Alzheimer's DiseasePhase 3NCT02051608
A Study of Gantenerumab in Participants With Mild Alzheimer Disease
A Phase 3 study testing Gantenerumab in people with Alzheimer's Disease, run by Hoffmann-La Roche at 131 sites in 22 countries.
Trial summary
Part 1 is a multicenter, randomized, double-blind, placebo-controlled, parallel-group study will evaluate the efficacy and safety of gantenerumab in participants with mild Alzheimer disease. 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?
- Gantenerumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 389 participants
- Where
- 131 sitesin 22 countries
- Study dates
- 27 Mar 2014to 16 Apr 2021
- Phase
- Phase 3
- 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
- Clinical diagnosis of probable mild Alzheimer disease (AD) based on National Institute of Neurological and Communicative Disorders and Stroke/Alzheimer's Disease and Related Disorders Association (NINCDS/ADRDA) criteria or major NCD based whether or not receiving AD approved medication
- Cerebral spinal fluid (CSF) result consistent with the presence of amyloid pathology
- Availability of a person ('caregiver') who in the investigator's judgment has frequent and sufficient contact with the participant, and is able to provide accurate information regarding the participant's cognitive and functional abilities
- Fluency in the language of the tests used at the study site
- Willingness and ability to complete all aspects of the study
- Adequate visual and auditory acuity, in the investigator's judgment, sufficient to perform the neuropsychological testing (eye glasses and hearing aids are permitted)
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- If currently receiving approved medications for AD, the dosing regimen must have been stable for 3 months prior to screening
- Agreement not to participate in other research studies for the duration of this trial and its associated substudies
- PART 2 - All participants who have been randomized and are actively participating in the study are eligible for Part 2
Who cannot join
- Dementia or neurocognitive disorder (NCD) due to a condition other than AD, including, but not limited to, frontotemporal dementia, Parkinson disease, dementia with Lewy bodies, Huntington disease, or vascular dementia
- History or presence of clinically evident vascular disease potentially affecting the brain that in the opinion of the investigator has the potential to affect cognitive function
- History or presence of stroke within the past 2 years or documented history of transient ischemic attack within the last 12 months
- History or presence of systemic autoimmune disorders potentially causing progressive neurologic disease with associated cognitive deficits
- History of schizophrenia, schizoaffective disorder, or bipolar disorder
- Alcohol and/or substance use disorder (according to the DSM-5) within the past 2 years (nicotine use is allowed)
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- History or presence of atrial fibrillation
- Within the last 2 years, unstable or clinically significant cardiovascular disease (e.g., myocardial infarction, angina pectoris, cardiac failure New York Heart Association Class II or higher)
- Uncontrolled hypertension
- Chronic kidney disease
- Impaired hepatic function
- PET imaging substudy, in addition to above:
- Prior participation in other research study or clinical care within the last year such that the total radiation exposure would exceed the local or national annual limits
- Part 2 Participants who have been discontinued from the study
Trial locations and contacts
131 sites in 22 countries.
131 sites in 22 countries
United States30 sites
Abington Neurological Associates
Abington, Pennsylvania, 19001
Senior Adults Specialty Research
Austin, Texas, 78757
Pennington Biomedical Research Center
Baton Rouge, Louisiana, 70808
Meridien Research
Brooksville, Florida, 34601
Neurology Clinic PC
Cordova, Tennessee, 38018
ATP Clinical Research, Inc
Costa Mesa, California, 92626
Brain Matters Research, Inc.
