Alzheimer's DiseasePhase 2NCT01767311
A Study to Evaluate Safety, Tolerability, and Efficacy of Lecanemab in Subjects With Early Alzheimer's Disease
A Phase 2 study testing Lecanemab 2.5 mg/kg, Lecanemab 5.0 mg/kg and Lecanemab 10 mg/kg in people with Alzheimer's Disease, run by Eisai Inc. at 169 sites in 11 countries.
Trial summary
This is a multinational, multicenter, double-blind, placebo-controlled, parallel-group study using a Bayesian design with response adaptive randomization across placebo or 5 active arms of lecanemab to determine clinical efficacy and to explore the dose response of lecanemab using a composite clinical score (ADCOMS). Read more about this study
- Who is it for?
- Ages 50 to 90 years
- Conditions the study is for
- Alzheimer's Disease
- What is being tested?
- Lecanemab 2.5 mg/kg, Lecanemab 5.0 mg/kg and Lecanemab 10 mg/kg
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 856 participants
- Where
- 169 sitesin 11 countries
- Study dates
- 20 Dec 2012to 10 Dec 2024
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 to 90 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects who have completed Visit 42 (Week 79) of the Core Study or who discontinued study drug during the Core Study due to any of the following reasons:
- Alzheimer's Related Imaging Abnormality-Edema (ARIA-E)
- Amyloid related imaging abnormality hemorrhage (ARIA-H) (superficial siderosis, macrohemorrhage, or symptomatic microhemorrhage)
- Prohibited or restricted medications that were prohibited during Core Study conduct but are no longer prohibited in the Extension Phase
- Subjects who were APOE4 positive and receiving treatment with lecanemab 10 mg/kg biweekly
- Any reason for discontinuation not related to prohibited medications, including any AE that was considered not related to study drug, and that was not severe or life-threatening
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- Must continue to have an identified caregiver or informant who is willing and able to provide follow-up information on the subject throughout the course of the Extension Phase
- Provide written informed consent. If a subject lacks capacity to consent in the investigator's opinion, the subject's assent should be obtained, if required in accordance with local laws, regulations and customs, plus the written informed consent of a legal representative should be obtained (capacity to consent and definition of legal representative should be determined in accordance with applicable local laws and regulations).
- Must be able to physically attend clinic visits and be willing and able to comply with all aspects of the protocol
Who cannot join
- Any neurological condition that may be contributing to cognitive impairment above and beyond that caused by the subject's AD
- History of transient ischemic attacks (TIA), stroke, or seizures within 12 months of Screening
- Any psychiatric diagnosis or symptoms, (e.g., hallucinations, major depression, or delusions) that could interfere with study procedures in the subject
- Geriatric Depression Scale (GDS) score ≥8 at Screening
- Contraindications to MRI scanning, including cardiac pacemaker/ defibrillator, ferromagnetic metal implants, e,g., in skull and cardiac devices other than those approved as safe for use in MR scanners
- Evidence of other clinically significant lesions that could indicate a dementia diagnosis other than AD on brain MRI at Screening, or other significant pathological findings on brain MRI at Screening
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- A prolonged QT/QTc interval (QTc greater than 450 ms) as demonstrated by a repeated electrocardiogram (ECG)
- Certain other specified medical conditions
- Severe visual or hearing impairment that would prevent the subject from performing psychometric tests accurately
- Subjects who discontinued from the study drug or from the Core Study for reasons other than the following:
- ARIA-E
- ARIA-H (superficial siderosis, macrohemorrhage, or symptomatic microhemorrhage)
- Prohibited or restricted medications that were prohibited during Core Study conduct but are no longer prohibited in the Extension Phase
- Subjects who were APOE4 positive and receiving treatment with lecanemab 10 mg/kg biweekly
- AE that was considered not related to study drug, and that was not severe or life-threatening
- Females of childbearing potential who do not agree to use a highly effective method of contraception
- Severe visual or hearing impairment that would prevent the subject from performing psychometric tests accurately.
Trial locations and contacts
169 sites in 11 countries.
