Alzheimer's DiseasePhase 2NCT03289143
A Study to Evaluate the Efficacy and Safety of Semorinemab in Patients With Prodromal to Mild Alzheimer's Disease
A Phase 2 study testing Semorinemab and [18F]GTP1 in people with Alzheimer's Disease, run by Genentech, Inc. at 133 sites in 13 countries.
Trial summary
This was a phase II, randomized, placebo-controlled, double-blind study to evaluate the efficacy and safety of Semorinemab in participants with prodromal to mild Alzheimer's disease. Read more about this study
- Who is it for?
- Ages 50 to 80 years
- Conditions the study is for
- Alzheimer's Disease
- What is being tested?
- Semorinemab and [18F]GTP1
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 457 participants
- Where
- 133 sitesin 13 countries
- Study dates
- 4 Oct 2017to 15 Jan 2021
- 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 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age between 50 and 80 years
- National Institute on Aging/Alzheimer's Association core clinical criteria for probable Alzheimer's disease (AD) dementia or mild cognitive impairment (prodromal AD)
- Evidence of the AD pathological process, by a positive amyloid assessment either on cerebrospinal fluid Aβ1-42 OR amyloid positron emission tomography (PET) scan. Historical amyloid PET scans may be accepted in some cases
- Mild AD symptomatology, as defined by a screening Mini-Mental State Examination score of >= 20 points and Clinical Dementia Rating (CDR) -Global Score of 0.5 or 1
- Abnormal memory function at screening
- Availability of a person with sufficient contact with the participant to be able to provide accurate information on the participant's cognitive and functional ability
Who cannot join
- Pregnant or breastfeeding
- Inability to tolerate magnetic resonance imaging (MRI) procedures or contraindication to MRI
- Contraindications to both PET imaging and lumbar dural puncture (must be able to undergo at least one of these procedures to be eligible)
- Residence in a skilled nursing facility
- Any serious medical condition or abnormality in clinical laboratory tests that remains abnormal on retest and, in the investigator's judgment, precludes the patient's safe participation in and completion of the study, or bias the assessment of the clinical or mental status of the participant to a significant degree
- Any evidence of a condition other than AD that may affect cognition
Show all 14Show fewer
- Alcohol or substance abuse within the past 2 years
- Use of any experimental therapy within 90 days or 5 half-lives prior to screening, whichever is greater and any passive immunotherapy (immunoglobulin) against tau, except use of RO7105705 in Genentech Study GN39058, as long as the last dose was at least 90 days prior to screening
- Use of any passive immunotherapy (immunoglobulin) against Aβ, unless the last dose was at least 1 year prior to screening and any active immunotherapy (vaccine) that is under evaluation to prevent or postpone cognitive decline
- Any previous treatment with medications specifically intended to treat Parkinsonian symptoms or any other neurodegenerative disorder within 1 year of screening
- Systemic immunosuppressive therapy within 12 months of screening through the entire study period
- Typical antipsychotic or neuroleptic medication within 6 months of screening
- Daily treatment with any of the following classes of medication, except for intermittent short-term use, which is permitted except within 2 days or 5 half-lives (whichever is longer) prior to any COA: atypical antipsychotics, opiates or opioids, benzodiazepines, barbiturates, hypnotics, or any medication with clinically significant centrally-acting antihistamine or anticholinergic activity
- Stimulant medications, unless the dose has been stable within the 6 months prior to screening and is expected to be stable throughout the study
Trial locations and contacts
133 sites in 13 countries.
133 sites in 13 countries
United States43 sites
Abington Neurological Associates
Abington, Pennsylvania, 19001
Albany Medical College; Neurology
Albany, New York, 12208
Emory University; Global Health
Atlanta, Georgia, 30322
JEM Research LLC
Atlantis, Florida, 33462
Eastern Maine Medical Center
Bangor, Maine, 04401
Clinical Neuroscience Research Associates, Inc.
Bennington, Vermont, 05201
University of Alabama at Birmingham
Birmingham, Alabama, 35249
Brigham & Women's Hosp; TIMI Study Grp
Boston, Massachusetts, 02115
Bradenton Research Center
Bradenton, Florida, 34205
Rush Alzheimer's Disease Cntr.
Chicago, Illinois, 60612
Neurology Clinic PC
Cordova, Tennessee, 38018
Brain Matters Research, Inc.
