Alzheimer's DiseasePhase 3ENGAGENCT02477800
221AD301 Phase 3 Study of Aducanumab (BIIB037) in Early Alzheimer's Disease
A Phase 3 study testing Aducanumab (BIIB037) in people with Alzheimer's Disease, run by Biogen at 181 sites in 14 countries.
Trial summary
The primary objective of the study is to evaluate the efficacy of monthly doses of aducanumab in slowing cognitive and functional impairment as measured by changes in the Clinical Dementia Rating-Sum of Boxes (CDR-SB) score as compared with placebo in participants with early AD. Read more about this study
- Who is it for?
- Ages 50 to 85 years
- Conditions the study is for
- Alzheimer's Disease
- What is being tested?
- Aducanumab (BIIB037)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,653 participants
- Where
- 181 sitesin 14 countries
- Study dates
- 13 Aug 2015to 8 Aug 2019
- 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 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Must meet all of the following clinical criteria for MCI due to AD or mild AD and must have:
- A Clinical Dementia Rating (CDR)-Global Score of 0.5.
- Objective evidence of cognitive impairment at screening
- An MMSE score between 24 and 30 (inclusive)
- Must have a positive amyloid Positron Emission Tomography (PET) scan
- Must consent to apolipoprotein E (ApoE) genotyping
- If using drugs to treat symptoms related to AD, doses must be stable for at least 8 weeks prior to screening visit 1
- Must have a reliable informant or caregiver
Who cannot join
- Any medical or neurological condition (other than Alzheimer's Disease) that might be a contributing cause of the subject's cognitive impairment
- Have had a stroke or Transient Ischemic Attack (TIA) or unexplained loss of consciousness in the past 1 year
- Clinically significant unstable psychiatric illness in past 6 months
- History of unstable angina, myocardial infarction, advanced chronic heart failure, or clinically significant conduction abnormalities within 1 year prior to Screening
- Indication of impaired renal or liver function
- Have human immunodeficiency virus (HIV) infection
Show all 12Show fewer
- Have a significant systematic illness or infection in past 30 days
- Relevant brain hemorrhage, bleeding disorder and cerebrovascular abnormalities
- Any contraindications to brain magnetic resonance imaging (MRI) or PET scans
- Alcohol or substance abuse in past 1 year
- Taking blood thinners (except for aspirin at a prophylactic dose or less)
- NOTE: Other protocol defined Inclusion/Exclusion criteria may apply
Trial locations and contacts
181 sites in 14 countries.
181 sites in 14 countries
United States59 sites
Albany Medical College
Albany, New York, 12208
Brigham & Women's Hosp End/Dbt
Boston, Massachusetts, 02115
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Medical University of South Carolina (MUSC)
Charleston, South Carolina, 29425
ANI Neurology, PLLC d/b/a Alzheimer's Memory Center
Charlotte, North Carolina, 28270
Cleveland Clinic
Cleveland, Ohio, 44195
Neurology Clinic, PC
Cordova, Tennessee, 38108
UT Southwestern Medical Center at Dallas
Dallas, Texas, 75390
Brain Matters Research, Inc.
Delray Beach, Florida, 33445
Rhode Island Mood & Memory Research Institute
East Providence, Rhode Island, 02915
Alexian Brothers Neurosciences Institute
Elk Grove Village, Illinois, 60007
Neuropsychiatric Research Center of Southwest Florida
Fort Myers, Florida, 33912
Fort Wayne Neurological Center
Fort Wayne, Indiana, 46804
Neurology Center of North Orange County
Fullerton, California, 92835
Baylor College of Medicine
Houston, Texas, 77030
Indiana University School of Medicine
Indianapolis, Indiana, 46202
Jacksonville Center for Clinical Research
Jacksonville, Florida, 32216
The Clinical Trial Center, LLC
Jenkintown, Pennsylvania, 19046
University of Kansas Medical Center Research Institute, Inc.
Kansas City, Kansas, 66160
University of Tennessee Medical Center. Knoxville
Knoxville, Tennessee, 37920
Senior Clinical Trials, Inc.
Laguna Hills, California, 92653
Las Vegas Medical research
Las Vegas, Nevada, 89113
Baptist Health Lexington
Lexington, Kentucky, 40503
Torrance Clinical Research Institute, Inc.