169 sites in 11 countries
United States91 sites
Facility #1
Abington, Pennsylvania, 19001
Facility #1
Albany, New York, 12206
Facility #1
Amherst, New York, 14226
Facility #1
Ann Arbor, Michigan, 48105-2945
Facility #2
Atlanta, Georgia, 30308
Facility #1
Atlanta, Georgia, 30329
Facility #1
Atlantis, Florida, 33462
Facility #1
Austin, Texas, 78757
Facility #1
Bennington, Vermont, 05201
Facility #1
Birmingham, Alabama, 35294
Facility #1
Boca Raton, Florida, 33431
Facility #2
Boca Raton, Florida, 33486
Facility #1
Boston, Massachusetts, 02115
Facility #2
Boston, Massachusetts, 02118
Facility #1
Bradenton, Florida, 34205
Facility #1
Burlington, Massachusetts, 01805
Facility #1
Carson, California, 90746
Facility #1
Centerville, Ohio, 45459
Facility #1
Charlotte, North Carolina, 28211
Facility #1
Chicago, Illinois, 60640
Facility #1
Columbus, Georgia, 31909
Facility #1
Dallas, Texas, 75214
Facility #2
Dallas, Texas
Facility #1
Decatur, Georgia, 30033
Facility #1
Deerfield Beach, Florida, 33064
Facility #1
Delray Beach, Florida, 33445
Facility #1
Denver, Colorado, 80239-3133
Facility #1
East Lansing, Michigan
Facility #1
East Providence, Rhode Island, 02914
Facility #1
Eatontown, New Jersey, 07724
Facility #1
Elk Grove Village, Illinois, 60007
Facility #1
Elkhart, Indiana, 46514
Facility #1
Farmington Hills, Michigan, 48334
Facility #1
Fort Myers, Florida, 33912
Facility #1
Hallandale, Florida, 33009
Facility #1
Hialeah, Florida, 33016
Facility #1
Houston, Texas, 77074
Facility #1
Indianapolis, Indiana, 46202
Facility #1
Jenkintown, Pennsylvania, 19046
Facility #1
Knoxville, Tennessee, 37920
Facility #1
Lake Worth, Florida, 33449
Facility #1
Lansing, Michigan, 48824
Facility #1
Latham, New York, 12110
Facility #1
Leesburg, Florida, 34748
Facility #2
Leesburg, Florida, 34749
Facility #1
Lexington, Kentucky, 40504
Facility #1
Lomita, California, 90717
Facility #1
Long Beach, California, 90806
Facility #1
Los Alamitos, California, 90720
Facility #1
Los Angeles, California, 90024
Facility #2
Los Angeles, California, 90024
Facility #3
Los Angeles, California, 90024
Facility #1
Miami, Florida, 33133
Facility #2
Miami, Florida, 33137
Facility #3
Miami, Florida, 33145
Facility #1
Miami Springs, Florida, 33166
Facility #1
Milwaukee, Wisconsin, 53226
Facility #1
Naples, Florida, 34102
Facility #1
New Haven, Connecticut, 06510
Facility #2
New Haven, Connecticut, 06510
Facility #1
New York, New York, 10016
Facility #2
New York, New York, 10021
Facility #1
Newton, Massachusetts, 02459
Facility #1
Ocala, Florida, 34471
Facility #1
Oklahoma City, Oklahoma, 73112
Facility #2
Oklahoma City, Oklahoma, 73116
Facility #1
Orange, California
Facility #1
Orlando, Florida, 32806
Facility #1
Oxnard, California, 93030
Facility #1
Palm Beach Gardens, Florida, 33410
Facility #1
Phoenix, Arizona, 85004
Facility #2
Portland, Oregon, 97210
Facility #1
Portland, Oregon, 97239
Facility #1
Richmond, Virginia, 23294
Facility #1
Rochester, New York, 14620
Facility #2
Rochester, New York, 14623
Facility #1
San Antonio, Texas, 78229
Facility #2
San Antonio, Texas, 78229
Facility #3
San Antonio, Texas, 78229
Facility #1
San Diego, California, 92123
Facility #1
St Louis, Missouri, 63118
Facility #1
St. Petersburg, Florida, 33713
Facility #1
Sunrise, Florida, 33351
Facility #3
Tampa, Florida, 33609
Facility #1
Tampa, Florida, 33613
Facility #2
Tampa, Florida, 33613
Facility #1
The Villages, Florida
Facility #1
Toms River, New Jersey, 08755
Facility #1
Tucson, Arizona, 85724
Facility #1
West Bloomfield, Michigan, 48322
Facility #1
Wichita, Kansas, 67214
Germany15 sites
Facility #1
Berlin
Facility #2
Berlin
Facility #3
Berlin
Facility #1
Gunzburg, Baden-Wurttemberg
Facility #1
Günzburg
Facility #1
Hamburg
Facility #1
Hanover, Lower Saxony
Facility #1
Heidelberg
Facility #1
Hoppegarten, State of Berlin
Facility #1
Karlstadt am Main, Bavaria
Facility #1
Leipzig
Facility #1
Mannheim
Facility #1
Mittweida, Saxony
Facility #1
München
Facility #1
Tübingen
Japan13 sites
Eisai Trial Site #1
Himeji-shi, Hyōgo
Eisai Trial Site #2
Himeji-shi, Hyōgo
Eisai Trial Site #3
Himeji-shi, Hyōgo
Eisai Trial Site #1
Kobe, Hyōgo
Eisai Trial Site #1
Kurashiki-shi, Okayama-ken
Eisai Trial Site #1
Kyoto, Kyoto
Eisai Trial Site #1
Nishinomiya-shi, Hyōgo
Eisai Trial Site #1
Osaka, Osaka
Eisai Trial Site #1
Otake-shi, Hiroshima
Eisai Trial Site #1
Saitama-shi, Saitama
Eisai Trial Site #1
Shinjuku-ku, Tokyo-To
Eisai Trial Site #2
Shinjuku-ku, Tokyo-To
Eisai Trial Site #1
tabashi City, Tokyo-To
Canada10 sites
Facility #1
Greenfield Park, Quebec
Facility #1
Kentville, Nova Scotia
Facility #1
Kingston, Ontario
Facility #2
London, Ontario
Facility #1
Montreal, Quebec
Facility #1
Ottawa, Ontario
Facility #1
Peterborough, Ontario
Facility #1
Québec
Facility #1
Toronto, Ontario
Facility #1
Verdun, Quebec
Italy9 sites
Facility #1
Brescia
Facility #1
Genova
Facility #1
Milan
Facility #1
Parma
Facility #1
Perugia
Facility #1
Pisa
Facility #1
Roma
Facility #2
Roma
Facility #3
Roma
Spain8 sites
Facility #1
Alicante
Facility #1
Barakaldo, Vizcaya
Facility #1
Barcelona
Facility #1
Donostia / San Sebastian, Guipuzcoa
Facility #1
Madrid
Facility #2
Madrid
Facility #1
Sant Cugat Del Vallés, Barcelona
Facility #1
Seville
France7 sites
Facility #1
Bron
Facility #1
Paris, Paris
Facility #1
Paris
Facility #1
Rennes
Facility #1
Strasbourg, Bas Rhin
Facility #1
Toulouse, Haute Garonne
Facility #1
Villeurbanne
United Kingdom6 sites
Facility #1
Bath
Facility #1
Glasgow, Renfrewshire