Delray Beach, Florida, 33445
Rhode Island Mood & Memory Research Institute
East Providence, Rhode Island, 02914
Alexian Brothers Neuroscience Institute
Elk Grove Village, Illinois, 60007
Neuropsychiatric Research; Center of Southwest Florida
Fort Myers, Florida, 33912
California Clinical Trials
Glendale, California, 91206
University of California Irvine
Irvine, California, 92697
New Orleans Center For Clinical Research
Knoxville, Tennessee, 37920
Empire Neurology PC; MS Center of Northeastern NY
Latham, New York, 12110
Miami Jewish Health Systems
Miami, Florida, 33137
NeuroCognitive Institute
Mount Arlington, New Jersey, 07856
Collier Neurologic Specialists
Naples, Florida, 34105
Invicro, a Konica Minolta company
New Haven, Connecticut, 06510
Yale University
New Haven, Connecticut, 06510
Columbia Univ Medical Center
New York, New York, 10032
Pharmacology Research Inst
Newport Beach, California, 92660
Compass Research East, LLC
Orlando, Florida, 32806
Stanford Neuroscience Health Center (SNHC)
Palo Alto, California, 94304
Summit Research Network Inc.
Portland, Oregon, 97210
Butler Hospital
Providence, Rhode Island, 02906
Alzheimers Disease Center
Quincy, Massachusetts, 02169
University of Rochester; AD-CARE
Rochester, New York, 14642
Health Partners Institute for Education and Research
Saint Paul, Minnesota, 55130
Pacific Research Network - PRN
San Diego, California, 92103
Neurological Research Inst
Santa Monica, California, 90404
Southern Illinois University, School of Medicine
Springfield, Illinois, 62702
KI Health Partners, LLC; New England Institute for Clinical Research
Stamford, Connecticut, 06905
Stedman Clinical Trials, LLC
Tampa, Florida, 33613
Advanced Memory Research Institute of NJ
Toms River, New Jersey, 08755
Collaborative Neuroscience Network Inc.
Torrance, California, 90502
Georgetown University Hospital
Washington D.C., District of Columbia, 20057
Alzheimer's Research and Treatment Center
Wellington, Florida, 33414
Premiere Research Institute
West Palm Beach, Florida, 33407
Spain15 sites
Hospital Perpetuo Socorro, Servicio de Geriatria
Albacete, 2006
Hospital de Cruces; Servicio de Neurologia
Barakaldo, Vizcaya, 48903
Hospital de la Santa Creu i Sant Pau
Barcelona, 08025
Fundación ACE; Servicio de Neurología
Barcelona, 08028
Hospital Clinic i Provincial de Barcelona
Barcelona, 08036
Hospital Universitario Reina Sofia; Servicio de Neurologia
Córdoba, 14011
Policlinica Guipuzcoa
Donostia / San Sebastian, Guipuzcoa, 20009
Hospital Universitario Ramon y Cajal
Madrid, 28034
Hospital de Cantoblanco; Servicio de Geriatria
Madrid, 28049
Clinica Universitaria de Navarra; Servicio de Neurología
Pamplona, Navarre, 31008
Hospital Virgen del Puerto
Plasencia, Palencia, 10600
Hospital Universitario Virgen Macarena
Seville, 41009
Hospital Mutua de Terrassa
Terrassa, Barcelona, 08221
Hospital Universitario Dr. Peset; Servicio de Neurologia
Valencia, 46017
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026
France12 sites
Groupe Hospitalier Pellegrin; Service de Neurologie - 3ème étage
Bordeaux, 33076
Hopital Neurologique Pierre Wertheimer
Bron, 69500
Hopital Roger Salengro
Lille, 59037
CHU de la Timone - Hopital d Adultes; Service de Neurologie
Marseille, 13005
Hopital Gui de Chauliac; Neurologie
Montpellier, 34295
Hopital Fernand Widal Centre
Paris, 75010
Groupe Hospitalier Pitie-Salpetriere
Paris, 75651
CHU Rennes
Rennes, 35033
CHU Hautepierre; ACTR Association Recherche Clinique Rhumatologie
Strasbourg, 67000
CHU Strasbourg - Hôpital Hautepierre
Strasbourg, 67098
Hopital de La Grave
Toulouse, 31059
Hopital des Charpennes
Villeurbanne, 69100
Poland12 sites
Podlaskie Centrum Psychogeriatrii
Bialystok, 15-756
PALLMED Sp. z o.o. prowadząca NZOZ DOM SUE RYDER
Bydgoszcz, 85-796
M.A. - LEK A.M.Maciejowscy SC.
Katowice, 40-595
Novo-Med Zielinski i wspolnicy Sp. j.
