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AMBAR
CompletedPhase 2 / PHASE3Results postedA Study to Evaluate Albumin and Immunoglobulin in Alzheimer's Disease
A Multicenter, Randomized, Controlled Study To Evaluate The Efficacy and Safety of Short-Term Plasma Exchange Followed by Long-Term Plasmapheresis With Infusion of Human Albumin Combined With Intravenous Immunoglobulin In Patients With Mild-Moderate Alzheimer's Disease
Lead sponsor
Asset
Immunoglobulin
Listed sites
40
Recruiting sites
-
Enrollment
347
actual
Study population
Alzheimer’s disease
Key I/E criteria
•Alzheimer's disease•MMSE 18
Primary endpoints
•ADAS-Cog•ADCS-Activities of Daily Living (ADCS-ADL)
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
Main Inclusion Criteria:
1. Males or females between 55-85 years of age at the time of signing of the informed consent document.
2. A diagnosis of Alzheimer's disease (NINCDS-ADRDA criterion), and mini-mental status examination (MMSE) score between >/=18 and </=26.
3. Current stable treatment with acetylcholine esterase inhibitors (AChEIs) and/or memantine for the previous three months.
4. The patient and a close relative or the legal representative must read the patient information sheet, agree to participation in the trial, and then sign the informed consent document (the patient personally and the close relative/legal representative).
5. The patient must be able to follow the study protocol, receive the treatment in the established time period, and continue during the follow-up interval.
6. A brain computed axial tomography (CAT) or magnetic resonance imaging (MRI) study, obtained in the 12 months prior to recruitment, showing the absence of cerebrovascular disease, should be available. Nevertheless, it is mandatory to use the MRI obtained during the screening period to rule out any cerebrovascular disease.
7. A stable care taker must be available, and must attend the patient study visits
Exclusion criteria
1. Any contraindication for plasma exchange due to behavioral disorders or abnormal coagulation parameters, such as for example:
2. Hemoglobin < 10 g/dL
3. Difficult venous access precluding plasma exchange.
4. A history of frequent adverse reactions (serious or otherwise) to blood products.
5. Hypersensitivity to albumin or allergies to any of the components of Albutein.
6. History of immunoglobulin A (IgA) deficiency.
7. Known allergies to Flebogamma DIF components such as sorbitol.
8. History of thromboembolic complications of intravenous immunoglobulins.
9. Plasma creatinine > 2 mg/dl.
10. Uncontrolled high blood pressure (systolic blood pressure of 160 mmHg or higher and/or diastolic blood pressure of 100 mmHg or higher despite treatment during the last 3 months).
11. Liver cirrhosis or any liver problem with glutamic pyruvic transaminase (GPT) > 2.5 x upper limit of normal (ULN), or bilirubin > 2 mg/dL.
12. Heart diseases, as evidenced by myocardial infarction, severe or unstable angina, or heart failure (New York Association Class II, III or IV) in the past 12 months.
13. Participation in other clinical trials, or the receipt of any other investigational drug in the three months prior to the start of the study.
14. Any condition complicating adherence to the study protocol (illness with less than one year of expected survival, known drug or alcohol abuse, etc.).
15. Pregnant or nursing women or women not using effective contraceptive methods for at least one month after plasma exchange.
16. Fewer than six years of education (exclusion criteria under medical criterion).
17. Less than three months with stable treatment for behavioral disorders or insomnia.
18. Patients being treated with anticoagulants or antiplatelet therapy (antiaggregants) should not be recruited in the study.
