Clinical trials to prevent alzheimer's disease in down syndrome

Ended Project Grant Awarded Last action

Award ID
R33AG066543
Recipient
Awarding agency
Obligated
$23,437,956

Award facts

Assistance listing
93.310 Trans-NIH Research Support
Completion date
Originally
Funding agency
Office of the Director National Institutes of Health, Department of Health and Human Services
Place of performance
California, USA

Award details come from USAspending.gov.

Description

Abstract
The discovery that individuals with trisomy 21, or down syndrome (DS) have neuropathological features identical to those with sporadic alzheimer's disease (ad) played a critical role in the identification of the amyloid precursor protein gene on chromosome 21 supporting the amyloid cascade hypothesis. People with DS have a lifetime risk for dementia in excess of 75% and comprise the world's largest population of genetically-determined ad. Just as studying DS helped identify the role of amyloid precursor protein mutations in ad pathogenesis, IT is also likely to inform US of the potential benefit of manipulating the amyloid pathway on treatment outcomes in ad. IT is critically important to the DS population and to the ad therapeutics field to conduct clinical trials, particularly those targeting amyloid accumulation, in individuals with DS. With this application, we propose to utilize the existing depth and breadth of expertise of the NIA-funded alzheimer's clinical trial consortium (actc) to conduct ad clinical trials in adults with DS across performance sites with expertise in DS including the alzheimer's biomarker consortium for down syndrome (ABC-DS). As part of an NIH award received last year, we established the actc-DS network which includes working groups comprised of leaders from actc, ABC-DS and the european HORIZON21 DS network to develop the collaborations, infrastructure and plans required to conduct ad clinical trials in DS. During the proposed R61 `trial readiness phase' of the present project, in aim 1, we will enroll 120 adults with DS (ages 35-55) across 15 sites into a trial ready cohort (TRC) to collect outcome measures and biomarkers harmonized with those being collected in the ongoing ABC- DS study (n = ~400). In aim 2, we will determine the relationships between cognitive measures and ad biomarkers to identify endpoints for clinical trials that best reflect disease progression. During the R33 `clinical trial' phase, for aim 3, we propose to implement a phase II randomized, double-blind, placebo-controlled trial to evaluate the safety and tolerability of a promising anti-amyloid therapeutic among individuals the TRC. In aim 4, we will determine the impact of this agent on biomarker evidence of disease modification. Fundamentally, this project will serve to bring ad therapies to the DS population by leveraging the infrastructure of actc and incorporating the experience and expertise of the ABC-DS and HORIZON21 networks. Beyond the proposed trial, this will establish the means and methods to conduct future therapeutic trials in this population. The potential impact of this approach on improving the lives of adults with DS as well as the general population cannot be overstated.

Transactions

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Subawards

Subrecipient Amount Awarded
New York University Clinical Trials to Prevent Alzheimer's Disease in Down Syndrome $306,000
Wake Forest University Health Sciences Clinical trials to prevent Alzheimer's Disease in Down Syndrome $306,000
Oregon Health & Science University $306,000
The University Of Kentucky Research Foundation Clinical Trials to prevent Alzheimer's Disease in Down Syndrome $306,000
Indiana University (1673) Clinical trials to prevent Alzheimer's Disease in Down Syndrome $306,000
Cincinnati Univ Of Clinical Trials to prevent Alzheimer's Disease in Down Syndrome $306,000
University Of Wisconsin System Clinical trials to prevent Alzheimer's Disease in Down Syndrome $918,000
The Washington University Alzheimer's Clinical Trials Consortium $612,000
University Of California Irvine Clinical trials to prevent Alzheimer's Disease in Down Syndrome $306,000
The University Of Texas Health Science Center At San Antonio $80,000
University Of Pittsburgh - Of The Commonwealth System Of Higher Education $306,000
Dignity Health $80,000
Case Western Reserve University $120,000
Trustees Of Indiana University $80,000
Vanderbilt University Clinical Trials to Prevent Alzheimer's Disease in Down Syndrom $306,000
University Of Wisconsin System Clinical trials to prevent Alzheimer's Disease in Down Syndrome $612,000
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Quick answers

Who received award R33AG066543?

R33AG066543 was awarded to University Of Southern California by National Institute on Aging (National Institutes of Health) on September 15, 2019.

How much is award R33AG066543 worth?

$23,437,956 has been obligated on R33AG066543.

Which agency awarded R33AG066543?

National Institute on Aging (National Institutes of Health) awarded R33AG066543, with funding from Office of the Director (National Institutes of Health).

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