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Alzheimer DiseasePhase 2INVOKE-2NCT04592874

A Phase 2 Study to Evaluate Efficacy and Safety of AL002 in Participants With Early Alzheimer's Disease

A Phase 2 study testing AL002 in people with Alzheimer Disease, run by Alector Inc. at 87 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

A phase 2 randomized, double blind, placebo controlled study evaluating the efficacy and safety of AL002 in participants with Early Alzheimer's Disease. Read more about this study

Who is it for?
Ages 50 to 85 years
Conditions the study is for
Alzheimer Disease
What is being tested?
AL002
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
356 participants
Where
87 sitesin 12 countries
Study dates
22 Jan 2021to 12 Sep 2024
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of Early AD including evidence of brain amyloidosis by CSF or PET
  • MMSE score ≥ 20 points, CDR Global Score of 0.5 - 1.0, and RBANS score on the DMI ≤95.
  • Study partner who consents to study participation and who cares for/visits the participant at least 10 hours a 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 AD including, but not limited to, FTD, 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 AD.
  • Females who are pregnant or breastfeeding, or planning to conceive within the study period.
  • Any experimental vaccine or gene therapy.
Show all 10Show fewer
  • History of unresolved cancer.
  • Current use of anticoagulant medications.
  • Residence in a skilled nursing facility, convalescent home, or long term care facility at screening; or requires continuous nursing care.
  • Participant is positive for presence of APOE e4/e4 genotype.

Trial locations and contacts

87 sites in 12 countries.

87 sites in 12 countries

United States29 sites
  • Abington Neurologic Associates

    Abington, Pennsylvania, 19090

  • Emory University

    Atlanta, Georgia, 30322

  • South Florida Neurology Associates

    Boca Raton, Florida, 33487

  • University of Cincinnati MC

    Cincinnati, Ohio, 45219

  • ATP Clinical Research

    Costa Mesa, California, 92626

  • Brain Matters Research - ERG

    Delray Beach, Florida, 33445

  • AMITA Health Clinical Research Institute

    Elk Grove Village, Illinois, 60007

  • Hattiesburg Clinic

    Hattiesburg, Mississippi, 39401

  • Clinical Trial Network

    Houston, Texas, 77074-2085

  • Charter Research

    Lady Lake, Florida, 32159

  • University of Kentucky

    Lexington, Kentucky, 40536

  • ClinCloud, LLC

    Maitland, Florida, 32751

  • K2 Medical Research

    Maitland, Florida, 32751

  • Feinstein Institute For MR

    Manhasset, New York, 11030

  • Advanced Clinical Institute

    Neptune City, New Jersey, 07753

  • Columbia University College of Physicians and Surgeons

    New York, New York, 10032-3725

  • Boston Center for Memory

    Newton, Massachusetts, 02459

  • K2 Winter Garden Ocoee

    Ocoee, Florida, 34761

  • Banner Alzheimer's Institute

    Phoenix, Arizona, 85006

  • Progressive Medical Research

    Port Orange, Florida, 32127-5170

  • Summit Research Network

    Portland, Oregon, 97210

  • University of Rochester Medical Center

    Rochester, New York, 14620

  • Woodlands Research Network, LLC - ERG

    Rogers, Arkansas, 72758

  • SUNY Upstate Medical Center

    Syracuse, New York, 13210

  • Axiom Clinical Research FL

    Tampa, Florida, 33609

  • K2 The Villages

    The Villages, Florida, 32159

  • Georgetown University Medical Center

    Washington D.C., District of Columbia, 20007

  • Alzheimers Research and Treatment Center

    Wellington, Florida, 33449

  • Conquest Clinical Research (Winter Park)

    Winter Park, Florida, 32789

Other trials in United States

Italy10 sites
  • IRCCS - Centro S. Giovanni di Dio Fatebenefratelli

    Brescia, Lombardy, 25125

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

    Brescia, 25123

  • Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico

    Milan, 20122

  • Fondazione IRCCS Di Rilievo Nazionale Istituto Nazionale Neurologico Carlo Besta

