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Alzheimers DiseasePhase 1/2NCT04639050

Brainshuttle AD: A Multiple Ascending Dose Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of RO7126209 Following Intravenous Infusion in Participants With Prodromal or Mild to Moderate Alzheimer's Disease

A Phase 1/2 study testing RO7126209 in people with Alzheimers Disease, run by Hoffmann-La Roche at 37 sites in 9 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The purpose of this study is to evaluate the safety, tolerability, immunogenicity, pharmacokinetics, and pharmacodynamics of multiple-ascending intravenous (IV) doses of RO7126209 in participants with prodromal or mild to moderate Alzheimer's disease (AD), who are amyloid positive based on amyloid positron emission… Read more about this study

Who is it for?
Ages 50 to 85 years
Conditions the study is for
Alzheimers Disease
What is being tested?
RO7126209
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
241 participants
Where
37 sitesin 9 countries
Study dates
15 Mar 2021to 31 Jul 2027
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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

  • Ability to provide written consent signed by the participant
  • Availability of a person (referred to as the "study partner") who: consents to participate throughout the duration of study, in the Investigator's judgment, has frequent and sufficient contact with the participant, is fluent in the language of the tests used at the study site
  • Willingness and ability to complete all aspects of the study (including magnetic resonance imaging [MRI], lumbar puncture, clinical genotyping, and positron emission tomography [PET] imaging)
  • Capable of completing assessments either alone or with the help of the study partner
  • Adequate visual and auditory acuity, in the Investigator's judgment, sufficient to perform the neuropsychological testing (eye glasses and hearing aids are permitted)
  • Probable mild to moderate AD dementia (consistent with National Institute on Aging-Alzheimer's Association [NIA-AA] core clinical criteria for probable AD dementia) or prodromal AD (consistent with the NIA-AA diagnostic criteria and guidelines for mild cognitive impairment due to AD)
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  • Screening Mini-Mental State Examination (MMSE) score of 18 to 28 points, inclusive, within 84 days before baseline
  • Clinical Dementia Rating-Global Score (CDR-GS) of 0.5, 1, or 2 within 84 days before baseline
  • Positive amyloid PET scan (cut-off: >50 Centiloid units) within 12 months before baseline
  • In case of treatment with symptomatic AD medications, dosing regimen must be stable for at least 8 weeks prior to baseline and until randomization
  • Agreement not to donate blood or blood products for transfusion for the duration of the study and for 1 year after final dose of study drug
  • Agreement not to participate in other research studies for the duration of this study
  • Agree to apolipoprotein E (APOE) genotyping
  • Completed the treatment period in Part 1, Part 2, or Part 3 of the study

Who cannot join

  • Any evidence of other relevant neurological condition, including other (non-AD) neurodegenerative and neuropsychiatric conditions, neurovascular brain disorders, seizure disorders, inflammatory and infectious disorders of the central nervous system, trauma and delirium, among several others
  • Other relevant medical conditions including significant hematological diseases, any clinically significant ophthalmologic diseases, decreased visual acuity in either eye, with a BCVA letter score of less than 20 letters on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart or the Snellen equivalent of 20/400 if the ETDRS chart is not used
  • Clinically significant cardiovascular diseases, chronic kidney disease, confirmed and unexplained impaired hepatic function, abnormal thyroid function, among several others
  • History of hypersensitivity to biologic agents or any of the excipients in the formulation
  • Clinically significant abnormalities (as judged by the Investigator) in laboratory test results (including complete blood count, chemistry panel, routine cerebrospinal fluid [CSF] parameters and urinalysis)
  • MRI exclusion criteria: >2 lacunar infarcts (including lacunar infarcts in the cerebellum), any territorial infarct >1 cm^3, any white matter lesion that corresponds to an overall Fazekas score of 3 that requires at least one confluent hyperintense lesion on the fluid-attenuated inversion recovery (FLAIR) sequence, which is ≥20 mm in any dimension
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  • More than 4 microhemorrhages on MRI and/or presence of any focal area of leptomeningeal hemosiderosis based on the review performed by the central MRI reader prior to randomization
  • Presence of any other significant cerebral abnormalities, including amyloid-related imaging abnormality-edema/effusion (ARIA-E), as assessed on MRI
  • Inability to tolerate MRI procedures or contraindication to MRI
  • Inability to undergo ophthalmological assessments
  • Contraindication to lumbar puncture
  • Contraindication to having a PET scan
  • Prematurely discontinued from the treatment period for study (i.e., before the start of the follow-up period of Part 1, Part 2, or Part 3) for any reason or meeting discontinuation criteria before the baseline visit of Part 4.
  • Received any active investigational treatment other than RO7126209 during or since completion of Part 1, Part 2 or Part 3
  • Any passive immunotherapy (immunoglobulin) since completion of Part 1, Part 2, or Part 3 that is meant to prevent or postpone cognitive decline.
  • Use of anti-coagulation medications - Evidence of ongoing ARIA-E. In this case participant may enroll into Part 4 once the ARIA-E is resolved - Evidence of ongoing infusion-related reaction (IRR) or hypersensitivity reaction. In this case participant may enroll into Part 4 once the IRR is resolved.
  • MRI evidence of any of the following at OLE baseline: evidence of ongoing ARIA-E, any ARIA-H (leptomeningeal hemosiderosis or microhemorrhages) that would require permanent discontinuation of study treatment, > 2 lacunar infarcts, Any territorial infarct > 1 cm^3, any white matter lesion that corresponds to an overall Fazekas score of 3 that requires at least one confluent hyperintense lesion on the FLAIR sequence, which is ≥ 20 mm in any dimension
  • Any drop in hemoglobin of > 20% compared to predose on Day 1 or hemoglobin value below 10 g/dL

