Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Simufilam · 6 trials · 6 indications
The change from baseline to Week 52 in the ADAS-Cog12, a psychometrician-administered battery comprised of several cognitive domains including memory, comprehension, praxis, orientation, and spontaneous speech. Scores range from 0 (best) to 80 (worst).
The change from baseline to Week 52 in the ADCS-ADL, a 23-item study partner questionnaire that covers both basic activities of daily living (ADL) and more complex ADL or instrumental ADL. Scores range from 0 to 78, with a lower score indicating greater severity of functional loss.
Alzheimer's Disease Assessment Scale-Cognitive Subscale 11-item: Change from baseline in cognition over the course of 24 months Possible range in score: 0-70; Subscales are summed; Higher values represent a more cognitively impaired participant Decrease in mean value represents improvement in cognition from one timepoint to the next.
Alzheimer's Disease Assessment Scale-Cognitive Subscale 11-item: Change from baseline in cognition Starting at month 12 through month 24; Possible range in score: 0-70; Higher values represent a more cognitively impaired participant; Decrease in mean value represents improvement in cognition from one timepoint to the next.
The most frequently reported Treatment Emergent Adverse Events indicative of abnormal vital signs (hypertension/worsening of hypertension and blood pressure increase) of simufilam (PTI-125) during the open label portion of the study: Open-label period 1 (Day 1 to Month 12) and open-label period 2 (Month 18 to Month 24)
The most frequently reported Treatment Emergent Adverse Event indicative of abnormal vital signs (hypotension) of simufilam (PTI-125) or placebo during the randomized withdraw portion of the study : Month 12 to Month 18
The number of subjects that had Treatment Emergent Adverse Events indicative of abnormal Electrocardiogram results while on simufilam (PTI-125) during the open label portion of the study: Open-label period 1 (Day 1 to Month 12) and open-label period 2 (Month 18 to Month 24)
The number of subjects that had Treatment Emergent Adverse Events indicative of abnormal Electrocardiogram results while on simufilam (PTI-125) or placebo during the randomized withdraw portion of the study: Month 12 to Month 18
The most frequently reported Treatment Emergent Adverse Events indicative of abnormal physical examination (weight increase or weight decrease) while administered simufilam (PTI-125) during the open label portion of the study: Open-label period 1 (Day 1 to Month 12) and open-label period 2 (Month 18 to Month 24)
The number of subjects that had Treatment Emergent Adverse Events of indicative of abnormal physical examination while on simufilam (PTI-125) or placebo during the randomized withdraw portion of the study: Month 12 to Month 18
Treatment Emergent Adverse Events when three or more subjects reported abnormal clinical laboratory results while on simufilam (PTI-125) during the open label portion of the study: Open-label period 1 (Day 1 to Month 12) and open-label period 2 (Month 18 to Month 24)
Treatment Emergent Adverse Events when two or more subjects reported abnormal clinical laboratory results while on simufilam (PTI-125) or placebo during the randomized withdraw portion of the study: Month 12 to Month 18
Change from Baseline (screening sample) to Day 28 in cerebrospinal fluid levels of Amyloid beta42
Change from Baseline (screening sample) to Day 28 in cerebrospinal fluid total tau.
Change from Baseline (screening) to Day 28 in cerebrospinal fluid P-tau181
Change from Baseline (screening) to Day 28 in cerebrospinal fluid neurogranin
Change from Baseline (screening) to Day 28 in cerebrospinal fluid neurofilament light chain
Change from Baseline (screening) in cerebrospinal fluid YKL-40
Area Under the Curve of simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)
Maximum simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)
Time to maximum simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)
Half-life of simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)
Elimination rate constant of simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)
Area Under the Curve for each total radioactivity, parent drug and metabolite(s) in plasma.
Maximum concentration for each total radioactivity, parent drug and metabolite(s) in plasma.
Time to maximum concentration for each total radioactivity, parent drug and metabolite(s) in plasma.
Half-life for each total reactivity, parent drug and metabolite(s) in plasma.
Elimination rate constant for each total reactivity, parent drug and metabolite(s) in plasma.