Delray Beach, Florida, 33445
Rhode Island Mood & Memory Research Institute
East Providence, Rhode Island, 02914
Neuropsychiatric Research; Center of Southwest Florida
Fort Myers, Florida, 33912
Indiana University
Indianapolis, Indiana, 46202
Western Michigan University Homer Stryker M.D. School of Medicine Center for Clinical Research
Kalamazoo, Michigan, 49008
Alzheimer's Memory Center
Matthews, North Carolina, 28105
Miami Jewish Health Systems; Clinical Research
Miami, Florida, 33137
Louisiana Research Associates
New Orleans, Louisiana, 70114
Nathan Kline Institute
Orangeburg, New York, 10962
Accelerated Enrollment Solutions
Orlando, Florida, 32806
Alzheimer's Research Corporation
Paterson, New Jersey, 08759
Northeastern Pennsylvania Memory
Plains, Pennsylvania, 18705
Richard H Weisler, MD
Raleigh, North Carolina, 27609
University of Utah, Center for Alzheimer's Care Imaging & Research
Salt Lake City, Utah, 84108
Pacific Research Network - PRN
San Diego, California, 92103
California Neuroscience Research Medical Group, Inc
Sherman Oaks, California, 91403
Millennium Psychiatric Associates, LLC
St Louis, Missouri, 63132
Richmond Behavioral Associates
Staten Island, New York, 10312
Banner Sun Health Research Insitute
Sun City, Arizona, 85351
University of South Florida
Tampa, Florida, 33613-4706
Ocean Rheumatology
Toms River, New Jersey, 08775
Territory Neurology and Research Institute
Tucson, Arizona, 85704
Central States Research
Tulsa, Oklahoma, 74136
Alzheimer's Research and Treatment Center
Wellington, Florida, 33414
Canada14 sites
Jbn Medical Diagnostic Services Inc.
Burlington, Ontario, L7M 4Y1
University of Calgary; Heritage Medical Research Clinic
Calgary, Alberta, T2N 4Z6
Recherches Neuro-Hippocame
Gatineau, Quebec, J8T 8J1
NeuroSearch Developpements inc
Greenfield Park, Quebec, J4V 2J2
True North Clinical Research-Halifax
Halifax, Nova Scotia, B3S 1N2
Parkwood Hospital; Geriatric Medicine
London, Ontario, N6C 5J1
Jewish General Hospital / McGill University
Montreal, Quebec, H3T 1E2
True North Clinical Research
New Minas, Nova Scotia, B4N 3R7
Kawartha Centre - Redefining Healthy Aging
Peterborough, Ontario, K9H 2P4
Centre Hospitalier Affilie Universitaire de Quebec - Hopital de L'Enfant Jesus
Québec, Quebec, G1J 1Z4
Alpha Recherche Clinique
Québec, G3K 2P8
Toronto Memory Program
Toronto, Ontario, M3B 2S7
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
McGill Univeristy; Douglas Mental Health University Institute; Neurological and Psychiatric
Verdun, Quebec, H4H 1R3
Japan11 sites
Medical Corporation Hakuyokai Kashiwado Hospital
Chiba, 260-8656
National Hospital Organization Chiba-east Hospital; Neurology
Chiba, 260-8712
Juntendo University Urayasu Hospital; Neurology
Chiba, 279-0021
Fukuoka University Hospital; Neurology and Health Care
Fukuoka, 814-0180
Maebashi Red Cross Hospital; Neurology
Gunma, 371-0014
National Hospital Organization Hiroshima-Nishi Medical Center
Hiroshima, 739-0696
Hyogo Brain and Heart Center at Himeji; Department of Aging Brain and Cognitive Disorders
Hyōgo, 670-0981
Shonan Kamakura General Hospital; Neurology
Kanagawa, 247-8533
Oita University Hospital; Neurology
Ōita, 879-5593
Kurashiki Heisei Hospital; Neurology
Okayama, 710-0826
Shizuoka City Shimizu Hospital; Neurology
Shizuoka, 424-0911
South Korea9 sites
Dong-A University Medical Center
Busan, 602-715
Seoul National University Bundang Hospital; Neurology Department
Gyeonggi-do, 13620
Inha University Hospital; Neurology Department
Incheon, 22332
Konkuk University Medical Center
Seoul, 05030
Samsung Medical Center
Seoul, 06351
Ewha Womans University Hospital (Seoul)
Seoul, 07804
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, 137-701
Asan Medical Center.
