Lomecel-B Effects on Alzheimer's Disease

Last updated: February 16, 2024
Sponsor: Longeveron Inc.
Overall Status: Completed

Phase

2

Condition

N/A

Treatment

Placebo

Allogeneic MSC

Clinical Study ID

NCT05233774
00-007-01
  • Ages 60-85
  • All Genders

Study Summary

Dementia resulting from AD is associated with vascular function decline and involves a pro-inflammatory state. In our Phase 1 trial, Lomecel-B treatment met the primary safety endpoint, with no safety concerns, and showed potential to improve clinical assessments. Mechanistically, Lomecel-B treated subjects had higher serum concentrations of pro-vascular and anti-inflammatory biomarkers relative to placebo. This trial builds upon those preliminary Phase 1 results, and is designed to evaluate the safety profile of multiple infusions of Lomecel-B, and to investigate provisional efficacy of single dosing versus multiple dosing of Lomecel-B on cognitive function and biomarkers in AD subjects.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Provide written informed consent.
  • Be 60 - 85 years of age at signing of the Informed Consent Form.
  • Clinical diagnosis of mild Alzheimer's disease in accordance with the NIA-AA criteriaat the time of enrollment.
  • MMSE score of 19 - 23.
  • Body weight of 40 - 150 kg.
  • Has an adult caregiver who meets all of the following criteria.
  1. Provides written informed consent to participate on the trial (reporting onpatient observations).
  2. Either lives with the patient, or sees the patient for at least 2 hours/day forat least 3 days/week.
  3. Is willing and able to participate in the study, and agrees to accompany thepatient to each study visit.
  4. Is able to read, understand, and speak the designated language at the study site.
  • Brain MRI consistent with AD.
  • A PET scan using an FDA-approved tracer (e.g., AMYViD, Vizamyl, or Neuraceq)consistent with the diagnosis of AD. A prior positive PET scan will be allowed withSponsor approval.
  • Living in the community, includes assisted living facilities (but excluding long-termcare nursing facilities).

Exclusion

Exclusion Criteria:

  • Diagnosed with frontotemporal dementia (FTD), dementia due to AcquiredImmunodeficiency Syndrome (AIDS), Creutzfeldt-Jakob disease (CJD), Lewy Bodiesdementia (LBD), Progressive Supranuclear Palsy (PSP), multiple cerebral infarctions,or normal pressure hydrocephalus.
  • Any other neurodegenerative disease.
  • History of a seizure disorder.
  • Evidence of: a prior macrohemorrhage; at least 4 cerebral microhemorrhages (regardlessof anatomical location or diagnostic characterization as "possible" or "definite"); orat least 1 area of superficial siderosis.
  • Unwillingness or inability to have MRIs scans (no contrasting agent will be used), orcondition that contraindicates MRI, such as the presence metallic objects in the eyes,skin, or heart.
  • Any conditions that contraindicates PET with a beta-amyloid tracer.
  • Significant intestinal malabsorption surgery, e.g., gastric bypass.
  • Serum B12 and/or folate levels below normal range.
  • Clinically abnormal free T4 or thyroid-stimulating hormone (TSH).
  • Resting blood oxygen saturation <93%.
  • Resting systolic blood pressure >180 mm Hg, or diastolic blood pressure >110 mm Hg.
  • Regularly (> 4 weeks) using high-doses of corticosteroids or other steroidalanti-inflammatory medication (e.g., Prednisone) on a regular basis, with the exceptionof steroidal nasal sprays, asthma inhalers, topical steroids, and hormonal-replacementtherapy.
  • Regularly (> 4 weeks) using anti-cytokine antibody or targeting therapy, e.g.,anti-TNF-α.
  • Be an organ transplant recipient, or have active or expected future listing for anyorgan/tissue transplant while scheduled to be on trial, except for corneal, bone,skin, ligament, or tendon.
  • Diagnosed with malignancy within the past 2 years, with the exception of curativelytreated basal cell carcinoma, squamous cell carcinoma, melanoma in situ, or cervicalcarcinoma.
  • Known hypersensitivity to dimethyl sulfoxide (DMSO).
  • Test positive for hepatitis B virus surface antigen, viremic hepatitis C virus, HIV,or syphilis.
  • Any condition that is projected to limited life expectancy to < 12 months.
  • Be pregnant, nursing, or of childbearing potential while not practicing effectivecontraception.
  • Be currently participating in any other investigational therapeutic or device trial,or have participated within one within the previous 30 days to screening, or in theopinion of the investigator, the patient should be excluded for such participationwithin the past 5 years.
  • In the opinion of the investigator, the patient has any other illness or conditionthat: may compromise the participant's safety, compliance, or ability to successfullycomplete the study; may compromise the validity of the study; or otherwise shouldexclude the participant from enrollment.

Study Design

Total Participants: 50
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 2
Study Start date:
December 28, 2021
Estimated Completion Date:
September 29, 2023

Connect with a study center

  • Visionary Investigators Network

    Aventura, Florida 33180
    United States

    Site Not Available

  • Brain Matters Research

    Delray Beach, Florida 33445
    United States

    Site Not Available

  • Science Connections - Research Partner Group Multispecialty Group

    Doral, Florida 33178
    United States

    Site Not Available

  • Allied Biomedical Research Institute

    Miami, Florida 33155
    United States

    Site Not Available

  • Brainstorm Research

    Miami, Florida 33176
    United States

    Site Not Available

  • Bruce W. Carter VA Medical Center

    Miami, Florida 33125
    United States

    Site Not Available

  • First Excellent Research Group, LLC

    Miami, Florida 33175
    United States

    Site Not Available

  • Fusion Medical Research and Clinic

    Miami, Florida 33173
    United States

    Site Not Available

  • Ivetmar Medical Group

    Miami, Florida 33155
    United States

    Site Not Available

  • Miami Dade Medical Research Institute

    Miami, Florida 33176
    United States

    Site Not Available

  • Miami Jewish Health

    Miami, Florida 33137
    United States

    Site Not Available

  • Imic Inc.

    Palmetto Bay, Florida 33157
    United States

    Site Not Available

  • Brain Matters Research

    Stuart, Florida 34997
    United States

    Site Not Available

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