Evidence map›Paper›PMID 33771205›Full record

Trial reportAlzheimer's research & therapy2021

Efficacy and safety of GV1001 in patients with moderate-to-severe Alzheimer's disease already receiving donepezil: a phase 2 randomized, double-blind, placebo-controlled, multicenter clinical trial.

Seong-Ho Koh, Hyuk Sung Kwon, Seong Hye Choi, Jee Hyang Jeong, Hae Ri Na, Chan Nyoung Lee, YoungSoon Yang, Ae Young Lee, Jae-Hong Lee, Kyung Won Park and 6 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03184467 (A Multi-center, Randomized, Double-blind, Placebo-controlled, Parallel Design, Prospective, Phase II Clinical Trial to Evaluate the Efficacy and Safety of Donepezil and Combined With GV1001 in Alzheimer Patients), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03184467 phase2completednot on this map

A Multi-center, Randomized, Double-blind, Placebo-controlled, Parallel Design, Prospective, Phase II Clinical Trial to Evaluate the Efficacy and Safety of Donepezil and Combined With GV1001 in Alzheimer Patients

TypeinterventionalSponsorGemVax & KaelRan2017 to 2019Enrolled96ConditionsAlzheimer DiseaseArmsNormal Saline 0.9%, GV1001 0.56 mg, GV1001 1.12 mg
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. hTERT Peptide Fragment GV1001 Prevents the Development ofInternational journal of molecular sciences · 2024
    Article
  10. Beyond lecanemab: Examining Phase III potential in Alzheimer's therapeutics.PCN reports : psychiatry and clinical neurosciences · 2024
    Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Treatment of Alzheimer's Disease: Beyond Symptomatic Therapies.International journal of molecular sciences · 2023
    Review
  16. Article
  17. Geroscience and Alzheimer's Disease Drug Development.The journal of prevention of Alzheimer's disease · 2023
    Article
  18. Review
  19. Glial Cell-Mediated Neuroinflammation in Alzheimer's Disease.International journal of molecular sciences · 2022
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 13 institutions in 2 countries.

Seong-Ho KohDepartment of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, 153, Gyeongchun-ro, Guri, 11923, South Korea. ksh213@hanyang.ac.kr.ORCID 0000-0001-5419-5761
Hyuk Sung KwonDepartment of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, 153, Gyeongchun-ro, Guri, 11923, South Korea.
Seong Hye ChoiDepartment of Neurology, Inha University School of Medicine, Incheon, 22332, South Korea.
Jee Hyang JeongDepartment of Neurology, Ewha Womans University School of Medicine, Seoul, 07985, South Korea.
Hae Ri NaDepartment of Neurology, Bobath Memorial Hospital, Seongnam, 13552, South Korea.
Chan Nyoung LeeDepartment of Neurology, Korea University Anam Hospital, Seoul, 02856, South Korea.
YoungSoon YangDepartment of Neurology, Veterans Health Service Medical Center, Seoul, 05368, South Korea.
Ae Young LeeDepartment of Neurology, Chungnam National University Hospital, Daejeon, 35015, South Korea.
Jae-Hong LeeDepartment of Neurology, Asan Medical Center, Seoul, 05505, South Korea.
Kyung Won ParkDepartment of Neurology, Dong-A University Hospital, Busan, 49201, South Korea.
Hyun Jeong HanDepartment of Neurology, Myongji Hospital, Hanyang University College of Medicine, Goyang, 10475, South Korea.
Byeong C KimDepartment of Neurology, Chonnam National University Hospital, Gwangju, 61469, South Korea.
Jin Se ParkDepartment of Neurology, Inje University Haeundae Paik Hospital, Buasn, 48108, South Korea.
Jee-Young LeeDepartment of Neurology, Seoul National University Boramae Medical Center, Seoul, 07061, South Korea.
Sangjae KimTeloid Inc., 920 Westholme Ave, Los Angeles, CA, 90024, USA.
Kyu-Yong LeeDepartment of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, 153, Gyeongchun-ro, Guri, 11923, South Korea.
Hanyang University Guri Hospital · KRSeoul National University · KRBobath memorial hospital · KRChonnam National University Hospital · KRChungnam National University Hospital · KRDong-A University Hospital · KREwha Womans University · KRInha University · KRInje University Haeundae Paik Hospital · KRKorea University Medical Center · KRMyongji Hospital · KRPolaroid (United States) · USVeterans Health Service Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur previous studies showed that GV1001 has various protective effects against β-amyloid and other stressors. Based on these findings, we hypothesized that GV1001 might have beneficial effects in patients with Alzheimer's disease (AD).

methodsA phase 2, double-blind, parallel-group, placebo-controlled, 6-month randomized clinical trial was performed to evaluate the safety and efficacy of subcutaneously administered GV1001. Between September 2017 and September 2019, 13 centers in South Korea recruited participants. A total of 106 patients were screened, and 96 patients with moderate-to-severe AD were randomized 1:1:1 to the placebo (group 1, n = 31), GV1001 0.56 mg (group 2, n = 33), and 1.12 mg (group 3, n = 32) groups. GV1001 was administered every week for 4 weeks (4 times), followed by every 2 weeks until week 24 (10 times). The primary endpoint was the change in the Severe Impairment Battery (SIB) score from baseline to week 24. The key secondary efficacy endpoints were the change in the Clinical Dementia Rating Sum of Box (CDR-SOB), Alzheimer's Disease Cooperative Study-Activities of Daily Living (ADCS-ADL), Neuropsychiatric Inventory (NPI), Mini-Mental State Examination, and Global Deterioration Scale scores. The safety endpoints were also assessed based on adverse events, laboratory test results, vital signs, and other observations related to safety.

resultsGroup 3 showed less decrease in the SIB score at 12 and 24 weeks compared with group 1 (P < 0.05). These were not significantly observed in group 2. Among the secondary endpoints, only the NPI score showed significantly better improvement in group 2 than in group 3 at week 12; however, there were no other significant differences between the groups. Although the ADCS-ADL and CDR-SOB scores showed a pattern similar to SIB scores, a statistically significant result was not found. Adverse events were similar across all three groups.

conclusionsThe results indicate that GV1001 1.12 mg met the primary endpoint of a statistically significant difference. GV1001 was well tolerated without safety concerns. This study warrants a larger clinical trial.

trial registrationClinicalTrials.gov NCT03184467 . Registered on June 12, 2017.

Indexed as

Alzheimer DiseaseActivities of Daily LivingCholinesterase InhibitorsDonepezilDouble-Blind MethodHumansRepublic of KoreaTreatment OutcomeCholinesterase InhibitorsDonepezilAlzheimer’s diseaseClinical trialEfficacyGV1001Safety

Identifiers

PMID33771205
PMCPMC7995588
OpenAlexW3139249056

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.