Katowice, 40-650
Malopolskie Centrum Medyczne
Krakow, 30-510
NEURO - KARD Ośrodek Badań Klinicznych
Poznan, 61-853
NEURO-CARE Sp. z o.o. Sp. Komandytowa
Siemianowice Śląskie, 41-100
Senior Sp. Z O.O. Poradnia Psychogeriatryczna
Sopot, 81-855
EroMedis
Szczecin, 70-11
AMED Medical Center
Warsaw, 01-518
Centrum Medyczne NeuroProtect
Warsaw, 01-684
NZOZ WCA
Wroclaw, 53-659
Germany11 sites
Klinikum Bayreuth; Krankenhaus Hohe Warte
Bayreuth, 95445
Praxis Dr. med. Volker Shumann
Berlin, 10245
Studienambulanz emovis GmbH; St. Joseph Krankenhaus
Berlin, 10626
Charite Campus Benjamin Franklin
Berlin, 12203
Neurologisch-psychiatrische Praxis am Brosepark
Berlin, 13156
Bezirkskrankenhaus Günzburg
Günzburg, 89312
Klinische Forschung Hannover-Mitte GmbH
Hanover, 30159
Klinikum rechts der Isar der TU München; Klinik & Poliklinik für Neurologie
München, 81675
ZNS Siegen im MVZ Weidenau
Siegen, 57076
Universitätsklinik Tübingen; Psychiatrie und Psychotherapie
Tübingen, 72076
Universitätsklinikum Ulm; Klinik für Neurologie
Ulm, 89081
Australia8 sites
Eastern Clinical Research Unit; Pharmacy
Box Hill, Victoria, 3128
St Vincents Medical Centre
Darlinghurst, New South Wales, 2010
Southern Neurology
Kogarah, New South Wales, 2217
HammondCare Aged Psychiatry Clinical Trials
Malvern, Victoria, 3144
The Alfred Hospital, Melbourne; Thrombosis and Haemostasis Unit
Melbourne, Victoria, 3004
Queensland University of Technology
Mermaid Waters, Queensland, 4218
Neuro Trials Victoria
Noble Park, Victoria, 3174
Royal Melbourne Hospital
Parkville, Victoria, 3050
Canada8 sites
JBN Medical Diagnostic Services; Clinical Trials Division
Burlington, Ontario, L7M 1K9
Recherches Neuro-Hippocame
Gatineau, Quebec, J8T 8J1
Parkwood Institute, Mental Health Care Building
London, Ontario, N6C 0A7
Elisabeth Bruyere Hospital
Ottawa, Ontario, K1N 5C8
Toronto Memory Program
Toronto, Ontario, M3B 2S7
Centre for Memory and Aging
Toronto, Ontario, M4G 3E8
Toronto Sunnybrook Hospital
Toronto, Ontario, M4N 3M5
Toronto Western Hospital
Toronto, Ontario, M5T 2S8
Italy7 sites
IRCCS Centro San Giovanni di Dio FBF
Brescia, Lombardy, 25125
Azienda Ospedaliero Universitaria San Martino; Dip. di Neuroscienze Oftalmologia e Genetica
Genoa, Liguria, 16132
Fondazione IRCCS Istituto Neurologico Carlo Besta
Milan, Lombardy, 20133
IRCCS Neuromed; Neurologia I-Centro studio e cura delle demenze e UVA
Pozzilli, Molise, 86077
Umberto I Policlinico di Roma-Università di Roma La Sapienza
Rome, Lazio, 00185
Ospedale San Giovanni Calibita Fatebenefratell;Neurologia
Rome, Lazio, 00186
Az. Osp. C. Panico; Rep. Ematologia E Trapianto
Tricase - LE, Apulia, 73039
Sweden5 sites
Länssjukhuset Ryhov
Jönköping, 551 85
Länssjukhuset Kalmar; Oncology
Kalmar, 39185
Skane University Hospital Malmo/Lund, Dept.of Hematology and Coagulation Disorders
Malmö, 212 24
Sahlgrenska Univ Hospital Mölndal; Department of Nephrology
Mölndal, S-431 80
Karolinska Universitetssjukhuset Huddinge
Stockholm, 171 64
Belgium4 sites
UZ Brussel
Brussels, 1090
AZ Groeninge
Kortrijk, 8500
UZ Leuven
Leuven, 3000
AZ Delta Campus Westlaan
Roeselare, 8800
United Kingdom4 sites
Glasgow Memory Clinic
Glasgow, G20 0XA
RE:Cognition Health
London, W1G 9RU
The National Hospital for Neurology & Neurosurgery
London, WC1N 3BG
Re:Cognition Health Guildford
Surrey, GU2 7YD
Denmark2 sites
Center For Clinical and Basic Research (Ccbr); Site Management Organisation
Aalborg, 9000
CCBR - Vejle - DK
Vejle, 7100
Netherlands2 sites
Jeroen Bosch Ziekenhuis
's-Hertogenbosch, 5223 GZ
Brain Research Center B.V
Amsterdam, 1081 GN
About this study
Official title: A Phase II, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Efficacy, and Safety Study of MTAU9937A in Patients With Prodromal to Mild Alzheimer's Disease
This was a phase II, randomized, placebo-controlled, double-blind study to evaluate the efficacy and safety of Semorinemab in participants with prodromal to mild Alzheimer's disease. An optional 96-week open-label extension period was available to participants who completed the double-blind treatment period and who, in the judgment of the investigator, would potentially benefit from open-label Semorinemab treatment.
