Alzamend Neuro Announces Full Data Set from Phase IIA Multiple Ascending Dose Clinical Trial for AL001 Treatment of Dementia Related to Alzheimer’s
October 16 2024 - 7:00AM
Business Wire
- Data confirm the positive topline results announced in June
2023 identifying a maximum tolerated dose as assessed by an
independent safety review committee
- Identified dose is unlikely to require lithium therapeutic
drug monitoring
- Data will guide upcoming “Lithium in Brain” Phase II
clinical trials in partnership with Massachusetts General Hospital,
which were announced in August 2024
Alzamend Neuro, Inc. (Nasdaq: ALZN) (“Alzamend”), a
clinical-stage biopharmaceutical company focused on developing
novel products for the treatment of Alzheimer’s disease
(“Alzheimer’s”), bipolar disorder (“BD”), major
depressive disorder (“MDD”) and post-traumatic stress
disorder (“PTSD”), today announced that it has received the
final full data set from its multiple ascending dose clinical trial
for AL001 treatment of dementia related to Alzheimer’s.
Building on the promising preliminary results released in June
2023, Alzamend’s full data set confirms the successful
determination of a maximum tolerated dose (“MTD”) for AL001.
Identified by an independent safety review committee, this MTD
represents a pivotal step forward; it delivers lithium at a lithium
carbonate equivalent dose of 240 mg, taken three times daily
(“TID”). This is an AL001 formulation that will unlikely
require the need for traditional lithium therapeutic drug
monitoring (“TDM”). This innovation is specifically designed
to address the needs of fragile populations, such as elderly and
Alzheimer’s patients, by offering a potentially more efficient and
safer alternative to existing treatments.
Lithium, renowned for its efficacy as a first-line therapy for
manic episodes and maintenance in bipolar disorder, has long been
underutilized due to the complexities of TDM. Current U.S. Food and
Drug Administration-approved lithium salts (carbonate and citrate)
are limited by a narrow therapeutic window that requires regular
TDM of plasma lithium levels and blood chemistry by a clinician to
mitigate adverse events. Since conventional lithium salts are
eliminated relatively quickly, multiple administrations throughout
the day are required to safely reach therapeutic plasma
concentrations. Existing lithium drugs suffer from chronic
toxicity, poor physicochemical properties, and poor brain
bioavailability. Alzamend’s novel AL001 formulation, a
lithium-salicylate/L-proline engineered ionic cocrystal, is
designed to overcome the toxicities associated with conventional
lithium salts, promising a next-generation lithium treatment with
an enhanced safety profile and advantageous distribution to brain
and brain structures.
“This is a major step towards providing a significant
breakthrough for the 43+ million Americans afflicted with
Alzheimer’s, BD, MDD and PTSD. The data not only highlight AL001’s
safety and tolerability but also herald its potential as a
transformative lithium therapy that could redefine patient care by
avoiding the need for TDM in clinical practice, thereby
significantly enhancing effectiveness and safety,” said Stephan
Jackman, Chief Executive Officer of Alzamend. “We appreciate the
extraordinary efforts of our colleagues and partners to identify a
rigorously determined MTD from this multiple-ascending dose study.
We look forward to further evaluating AL001 in five ‘Lithium in
Brain’ Phase II clinical trials in healthy subjects and patients
diagnosed with mild to moderate Alzheimer’s, BD, MDD and PTSD, in
partnership with Massachusetts General Hospital.”
About AL001 Phase IIA Study
The Phase IIA study evaluated the safety and tolerability of
AL001 under multiple-dose, steady‑state conditions. It determined
the MTD in patients diagnosed with mild to moderate Alzheimer’s
disease and in healthy non-elderly and elderly subjects with
adequate renal function. Lithium has been well characterized for
safety and is approved and marketed in multiple formulations for
BD. Lithium dosing for the multiple-ascending dose cohorts
consisted of increasing fractions of, and a full usual dose, for
treatment of BD. In each cohort, consisting of six active and two
placebo subjects (as per randomization), multiple ascending doses
were administered TID for 14 days, up to tolerability/safety
limits. The results were:
- The safety profile was demonstrated to be benign at all dose
levels, and so the selected dose level chosen for further
development was based on avoidance of plasma drug concentrations
associated in the medical literature with exceeding the upper limit
of the therapeutic range of drug concentrations, thereby serving to
mitigate potential toxicity;
- Under the conditions of this study, multiple dose
administrations of AL001 were well tolerated in healthy elderly and
non-elderly subjects, and in subjects with Alzheimer’s, regardless
of their comorbidities; and
- No clinically obvious or relevant lithium or salicylate
pharmacokinetic differences were observed between non-elderly and
elderly healthy subjects, or Alzheimer’s subjects under the
conditions of this study.
Based on the results from this study, Alzamend plans to initiate
five clinical trials to determine relative increased lithium levels
in the brain compared to a marketed lithium salt for healthy
subject and patients diagnosed with mild to moderate Alzheimer’s,
BD, MDD and PTSD, based on published mouse studies that predict
that lithium can be given at lower doses for equivalent therapeutic
benefit when treating with AL001. For example, the goal is to
replace the amount of lithium needed for maintenance treatment of
BD with a clinically relevant, lower AL001 lithium carbonate
equivalent lithium dose. Such lithium dose mitigation could
redefine the landscape of neuropsychiatric, neurodegenerative, and
neurological treatment practices.
About Alzamend Neuro
Alzamend is an early clinical-stage biopharmaceutical company
focused on developing novel products for the treatment of
Alzheimer’s, BPD, MDD and PTSD. Our mission is to rapidly develop
and market safe and effective treatments. Our current pipeline
consists of two novel therapeutic drug candidates, AL001 - a
patented ionic cocrystal technology delivering lithium via a
therapeutic combination of lithium, salicylate, and L-proline, and
AL002 - a patented method using a mutant-peptide sensitized cell as
a cell-based therapeutic biologic vaccine that seeks to restore the
ability of a patient’s immunological system to combat Alzheimer’s.
Both of our product candidates are licensed from the University of
South Florida Research Foundation, Inc. pursuant to royalty-bearing
exclusive worldwide licenses.
Forward-Looking Statements
This press release contains “forward-looking statements” within
the meaning of Section 27A of the Securities Act of 1933, as
amended, and Section 21E of the Securities Exchange Act of 1934, as
amended. These forward-looking statements generally include
statements that are predictive in nature and depend upon or refer
to future events or conditions, and include words such as
“believes,” “plans,” “anticipates,” “projects,” “estimates,”
“expects,” “intends,” “strategy,” “future,” “opportunity,” “may,”
“will,” “should,” “could,” “potential,” or similar expressions.
Statements that are not historical facts are forward-looking
statements. Forward-looking statements are based on current beliefs
and assumptions that are subject to risks and uncertainties.
Forward-looking statements speak only as of the date they are made,
and Alzamend undertakes no obligation to update any of them
publicly in light of new information or future events. Actual
results could differ materially from those contained in any
forward-looking statement as a result of various factors. More
information, including potential risk factors, that could affect
Alzamend’s business and financial results are included in
Alzamend’s filings with the U.S. Securities and Exchange
Commission. All filings are available at www.sec.gov and on
Alzamend’s website at www.Alzamend.com.
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