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Study of the Safety & Efficacy of Leukine® in the Treatment of Alzheimer's Disease
Pilot Phase 2 Trial of the Safety & Efficacy of Granulocyte-Macrophage Colony-Stimulating Factor (Leukine®) in the Treatment of Alzheimer's Disease
Lead sponsor
Asset
Sargramostim
Listed sites
1
Recruiting sites
-
Enrollment
44
actual
Study population
Alzheimer’s disease
Key I/E criteria
•mild-to-moderate AD•Amyloid biomarker required (PET)•MMSE 10-26•Study partner/caregiver required•MRI contraindications excluded
Primary endpoint
•Adverse Events (AEs) by Body System
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
1. age 55 to 85 years;
2. should have a mild-to-moderate AD diagnosis (MMSE 10-26 inclusive);
3. should have evidence of elevated cortical amyloid by PET using florbetapir F18 (Amyvid) [i.e. a positive scan], assessed qualitatively according to the Amyvid product label.
4. if on anti-dementia treatment should be on stable treatment for at least 2 months (i.e. cholinesterase inhibitor and/or Memantine or Axona);
5. stable on all other medications for at least 30 days prior to screen;
6. should be fluent in English;
7. should be physically able to participate by medical history, clinical exam and tests;
8. should have a study partner to accompany them to scheduled visits
Exclusion criteria
1. clinically relevant arrhythmias;
2. a resting pulse less than 50;
3. active cancer other than non-melanoma skin cancers;
4. use of another investigatory drug within 2 months of screening;
5. significant stroke or head trauma by history or MRI;
6. contraindication for having a MRI;
7. diagnostic and Statistical Manual of Mental Disorders-IV criteria for a current major psychiatric disorder;
8. sensitivity to yeast or yeast products;
9. impaired kidney function as measured by a Glomerular Filtration Rate less than 60 milliliters/min;
10. preexisting fluid retention, pulmonary infiltrates, or congestive heart failure;
11. history of moderate-to-severe lung disease;
12. history of moderate-to-severe liver disease;
13. pregnant women, or any women who feel they are likely to become pregnant during the study;
14. prisoners.
Endpoints (12)
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
6 endpointsMMSE (Mini Mental State Examination) From Baseline to End of Treatment (3 Weeks), Follow-Up 1 (45 Days Post Treatment) and Follow-Up 2 (90 Days Post Treatment)
Time frame:From Baseline to End of Treatment (3 weeks), Follow-Up 1 (45 days post treatment) and Follow-Up 2 (90 days post treatment)
Mini-Mental State Examination (MMSE)
descriptive
Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog13) From Baseline to End of Treatment (3 Weeks), Follow-Up 1 (45 Days Post Treatment) and Follow-Up 2 (90 Days Post Treatment)
Time frame:Baseline to End of Treatment (3 weeks), Follow-Up 1 (45 days post treatment) and Follow-Up 2 (90 days post treatment)
ADAS-Cog
descriptive
MMSE (Mini Mental State Examination) From Baseline to End of Treatment (3 Weeks), Follow-Up 1 (45 Days Post Treatment) and Follow-Up 2 (90 Days Post Treatment)
Time frame:From Baseline to End of Treatment (3 weeks), Follow-Up 1 (45 days post treatment) and Follow-Up 2 (90 days post treatment)
Mini-Mental State Examination (MMSE)
descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| Sagramostim (Leukine)Baselinen=20 Participants | 17.10 | 4.57 |
