Clinical trial • Phase I/II • Neurology
TRONTINEMAB for Alzheimer's disease
Phase I/II trial of TRONTINEMAB for Alzheimer's disease. Randomised, placebo (placebo trontinemab) — dose and schedule not specified-controlled, adaptive.
Overview
- Trial Therapeutic Area
- Neurology
- Trial Disease
- Alzheimer's disease
- Trial Stage
- Phase I/II
- Drug Modality
- Monoclonal antibody|Radiopharmaceutical
Key dates
- Initial CTIS Submission Date
- 29-01-2024
- First CTIS Authorization Date
- 05-03-2024
Trial design
Randomised, placebo (placebo trontinemab) — dose and schedule not specified-controlled, adaptive Phase I/II trial across 11 sites in Spain, Poland.
- Randomised
- Yes
- Comparator
- Placebo (Placebo Trontinemab) — dose and schedule not specified
- Adaptive
- True, multiple-ascending dose (dose-escalation) design with numbered cohorts (Part 1-4 cohorts). Part 1 evaluates dose-limiting adverse events (DLAEs); cohorts/dose levels escalate across parts. Safety-based pauses/reviews (temporary halts) described in events.
- Biomarker Stratified
- True, Amyloid PET (> 50 Centiloid units)
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 157
Eligibility
Recruits 157 Vulnerable population selected (isVulnerablePopulationSelected = true): participants with Alzheimer's disease. Subject information and informed consent forms are provided for participants and for study partners (multiple participant and study-partner ICF/SIS documents listed), indicating consent processes include both participant and study partner materials..
- Vulnerable Population
- Vulnerable population selected (isVulnerablePopulationSelected = true): participants with Alzheimer's disease. Subject information and informed consent forms are provided for participants and for study partners (multiple participant and study-partner ICF/SIS documents listed), indicating consent processes include both participant and study partner materials.
Inclusion criteria
- {"criterion_text":"- 1. Age 50 to 85 years (inclusive) at screening"}
- {"criterion_text":"- 2. Probable mild to moderate AD dementia (consistent with NIA-AA core clinical criteria for probable AD dementia) (McKhann et al 2011) or prodromal AD (consistent with the NIA-AA diagnostic criteria and guidelines for mild cognitive impairment due to AD) (Albert et al 2011)"}
- {"criterion_text":"- 3. Mini-Mental State Examination (MMSE) score of 18 to 28 points, inclusive, within 84 days before baseline"}
- {"criterion_text":"- 4. Clinical Dementia Rating-Global Score (CDR-GS) of 0.5, 1, or 2 within 84 days before baseline"}
- {"criterion_text":"- 5. Positive amyloid PET scan (cut-off: > 50 Centiloid units) within 12 months before baseline"}
- {"criterion_text":"- 6. In case of treatment with symptomatic AD medications, dosing regimen must be stable for at least 8 weeks prior to baseline and until randomization"}
Exclusion criteria
- {"criterion_text":"- 1. Any condition other than AD that may affect cognition"}
- {"criterion_text":"- 2. Significant cerebral abnormalities"}
- {"criterion_text":"- 3. History or presence of intracranial mass (e.g., glioma, meningioma) that could potentially impair cognition"}
- {"criterion_text":"- 4. History of schizophrenia, schizoaffective disorder, major depression, or bipolar disorder, Cancer, unless cured or currently not needing treatment. Note: History of major depression is acceptable, if participant has had no episode within the past year, or is considered in remission, or depression is controlled by treatment"}
- {"criterion_text":"- 5. History of any clinically significant hematological diseases, clinically significant ophthalmologic disease or chronic kidney disease"}
- {"criterion_text":"- 6. Atrial fibrillation, cardiovascular disease or uncontrolled hypertension"}
Endpoints
Primary endpoints
- {"endpoint_text":"- 1. Nature, frequency, severity, and timing of AEs, including – for Part 1 only – DLAEs. Significant assessments reported as AEs include clinical laboratory assessments and vital signs, physical and neurological examination, 12-lead ECG, and brain MRI findings (including the occurrence of vasogenic edema and hemorrhage) (Part 1-4)","definition_or_measurement_approach":"Assessed by adverse event reporting and clinical assessments including clinical laboratory assessments, vital signs, physical and neurological examinations, 12-lead ECG, and brain MRI (including monitoring for vasogenic edema and hemorrhage). DLAEs evaluated specifically in Part 1."}
