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Frontotemporal DementiaPhase 3NCT04374136

A Phase 3 Study to Evaluate Efficacy and Safety of AL001 in Frontotemporal Dementia (INFRONT-3)

A Phase 3 study testing Part 1 Blinded - AL001 and Part 2 (OLE Treatment) - AL001 in people with Frontotemporal Dementia, run by Alector Inc. at 44 sites in 16 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

A phase 3 double blind, placebo controlled study evaluating the efficacy and safety of AL001 in participants at risk for or with frontotemporal dementia due to heterozygous mutations in the progranulin gene. Read more about this study

Who is it for?
Ages 25 to 85 years
Conditions the study is for
Frontotemporal Dementia
What is being tested?
Part 1 Blinded - AL001 and Part 2 (OLE Treatment) - AL001
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
119 participants
Where
44 sitesin 16 countries
Study dates
23 Jul 2020to 6 Jan 2026
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 25 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Persons with a progranulin gene mutation and at risk of developing FTD symptoms as evidenced by a biomarker, or persons with a progranulin gene mutation and diagnosed with FTD.
  • If symptomatic, one or more of the criteria for the diagnosis of possible behavioral variant FTD, or a diagnosis of Primary Progressive Aphasia.
  • Study partner who consents to study participation and who cares for/visits the participant daily for at least 5 hours per week.
  • Written informed consent must be obtained and documented (from the participant or, where jurisdictions allow it, from their legal decision maker).

Who cannot join

  • Dementia due to a condition other than FTD including, but not limited to, Alzheimer's disease, Parkinson's disease, dementia with Lewy bodies, Huntington disease, or vascular dementia.
  • Known history of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric, human, or humanized antibodies or fusion proteins.
  • Current uncontrolled hypertension, diabetes mellitus or thyroid disease. Clinically significant heart disease, liver disease or kidney disease. History or evidence of clinically significant brain disease other than FTD.
  • Females who are pregnant or breastfeeding, or planning to conceive within the study period.
  • Any experimental vaccine or gene therapy.
  • History of cancer, unless in remission or stable/adequately controlled.
  • Current use of anticoagulant medications (e.g., coumadin, heparinoids, apixaban).
  • Residence in a skilled nursing facility, convalescent home, or long term care facility at screening; or requires continuous nursing care.

Trial locations and contacts

44 sites in 16 countries.

44 sites in 16 countries

United States14 sites
  • Emory University

    Atlanta, Georgia, 30329

  • University of Colorado

    Aurora, Colorado, 80045

  • Johns Hopkins University School of Medicine

    Baltimore, Maryland, 21205

  • University Of Cincinnati Gardner Neuroscience institute

    Cincinnati, Ohio, 45219

  • University of Kansas Alzheimer's Disease Center

    Fairway, Kansas, 66205

  • Houston Methodist Institute for Academic Medicine

    Houston, Texas, 77030

  • Indiana University Health Neuroscience Center

    Indianapolis, Indiana, 46202

  • University of California San Diego

    La Jolla, California, 92093

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

  • Irving Institute for Clinical and Translational Research

    New York, New York, 10032

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Dignity Health

    Phoenix, Arizona, 85013

  • Oregon Health and Science University

    Portland, Oregon, 97239

  • Mayo Comprehensive Cancer Center - PPDS

    Rochester, Minnesota, 55905

Other trials in United States

Italy6 sites
  • Nuovo Ospedale Civile S. Agostino-Estense di Baggiovara

    Baggiovara, 41126

  • ASST degli Spedali Civili di Brescia - Spedali Civili di Brescia

    Brescia, 25125

  • IRCCS - Centro S. Giovanni di Dio Fatebenefratelli

    Brescia, 25125

  • Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico

    Milan, 20122

  • Fondazione IRCCS Di Rilievo Nazionale Istituto Nazionale Neurologico Carlo Besta

    Milan, 20133

  • PIA Fondazione Panico

    Tricase, 73039

Other trials in Italy

Portugal4 sites
  • Centro Hospitalar E Universitário de Coimbra EPE

    Coimbra, 3000-075

  • Centro Hospitalar de Lisboa Norte, EPE - Hospital de Santa Maria

    Lisbon, 1649-035

  • Hospital CUF Descobertas

    Lisbon, 1998-018

  • Centro Hospitalar do Porto - Hospital de Santo António

    Porto, Porto District, 4099-001

Other trials in Portugal

France3 sites
  • CHU de Bordeaux

    Bordeaux, 33404

  • CHRU Lille

    Lille, 59000

  • Groupe Hospitalier Pitié Salpétrière

    Paris, 75651

Other trials in France

Australia2 sites
  • Box Hill Hospital

    Box Hill, 3128

  • The Queen Elizabeth Hospital

    Woodville, 5011

Other trials in Australia

Canada2 sites
  • The University of Western Ontario

    London, N6A 3K7

  • Sunnybrook Research Institute - University of Toronto

    Toronto, M4N 3M5

Other trials in Canada

Germany2 sites
  • Uniklinik Köln

    Cologne, 50937

  • Universitätsklinikum Ulm

    Ulm, 89075

Other trials in Germany

Greece2 sites
  • University General Hospital of Alexandroupolis - Department of Neurology