Seoul, 138-736
Ewha Womans University Mokdong Hospital; Dept of Neurology
Seoul, 158-710
Spain8 sites
Hospital de Cruces; Servicio de Neurologia
Barakaldo, Vizcaya, 48903
Fundació ACE
BArcelon, Barcelona, 08034
Hospital del Mar; Servicio de Neurologia
Barcelona, 08003
Policlínica Guipuzkoa; Servicio de Neurología
Donosti-San Sebastián, Guipuzcoa, 20014
Hospital General Universitario de Elche; Servicio de Neurología
Elche, Alicante, 03203
Hospital Universitario 12 de Octubre; Servicio de Neurologia
Madrid, 28041
Hospital Universitario Virgen Macarena; Servicio de Neurologia
Seville, 41009
Hospital Universitari i Politecnic La Fe
Valencia, 46026
France7 sites
Hopital Pellegrin; Cmrr Aquitaine
Bordeaux, 33076
Hopital Pierre Wertheimer; Laboratoire De Neuro Psychologie
Bron, 69677
CHU de Limoges Hopital Dupuytren; Service de Medecine Geriatrique
Limoges, 87042
CHU de la Timone - Hopital d Adultes; Service de Neurologie
Marseille, 13005
CHU Rennes - hopital Hotel Dieu; Consultation Memoire - Gerontologie
Rennes, 35064
Hopital Hautepierre; Centre dInvestigation Clinique
Strasbourg, 67098
Hopital la Grave; Gerontopole - Centre de Recherche Clinique
Toulouse, 31059
Germany7 sites
ECRC Experimental and Clinical Research Center, Charité Campus Berlin Buch, Memory Clinic
Berlin, 13125
PANAKEIA - Arzneimittelforschung Leipzig GmbH
Leipzig, 04275
Pharmakologisches Studienzentrum
Mittweida, 09648
Neurologische Praxis Dr. Andrej Pauls
München, 80331
Klinikum rechts der Isar der TU München; Klinikapotheke
München, 81675
Universitätsklinikum Ulm; Klinik für Neurologie
Ulm, 89081
Studienzentrum Nordwest, Dr. med. Joachim Springub / Herr Wolfgang Schwarz
Westerstede, 26655
Italy7 sites
IRCCS "Centro S. Giovanni di Dio" Fatebenefratelli -UO Alzheimer
Brescia, Lombardy, 25125
Irccs Multimedica Santa Maria; Unita' Di Neurologia
Castellanza, Lombardy, 21053
Nuovo Ospedale Civile S. Agostino-Estense; Clinica Neurologica - Dipartimento di Neuroscienze
Modena, Emilia-Romagna, 41126
ASST DI MONZA; Neurologia
Monza, Lombardy, 20900
A.O. Universitaria Pisana; Neurologia
Pisa, Tuscany, 56126
Azienda Ospedaliera Universitaria Policlinico Tor Vergata; Neurologia
Rome, Lazio, 00133
Umberto I Policlinico di Roma-Università di Roma La Sapienza
Rome, Lazio, 00185
Russia7 sites
State Autonomous Healthcare Institution "Republican Clinical Neurological Center
Kazan', 420021
State autonomous institution of healthcare Inter-regional clinical and diagnostic center
Kazan', 420101
Institution of RAMS (Mental Health Research Center of RAMS)
Moscow, 115522
SBEI of HPI The 1st Moscow State Medical University n.a. I.M. Sechenov of MOH of RF
Moscow, 119021
Saint Petersburg State Institution of Healthcare City Geriatric Medico-Social Center
Saint Petersburg, 190103
Russian Medical Military Academy n.a. S.M.Kirov; Neurology Department
Saint Petersburg, 194044
City Clinical Hospital # 2 n.a. V.I. Razumovsky
Saratov, 410028
United Kingdom6 sites
Sussex Partnership NHS Foundation Trust; Cognitive Treatment and Research unit
Crowborough, TN6 1HB
Glasgow Memory Clinic
Glasgow, G20 0XA