- {"endpoint_text":"- 2. Change from baseline in brain amyloid load, as measured by amyloid PET scan (Part 3)","definition_or_measurement_approach":"Measured by amyloid PET scan; change from baseline in brain amyloid load (Part 3)."}
Secondary endpoints
- {"endpoint_text":"- 1. Change from baseline in brain amyloid load, as measured by amyloid PET scan (Part 1, 2 and 4 only)","definition_or_measurement_approach":"Measured by amyloid PET scan; change from baseline in brain amyloid load in Parts 1, 2 and 4."}
- {"endpoint_text":"- 2. Plasma Concentration of RO7126209 at specified timepoints","definition_or_measurement_approach":"Pharmacokinetic sampling of plasma RO7126209 at predefined timepoints."}
- {"endpoint_text":"- 3. CSF concentration of RO7126209","definition_or_measurement_approach":"CSF sampling to measure RO7126209 concentration."}
- {"endpoint_text":"- 4. Incidence and titer of anti-RO7126209 ADAs over time","definition_or_measurement_approach":"Assessment of anti-drug antibodies (ADAs) over time using immunogenicity assays (incidence and titer)."}
Recruitment
- Planned Sample Size
- 157
- Recruitment Window Months
- 78
- Consent Approach
- Subject information sheets and informed consent forms available for participants and study partners (multiple versions and parts). Documents exist in multiple languages/versions (including English, Spanish, Polish). Consent likely obtained from participant with involvement of study partner as indicated by dedicated study-partner ICFs (multiple 'SIS and ICF' documents listed). isVulnerablePopulationSelected = true.
Geography
- Total Number Of Sites
- 11
- Total Number Of Participants
- 99
Spain
- Earliest CTIS Part Ii Submission Date
- 14-02-2024
- Latest Decision Or Authorization Date
- 11-09-2025
- Processing Time Days
- 575
- Number Of Sites
- 7
- Number Of Participants
- 55
Sites
- Site Name
- Fundacio Ace Institut Catala De Neurociencies Aplicades
- Department Name
- Neurologia
- Principal Investigator Name
- Mercé Boada Rovira
- Principal Investigator Email
- mboada@fundacioace.org
- Contact Person Name
- Mercé Boada Rovira
- Contact Person Email
- mboada@fundacioace.org
- Site Name
- Hospital Universitario Dr Peset Aleixandre
- Department Name
- Neurologia
- Principal Investigator Name
- Lamberto Landete Pascual
- Principal Investigator Email
- landete.investigacion@gmail.com
- Contact Person Name
- Lamberto Landete Pascual
- Contact Person Email
- landete.investigacion@gmail.com
- Site Name
- Hospital Universitario Y Politecnico La Fe
- Department Name
- Neurologia
- Principal Investigator Name
- Miguel Baquero Toledo
- Principal Investigator Email
- miquelbaquero@gmail.com
- Contact Person Name
- Miguel Baquero Toledo
- Contact Person Email
- miquelbaquero@gmail.com
- Site Name
- Policlinica Gipuzkoa S.A.
- Department Name
- Neurologia
- Principal Investigator Name
- Gurutz Linazasoro Cristobal
- Principal Investigator Email
- glinazasoro@telefonica.net
- Contact Person Name
- Gurutz Linazasoro Cristobal
- Contact Person Email
- glinazasoro@telefonica.net
- Site Name
- Hospital Universitari General De Catalunya
- Department Name
- Neurologia
- Principal Investigator Name
- Ernest Balaguer Martinez
- Principal Investigator Email
- e.balaguer@udic.es
- Contact Person Name
- Ernest Balaguer Martinez
- Contact Person Email
- e.balaguer@udic.es
- Site Name
- Hospital Clinic De Barcelona
- Department Name
- Neurologia
- Principal Investigator Name
- Raquel Sánchez Del Valle Díaz
- Principal Investigator Email
- rsanchez@clinic.cat
- Contact Person Name
- Raquel Sánchez Del Valle Díaz
- Contact Person Email
- rsanchez@clinic.cat
- Site Name
- Hospital Universitario 12 De Octubre
- Department Name
- Neurologia
- Principal Investigator Name
- Alberto Villarejo galende
- Principal Investigator Email
- avgalende@yahoo.es
- Contact Person Name
- Alberto Villarejo galende
- Contact Person Email
- avgalende@yahoo.es
Poland
- Earliest CTIS Part Ii Submission Date
- 14-02-2024
- Latest Decision Or Authorization Date
- 12-09-2025
- Processing Time Days
- 576
- Number Of Sites
- 4
- Number Of Participants
- 44
Sites
- Site Name
- Vitamed Galaj I Cichomski Sp. j.