    Alexandroupoli, Evros, 68100

  • Eginitio University General Hospital of Athens - 1st University Neurology Clinic

    Athens, Attica, 115 28

Other trials in Greece

Spain2 sites
  • Hospital Clinic de Barcelona

    Barcelona, 08036

  • Hospital Universitario de Donostia

    Donostia / San Sebastian, 20014

Other trials in Spain

Argentina1 site
  • Fundación Para La Lucha Contra Las Enfermedades Neurológicas de La Infancia

    Buenos Aires, C1428AQK

Other trials in Argentina

Belgium1 site
  • UZ Leuven

    Leuven, Vlaams Brabant, 3000

Other trials in Belgium

Netherlands1 site
  • Erasmus MC

    Rotterdam, 3000 CA

Other trials in Netherlands

Sweden1 site
  • Karolinska Universitetssjukhuset Huddinge - PPDS

    Huddinge, 141 57

Other trials in Sweden

Switzerland1 site
  • Felix Platter Spital

    Basel, 4055

Other trials in Switzerland

Turkey (Türkiye)1 site
  • Istanbul University Medical Faculty

    Istanbul, Fatih, 34093

Other trials in Turkey (Türkiye)

United Kingdom1 site
  • University College London

    London, WC1E 6BT

Other trials in United Kingdom

About this study

Official title: A Phase 3, Multicenter, Randomized, Double Blind, Placebo Controlled Study to Evaluate the Efficacy and Safety of AL001 in Individuals at Risk for or With Frontotemporal Dementia Due to Heterozygous Mutations in the Progranulin Gene

A phase 3 double blind, placebo controlled study evaluating the efficacy and safety of AL001 in participants at risk for or with frontotemporal dementia due to heterozygous mutations in the progranulin gene.

Read the detailed description

This is a phase 3 double blind, placebo controlled study evaluating the efficacy and safety of AL001 administered intravenously in participants at risk for or with frontotemporal dementia due to heterozygous mutations in the progranulin gene. Study completion marks the end of the open label extension period following the 96-week blinded portion of the study.

Being tested
Part 1 Blinded - AL001, Part 1 Blinded - Placebo, Part 2 (OLE Treatment) - AL001, Part 2 (OLE Treatment) - Placebo Switched to AL001
Medical subject headings
Frontotemporal Dementia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Part 1 Blinded - AL001Drug

    Administered via intravenous (IV) infusion

  • Part 1 Blinded - PlaceboDrug

    Administered via intravenous (IV) infusion

  • Part 2 (OLE Treatment) - AL001Drug

    Administered via intravenous (IV) infusion

  • Part 2 (OLE Treatment) - Placebo Switched to AL001Drug

    Administered via intravenous (IV) infusion

Study groups in NCT04374136
Study groupRoleWhat they receive
Part 1 Blinded - AL001ExperimentalParticipants receive AL001 60 mg/kg administered by intravenous (IV) infusion every 4 weeks during the double-blind treatment period.
Receives: Drug: Part 1 Blinded - AL001
Part 1 Blinded - PlaceboPlacebo comparatorParticipants receive placebo administered by intravenous (IV) infusion every 4 weeks during the double-blind treatment period.
Receives: Drug: Part 1 Blinded - Placebo
Part 2 (OLE Treatment) - AL001ExperimentalParticipants who received AL001 during the double-blind treatment period and enroll in the optional open-label extension receive AL001 60 mg/kg administered by intravenous (IV) infusion every 4 weeks.
Receives: Drug: Part 2 (OLE Treatment) - AL001
Part 2 (OLE Treatment) - Placebo Switched to AL001ExperimentalParticipants who received placebo during the double-blind treatment period and enroll in the optional open-label extension receive AL001 60 mg/kg administered by intravenous (IV) infusion every 4 weeks.
Receives: Drug: Part 2 (OLE Treatment) - Placebo Switched to AL001

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part 1 Double Blind - Evaluation of Efficacy of AL001 Compared With Placebo as Measured by the CDR® Plus NACC FTLD-SB in Symptomatic Patients

    Part 1 Primary Endpoint - Change from baseline to Weeks 48, 72, and 96 in the CDR® plus NACC FTLD-SB.

    The Clinical Dementia Rating Dementia Staging Instrument PLUS National Alzheimer's Disease Coordinating Center frontotemporal lobar degeneration Behavior \& Language Domains Sum of Boxes (CDR® plus NACC FTLD-SB) is administered by a healthcare professional and based on individual ratings of the eight domains: memory, orientation, judgment and problem solving, community affairs, home and hobbies, personal care, language and behavior. Impairment is scored on a scale in which none = 0, questionable = 0.5, mild = 1, moderate = 2 and severe = 3. The 8 individual domain ratings, or "box scores", were added together to give the CDR® plus NACC FTLD-SB which ranges from 0-24. Higher score indicates severe impairment.

