Early Alzheimer´s DiseasePhase 3EVOKE PlusNCT04777409
A Research Study Investigating Semaglutide in People With Early Alzheimer's Disease (EVOKE Plus)
A Phase 3 study testing Semaglutide in people with Early Alzheimer´s Disease, run by Novo Nordisk A/S at 498 sites in 38 countries.
Trial summary
This study is done to find out whether the medicine, semaglutide, has a positive effect on early Alzheimer's disease. Participants will either get semaglutide or placebo (a "dummy" medicine which does not contain any study medicine) - which treatment participants get is decided by an equal chance. Read more about this study
- Who is it for?
- Ages 55 to 85 years
- Conditions the study is for
- Early Alzheimer´s Disease
- What is being tested?
- Semaglutide
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,840 participants
- Where
- 498 sitesin 38 countries
- Study dates
- 18 May 2021to 30 Jan 2026
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 55 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female, aged 55-85 years (both inclusive) at the time of signing informed consent.
- MCI (mild cognitive impairment) or mild dementia of the Alzheimer's type according to the NIA-AA (National Institute of Aging-Alzheimer's Association) 2018 criteria.
- CDR (Clinical Dementia Rating) global score of 0.5 and CDR of 0.5 or more in at least one of the three instrumental activities of daily living categories (personal care, home \& hobbies, community affairs) Or CDR global score of 1.0
- RBANS (Repeatable Battery for the Assessment of Neuropsychological Status) delayed memory index score of below or equal to (≤) 85
- MMSE (Mini-Mental State Examination) greater than or equal to (≥) 22
- Amyloid positivity established with either amyloid PET (positron emission tomography), CSF (cerebrospinal fluid) Aβ1-42 or CSF Aβ1-42/Aβ1-40.
- If receiving an approved Alzheimer's disease treatment (such as acetylcholinesterase inhibitors, memantine or aducanumab) the dose must have been stable for at least 3 months prior to screening and should not be changed during the study unless medically necessary.
Who cannot join
- Brain Magnetic resonance imaging (MRI) (or Computed Tomography (CT)) scan suggestive of clinically significant structural CNS (central nervous system) disease confirmed by central read (e.g. cerebral large-vessel disease [large vessel (cortical) infarcts greater than (>) 10 milimeter (mm) in diameter], prior macro-haemorrhage [greater than 1 cubic centimetre (cm^3)], cerebral vascular malformations, cortical hemosiderosis, intracranial aneurism(s), intracranial tumours, changes suggestive of normal pressure hydrocephalus).
- Brain MRI (or CT) scan suggestive of strategic infarcts defined as bilateral thalamic lacunar infarcts and singular paramedian thalamic infarcts confirmed by central read.
- Evidence of a relevant neurological disorder other than mild cognitive impairment (MCI) or mild dementia of the Alzheimer's type at screening, including but not limited to Parkinson's disease, Lewy body disease, frontotemporal dementia of any type, Huntington's disease, amyotrophic lateral sclerosis, multiple sclerosis, systemic lupus erythematosus, progressive supranuclear palsy, neurosyphilis, human immunodeficiency virus (HIV), learning disability, intellectual disability, hypoxic cerebral damage, or significant head trauma with loss of consciousness that led to persistent cognitive deficits.
- Evidence of a clinically relevant or unstable psychiatric disorder, based on Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria, including schizophrenia or other psychotic disorder, or bipolar disorder. A participant with a history of major depression who has not had an episode in the last 24 months before the day of screening and is considered in remission or whose depression is controlled with treatment can be included in the study per investigator's judgement.
Trial locations and contacts
498 sites in 38 countries.
498 sites in 38 countries
United States107 sites
Albuquerque neuroscience Inc
Albuquerque, New Mexico, 87109
Advanced Research Center, Inc.
Anaheim, California, 92805
Topaz Clinical Research
Apopka, Florida, 32703
JEM Research Institute
Atlantis, Florida, 33462
Texas Diabetes & Endocrinology
Austin, Texas, 78749
Visionary Investigators Network
Aventura, Florida, 33180
Northern Light Eastern Maine Medical Center
Bangor, Maine, 04401
Mountain Neurological Research Center, Inc.
Basalt, Colorado, 81621
Memory Clinic, Inc
Bennington, Vermont, 05201
SPRI Clinical Trials, LLC
Brooklyn, New York, 11235
NeuroScience Research Center, LLC
Canton, Ohio, 44718
Valley Medical Primary Care
Centerville, Ohio, 45459
Lowcountry Center for Vet Res
Charleston, South Carolina, 29403
New Hope Clinical Research
Charlotte, North Carolina, 28211
K2 Medical Research - Winter Garden
Clermont, Florida, 34711
Neurology Consultants of Dallas
Dallas, Texas, 75243
Nuvance Health, Associtd Neuro
Danbury, Connecticut, 06810
iResearch Atlanta, LLC
Decatur, Georgia, 30030
Brain Matters Research
Delray Beach, Florida, 33445
Denver Neurological Research
Denver, Colorado, 80210
Mile High Research Center
Denver, Colorado, 80218
Integrity Clinical Research, LLC
Doral, Florida, 33122
Yale University
Fairfield, Connecticut, 06824
Integrated Neurology Services
Falls Church, Virginia, 22043
Neuropsychiatric Research Cent
Fort Myers, Florida, 33912
Finlay Medical Research Group
Greenacres City, Florida, 33467
Hattiesburg Clinic
Hattiesburg, Mississippi, 39401
Indago Research & Health Center Inc.