Facility #1
Isleworth, Middlesex
Facility #1
London, Greater London
Facility #2
London
Facility #1
Swindon
South Korea5 sites
Facility #1
Pusan, Gyeongsangnam-do
Facility #1
Seongnam-si, Gyeonggi-do
Facility #2
Seoul
Facility #3
Seoul
Facility #4
Seoul
Sweden4 sites
Facility #1
Malmö
Facility #1
Mölndal
Facility #1
Stockholm
Facility #1
Uppsala
About this study
Official title: A Placebo-Controlled, Double-Blind, Parallel-Group, Bayesian Adaptive Randomization Design and Dose Regimen-finding Study With an Open-Label Extension Phase to Evaluate Safety, Tolerability and Efficacy of BAN2401 in Subjects With Early Alzheimer's Disease
This is a multinational, multicenter, double-blind, placebo-controlled, parallel-group study using a Bayesian design with response adaptive randomization across placebo or 5 active arms of lecanemab to determine clinical efficacy and to explore the dose response of lecanemab using a composite clinical score (ADCOMS). BAN2401-G000-201 Core study is an 18-month study in which 3 dose levels (2.5, 5, and 10 mg/kg) are given biweekly (once every 2 weeks) to separate groups of participants and 2 dose levels (5 and 10 mg/kg) are given monthly (once every 4 weeks) to separate groups of participants. Participants will be from 2 clinical subgroups: mild cognitive impairment (MCI) due to Alzheimer's disease (AD) or mild Alzheimer's disease dementia. Frequent interim analyses will be conducted to continually update randomization allocation on the basis of the primary clinical endpoint. Any participant who completes the study treatment (Visit 42 [Week 79] of the Core study) or discontinues the Core Study will be eligible to participate in the Extension Phase, provided they meet the Extension Phase inclusion and exclusion criteria. Participants will receive 10 mg/kg biweekly for up to 60 months or until the drug is commercially available in the country, where the subject resides, or until the benefit-to-risk ratio from treatment with lecanemab is no longer considered favorable, whichever comes first. The Follow-up Visit in the Extension Phase will take place 3 months after the last dose of study drug.
- Conditions
- Alzheimer's Disease
- Being tested
- Lecanemab 2.5 mg/kg, Lecanemab 5.0 mg/kg, Lecanemab 10 mg/kg, Placebo
- Keywords
- Alzheimer's Disease, BAN2401, Lecanemab
- Medical subject headings
- Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Lecanemab 2.5 mg/kgDrug
Also called BAN2401
2.5 mg/kg biweekly (once every 2 weeks) administered as i.v. infusion
Lecanemab 5.0 mg/kgDrug
Also called BAN2401
5.0 mg/kg biweekly (once every 2 weeks) administered as i.v. infusion
Lecanemab 10 mg/kgDrug
Also called BAN2401
10 mg/kg biweekly (once every 2 weeks) administered as i.v. infusion.
Lecanemab 5.0 mg/kgDrug
Also called BAN2401
5.0 mg/kg monthly (once every 4 weeks) administered as i.v. infusion. All participants will receive biweekly infusions, participants will have placebo infusion alternating with BAN2401
Lecanemab 10 mg/kgDrug
Also called BAN2401
10 mg/kg monthly (once every 4 weeks) administered as i.v. infusion. All participants will receive biweekly infusions, participants will have placebo infusion alternating with BAN2401
PlaceboDrug
biweekly (once every 2 weeks) administered as i.v. infusion
Lecanemab 10 mg/kgDrug
Also called BAN2401
10 mg/kg biweekly (once every 2 weeks), once every 4 weeks (Q4W) or once every 3 months (Q3M) i.v. infusion.
| Study group | Role | What they receive |
|---|---|---|
| Core Study: Lecanemab 2.5 mg/kg biweekly | Experimental | 2.5 mg/kg biweekly Receives: Drug: Lecanemab 2.5 mg/kg |
| Core Study: Lecanemab 5.0 mg/kg biweekly | Experimental | 5.0 mg/kg biweekly Receives: Drug: Lecanemab 5.0 mg/kg |
| Core Study: Lecanemab 10 mg/kg biweekly | Experimental | 10 mg/kg biweekly Receives: Drug: Lecanemab 10 mg/kg |
| Core Study: Lecanemab 5.0 mg/kg monthly | Experimental | 5.0 mg/kg monthly Receives: Drug: Lecanemab 5.0 mg/kg |
| Core Study: Lecanemab 10 mg/kg monthly | Experimental | 10 mg/kg monthly Receives: Drug: Lecanemab 10 mg/kg |
| Core Study: Lecanemab-matched Placebo | Placebo comparator | Matching placebo biweekly Receives: Drug: Placebo |
| Extension Phase: Lecanemab 10 mg/kg | Experimental | All participants who fulfill Extension Phase inclusion and exclusion criteria will have the option to participate in the Extension Phase to receive lecanemab 10 mg/kg biweekly for up to 60 months or until the benefit-to-risk ratio from treatment with lecanemab is no longer considered favorable, whichever comes first. Additionally, participants who have received Extension Phase treatment for at least 18 months may opt to enter the dosing regimen substudy during which they will receive either lecanemab 10 mg/kg once every 4 weeks (Q4W) or once every 3 months (Q3M). Receives: Drug: Lecanemab 10 mg/kg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Core Study Phase: Change From Baseline in Alzheimer's Disease Composite Score (ADCOMS) at Month 12
The ADCOMS is a composite score that comprises 4/14 items from the Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-cog), 2 items from the Mini Mental State Examination (MMSE), and all items from the Clinical Dementia Rating (CDR). Composite score is derived from the variables from the 12 items, and ranges from 0 to 1.97, where higher score means greater impairment. Change from baseline was analyzed using Bayesian analysis. Data presented are posterior mean and posterior standard deviation.