Lomita, California, 90717
University of California - Los Angeles
Los Angeles, California, 90095
Clinical Neuroscience Solutions, Inc.
Memphis, Tennessee, 38119
ActivMed Practices & Research
Methuen, Massachusetts, 01844
University of Miami
Miami, Florida, 33136
Miami Jewish Health Systems
Miami, Florida, 33137
Medical College of Wisconsin, Inc.
Milwaukee, Wisconsin, 53266
Institute for Neurodegenerative Disorders
New Haven, Connecticut, 06510
New York University Medical Center PRIME
New York, New York, 10016
Lynn Health Science Institute
Oklahoma City, Oklahoma, 73112
Compass Research Main
Orlando, Florida, 32806
Palm Beach Neurological Center
Palm Beach Gardens, Florida, 33410
Advocate Lutheran General Hospital
Park Ridge, Illinois, 60068
St. Joseph's Hospital and Medical Center
Phoenix, Arizona, 85013
University of Pittsburgh
Pittsburgh, Pennsylvania, 15213
Northeastern Pennsylvania Memory and Alzheimer's Center
Plains, Pennsylvania, 18705
Donald S. Marks, M.D., P.C.
Plymouth, Massachusetts, 02360
Butler Hospital
Providence, Rhode Island, 02906
Raleigh Neurology Associates, P.A.
Raleigh, North Carolina, 27607-6010
National Clinical Research Inc.-Richmond
Richmond, Virginia, 23294
Mayo Clinic
Rochester, Minnesota, 55905
University of Rochester
Rochester, New York, 14620
UCSF - Memory and Aging Center
San Francisco, California, 94158
California Neuroscience Research Medical Group Inc.
Sherman Oaks, California, 91403
Southern California Research LLC
Simi Valley, California, 93065
Washington University
St Louis, Missouri, 63131
Stedman Clinical Trials, LLC
Tampa, Florida, 33613
USF Health Byrd Institute
Tampa, Florida, 33616
Meridien Research
Tampa, Florida, 33634
Compass Research Main
The Villages, Florida, 32162
Advanced Memory Research Institute of NJ, PC
Toms River, New Jersey, 08755
Center for Neurosciences
Tucson, Arizona, 85718
Georgetown University Hospital
Washington D.C., District of Columbia, 20057
Premiere Research Institute
West Palm Beach, Florida, 33407
Cleveland Clinic Florida - Weston
Weston, Florida, 33331
Via Christi Research, a division of Via Christi Hospitals Wichita, Inc.
Wichita, Kansas, 67214
Japan26 sites
Research Site
Aizuwakamatsu-shi, Fukushima, 965-8585
Research Site
Asahikawa-shi, Hokkaido, 070-8644
Research Site
Atsugi-shi, Kanagawa, 243-8551
Research Site
Bunkyō City, Tokyo-To, 113-0034
Research Site
Chiba, Chiba, 263-0043
Research Site
Inzai-shi, Chiba
Research Site
Iruma-gun, Saitama, 350-0495
Research Site
Kamakura-shi, Kanagawa, 247-8533
Research Site
Kasukabe-shi, Saitama, 344-0036
Research Site
Kawasaki-Shi, Kanagawa, 211-8533
Research Site
Kiyose-shi
Research Site
Kodaira-shi, 187-8551
Research Site
Kurume-shi, Fukuoka, 830-0011
Research Site
Kyoto, Kyoto, 616-8255
Research Site
Nagaoka-shi, Niigata, 940-2081
Research Site
Ōta-ku, Tokyo, 143-8541
Research Site
Sapporo, Hokkaido, 006-8555
Research Site
Sapporo, Hokkaido, 064-8570
Research Site
Shinjuku-ku, Tokyo-To, 162-8655
Research Site
Shinjuku-ku (I), Tokyo-To, 162-8655
Research Site
tabashi City, 173-0015
Research Site
tabashi City, 173-8610
Research Site
Yamagata, Yamagata, 990-0834
Study site
Yokohama, Kanagawa, 223-0059
Research Site
Yokohama, Kanagawa, 225-0013
Research Site
Yokohama, Kanagawa, 225-0025
Italy13 sites
Azienda Ospedaliera Ospedali Riuniti di Bergamo
