Presenter of 1 Presentation
PIONEER, A PHASE 2 STUDY TO EVALUATE TREATMENT WITH T3D-959 IN PATIENTS WITH MILD TO MODERATE ALZHEIMER’S DISEASE: STUDY DESIGN AND UPDATE.
Abstract
Aims
T3D-959 is a novel (non-amyloid/non-tau-directed) new chemical entity aimed at improving dysfunctional brain glucose energy and lipid metabolism in Alzheimer’s disease (AD). To validate and expand upon observed efficacy signals in a Phase 2a trial, a larger and longer Phase 2 clinical trial is in progress, powered to measure significant differences versus placebo in outcome measures of cognition and function and assessments of multiple biomarkers of disease.
Methods
The ‘PIONEER’ Study is assessing three T3D-959 dose strengths vs. placebo. The trial is randomizing 256 AD patients dosed q.d., for 24-weeks. Eligible patients are 50-90y, have mild to moderate AD with a CDR-SB >3.0 and MMSE of 14-26. Co-primary outcome measures include ADAS-Cog11 and ADCS-CGIC. Secondary outcome measures include DSCT and change in plasma Aβ 42/40 ratio. Exploratory outcome measures include the effect of T3D-959 on absolute regional and whole brain CMRgl using FDG-PET, on plasma metabolomic, lipidomic and proteomic biomarkers, including NfL total tau, p-tau217, and p-tau181.
Results
Enrollment in PIONEER commenced in March 2021 and is ongoing [See ClinicalTrials.gov identifier NCT04251182].
Conclusions
The etiology of AD remains unknown. Brain metabolic dysfunction as causation is underserved in AD research. The PIONEER study fills this gap and supposes that aberrant glucose and lipid metabolism in AD causes protein misfolding which causes formation of plaques, tangles and promotes inflammation. The PIONEER Study will determine the clinical efficacy and safety profile of T3D-959 in individuals with mild to moderate AD. PIONEER is supported by NIA/NIH, under award R01AG061122 and by the Alzheimer’s Association’s Part the Cloud Gates Partnership Grant Program.