an investigational monoclonal antibody and has not been approved by the FDA for any indication. The Phase 2 program has been completed, and no trials of this agent are currently listed as active.

What clinical trials is Ponezumab in?

Ponezumab was studied in one completed Phase 2 trial, NCT01821118, titled a study evaluating the safety, tolerability, and efficacy of PF-04360365 in adults with probable cerebral amyloid angiopathy. That randomized, double-blind, placebo-controlled trial enrolled 36 participants aged 55 years and older across five countries.

Is Ponezumab the same as PF-04360365?

Yes. PF-04360365 is the Pfizer compound code for Ponezumab, and the two names refer to the same monoclonal antibody. The Phase 2 trial in cerebral amyloid angiopathy, NCT01821118, is listed under the PF-04360365 designation, while Ponezumab is the international nonproprietary name for the same agent.