Charing Cross Hospital; Dept of Neurosciences
London, W6 8RF
Manchester Royal Infirmary
Manchester, M13 9WL
Royal Preston Hosptial
Preston, PR2 9HT
Memory Service North
Sheffield, S35 8QS
Australia4 sites
Royal Adelaide Hospital; Memory Trials Centre
Adelaide, South Australia, 5000
Heidelberg Repatriation Hospital; Medical and Cognitive Research Centre
Heidelberg West, Victoria, 3081
Australian Alzheimer's Research Foundation
Nedlands, Western Australia, 6009
The Queen Elizabeth Hospital; Neurology
Woodville, South Australia, 5011
Turkey (Türkiye)3 sites
Istanbul University Istanbul School of Medicine; Neurology
Istanbul, 34093
Dokuz Eylul University Medicine Faculty; Noroloji Departmani
Izmir, 35340
Ondokuz Mayis University School of Medicine; Neurology
Samsun, 55139
Belgium2 sites
Cliniques Universitaires St-Luc
Brussels, 1200
UZ Leuven Gasthuisberg
Leuven, 3000
Bulgaria2 sites
Shat Np Sveti Naum; 3Rd Clinic of Neurology
Sofia, 1113
MBAL St. Marina; First Neurology Department
Varna, 9010
Denmark2 sites
Aarhus Universitetshospital, Neurologisk Afdeling F, Demensklinikken
Aarhus N, 8200
Rigshospitalet, Hukommelsesklinikken
Koebenhavn Oe, 2100
Finland2 sites
University of Eastern Finland
Kuopio, 70210
CRST Oy
Turku, 20520
Netherlands2 sites
Brain Research Center B.V
Amsterdam, 1081 GN
Erasmus Mc - Locatie Centrum; Dept of Neurology
Rotterdam, 3015 GD
Portugal2 sites
Hospital Prof. Dr. Fernando Fonseca; Servico de Neurologia
Amadora, 2720-276
Hospital de Santa Maria; Servico de Neurologia
Lisbon, 1649-035
Sweden2 sites
Skånes Universitetssjukhus Malmö, Minneskliniken
Malmö, 211 46
KAROLINSKA UNI HOSPITAL, HUDDINGE; Mottagning Kognitiv Forskning, M54
Stockholm, 141 86
Switzerland2 sites
Felix Platter-Spital Medizin Geriatrie
Basel, 4002
CHUV Lausanne Memory clinique
Lausanne, 1011
Argentina1 site
Instituto Neurologia Bs As
Ciudad Autonoma Buenos Aires, C1426ANZ
About this study
Official title: A Phase III, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter, Efficacy and Safety Study of Gantenerumab in Patients With Mild Alzheimer's Disease; Part II: Open-Label Extension For Participating Patients
Part 1 is a multicenter, randomized, double-blind, placebo-controlled, parallel-group study will evaluate the efficacy and safety of gantenerumab in participants with mild Alzheimer disease. Participants will be randomized to receive either gantenerumab subcutaneously every 4 weeks or placebo subcutaneously every 4 weeks. Approved Alzheimer medication is allowed if on stable dose for 3 months prior to screening. Part 2 is an open-label extension (OLE).
A positron emission tomography (PET) imaging substudy will be conducted within the main study. Eligible participants who provide separate informed consent will undergo PET imaging scans using the radioligand florbetapir as a pharmacodynamic measure of changes in brain amyloid load over time.
- Conditions
- Alzheimer's Disease
- Being tested
- Placebo, Gantenerumab
- Medical subject headings
- Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Participants received Placebo SC injection Q4W.