Measured: Core Study Phase: at Month 12
Core Study Phase: Number of Participants With All Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
A TEAE is defined as an AE that emerged during treatment or within 90 days following the last dose of study drug, having been absent at pretreatment (Baseline) or reemerged during treatment, having been present at pretreatment (Baseline) but stopped before treatment, or worsened in severity during treatment relative to the pretreatment state, when the AE was continuous. A SAE is any untoward medical occurrence that at any dose: results in death; is life-threatening (that is, the participant is at immediate risk of death from the adverse event as it occurs, this does not include an event that, has it occurred in a more severe form or is allowed to continue, might have cause death); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity; is a congenital anomaly or birth defect (in the child of a participant who is exposed to the study drug).
Measured: From first dose of the study drug (Week 1) up to 90 days after last dose of study drug (up to 21 months)
OLE Phase: Number of Participants With All TEAEs and SAEs
A TEAE is defined as an AE that emerged during treatment or within 30 days following the last dose of study drug, having been absent at pretreatment (Baseline) or reemerged during treatment, having been present at pretreatment (Baseline) but stopped before treatment, or worsened in severity during treatment relative to the pretreatment state, when the AE was continuous. A SAE is any untoward medical occurrence that at any dose: results in death; is life-threatening (that is, the participant is at immediate risk of death from the adverse event as it occurs, this does not include an event that, has it occurred in a more severe form or is allowed to continue, might have cause death); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity; is a congenital anomaly or birth defect (in the child of a participant who is exposed to the study drug).
Measured: From first dose of the study drug (Week 1) up to 30 days after last dose of study drug (up to 61 months)
Secondary outcomes (12)
Core Study Phase: Change From Baseline at Months 12 and 18 in Brain Amyloid Pathophysiology as Measured by Amyloid Positron Emission Tomography (PET)
Amyloid plaque load was identified by PET using 2 tracers (florbetapir and flutemetamol). The imaging uptake was determined via standard uptake value ratio (SUVr) versus a reference region. The SUVr is a quantitative tool and refers to the ratio of the global cortical average as compared to a reference region of choice. Whole cerebellum mask was used as the reference region of choice in this study. PET SUVr values were converted to Centiloid units. Centiloid scale anchor points are 0 and 100, where 0 represents a high-certainty amyloid negative scan and 100 represents the amount of global amyloid deposition.
Measured: Core Study Phase: at Months 12 and 18
Core Study Phase: Change From Baseline in ADCOMS at Month 18
The ADCOMS is a composite score that comprises 4/14 items from the ADAS-cog, 2 items from the MMSE, and all items from the CDR. Composite score is derived from the variables from the 12 items, and ranges from 0 to 1.97, where higher score means greater impairment.
Measured: Core Study Phase: at Month 18
Core Study Phase: Change From Baseline in Clinical Dementia Rating- Sum of Boxes (CDR-SB) at Months 12 and 18
The CDR is a clinical scale that describes 5 degrees of impairment in performance on each of 6 categories of function including memory, orientation, judgment and problem solving, community affairs, home and hobbies, and personal care. The ratings of degree of impairment obtained on each of the 6 categories of function are synthesized into 1 global rating of dementia CDR score (ranging from 0 to 3). A sum of boxes score provides an additional measure of change where each category has a maximum possible score of 3 points and the total score is a sum of the category scores giving a total possible score of 0 to 18 with higher scores indicating more impairment.
Measured: Core Study Phase: at Months 12 and 18
Core Study Phase: Change From Baseline in Alzheimer Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) at Months 12 and 18
The ADAS-Cog is a cognitive scale which evaluates 14 items- memory (word recall, delayed word recall, and word recognition), reasoning (following commands), language (naming, comprehension), orientation, ideational praxis (placing letter in envelope), constructional praxis (copying geometric designs), spoken language, language comprehension, word finding difficulty, ability to remember test instructions, maze, and number cancellation. The total score ranges from 0 to 90. Higher score indicates greater cognitive impairment.
Measured: Core Study Phase: at Months 12 and 18
Core Study Phase: Change From Baseline in Cerebrospinal Fluid (CSF) Biomarker Levels at Months 12 and 18
The measurement of the amyloid proteins- Aβ(1-42) (amyloid beta monomer from amino acid 1 to 42), total (t)-tau, and phospho (p)-tau in CSF have been shown to be important biomarkers for alzheimer's disease.