Hialeah, Florida, 33012
Hlth Cr Family Rehab & Res Ctr
Hialeah, Florida, 33015
Galiz Research
Hialeah, Florida, 33016
Hawaii Neuroscience, Memory Disorders Center
Honolulu, Hawaii, 96817
Balyor College of Medicine
Houston, Texas, 77030
Univ Of Texas Hlth Science Cntr
Houston, Texas, 77054
Insight Clinical Trials LLC
Independence, Ohio, 44131
Josephson Wallack Munshower
Indianapolis, Indiana, 46256
The Clinical Trial Center
Jenkintown, Pennsylvania, 19046
Mt. Olympus Medical Research
Katy, Texas, 77450
Booth Gardner Parkinson's Cre
Kirkland, Washington, 98034
Genesis Neuroscience Clinic
Knoxville, Tennessee, 37909
K2 The Villages
Lady Lake, Florida, 32159
Neurological Assoc Long Island
Lake Success, New York, 11042
Cleveland Clinic_Lakewood
Lakewood, Ohio, 44107
Altea Research Institute
Las Vegas, Nevada, 89102
Wr-Crcn, Llc
Las Vegas, Nevada, 89106
University of Kentucky_Lexington_0
Lexington, Kentucky, 40504
Torrance Clin Res Inst, Inc.
Lomita, California, 90717
ASCLEPES Research Centers,
Long Beach, California, 90807
Cedars-Sinai Medical Center
Los Angeles, California, 90048
UCLA_Los Angeles
Los Angeles, California, 90095
K2 Medical Research, Maitland
Maitland, Florida, 32751
Feinstein Institute for Medical Research
Manhasset, New York, 11030
AMC Research, LLC
Matthews, North Carolina, 28105
Suburban Research Associates
Media, Pennsylvania, 19063
Velocity Clinical Research, Meridian
Meridian, Idaho, 83642
Velocity Clinical Research
Meridian, Idaho, 83642
ActivMed Practice & Research LLC
Methuen, Massachusetts, 01844
Hlth Cr Family Rehab & Res Ctr
Miami, Florida, 33015
Premier Clin Res Inst, Inc.
Miami, Florida, 33122
Premier Clinical Research Institute, Inc.
Miami, Florida, 33122
Central Miami Medical Institute
Miami, Florida, 33125
Novel Clinical Research Center, LLC
Miami, Florida, 33173
IMIC, Inc- Medical Research
Miami, Florida, 33176
The Neurology Research Group
Miami, Florida, 33176
Visionary Inv Ntwrk_Miami
Miami, Florida, 33176
Patient First MD,clinical Trials
Middletown, New Jersey, 07748
Aqualane Clinical Research
Naples, Florida, 34105
Vanderbilt Medical Center
Nashville, Tennessee, 37212
Suncoast Clin Res Port Richey
New Port Richey, Florida, 34652
Suncoast Clinical Research, Inc._New Port Richey
New Port Richey, Florida, 34652
NYU Grossman School of Med
New York, New York, 10016
Wr-Pri, Llc
Newport Beach, California, 92660
Research Center for Clinical Studies, Inc
Norwalk, Connecticut, 06851
K2 Medical Research - Winter Garden
Ocoee, Florida, 34761
Combined Research Orlando Phase I-IV
Orlando, Florida, 32807
Headlands Research Orlando
Orlando, Florida, 32819
Advanced Research Consultants, Inc.
Palm Beach Gardens, Florida, 33410
Well Care Medical Center
Panorama City, California, 91402
Cedars-Sinai Medical Center
Pasadena, California, 90048
Bronson Lakeview Neurobehavioral Health
Paw Paw, Michigan, 49079
Banner Alzheimer's Institute
Phoenix, Arizona, 85006
Coastal Neurology
Port Royal, South Carolina, 29935
Summit Research Network Oregon Inc.
Portland, Oregon, 97210
Neural Net Research, LLC
Portland, Oregon, 97225
HealthPartners Center for Memory and Aging
Saint Paul, Minnesota, 55130
Glenn Biggs Inst-Alzhm Neuro
San Antonio, Texas, 78229
Sharp Neurocog Res Ctr
San Diego, California, 92123
Syrentis Clinical Research
Santa Ana, California, 92705
Intercoastal Medical Group
Sarasota, Florida, 34239
The Roskamp Institute, Inc.
Sarasota, Florida, 34243
Imaging Endpoints
Scottsdale, Arizona, 85258
Harborview Medical Center
Seattle, Washington, 98104
Calfornia Neurosc Resrch Med
Sherman Oaks, California, 91403
Southern California Research LLC
Simi Valley, California, 93065
Richmond Behavioral Associates
Staten Island, New York, 10314
Brain Matters Resrch Kane Cntr
Stuart, Florida, 34997
Shirzadi Shahin, MD
Sugar Land, Texas, 77478
Palmetto Clinical Research
Summerville, South Carolina, 29485
Banner Sun Health Research Institute
Sun City, Arizona, 85351
SUNY Upstate Medical University_Syracuse
Syracuse, New York, 13210
Axiom Clinical Research of Florida
Tampa, Florida, 33609
Stedman Clinical Trials LLC
Tampa, Florida, 33613
Advanced Memory Research Institute of NJ
Toms River, New Jersey, 08755
Cotton-O'Neil Clinical Research Center
Topeka, Kansas, 66606
Tucson Neuroscience Research
Tucson, Arizona, 85710
Central States Research, LLC
Tulsa, Oklahoma, 74136
Palm Beach Neuro Premiere Res
West Palm Beach, Florida, 33407
Conquest Research
Winter Park, Florida, 32789
Japan63 sites
Iwaki Clinic_Psychosomatic medicine
Anan, Tokushima, 774-0014