GantenerumabDrug
Participants received Gantenerumab at 105 mg , 225 mg, or at doses up to 1200 mg SC injection Q4W.
| Study group | Role | What they receive |
|---|---|---|
| Part 1 (Double Blind treatment): Placebo | Placebo comparator | Participants received matching placebo by subcutaneous (SC) injection every 4 weeks (Q4W) up to 100 weeks during Part 1 of the study. Receives: Drug: Placebo |
| Part 1 (Double Blind treatment): Gantenerumab | Experimental | Participants received 105 mg Gantenerumab by SC injection Q4W for 24 weeks and if eligible 225 mg SC injection Q4W from weeks 28-100 during Part 1 of the study. Receives: Drug: Gantenerumab |
| Part 2 (Open-Label Extension [OLE] treatment): Placebo switched to Gantenerumab Up to 1200 mg | Placebo comparator | Participants who had received Placebo in Part 1, received Gantenerumab at doses up to 1200 mg by SC injection Q4W for up to 2 years. Additionally, participants were given the option to continue receiving open-label gantenerumab treatment for 3 years. Receives: Drug: Placebo |
| Part 2 (OLE treatment): Gantenerumab up to 1200 mg | Experimental | Participants who had received Gantenerumab in Part 1, received treatment at doses up to 1200 mg by SC injection Q4W for up to 2 years. Additionally, participants were given the option to continue receiving open-label gantenerumab treatment for 3 years. Receives: Drug: Gantenerumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 2: Percentage of Participants With Adverse Events (AEs) or Serious Adverse Events (SAEs)
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. SAE is any adverse event that is fatal or which requires or prolongs inpatient hospitalization or results in persistent or significant disability/incapacity or causes congenital anomaly/birth defect or results in a significant medical event in the investigator's judgment.
Measured: First dose up to 4 weeks after the last dose of study drug (up to 249 weeks)
Part 2: Percentage of Participants With Treatment Emergent Anti-Drug Antibodies (ADAs)
Participants were considered positive or negative for ADA based on their baseline and post-baseline sample results. The number and percentage of participants with confirmed positive ADA levels were determined for participants previously (in part 1) on Gantenerumab and Placebo. The prevalence of ADA at baseline was calculated as the percentage of participants with confirmed positive ADA levels at baseline relative to the total number of participants with a sample available at baseline. The incidence of treatment-emergent ADAs was determined as the percentage of participants with confirmed post-baseline positive ADAs relative to the total number of participants that had at least one post-baseline sample available for ADA analysis.
Measured: First dose up to last dose (Baseline up to until maximum 5 years)
Part 2: Percentage of Participants With Adverse Events Leading to Discontinuation of Treatment
Percentage of participants with adverse events leading to discontinuation from treatment were reported.
Measured: First dose up to 4 weeks after the last dose in OLE (Up to approximately 249 weeks)
Secondary outcomes (10)
Part 1: Percentage of Participants With AEs, SAEs
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. A serious adverse event is any adverse event that is fatal or which requires or prolongs inpatient hospitalization or results in persistent or significant disability/incapacity or causes congenital anomaly/birth defect or results in a significant medical event in the investigator's judgment.
Measured: First dose up to last dose (Up to approximately 152 weeks)
Part 1: Percentage of Participants With Treatment Emergent ADAs
Participants were considered positive or negative for ADA based on their baseline and post-baseline sample results. The number and percentage of participants with confirmed positive ADA levels were determined for participants previously (in part 1) on Gantenerumab and Placebo. The prevalence of ADA at baseline was calculated as the percentage of participants with confirmed positive ADA levels at baseline relative to the total number of participants with a sample available at baseline. The incidence of treatment-emergent ADAs was determined as the percentage of participants with confirmed post-baseline positive ADAs relative to the total number of participants that had at least one post-baseline sample available for ADA analysis.
Measured: First dose up to last dose (Up to approximately 152 weeks)
Part 1: Gantenerumab Plasma Concentration at Multiple Timepoints
Measured: Pre-dose: Weeks 4, 8, 12, 24, 48, 72 and Post dose: Day 4
Part 1: Percentage of Participants With Adverse Events Leading to Discontinuation of Treatment
Percentage of participants with adverse events leading to discontinuation from treatment were reported.
Measured: First dose up to last dose (Up to approximately 152 weeks)
Part 2: Percent Change From Baseline in Hippocampal Volume at Week 104
Change from baseline in hippocampal right volume (HRV) and hippocampal left volume (HLV) were analyzed at Week 104 using magnetic resonance imaging.