- Conditions
- Alzheimer's Disease
- Being tested
- Semorinemab, Placebo, [18F]GTP1
- Keywords
- Alzheimer Disease, Brain Diseases, Dementia, Neurodegenerative Diseases, Neurocognitive Disorders
- Medical subject headings
- Alzheimer Disease, Brain Diseases, Dementia, Neurodegenerative Diseases, Neurocognitive Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SemorinemabDrug
Also called RG6100, MTAU9937A, RO7105705
Participants will receive Semorinemab intravenously (IV).
PlaceboDrug
Matching placebo doses of Semorinemab given intravenously (IV).
[18F]GTP1Drug
Also called RO6880276
[18F]GTP1 will be administered as a solution for intravenous (IV) use, as part of positron emission tomography (PET) imaging.
| Study group | Role | What they receive |
|---|---|---|
| Dose 1 Semorinemab | Experimental | Not described Receives: Drug: Semorinemab; Drug: [18F]GTP1 |
| Dose 2 Semorinemab | Experimental | Not described Receives: Drug: Semorinemab; Drug: [18F]GTP1 |
| Dose 3 Semorinemab | Experimental | Not described Receives: Drug: Semorinemab; Drug: [18F]GTP1 |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo; Drug: [18F]GTP1 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline on the CDR-SB
The Clinical Dementia Rating-Sum of Boxes (CDR-SB) rates impairment in 6 categories (memory, orientation, judgement and problem solving, community affairs, home and hobbies and personal care) on a 5-point scale in which no impairment = 0, questionable impairment = 0.5 and mild, moderate and severe impairment = 1, 2 and 3 respectively. The score range is from 0 to 18 with a high score indicating a high disease severity. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.
Measured: Baseline and 73 Weeks
Percentage of Participants With Adverse Events
Percentage of participants with at least one adverse event
Measured: Up to the data cutoff date 15 January 2021 (up to approximately 39 months)
Change From Baseline on the C-SSRS
Categories are as defined in the Classification Algorithm for Suicide Assessment (CASA) based on the Columbia Suicide Severity Rating Scale (C-SSRS) questionnaire. SI1: Passive category is "Wish to be dead", SI2: Active-Nonspecific (no method, intent or plan), SI3: Active-Method, but no intent or Plan, SI4: Active-Method and intent, but no plan in C-SSRS. The worst post-baseline suicidal ideation is the highest across post-baseline visits, with highest as SI5 and lowest as SI1. Percentages are based on the total number of subjects in a treatment group. Baseline is the last observation prior to initiation of study drug.
Measured: Baseline to data cutoff date 15 January 2021 (up to approximately 39 months)
Other Abnormal MRI Findings
Other abnormal MRI findings by visit. For the Double Blind Period, baseline is defined as last results prior to initiation of study drug. For the Open Label Extension Period, baseline is defined as last results prior to entering the open label period.
Measured: Baseline, Week 9, Week 49, Week 73, Study Treatment Discontinuation, and Week 89
Secondary outcomes (6)
Change From Baseline on the Repeatable Battery for Assessment of Neuropsychological Status (RBANS)
The RBANS is a validated neuropsychological assessment has been shown to be a useful tool in both clinical and research settings. The RBANS consists of ten subtests that are combined to provide five indices, one for each of the five domains tested (immediate memory, visuospatial/constructional, language, attention, and delayed memory). Scores range from 40 to 160 and a higher score indicates better cognitive functioning. A decrease in the outcome measure from baseline corresponds to disease worsening. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.