Yachiyo Hospital_Neurology
Anjo-shi, Aichi, 446-8510
Abe Clinic
Arakawa-ku,Tokyo, 116-0014
Memory Clinic Ochanomizu
Bunkyo-ku, Tokyo, 113-0034
Institute of Science Tokyo Hospital_ Neurology
Bunkyo-ku,Tokyo, 113-8519
Tokyo Medical And Dental University Hospital
Bunkyo-ku,Tokyo, 113-8519
Kashiwado Hospital_Neurology
Chib-shi, Chiba, 260-8656
Kashiwado Hospital
Chib-shi, Chiba, 260-8656
Enomoto Internal Medicine Clinic
Chofu-shi,Tokyo, 182-0036
Shinozuka Hospital_Neurology
Fujioka-Shi, Gunma, 375-0017
P-one Clinic
Hachioji-shi, Tokyo, 192-0071
National Hospital Organization Tenryu Hospital_Neurology
Hamamatsu-shi, Shizuoka, 434-8511
National Hospital Organization Tenryu Hospital
Hamamatsu-shi, Shizuoka, 434-8511
Hyogo Prefectural HarimaHimeji General Medical Center_Dept. of Aging Brain&Cognitive
Himeji-shi, Hyogo, 670-8560
Tsukazaki Hospital_Department of Neurology
Himeji-shi, Hyogo, 671-1227
Himeji Central Hospital Clinic_neurology
Himeji-shi, Hyogo, 672-8043
Hatsuta Neurology Clinic
Hirakata-Shi,Osaka, 573-1121
Imon Yukari Neurology Clinic
Hiroshima-shi, Hiroshima, 732-0066
Hikaru-kai Medical Corporation Hiroshima Neurology Clinic
Hiroshima-shi, Hiroshima, 732-0822
Hiroshima Neurology Clinic
Hiroshima-shi, Hiroshima, 732-0822
Nagamitsu Clinic
Hofu-shi, Yamaguchi, 747-0802
Ina Central Hospital_Neurology
Ina-shi, Nagano, 396-8555
Ina Central Hospital
Ina-shi, Nagano, 396-8555
Kawasaki Saiwai Clinic_Internal Medicine
Kanagawa, 212-0016
Kishiro Mental Clinic
Kawasaki-shi , Kanagawa, 214-0014
Koukan Clinic
Kawasaki-shi, Kanagawa, 210-0852
Teikyo Univ. HP, Mizonokuchi_Neurosurgery
Kawasaki-shi, Kanagawa, 213-8507
Teikyo University Hospital, Mizonokuchi_Kawasaki-shi, Kanagawa
Kawasaki-shi, Kanagawa, 213-8507
Kobe University Hospital_Neurology
Kobe-shi, Hyogo, 650-0017
Kobe University Hospital_Radiology
Kobe-shi, Hyogo, 650-0017
National Center of Neurology and Psychiatry_Neurology
Kodaira-shi, Tokyo, 187-8551
Southern Tohoku Medical Clinic
Koriyama-shi, Fukushima, 963-8052
Katayama Medical Clinic
Kurashiki-shi, Okayama, 710-0813
Nozomi Memory Clinic
Mitaka-shi,Tokyo, 181-0013
Kikukawa clinic
Nerima-ku, Tokyo, 179-0072
General Rehabilitation Center Midori Hospital_Neurology
Niigata-shi, Niigata, 950-0983
General Rehabilitation Center · Midori Hospital
Niigata-shi, Niigata, 950-0983
National Center for Geriatrics and Gerontology_Comprehensive care
Obu-shi, Aichi, 474-8511
OKAYAMA KYOKUTO HOSPITAL_Radiology
Okayama-shi, Okayama, 703-8265
Jichiidai Station Brain Clinic
Shimotsuke-shi, Tochigi, 329-0403
Jichiidai Station Brain Clinic
Shimotsuke-shi, Tochigi
ALZCLINIC PET LAB_Radiology
Shinjuku-ku, Tokyo, 160-0017
Keio University Hospital_Neurology
Shinjuku-ku, Tokyo, 160-8582
Keio University Hospital
Shinjuku-ku, Tokyo, 160-8582
Shizuoka City Shimizu Hospital_Neurology
Shizuoka-shi, Shizuoka, 424-8636
Kagawa Prefectural Central Hospital_Neurology
Takamatsu-shi, Kagawa, 760-8557
Kagawa Prefectural Central Hospital_Takamatsu-shi, Kagawa
Takamatsu-shi, Kagawa, 760-8557
Takatsuki General Hospital_Neurology
Takatsuki-Shi, Osaka, 569-1192
Saino Clinic_Internal Medicine
Tokorozawa-shi,Saitama, 359-1141
Saino Clinic
Tokorozawa-shi,Saitama, 359-1141
Itsuki Hospital_Neurology
Tokushima-shi, Tokushima, 770-0852
Alzclinic Tokyo
Tokyo, 100-0005
Tokyo Center Clinic
Tokyo, 103-0028
Juntendo Tokyo Koto Geriatric Medical Center_psychiatry
Tokyo, 136-0075
Juntendo Tokyo Koto Geriatric Medical Center
Tokyo, 136-0075
Kurumi CLINIC
Tokyo, 156-0041
ALZCLINIC PET LAB_Psychiatry
Tokyo, 160-0017
Tokyo Medical Univ. Hospital_Geriatric Medicine
Tokyo, 160-0023
Tokyo Medical Univ. Hospital
Tokyo, 160-0023
Memory Clinic Toride
Toride-shi, Ibaraki, 302-0004
MI Clinic
Toyonaka-shi, Osaka, 560-0004
Medical Corporation Midorikai Wako Hospital_Psychiatry
Wako-shi, Saitama, 351-0111
Yuaikai Yuai Clinic
Yokohama-shi, Kanagawa, 223-0059
China36 sites
Baogang Hospital of Inner Mongolia-Neurology
Baotou, Inner Mongolia, 014010
Beijing Chao-Yang Hospital, Capital Medical University-Neuro
Beijing, Beijing Municipality, 100020
Beijing Friendship Hospital, Capital Medical University-Neurology
Beijing, Beijing Municipality, 100050
Beijing Hospital-Neurology
Beijing, Beijing Municipality, 100050
Xuanwu Hospital Capital Medical University-Neurology
Beijing, Beijing Municipality, 100053
Beijing Tiantan Hospital, Capital Medical University-Neurology Center
Beijing, Beijing Municipality, 100070
Beijing Anding Hospital Capital Medical University-Geriatric Psychiatry
Beijing, Beijing Municipality, 100088