| End of Treatment (3 weeks)n=20 Participants | 18.55 | 4.99 |
| Follow-up 1 (45 days post treatment)n=20 Participants | 18.00 | 5.52 |
| Follow-up 2 (90 days pot treatment)n=20 Participants | 17.10 | 5.78 |
| Control GroupBaselinen=20 Participants | 20.75 | 4.97 |
| End of Treatment (3 weeks)n=20 Participants | 20.40 | 5.28 |
| Follow-up 1 (45 days post treatment)n=20 Participants | 19.90 | 5.19 |
| Follow-up 2 (90 days pot treatment)n=20 Participants | 19.40 | 5.47 |
Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog13) From Baseline to End of Treatment (3 Weeks), Follow-Up 1 (45 Days Post Treatment) and Follow-Up 2 (90 Days Post Treatment)
Time frame:Baseline to End of Treatment (3 weeks), Follow-Up 1 (45 days post treatment) and Follow-Up 2 (90 days post treatment)
ADAS-Cog
descriptive
Posted result
| Group | Value (mean), units on a scale | Standard deviation |
|---|---|---|
| Sagramostim (Leukine)Baselinen=20 Participants | 43.20 | 12.45 |
| End of Treatment (3 weeks)n=20 Participants | 43.54 | 12.02 |
| Follow-up 1 (45 days post treatment)n=20 Participants | 47.67 | 11.89 |
| Follow-up 2 (90 days post treatment)n=20 Participants | 45.87 | 13.21 |
| Control GroupBaselinen=20 Participants | 36.20 | 12.01 |
| End of Treatment (3 weeks)n=20 Participants | 36.68 | 11.63 |
| Follow-up 1 (45 days post treatment)n=20 Participants | 36.33 | 9.85 |
| Follow-up 2 (90 days post treatment)n=20 Participants | 36.85 | 10.24 |
Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) From Baseline to End of Treatment (3 Weeks), Follow-Up 1 (45 Days Post Treatment) and Follow-Up 2 (90 Days Post Treatment)
Time frame:Baseline to End of Treatment (3 weeks), Follow-Up 1 (45 days post treatment) and Follow-Up 2 (90 days post treatment)
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
ratio, descriptive
Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) From Baseline to End of Treatment (3 Weeks), Follow-Up 1 (45 Days Post Treatment) and Follow-Up 2 (90 Days Post Treatment)
Time frame:Baseline to End of Treatment (3 weeks), Follow-Up 1 (45 days post treatment) and Follow-Up 2 (90 days post treatment)
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
ratio, descriptive
Posted result
| Group | Value (mean), units on a scale | Standard deviation |
|---|---|---|
| Sagramostim (Leukine)Baselinen=20 Participants | 7.10 | 3.32 |
| End of Treatment (3 weeks)n=20 Participants | 7.53 | 3.37 |
| Follow-up 1 (45 days post treatment)n=20 Participants | 8.42 | 4.22 |
| Follow-up 2 (90 days post treatment)n=20 Participants | 8.57 | 4.14 |
| Control GroupBaselinen=20 Participants | 6.10 | 2.67 |
| End of Treatment (3 weeks)n=20 Participants | 5.95 | 2.37 |
| Follow-up 1 (45 days post treatment)n=20 Participants | 6.81 | 3.12 |
| Follow-up 2 (90 days post treatment)n=20 Participants | 7.03 | 3.27 |
Executive function / language
2 endpointsTrail Making Test - Part A (TMT-A) From Baseline to End of Treatment (3 Weeks), Follow-Up 1 (45 Days Post Treatment) and Follow-Up 2 (90 Days Post Treatment)
Time frame:Baseline to End of Treatment (3 weeks), Follow-Up 1 (45 days post treatment) and Follow-Up 2 (90 days post treatment)
descriptive
Trail Making Test - Part A (TMT-A) From Baseline to End of Treatment (3 Weeks), Follow-Up 1 (45 Days Post Treatment) and Follow-Up 2 (90 Days Post Treatment)
Time frame:Baseline to End of Treatment (3 weeks), Follow-Up 1 (45 days post treatment) and Follow-Up 2 (90 days post treatment)