The maximum concentration determined directly from individual concentration-time data
Area under the curve to the time of the last quantifiable concentration, calculated using the linear trapezoidal method
Area under the curve extrapolated to infinity; calculated as: AUCinf = AUClast + Clast/λz
| Arm | Type | Description |
|---|---|---|
| Placebo | PLACEBO_COMPARATOR | Matching placebo, supplied by Cassava as coated tablets, and taken twice daily (b.i.d.) for 52 weeks |
| Simufilam 100 mg | EXPERIMENTAL | Simufilam 100 mg, supplied by Cassava as coated tablets, and taken b.i.d. for 52 weeks |
| Simufilam 100 mg oral tablets throughout | EXPERIMENTAL | Simufilam 100 mg oral tablets administered twice daily (BID) for the full 24 months (including the randomized period Month 12 to Month 18) |
| Simufilam 100 mg oral tablets / Placebo / Simufilam 100 mg oral tablets | PLACEBO_COMPARATOR | This placebo arm is only for Month 12 to Month 18. Day 1 to Month 12, as well as Month 18 to Month 24 are open-label treatment periods of simufilam 100 mg b.i.d. for all subjects. |
| Placebo Cohort | PLACEBO_COMPARATOR | Subjects administered placebo oral tablets twice daily (BID) |
| Simufilam (PTI-125) 100 mg tablets Cohort | EXPERIMENTAL | Subjects administered simufilam (PTI-125) 100 mg oral tablets twice daily (BID) |
| Simufilam (PTI-125) 50 mg tablets Cohort | EXPERIMENTAL | Subjects administered simufilam (PTI-125) 50 mg oral tablets twice daily (BID) |
| Moderate Hepatic Impairment | EXPERIMENTAL | - |
| Healthy Volunteer | EXPERIMENTAL | - |
| Mild Hepatic Impairment | EXPERIMENTAL | - |
| Sequence A | OTHER | This arm received Phase 2 tablet fasted (Period 1), Phase 3 tablet fasted (Period 2), Phase 3 tablet after a high-fat meal (Period 3), and Phase 3 tablet after a low-fat meal (Period 4). |
| Sequence B | OTHER | This arm received Phase 3 tablet after a low-fat meal (Period 1), Phase 2 tablet fasted (Period 2), Phase 3 tablet fasted (Period 3), and Phase 3 tablet after a high-fat meal (Period 4). |
| Sequence C | OTHER | This arm received Phase 3 tablet fasted (Period 1), Phase 3 tablet after a high-fat meal (Period 2), Phase 3 tablet after a low-fat meal (Period 3), and Phase 2 tablet fasted (Period 4). |
| Sequence D | OTHER | This arm received Phase 3 tablet after a high-fat meal (Period 1), Phase 3 tablet after a low-fat meal (Period 2), Phase 2 tablet fasted (Period 3), and Phase 3 tablet fasted (Period 4). |
| Name | Type | Description |
|---|---|---|
| Simufilam | DRUG | Simufilam is a novel drug candidate designed to treat and slow the progression of AD. Simufilam binds with femtomolar affinity to an altered conformation of filamin A that is present in the brain of patients with AD and critical to the toxicity of Aβ42. In this study, simufilam will be given b.i.d. for 52 weeks at a dose of 100 mg. |
| Placebo | DRUG | Matching placebo given b.i.d. for 52 weeks. |
| Simufilam 100 mg oral tablet | DRUG | Simufilam 100 mg oral tablet for b.i.d. administration |
| Placebo oral tablet | DRUG | Oral placebo tablet |
| Simufilam 100 mg tablet | DRUG | Simufilam 100 mg oral tablet |
| Simufilam 50 mg oral tablet | DRUG | Simufilam 50 mg oral tablet |
Key Inclusion Criteria: 1. Meets National Institute on Aging and Alzheimer's Association Research Framework criteria for individuals in clinical Stage 4 or 5 of the Alzheimer's continuum. 2. Evidence for AD pathophysiology, confirmed either prior to or during screening. 3. MMSE score ≥ 16 and ≤ 27 ...
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