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Trial · NCT03533257

Study to Assess the Safety and Biological Activity of AMX0035 for the Treatment of Alzheimer's Disease

NCT03533257, Phase 2, Completed, Amylyx Pharmaceuticals Inc.; results first posted 2025-03-07

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study to Assess the Safety and Biological Activity of AMX0035 for the Treatment of Alzheimer's Disease. Trials, record NCT03533257. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03533257

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study to Assess the Safety and Biological Activity of AMX0035 for the Treatment of Alzheimer's Disease
NCT number
NCT03533257
Status
Completed
Phases
Phase 2
Enrollment
95 participants, actual
Lead sponsor
Amylyx Pharmaceuticals Inc.
Conditions
Alzheimer Disease
Interventions
AMX0035, Placebo
First posted
2018-05-23
Last updated
2025-03-07
Results first posted
2025-03-07

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Treatment-Emergent Adverse Event (TEAEs)From first dose to 24 weeksComparison between the AMX0035 Group and Placebo of the number of participants with TEAEs
PrimaryEffect of Treatment on a Global Composite Statistical Test of Cognition, Function, and Neuroanatomy (GST)24 weeks
Change from Baseline in GST (global statistical test combining three measures relevant to disease trajectory (cognition \[MADCOMS: Mild/Moderate Alzheimer's Disease Composite Score\], function \[FAQ: Functional Activities Questionnaire\], and total hippocampal volume on magnetic resonance imaging)) for AMX0035 relative to placebo. For MADCOMS and FAQ, a higher score indicates a worse outcome. A larger hippocampal volume is better, so it was reversed before being normalized. Each of the three were normalized against respective baseline means and standard deviations. The mean of the three normalized scores is the final GST. A higher GST score indicates a worse outcome. Standard deviations above the mean are worse; standard deviations below the mean are better. The expected value of the GST at baseline is 0 because it is the mean of three z-scores whose expected values at baseline are 0. AD is multifaceted and the GST was designed to be sensitive to changes in multiple dimensions.
SecondaryEffect of Treatment on Cognition24 weeks
Impact of AMX0035 on clinical symptoms as measured by Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog). Scoring is in the range of 0 to 90 with a higher score indicating greater cognitive impairment.
SecondaryEffect of Treatment on Functioning24 weeksImpact of AMX0035 on Functional Activities Questionnaire (FAQ) scores. FAQ total score can range from 0 to 30, with higher scores indicating less functional independence.
SecondaryEffect of Treatment on Dementia Severity24 weeksImpact of AMX0035 on Dementia Severity Rating Scale (DSRS) scores. Total score can range from 0 to 54, with higher scores indicating greater severity of dementia.
SecondaryEffect of Treatment on Cognitive Impairment24 weeksImpact of AMX0035 on the Montreal Cognitive Assessment (MoCA) scores. MoCA scores can range from 0 to 30, with lower scores indicating greater cognitive impairment.
SecondaryEffect of Treatment on Neuropsychiatric Symptoms24 weeksImpact of AMX0035 on neuropsychiatric symptoms as assessed by the Neuropsychiatric Inventory (NPI). The total score ranges from 0 to 36, with higher scores indicating a greater severity of symptoms.
SecondaryRegional Brain Volume24 weeksImpact of AMX0035 on levels of hippocampal atrophy, as assessed by volumetric Magnetic Resonance Imaging (vMRI)

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Treatment-Emergent Adverse Event (TEAEs)From first dose to 24 weeksSafety PopulationParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYEffect of Treatment on a Global Composite Statistical Test of Cognition, Function, and Neuroanatomy (GST)24 weeksITT populationscore on a scaleLEAST_SQUARES_MEAN
SECONDARYEffect of Treatment on Cognition24 weeksITT populationscore on a scaleLEAST_SQUARES_MEAN
SECONDARYEffect of Treatment on Functioning24 weeksITT populationscore on a scaleLEAST_SQUARES_MEAN
SECONDARYEffect of Treatment on Dementia Severity24 weeksITT populationscore on a scaleLEAST_SQUARES_MEAN
SECONDARYEffect of Treatment on Cognitive Impairment24 weeksITT populationscore on a scaleLEAST_SQUARES_MEAN
SECONDARYEffect of Treatment on Neuropsychiatric Symptoms24 weeksITT populationscore on a scaleLEAST_SQUARES_MEAN
SECONDARYRegional Brain Volume24 weeksITT populationmm^3LEAST_SQUARES_MEAN

Results by group16

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Treatment-Emergent Adverse Event (TEAEs)Active (AMX0035)34Participants
Number of Participants With Treatment-Emergent Adverse Event (TEAEs)Placebo26Participants
Effect of Treatment on a Global Composite Statistical Test of Cognition, Function, and Neuroanatomy (GST)Active (AMX0035)0.24Standard Error 0.049score on a scale
Effect of Treatment on a Global Composite Statistical Test of Cognition, Function, and Neuroanatomy (GST)Placebo0.17Standard Error 0.052score on a scale
Effect of Treatment on CognitionActive (AMX0035)2.26Standard Error 1.402score on a scale
Effect of Treatment on CognitionPlacebo1.52Standard Error 1.496score on a scale
Effect of Treatment on FunctioningActive (AMX0035)2.61Standard Error 0.790score on a scale
Effect of Treatment on FunctioningPlacebo1.59Standard Error 0.845score on a scale
Effect of Treatment on Dementia SeverityActive (AMX0035)2.34Standard Error 0.595score on a scale
Effect of Treatment on Dementia SeverityPlacebo1.81Standard Error 0.636score on a scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDActive (AMX0035)51
Overall StudySTARTEDPlacebo44
Overall StudyCOMPLETEDActive (AMX0035)41
Overall StudyCOMPLETEDPlacebo42
Overall StudyNOT COMPLETEDActive (AMX0035)10
Overall StudyNOT COMPLETEDPlacebo2

Adverse events12

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersActive (AMX0035)851
otherDiarrhoeaGastrointestinal disordersPlacebo344
otherHeadacheNervous system disordersActive (AMX0035)451
otherHeadacheNervous system disordersPlacebo544
seriousDepressionPsychiatric disordersActive (AMX0035)1511
seriousDepressionPsychiatric disordersPlacebo0440
seriousBurns third degreeInjury, poisoning and procedural complicationsActive (AMX0035)1511
seriousBurns third degreeInjury, poisoning and procedural complicationsPlacebo0440
seriousPneumonia viralInfections and infestationsActive (AMX0035)1511
seriousPneumonia viralInfections and infestationsPlacebo0440

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityActive (AMX0035)051
Total, all-cause mortalityPlacebo044
Total, other adverse eventsActive (AMX0035)1251
Total, other adverse eventsPlacebo644
Total, serious adverse eventsActive (AMX0035)351
Total, serious adverse eventsPlacebo144

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37941072DERIVEDPubMed
39131742RESULTPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Active (AMX0035) vs Placebo: deaths from any causeTrial comparisons
Active (AMX0035) vs Placebo: Number of Participants With Treatment-Emergent Adverse Event (TEAEs)Trial comparisons
Active (AMX0035) vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03533257

GET https://conductscience.org/api/trials/v1/NCT03533257/registered