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Study Evaluating The Efficacy And Safety Of Bapineuzumab In Alzheimer Disease Patients
A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Efficacy And Safety Trial Of Bapineuzumab (Aab-001, Eln115727) In Subjects With Mild to Moderate Alzheimer Disease Who Are Apolipoprotein E 4 Non-carriers
Lead sponsor
Asset
Bapineuzumab
Listed sites
346
Recruiting sites
-
Enrollment
901
actual
Study population
Alzheimer’s disease
Key I/E criteria
•Alzheimer's disease•MMSE 16-26•MRI contraindications excluded
Primary endpoints
•ADAS-Cog•The Disability Assessment for Demential (DAD) Total Score
Footprint
Where this trial recruits
Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.
Identifiers
Registered as
Timeline
Milestones
Assets
Drug assets
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
Exclusion criteria
Endpoints (34)
What's being measured
Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.
Coverage by outcome category
Global cognition
16 endpointsThe Change From Baseline in the Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog)/11 Total Score at Week 78
Time frame:78 weeks
ADAS-Cog
change from baseline, improvement
The Change From Baseline in the Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog)/11 Total Score at Week 78
Time frame:78 weeks
ADAS-Cog
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), Units on a scale | Standard error |
|---|---|---|
| Bapineuzumab 0.5 mg/kgn=255 Participants | 6.05 | 0.71 |
| Bapineuzumab 1.0 mg/kgn=253 Participants | 8.07 | 0.73 |
| Placebon=328 Participants | 7.88 | 0.64 |
The Change From Baseline in Brain Volume at Week 71
Time frame:71 Weeks
change from baseline, improvement
Divergence of Effect on the ADAS-Cog/11 Total Scores From Week 39 to Week 78
Time frame:39 Weeks
ADAS-Cog
descriptive
Time to Median Placebo Deterioration on ADAS-Cog/11 Total Score (European Union [EU] Analysis Plan)
Time frame:78 Weeks
ADAS-Cog
time to event, event
Time to First Clinically Meaningful Deterioration on ADAS-Cog/11 Total Score (United States [US] Analysis Plan)
Time frame:78 weeks
ADAS-Cog
time to event, event
Percentage of Participants With Worsening From Baseline in ADAS-Cog/11 Total Score at Week 78 (European Union Analysis Plan)
Time frame:78 Weeks
ADAS-Cog
threshold achievement, improvement
Percentage of Participants With Worsening From Baseline in ADAS-Cog/11 Total Score at Week 78 (US Analysis Plan)
Time frame:78 Weeks
ADAS-Cog
threshold achievement, improvement
Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SOB) Total Score at Week 78
Time frame:78 Weeks
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
change from baseline, improvement
The Change From Baseline in Brain Volume at Week 71
Time frame:71 Weeks
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), mL/year | Standard error |
|---|---|---|
| Bapineuzumab 0.5 mg/kgn=122 Participants | 18.55 | 0.97 |
| Bapineuzumab 1.0 mg/kgn=121 Participants | 18.60 | 1.00 |
| Placebon=153 Participants | 17.54 | 0.86 |
Divergence of Effect on the ADAS-Cog/11 Total Scores From Week 39 to Week 78
Time frame:39 Weeks
ADAS-Cog
descriptive
Posted result
| Group | Value (mean), Units/Year | Standard error |
|---|---|---|
| Bapineuzumab 0.5 mg/kg - Placebon=583 Participants | -1.32 | 1.06 |
| Bapineuzumab 1.0 mg/kg - Placebon=581 Participants | 0.38 | 1.09 |
Time to Median Placebo Deterioration on ADAS-Cog/11 Total Score (European Union [EU] Analysis Plan)
Time frame:78 Weeks
ADAS-Cog
time to event, event
Posted result
| Group | Value (median), Days | Reported bounds |
|---|---|---|
| Bapineuzumab 0.5 mg/kgn=255 Participants | 546.0 | -546.0 - NA |
| Bapineuzumab 1.0 mg/kgn=253 Participants | 462.0 | -455.0 - 546.0 |
| Placebon=328 Participants | 540.0 | -462.0 - 546.0 |
Time to First Clinically Meaningful Deterioration on ADAS-Cog/11 Total Score (United States [US] Analysis Plan)
Time frame:78 weeks
ADAS-Cog
time to event, event
Posted result
| Group | Value (median), Days | Reported bounds |
