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A Study to Evaluate the Safety and Biomarker Effects of RO7269162 in Participants at Risk for or at the Prodromal Stage of Alzheimer's Disease (AD)

Phase 2
Recruiting
Conditions
Alzheimer's Disease
Interventions
Drug: Placebo
Registration Number
NCT06402838
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This clinical trial is recruiting people who either are at risk of AD - have build-up of beta-amyloid, but have no clinical symptoms, or with a diagnosis of mild cognitive impairment. People can take part if they have a certain level of plaques (beta-amyloid) in the brain, shown by a positron emission tomography (PET) scan, a medical imaging technique in which tracers are injected to visualize specific pathological processes in the brain. People who take part in this clinical trial (participants) will be given RO7269162 OR placebo for up to about 1 and a half years. The clinical trial team will see them every 3 weeks in the first 3 months and then every 6 weeks until the end of the trial. These hospital visits will include checks to see how the participant responds to the treatment and any side effects they may have. The total time of participation in the clinical trial will be 90 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
245
Inclusion Criteria
  • Body Mass Index (BMI) between 18 to 35 kg/m^2 inclusive at screening
  • Participants must be either cognitively unimpaired or with a diagnosis of MCI due to AD, according to the National Institute on Aging - Alzheimer's Association (NIA - AA) research framework
  • Clinical Dementia Rating-Global Score (CDR-GS) of 0 or 0.5
  • Positive amyloid PET scan based on a cut-off of ≥24 CL units
  • Availability of a person (referred as a "study partner" throughout the protocol) who: (a) has frequent and sufficient contact (e.g., minimum twice a week in-person, via telephone, video calls, by e-mail or other electronic means) with the participant, and is willing and able to provide accurate information regarding the participant's cognitive and functional abilities, signs the necessary ICF(s), and has sufficient cognitive capacity to accurately report on the participant's cognitive and functional abilities; (b) is in sufficient good general health to have a high likelihood of maintaining the same level of interaction with the participant and participation in study procedures throughout the duration of the study; and (c) is fluent in the language of the tests used at the study site. Please note that the study partner does not need to be a family member. Every effort should be made to keep the same study partner throughout the study
  • In case of treatment with symptomatic AD medications, dosing regimen must be stable for at least eight weeks prior to baseline
Exclusion Criteria
  • Any medical history or evidence of a condition other than AD that may affect cognition
  • History or presence of significant cardiovascular conditions and/or significant hematological disease
  • History or presence of chronic kidney disease and/or impaired hepatic function
  • Uncontrolled/poorly controlled diabetes
  • History of or active inflammatory bowel disease
  • Have received any passive or active immunotherapy (immunoglobulin) or other long-acting biologic agent that is under evaluation or approved to prevent or postpone cognitive decline administered within 1 year prior to baseline, and/or any other investigational treatment within five half-lives or 16 weeks prior to screening, whichever is longer

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboParticipants will receive daily doses of placebo for up to 72 weeks.
RO7269162RO7269162Participants will receive daily doses of RO7269162 for up to 72 weeks.
Primary Outcome Measures
NameTimeMethod
Incidence of adverse events (AEs)up to week 72
Change from baseline in brain amyloid load, as measured by amyloid positron emission tomography ( PET) scanBaseline to Week 72
Secondary Outcome Measures
NameTimeMethod
CSF concentrations of RO7269162Baseline to Week 72
Change from baseline in Aβ40 in CSFBaseline to Week 72
Change from baseline in Aβ42 in CSFBaseline to Week 72
Change from baseline in Aβ37 in cerebrospinal fluid (CSF)Baseline to Week 72
Change from baseline in Aβ38 in CSFBaseline to Week 72
Change from baseline in Aβ40 in plasmaBaseline to Week 72
Change from baseline in Aβ42 in plasmaBaseline to Week 72
Plasma concentrations of RO7269162Baseline to Week 72

Trial Locations

Locations (57)

