Table 1.
Sr. No. | Author | Year | Title | Journal | Phase | Design | Inclusion Criteria | Pharmacologic Intervention | Outcome Measures | Follow-up |
---|---|---|---|---|---|---|---|---|---|---|
1 | Lowe (1) | 2021 | Donanemab (LY3002813) dose-escalation study in Alzheimer’s disease | Translational Research & Clinical Interventions | Phase 1 study | Subject- and investigator-blind, randomized, placebo-controlled, parallel-group, a seven-arm study of single-dose, followed by a multiple-dose, dose-escalation study | Men or non-fertile women ≥50 years of age with evidence of memory impairment on FCSRT-IR picture version, MMSE score of 16 to 30, and a florbetapir PET scan consistent with amyloid pathology | Arm 1: 0.1 mg/kg IV (intervention: four patients, placebo: two patients); Arm 2: 0.3 mg/kg IV (intervention: seven patients, placebo: two patients) Arm 3: 1 mg/kg IV (intervention: nine patients, placebo: two patients) Arm 4: 3 mg/kg IV (intervention: 11 patients, placebo: 3 patients) Arm 5: 10 mg/kg IV (intervention: six patients, placebo: three patients) Arm 6: 3 mg/kg SC (intervention: eight patients) Arm 7: 1 mg/kg IV in six healthy volunteers |
Brain amyloid plaque levels with Florbetapir-PET with SUVR; ADAS-Cog-14; MMSE; FCSRT-IR | 48-week period |
2 | Lowe | 2021 | Donanemab (LY3002813) Phase 1b Study in Alzheimer’s Disease: Rapid and Sustained Reduction of Brain Amyloid Measured by Florbetapir F18 Imaging | The Journal of Prevention of Alzheimer’s Disease | Phase 1b | Three-part, patient- and investigator-blind, randomized within cohort, placebo-controlled, parallel-group, six-arm, single and multiple-dose study | Men or non-fertile women ≥50 years with evidence of memory impairment on FCSRT-IR, picture version, MMSE score of 16–30, CDR of 0.5–2, memory box score ≥0.5, and a florbetapir PET scan consistent with amyloid pathology | Cohorts 1–3 (single, IC dose of Donanemab 10 mg/kg, 20 mg/kg, 40 mg/kg) or placebo; Cohort 4 (multiple IV doses of Donanemab 10 mg/kg) or placebo every 2 weeks for 24 weeks; Cohorts 5–6 (multiple IV doses of Donanemab, 10 mg/kg, 20 mg/kg) or placebo every 4 weeks for 72 weeks | Brain amyloid plaque levels with 18F-flortaucipir PET scan with SUVR values; CDR; MMSE; FCSRT-IR; ADAS-Cog-14; ADCS-MCI-ADL-24; NTB | 72 weeks (Cohorts 1 and 2); 24 weeks (Cohort 3); 48 weeks (Cohort 4); 12 weeks (Cohorts 5–6) |
3 | Mintun | 2021 | Donanemab in Early Alzheimer’s Disease | The New England Journal of Medicine | Phase 2 trial (NCT03367403) | Multicenter, randomized, double-blind, placebo-controlled trial | Patients 60 to 85 years of age who had early symptomatic AD, defined as prodromal AD or mild AD with dementia, and had an MMSE score of 20 to 28; flortaucipir PET scans with evidence of pathologic tau deposition but with quantitative tau levels between 1.10 and 1.46 except in advanced AD where tau levels ≤1.10 included with elevated amyloid levels (equivalent to ≥37 CL) | 1:1 ratio to receive either Donanemab (700 mg for the first three doses and 1400 mg thereafter) or placebo, administered intravenously every 4 weeks for up to 72 weeks | Change from baseline to 76 weeks in iADRS score *; Change from baseline in CDR-SB scores; ADAS-Cog13, the ADCS-iADL, and the MMSE | 76 weeks |
4 | Shcherbinin | 2022 | Association of Amyloid Reduction After Donanemab Treatment With Tau Pathology and Clinical Outcomes: The TRAILBLAZER-ALZ Randomized Clinical Trial | JAMA Neurology | Phase 2 (NCT03367403) | Multicenter, double-blind, phase 2, placebo-controlled, randomized clinical trial | Participants with AD who had an intermediate tau level (moderate AD patterns based on visual assessment and SUVR between 1.10 and 1.46, inclusive, or advanced AD patterns and SUVR ≤1.10) plus elevated amyloid level (equivalent to ≥37 CL) | Donanemab dosing was given every 4 weeks: 700 mg for the first 3 doses, then 1400 mg for up to 72 weeks. | Change from baseline in the score on the iADRS; Change in amyloid, tau, and clinical decline after Donanemab intervention | 48-week period |
* Integrated Alzheimer’s Disease Rating Scale (iADRS; range, 0 to 144, with lower scores indicating greater cognitive and functional impairment). Acronyms: AD: Alzheimer’s disease; ADAS-Cog13: the 13-item cognitive subscale of the Alzheimer’s Disease Assessment Scale; ADAS-Cog14: the 14-item cognitive subscale of the Alzheimer’s Disease Assessment Scale; ADCS-iADL: the Alzheimer’s Disease Cooperative Study–Instrumental Activities of Daily Living Inventory; ADCS-MCI-ADL-24: Alzheimer’s Disease Cooperative Study–Activities of Daily Living–Mild Cognitive Impairment 24-item version; CDR-SB: Clinical Dementia Rating Scale–Sum of Boxes; CL: Centiloids; FCSRT-IR: Free and Cued Selective Reminding Test Immediate Recall; MMSE: Mini-Mental State Examination; NTB: Neuropsychological Test Battery; PET: Positron emission tomography; SUVR: Standardized uptake value ratio.