- Department Name
- NZOZ Vitamed
- Principal Investigator Name
- Paweł Lisewski
- Principal Investigator Email
- r.cichomski@wp.pl
- Contact Person Name
- Paweł Lisewski
- Contact Person Email
- r.cichomski@wp.pl
- Site Name
- Euromedis Sp. z o.o.
- Department Name
- Osrodek Badan Klinicznych Euromedis
- Principal Investigator Name
- Marcin Ratajczak
- Principal Investigator Email
- nina.omelanska@euromedis.pl
- Contact Person Name
- Marcin Ratajczak
- Contact Person Email
- nina.omelanska@euromedis.pl
- Site Name
- NZOZ Wroclawskie Centrum Alzheimerowskie
- Department Name
- NZOZ Wroclawskie Centrum Alzheimerowskie
- Principal Investigator Name
- Marzena Zboch
- Principal Investigator Email
- kontakt@alzheimer.wroclaw.pl
- Contact Person Name
- Marzena Zboch
- Contact Person Email
- kontakt@alzheimer.wroclaw.pl
- Site Name
- Clinical Research Center Sp. z o.o. Medic-R sp.k.
- Department Name
- Clinical Research Center Sp. z o.o. MEDIC-R Spolka Komandytowa
- Principal Investigator Name
- Agnieszka Adamczak-Ratajczak
- Principal Investigator Email
- biuro@cr-center.pl
- Contact Person Name
- Agnieszka Adamczak-Ratajczak
- Contact Person Email
- biuro@cr-center.pl
Sponsor
Primary sponsor
- Full Name
- F. Hoffmann-La Roche AG
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Switzerland
Contract research organisations
- Name
- Bioclinica Inc.
- Responsibilities
- Other Third Party Duty
- Name
- Fortrea Inc.
- Responsibilities
- Other Third Party Duty
- Name
- Perceptive Informatics Inc.
- Responsibilities
- Other Third Party Duty
- Name
- Signant Health Global LLC
- Responsibilities
- Other Third Party Duty
- Name
- Greenphire LLC
- Responsibilities
- Patient Concierge, Patient Reimbursement
- Name
- Q Squared Solutions Limited
- Responsibilities
- Other Third Party Duty
- Name
- Avid Radiopharmaceuticals Inc.
- Responsibilities
- Other Third Party Duty
- Name
- Axon Communications Inc.
- Responsibilities
- Other Third Party Duty
Third parties
- {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient Concierge, Patient Reimbursement","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"Q Squared Solutions Limited","duties_or_roles":"Other Third Party Duty","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Avid Radiopharmaceuticals Inc.","duties_or_roles":"Other Third Party Duty","organisation_type":"Pharmaceutical company"}
- {"country":"Canada","full_name":"Axon Communications Inc.","duties_or_roles":"Other Third Party Duty","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Bioclinica Inc.","duties_or_roles":"Other Third Party Duty","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Fortrea Inc.","duties_or_roles":"Other Third Party Duty","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Perceptive Informatics Inc.","duties_or_roles":"Other Third Party Duty","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"Other Third Party Duty","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Trontinemab
- Active Substance
- TRONTINEMAB
- Modality
- Monoclonal antibody
- Routes Of Administration
- IV INFUSION
- Route
- IV INFUSION
- Authorisation Status
- Authorised
- Dose Levels
- Dose level 1|Dose level 2|Dose level 3|Dose level 4|Dose level 5
- Investigational Product Name
- Placebo Trontinemab
- Modality
- Other
- Investigational Product Name
- Flortaucipir F18
- Active Substance
- FLORTAUCIPIR (18F)
- Modality
- Radiopharmaceutical
- Routes Of Administration
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Route
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Authorisation Status
- Authorised
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