ProNeuro Centrum Medyczne

🇵🇱

?ory, Poland

Podlaskie Centrum Psychogeriatrii

🇵🇱

Bia?ystok, Poland

Hospital Universitario 12 de Octubre

🇪🇸

Madrid, Spain

Hospital Victoria Eugenia

🇪🇸

Sevilla, Spain

Hospital Virgen del Rocío

🇪🇸

Sevilla, Spain

Centro de Investigación Clínica UC-CICUC

🇨🇱

Santiago, Chile

Hospital Clinico Univ de Chile

🇨🇱

Santiago, Chile

Aalborg Universitetshospital

🇩🇰

Aalborg, Denmark

Aarhus Universitetshospital Skejby

🇩🇰

Aarhus N, Denmark

Rigshospitalet, Hukommelsesklinikken

🇩🇰

Koebenhavn Oe, Denmark

Groupement Hospitalier Est - Hôpital Neurologique

🇫🇷

Bron cedex, France

Hopital B Roger Salengro

🇫🇷

Lille, France

Hôpital de la Timone

🇫🇷

Marseille Cedex 5, France

Hôpital Lariboisière

🇫🇷

Paris, France

CHU de Rouen Hopital

🇫🇷

Rouen, France

Hop Guillaume Et Rene Laennec

🇫🇷

St Herblain, France

Hôpital Robertsau

🇫🇷

Strasbourg, France

Gerontopole

🇫🇷

Toulouse, France

Ambulates Gesundheitszentrum der Charité GmbH

🇩🇪

Berlin, Germany

ECRC Experimental and Clinical Research Center, Charité Campus Berlin Buch, Memory Clinic

🇩🇪

Berlin, Germany

Studienzentrum Dr. Bischof GmbH

🇩🇪

Böblingen, Germany

Universität Leipzig

🇩🇪

Leipzig, Germany

Klinikum rechts der Isar der TU München

🇩🇪

München, Germany

Universitätsklinikum Münster

🇩🇪

Münster, Germany

Umberto I Policlinico di Roma-Università di Roma La Sapienza

🇮🇹

Roma, Lazio, Italy

Asst Degli Spedali Civili Di Brescia

🇮🇹

Brescia, Lombardia, Italy

IRCCS Ospedale San Raffaele

🇮🇹

Milano, Lombardia, Italy

Fondazione Istituto Neurologico Mondino IRCCS

🇮🇹

Pavia, Lombardia, Italy

Ospedale Cardinale Panico

🇮🇹

Tricase (LE), Puglia, Italy

AO di Perugia - Ospedale S. Maria della Misericordia

🇮🇹

Perugia, Umbria, Italy

Ajou University Medical Center

🇰🇷

Gyeonggi-do, Korea, Republic of

Gachon University Gil Medical Center

🇰🇷

Incheon, Korea, Republic of

Inha University Hospital

🇰🇷

Incheon, Korea, Republic of

NZOZ Vitamed

🇵🇱

Bydgoszcz, Poland

NEURO-CARE Sp. z o.o. Sp. Komandytowa

🇵🇱

Katowice, Poland

Szpital Uniwersytecki w Krakowie

🇵🇱

Kraków, Poland

Senior Sp. Z O.O. Poradnia Psychogeriatryczna

🇵🇱

Sopot, Poland

EUROMEDIS Sp z o o

🇵🇱

Szczecin, Poland

ETG Neuroscience Sp. z o.o.

🇵🇱

Warszawa, Poland

NZOZ WCA

🇵🇱

Wroc?aw, Poland

Hospital General De Catalunya

🇪🇸

Sant Cugat del Valles, Barcelona, Spain

Hospital Universitario Marques de Valdecilla

🇪🇸

SANtander, Cantabria, Spain

Policlínica Guipuzcoa

🇪🇸

Donostia-san Sebastian, Guipuzcoa, Spain

Hospital Quiron de Madrid

🇪🇸

Pozuelo de Alarcón, Madrid, Spain

Complejo Asistencial Universitario de Salamanca

🇪🇸

Salamaca, Salamanca, Spain

Fundacio ACE

🇪🇸

Barcelona, Spain

Hospital Universitario Reina Sofia

🇪🇸

Cordoba, Spain

Hospital Universitario Dr. Peset

🇪🇸

Valencia, Spain

Hospital Universitario la Fe

🇪🇸

Valencia, Spain

Re:Cognition Health Birmingham

🇬🇧

Birmingham, United Kingdom

Surrey and Borders NHS Foundation Trust

🇬🇧

Chertsey, United Kingdom

Scottish Brain Sciences

🇬🇧

Edinburgh, United Kingdom

RE:Cognition Health

🇬🇧

London, United Kingdom

Charing Cross Hospital

🇬🇧

London, United Kingdom

Manchester Mental Health and Social Care Trust

🇬🇧

Manchester, United Kingdom

Campus for Ageing & Vitality

🇬🇧

Newcastle, United Kingdom

Southampton General Hospital

🇬🇧

Southampton, United Kingdom

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