Measured: Baseline (Part 1 screening), Week 104
Part 2: Percent Change From Baseline in Whole Brain Volume at Week 104
Change from baseline brain volume were analyzed at Week 104 using magnetic resonance imaging.
Measured: Baseline (Part 1 screening), Week 104
Part 2: Percent Change From Baseline in Cortical Thickness at Week 104
Change from baseline in cortical thickness were analyzed at Week 104 using magnetic resonance imaging.
Measured: Baseline (Part 1 screening), Week 104
Part 2: Ventricular Volume as Measured by MRI at Week 104
Ventricular volume were analyzed at Week 104 using magnetic resonance imaging.
Measured: Part 2: Week 104
Part 2: Gantenerumab Plasma Concentration at Multiple Timepoints
Measured: Pre-dose: Weeks 104, 116, 156, 208; Post-dose: Weeks 53, 101
Part 2: Change From Baseline in Brain Amyloid Load at Week 156 in a Subset of Participants
Brain amyloid load over time was assessed using a Florbetapir [F18] injection, a positron emission tomography (PET) radioligand selective to amyloid. Analysis was conducted in a subset of participants who signed consent to participate in the PET substudy. Amyloid PET burden was measured in a composite region of interest (ROI) by using standardized uptake value ratio (SUVR) mapped to the centiloid scale. The composite region was composed of the following six bilateral regions: frontal lobe, parietal lobe, temporal lobe, posterior cingulate cortex, anterior cingulate cortex. The reference region used to normalize the composite region was the cerebellar cortex. SUVR is ratio of tracer uptake in each of cingulate, frontal, parietal and temporal cortexes relative to cerebellum. The 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 found in a typical AD scans.
Measured: Baseline, Week 156
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Jan 2014 (estimated)
- Study start27 Mar 2014
- Primary completion16 Apr 2021
- Study completion16 Apr 2021
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 (2)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 Hoffmann-La RocheThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 389 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02051608
- Sponsor's protocol ID
- WN28745
- Other IDs
- 2013-003390-95
- Status last verified
- Feb 2023
- First submitted
- 30 Jan 2014
- Last updated
- 10 Feb 2023
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Neve A, Das B, Wojtowicz J, Huang Z, Bullain S, Watkin M, Lott D, Bittner T, Delmar P, Klein G, Hofmann C, Kerchner GA, Smith J, Baudler M, Fontoura P, Doody RS. Long-Term Safety of Gantenerumab in Participants with Alzheimer's Disease: A Phase III, Double-Blind, and Open-Label Extension Study (Marguerite RoAD). J Alzheimers Dis. 2024;101(1):353-367. doi: 10.3233/JAD-240221.
PubMed 39177596Klein G, Delmar P, Voyle N, Rehal S, Hofmann C, Abi-Saab D, Andjelkovic M, Ristic S, Wang G, Bateman R, Kerchner GA, Baudler M, Fontoura P, Doody R. Gantenerumab reduces amyloid-beta plaques in patients with prodromal to moderate Alzheimer's disease: a PET substudy interim analysis. Alzheimers Res Ther. 2019 Dec 12;11(1):101. doi: 10.1186/s13195-019-0559-z.
PubMed 31831056
Study at a glance
From the registry record, last updated by the sponsor on 10 Feb 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter, Efficacy and Safety Study of Gantenerumab in Patients With Mild Alzheimer's Disease; Part II: Open-Label Extension For Participating Patients
- ClinicalTrials.gov ID
- NCT02051608
- Acronym / sponsor ID
- WN28745
- Conditions
- Alzheimer's Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 389 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 27 Mar 2014 (actual)
- Primary completion
- 16 Apr 2021 (actual)
- Study completion
- 16 Apr 2021 (actual)
- First posted
- 31 Jan 2014 (estimated)
- Results
- Posted 16 Jun 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Part 1 is a multicenter, randomized, double-blind, placebo-controlled, parallel-group study will evaluate the efficacy and safety of gantenerumab in participants with mild Alzheimer disease. Participants will be randomized to receive either gantenerumab subcutaneously every 4 weeks or placebo subcutaneously every 4 weeks. Approved Alzheimer medication is allowed if on stable dose for 3 months prior to screening. Part 2 is an open-label extension (OLE).
