Alzheon Alzheimer’s Trial Misses Primary Endpoint
Alzheon says its Phase 3 valiltramiprosate trial in early Alzheimer’s disease (AD) patients did not meet its primary endpoint of slowing cognitive decline in the overall population. While it missed the endpoint, the company says promising results emerged in a prespecified subgroup of patients at the mild cognitive impairment stage. In these patients, valiltramiprosate demonstrated statistically significant cognitive benefits and clinically meaningful improvements in functional measures such as the Clinical Dementia Rating–Sum of Boxes and Disability Assessment for Dementia, it says.
The study evaluated valiltramiprosate in patients with early Alzheimer’s disease who are homozygous carriers of the APOE4 gene — a high-risk population for developing AD. Imaging data showed slowed brain atrophy in multiple regions, including hippocampal volume, suggesting potential neuroprotective effects, the company says. It adds that importantly there was no increased risk observed of amyloid-related imaging abnormalities, such as brain edema or microhemorrhages.
Alzheon plans to expand its research to include prevention strategies for APOE4 carriers and explore potential applications for broader AD populations.