Display options
Share it on

Alzheimers Dement (N Y). 2017 Jun 08;3(3):393-401. doi: 10.1016/j.trci.2017.05.003. eCollection 2017 Sep.

Ponezumab in mild-to-moderate Alzheimer's disease: Randomized phase II PET-PIB study.

Alzheimer's & dementia (New York, N. Y.)

Jaren W Landen, Niels Andreasen, Carol L Cronenberger, Pamela F Schwartz, Anne Börjesson-Hanson, Henrik Östlund, Catherine A Sattler, Brendon Binneman, Martin M Bednar

Affiliations

  1. Pfizer Inc., Groton, CT, USA.
  2. Karolinska University Hospital, Stockholm, Sweden.
  3. Sahlgrenska University Hospital, Gothenburg, Sweden.
  4. Skanes University Hospital, Malmö, Sweden.
  5. Pfizer Inc., Cambridge, MA, USA.

PMID: 29067345 PMCID: PMC5651442 DOI: 10.1016/j.trci.2017.05.003

Abstract

INTRODUCTION: The safety, pharmacokinetics, and effect on peripheral and central amyloid β (Aβ) of multiple doses of ponezumab, an anti-Aβ monoclonal antibody, were characterized in subjects with mild-to-moderate Alzheimer's disease treated for 1 year.

METHODS: Subjects were aged ≥50 years with Mini-Mental State Examination scores 16 to 26. Cohort Q was randomized to ponezumab 10 mg/kg (

RESULTS: Ponezumab was generally well tolerated. Plasma concentrations increased dose dependently, but cerebrospinal fluid (CSF) penetration was low. Plasma Aβ increased dose dependently with ponezumab, but CSF biomarkers, brain amyloid burden, cognition, and function were not affected.

CONCLUSIONS: Both ponezumab dosing schedules were generally safe and well tolerated but did not alter CSF biomarkers, brain amyloid burden, or clinical outcomes.

Keywords: Alzheimer's disease; Amyloid; Anti-drug antibodies; Antibody; PIB; Pharmacodynamics; Pharmacokinetics; Ponezumab; Safety; Tolerability

References

  1. Alzheimers Dement. 2016 Feb;12 (2):110-120 - PubMed
  2. Lancet Neurol. 2013 Apr;12(4):357-67 - PubMed
  3. J Nucl Med. 2005 Dec;46(12 ):1959-72 - PubMed
  4. Arch Pharm Res. 2013 Oct;36(10 ):1178-84 - PubMed
  5. EMBO Mol Med. 2016 Jun 01;8(6):595-608 - PubMed
  6. J Pharm Sci. 2004 Nov;93(11):2645-68 - PubMed
  7. Science. 2002 Jul 19;297(5580):353-6 - PubMed
  8. J Alzheimers Dis. 2015 ;49(4):1123-34 - PubMed
  9. Nat Neurosci. 2015 Jun;18(6):800-6 - PubMed
  10. Int J Clin Pharmacol Ther. 2013 Dec;51(12):911-23 - PubMed
  11. Am J Occup Ther. 1999 Sep-Oct;53(5):471-81 - PubMed
  12. N Engl J Med. 2014 Jan 23;370(4):311-21 - PubMed
  13. Clin Neuropharmacol. 2013 Jan-Feb;36(1):8-13 - PubMed
  14. J Neurosci. 2006 May 17;26(20):5340-6 - PubMed
  15. J Psychiatr Res. 1975 Nov;12(3):189-98 - PubMed
  16. J Neuroinflammation. 2004 Dec 08;1(1):24 - PubMed
  17. Age (Dordr). 2010 Sep;32(3):365-84 - PubMed
  18. Clin Neuropharmacol. 2013 Jan-Feb;36(1):14-23 - PubMed
  19. Ann Neurol. 2004 Mar;55(3):306-19 - PubMed
  20. J Cereb Blood Flow Metab. 2005 Nov;25(11):1528-47 - PubMed
  21. N Engl J Med. 2014 Jan 23;370(4):322-33 - PubMed
  22. Proc Natl Acad Sci U S A. 2004 Oct 5;101 Suppl 2:14657-62 - PubMed
  23. Nature. 2016 Aug 31;537(7618):50-6 - PubMed
  24. Lancet Neurol. 2017 Feb;16(2):97 - PubMed
  25. Proc Natl Acad Sci U S A. 2001 Jul 17;98(15):8850-5 - PubMed
  26. Am J Psychiatry. 1984 Nov;141(11):1356-64 - PubMed

Publication Types