Measured: Baseline and 73 weeks
Change From Baseline on the Alzheimer's Disease Assessment Scale-Cognitive Subscale 13 (ADAS-Cog-13) Subscale Score
The ADAS-Cog-13 assesses multiple cognitive domains including memory, comprehension, praxis, orientation, and spontaneous speech. Most of these are assessed by tests although some are rated by the clinician on a 5-point scale. The ADAS-Cog-13 is the ADAS-Cog-11 with 2 further items: delayed word recall and total digit cancellation. The score range for ADAS-Cog-13 is from 0 to 85 with high scores representing severe dysfunction. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.
Measured: Baseline and 73 weeks
Change From Baseline on the Amsterdam Instrumental Activity of Daily Living (iADL) Questionnaire
The Amsterdam iADL questionnaire is an informant-based instrument for measuring iADL problems in participants with dementia. This instrument consists of 70 items, scored on a 5-point scale, that uses item response theory for scoring. Items presented to the informant are tailored to responses to earlier items; thus each administration of the Amsterdam iADL may consist of less than the total of 70 items. The resulting score ranges from 20 to 80 with lower scores indicating poorer performance. A decrease in the outcome measure from baseline corresponds to disease worsening. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.
Measured: Baseline and 73 weeks
Change From Baseline on the Alzheimer's Disease Cooperative Study Group-Activities of Daily Living Inventory
The ADCS-ADL (Alzheimer's Disease Cooperative Study-Activities of Daily Living) is the scale most widely used to assess functional outcomes in participants with AD. The ADCS-ADL covers both basic ADL (e.g., eating and toileting) and more complex 'instrumental' ADL or iADL (e.g., using the telephone, managing finances and preparing a meal). The ADCS-ADL consists of 23 questions with a score range of 0 to 78 where a higher score represents better function. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.
Measured: Baseline and 73 weeks
Serum Concentrations of Semorinemab at Specified Timepoints
Serum concentrations of Semorinemab at specified timepoints.
Measured: Up to 109 weeks
Presence of Anti-drug Antibodies During the Study Relative to Their Presence at Baseline
Presence of anti-drug antibodies during the study relative to their presence at baseline.
Measured: Up to 109 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Sep 2017
- Study start4 Oct 2017
- Primary completion15 Jan 2021
- Study completion15 Jan 2021
Why it stopped: Study was terminated during Open Label Extension period because analyses of placebo-controlled Blinded portion of study did not show any evidence of clinical efficacy or modulation of accumulation of tau PET signal at any of the doses studied.
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 (7)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 Genentech, 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, Investigator, Outcomes assessor
- Enrolment
- 457 participants (actual)
Sponsor and investigators
- Lead sponsor
- Genentech, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Genentech, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03289143
- Sponsor's protocol ID
- GN39763
- Other IDs
- 2017-001800-31, 2017
- Status last verified
- Feb 2022
- First submitted
- 18 Sep 2017
- Last updated
- 16 Mar 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Chandler JM, Lansdall CJ, Ye W, McDougall F, Belger M, Toth B, Mi X, Sink KM, Atkins AS. The Alzheimer's Disease Cooperative Study - Activities of Daily Living dependence score: revision and validation of an algorithm evaluating patient dependence across the spectrum of AD severity. J Prev Alzheimers Dis. 2025 Sep;12(8):100261. doi: 10.1016/j.tjpad.2025.100261. Epub 2025 Jul 1.
PubMed 40603145Schauer SP, Toth B, Lee J, Honigberg LA, Ramakrishnan V, Jiang J, Kollmorgen G, Bayfield A, Wild N, Hoffman J, Ceniceros R, Dolton M, Bohorquez SMS, Hoogenraad CC, Wildsmith KR, Teng E, Monteiro C, Anania V, Yeh FL. Pharmacodynamic effects of semorinemab on plasma and CSF biomarkers of Alzheimer's disease pathophysiology. Alzheimers Dement. 2024 Dec;20(12):8855-8866. doi: 10.1002/alz.14346. Epub 2024 Nov 8.
PubMed 39513754Ramakrishnan V, Bender B, Langenhorst J, Magnusson MO, Dolton M, Shim J, Fuji RN, Monteiro C, Teng E, Kassir N, Jin J. Semorinemab Pharmacokinetics and The Effect on Plasma Total Tau Pharmacodynamics in Clinical Studies. J Prev Alzheimers Dis. 2024;11(5):1241-1250. doi: 10.14283/jpad.2024.146.