    Milan, 20133

  • Ospedale Civile di Baggiovara

    Modena, 41126

  • Azienda Ospedaliero Universitaria Pisana

    Pisa, 56126

  • Ospedale degli Infermi

    Ponderano, 13875

  • Fondazione Policlinico Universitario A Gemelli

    Rome, Lazio, 00168

  • Azienda Policlinico Umberto I

    Rome, Lazio, 00185

  • Ospedale S Giovanni Calibita Fatebenefratelli

    Rome, Lazio, 00186

Other trials in Italy

Spain9 sites
  • Hospital de La Santa Creu i Sant Pau

    Barcelona, Catalonia, 08041

  • Fundacion ACE Instituto Catalan de Neurociencias

    Barcelona, 08028

  • Hospital Clinic de Barcelona

    Barcelona, 08036

  • Fundacion CITA Alzheimer Fundazioa

    Donostia / San Sebastian, Guipuzcoa, 20009

  • Centro de Atencion Especializada Oroitu

    Getxo, Basque Country, 48993

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034

  • Hospital Universitario Doctor Peset

    Valencia, 46017

  • Hospital Universitari i Politecnic La Fe de Valencia

    Valencia, 46026

  • Hospital Viamed Montecanal

    Zaragoza, 50012

Other trials in Spain

Canada8 sites
  • True North Clinical Research - Halifax

    Halifax, Nova Scotia, B3S 1N2

  • Okanagan Clinical Trials

    Kelowna, British Columbia, V1Y 1Z9

  • Parkwood Institute

    London, Ontario, N6C 0A7

  • True North Clinical Research - New Minas

    New Minas, Nova Scotia, B4N 3R7

  • Bruyère Research Institute

    Ottawa, Ontario, K1N 5C8

  • Kawartha Regional Memory Clinic

    Peterborough, Ontario, K9H 2P4

  • Toronto Memory Clinic

    Toronto, Ontario, M3B 2S7

  • Baycrest Health Sciences

    Toronto, Ontario, Ontario

Other trials in Canada

United Kingdom7 sites
  • Re:Cognition Health Bristol

    Bristol, BS32 4SY

  • Re: Cognition Health - Guildford

    Guildford, Surrey, GU2 7YD

  • Re:Cognition Health London

    London, W1G 9JF

  • The National Hospital for Neurology and Neurosurgery

    London, WC1N 3BG

  • Greater Manchester Mental Health NHS Foundation Trust

    Manchester, M8 5RB

  • Glasgow Memory Clinic

    Motherwell, ML1 4UF

  • Re:Cognition Health Plymouth

    Plymouth, Pl6 8BT

Other trials in United Kingdom

Germany6 sites
  • Charité - Universitätsmedizin Berlin (CBF)

    Berlin, 12203

  • Charite Campus Buch

    Berlin, 13125

  • University Clinic Heidelberg

    Mannheim, 68159

  • LMU Klinikum der Universität München

    München, 81377

  • Klinikum rechts der Isa der Technischen Universitaet Muenchen

    München, 81675

  • Universitätsklinikum Ulm

    Ulm, 89081

Other trials in Germany

France5 sites
  • Hôpital Roger Salengro

    Lille, Nord, 59037

  • Hopital Lariboisiere

    Paris, 75010

  • Hôpital de la Pitié Salpétrière

    Paris, 75013

  • Centre Hospitalier Universitaire de Toulouse

    Toulouse, 31059

  • Gerontopole

    Toulouse, 31059

Other trials in France

Australia4 sites
  • Box Hill Hospital

    Box Hill, Victoria, 3128

  • KaRa Institute of Neurological Disease

    Macquarie Park, New South Wales, 2113

  • SMarT Minds WA

    Nedlands, Western Australia, 6009

  • The Alfred Hospital

    Parkville, Victoria, 3050

Other trials in Australia

Poland4 sites
  • EUROMEDIS Sp. z o.o.