Peking University Sixth Hospital-Geriatrics
Beijing, Beijing Municipality, 100089
Beijing Huilongguan Hospital-Geriatrics
Beijing, Beijing Municipality, 100096
Peking Union Medical College Hospital-Neurology
Beijing, Beijing Municipality, 100730
The first Bethune Hospital of Jilin University, Neurology
Changchun, Jilin, 130031
The First Bethune Hospital of Jilin University-Neurology
Changchun, Jilin, 130031
Xiangya Hospital Central South University-Neurology
Changsha, Hunan, 410008
West China Hospital Sichuan University-Mental health center
Chengdu, Sichuan, 610041
The First Affiliated Hospital of Chongqing Medical University-Geriatrics
Chongqing, Chongqing Municipality, 400016
Fujian Medical University Union Hospital-Neurology
Fuzhou, Fujian, 350001
Sun Yat-sen Memorial Hospital, Sun Yat-sen University-Neurology
Guangzhou, Guangdong, 510120
Guangzhou First People's Hospital-Neurology
Guangzhou, Guangdong, 510180
The Second Affiliated Hospital of Guangzhou Medical University-Neurology
Guangzhou, Guangdong, 510260
The Affiliated Brain Hospital of Guangzhou Medical University-Neurology
Guangzhou, Guangdong, 510370
The First Affiliated Hospital of Zhejiang University School of Medicine-Neurology
Hangzhou, Zhejiang, 310003
The Second Affiliated Hospital of Nanchang University-Neurol
Nanchang, Jiangxi, 330006
Nanjing Brain Hospital-Neurology
Nanjing, Jiangsu, 210000
Nanjing Drum Tower Hospital-Neurology
Nanjing, Jiangsu, 210008
Zhongda Hospital Southeast University-Nephrology
Nanjing, Jiangsu, 210009
Huashan Hospital Fudan University-Neurology
Shanghai, Shanghai Municipality, 200040
Dongfang Hospital Affiliated to Shanghai Tongji University-Neurology
Shanghai, Shanghai Municipality, 200123
Shanghai 6th People's Hosp. Affili. to SHJT Univer-Neurology
Shanghai, Shanghai Municipality, 200233
Shanghai Sixth People's Hospital Affiliated to Shanghai JiaoTong University-Neurology
Shanghai, Shanghai Municipality, 200233
Tianjin Medical University General Hospital-Neurology
Tianjin, Tianjin Municipality, 300052
Tianjin Huanhu Hospital-Neurology
Tianjin, Tianjin Municipality, 300350
Wuxi Mental Health Center-Psychiatry
Wuxi, Jiangsu, 214000
Wuxi Mental Health Center
Wuxi, Jiangsu, Psychiatry
Qinghai Provincial People's Hospital-Geriatrics
Xining, Qinghai, 810007
Northern Jiangsu People's Hospital-Neurology
Yangzhou, Jiangsu, 225001
Henan Provincial People's Hospital-Neurology
Zhengzhou, Henan, 450003
Canada20 sites
MoCA Research Innovation Inc
Greenfield Park, Quebec, J4V 2J2
True North Clinical Research - Halifax
Halifax, Nova Scotia, B3S 1N2
OCT Research ULC (dba Okanagan Clinical Trials)
Kelowna, British Columbia, V1Y 1Z9
Douglas Hosp Res Ctr
Montreal, Quebec, H4H 1R3
True North Clinical Research - New Minas
New Minas, Nova Scotia, B4N 3R7
Medical Arts Health Research Group
North Vancouver, British Columbia, V7P 2T4
Ottawa Memory Clinic
Ottawa, Ontario, K1Z 1G3
Recherches Neuro-Hippocampe Inc
Ottowa, Ontario, K1Z 1G3
Medical Arts Health Research Group_Kelowna
Penticton, British Columbia, V2A 5L5
Kawartha Centre Redefining Healthy Aging
Peterborough, Ontario, K9H2P4
CHU de Quebec-Universite Laval
Québec, Quebec, G1J 1Z4
Diex Recherche Sherbrooke
Sherbrooke, Quebec, J1L 0H8
Memory Program
Toronto, Ontario, M3B2S7
Centricity Research LMC (Toronto)
Toronto, Ontario, M4G 3E8
Centricity Research LMC
Toronto, Ontario, M4G 3E8
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
St. Michael's Hospital
Toronto, Ontario, M5B 1W8
St. Michael's Hospital
Toronto, Ontario, M5B 1X1
University Health Network
Toronto, Ontario, M5T 2S8
Island Health (Research and Capacity Building)
Victoria, British Columbia, V8R 1J8
Russia18 sites
SAI of Health "Interregional Clinic Diagnostic Center"
Kazan', 420101
SAHI Kuzbass Hospital(former Regional clinical hospital)
Kemerovo, 650066
Federal Siberian Research Clinical Center under FMBA of Rus
Krasnoyarsk, 660037
FSBI "Mental Health Research Center"
Moscow, 115522
FSAEI 1st Moscow Federal Med University na Sechenov
Moscow, 119021
RMAPE
Moscow, 125373
Pirogov Russian National Research Medical University MoH
Moscow, 129226
Ezramed Clinic Llc
Omsk, 644043
Research Center for Treatment and Rehabilitation "Phoenix"
Rostov-on-Don, 344000
Psychiatric hospital of st. Nicholas the wonderworker
Saint Petersburg, 190121
N.-E. State Medical University n.a. Mechnikov
Saint Petersburg, 191015
S.M. Kirov Military Medical Academy,Depart.&Clinic Nerv Dis
Saint Petersburg, 194044
SHI "Saratov City Clinical Hospital #2 n.a. V.Razumovskij"