Trial locations and contacts

37 sites in 9 countries.

37 sites in 9 countries

United States15 sites
  • Abington Neurological Associates

    Abington, Pennsylvania, 19001

  • JEM Research LLC

    Atlantis, Florida, 33462

  • K2 Medical Research-Winter Garden

    Clermont, Florida, 34711

  • Alzheimer's Research and Treatment Center - Columbus

    Columbus, Georgia, 31904

  • Kerwin Research Center, LLC

    Dallas, Texas, 75231

  • Quest Research Institute

    Farmington Hills, Michigan, 48334

  • Center for Advanced Research & Education

    Gainesville, Georgia, 30501

  • K2 Medical Research - The Villages

    Lady Lake, Florida, 32159

  • K2 Medical Research, LLC

    Maitland, Florida, 32751

  • Optimus U Corp

    Miami, Florida, 33135

  • Charter Research - Winter Park/Orlando

    Orlando, Florida, 32803

  • Alzheimer's Research and Treatment Center

    Stuart, Florida, 34996

  • Charter Research - Lady Lake/The Villages

    The Villages, Florida, 32162

  • Alzheimer?s Research and Treatment Center

    Wellington, Florida, 33414

  • Conquest Research, LLC

    Winter Park, Florida, 32789

Other trials in United States

Spain6 sites
  • Fundación ACE

    Barcelona, 08028

  • Hospital Clinic i Provincial

    Barcelona, 08036

  • Policlínica Guipuzcoa

    Donostia / San Sebastian, Guipuzcoa, 20014

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Hospital General De Catalunya

    Sant Cugat del Vallès, Barcelona, 8195

  • Hospital Universitario Dr. Peset

    Valencia, 46017

Other trials in Spain

Japan5 sites
  • Koseikai Takeda Hospital

    Kyoto, 600-8558

  • National Hospital Organization Utano National Hospital

    Kyoto, 616-8255

  • Keio University Hospital

    Tokyo, 160-8582

  • Tokyo Metropolitan Institute for Geriatrics and Gerontology

    Tokyo, 173-0015

  • Federation of National Public Service Personnel Mutual Aid Associations Tachikawa Hospital

    Tokyo, 190-8531

Other trials in Japan

Australia2 sites
  • Heidelberg Repatriation Hospital

    Heidelberg West, Victoria, 3081

  • Alfred Hospital

    Melbourne, Victoria, 3004

Other trials in Australia

Canada2 sites
  • Richmond Clinical Trials

    Richmond, British Columbia, V6V 2L1

  • Toronto Memory Program

    Toronto, Ontario, M3B 2S7

Other trials in Canada

Chile2 sites
  • Centro de Investigación Clínica UC-CICUC

    Santiago, 8330034

  • Hospital Clinico Univ de Chile

    Santiago, 8380456

Other trials in Chile

Poland2 sites
  • Osrodek Badan Klinicznych Euromedis

    Szczecin, 70-111

  • NZOZ WCA

    Wroc?aw, 53-659

Other trials in Poland

South Korea2 sites
  • Inha University Hospital

    Incheon, 22332

  • Samsung Medical Center

    Seoul, 06351

Other trials in South Korea

United Kingdom1 site
  • UCL Institute of Neurology

    London, WC1N 3BG

Other trials in United Kingdom

About this study

Official title: A Phase Ib/IIa, Randomized, Double Blind, Placebo-Controlled, Multiple Ascending Dose, Parallel-Group Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of RO7126209 Following Intravenous Infusion in Patients With Prodromal or Mild to Moderate Alzheimer's Disease