    Szczecin, West Pomeranian Voivodeship, 70-111

  • Centrum Medyczne NeuroProtect

    Warsaw, Masovian Voivodeship, 01-684

  • SOMED CR

    Warsaw, 01-737

  • NZOZ Wroclawskie Centrum Alzheimerowskie

    Wroclaw, Lower Silesian Voivodeship, 53-110

Other trials in Poland

Argentina2 sites
  • Instituto Kremer

    Córdoba, X5004AOA

  • Centro de Psiquiatría Biológica Instituto Senecta

    Mendoza, 5500

Other trials in Argentina

Netherlands2 sites
  • Brain Research Center Den Bosch

    's-Hertogenbosch, North Brabant, 5223 GV

  • Brain Research Center Amsterdam

    Amsterdam, 1081 GN

Other trials in Netherlands

New Zealand1 site
  • CGM Research Trust

    Christchurch, 8083

Other trials in New Zealand

About this study

Official title: A Phase 2 Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy and Safety of AL002 in Participants With Early Alzheimer's Disease

A phase 2 randomized, double blind, placebo controlled study evaluating the efficacy and safety of AL002 in participants with Early Alzheimer's Disease.

Read the detailed description

This is a phase 2 randomized, double blind, placebo controlled study evaluating the efficacy and safety of AL002 administered intravenously in participants with Early Alzheimer's Disease.

Being tested
AL002, Placebo
Medical subject headings
Alzheimer Disease

What participants receive

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

  • AL002Drug

    Administered via intravenous (IV) infusion

  • PlaceboDrug

    Administered via intravenous (IV) infusion

Study groups in NCT04592874
Study groupRoleWhat they receive
AL002 Dose 1ExperimentalAL002 every 4 weeks
Receives: Drug: AL002
AL002 Dose 2ExperimentalAL002 every 4 weeks
Receives: Drug: AL002
AL002 Dose 3ExperimentalAL002 every 4 weeks
Receives: Drug: AL002
PlaceboPlacebo comparatorPlacebo every 4 weeks
Receives: Drug: Placebo

What is being measured

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

  1. Disease Progression as Measured by the Clinical Dementia Rating - Sum of Boxes (CDR-SB) Score

    Change from baseline in Clinical Dementia Rating - Sum of Boxes (CDR-SB) score at Weeks 24, 48, 72 and 96.

    The CDR-SB is a tool used to measure disease severity in Alzheimer's disease. This scale assesses three domains of cognition and three domains of function. The domains are rated on a 5 point scale in which the higher the score corresponds to greater cognitive impairment. The scale range is from 0 to 18 where 0 is considered normal and 18 indicates severe dementia.

    Measured: Study completion up to 96 weeks

Secondary outcomes (5)
  1. Change in Mini-Mental Status Examination (MMSE) Score

    Change from baseline in Mini-Mental Status Examination (MMSE) score at Weeks 24, 48, 72, and 96

    The MMSE is a test that assesses orientation, registration, attention and calculation, recent memory, language and constructional praxis. There is a total possible score of 30 with a lower score correlating to a higher cognitive impairment. A score of 24 to 30 is considered normal or no cognitive impairment. A score of 18 to 24 indicates mild impairment. A score of 0 to 17 indicates a severe impairment.

    Measured: Study completion up to 96 weeks

  2. Change in Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Score

    Change from baseline in Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) score at Weeks 24, 48, 72 and 96

    The RBANS test is a collection of 12 subsets representing 5 neurological domains: immediate memory, visuospatial/constructional, language, attention, and delayed memory. The scores are converted to a scale that can range from 40 to 160. The lower the score the greater the cognitive impairment.

    Measured: Study completion up to 96 weeks

  3. Change in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog13) Score

    Change from baseline in Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog13) score at Weeks 24, 48, 72, and 96

    The ADAS-Cog13 is a scale that includes 13 items to assess cognitive function. These domains include memory, language, praxis, and orientation, as well as a number cancellation task and a delayed free recall task. There is a total score range of 0 to 85. A higher score on this scale indicates greater cognitive impairment. There are currently no universally accepted severity bands for ADAS-Cog13 as it is used to track changes in disease and not for severity.