Measured: Core Study Phase: at Months 12 and 18
Core Study Phase: Change From Baseline in Total Hippocampal Volume at Months 6, 12 and 18
Total hippocampal volume is measured by volumetric magnetic resonance imaging (vMRI). Volumetric imaging is a 3D technique where all the MRI signals are collected from the entire tissue sample and imaged as a whole entity, therefore providing a high signal to noise ratio. Total hippocampal volume is calculated by summing up right and left hippocampal volumes.
Measured: Core Study Phase: at Months 6, 12 and 18
Core Study Phase: Change From Baseline in Left and Right Hippocampal Volume at Months 6, 12 and 18
Left and right hippocampal volume is measured by vMRI. Volumetric imaging is a 3D technique where all the MRI signals are collected from the entire tissue sample and imaged as a whole entity, therefore providing a high signal to noise ratio. Left and right hippocampal volumes represent a summary measure in the left and right hippocampal regions.
Measured: Core Study Phase: at Months 6, 12 and 18
Core Study Phase: Change From Baseline in Whole Brain Volume at Months 6, 12 and 18
Whole brain volume is measured by vMRI. Volumetric imaging is a 3D technique where all the MRI signals are collected from the entire tissue sample and imaged as a whole entity, therefore providing a high signal to noise ratio. Whole brain volume represents a summary measure of total brain parenchyma which includes the cerebrum, basal ganglia, diencephalon, and cerebellum.
Measured: Core Study Phase: at Months 6, 12 and 18
Core Study Phase: Change From Baseline in Total Ventricular Volume at Months 6, 12 and 18
Total ventricular volume is measured by vMRI. Volumetric imaging is a 3D technique where all the MRI signals are collected from the entire tissue sample and imaged as a whole entity, therefore providing a high signal to noise ratio. Total ventricular volume represents a summary measure of total including right and left lateral ventricles, third ventricle and fourth ventricle of brain.
Measured: Core Study Phase: at Months 6, 12 and 18
OLE Phase: Change From OLE Baseline in Brain Amyloid Levels as Measured by Amyloid PET
Amyloid plaque load was identified by PET using 2 tracers (florbetapir and flutemetamol). The imaging uptake was determined via standard uptake value ratio (SUVr) versus a reference region. The SUVr is a quantitative tool and refers to the ratio of the global cortical average as compared to a reference region of choice. Whole cerebellum mask was used as the reference region of choice in this study. PET SUVr values were converted to Centiloid units. Centiloid scale anchor points are 0 and 100, where 0 represents a high-certainty amyloid negative scan and 100 represents the amount of global amyloid deposition. Change from OLE baseline was analyzed using the Mixed Model for Repeated Measures (MMRM) with Core Study treatment group, visit, Core Study treatment group by visit interaction, APOE4 status as fixed effects, and OLE baseline value and Gap duration as covariates.
Measured: OLE Phase: at Months 3, 6, 12, 24, 36 and 48
OLE Phase: Change From End of Core Study at the Baseline of OLE Phase in Brain Amyloid Levels as Measured by Amyloid PET
Amyloid plaque load was identified by PET using 2 tracers (florbetapir and flutemetamol). The imaging uptake was determined via standard uptake value ratio (SUVr) versus a reference region. The SUVr is a quantitative tool and refers to the ratio of the global cortical average as compared to a reference region of choice. Whole cerebellum mask was used as the reference region of choice in this study. PET SUVr values were converted to Centiloid units. Centiloid scale anchor points are 0 and 100, where 0 represents a high-certainty amyloid negative scan and 100 represents the amount of global amyloid deposition. Change from end of core study at the baseline of OLE phase was summarized using change from core study baseline at each visit.
Measured: Core Study: Baseline and at Month 18, OLE Phase: Baseline
OLE Phase: Percentage of Amyloid Positive Participants Over Time
Percentage of amyloid positive participants over time was reported. Participants who had Amyloid PET (using Centiloid scales) values greater than or equal to 30.00 were considered as amyloid positive.
Measured: OLE Phase: Baseline, at Months 3, 6, 12, 24, 36 and 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jan 2013 (estimated)
- Study start20 Dec 2012
- Primary completion10 Dec 2024
- Study completion10 Dec 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Alzheimer's DiseaseStudies of the same condition, open and under way.
- More trials run by Eisai Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 856 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eisai Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Biogen
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01767311
- Sponsor's protocol ID
- BAN2401-G000-201
- Other IDs
- 2012-002843-11
- Status last verified
- Jan 2026
- First submitted
- 8 Jan 2013
- Last updated
- 4 Mar 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Devanarayan V, Ye Y, Zhu L, Tian L, Kramer L, Irizarry M, Dhadda S. Predicted natural progression as an Alzheimer's prognostic covariate improves the precision of lecanemab efficacy assessments and clinical trial efficiency. Alzheimers Dement. 2025 Mar;21(3):e70045. doi: 10.1002/alz.70045.
PubMed 40042496Devanarayan V, Ye Y, Charil A, Andreozzi E, Sachdev P, Llano DA, Tian L, Zhu L, Hampel H, Kramer L, Dhadda S, Irizarry M; Alzheimer's Disease Neuroimaging Initiative (ADNI). Predicting clinical progression trajectories of early Alzheimer's disease patients. Alzheimers Dement. 2024 Mar;20(3):1725-1738. doi: 10.1002/alz.13565. Epub 2023 Dec 13.