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
10 endpointsAlzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) Total Score (Changes From Baseline to 14 Months)
Time frame:Baseline and 14 months
ADAS-Cog
change from baseline, improvement
Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) Total Score (Changes From Baseline to 14 Months)
Time frame:Baseline and 14 months
ADAS-Cog
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), units on a scale | Standard error |
|---|---|---|
| High Albumin + Immunoglobulinn=50 Participants | 0.8 | 1.28 |
| Low Albumin + Immunoglobulinn=57 Participants | 0.8 | 1.09 |
| Low Albuminn=61 Participants | 1.5 | 1.02 |
| Control (Sham) Groupn=64 Participants | 3.2 | 0.95 |
| All Treatedn=168 Participants | 1.0 | 0.64 |
ADAS-Cog Total Score (Changes From Baseline to 14 Months) in Patients With Baseline MMSE:22-26
Time frame:Baseline and 14 months
ADAS-Cog
change from baseline, improvement
ADCS-ADL Total Score (Changes From Baseline to 14 Months) in Patients With Baseline MMSE:22-26
Time frame:Baseline and 14 months
Mini-Mental State Examination (MMSE)
change from baseline, improvement
ADAS-Cog Total Score (Changes From Baseline to 14 Months) in Patients With Baseline MMSE:18-21
Time frame:Baseline and 14 months
ADAS-Cog
change from baseline, improvement
ADCS-ADL Total Score (Changes From Baseline to 14 Months) in Patients With Baseline MMSE:18-21
Time frame:Baseline and 14 months
Mini-Mental State Examination (MMSE)
change from baseline, improvement
ADAS-Cog Total Score (Changes From Baseline to 14 Months) in Patients With Baseline MMSE:22-26
Time frame:Baseline and 14 months
ADAS-Cog
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), units on a scale | Standard error |
|---|---|---|
| High Albumin + Immunoglobulinn=23 Participants | -0.9 | 1.51 |
| Low Albumin + Immunoglobulinn=37 Participants | -0.3 | 1.04 |
| Low Albuminn=25 Participants | -0.6 | 1.12 |
| Control (Sham) Groupn=38 Participants | 0.6 | 1.12 |
| All Treatedn=85 Participants | -0.6 | 0.68 |
ADCS-ADL Total Score (Changes From Baseline to 14 Months) in Patients With Baseline MMSE:22-26
Time frame:Baseline and 14 months
Mini-Mental State Examination (MMSE)
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), units on a scale | Standard error |
|---|---|---|
| High Albumin + Immunoglobulinn=23 Participants | -2.4 | 1.68 |
| Low Albumin + Immunoglobulinn=37 Participants | 0.8 | 0.98 |
| Low Albuminn=25 Participants | -0.9 | 1.43 |
| Control (Sham) Groupn=38 Participants | -1.3 | 1.29 |
| All Treatedn=85 Participants | -0.6 | 0.75 |
ADAS-Cog Total Score (Changes From Baseline to 14 Months) in Patients With Baseline MMSE:18-21
Time frame:Baseline and 14 months
ADAS-Cog
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), units on a scale | Standard error |
|---|---|---|
| High Albumin + Immunoglobulinn=27 Participants | 2.4 | 1.95 |
| Low Albumin + Immunoglobulinn=20 Participants | 1.9 | 2.44 |
| Low Albuminn=36 Participants | 3.3 | 1.49 |
| Control (Sham) Groupn=26 Participants | 6.4 | 1.34 |
| All Treatedn=83 Participants | 2.6 | 1.07 |
ADCS-ADL Total Score (Changes From Baseline to 14 Months) in Patients With Baseline MMSE:18-21
Time frame:Baseline and 14 months
Mini-Mental State Examination (MMSE)
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), units on a scale | Standard error |
|---|---|---|
| High Albumin + Immunoglobulinn=28 Participants | -4.5 | 2.97 |
| Low Albumin + Immunoglobulinn=20 Participants | -5.7 | 2.11 |
| Low Albuminn=36 Participants | -6.0 | 1.75 |
| Control (Sham) Groupn=26 Participants | -14.1 | 2.67 |
| All Treatedn=84 Participants | -5.5 | 1.33 |
Function / daily living
2 endpointsAlzheimer's Disease Cooperative Study-Activities of Daily Living (ADCS-ADL) Total Score (Changes From Baseline to 14 Months)
Time frame:Baseline and 14 Months
ADCS-Activities of Daily Living (ADCS-ADL)
change from baseline, improvement
Alzheimer's Disease Cooperative Study-Activities of Daily Living (ADCS-ADL) Total Score (Changes From Baseline to 14 Months)
Time frame:Baseline and 14 Months
ADCS-Activities of Daily Living (ADCS-ADL)
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), units on a scale | Standard error |
|---|---|---|
| High Albumin + Immunoglobulinn=51 Participants | -3.5 | 1.80 |
| Low Albumin + Immunoglobulinn=57 Participants | -2.0 | 1.03 |
| Low Albuminn=61 Participants | -3.9 | 1.24 |
| Control (Sham) Groupn=64 Participants | -6.7 | 1.50 |
| All Treatedn=169 Participants | -3.2 | 0.78 |
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
- PMID38489186via DERIVED
- PMID35867135via 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.