The purpose of this study is to evaluate the safety, tolerability, immunogenicity, pharmacokinetics, and pharmacodynamics of multiple-ascending intravenous (IV) doses of RO7126209 in participants with prodromal or mild to moderate Alzheimer's disease (AD), who are amyloid positive based on amyloid positron emission tomography (PET) scan.

Being tested
RO7126209, 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.

  • RO7126209Drug

    Also called Trontinemab, RG6102

    RO7126209 will be administered intravenously as specified in each treatment arm.

  • PlaceboDrug

    Also called RO727-5887, F01-01

    RO7126209-matching placebo will be administered intravenously as specified in each treatment arm.

Study groups in NCT04639050
Study groupRoleWhat they receive
Part 1 (Dose Finding) Cohort 1: Dose Level 1 of RO7126209ExperimentalParticipants will receive multiple doses of RO7126209 at dose level 1 once every 4 weeks (Q4W) for 28 weeks followed by a 28-week safety follow-up period.
Receives: Drug: RO7126209
Part 1 (Dose Finding) Cohort 1: PlaceboPlacebo comparatorParticipants will receive matching placebo to dose level 1 Q4W for 28 weeks followed by a 28-week safety follow-up period.
Receives: Drug: Placebo
Part 1 (Dose Finding) Cohort 2: Dose Level 2 of RO7126209ExperimentalParticipants will receive multiple doses of RO7126209 at dose level 2, Q4W, for 28 weeks followed by a 28-week safety follow-up period.
Receives: Drug: RO7126209
Part 1 (Dose Finding) Cohort 2: PlaceboPlacebo comparatorParticipants will receive matching placebo to dose level 2, Q4W, for 28 weeks followed by a 28-week safety follow-up period.
Receives: Drug: Placebo
Part 1 (Dose Finding) Cohort 3: Dose Level 3 of RO7126209ExperimentalParticipants will receive multiple doses of RO7126209 at dose level 3, Q4W, for 28 weeks followed by a 28-week safety follow-up period.
Receives: Drug: RO7126209
Part 1 (Dose Finding) Cohort 3: PlaceboPlacebo comparatorParticipants will receive matching placebo to dose level 3, Q4W, for 28 weeks followed by a 28-week safety follow-up period.
Receives: Drug: Placebo
Part 1 (Dose Finding) Cohort 4: Dose Level 4 of RO7126209ExperimentalParticipants will receive multiple doses of RO7126209 at dose level 4, Q4W, for 28 weeks followed by a 28-week safety follow-up period.
Receives: Drug: RO7126209
Part 1 (Dose Finding) Cohort 4: PlaceboPlacebo comparatorParticipants will receive matching placebo to dose level 4, Q4W, for 28 weeks followed by a 28-week safety follow-up period.
Receives: Drug: Placebo
Part 1 (Dose Finding) Cohort 5: Dose Level 5 of RO7126209ExperimentalParticipants will receive a total of 2 doses of RO7126209 at dose level 5 Q4W, for 28 weeks followed by an 8-week safety follow-up period.
Receives: Drug: RO7126209
Part 1 (Dose Finding) Cohort 5: PlaceboPlacebo comparatorParticipants will receive a total of 2 doses of matching placebo to dose level 5 Q4W, for 28 weeks followed by an 8-week safety follow-up period.
Receives: Drug: Placebo
Part 2 (Expansion) Cohort 1: Dose Level 3 of RO7126209ExperimentalParticipants will receive multiple doses of RO7126209 at dose level 3, Q4W, for 28 weeks followed by a 28-week safety follow-up period.
Receives: Drug: RO7126209
Part 2 (Expansion) Cohort 1: PlaceboPlacebo comparatorParticipants will receive matching placebo to dose level 3, Q4W, for 28 weeks followed by a 28-week safety follow-up period.
Receives: Drug: Placebo
Part 2 (Expansion) Cohort 2: Dose Level 4 of RO7126209ExperimentalParticipants will receive multiple doses of RO7126209 at dose level 4, Q4W, for 28 weeks followed by a 28-week safety follow-up period.
Receives: Drug: RO7126209
Part 2 (Expansion) Cohort 2: PlaceboPlacebo comparatorParticipants will receive matching placebo to dose level 4, Q4W, for 28 weeks followed by a 28-week safety follow-up period.
Receives: Drug: Placebo
Part 2 (Expansion) Cohort 3: Dose Level 5 of RO7126209ExperimentalParticipants will receive a total of 2 doses of RO7126209 at dose level 5, Q4W, for 28 weeks followed by an 8-week safety follow-up period.
Receives: Drug: RO7126209
Part 2 (Expansion) Cohort 3: PlaceboPlacebo comparatorParticipants will receive a total of 2 doses of matching placebo to dose level 5, Q4W, for 28 weeks followed by an 8-week safety follow-up period.
Receives: Drug: Placebo
Part 3 (Dose/Frequency/Pharmacodynamic (PD) Relationship): Dose Level 1: RO7126209ExperimentalParticipants will receive multiple doses of RO7126209 in an open-label treatment period at dose level 1, Q4W, for 24 weeks followed by a 28-week safety follow-up period.
Receives: Drug: RO7126209
Part 3 Dose/Frequency/PD Relationship: Dose Level 2: RO7126209ExperimentalParticipants will receive multiple doses of RO7126209 in an open-label treatment period at dose level 2, Q12W, for 24 weeks followed by a 28-week safety follow-up period.
Receives: Drug: RO7126209
Part 4: Open Label Extension (OLE)ExperimentalParticipants who completed Part 1, 2, or 3 will receive RO7126209 for a maximum of 205 weeks.
Receives: Drug: RO7126209