PubMed 39350369Sanabria Bohorquez SM, Baker S, Manser PT, Tonietto M, Galli C, Wildsmith KR, Zou Y, Kerchner GA, Weimer R, Teng E. Evaluation of partial volume correction and analysis of longitudinal [18F]GTP1 tau PET imaging in Alzheimer's disease using linear mixed-effects models. Front Neuroimaging. 2024 Mar 28;3:1355402. doi: 10.3389/fnimg.2024.1355402. eCollection 2024.
PubMed 38606196Teng E, Li Y, Manser PT, Pickthorn K, Butcher BD, Blendstrup M, Randolph C, Sikkes SAM. Cross-sectional and longitudinal assessments of function in prodromal-to-mild Alzheimer's disease: A comparison of the ADCS-ADL and A-IADL-Q scales. Alzheimers Dement (Amst). 2023 Jun 13;15(2):e12452. doi: 10.1002/dad2.12452. eCollection 2023 Apr-Jun.
PubMed 37325545Teng E, Manser PT, Shah M, Pickthorn K, Hu N, Djakovic S, Swendsen H, Blendstrup M, Faccin G, Ostrowitzki S, Sink KM. The Use of Episodic Memory Tests for Screening in Clinical Trials for Early Alzheimer's Disease: A Comparison of the Free and Cued Selective Reminding Test (FCSRT) and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). J Prev Alzheimers Dis. 2023;10(1):41-49. doi: 10.14283/jpad.2022.101.
PubMed 36641609Teng E, Manser PT, Pickthorn K, Brunstein F, Blendstrup M, Sanabria Bohorquez S, Wildsmith KR, Toth B, Dolton M, Ramakrishnan V, Bobbala A, Sikkes SAM, Ward M, Fuji RN, Kerchner GA; Tauriel Investigators. Safety and Efficacy of Semorinemab in Individuals With Prodromal to Mild Alzheimer Disease: A Randomized Clinical Trial. JAMA Neurol. 2022 Aug 1;79(8):758-767. doi: 10.1001/jamaneurol.2022.1375.
PubMed 35696185
Study at a glance
From the registry record, last updated by the sponsor on 16 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Efficacy, and Safety Study of MTAU9937A in Patients With Prodromal to Mild Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT03289143
- Acronym / sponsor ID
- GN39763
- Conditions
- Alzheimer's Disease
- Keywords
- Alzheimer Disease, Brain Diseases, Dementia, Neurodegenerative Diseases, Neurocognitive Disorders
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Study was terminated during Open Label Extension period because analyses of placebo-controlled Blinded portion of study did not show any evidence of clinical efficacy or modulation of accumulation of tau PET signal at any of the doses studied.
- Enrolment
- 457 participants (actual)
- Lead sponsor
- Genentech, Inc.Industry (pharma, biotech, devices)
- Study start
- 4 Oct 2017 (actual)
- Primary completion
- 15 Jan 2021 (actual)
- Study completion
- 15 Jan 2021 (actual)
- First posted
- 20 Sep 2017 (actual)
- Results
- Posted 16 Mar 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This was a phase II, randomized, placebo-controlled, double-blind study to evaluate the efficacy and safety of Semorinemab in participants with prodromal to mild Alzheimer's disease. An optional 96-week open-label extension period was available to participants who completed the double-blind treatment period and who, in the judgment of the investigator, would potentially benefit from open-label Semorinemab treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Dose 1 Semorinemab | Experimental | Drug: Semorinemab, Drug: [18F]GTP1 |
| Dose 2 Semorinemab | Experimental | Drug: Semorinemab, Drug: [18F]GTP1 |
| Dose 3 Semorinemab | Experimental | Drug: Semorinemab, Drug: [18F]GTP1 |
| Placebo | Placebo comparator | Drug: Placebo, Drug: [18F]GTP1 |
Who may qualify
- Ages
- 50 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Age between 50 and 80 years
- National Institute on Aging/Alzheimer's Association core clinical criteria for probable Alzheimer's disease (AD) dementia or mild cognitive impairment (prodromal AD)
- Evidence of the AD pathological process, by a positive amyloid assessment either on cerebrospinal fluid Aβ1-42 OR amyloid positron emission tomography (PET) scan. Historical amyloid PET scans may be accepted in some cases
- Mild AD symptomatology, as defined by a screening Mini-Mental State Examination score of >= 20 points and Clinical Dementia Rating (CDR) -Global Score of 0.5 or 1
- Abnormal memory function at screening
Key exclusion criteria (14 listed)
- Pregnant or breastfeeding
- Inability to tolerate magnetic resonance imaging (MRI) procedures or contraindication to MRI
