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Cognition Therapeutics' Successfully Passes Pre-defined Futility Analysis of Phase 2 Study of Oral Zervimesine (CT1812) in Geographic Atrophy Masked Analysis Shows Participants Receiving Oral Zervimesine for at Least 6 M

Key Takeaway: Cognition Therapeutics reported positive results from a futility analysis of their Phase 2 trial for zervimesine (CT1812) in patients with geographic atrophy linked to dry age-related macular degeneration. The analysis showed that participants treated with zervimesine experienced a slower rate of lesion growth compared to those receiving a placebo. Following these findings, Cognition is expected to complete the study and provide a full analysis in the second quarter of 2025, while planning to engage with the FDA regarding the results.

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POSITIVE FACTORS

  • Successful passing of futility analysis indicates potential efficacy of zervimesine.
  • Participants receiving zervimesine showed slower lesion growth compared to placebo.
  • The study preservation allows Cognition to reallocate resources to other indications.

Full Press Release Details

Cognition Therapeutics' Successfully Passes
Pre-defined Futility Analysis of Phase 2 Study of Oral Zervimesine (CT1812) in Geographic Atrophy
Masked Analysis Shows Participants Receiving
Oral Zervimesine for at Least 6 Months Experienced Slower Lesion Growth than Participants Receiving Placebo
Following the Futility Analysis, Management
Concluded the Phase 2 Study, Preserving Capital
Full Analysis will be Provided in the Second
PURCHASE, NY - February 26, 2025 -- Cognition Therapeutics,
Inc. (NASDAQ: CGTX), a clinical-stage company developing drugs that treat neurodegenerative disorders, reported a positive
outcome of an analysis of masked data from the ongoing MAGNIFY' Phase 2 trial of zervimesine (also known as CT1812) in
adults with geographic atrophy (GA) secondary to dry age-related macular degeneration (dry AMD). The purpose of this type of
analysis, known as a "futility analysis" is to determine if a drug candidate is showing signals of efficacy.
Cognition's contract research organization conducted the analysis to protect the integrity of the clinical trial.
Results of the futility analysis from the first 57 participants who
completed at least 6 months of dosing showed that zervimesine-treated patients were experiencing a slower lesion growth rate than those
To date, the MAGNIFY study (NCT05893537)
has enrolled 100 participants. All participants are completing a final clinic visit in February 2025.
Cognition intends to unblind the study at the end of February and provide a complete analysis of the study, including 12 months of dosing,
in the second quarter of 2025.
The Company continues to believe that zervimesine has the potential
to alter the biological processes that contribute to dry AMD. Cognition and collaborators have generated compelling preclinical evidence
to support this. As previously reported, concluding the MAGNIFY study early enabled the Company to preserve financial resources, which
will be redeployed to other indications.
In December 2024, Cognition reported that the Phase 2 SHIMMER study
in mild-to-moderate dementia with Lewy bodies (DLB) met its primary endpoint of safety and tolerability. In the DLB study, zervimesine-treated
participants performed an average of 86% better than placebo-treated patients on the neuropsychiatric inventory (NPI); 52% better on the
ADCS-ADL; 91% better on the clinician's assessment of fluctuations (CAF); and 62% better on the UPDRS Part III, a measure of motor
function such as gait, balance, and tremor. Cognition's Phase 2 SHINE study of zervimesine in mild-to-moderate Alzheimer's
disease also met its primary endpoint of safety and tolerability. In a biomarker-defined subgroup of the SHINE study, zervimesine-treated
participants experienced a 95% reduction of cognitive decline as measured by ADAS-Cog 11 relative to placebo. We plan to schedule end-of-Phase
2 meetings with the U.S. Food and Drug Administration to review these results and discuss the design of registrational studies in Alzheimer's
About Zervimesine (CT1812)
Zervimesine (CT1812) is an investigational oral, once-daily pill
being developed for the treatment of CNS diseases such as Alzheimer's disease and dementia with Lewy bodies (DLB). While these
diseases have different symptoms, both are associated with the buildup of certain proteins in the brain - A and
-synuclein. As these proteins bind to neurons, they can damage and ultimately destroy the neurons. This results in a
progressive loss in a person's ability to learn, recall memories, move efficiently, or communicate. These diseases progress
relentlessly and ultimately result in death. If zervimesine can interrupt the toxic effects of these proteins, it may be able to
slow progression of disease and improve the lives of those suffering from Alzheimer's and DLB.
The USAN Council has adopted zervimesine as the United States Adopted
Name (USAN) for CT1812.
About Cognition Therapeutics, Inc.
Cognition Therapeutics, Inc., is a clinical-stage biopharmaceutical
company discovering and developing innovative, small molecule therapeutics targeting age-related degenerative disorders of the central
nervous system. We are currently investigating our lead candidate, zervimesine (CT1812), in clinical programs in dementia with Lewy bodies
(DLB) and Alzheimer's disease, including the ongoing START study (NCT05531656) in early Alzheimer's disease. We believe zervimesine