Saratov, 410028
Center of Clinica Trials "Nebbiolo"
Tomsk, 634009
LLC "Clinic Stolet"
Tomsk, 634009
National medical holdiNational medical holding "Medstandard"
Ufa, 450054
SAHI SR "Sverdlovsk Regional Clinical Psychiatric Hospital"
Yekaterinburg, 620030
Joint Stock Company "Medical technologies"
Yekaterinburg, 620075
United Kingdom16 sites
Royal Cornhill Hospital
Aberdeen, AB25 2ZH
RICE - The Research Institute for the Care of Older People
Bath, BA1 3NG
Fritchie Centre
Cheltenham, Gloucestershire, GL53 9DZ
Dementia Research Unit,
Crowborough, TN6 1NY
Dementia Research Unit
Crowborough, TN6 1NY
Ninewells Hospital
Dundee, DD1 9SY
Western General Hospital
Edinburgh, EH4 2XU
St Pancras Clinical Research
London, EC2Y 8EA
St Georges Hospital
London, SW17 0RE
Imperial College London - Imperial College Memory Research Centre
London, W12 0HS
Greater Manchester Mental Health NHS Foundation Trust
Manchester, M13 9WL
NeuroClin
Motherwell, ML1 4UF
Newcastle University
Newcastle upon Tyne, NE4 5PL
Warneford Hospital
Oxford, OX3 7JX
Moorgreen Hospital
Southampton, SO30 3JB
Kings Hill Research Centre
Swindon, SN3 6BW
France15 sites
Centre Hospitalier Universitaire de Bordeaux-Hopital Pellegrin
Bordeaux, 33000
Hospices Civils de Lyon-Hopital Pierre Wertheimer
Bron, 69500
Centre Hospitalier Universitaire de Dijon-Hopital Le Bocage
Dijon, 21000
Centre Hospitalier Universitaire de Lille-Hopital Roger Salengro
Lille, 59037
Centre Hospitalier Et Universitaire de Limoges-Hopital Dupuytren
Limoges, 87042
Assistance Publique Hopitaux de Marseille-Hopital de La Timone
Marseille, 13005
Centre Hospitalier Universitaire de Nice-Institut Claude Pompidou
Nice, 06100
Aphp-Hopital Lariboisiere-1
Paris, 75010
Aphp-Hopital Lariboisiere
Paris, 75010
Aphp-Hopital La Pitie Salpetriere-3
Paris, 75013
Chu de Reims-Hopital Maison Blanche
Reims, 51092
Centre Hospitalier Universitaire de Nantes-Hopital Nord Laennec-2
Saint-Herblain, 44800
Les Hopitaux Universitaires de Strasbourg-Hopital de La Robertsau
Strasbourg, 67000
Centre Hospitalier Universitaire de Toulouse-Hopital La Grave
Toulouse, 31300
Hospices Civils de Lyon-Hopital Des Charpennes
Villeurbanne, 69100
Italy14 sites
AOU Ospedali Riuniti S.O.D
Ancona, 60126
Azienda Ospedaliera Spedali Civili di Brescia
Brescia, 25123
Università degli studi G. D'Annunzio di Chieti - CAST - Neurologia
Chieti, 66100
AOU Careggi Firenze
Florence, 50134
Fondazione IRCSS Ca' Granda Ospedale Maggiore Policlinico
Milan, 20122
IRCCS Ospedale San Raffaele Milano
Milan, 20132
ASST Monza e Brianza Ospedale San Gerardo
Monza, 20900
Ospedale Santa Maria della Misericordia
Perugia, 06129
Azienda Ospedaliero Universitaria Pisana
Pisa, 56126
Pol. Uni. Campus Biomedico UOC Neurologia
Roma, 00128
Policlinico Tor Vergata
Roma, 00133
Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Neuroscienze, Organi di Senso e Torace
Roma, 00168
Fondazione Santa Lucia IRCCS
Roma, 00179
AOU Città della Salute e della Scienza di Torino
Torino, 10126
Poland14 sites
Centrum Medyczne Neuromed
Bydgoszcz, 85-163
Centrum Zdrowia Psychicznego Biomed
Kielce, 25-411
Linden sp. z o.o. sp. k.
Krakow, Lesser Poland Voivodeship, 30-721
Szpital Uniwersytecki w Krakowie od. Neurologii
Krakow, 30-688
Centrum Neurologii Klinicznej
Krakow, 31-505
Indywidualna Praktyka Lekarska prof. Konrad Rejdak
Lublin, Lublin Voivodeship, 20-016
Nzoz Neuromed
Lublin, 20-818
Instytut Zdrowia Dr Boczarska-Jedynak Sp. z o.o. Sp. k.
Oświęcim, 32-600
NZOZ NEURO - KARD Ilkowski i Partnerzy Sp. Part. Lekarzy
Poznan, 61-853
Osrodek Alzheimerowski Sp. z o.o.
Ścinawa, 59-330
Centrum Medyczne SENIOR
Sopot, 81-855
Centrum Medyczne Neuro Protect
Warsaw, 01-684
NZOZ Wroclawskie Centrum Alzheimerowskie
Wroclaw, 53-659
NZOZ Wrocławskie Centrum Alzheimerowskie
Wroclaw, 53-659
South Korea14 sites
Dong-A University Hospital
Busan, 49201
Chungnam National University Hospital
Daejeon, 35015
MyongJi Hospital
Goyang-si, Gyeonggi-do, 10475
Chonnam National University Hospital
Gwangju, 61469
Seoul National University Bundang Hospital
Gyeonggi-do, 13620
Gachon University Gil Medical Center
Incheon, 21565
Inha University Hospital
Incheon, 22332
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Hanyang University Medical Center
Seoul, 04763
Hanyang university seoul hospital
Seoul, 04763
Konkuk University Medical Center
Seoul, 05030
Asan Medical Center
Seoul, 05505
Samsung Medical Center_Seoul
Seoul, 06351
Ewha Womans University Seoul Hospital
Seoul, 07804
Hungary12 sites
Clinexpert Egészségügyi Szolgáltató és Kereskedelmi Kft.