Bergamo, 24100
Azienda Ospedaliera Spedali Civili di Brescia
Brescia, 25100
Fondazione Istituto G.Giglio di Cefalù
Cefalù, Palermo, 90015
Azienda Ospedaliero Universitaria San Martino
Genova, 16132
Ospedale San Raffaele
Milan, 20132
Casa di Cura del Policlinico
Milan, 20144
Azienda Ospedaliera Universitaria "Federico II"
Naples, 80131
Seconda Università degli Studi di Napoli
Naples, 80138
Azienda Ospedaliero Universitaria Pisana
Pisa, 56126
Policlinico Universitario Agostino Gemelli
Roma, 00168
Azienda Ospedaliera Universitaria OO. RR. S. Giovanni di Dio e Ruggi D'Aragona
Salerno, 84131
A.O.U. Senese Policlinico Santa Maria alle Scotte
Siena, 53100
Azienda Ospedaliero Universitaria Ospedali Riuniti
Torrette Di Ancona, Ancona, 60126
United Kingdom13 sites
The RICE Centre
Bath, Somerset, BA1 3NG
Manchester Royal Infirmary
Blackburn, Merseyside, BB3 2HH
Southmead Hospital
Bristol, Avon, BS16 1LE
Kingshill Research Centre
Chippenham, Wiltshire, SN15 1GG
Ninewells Hospital
Dundee, Tayside Region, DD2 1GZ
The University of Edinburgh
Edinburgh, Lothian Region, EH8 9YL
Glasgow Memory Clinic Ltd
Glasgow, Strathclyde, G20 0XA
Stobhill ACH Hospital
Glasgow, Strathclyde, G21 3UW
Re:Cognition Health Ltd
London, Greater London, W1G 9JF
Charing Cross Hospital
London, Greater London, W6 8RF
The National Hospital for Neurology and Neurosurgery Centre
London, Greater London, WC1N 3BG
Newcastle University
Newcastle upon Tyne, Tyne & Wear, NE4 5PL
Salford Royal
Salford, Greater Manchester, M6 8HD
Australia12 sites
Box Hill Hospital
Box Hill, Victoria, 3128
The Prince Charles Hospital
Chermside, Queensland, 4032
St Vincent's Hospital Sydney
Darlinghurst, New South Wales, 2010
Central Coast Neurosciences Research, Gosford
East Gosford, New South Wales, 2250
Central Coast Neurosciences Research
Erina, New South Wales, 2250
Austin Hospital
Heidelberg, Victoria, 3084
Royal Brisbane and Women's Hospital
Herston, Queensland, 4006
KARA Institute for Neurological Diseases
North Ryde, New South Wales, 2113
Royal Melbourne Hospital
Parkville, Victoria, 3050
Toowoomba Base Hospital
Toowoomba, Queensland, 4350
Calvary Mater Newcastle
Waratah, New South Wales, 2298
Neurodegenerative Disorders Research
West Perth, Western Australia, 6005
Germany11 sites
Universitaetsklinikum Aachen AOeR
Aachen, North Rhine-Westphalia, 52074
Charite Universitaetsmedizin Berlin - Campus Benjamin Franklin
Berlin, 14050
Praxis Dr. Scholz
Böblingen, Baden-Wurttemberg, 71034
Universitaetsklinikum Bonn AoeR
Bonn, North Rhine-Westphalia, 53127
Universitaetsklinikum Koeln
Cologne, North Rhine-Westphalia, 53105
Klinikum der Johann Wolfgang Goethe-Universitaet
Frankfurt, Bavaria, 97080
Klinische Forschung Hannover-Mitte GmbH
Hanover, Lower Saxony, 30159
Neurologische Gemeinschaftspraxis Kassel
Kassel, Hesse, 34121
Praxis Dr. med. Bergmann
Neuburg am Inn, Bavaria, 86633
Aerztliche Gemeinschaftspraxis
Ostfildern, Baden-Wurttemberg, 73760
Neuro MVZ Stuttgart
Stuttgart, Baden-Wurttemberg, 70182
Canada8 sites
Heritage Medical Research Clinic
Calgary, Alberta, T2N 1N4
The Montreal Neurological Institute
Montreal, Quebec, H3A 2B4
The Medical Arts Health Research Group
Penticton, British Columbia, V2A 5C8
CHU de Quebec - Hôpital de l' Enfant Jésus
Québec, G1J 1Z4
Toronto Memory Program (Neurology Research Inc.)