    Measured: Study completion up to 96 weeks

  4. Change in Alzheimer's Disease Cooperative Study - Activities of Daily Living - Mild Cognitive Impairment (ADCS-ADL-MCI) Score

    Change from baseline in Alzheimer's Disease Cooperative Study - Activities of Daily Living - Mild Cognitive Impairment (ADCS-ADL-MCI) score at Weeks 24, 48, 72, and 96

    The ADCS-ADL-MCI is a scale for participants with mild cognitive impairment that observes their performance in completing activities associated with daily living. This scale is a multiple choice questionnaire and has a range of 0 to 53. A lower score on this scale indicates greater cognitive impairment.

    Measured: Study completion up to 96 weeks

  5. Change in Alzheimer's Disease Composite Score (ADCOMS) Score

    Change from baseline in Alzheimer's Disease Composite Score (ADCOMS) score at Weeks 24, 48, 72, and 96

    The ADCOMS scale is a composite score of 12 components that include 4 items from the ADAS-Cog13, 2 items from the MMSE, and all 6 items from the CDR-SB scales. The range of the ADCOMS is between 0 and 1.97. The higher the score the greater the cognitive impairment.

    Measured: Study completion up 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 posted19 Oct 2020
  2. Study start22 Jan 2021
  3. Primary completion19 Aug 2024
  4. Study completion12 Sep 2024

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
356 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04592874
Sponsor's protocol ID
AL002-2
Acronym
INVOKE-2
Status last verified
Aug 2025
First submitted
17 Sep 2020
Last updated
29 Oct 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Mummery CJ, Mayorga AJ, Simmons A, Chow TW, Burgess B, Nguyen T, Gao J, Budda B, Park LQ, Gupta R, Li C, Shi L, Kenkare-Mitra S, Rosenthal A, Paul R, Ward M, Purcell DD, Salloway S, Grundman M, Romano G, Salvadore G. The TREM2 agonistic antibody AL002 in early Alzheimer's disease: a phase 2 randomized trial. Nat Med. 2026 May;32(5):1708-1716. doi: 10.1038/s41591-026-04273-1. Epub 2026 Mar 5.

    PubMed 41787076
  • Shao Q, Chen S, Zheng Y, Xu W, Chen J, Shao W, Wang Q, Li C, Wang X. Crucial role of microglia-mediated myelin sheath damage in vascular dementia: Antecedents and consequences. Neural Regen Res. 2026 Mar 1;21(3):1000-1012. doi: 10.4103/NRR.NRR-D-24-01109. Epub 2025 Mar 25.

    PubMed 40145953
  • De Deyn L, Sleegers K. The impact of rare genetic variants on Alzheimer disease. Nat Rev Neurol. 2025 Mar;21(3):127-139. doi: 10.1038/s41582-025-01062-1. Epub 2025 Feb 4.

    PubMed 39905212
  • Brodtmann A, Darby D, Oboudiyat C, Mahoney CJ, Le Heron C, Panegyres PK, Brew B. Assessing preparedness for Alzheimer disease-modifying therapies in Australasian health care systems. Med J Aust. 2023 Apr 3;218(6):247-249. doi: 10.5694/mja2.51880. Epub 2023 Mar 19. No abstract available.

    PubMed 36934371

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AL002 in people with Alzheimer Disease, run by Alector Inc. at 87 sites in 12 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 10 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 29 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 87 sites in United States, Italy, Spain, Canada, United Kingdom and 7 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 29 Oct 2025). 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?

Disease Progression as Measured by the Clinical Dementia Rating - Sum of Boxes (CDR-SB) Score (time frame: Study completion up to 96 weeks). 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 NCT04592874, which also lists 4 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 29 Oct 2025.

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