- Contraindications to both PET imaging and lumbar dural puncture (must be able to undergo at least one of these procedures to be eligible)
- Residence in a skilled nursing facility
- Any serious medical condition or abnormality in clinical laboratory tests that remains abnormal on retest and, in the investigator's judgment, precludes the patient's safe participation in and completion of the study, or bias the assessment of the clinical or mental status of the participant to a significant degree
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 |
|---|---|---|
| SemorinemabAlso: RG6100, MTAU9937A, RO7105705Participants will receive Semorinemab intravenously (IV). | Drug | Dose 1 Semorinemab, Dose 2 Semorinemab, Dose 3 Semorinemab |
| PlaceboMatching placebo doses of Semorinemab given intravenously (IV). | Drug | Placebo |
| [18F]GTP1Also: RO6880276[18F]GTP1 will be administered as a solution for intravenous (IV) use, as part of positron emission tomography (PET) imaging. | Drug | Dose 1 Semorinemab, Dose 2 Semorinemab, Dose 3 Semorinemab, Placebo |
Primary outcome
Change From Baseline on the CDR-SB
Time frame: Baseline and 73 Weeks
The Clinical Dementia Rating-Sum of Boxes (CDR-SB) rates impairment in 6 categories (memory, orientation, judgement and problem solving, community affairs, home and hobbies and personal care) on a 5-point scale in which no impairment = 0, questionable impairment = 0.5 and mild, moderate and severe impairment = 1, 2 and 3 respectively. The score range is from 0 to 18 with a high score indicating a high disease severity. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.
Percentage of Participants With Adverse Events
Time frame: Up to the data cutoff date 15 January 2021 (up to approximately 39 months)
Percentage of participants with at least one adverse event
Change From Baseline on the C-SSRS
Time frame: Baseline to data cutoff date 15 January 2021 (up to approximately 39 months)
Categories are as defined in the Classification Algorithm for Suicide Assessment (CASA) based on the Columbia Suicide Severity Rating Scale (C-SSRS) questionnaire. SI1: Passive category is "Wish to be dead", SI2: Active-Nonspecific (no method, intent or plan), SI3: Active-Method, but no intent or Plan, SI4: Active-Method and intent, but no plan in C-SSRS. The worst post-baseline suicidal ideation is the highest across post-baseline visits, with highest as SI5 and lowest as SI1. Percentages are based on the total number of subjects in a treatment group. Baseline is the last observation prior to initiation of study drug.
Other Abnormal MRI Findings
Time frame: Baseline, Week 9, Week 49, Week 73, Study Treatment Discontinuation, and Week 89
Other abnormal MRI findings by visit. For the Double Blind Period, baseline is defined as last results prior to initiation of study drug. For the Open Label Extension Period, baseline is defined as last results prior to entering the open label period.
6 secondary outcomes
Change From Baseline on the Repeatable Battery for Assessment of Neuropsychological Status (RBANS)
Time frame: Baseline and 73 weeks
Change From Baseline on the Alzheimer's Disease Assessment Scale-Cognitive Subscale 13 (ADAS-Cog-13) Subscale Score
Time frame: Baseline and 73 weeks
Change From Baseline on the Amsterdam Instrumental Activity of Daily Living (iADL) Questionnaire
Time frame: Baseline and 73 weeks
Change From Baseline on the Alzheimer's Disease Cooperative Study Group-Activities of Daily Living Inventory
Time frame: Baseline and 73 weeks
Serum Concentrations of Semorinemab at Specified Timepoints
Time frame: Up to 109 weeks
Presence of Anti-drug Antibodies During the Study Relative to Their Presence at Baseline
Time frame: Up to 109 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Mar 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40603145Chandler JM, Lansdall CJ, Ye W, McDougall F, Belger M, Toth B, Mi X, Sink KM, Atkins AS. The Alzheimer's Disease Cooperative Study - Activities of Daily Living dependence score: revision and validation of an algorithm evaluating patient dependence across the spectrum of AD severity. J Prev Alzheimers Dis. 2025 Sep;12(8):100261. doi: 10.1016/j.tjpad.2025.100261. Epub 2025 Jul 1.