Toronto, Ontario, M3B 2S7
Toronto Sunnybrook Hospital
Toronto, Ontario, M4N 3M5
UBC Hospital
Vancouver, British Columbia, V6T 2B5
McGill Centre for Studies in Aging
Verdun, Quebec, H4H 1R3
Spain8 sites
Hospital de Cruces
Barakaldo, Vizcaya, 48903
Fundacio ACE
Barcelona, 08028
Hospital Clinic i Provincial de Barcelona
Barcelona, 08036
Hospital de la Santa Creu i Sant Pau
Barcelona, 08041
Policlinica Guipuzcoa
Donostia / San Sebastian, Guipuzcoa, 20014
Clinica Ruber
Madrid, 28006
Hospital Universitario Dr. Peset
Valencia, 46017
Hospital Universitari i Politecnic La Fe
Valencia, 46026
France7 sites
Groupe Hospitalier Pellegrin - Hôpital Pellegrin
Bordeaux, Gironde, 33076
Hopital Neurologique Pierre Wertheimer
Bron, Rhone, 69677
Groupe hospitalier Broca - La Rochefoucauld - La Collégiale
Paris, 75013
Groupe Hospitalier Pitie-Salpetriere
Paris, 75013
CHU Reims - Hôpital Maison Blanche
Reims, Marne, 51092
Hopital Louis Pasteur Colmar
Strasbourg, Bas Rhin, 67091
CHU Strasbourg - Hôpital Hautepierre
Strasbourg, Bas Rhin, 67098
Portugal6 sites
Hospital Professor Doutor Fernando Fonseca, E.P.E.
Amadora, 2720-276
Hospital de Braga
Braga, 4710-243
Centro Hospitalar e Universitário de Coimbra E.P.E
Coimbra, 3040-278
CUF Alvalade
Lisbon, 1600-618
Hospital Beatriz Ângelo
Loures, 2674-514
Campus Neurologico Senior
Torres Vedras, 2560-280
South Korea6 sites
Inha University Hospital
Incheon, Gyeonggi-do, 22332
Gachon University Gil Medical Center
Incheon, 21565
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Konkuk University Medical Center
Seoul, 143-729
Taiwan6 sites
Changhua Christian Hospital
Changhua, 500
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 83301
National Cheng Kung University Hospital
Tainan, 704
National Taiwan University Hospital
Taipei, 100
Chang Gung Memorial Hospital, Linkou
Taoyuan County, 333
Denmark4 sites
CCBR - Ålborg - DK
Aalborg, 9100
CCBR - Ballerup - DK
Ballerup Municipality, 2750
Rigshospitalet
København Ø, 2100
CCBR - Vejle - DK
Vejle, 7100
Austria2 sites
LKH - Universitaetsklinikum Graz
Graz, 8036
Christian-Doppler-Klinik - Universitätsklinikum Salzburg
Salzburg, 5020
About this study
Official title: A Phase 3 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Aducanumab (BIIB037) in Subjects With Early Alzheimer's Disease
The primary objective of the study is to evaluate the efficacy of monthly doses of aducanumab in slowing cognitive and functional impairment as measured by changes in the Clinical Dementia Rating-Sum of Boxes (CDR-SB) score as compared with placebo in participants with early AD. Secondary objectives are to assess the effect of monthly doses of aducanumab as compared with placebo on clinical progression as measured by Mini-Mental State Examination (MMSE), AD Assessment Scale-Cognitive Subscale (13 items) [ADAS-Cog 13], and AD Cooperative Study-Activities of Daily Living Inventory (Mild Cognitive Impairment version) [ADCS-ADL-MCI].