PubMed 38087949Berry DA, Dhadda S, Kanekiyo M, Li D, Swanson CJ, Irizarry M, Kramer LD, Berry SM. Lecanemab for Patients With Early Alzheimer Disease: Bayesian Analysis of a Phase 2b Dose-Finding Randomized Clinical Trial. JAMA Netw Open. 2023 Apr 3;6(4):e237230. doi: 10.1001/jamanetworkopen.2023.7230.
PubMed 37040116McDade E, Cummings JL, Dhadda S, Swanson CJ, Reyderman L, Kanekiyo M, Koyama A, Irizarry M, Kramer LD, Bateman RJ. Lecanemab in patients with early Alzheimer's disease: detailed results on biomarker, cognitive, and clinical effects from the randomized and open-label extension of the phase 2 proof-of-concept study. Alzheimers Res Ther. 2022 Dec 21;14(1):191. doi: 10.1186/s13195-022-01124-2.
PubMed 36544184Dhadda S, Kanekiyo M, Li D, Swanson CJ, Irizarry M, Berry S, Kramer LD, Berry DA. Consistency of efficacy results across various clinical measures and statistical methods in the lecanemab phase 2 trial of early Alzheimer's disease. Alzheimers Res Ther. 2022 Dec 9;14(1):182. doi: 10.1186/s13195-022-01129-x.
PubMed 36482412Swanson CJ, Zhang Y, Dhadda S, Wang J, Kaplow J, Lai RYK, Lannfelt L, Bradley H, Rabe M, Koyama A, Reyderman L, Berry DA, Berry S, Gordon R, Kramer LD, Cummings JL. A randomized, double-blind, phase 2b proof-of-concept clinical trial in early Alzheimer's disease with lecanemab, an anti-Abeta protofibril antibody. Alzheimers Res Ther. 2021 Apr 17;13(1):80. doi: 10.1186/s13195-021-00813-8.
PubMed 33865446
Study at a glance
From the registry record, last updated by the sponsor on 4 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Placebo-Controlled, Double-Blind, Parallel-Group, Bayesian Adaptive Randomization Design and Dose Regimen-finding Study With an Open-Label Extension Phase to Evaluate Safety, Tolerability and Efficacy of BAN2401 in Subjects With Early Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT01767311
- Acronym / sponsor ID
- BAN2401-G000-201
- Conditions
- Alzheimer's Disease
- Keywords
- Alzheimer's Disease, BAN2401, Lecanemab
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 856 participants (actual)
- Lead sponsor
- Eisai Inc.Industry (pharma, biotech, devices)
- Collaborators
- Biogen
- Study start
- 20 Dec 2012 (actual)
- Primary completion
- 10 Dec 2024 (actual)
- Study completion
- 10 Dec 2024 (actual)
- First posted
- 14 Jan 2013 (estimated)
- Results
- Posted 4 Mar 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multinational, multicenter, double-blind, placebo-controlled, parallel-group study using a Bayesian design with response adaptive randomization across placebo or 5 active arms of lecanemab to determine clinical efficacy and to explore the dose response of lecanemab using a composite clinical score (ADCOMS). BAN2401-G000-201 Core study is an 18-month study in which 3 dose levels (2.5, 5, and 10 mg/kg) are given biweekly (once every 2 weeks) to separate groups of participants and 2 dose levels (5 and 10 mg/kg) are given monthly (once every 4 weeks) to separate groups of participants. Participants will be from 2 clinical subgroups: mild cognitive impairment (MCI) due to Alzheimer's disease (AD) or mild Alzheimer's disease dementia. Frequent interim analyses will be conducted to continually update randomization allocation on the basis of the primary clinical endpoint. Any participant who completes the study treatment (Visit 42 [Week 79] of the Core study) or discontinues the Core Study will be eligible to participate in the Extension Phase, provided they meet the Extension Phase inclusion and exclusion criteria. Participants will receive 10 mg/kg biweekly for up to 60 months or until the drug is commercially available in the country, where the subject resides, or until the benefit-to-risk ratio from treatment with lecanemab is no longer considered favorable, whichever comes first. The Follow-up Visit in the Extension Phase will take place 3 months after the last dose of study drug.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Core Study: Lecanemab 2.5 mg/kg biweekly | Experimental | Drug: Lecanemab 2.5 mg/kg2.5 mg/kg biweekly |
| Core Study: Lecanemab 5.0 mg/kg biweekly | Experimental | Drug: Lecanemab 5.0 mg/kg5.0 mg/kg biweekly |
| Core Study: Lecanemab 10 mg/kg biweekly | Experimental | Drug: Lecanemab 10 mg/kg10 mg/kg biweekly |
| Core Study: Lecanemab 5.0 mg/kg monthly | Experimental | Drug: Lecanemab 5.0 mg/kg5.0 mg/kg monthly |
| Core Study: Lecanemab 10 mg/kg monthly | Experimental | Drug: Lecanemab 10 mg/kg10 mg/kg monthly |
| Core Study: Lecanemab-matched Placebo | Placebo comparator | Drug: PlaceboMatching placebo biweekly |
| Extension Phase: Lecanemab 10 mg/kg | Experimental | Drug: Lecanemab 10 mg/kgAll participants who fulfill Extension Phase inclusion and exclusion criteria will have the option to participate in the Extension Phase to receive lecanemab 10 mg/kg biweekly for up to 60 months or until the benefit-to-risk ratio from treatment with lecanemab is no longer considered favorable, whichever comes first. Additionally, participants who have received Extension Phase treatment for at least 18 months may opt to enter the dosing regimen substudy during which they will receive either lecanemab 10 mg/kg once every 4 weeks (Q4W) or once every 3 months (Q3M). |
Who may qualify
- Ages
- 50 to 90 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Subjects who have completed Visit 42 (Week 79) of the Core Study or who discontinued study drug during the Core Study due to any of the following reasons:
- Must continue to have an identified caregiver or informant who is willing and able to provide follow-up information on the subject throughout the course of the Extension Phase
- Provide written informed consent. If a subject lacks capacity to consent in the investigator's opinion, the subject's assent should be obtained, if required in accordance with local laws, regulations and customs, plus the written informed consent of a legal representative should be obtained (capacity to consent and definition of legal representative should be determined in accordance with applicable local laws and regulations).