descriptive
Posted result
| Group | Value (mean), units on a scale | Standard deviation |
|---|---|---|
| Sagramostim (Leukine)Baselinen=20 Participants | 101.50 | 46.17 |
| End of Treatment (3 weeks)n=20 Participants | 92.60 | 45.49 |
| Follow-up 1 (45 days post treatment)n=20 Participants | 107.85 | 45.81 |
| Follow-up 2 (90 days post treatment)n=20 Participants | 110.35 | 45.55 |
| Control GroupBaselinen=20 Participants | 84.85 | 48.83 |
| End of Treatment (3 weeks)n=20 Participants | 79.40 | 44.56 |
| Follow-up 1 (45 days post treatment)n=20 Participants | 84.00 | 45.64 |
| Follow-up 2 (90 days post treatment)n=20 Participants | 85.45 | 48.10 |
Function / daily living
2 endpointsAlzheimer's Disease Cooperative Study -Activities of Daily Living Inventory (ADCS-ADL) From Baseline to End of Treatment (3 Weeks), Follow-Up 1 (45 Days Post Treatment) and Follow-Up 2 (90 Days Post Treatment)
Time frame:Baseline to End of Treatment (3 weeks), Follow-Up 1 (45 days post treatment) and Follow-Up 2 (90 days post treatment)
ADCS-Activities of Daily Living (ADCS-ADL)
descriptive
Alzheimer's Disease Cooperative Study -Activities of Daily Living Inventory (ADCS-ADL) From Baseline to End of Treatment (3 Weeks), Follow-Up 1 (45 Days Post Treatment) and Follow-Up 2 (90 Days Post Treatment)
Time frame:Baseline to End of Treatment (3 weeks), Follow-Up 1 (45 days post treatment) and Follow-Up 2 (90 days post treatment)
ADCS-Activities of Daily Living (ADCS-ADL)
descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| Sagramostim (Leukine)Baselinen=20 Participants | 56.50 | 12.30 |
| End of Treatment (3 weeks)n=20 Participants | 57.00 | 11.93 |
| Follow-up 1 (45 days post treatment)n=20 Participants | 53.35 | 14.02 |
| Follow-up 2 (90 days post treatment)n=20 Participants | 53.30 | 15.00 |
| Control GroupBaselinen=20 Participants | 62.75 | 8.98 |
| End of Treatment (3 weeks)n=20 Participants | 61.85 | 9.32 |
| Follow-up 1 (45 days post treatment)n=20 Participants | 59.85 | 9.05 |
| Follow-up 2 (90 days post treatment)n=20 Participants | 60.30 | 9.00 |
Safety / tolerability / PK
2 endpointsAdverse Events (AEs) by Body System
Time frame:20 weeks (From Consent to Follow-up 2)
event count, event
Adverse Events (AEs) by Body System
Time frame:20 weeks (From Consent to Follow-up 2)
event count, event
Posted result
| Group | Value (number), Adverse Events | Reported bounds |
|---|---|---|
| Sagramostim (Leukine)Cardiovascular AEn=21 Participants | 5 | - |
| Constitutionaln=21 Participants | 6 | - |
| Dentaln=21 Participants | 1 | - |
| Dermatologicaln=21 Participants | 16 | - |
| ENTn=21 Participants | 2 | - |
| Gastrointestinaln=21 Participants | 8 | - |
| Musculoskeletaln=21 Participants | 8 | - |
| Neurologicaln=21 Participants | 9 | - |
| Psychologicaln=21 Participants | 0 | - |
| Respiratoryn=21 Participants | 4 | - |
| Control GroupCardiovascular AEn=22 Participants | 2 | - |
| Constitutionaln=22 Participants | 5 | - |
| Dentaln=22 Participants | 0 | - |
| Dermatologicaln=22 Participants | 5 | - |
| ENTn=22 Participants | 0 | - |
| Gastrointestinaln=22 Participants | 5 | - |
| Musculoskeletaln=22 Participants | 11 | - |
| Neurologicaln=22 Participants | 2 | - |
| Psychologicaln=22 Participants | 2 | - |
| Respiratoryn=22 Participants | 4 | - |
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.