- Conditions
- Alzheimer's Disease
- Being tested
- Aducanumab (BIIB037), Placebo
- Keywords
- BIIB037, Aducanumab
- Medical subject headings
- Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Aducanumab (BIIB037)Drug
Low dose
Aducanumab (BIIB037)Drug
High dose
PlaceboDrug
Placebo
| Study group | Role | What they receive |
|---|---|---|
| Low Dose | Experimental | Monthly intravenous (IV) infusion Receives: Drug: Aducanumab (BIIB037); Drug: Placebo |
| High Dose | Experimental | Monthly intravenous (IV) infusion Receives: Drug: Aducanumab (BIIB037); Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SB) Score at Week 78
CDR-SB integrates assessments from 3 domains of cognition (memory, orientation, judgment/problem-solving) and 3 domains of function (community affairs, home/hobbies, personal care). Following caregiver interview and systematic patient examination, the rater assigns a score describing the participant's current performance level in each of these domains of life functioning. Prespecified severity anchors range from none = 0, questionable = 0.5, mild = 1, moderate = 2 to severe = 3 (the personal care domain omits the 0.5 score). "Sum of boxes" scoring methodology sums the score for each of the 6 domains and provides a value ranging from 0 to 18 that can change in increments of 0.5 or greater. Higher scores indicate greater disease severity. Mixed model for repeated measures (MMRM) analysis was used to analyze change from baseline in CDR-SB. A positive change from baseline indicates clinical decline.
Measured: Baseline, Week 78
Secondary outcomes (3)
Change From Baseline in Mini-Mental State Examination (MMSE) Score at Week 78
The MMSE is a widely used performance-based test of global cognitive status. It consists of 11 tasks that assess orientation, word recall, attention and calculation, language abilities, and visuospatial functions. The scores from the 11 tests are combined to obtain the total score, which ranges from 0 to 30, with lower scores over time indicating increasing cognitive impairment. MMRM analysis was used to analyze change from baseline in MMSE. A negative change from baseline indicates clinical decline.
Measured: Baseline, Week 78
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (13 Items) (ADAS-Cog 13) Score at Week 78
ADAS-Cog13 comprises both cognitive tasks and clinical ratings of cognitive performance. The scale items capture word recall, ability to follow commands, the ability to correctly copy or draw an image, naming, the ability to interact with everyday objects, orientation, word recognition, memory, comprehension of spoken language, word-finding, and language ability, with a measure for delayed word recall and concentration/distractibility. The total score ranges from 0 to 85. An increase in score over time indicates increasing cognitive impairment. MMRM analysis was used to analyze change from baseline in ADAS-Cog 13. A positive change from baseline indicates clinical decline.
Measured: Baseline, Week 78
Change From Baseline in Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (Mild Cognitive Impairment Version) (ADCS-ADL-MCI) Score at Week 78
The ADCS-ADL-MCI consists of 17 instrumental items (e.g., shopping, preparing meals, using household appliances) and 1 basic item (getting dressed). Ratings reflect caregiver observations about the patient's actual functioning over the previous month and provide an assessment of change in the functional state of the participant over time. The total score ranges from 0 to 53, with lower values over time reflecting functional deterioration. MMRM analysis was used to analyze change from baseline in ADAS-ADL-MCI. A negative change from baseline indicates clinical decline.
Measured: Baseline, Week 78
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Jun 2015 (estimated)
- Study start13 Aug 2015
- Primary completion8 Aug 2019
- Study completion8 Aug 2019
Why it stopped: Study was discontinued based on futility analysis done and not based on safety concerns. Follow-up visits and closing out study activities are completed
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 (5)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 BiogenThe 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,653 participants (actual)
Sponsor and investigators
- Lead sponsor
- Biogen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Biogen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02477800
- Sponsor's protocol ID
- 221AD301
- Other IDs
- 2015-000966-72, 2015
- Acronym
- ENGAGE
- Status last verified
- Aug 2021
- First submitted
- 18 Jun 2015
- Last updated
- 2 Sep 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Atri A, Curiale GG, Aisen P, Barakos J, Purcell D, Bracoud L, Haeberlein SB, Grassi C, Hughes R, Smirnakis K. Spectrum of amyloid-related imaging abnormalities associated with aducanumab treatment: a case series report. BMC Neurol. 2026 Jul 30;26(1):671. doi: 10.1186/s12883-026-05097-9.
PubMed 42934592Pang M, Brothers HM, O'Gorman J, Murphy J, Zabar Y, Lasky T, Shen C, Rubino I, Knopman D. Longitudinal clinical outcomes after amyloid clearance in aducanumab phase 3 studies. Alzheimers Dement. 2026 Oct;22(10):e71758. doi: 10.1002/alz.71758.
