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
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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