Recent Updates
Recently added Catalysts

Simufilam

Phase 3

Alzheimer Disease | Small molecule | Neurology |Cassava Sciences, Inc.|Last Updated: May 25, 2025

Success Probability
Subscribe to view
Market & Valuation
Subscribe to view
Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment1,088
FDA Designations
No designations recorded
Clinical trial landscape

Simufilam · 6 trials · 6 indications

Phase 3 1Phase 2 2Phase 1 3
NCT04994483Simufilam 100 mg for Mild-to-Moderate Alzheimer's DiseaseAlzheimer Disease
COMPLETED804 Analytics
PHASE3COMPLETED
Simufilam 100 mg for Mild-to-Moderate Alzheimer's Disease
Alzheimer DiseaseUnlock trial analytics
Study Endpoints
Primary Endpoints
Change From Baseline in the 12-item Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog12)
Baseline (Study Day 1) to Week 52

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).

Change From Baseline in the Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL)
Baseline (Study Day 1) to Week 52

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.

Change From Baseline in ADAS-Cog-11
Day 1 to Month 24

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.

Change From Baseline in ADAS-Cog-11 (Month 12 to Month 24)
Month 12 to Month 24

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.

Safety and Tolerability (Open Label Abnormal Vital Signs)
Day 1 to Month 12 and month 18 to month 24

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)

Safety and Tolerability (Randomize Withdraw Abnormal Vital Signs)
Month 12 to month 18

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

Safety and Tolerability (Open Label Electrocardiogram Results)
Day 1 to Month 12 and 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) 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)

Safety and Tolerability (Randomize Withdraw Electrocardiogram Results)
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) or placebo during the randomized withdraw portion of the study: Month 12 to Month 18

Safety and Tolerability (Open Label Abnormal Physical Examination)
Day 1 to Month 12 and month 18 to month 24

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)

Safety and Tolerability (Randomize Withdraw Abnormal Physical Examination Findings)
Month 12 to Month 18

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

Safety and Tolerability (Open Label Abnormal Clinical Laboratory Results)
Day 1 to Month 12 and month 18 to month 24

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)

Safety and Tolerability (Randomize Withdraw Abnormal Clinical Laboratory Results)
Month 12 to Month 18

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 in CSF Abeta42
Screening to Day 28

Change from Baseline (screening sample) to Day 28 in cerebrospinal fluid levels of Amyloid beta42

Change From Baseline in CSF Total Tau.
Screening to Day 28

Change from Baseline (screening sample) to Day 28 in cerebrospinal fluid total tau.

Change From Baseline in CSF P-tau181
Screening to Day 28

Change from Baseline (screening) to Day 28 in cerebrospinal fluid P-tau181

Change From Baseline in CSF Neurogranin
Screening to Day 28

Change from Baseline (screening) to Day 28 in cerebrospinal fluid neurogranin

Change From Baseline in CSF Neurofilament Light Chain
Screening to Day 28

Change from Baseline (screening) to Day 28 in cerebrospinal fluid neurofilament light chain

Change From Baseline in CSF YKL-40
Screening to Day 28

Change from Baseline (screening) in cerebrospinal fluid YKL-40

Area Under the Curve; moderate vs. normal and mild vs. normal
5 Days

Area Under the Curve of simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)

Concentration max; moderate vs. normal and mild vs. normal
5 Days

Maximum simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)

Time max; moderate vs. normal and mild vs. normal
5 Days

Time to maximum simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)

Half-life; moderate vs. normal and mild vs. normal
5 Days

Half-life of simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)

Elimination rate constant; moderate vs. normal and mild vs. normal
5 Days

Elimination rate constant of simufilam concentration in plasma in Moderate and Mild Impairment vs. Normal (each separately)

AUC of total radioactivity, parent drug and metabolite(s) in plasma.
10 days

Area Under the Curve for each total radioactivity, parent drug and metabolite(s) in plasma.

Cmax of total reactivity, parent drug and metabolite(s) in plasma.
10 Days

Maximum concentration for each total radioactivity, parent drug and metabolite(s) in plasma.

Tmax of total reactivity, parent drug and metabolite(s) in plasma.
10 Days

Time to maximum concentration for each total radioactivity, parent drug and metabolite(s) in plasma.

Half-life of total reactivity, parent drug and metabolite(s) in plasma.
10 Days

Half-life for each total reactivity, parent drug and metabolite(s) in plasma.

Elimination rate constant of total reactivity, parent drug and metabolite(s) in plasma.
10 Days

Elimination rate constant for each total reactivity, parent drug and metabolite(s) in plasma.

Cmax
0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12 and 24 hours

The maximum concentration determined directly from individual concentration-time data

AUClast
0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12 and 24 hours

Area under the curve to the time of the last quantifiable concentration, calculated using the linear trapezoidal method

AUCinf
0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12 and 24 hours

Area under the curve extrapolated to infinity; calculated as: AUCinf = AUClast + Clast/λz

Secondary Endpoints
Change From Baseline in the Integrated Alzheimer's Disease Rating Scale (iADRS)
Baseline (Study Day 1) to Week 52
Change From Baseline in the Neuropsychiatric Inventory (NPI)
Baseline (Study Day 1) to Week 52
Change From Baseline in the Mini-Mental State Exam (MMSE)
Baseline (Study Day 1) to Week 52
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORMatching placebo, supplied by Cassava as coated tablets, and taken twice daily (b.i.d.) for 52 weeks
Simufilam 100 mgEXPERIMENTALSimufilam 100 mg, supplied by Cassava as coated tablets, and taken b.i.d. for 52 weeks
Simufilam 100 mg oral tablets throughoutEXPERIMENTALSimufilam 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 tabletsPLACEBO_COMPARATORThis 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 CohortPLACEBO_COMPARATORSubjects administered placebo oral tablets twice daily (BID)
Simufilam (PTI-125) 100 mg tablets CohortEXPERIMENTALSubjects administered simufilam (PTI-125) 100 mg oral tablets twice daily (BID)
Simufilam (PTI-125) 50 mg tablets CohortEXPERIMENTALSubjects administered simufilam (PTI-125) 50 mg oral tablets twice daily (BID)
Moderate Hepatic ImpairmentEXPERIMENTAL -
Healthy VolunteerEXPERIMENTAL -
Mild Hepatic ImpairmentEXPERIMENTAL -
Sequence AOTHERThis 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 BOTHERThis 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 COTHERThis 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 DOTHERThis 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).
Interventions
NameTypeDescription
SimufilamDRUGSimufilam 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.
PlaceboDRUGMatching placebo given b.i.d. for 52 weeks.
Simufilam 100 mg oral tabletDRUGSimufilam 100 mg oral tablet for b.i.d. administration
Placebo oral tabletDRUGOral placebo tablet
Simufilam 100 mg tabletDRUGSimufilam 100 mg oral tablet
Simufilam 50 mg oral tabletDRUGSimufilam 50 mg oral tablet
Unlock Study Design Details
Eligibility Criteria
Age Range50 Years to 87 Years
SexALL
Healthy VolunteersNo
Study Sites88

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 ...

Countries:United StatesAustraliaCanada
Unlock Eligibility Criteria