Budapest, 1033
Semmelweis Egyetem ÁOK
Budapest, 1083
DE Kenézy Gyula Campus, Pszichiátriai és Pszichoterápiai Klinika
Debrecen, 4031
DE Gyógyszerfejlesztési Koordinációs Központ Pszichiátria
Debrecen, 4032
Bugát Pál Kórház
Gyöngyös, 3200
Petz Aladar Megyei Korhaz
Győr, 9024
Petz Aladar Megyei Oktato Korhaz
Győr, 9024
DR. MÁTHÉ ÉS TÁRSA Egészségügyi és Szolgáltató Betéti Társaság
Kalocsa, 6300
Somogy Megyei Kaposi Mór Oktató Kórház
Kaposvár, 7400
Psychotech Kft.
Pécs, 7633
Szent Borbála Kórház
Tatabánya, 2800
Belvárosi Egészségház Kft.
Zalaegerszeg, 8900
Turkey (Türkiye)12 sites
Hacettepe University Medical Faculty Hospital
Altindag/Ankara, 06230
Hacettepe Üniversitesi Hastanesi- Nöroloji
Altindag/Ankara, 06230
Dokuz Eylül Üniversitesi Araştırma Uygulama Hastanesi- Nöroloji
Balcova / Izmir, 35330
Eskisehir Osmangazi University Sağlık Uygulama ve Arastirma
Eskişehir, 26040
Eskişehir Osmangazi Üniversitesi Hastanesi- Nöroloji
Eskişehir, 26040
Istanbul Bezmi Alem Vakif University Tip Faculty Hospital
Istanbul, 34093
Istanbul University Medical Faculty Neurology Department
Istanbul, 34093
İstanbul Üniversitesi İstanbul Tıp Fakültesi Hastanesi- Nöroloji
Istanbul, 34093
Izmir Economics University Medical Point Hospital Neurology D
Izmir, 35575
İzmir Ekonomi Üniversitesi Medicalpoint Hastanesi-Nöroloji
Izmir, 35575
Ondokuz Mayis University Saglik Uygulama ve Arastirma Merkez
Samsun, 55200
Ondokuz Mayıs Üniversitesi Hastanesi- Nöroloji
Samsun, 55200
Taiwan11 sites
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
Chang Gung Memorial Hospital - Kaohsiung Branch
Kaohsiung City, 833
Chang Gung Memorial Hospital - Kaoshiung Branch
Kaohsiung City, 833
China Medical University Hospital
Taichung, 404
National Cheng Kung University Hospital
Tainan, 704302
National Cheng Kung University Hospital
Tainan, 704
National Taiwan University Hospital_main
Taipei, 100
Taipei Veteran General Hospital_Dept of Neurology
Taipei, 112
Taipei Veteran General Hospital
Taipei, 112
Chang Gung Memorial Hospital, Linkou
Taoyuan, 333
Chang Gung Memorial Hospital Linkou
Taoyuan City, 333
Australia10 sites
The Prince Charles Hospital
Chermside, Queensland, 4032
St Vincent's Hospital
Darlinghurst, New South Wales, 2010
HammondCare Greenwich
Greenwich, New South Wales, 2065
Medical and Cognitive Research Unit - Austin Health
Ivanhoe, Victoria, 3079
Southern Neurology
Kogarah, New South Wales, 2217
KaRa Institute of Neurological Disease Pty Ltd
Macquarie Park, New South Wales, 2113
HammondCare
Malvern, Victoria, 3144
Alzheimer's Research Australia
Nedlands, Western Australia, 6009
Australian Alzheimer's Research Foundation Incorporated
Nedlands, Western Australia, 6009
Hunter New England Local Health District - Neuropsychiatry
Waratah, New South Wales, 2298
Brazil10 sites
Hospital das Clínicas - Universidade Federal de Minas Gerais
Belo Horizonte, Minas Gerais, 30130-100
L2 IP Instituto de Pesquisas Clinicas Ltda
Brasília, Federal District, 70200730
Instituto de Neurologia de Curitiba
Curitiba, Paraná, 81210-310
Clinica Clinilive Ltda
Maringá, Paraná, 87013-250
Núcleo de Pesquisa Clínica do Rio Grande do Sul Ltda.
Porto Alegre, Rio Grande do Sul, 90430-001
Centro de Psiquiatria Sandra Rushel
Rio de Janeiro, 22270-060
CPQuali Pesquisa Clínica Ltda
São Paulo, São Paulo, 01228-000
BR Trials - Ensaios Clínicos e Consultoria Ltda.