A positron emission tomography (PET) imaging substudy will be conducted within the main study. Eligible participants who provide separate informed consent will undergo PET imaging scans using the radioligand florbetapir as a pharmacodynamic measure of changes in brain amyloid load over time.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Part 1 (Double Blind treatment): Placebo | Placebo comparator | Drug: PlaceboParticipants received matching placebo by subcutaneous (SC) injection every 4 weeks (Q4W) up to 100 weeks during Part 1 of the study. |
| Part 1 (Double Blind treatment): Gantenerumab | Experimental | Drug: GantenerumabParticipants received 105 mg Gantenerumab by SC injection Q4W for 24 weeks and if eligible 225 mg SC injection Q4W from weeks 28-100 during Part 1 of the study. |
| Part 2 (Open-Label Extension [OLE] treatment): Placebo switched to Gantenerumab Up to 1200 mg | Placebo comparator | Drug: PlaceboParticipants who had received Placebo in Part 1, received Gantenerumab at doses up to 1200 mg by SC injection Q4W for up to 2 years. Additionally, participants were given the option to continue receiving open-label gantenerumab treatment for 3 years. |
| Part 2 (OLE treatment): Gantenerumab up to 1200 mg | Experimental | Drug: GantenerumabParticipants who had received Gantenerumab in Part 1, received treatment at doses up to 1200 mg by SC injection Q4W for up to 2 years. Additionally, participants were given the option to continue receiving open-label gantenerumab treatment for 3 years. |
Who may qualify
- Ages
- 50 to 90 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Clinical diagnosis of probable mild Alzheimer disease (AD) based on National Institute of Neurological and Communicative Disorders and Stroke/Alzheimer's Disease and Related Disorders Association (NINCDS/ADRDA) criteria or major NCD based whether or not receiving AD approved medication
- Cerebral spinal fluid (CSF) result consistent with the presence of amyloid pathology
- Availability of a person ('caregiver') who in the investigator's judgment has frequent and sufficient contact with the participant, and is able to provide accurate information regarding the participant's cognitive and functional abilities
- Fluency in the language of the tests used at the study site
- Willingness and ability to complete all aspects of the study
Key exclusion criteria (14 listed)
- Dementia or neurocognitive disorder (NCD) due to a condition other than AD, including, but not limited to, frontotemporal dementia, Parkinson disease, dementia with Lewy bodies, Huntington disease, or vascular dementia
- History or presence of clinically evident vascular disease potentially affecting the brain that in the opinion of the investigator has the potential to affect cognitive function
- History or presence of stroke within the past 2 years or documented history of transient ischemic attack within the last 12 months
- History or presence of systemic autoimmune disorders potentially causing progressive neurologic disease with associated cognitive deficits
- History of schizophrenia, schizoaffective disorder, or bipolar disorder
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 |
|---|---|---|
| PlaceboParticipants received Placebo SC injection Q4W. | Drug | Part 1 (Double Blind treatment): Placebo, Part 2 (Open-Label Extension [OLE] treatment): Placebo switched to Gantenerumab Up to 1200 mg |
| GantenerumabParticipants received Gantenerumab at 105 mg , 225 mg, or at doses up to 1200 mg SC injection Q4W. | Drug | Part 1 (Double Blind treatment): Gantenerumab, Part 2 (OLE treatment): Gantenerumab up to 1200 mg |
Primary outcome
Part 2: Percentage of Participants With Adverse Events (AEs) or Serious Adverse Events (SAEs)
Time frame: First dose up to 4 weeks after the last dose of study drug (up to 249 weeks)
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. SAE is any adverse event that is fatal or which requires or prolongs inpatient hospitalization or results in persistent or significant disability/incapacity or causes congenital anomaly/birth defect or results in a significant medical event in the investigator's judgment.