- Must be able to physically attend clinic visits and be willing and able to comply with all aspects of the protocol
Key exclusion criteria (17 listed)
- Any neurological condition that may be contributing to cognitive impairment above and beyond that caused by the subject's AD
- History of transient ischemic attacks (TIA), stroke, or seizures within 12 months of Screening
- Any psychiatric diagnosis or symptoms, (e.g., hallucinations, major depression, or delusions) that could interfere with study procedures in the subject
- Geriatric Depression Scale (GDS) score ≥8 at Screening
- Contraindications to MRI scanning, including cardiac pacemaker/ defibrillator, ferromagnetic metal implants, e,g., in skull and cardiac devices other than those approved as safe for use in MR scanners
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Lecanemab 2.5 mg/kgAlso: BAN24012.5 mg/kg biweekly (once every 2 weeks) administered as i.v. infusion | Drug | Core Study: Lecanemab 2.5 mg/kg biweekly |
| Lecanemab 5.0 mg/kgAlso: BAN24015.0 mg/kg biweekly (once every 2 weeks) administered as i.v. infusion | Drug | Core Study: Lecanemab 5.0 mg/kg biweekly |
| Lecanemab 10 mg/kgAlso: BAN240110 mg/kg biweekly (once every 2 weeks) administered as i.v. infusion. | Drug | Core Study: Lecanemab 10 mg/kg biweekly |
| Lecanemab 5.0 mg/kgAlso: BAN24015.0 mg/kg monthly (once every 4 weeks) administered as i.v. infusion. All participants will receive biweekly infusions, participants will have placebo infusion alternating with BAN2401 | Drug | Core Study: Lecanemab 5.0 mg/kg monthly |
| Lecanemab 10 mg/kgAlso: BAN240110 mg/kg monthly (once every 4 weeks) administered as i.v. infusion. All participants will receive biweekly infusions, participants will have placebo infusion alternating with BAN2401 | Drug | Core Study: Lecanemab 10 mg/kg monthly |
| Placebobiweekly (once every 2 weeks) administered as i.v. infusion | Drug | Core Study: Lecanemab-matched Placebo |
| Lecanemab 10 mg/kgAlso: BAN240110 mg/kg biweekly (once every 2 weeks), once every 4 weeks (Q4W) or once every 3 months (Q3M) i.v. infusion. | Drug | Extension Phase: Lecanemab 10 mg/kg |
Primary outcome
Core Study Phase: Change From Baseline in Alzheimer's Disease Composite Score (ADCOMS) at Month 12
Time frame: Core Study Phase: at Month 12
The ADCOMS is a composite score that comprises 4/14 items from the Alzheimer's Disease Assessment Scale-cognitive subscale (ADAS-cog), 2 items from the Mini Mental State Examination (MMSE), and all items from the Clinical Dementia Rating (CDR). Composite score is derived from the variables from the 12 items, and ranges from 0 to 1.97, where higher score means greater impairment. Change from baseline was analyzed using Bayesian analysis. Data presented are posterior mean and posterior standard deviation.
Core Study Phase: Number of Participants With All Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: From first dose of the study drug (Week 1) up to 90 days after last dose of study drug (up to 21 months)
A TEAE is defined as an AE that emerged during treatment or within 90 days following the last dose of study drug, having been absent at pretreatment (Baseline) or reemerged during treatment, having been present at pretreatment (Baseline) but stopped before treatment, or worsened in severity during treatment relative to the pretreatment state, when the AE was continuous. A SAE is any untoward medical occurrence that at any dose: results in death; is life-threatening (that is, the participant is at immediate risk of death from the adverse event as it occurs, this does not include an event that, has it occurred in a more severe form or is allowed to continue, might have cause death); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity; is a congenital anomaly or birth defect (in the child of a participant who is exposed to the study drug).
OLE Phase: Number of Participants With All TEAEs and SAEs
Time frame: From first dose of the study drug (Week 1) up to 30 days after last dose of study drug (up to 61 months)
A TEAE is defined as an AE that emerged during treatment or within 30 days following the last dose of study drug, having been absent at pretreatment (Baseline) or reemerged during treatment, having been present at pretreatment (Baseline) but stopped before treatment, or worsened in severity during treatment relative to the pretreatment state, when the AE was continuous. A SAE is any untoward medical occurrence that at any dose: results in death; is life-threatening (that is, the participant is at immediate risk of death from the adverse event as it occurs, this does not include an event that, has it occurred in a more severe form or is allowed to continue, might have cause death); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity; is a congenital anomaly or birth defect (in the child of a participant who is exposed to the study drug).