São Paulo, São Paulo, 01236-030
Assoc. Paulista para o Desenvolvimento da Medicina - UNIFESP
São Paulo, São Paulo, 04024-002
Sociedade Beneficente Israelita Bras Hosp Albert Einstein
São Paulo, São Paulo, 05652-900
Greece10 sites
Naval Hospital of Athens - Neurology Department
Athens, 11521
Henry Dunant Hospital Center,2nd Neurological Department
Athens, 11526
Aiginitio Hospital, 1st Neurology Clinic
Athens, 11528
"Hygeia" General Hospital of Athens, Memory clinic
Athens, 15123
Naval Hospital of Athens
Athens, GR-11521
Aiginitio Hospital, 1st Neurology Clinic
Athens, GR-11528
University General Hospital of Athens "Attiko"
Chaidari, Athens, GR-12462
Iatriko Athinon (Athens Medical Center),Memory Disorders Cli
Marousi, 15125
AHEPA General University Hospital
Thessaloniki, 54636
EUROMEDICA General Clinic of Thessaloniki,Neurology Dpt
Thessaloniki, 54643
Romania10 sites
Sana Monitoring SRL
Bucharest, 011025
Institutul Clinic Fundeni
Bucharest, 022328
Spitalul Clinic Cai Ferate Constanta
Constanța, 900123
Spitalul Clinic Judetean De Urgenta Sfantul Apostol Andrei Constanta
Constanța, 900591
Med Anima Iasi
Iași, 700004
CMI Dr. Buhaș Ramocea Elena Daniela - Cabinet Medical de Psihiarie
Oradea, 410027
Aria Clinic SRL
Sibiu, 550052
Spitalul Clinic Judetean de Urgenta Targu Mures
Târgu Mureş, Mureș County, 540136
CMI Neurologie Dr Popa Izabela
Timișoara, Timiș County, 300766
Centrul Medical Neuro Therapy
Timișoara, 300416
Ukraine10 sites
Chernivtsi Emergency Hospital - Center of Emergency Neurology
Chernivtsi, 58023
Medical Center 'Neiron'
Kharkiv, 61091
Medical Centre 'Neiron'
Kharkiv, 61091
Chebotarev Institute of Gerontology of NAMSU - Age Physiology and Pathology department
Kyiv, 04114
Volyn Regional Clinical Hospital - Neurology department
Lutsk, 43000
Main Unit of 'Odesa Regional Medical Centre for Mental Health' - Department 18
Odesa, 65031
Odesa Regional Medical Center for Mental Health
Odesa, 65031
Sumy Regional Clinical Hospital - Neurology department
Sumy, 40000
Medical Centre 'SALUTEM' - Medical and preventive care department
Vinnytsia, 21050
Zaporizhia Regional Clinical Hospital - Department of neurology No. 1
Zaporizhzhya, 69600
Portugal8 sites
ULS De Braga, E.P.E. - Hospital de Braga
Braga, 4710-243
Unidade De Coimbra, E.P.E. - Hospital da Universidade de Coimbra
Coimbra, 3000-561
ULS Do Alto Ave, E.P.E. - Hospital Senhora da Oliveira - Guimarães
Guimarães, 4835-044
ULS De Lisboa Ocidental E.P.E. - Hospital Egas Moniz
Lisbon, 1349-019
Hospital Beatriz Ângelo
Loures, 2674-514
ULS De Santo António, E.P.E. - Hospital de Santo António
Porto, 4099-001
ULS De Matosinhos E.P.E.- Hospital Pedro Hispano
Senhora Da Hora, Matosinhos, Matosinhos, 4464-513
Campus Neurologico Senior (CNS) Saude Lda
Torres Vedras, 2560-280
Spain8 sites
Hospital de la Santa Creu i Sant Pau
Barcelona, 08025
Fundación ACE
Barcelona, 08028
Hospital Ramón y Cajal
Madrid, 28034
Hospital 12 de Octubre
Madrid, 28041
H.U. Quirónsalud Madrid
Pozuelo de Alarcón, 28223
Hospital Universitari General de Catalunya
Sant Cugat del Vallès, 08195
Hospital Universitario Marqués de Valdecilla
Santander, 39008
Hospital Universitario Doctor Peset
Valencia, 46017
Argentina7 sites
Instituto de Investigaciones Metabolicas (IDIM)
Buenos Aires, C1012AAR
Hospital Italiano
Buenos Aires, C1181ACH
Clínica Nuestra Señora de las Nieves
CABA, 1427
FLENI
CABA, 1428
Instituto Medico Especializado_Capital Federal
Ciudad de Buenos Aires, Buenos Aires, C1405CWB
Instituto Privado Kremer
Córdoba, X5004AOA
Fundación Scherbovsky
Mendoza, 5500
South Africa7 sites
IATROS International
Bloemfontein, Free State, 9301
ACF Neurological service
Cape Town, Western Cape, 7405
Flexivest Fourteen Research Centre
Cape Town, Western Cape, 7550
Cape Trial Centre
Cape Town, Western Cape, 7560
Excellentis Clinical Trial Consultants
George, Eastern Cape, 6529
Dr Stanley Lipschitz Clinic Inc
Johannesburg, Gauteng, 2196
Denmar Psychiatric Hospital
Pretoria, Gauteng, 0042
Belgium6 sites
AZ Sint-Jan - Campus Sint-Jan - Neurology
Bruges, 8000
UZA - UZ Antwerpen - Department of Neurology
Edegem, 2650
UZ Gent - Neurologie
Ghent, 9000
AZ Groeninge - Kortrijk - Neurologie
Kortrijk, 8500
UZ Leuven - Geheugenkliniek
Leuven, 3000
Clinique CHC MontLégia - Service Neurologie
Liège, 4000
Bulgaria6 sites
"MHATNP "Sv. Naum"" EAD
Sofia, 1113
MHATNP Sveti Naum EAD
Sofia, 1113
DCC Sv. Vrach and Sv. Sv. Kuzma and Damyan OOD, Psychiatry
Sofia, 1408
UMHAT Aleksandrovska EAD, Clinic of Neurology
Sofia, 1431
MMA MHAT - Sofia, Neurology clinic
Sofia, 1606
MMA, MHAT-Sofia, Neurology clinic
Sofia, 1606
Czechia6 sites
Neuro Health Centrum s.r.o.
Brno-Líšeň, 628 00
NeuroHK s.r.o.
Choceň, 565 01
AGE Centrum
Olomouc, 77900
AD71 s.r.o.
Prague, 109 00
Neuropsychiatrie s.r.o.
Prague, 160 00
Vestra Clinics s.r.o.
