Table 6.
Mean changes from baseline at week 24 in 2-week dosing interval (Intent-to-treat population; n=55).
| IVIG (n=20) | Placebo (n=7) | Placebo vs. 0.1 IVIG | Placebo vs. 0.25 IVIG | Placebo vs. 0.4 IVIG | ||||
|---|---|---|---|---|---|---|---|---|
| 0.1 (n=6) | 0.25 (n=7) | 0.4 (n=7) | ||||||
| Aβ1–40: | 266.7 ± 996.0 (n=6) |
10.6 ± 1104.0 (n=7) |
−147.0 ± 1067.9 (n=5) |
939.4 ± 1670.8 (n=5) |
672.7 [−1160.8; 2506.3] p=0.4280 |
928.8 [844.7; 2702.3] p=0.2703 |
1086.4 [−958.5; 3131.3] p=0.2554 |
|
| CSF* [pg/mL] | ||||||||
| Plasma [pg/mL] | 5.5 ± 64.5 (n=6) |
−0.3 ± 22.1 (n=6) |
−6.5 ± 61.4 (n=6) |
27.1 ± 40.2 (n=7) |
21.6 [−42.8; 86.1] p=0.4755 |
27.5 [−13.2; 68.1] p=0.1650 |
33.6 [−28.7; 96.0] p=0.2602 |
|
| Aβ1–42: | −8.7 ± 38.2 (n=6) |
9.7 ± 54.7 (n=7) |
4.0 ± 40.3 (n=5) |
32.42 ± 67.0 (n=5) |
41.1 [−31.5; 113.7] p=0.2327 |
22.7 [−55.9; 100.9] p=0.5325 |
28.4 [−52.2; 109.0] p=0.4403 |
|
| CSF* [pg/mL] | ||||||||
| Plasma [pg/mL] | −2.3 ± 7.8 (n=6) |
−4.5 ± 6.3 (n=6) |
−2.7 ± 7.6 (n=6) |
4.1 ± 3.8 (n=7) |
6.5 [−0.8; 13.8] p=0.0759 |
8.6 [2.4; 14.8] p=0.0107 |
6.8 [−0.3; 13.9] p=0.0592 |
|
| nAbs-Aβ: | 0.2 ± 1.8 (n=6) |
1.9 ± 1.9 (n=7) |
−0.8 ± 1.6 (n=5) |
0.4 ± 3.7 (n=5) |
0.2 [−3.7; 4.0] p=0.9271 |
−1.5 [−5.1; 2.2] p=0.3861 |
1.2 [−3.0; 5.4] p=0.5378 |
|
| CSF* [RTF] | ||||||||
| Plasma [RTF] | 74.3 ± 35.0 (n=6) |
163.9 ± 136.6 (n=7) |
310.2 ± 193.0 (n=6) |
109.7 ± 284.8 (n=7) |
35.4 [−223.8; 294.6] p=0.7553 |
−54.1 [−314.3; 206.0] p=0.6583 |
−200.5 [−503.3; 102.4] p=0.1732 |
|
| Total tau* [pg/mL] | 209.3 ± 416.0 (n=6) |
−3.4 ± 35.6 (n=7) |
−7.8 ± 51.3 (n=5) |
17.4 ± 38.6 (n=5) |
−191.9 [−618.1; 234.3] p=0.3110 |
20.8 [−27.2; 68.9] p=0.3571 |
25.2 [−41.0; 91.4] p=0.4056 |
|
| P-Tau181* [pg/mL] | −3.2 ± 14.7 (n=6) |
0.4 ± 3.6 (n=7) |
2.6 ± 5.0 (n=5) |
0.6 ± 7.5 (n=5) |
3.8 [−12.7; 20.2] p=0.6172 |
0.2 [−7.0; 7.4] p=0.9586 |
−2.0 [−11.3; 7.3] p=0.6328 |
|
| ADAS-cog | 2.50 [−3.7; 6.0] (n=6) |
−1.33 [−7.3; 4.0] (n=7) |
4.50 [−4.0; 8.3] (n=6) |
−0.33 [−5.3; 5.0] (n=7) |
−3.00 [−7.00; 1.67] p=0.1979 |
2.00 [−4.00; 7.00] p=0.6540 |
−4.34 [−10.66; 2.33] p=0.1004 |
|
| MMSE | −2.0 [−10; 2] (n=6) |
0.0 [−3; 4] (n=7) |
−1.5 [−4; 1] (n=6) |
−1.0 [−5; 1] (n=7) |
1.0 [−4.0; 7.0] p=0.6643 |
−1.0 [−5.0; 2.0] p=0.4392 |
1.0 [−2.0; 4.0] p=0.6656 |
|
| CDR-SOB | 0.00 [−1.0; 5.0] (n=6) |
0.50 [−2.0; 2.0] (n=7) |
0.75 [−1.5; 4.0] (n=6) |
0.00 [−2.5; 1.5] (n=7) |
−1.25 [−3.50; 0.50] p=0.4236 |
−0.50 [−2.50; 1.00] p=0.4356 |
−2.50 [−3.50; 0.00] p=0.0953 |
|
| ADCS-ADL | −0.5 [−11; 4] (n=6) |
−3.0 [−17; 3] (n=7) |
−4.0 [−25; 2] (n=6) |
2.0 [−6; 10] (n=7) |
3.0 [−3.0; 10.0] p=0.3153 |
5.0 [−1.0; 13.0] p=0.0839 |
6.5 [0.0; 18.0] p=0.0734 |
|
|
Whole brain volume |
−2.0 ± 0.8 (n=5) |
−1.5 ± 0.7 (n=6) |
−1.4 ± 1.7 (n=5) |
−1.4 ± 1.0 (n=4) |
0.6 [−0.8; 2.0] p=0.3620 |
0.1 [−1.1; 1.3] p=0.8766 |
−0.0 [−2.3; 2.2] p=0.9899 |
|
|
Hippocampal volume left |
−166.2 ± 64.0 (n=6) |
−183.5 ± 117.4 (n=6) |
−131.4 ± 98.0 (n=5) |
−216.5 ± 133.2 (n=4) |
−50.3 [−193.2; 92.6] p=0.4401 |
−33.0 [−216.9; 150.9] p=0.6899 |
−85.1 [−266.6; 96.4] p=0.3042 |
|
|
Hippocampal volume right |
−106.2 ± 112.7 (n=6) |
−182.2 ± 179.0 (n=6) |
−153.6 ± 226.0 (n=5) |
−198.3 ± 30.5 (n=4) |
−92.1 [−227.6; 43.4] p=0.1557 |
−16.1 [−228.6; 194.4] p=0.8373 |
−44.7 [−317.4; 228.1] p=0.6838 |
|
Data are mean ± SD (patients analysed) for CSF and plasma biomarkers as well as MRI results and median [minimum, maximum] (patients analysed) for cognitive and functional scales.
Differences between treatment groups were assessed by using t-test (two-sided, α=0.05) for CSF and plasma biomarkers as well as MRI results (displayed as difference between groups [95% confidence interval], p-value) and by calculating Hodges-Lehmann estimates and the corresponding non-parametric 95% confidence interval as well as by using Wilcoxon Rank Sum test (normal approximation, two-sided, α=0.05) for the cognitive and functional scales (displayed as Hodges-Lehmann estimate [95% confidence interval] p-value).
At visit 13 (last infusion at week 22 + 1 day) for 2-week interval and visit 7 (week 20 + 1 day) for 4-week interval