What is being measured

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

  1. Part 1, 2, 3, and 4: Percentage of Participants With Adverse Events (AEs)

    Measured: Part 1 and 2: Up to approximately 56 weeks; Part 3: Up to approximately 52 weeks; Part 4: Up to approximately 233 weeks

  2. Part 3: Change From Baseline in Brain Amyloid Load as Measured by Amyloid Positron Emission Tomography (PET) Scan

    Measured: Up to approximately 24 weeks

Secondary outcomes (4)
  1. Part 1, 2, and 4: Change From Baseline in Brain Amyloid Load as Measured by Amyloid PET Scan

    Measured: Part 1 and 2: Up to approximately 28 weeks; Part 4: Up to approximately 205 weeks

  2. Part 1, 2, 3, and 4: Plasma Concentration of RO7126209

    Measured: Part 1 and 2: Up to approximately 32 weeks; Part 3: Up to approximately 24 weeks; Part 4: Up to approximately 209 weeks

  3. Part 1, 2, 3, and 4: Cerebral Spinal Fluid (CSF) Concentration of RO7126209

    Measured: Part 1 and 2: Up to approximately 25 weeks; Part 3: Up to approximately 21 weeks; Part 4: Up to approximately 205 weeks

  4. Part 1, 2, 3, and 4: Number of Participants With Anti-Drug Antibodies (ADAs) to RO7126209

    Measured: Part 1 and 2: Up to approximately 56 weeks; Part 3: Up to approximately 52 weeks; Part 4: Up to approximately 233 weeks

Timeline

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

  1. First posted20 Nov 2020
  2. Study start15 Mar 2021
  3. Primary completion31 Jul 2027 (estimated)
  4. Study completion31 Jul 2027 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
241 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04639050
Sponsor's protocol ID
BP42155
Other IDs
2020-002477-98, 2023-509678-52-00, 2023
Status last verified
Sep 2026
First submitted
17 Nov 2020
Last updated
14 Sep 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing RO7126209 in people with Alzheimers Disease, run by Hoffmann-La Roche at 37 sites in 9 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 14 inclusion and 18 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: under way, not looking for participants, as of the sponsor's last update on 14 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 37 sites in United States, Spain, Japan, Australia, Canada and 4 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

This study is still under way. Results are not available in the source record yet.

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, 2, 3, and 4: Percentage of Participants With Adverse Events (AEs) (time frame: Part 1 and 2: Up to approximately 56 weeks; Part 3: Up to approximately 52 weeks; Part 4: Up to approximately 233 weeks). The study lists 2 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 14 Sep 2026.

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