|---|---|---|
| Bapineuzumab 0.5 mg/kgn=255 Participants | 546.0 | -546.0 - NA |
| Bapineuzumab 1.0 mg/kgn=253 Participants | 546.0 | -455.0 - 546.0 |
| Placebon=328 Participants | 546.0 | -476.0 - 546.0 |
Percentage of Participants With Worsening From Baseline in ADAS-Cog/11 Total Score at Week 78 (European Union Analysis Plan)
Time frame:78 Weeks
ADAS-Cog
threshold achievement, improvement
Posted result
| Group | Value (number), Number of participants | Reported bounds |
|---|---|---|
| Bapineuzumab 0.5 mg/kgWorsening of 0 pointsn=255 Participants | 10.6 | -7.1 - 15.0 |
| Worsening of 3 pointsn=255 Participants | 16.1 | -11.8 - 21.2 |
| Worsening of 7 pointsn=255 Participants | 23.1 | -18.1 - 28.8 |
| Bapineuzumab 1.0 mg/kgWorsening of 0 pointsn=253 Participants | 8.7 | -5.5 - 12.9 |
| Worsening of 3 pointsn=253 Participants | 13.4 | -9.5 - 18.3 |
| Worsening of 7 pointsn=253 Participants | 19.0 | -14.3 - 24.4 |
| PlaceboWorsening of 0 pointsn=328 Participants | 7.3 | -4.7 - 10.7 |
| Worsening of 3 pointsn=328 Participants | 10.1 | -7.0 - 13.8 |
| Worsening of 7 pointsn=328 Participants | 19.2 | -15.1 - 23.9 |
Percentage of Participants With Worsening From Baseline in ADAS-Cog/11 Total Score at Week 78 (US Analysis Plan)
Time frame:78 Weeks
ADAS-Cog
threshold achievement, improvement
Posted result
| Group | Value (number), Percentage of participants | Reported bounds |
|---|---|---|
| Bapineuzumab 0.5 mg/kgn=255 Participants | 22.4 | - |
| Bapineuzumab 1.0 mg/kgn=253 Participants | 18.6 | - |
| Placebon=328 Participants | 18.6 | - |
Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SOB) Total Score at Week 78
Time frame:78 Weeks
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), Units on a scale | Standard error |
|---|---|---|
| Bapineuzumab 0.5 mg/kgn=255 Participants | 2.23 | 0.23 |
| Bapineuzumab 1.0 mg/kgn=253 Participants | 2.41 | 0.23 |
| Placebon=328 Participants | 2.59 | 0.20 |
Change in CDR-SOB total score was analyzed using a REML based MMRM.
Change in CDR-SOB total score was analyzed using a REML based MMRM.
Function / daily living
12 endpointsThe Change From Baseline in the Disability Assessment for Demential (DAD) Total Score at Week 78
Time frame:78 weeks
change from baseline, improvement
The Change From Baseline in the Disability Assessment for Demential (DAD) Total Score at Week 78
Time frame:78 weeks
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), Units on a scale | Standard error |
|---|---|---|
| Bapineuzumab 0.5 mg/kgn=255 Participants | -14.58 | 1.50 |
| Bapineuzumab 1.0 mg/kgn=253 Participants | -15.07 | 1.55 |
| Placebon=328 Participants | -16.08 | 1.36 |
Divergence of Effect on the DAD Total Scores From Week 39 to Week 78
Time frame:39 weeks
descriptive
Time to Median Placebo Deterioration on DAD Total Score
Time frame:78 Weeks
time to event, event
Time to First Clinically Meaningful Deterioration on DAD Total Score (US Analysis Plan)
Time frame:78 Weeks
time to event, event
Percentage of Participants With Worsening From Baseline in DAD Total Score at Week 78 (European Union Analysis Plan)
Time frame:78 Weeks
threshold achievement, improvement
Percentage of Participants With Worsening From Baseline in DAD Total Score at Week 78 (US Analysis Plan)
Time frame:78 weeks
threshold achievement, improvement
Divergence of Effect on the DAD Total Scores From Week 39 to Week 78
Time frame:39 weeks
descriptive
Posted result
| Group | Value (mean), Units/Years | Standard error |
|---|---|---|
| Bapineuzumab 0.5 mg/kg - Placebon=583 Participants | 3.20 | 2.22 |
| Bapineuzumab 1.0 mg/kg - Placebon=581 Participants | 2.01 | 2.27 |
Time to Median Placebo Deterioration on DAD Total Score
Time frame:78 Weeks
time to event, event
Posted result
| Group | Value (median), Days | Reported bounds |
|---|---|---|
| Bapineuzumab 0.5 mg/kgn=255 Participants | 541.0 | -455.0 - 546.0 |
| Bapineuzumab 1.0 mg/kgn=253 Participants | 534.0 | -372.0 - NA |
| Placebon=328 Participants | 463.0 | -453.0 - 546.0 |
Not spsecified.
