NeurMedix Cleared to Begin Phase 3 Alzheimer’s Trial
FDA has given the green light to NeurMedix to begin a pivotal Phase 3 clinical trial to evaluate its lead drug candidate, NE3107 in Alzheimer’s disease patients. The planned 316-patient placebo-controlled trial (NCT04669028) of the small molecule, orally administered, anti-inflammatory, insulin-sensitizing agent with a novel mechanism of action will be conducted at about 30 clinical sites in the U.S., according to the company.
“The rationale for the trial is based on growing scientific evidence linking inflammation and insulin resistance to Alzheimer’s disease dementia and progression,” NeurMedix says. “The recently coined term, ‘Type 3 diabetes,’ underscores the close link between Alzheimer’s disease and insulin resistance that develops from inflammatory inactivation of the insulin signaling pathway in the brains of Alzheimer’s patients. Inflammation has long been known as a major driver of Alzheimer’s disease, but currently approved anti-inflammatory agents, and potentially those in development, are poorly suited to chronic use in Alzheimer’s due to one or more factors relating to poor blood-brain barrier penetration, toxicity and side effects, or mechanisms of action that are too narrow to be effective against the multiplicity of inflammatory pathways that are activated in the disease.”
To address these issues, NE3107 is designed as a highly blood-brain barrier permeable drug with a low potential for toxicity that targets the major inflammation signaling pathways, those mediated by extracellular signal regulated kinase, nuclear factor kappa-light-chain-enhancer of activated B cells, and tumor necrosis factor (TNF) , the company says. It believes that NE3107’s combination of small molecule characteristics and broad mechanism of action without immunosuppressive effects provides advantages over protein-based TNF inhibiting therapies, as well as antibodies against amyloid beta and phospho-tau.