Part 2: Percentage of Participants With Treatment Emergent Anti-Drug Antibodies (ADAs)
Time frame: First dose up to last dose (Baseline up to until maximum 5 years)
Participants were considered positive or negative for ADA based on their baseline and post-baseline sample results. The number and percentage of participants with confirmed positive ADA levels were determined for participants previously (in part 1) on Gantenerumab and Placebo. The prevalence of ADA at baseline was calculated as the percentage of participants with confirmed positive ADA levels at baseline relative to the total number of participants with a sample available at baseline. The incidence of treatment-emergent ADAs was determined as the percentage of participants with confirmed post-baseline positive ADAs relative to the total number of participants that had at least one post-baseline sample available for ADA analysis.
Part 2: Percentage of Participants With Adverse Events Leading to Discontinuation of Treatment
Time frame: First dose up to 4 weeks after the last dose in OLE (Up to approximately 249 weeks)
Percentage of participants with adverse events leading to discontinuation from treatment were reported.
10 secondary outcomes
Part 1: Percentage of Participants With AEs, SAEs
Time frame: First dose up to last dose (Up to approximately 152 weeks)
Part 1: Percentage of Participants With Treatment Emergent ADAs
Time frame: First dose up to last dose (Up to approximately 152 weeks)
Part 1: Gantenerumab Plasma Concentration at Multiple Timepoints
Time frame: Pre-dose: Weeks 4, 8, 12, 24, 48, 72 and Post dose: Day 4
Part 1: Percentage of Participants With Adverse Events Leading to Discontinuation of Treatment
Time frame: First dose up to last dose (Up to approximately 152 weeks)
Part 2: Percent Change From Baseline in Hippocampal Volume at Week 104
Time frame: Baseline (Part 1 screening), Week 104
Part 2: Percent Change From Baseline in Whole Brain Volume at Week 104
Time frame: Baseline (Part 1 screening), Week 104
Part 2: Percent Change From Baseline in Cortical Thickness at Week 104
Time frame: Baseline (Part 1 screening), Week 104
Part 2: Ventricular Volume as Measured by MRI at Week 104
Time frame: Part 2: Week 104
Part 2: Gantenerumab Plasma Concentration at Multiple Timepoints
Time frame: Pre-dose: Weeks 104, 116, 156, 208; Post-dose: Weeks 53, 101
Part 2: Change From Baseline in Brain Amyloid Load at Week 156 in a Subset of Participants
Time frame: Baseline, Week 156
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Feb 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39177596Neve A, Das B, Wojtowicz J, Huang Z, Bullain S, Watkin M, Lott D, Bittner T, Delmar P, Klein G, Hofmann C, Kerchner GA, Smith J, Baudler M, Fontoura P, Doody RS. Long-Term Safety of Gantenerumab in Participants with Alzheimer's Disease: A Phase III, Double-Blind, and Open-Label Extension Study (Marguerite RoAD). J Alzheimers Dis. 2024;101(1):353-367. doi: 10.3233/JAD-240221.
- Derived from this study: PubMed 31831056Klein G, Delmar P, Voyle N, Rehal S, Hofmann C, Abi-Saab D, Andjelkovic M, Ristic S, Wang G, Bateman R, Kerchner GA, Baudler M, Fontoura P, Doody R. Gantenerumab reduces amyloid-beta plaques in patients with prodromal to moderate Alzheimer's disease: a PET substudy interim analysis. Alzheimers Res Ther. 2019 Dec 12;11(1):101. doi: 10.1186/s13195-019-0559-z.
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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.
Clinical Trials study director
Hoffmann-La Roche
131 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Gantenerumab in people with Alzheimer's Disease, run by Hoffmann-La Roche at 131 sites in 22 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 14 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 10 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 131 sites in United States, Canada, Japan, South Korea, Spain and 17 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 16 Jun 2022). 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?
Part 2: Percentage of Participants With Adverse Events (AEs) or Serious Adverse Events (SAEs) (time frame: First dose up to 4 weeks after the last dose of study drug (up to 249 weeks)). 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 NCT02051608, which also lists 2 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 10 Feb 2023.