PubMed 42841310Loomis SJ, Miller R, Castrillo-Viguera C, Umans K, Cheng W, O'Gorman J, Hughes R, Budd Haeberlein S, Whelan CD. Genome-Wide Association Studies of ARIA From the Aducanumab Phase 3 ENGAGE and EMERGE Studies. Neurology. 2024 Feb 13;102(3):e207919. doi: 10.1212/WNL.0000000000207919. Epub 2023 Dec 28.
PubMed 38165296Muralidharan KK, Kowalski KG, Tong X, Haeberlein SB, Rajagovindan R, Nestorov I. Characterization of exposure-Clinical Dementia Rating-Sum of Boxes relationship in subjects with early Alzheimer's disease from the aducanumab Phase 3 trials. J Pharmacokinet Pharmacodyn. 2023 Feb;50(1):45-62. doi: 10.1007/s10928-022-09839-3. Epub 2023 Jan 4.
PubMed 36600109Salloway S, Chalkias S, Barkhof F, Burkett P, Barakos J, Purcell D, Suhy J, Forrestal F, Tian Y, Umans K, Wang G, Singhal P, Budd Haeberlein S, Smirnakis K. Amyloid-Related Imaging Abnormalities in 2 Phase 3 Studies Evaluating Aducanumab in Patients With Early Alzheimer Disease. JAMA Neurol. 2022 Jan 1;79(1):13-21. doi: 10.1001/jamaneurol.2021.4161.
PubMed 34807243
Study at a glance
From the registry record, last updated by the sponsor on 2 Sep 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Aducanumab (BIIB037) in Subjects With Early Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT02477800
- Acronym / sponsor ID
- ENGAGE / 221AD301
- Conditions
- Alzheimer's Disease
- Keywords
- BIIB037, Aducanumab
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Study was discontinued based on futility analysis done and not based on safety concerns. Follow-up visits and closing out study activities are completed
- Enrolment
- 1,653 participants (actual)
- Lead sponsor
- BiogenIndustry (pharma, biotech, devices)
- Study start
- 13 Aug 2015 (actual)
- Primary completion
- 8 Aug 2019 (actual)
- Study completion
- 8 Aug 2019 (actual)
- First posted
- 23 Jun 2015 (estimated)
- Results
- Posted 2 Sep 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of the study is to evaluate the efficacy of monthly doses of aducanumab in slowing cognitive and functional impairment as measured by changes in the Clinical Dementia Rating-Sum of Boxes (CDR-SB) score as compared with placebo in participants with early AD. Secondary objectives are to assess the effect of monthly doses of aducanumab as compared with placebo on clinical progression as measured by Mini-Mental State Examination (MMSE), AD Assessment Scale-Cognitive Subscale (13 items) [ADAS-Cog 13], and AD Cooperative Study-Activities of Daily Living Inventory (Mild Cognitive Impairment version) [ADCS-ADL-MCI].
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Low Dose | Experimental | Drug: Aducanumab (BIIB037), Drug: PlaceboMonthly intravenous (IV) infusion |
| High Dose | Experimental | Drug: Aducanumab (BIIB037), Drug: PlaceboMonthly intravenous (IV) infusion |
Who may qualify
- Ages
- 50 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Must meet all of the following clinical criteria for MCI due to AD or mild AD and must have:
- A Clinical Dementia Rating (CDR)-Global Score of 0.5.