Time to First Clinically Meaningful Deterioration on DAD Total Score (US Analysis Plan)
Time frame:78 Weeks
time to event, event
Posted result
| Group | Value (median), Days | Reported bounds |
|---|---|---|
| Bapineuzumab 0.5 mg/kgn=255 Participants | 542.0 | -456.0 - 546.0 |
| Bapineuzumab 1.0 mg/kgn=253 Participants | 539.0 | -450.0 - NA |
| Placebon=328 Participants | 540.0 | -453.0 - 546.0 |
Percentage of Participants With Worsening From Baseline in DAD Total Score at Week 78 (European Union Analysis Plan)
Time frame:78 Weeks
threshold achievement, improvement
Posted result
| Group | Value (number), Percentage of participants | Reported bounds |
|---|---|---|
| Bapineuzumab 0.5 mg/kgWorsening of 0 pointsn=255 Participants | 10.2 | -6.8 - 14.6 |
| Worsening of 6 pointsn=255 Participants | 15.7 | -11.4 - 20.7 |
| Worsening of 12 pointsn=255 Participants | 20.0 | -15.3 - 25.4 |
| Bapineuzumab 1.0 mg/kgWorsening of 0 pointsn=253 Participants | 11.9 | -8.1 - 16.5 |
| Worsening of 6 pointsn=253 Participants | 16.6 | -12.2 - 21.8 |
| Worsening of 12 pointsn=253 Participants | 22.1 | -17.2 - 27.8 |
| PlaceboWorsening of 0 pointsn=328 Participants | 9.1 | -6.3 - 12.8 |
| Worsening of 6 pointsn=328 Participants | 14.3 | -10.7 - 18.6 |
| Worsening of 12 pointsn=328 Participants | 19.5 | -15.4 - 24.2 |
Percentage of Participants With Worsening From Baseline in DAD Total Score at Week 78 (US Analysis Plan)
Time frame:78 weeks
threshold achievement, improvement
Posted result
| Group | Value (number), Percentage of participants | Reported bounds |
|---|---|---|
| Bapineuzumab 0.5 mg/kgn=255 Participants | 20.0 | - |
| Bapineuzumab 1.0 mg/kgn=253 Participants | 22.1 | - |
| Placebon=328 Participants | 19.5 | - |
Amyloid biomarkers
2 endpointsThe Change From Baseline in Brain Amyloid Burden at Week 71.
Time frame:71 Weeks
change from baseline, improvement
The Change From Baseline in Brain Amyloid Burden at Week 71.
Time frame:71 Weeks
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), SUVr | Standard error |
|---|---|---|
| Bapineuzumab 0.5 mg/kgn=6 Participants | -0.04 | 0.08 |
| Bapineuzumab 1.0 mg/kgn=11 Participants | 0.00 | 0.05 |
| Placebon=13 Participants | 0.02 | 0.04 |
| Pooled Bapineuzumab 0.5/1.0 mg/kgn=17 Participants | -0.01 | 0.04 |
Tau biomarkers
2 endpointsThe Change From Baseline in Phospho-tau Levels in the Cerebrospinal Fluid (CSF) at Week 71.
Time frame:71 Weeks
change from baseline, improvement
The Change From Baseline in Phospho-tau Levels in the Cerebrospinal Fluid (CSF) at Week 71.
Time frame:71 Weeks
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), pg/mL | Standard error |
|---|---|---|
| Bapineuzumab 0.5 mg/kgn=21 Participants | -6.62 | 3.90 |
| Bapineuzumab 1.0 mg/kgn=22 Participants | -6.35 | 3.73 |
| Placebon=33 Participants | 0.70 | 3.03 |
| Pooled Bapineuzumab 0.5/1.0 mg/kgn=43 Participants | -6.48 | 2.67 |
Caregiver / quality of life
2 endpointsChange From Baseline in Dependence Scale Total Score at Week 78
Time frame:78 Weeks
change from baseline, improvement
Change From Baseline in Dependence Scale Total Score at Week 78
Time frame:78 Weeks
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), Units on a scale | Standard error |
|---|---|---|
| Bapineuzumab 0.5 mg/kgn=255 Participants | 1.29 | 0.19 |
| Bapineuzumab 1.0 mg/kgn=253 Participants | 1.16 | 0.19 |
| Placebon=328 Participants | 1.45 | 0.17 |
Change in DS score was analyzed using a REML based MMRM.
Change in DS score was analyzed using a REML based MMRM.
Publications (2)
Bibliography
Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.
Registry references + supporting bibliography
- PMID27176461via DERIVED
- PMID26297092via DERIVED
Provenance
Sources
Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 21, 2026 snapshot.