- Derived from this study: PubMed 39513754Schauer SP, Toth B, Lee J, Honigberg LA, Ramakrishnan V, Jiang J, Kollmorgen G, Bayfield A, Wild N, Hoffman J, Ceniceros R, Dolton M, Bohorquez SMS, Hoogenraad CC, Wildsmith KR, Teng E, Monteiro C, Anania V, Yeh FL. Pharmacodynamic effects of semorinemab on plasma and CSF biomarkers of Alzheimer's disease pathophysiology. Alzheimers Dement. 2024 Dec;20(12):8855-8866. doi: 10.1002/alz.14346. Epub 2024 Nov 8.
- Derived from this study: PubMed 39350369Ramakrishnan V, Bender B, Langenhorst J, Magnusson MO, Dolton M, Shim J, Fuji RN, Monteiro C, Teng E, Kassir N, Jin J. Semorinemab Pharmacokinetics and The Effect on Plasma Total Tau Pharmacodynamics in Clinical Studies. J Prev Alzheimers Dis. 2024;11(5):1241-1250. doi: 10.14283/jpad.2024.146.
- Derived from this study: PubMed 38606196Sanabria Bohorquez SM, Baker S, Manser PT, Tonietto M, Galli C, Wildsmith KR, Zou Y, Kerchner GA, Weimer R, Teng E. Evaluation of partial volume correction and analysis of longitudinal [18F]GTP1 tau PET imaging in Alzheimer's disease using linear mixed-effects models. Front Neuroimaging. 2024 Mar 28;3:1355402. doi: 10.3389/fnimg.2024.1355402. eCollection 2024.
- Derived from this study: PubMed 37325545Teng E, Li Y, Manser PT, Pickthorn K, Butcher BD, Blendstrup M, Randolph C, Sikkes SAM. Cross-sectional and longitudinal assessments of function in prodromal-to-mild Alzheimer's disease: A comparison of the ADCS-ADL and A-IADL-Q scales. Alzheimers Dement (Amst). 2023 Jun 13;15(2):e12452. doi: 10.1002/dad2.12452. eCollection 2023 Apr-Jun.
- Derived from this study: PubMed 36641609Teng E, Manser PT, Shah M, Pickthorn K, Hu N, Djakovic S, Swendsen H, Blendstrup M, Faccin G, Ostrowitzki S, Sink KM. The Use of Episodic Memory Tests for Screening in Clinical Trials for Early Alzheimer's Disease: A Comparison of the Free and Cued Selective Reminding Test (FCSRT) and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). J Prev Alzheimers Dis. 2023;10(1):41-49. doi: 10.14283/jpad.2022.101.
- Derived from this study: PubMed 35696185Teng E, Manser PT, Pickthorn K, Brunstein F, Blendstrup M, Sanabria Bohorquez S, Wildsmith KR, Toth B, Dolton M, Ramakrishnan V, Bobbala A, Sikkes SAM, Ward M, Fuji RN, Kerchner GA; Tauriel Investigators. Safety and Efficacy of Semorinemab in Individuals With Prodromal to Mild Alzheimer Disease: A Randomized Clinical Trial. JAMA Neurol. 2022 Aug 1;79(8):758-767. doi: 10.1001/jamaneurol.2022.1375.
Related trials for Alzheimer's Disease
RecruitingPhase 2
Neuroplasticity Enhancement From Cognitive Training Reinforced by Psilocybin
Alzheimer's Disease
Not yet recruiting
Acupressure as Long-term Intervention to Slow the Progression of Early/Mild Alzheimer's Disease
Alzheimer's Disease
RecruitingObservational study
Effectiveness and Safety of Disease-Modifying Therapy for Alzheimer's Disease: A Multicenter Retrospective Study
Alzheimer's Disease (AD)
RecruitingPhase 3
A Phase 3 Study to Evaluate the Safety and Efficacy of KarXT + KarX-EC for the Treatment of Agitation Associated With Alzheimer's Disease (ADAGIO-1)
Alzheimer Disease
RecruitingPhase 3
A Study of Trontinemab in Cognitively Unimpaired Individuals at Risk for Progression to Symptomatic Alzheimer's Disease
Alzheimer's Disease
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
Genentech, Inc.
133 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Semorinemab and [18F]GTP1 in people with Alzheimer's Disease, run by Genentech, Inc. at 133 sites in 13 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 6 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: stopped early, as of the sponsor's last update on 16 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 133 sites in United States, Spain, France, Poland, Germany and 8 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 16 Mar 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?
Change From Baseline on the CDR-SB (time frame: Baseline and 73 Weeks). The study lists 4 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 NCT03289143, which also lists 7 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 16 Mar 2022.