    Measured: Through study completion, on average up to 96 weeks

  2. Part 1 Double Blind (Co-Primary US Endpoint) - Evaluation of the Treatment Effect of AL001 Compared With Placebo as Measured by Pharmacodynamic and Disease Pathology Biomarkers in Symptomatic Patients

    Geometric Mean Fold Change from baseline to Week 96 in PGRN concentrations in plasma

    Measured: Baseline to 96 weeks

  3. Part 2 OLE - To Assess the Long-term Safety and Tolerability of AL001 in Participants Who Have Completed Part 1 of the Study

    Part 2 OLE Primary Endpoint - Incidence, nature, and severity of AEs and SAEs in Part 2 OLE

    Measured: 96 weeks

Secondary outcomes (5)
  1. Part 1 Double Blind - Evaluation of Efficacy of AL001 Compared With Placebo in Symptomatic Participants as Measured by CGI-S

    Change from baseline to Weeks 48, 72, and 96 on the CGI-S. The CGI-S is used by a clinician to rate the severity of a participant's disease relative to the clinician's past experience with patients who have the same disease using an ordinal scale ranging from 1=normal, not at all ill; 2=borderline ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; and 7=among the most extremely ill patients. Higher scores indicate worsening.

    Measured: Baseline to 96 weeks

  2. Part 1 Double Blind - Evaluation of Efficacy of AL001 Compared With Placebo in Symptomatic Participants as Measured by CGI-I

    Actual values at Weeks 48, 72, and 96 on the CGI-I. The CGI-I is used by a clinician to rate how much a participant's disease has improved or worsened relative to baseline using an ordinal scale ranging from 1=very much improved; 2=much improved; 3=minimally improved; 4=no change from baseline; 5=minimally worse; 6= much worse; and 7=very much worse. Higher scores indicate worsening.

    Measured: Baseline to 96 weeks

  3. Part 1 Double Blind - Evaluation of Efficacy of AL001 Compared With Placebo in Symptomatic Participants as Measured by Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Score

    Change from baseline to Weeks 48, 72, and 96 on the RBANS. RBANS is 20 to 25 minute battery developed for cognitive assessment, detection, and characterization of dementia. RBANS includes 12 subtests that measure following 5 indices: (1)Attention Index, composed of Digit Span and Coding; (2)Language Index, consisting of Picture Naming and Semantic Fluency subtests; (3)Visuospatial/Construction Index, made up of Figure Copy and Line Orientation subtests; (4)Immediate Memory Index, composed of List Learning and Story Memory subtests, and (5)Delayed Memory Index, consisting of List Recall, List Recognition, Story Recall, and Figure Recall subtests. Completion of RBANS yields 5 index scores based on participant performance on various subtests, as well as a composite Total Index score for battery. Total index scores range from 40 to 160, and are normalized to a mean of 100 and standard deviation (SD) of 15. Higher scores indicate less impairment.

    Measured: Baseline to 96 weeks

  4. Part 1 Double Blind - Evaluation of the Safety and Tolerability of AL001 Compared With Placebo as Measured by Safety Assessments

    Incidence of adverse events

    Measured: Baseline to 96 weeks

  5. Part 1 Double Blind: Clinical Progression as Measured by Frontotemporal Dementia Rating Scale (FRS) Logit Score in Symptomatic Participants

    The FRS is a 30-item scale with item responses of 'All the time,' 'Sometimes,' 'Never,' or 'Not applicable' for each item. The total percentage score is calculated as the number of items with a response of 'Never,' divided by the number of applicable items, excluding those marked 'not applicable.' The percentage score ranges from 0 to 100, inclusive, with higher scores indicating better function (fewer behavioral/functional problems) and lower scores indicating worse function. The percentage score is converted to a logit score ranging from -6.66 to 5.39 using a look-up table defined as part of the FRS instrument, where a higher (more positive) logit score indicates better function/less disease severity (5.39 = normal) and a lower (more negative) logit score indicates worse function/greater disease severity (-6.66 = advanced/profound impairment). A decrease in logit score over time reflects clinical progression

    Measured: baseline to 96 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 May 2020
  2. Study start23 Jul 2020
  3. Primary completion1 Sep 2025
  4. Study completion6 Jan 2026

Why it stopped: The trial did not meet the clinical co-primary endpoint of slowing FTD-GRN progression, as measured by the Clinical Dementia Rating® plus National Alzheimer's Coordinating Center Frontotemporal Lobar Degeneration Sum of Boxes (CDR® plus NACC FTLD-SB)

Resources

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
119 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04374136
Sponsor's protocol ID
AL001-3
Status last verified
Aug 2026
First submitted
23 Apr 2020
Last updated
21 Sep 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Part 1 Blinded - AL001 and Part 2 (OLE Treatment) - AL001 in people with Frontotemporal Dementia, run by Alector Inc. at 44 sites in 16 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 4 inclusion and 8 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 21 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States, Italy, Portugal, France, Australia and 11 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 21 Sep 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part 1 Double Blind - Evaluation of Efficacy of AL001 Compared With Placebo as Measured by the CDR® Plus NACC FTLD-SB in Symptomatic Patients (time frame: Through study completion, on average up to 96 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?
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 21 Sep 2026.

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