Skip to main content
Delfa

← Trials/Trial dossier/NCT04672135

CompletedPhase 1

A Phase 1 (First in Human) Randomized, Double-blind, Placebo-controlled SAD, MAD Study With Oral REM0046127

A Phase 1 (First in Human) Randomized, Double-blind, Placebo-controlled SAD, MAD Study With an Adaptive Dose Design to Evaluate the Safety, Tolerability, and Pharmacokinetics of REM0046127 in Healthy Subjects

Lead sponsor

reMYND

Asset

REM0046127

Listed sites

1

Recruiting sites

-

Enrollment

77

actual

Study population

Alzheimer’s disease

Key I/E criterion

Age 18-80

Primary endpoints

Adverse EventsSADMAD

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

NCT IDNCT04672135
Org study IDNSC20002

Timeline

Milestones

Study start2020-11-09actual
Study first posted2020-12-17actual
Primary completion2022-04-01actual
Study completion2022-04-26actual
Last update posted2022-05-19actual

Assets

Drug assets

Study populations

Who this study enrolls

Alzheimer’s disease

Eligibility

Who can enroll

Minimum age18 Years
Maximum age80 Years
SexAll
Healthy volunteersAccepted

Inclusion criteria

1. SAD/MAD: Young male subjects aged 18 to 45 years (limits included) willing and able to give their written consent to participate in the trial after having received information about the study design, the objectives of the project, the possible derivative risks, and their right to withdraw from the study at any time and for any reason

2. Elderly Cohorts: Elderly male and female (not of childbearing potential) subjects aged 55 to 80 (limits included) willing and able to give their written consent to participate in the trial after having received information about the study design, the objectives of the project, the possible derivative risks, and their right to withdraw from the study at any time and for any reason.

3. Women not of childbearing potential: Clinically significant abnormalities in screening laboratory tests, including:

-Surgically sterile (bilateral tubal ligation, hysterectomy), or
-Postmenopausal with last natural menses greater than 24 months

4. Electrocardiogram without clinically significant pathologic abnormalities and with corrected QT interval (cQT) values lesser than 450 ms

5. Normotensive as defined by Systolic Blood Pressure ≤ 150 mm Hg. Diastolic Blood Pressure ≤ 90 mm Hg without antihypertensive medication

6. Body Mass Index (BMI) between 18 and 30 kg/m2.

7. Body weight between 60 and 80 kg, inclusive

Only for the elderly cohort of the MAD:

8. Participants may be taking medication for non-serious chronic diseases, provided that the dose of these concomitant medications has been stable within the previous 2 months

9. No suicidal ideation, as demonstrated by a score of "0" on the Columbia Suicide Severity Rating Scale (C-SSRS)

Exclusion criteria

1. Women of childbearing potential (WOCBP)

2. Failure to perform screening or baseline examinations

3. Any chronic medical condition (such as type 1 diabetes) requiring chronic treatment that might increase the risk to the subject or confound the interpretation of safety observations according to the clinical assessment of the investigator (physician)

4. Evidence of active infection requiring antibiotic therapy within 14 days prior to screening

5. Medical history of vasculitis or any autoimmune disease excluding seasonal allergic rhinitis and childhood history of atopic dermatitis

6. History of any treatment for cancer within the past 2 years, other than basal cell or squamous cell carcinoma of the skin

7. Seropositive for human immunodeficiency virus (HIV)

8. History of acute/chronic hepatitis B or C and/or carriers of hepatitis B (seropositive for Hepatitis B surface antigen [HbsAg] or anti-Hepatitis C [Hepatitis C Virus (HCV)] antibody)

9. Clinically significant abnormalities in screening laboratory tests, including:

-Absolute neutrophil count < 1.4 x109
-Absolute lymphocyte count < 1.2 x 109
-Alanine transaminase (ALT) or aspartate transaminase (AST) > 1.5 x the upper limit of normal (ULN)
-Lactate Dehydrogenase (LDH) > 1.5 x ULN
-Total bilirubin level: Out of normal range 0-1.5 mg/dL
-Estimated glomerular filtration rate (eGFR) < 60 mL/min
-Haemoglobin (Hgb): out of normal range (male: 13,5-18,0 g/dL).
-Haemoglobin (Hgb): out of normal range (female: 12,0-16,0 g/dL)

10. Use of an investigational drug within 2 months prior to dosing in this study

11. Any disorder that could interfere with the absorption, distribution, metabolism or excretion of drugs (e.g. small bowel disease, Crohn's disease, celiac disease, or liver disease)

