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CompletedPhase 2 / PHASE3Results posted

A 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

Asset

Immunoglobulin

Listed sites

40

Recruiting sites

-

Enrollment

347

actual

Study population

Alzheimer’s disease

Key I/E criteria

Alzheimer's diseaseMMSE 18

Primary endpoints

ADAS-CogADCS-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

Org study IDIG1002
NCT IDNCT01561053

Timeline

Milestones

Study first posted2012-03-22estimated
Study start2012-04-19actual
Primary completion2018-03-06actual
Study completion2018-03-06actual
Last update posted2019-07-31actual
Results first posted2019-07-31actual

Assets

Drug assets

Study populations

Who this study enrolls

Alzheimer’s disease

Eligibility

Who can enroll

Minimum age55 Years
Maximum age85 Years
SexAll
Healthy volunteersNot accepted

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:

-Hypocalcemia (Ca++ < 8.7 mg/dL)
-Thrombocytopenia (<100,000/µL)
-Fibrinogen <1.5 g/L
-Prothrombin time (Quick) p<60% versus control (international normalized ratio (INR) >1.5)
-Beta-blocker treatment and bradycardia <55/min
-Treatment with angiotension-converting enzyme inhibitors (ACEIs) (increased risk of allergic reactions)

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
Function / daily living
2

Global cognition

10 endpoints
Primary/protocol endpoint

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

Primary/registry result

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

GroupValue (least_squares_mean), units on a scaleStandard error
High Albumin + Immunoglobulinn=50 Participants0.81.28
Low Albumin + Immunoglobulinn=57 Participants0.81.09
Low Albuminn=61 Participants1.51.02
Control (Sham) Groupn=64 Participants3.20.95
All Treatedn=168 Participants1.00.64
Other/protocol endpoint

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

Other/protocol endpoint

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

Other/protocol endpoint

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

Other/protocol endpoint

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

Other_pre_specified/registry result

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

GroupValue (least_squares_mean), units on a scaleStandard error
High Albumin + Immunoglobulinn=23 Participants-0.91.51
Low Albumin + Immunoglobulinn=37 Participants-0.31.04
Low Albuminn=25 Participants-0.61.12
Control (Sham) Groupn=38 Participants0.61.12
All Treatedn=85 Participants-0.60.68
Other_pre_specified/registry result

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

GroupValue (least_squares_mean), units on a scaleStandard error
High Albumin + Immunoglobulinn=23 Participants-2.41.68
Low Albumin + Immunoglobulinn=37 Participants0.80.98
Low Albuminn=25 Participants-0.91.43
Control (Sham) Groupn=38 Participants-1.31.29
All Treatedn=85 Participants-0.60.75
Other_pre_specified/registry result

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

GroupValue (least_squares_mean), units on a scaleStandard error
High Albumin + Immunoglobulinn=27 Participants2.41.95
Low Albumin + Immunoglobulinn=20 Participants1.92.44
Low Albuminn=36 Participants3.31.49
Control (Sham) Groupn=26 Participants6.41.34
All Treatedn=83 Participants2.61.07
Other_pre_specified/registry result

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

GroupValue (least_squares_mean), units on a scaleStandard error
High Albumin + Immunoglobulinn=28 Participants-4.52.97
Low Albumin + Immunoglobulinn=20 Participants-5.72.11
Low Albuminn=36 Participants-6.01.75
Control (Sham) Groupn=26 Participants-14.12.67
All Treatedn=84 Participants-5.51.33

Function / daily living

2 endpoints
Primary/protocol endpoint

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

Primary/registry result

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

GroupValue (least_squares_mean), units on a scaleStandard error
High Albumin + Immunoglobulinn=51 Participants-3.51.80
Low Albumin + Immunoglobulinn=57 Participants-2.01.03
Low Albuminn=61 Participants-3.91.24
Control (Sham) Groupn=64 Participants-6.71.50
All Treatedn=169 Participants-3.20.78

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.

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 21, 2026
Endpoint classificationDelfa ADRD endpoint taxonomy
Results tableClinicalTrials.gov results section

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.