12 secondary outcomes
Core Study Phase: Change From Baseline at Months 12 and 18 in Brain Amyloid Pathophysiology as Measured by Amyloid Positron Emission Tomography (PET)
Time frame: Core Study Phase: at Months 12 and 18
Core Study Phase: Change From Baseline in ADCOMS at Month 18
Time frame: Core Study Phase: at Month 18
Core Study Phase: Change From Baseline in Clinical Dementia Rating- Sum of Boxes (CDR-SB) at Months 12 and 18
Time frame: Core Study Phase: at Months 12 and 18
Core Study Phase: Change From Baseline in Alzheimer Disease Assessment Scale - Cognitive Subscale (ADAS-Cog) at Months 12 and 18
Time frame: Core Study Phase: at Months 12 and 18
Core Study Phase: Change From Baseline in Cerebrospinal Fluid (CSF) Biomarker Levels at Months 12 and 18
Time frame: Core Study Phase: at Months 12 and 18
Core Study Phase: Change From Baseline in Total Hippocampal Volume at Months 6, 12 and 18
Time frame: Core Study Phase: at Months 6, 12 and 18
Core Study Phase: Change From Baseline in Left and Right Hippocampal Volume at Months 6, 12 and 18
Time frame: Core Study Phase: at Months 6, 12 and 18
Core Study Phase: Change From Baseline in Whole Brain Volume at Months 6, 12 and 18
Time frame: Core Study Phase: at Months 6, 12 and 18
Core Study Phase: Change From Baseline in Total Ventricular Volume at Months 6, 12 and 18
Time frame: Core Study Phase: at Months 6, 12 and 18
OLE Phase: Change From OLE Baseline in Brain Amyloid Levels as Measured by Amyloid PET
Time frame: OLE Phase: at Months 3, 6, 12, 24, 36 and 48
OLE Phase: Change From End of Core Study at the Baseline of OLE Phase in Brain Amyloid Levels as Measured by Amyloid PET
Time frame: Core Study: Baseline and at Month 18, OLE Phase: Baseline
OLE Phase: Percentage of Amyloid Positive Participants Over Time
Time frame: OLE Phase: Baseline, at Months 3, 6, 12, 24, 36 and 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Mar 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40042496Devanarayan V, Ye Y, Zhu L, Tian L, Kramer L, Irizarry M, Dhadda S. Predicted natural progression as an Alzheimer's prognostic covariate improves the precision of lecanemab efficacy assessments and clinical trial efficiency. Alzheimers Dement. 2025 Mar;21(3):e70045. doi: 10.1002/alz.70045.
- Derived from this study: PubMed 38087949Devanarayan V, Ye Y, Charil A, Andreozzi E, Sachdev P, Llano DA, Tian L, Zhu L, Hampel H, Kramer L, Dhadda S, Irizarry M; Alzheimer's Disease Neuroimaging Initiative (ADNI). Predicting clinical progression trajectories of early Alzheimer's disease patients. Alzheimers Dement. 2024 Mar;20(3):1725-1738. doi: 10.1002/alz.13565. Epub 2023 Dec 13.
- Derived from this study: PubMed 37040116Berry DA, Dhadda S, Kanekiyo M, Li D, Swanson CJ, Irizarry M, Kramer LD, Berry SM. Lecanemab for Patients With Early Alzheimer Disease: Bayesian Analysis of a Phase 2b Dose-Finding Randomized Clinical Trial. JAMA Netw Open. 2023 Apr 3;6(4):e237230. doi: 10.1001/jamanetworkopen.2023.7230.
- Derived from this study: PubMed 36544184McDade E, Cummings JL, Dhadda S, Swanson CJ, Reyderman L, Kanekiyo M, Koyama A, Irizarry M, Kramer LD, Bateman RJ. Lecanemab in patients with early Alzheimer's disease: detailed results on biomarker, cognitive, and clinical effects from the randomized and open-label extension of the phase 2 proof-of-concept study. Alzheimers Res Ther. 2022 Dec 21;14(1):191. doi: 10.1186/s13195-022-01124-2.
- Derived from this study: PubMed 36482412Dhadda S, Kanekiyo M, Li D, Swanson CJ, Irizarry M, Berry S, Kramer LD, Berry DA. Consistency of efficacy results across various clinical measures and statistical methods in the lecanemab phase 2 trial of early Alzheimer's disease. Alzheimers Res Ther. 2022 Dec 9;14(1):182. doi: 10.1186/s13195-022-01129-x.
- Derived from this study: PubMed 33865446Swanson CJ, Zhang Y, Dhadda S, Wang J, Kaplow J, Lai RYK, Lannfelt L, Bradley H, Rabe M, Koyama A, Reyderman L, Berry DA, Berry S, Gordon R, Kramer LD, Cummings JL. A randomized, double-blind, phase 2b proof-of-concept clinical trial in early Alzheimer's disease with lecanemab, an anti-Abeta protofibril antibody. Alzheimers Res Ther. 2021 Apr 17;13(1):80. doi: 10.1186/s13195-021-00813-8.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
169 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Lecanemab 2.5 mg/kg, Lecanemab 5.0 mg/kg and Lecanemab 10 mg/kg in people with Alzheimer's Disease, run by Eisai Inc. at 169 sites in 11 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 4 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 169 sites in United States, Germany, Japan, Canada, Italy and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 4 Mar 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Core Study Phase: Change From Baseline in Alzheimer's Disease Composite Score (ADCOMS) at Month 12 (time frame: Core Study Phase: at Month 12). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01767311, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Mar 2026.