12. Chronic kidney disease (defined as the presence of any degree of proteinuria on urine analysis and/or an eGFR of <60 ml/min using the (Modification of Diet in Renal Disease (MDRD) formula)

13. Psychiatric history of current or past psychosis, bi-polar disorder, major depression, or anxiety disorder requiring chronic medication within the past 5 years

14. History of substance abuse, including alcohol and nicotine or positive urine drug screen at screening visit

15. Any reason or opinion of the investigator that would prevent the subject from participation in the study

16. Inability to follow the instructions or an unwillingness to collaborate during the study

17. Male subjects with female partner of child-bearing potential who are unwilling or unable to adhere to contraception requirements

Only for the elderly cohort of the MAD:

18. Chronic daily drug intake during the study period:

-Benzodiazepines, neuroleptics or major sedatives
-Antiepileptics
-Centrally active anti-hypertensive drugs (clonidine, l-methyl-DOPA, guanidine, guanfacine, etc.)
-Opioid containing analgesics

19. History of cancer within the last 5 years, except basal cell carcinoma, non-squamous skin carcinoma, prostate cancer or carcinoma in situ with no significant progression over the past 2 years

20. Clinically significant, advanced or unstable disease that may interfere with primary or secondary variable evaluations, and which may bias the assessment of the clinical or mental status of the volunteer or put the volunteer at special risk, such as:

-Chronic liver disease, liver function test abnormalities or other signs of hepatic insufficiency (Alanine-Aminotransferase (ALT), Aspartate-Aminotransferase (AST), Gamma Glutamyl-Transferase (GT), alkaline phosphatase > 2.0 ULN)
-Respiratory insufficiency
-Heart disease (myocardial infarction, unstable angina, heart failure, cardiomyopathy within six months before screening)
-Bradycardia (heartbeat <50/min) or tachycardia (heartbeat >95/min)
-Hypertension (<180/95) or hypotension requiring treatment with more than 2 drugs
-Atrioventricular (AV) block (type II / Mobitz II and type III), congenital long QT syndrome, sinus node dysfunction or prolonged QTcF-interval (males >450 and females >470 ms)
-Uncontrolled diabetes defined by HbA1c >8.5
-Renal insufficiency (serum creatinine > 2mg/dL) or creatinine clearance ≤ 30 mL/min according to Cockcroft-Gault formula).

Endpoints (8)

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

Safety / tolerability / PK
7
Fluid / digital biomarkers
1

Fluid / digital biomarkers

1 endpoint
Primary/protocol endpoint

Cerebrospinal Fluid (CSF) PK (MAD)

Time frame:CSF samples will be collected on the last day of dosing (Day 7) at approximately Tmax determined during SAD

descriptive

Safety / tolerability / PK

7 endpoints
Primary/protocol endpoint

Adverse Events

Time frame:SAD: from dosing to 72 hours after dosing. MAD: from the first dosing until 48 hours after the last dosing on day 7.

event count, event

Primary/protocol endpoint

SAD: Plasma Concentration including Peak Plasma Concentration (Cmax)

Time frame:Plasma samples will be taken during SAD at baseline and 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 18, 24, 36 and 48 hours post-dose.

concentration, descriptive

Primary/protocol endpoint

SAD: Plasma Concentration including Half-Life(t1/2)

Time frame:Plasma samples will be taken during SAD at baseline and 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 18, 24, 36 and 48 hours post-dose.

concentration, descriptive

Primary/protocol endpoint

SAD: Area under the Curve (AUC)

Time frame:Plasma samples will be taken during SAD at baseline and 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 18, 24, 36 and 48 hours post-dose.

concentration, descriptive

Primary/protocol endpoint

MAD: Half-Life(t1/2) between Baseline and 48 hours after the last dosing.

Time frame:Plasma samples will be taken pre-dose and 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24 hours post-dose, pre-dose on Day 5 and on Day 7: 0, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24 hours (Day 8) and 48 hours (Day 9).

concentration, descriptive

Primary/protocol endpoint

MAD: Plasma Concentration

Time frame:Plasma samples will be taken pre-dose and 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24 hours post-dose, pre-dose on Day 5 and on Day 7: 0, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24 hours (Day 8) and 48 hours (Day 9).

concentration, descriptive

Primary/protocol endpoint

MAD: Area under the Curve (AUC)

Time frame:Plasma samples will be taken pre-dose and 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24 hours post-dose, pre-dose on Day 5 and on Day 7: 0, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24 hours (Day 8) and 48 hours (Day 9).

concentration, descriptive

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 21, 2026
Endpoint classificationDelfa ADRD endpoint taxonomy
Results tableno registry results posted yet

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.