- Objective evidence of cognitive impairment at screening
- An MMSE score between 24 and 30 (inclusive)
- Must have a positive amyloid Positron Emission Tomography (PET) scan
Key exclusion criteria (12 listed)
- Any medical or neurological condition (other than Alzheimer's Disease) that might be a contributing cause of the subject's cognitive impairment
- Have had a stroke or Transient Ischemic Attack (TIA) or unexplained loss of consciousness in the past 1 year
- Clinically significant unstable psychiatric illness in past 6 months
- History of unstable angina, myocardial infarction, advanced chronic heart failure, or clinically significant conduction abnormalities within 1 year prior to Screening
- Indication of impaired renal or liver function
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 |
|---|---|---|
| Aducanumab (BIIB037)Low dose | Drug | Low Dose |
| Aducanumab (BIIB037)High dose | Drug | High Dose |
| PlaceboPlacebo | Drug | High Dose, Low Dose |
Primary outcome
Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SB) Score at Week 78
Time frame: Baseline, Week 78
CDR-SB integrates assessments from 3 domains of cognition (memory, orientation, judgment/problem-solving) and 3 domains of function (community affairs, home/hobbies, personal care). Following caregiver interview and systematic patient examination, the rater assigns a score describing the participant's current performance level in each of these domains of life functioning. Prespecified severity anchors range from none = 0, questionable = 0.5, mild = 1, moderate = 2 to severe = 3 (the personal care domain omits the 0.5 score). "Sum of boxes" scoring methodology sums the score for each of the 6 domains and provides a value ranging from 0 to 18 that can change in increments of 0.5 or greater. Higher scores indicate greater disease severity. Mixed model for repeated measures (MMRM) analysis was used to analyze change from baseline in CDR-SB. A positive change from baseline indicates clinical decline.
3 secondary outcomes
Change From Baseline in Mini-Mental State Examination (MMSE) Score at Week 78
Time frame: Baseline, Week 78
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (13 Items) (ADAS-Cog 13) Score at Week 78
Time frame: Baseline, Week 78
Change From Baseline in Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (Mild Cognitive Impairment Version) (ADCS-ADL-MCI) Score at Week 78
Time frame: Baseline, Week 78
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Sep 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42934592Atri A, Curiale GG, Aisen P, Barakos J, Purcell D, Bracoud L, Haeberlein SB, Grassi C, Hughes R, Smirnakis K. Spectrum of amyloid-related imaging abnormalities associated with aducanumab treatment: a case series report. BMC Neurol. 2026 Jul 30;26(1):671. doi: 10.1186/s12883-026-05097-9.
- Derived from this study: PubMed 42841310Pang M, Brothers HM, O'Gorman J, Murphy J, Zabar Y, Lasky T, Shen C, Rubino I, Knopman D. Longitudinal clinical outcomes after amyloid clearance in aducanumab phase 3 studies. Alzheimers Dement. 2026 Oct;22(10):e71758. doi: 10.1002/alz.71758.
- Derived from this study: PubMed 38165296Loomis SJ, Miller R, Castrillo-Viguera C, Umans K, Cheng W, O'Gorman J, Hughes R, Budd Haeberlein S, Whelan CD. Genome-Wide Association Studies of ARIA From the Aducanumab Phase 3 ENGAGE and EMERGE Studies. Neurology. 2024 Feb 13;102(3):e207919. doi: 10.1212/WNL.0000000000207919. Epub 2023 Dec 28.
- Derived from this study: PubMed 36600109Muralidharan KK, Kowalski KG, Tong X, Haeberlein SB, Rajagovindan R, Nestorov I. Characterization of exposure-Clinical Dementia Rating-Sum of Boxes relationship in subjects with early Alzheimer's disease from the aducanumab Phase 3 trials. J Pharmacokinet Pharmacodyn. 2023 Feb;50(1):45-62. doi: 10.1007/s10928-022-09839-3. Epub 2023 Jan 4.
- Derived from this study: PubMed 34807243Salloway S, Chalkias S, Barkhof F, Burkett P, Barakos J, Purcell D, Suhy J, Forrestal F, Tian Y, Umans K, Wang G, Singhal P, Budd Haeberlein S, Smirnakis K. Amyloid-Related Imaging Abnormalities in 2 Phase 3 Studies Evaluating Aducanumab in Patients With Early Alzheimer Disease. JAMA Neurol. 2022 Jan 1;79(1):13-21. doi: 10.1001/jamaneurol.2021.4161.
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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.
Medical Director study director
Biogen
181 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Aducanumab (BIIB037) in people with Alzheimer's Disease, run by Biogen at 181 sites in 14 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 8 inclusion and 12 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: stopped early, as of the sponsor's last update on 2 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 181 sites in United States, Japan, Italy, United Kingdom, Australia and 9 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. 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 2 Sep 2021). 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?
Change From Baseline in Clinical Dementia Rating Sum of Boxes (CDR-SB) Score at Week 78 (time frame: Baseline, Week 78). 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 NCT02477800, which also lists 5 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 2 Sep 2021.