can regulate pathways that are impaired in these diseases though its interaction with the sigma-2 receptor, a mechanism that is functionally
distinct from other approaches for the treatment of degenerative diseases. More about Cognition Therapeutics and our pipeline can be found
Forward-Looking Statements
This press release contains forward-looking statements within
the meaning of The Private Securities Litigation Reform Act of 1995. All statements contained in this press release, other than
statements of historical facts or statements that relate to present facts or current conditions, including but not limited to,
statements regarding our expected runway, product candidates, including zervimesine (CT1812), and any expected or implied benefits
or results, including that initial clinical results observed with respect to zervimesine will be replicated in later trials and our
clinical development plans, the timing of any regulatory interactions and submissions, and expectations regarding timing, success
and data announcements of current ongoing preclinical and clinical trials are forward-looking statements. These statements,
including statements relating to the timing and expected results of our clinical trials involve known and unknown risks,
uncertainties and other important factors that may cause our actual results, performance, or achievements to be materially different
from any future results, performance, or achievements expressed or implied by the forward-looking statements. In some cases, you can
identify forward-looking statements by terms such as "may," "might," "will,"
"should," "expect," "plan," "aim," "seek," "anticipate,"
"could," "intend," "target," "project," "contemplate,"
"believe," "estimate," "predict," "forecast," "potential" or
"continue" or the negative of these terms or other similar expressions. We have based these forward-looking statements
largely on our current expectations and projections about future events and financial trends that we believe may affect our
business, financial condition, and results of operations. These forward-looking statements speak only as of the date of this press
release and are subject to a number of risks, uncertainties and assumptions, some of which cannot be predicted or quantified and
some of which are beyond our control. Factors that may cause actual results to differ materially from current expectations include,
but are not limited to: competition; our ability to secure new (and retain existing) grant funding; our ability to grow and manage
growth, maintain relationships with suppliers and retain our management and key employees; our ability to successfully advance our
current and future product candidates through development activities, preclinical studies and clinical trials and costs related
thereto; uncertainties inherent in the results of preliminary data, pre-clinical studies and earlier-stage clinical trials being
predictive of the results of early or later-stage clinical trials; the timing, scope and likelihood of regulatory filings and
approvals, including regulatory approval of our product candidates; changes in applicable laws or regulations; the possibility that
the we may be adversely affected by other economic, business or competitive factors, including ongoing economic uncertainty; our
estimates of expenses and profitability; the evolution of the markets in which we compete; our ability to implement our strategic
initiatives and continue to innovate our existing products; our ability to defend our intellectual property; impacts of ongoing
global and region conflicts on our business, supply chain and labor force; our ability to maintain the listing of our common stock
on the Nasdaq Global Market; and the risks and uncertainties described more fully in the "Risk Factors" section of our
annual and quarterly reports filed with the Securities Exchange Commission and are available at www.sec.gov. These risks are
not exhaustive, and we face both known and unknown risks. You should not rely on these forward-looking statements as predictions of
future events. The events and circumstances reflected in our forward-looking statements may not be achieved or occur, and actual
results could differ materially from those projected in the forward-looking statements. Moreover, we operate in a dynamic industry
and economy. New risk factors and uncertainties may emerge from time to time, and it is not possible for management to predict all
risk factors and uncertainties that we may face. Except as required by applicable law, we do not plan to publicly update or revise
any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or

Frequently Asked Questions

What is the purpose of the futility analysis in the study?

The futility analysis aims to evaluate if zervimesine shows signs of efficacy in treating geographic atrophy.

How did zervimesine perform compared to the placebo?

Participants receiving zervimesine experienced slower lesion growth than those on placebo.

What is zervimesine's potential use in neurodegenerative disorders?

Zervimesine may help slow disease progression in Alzheimer's and dementia with Lewy bodies.

When will the complete study analysis be provided?

Cognition will provide a full analysis of the study in the second quarter of 2025.

What notable results were seen in other studies involving zervimesine?

The SHIMMER and SHINE studies showed significant improvements in safety and cognitive decline.

Last updated: Feb 26, 2025