Rychnov nad Kněžnou, 51601
Austria5 sites
Universitätsklinik für Neurologie
Graz, 8036
LKH-Univ. Kliniken Innsbruck
Innsbruck, 6020
Medizinische Univ. Innsbruck
Innsbruck, 6020
Univ. Klinik für Neurologie
Salzburg, 5020
Medizinische Universität Wien
Vienna, 1090
Ireland5 sites
Mercy Hospital Cork
Cork, T12 WE28
St Vincent's Neurology Dept
Dublin, D04 VH51
St Vincent's University Hospital
Dublin, D04 VH51
Mercer's Institute for Successful Aging
Dublin, D08 NHY1
Tallaght University Hospital
Dublin, D24 NR0A
Slovakia5 sites
I. neurologicka klinika LF UK a UNB
Bratislava, 813 69
Psychiatricka klinika LF UK a UNB
Bratislava, 813 69
Neurologicka klinika UPJS LF a UNLP
Košice, 041 66
NEURES, neurologicka ambulancia
Krompachy, 053 42
Crystal Comfort s.r.o.
Vranov nad Topľou, 093 01
Croatia4 sites
Poliklinika Solmed
Zagreb, City of Zagreb, 10000
KBC Zagreb, Klinika za neurologiju
Zagreb, 10000
KBC Zagreb_Neurology
Zagreb, 10000
Poliklinika Bonifarm
Zagreb, 10000
Israel4 sites
Rambam MC - The Stroke and Cognition Institute
Haifa, 3109601
Rabin MC Beilinson - Cognitive Neurology Clinic
Petah Tikva, 49100
Sourasky MC - Cognitive Neurology Department
Tel Aviv, 6423906
Sheba MC - Memory Clinic
Tel Hashomer, Ramat Gan, 5262000
Netherlands4 sites
Brain Research Center
's-Hertogenbosch, 5223 LA
Amphia Ziekenhuis
Breda, 4818 CK
Spaarne Gasthuis Haarlem
Haarlem, 2035 RC
RadboudUMC
Nijmegen, 6525 GA
Switzerland4 sites
Spitalzentrum Biel
Biel/Bienne, 2502
Centre de la Mémoire
Geneva, 1205
Centre Leenaards de la mémoire CHUV
Lausanne, 1011
Klinik für Neurologie Kantonsspital St.Gallen
Sankt Gallen, 9007
Denmark3 sites
Aarhus Universitetshospital - Neurologisk Klinik
Aarhus N, 8200
Rigshospitalet - afsnit 8015 Hukommelsesklinikken
København Ø, 2100
Sjællands Universitetshospital_Roskilde
Roskilde, 4000
Finland3 sites
CRST Helsinki
Helsinki, 00180
Aivotutkimusyksikkö
Kuopio, 70210
CRST Turku
Turku, 20520
Serbia3 sites
Neurology clinic, University Clinical Center of Serbia
Belgrade, 11000
Special Hospital for Psychiatric Disorders "Kovin"
Kovin, 26220
University clinical center of Vojvodina, Neurology clinic
Novi Sad, 21000
Slovenia3 sites
UKC Ljubljana, Department of Neurology
Ljubljana, SI-1000
UKC Maribor - neurology
Maribor, 2000
Private Neurology Practice - Nova Gorica
Nova Gorica, 5000
Sweden3 sites
Skåne US - Minnesmottagning Malmö
Malmö, 205 02
Karolinska Universitetssjukhuset, Huddinge
Stockholm, 141 86
Geriatriskt centrum Umeå - NU
Umeå, 901 85
Germany2 sites
Universitätsklinikum Köln - Klinik und Poliklinik für Psychiatrie und Psychotherapie
Cologne, 50937
Universitätsklinikum Münster - Neurologie
Münster, 48149
About this study
Official title: A Randomised Double-blind Placebo-controlled Clinical Trial Investigating the Effect and Safety of Oral Semaglutide in Subjects With Early Alzheimer´s Disease (EVOKE Plus)
This study is done to find out whether the medicine, semaglutide, has a positive effect on early Alzheimer's disease.
Participants will either get semaglutide or placebo (a "dummy" medicine which does not contain any study medicine) - which treatment participants get is decided by an equal chance.
Read more
The study will last for up to 173 weeks (about 3 years and 4 months). Participants will have 17 clinic visits and 1 phone call with the study doctor. The study includes various tests and scans. At 10 of the clinic visits participants will have blood samples taken.
Participants must have a study partner, who is willing to take part in the study.
Women cannot take part if pregnant, breastfeeding or plan to become pregnant during the study period.
A cerebrospinal fluid (CSF) sub-study will be performed as a part of the study. The sub-study will be performed on a selection of sites based on their experience with CSF sampling and willingness to participate in this sub-study. The endpoints related to this sub-study are exploratory only.
- Conditions
- Early Alzheimer´s Disease
- Being tested
- Semaglutide, Placebo (semaglutide)
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SemaglutideDrug
Oral semaglutide once-daily, dose gradually increased to 14 mg. The study will last for up to 173 weeks
Placebo (semaglutide)Drug
Oral placebo (semaglutide) once-daily. The study will last for up to 173 weeks
| Study group | Role | What they receive |
|---|---|---|
| Oral semaglutide | Experimental | Participants are given oral semaglutide once daily Receives: Drug: Semaglutide |
| Placebo (semaglutide) | Placebo comparator | Participants are given oral placebo once daily Receives: Drug: Placebo (semaglutide) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in the Clinical Dementia Rating - Sum of Boxes (CDR-SB) score
Score on scale (0 to 18)
Measures the impact of cognitive decline on daily function using the following six domains commonly affected in Alzheimer's disease:
- Cognitive domains: memory, orientation, and judgement and problem solving
- Function domains: community affairs, home and hobbies, and personal care Based on clinical information obtained from the subject and informant, an individual box score ranging from 0 to 3 is determined that represents "none" to "severe" impairment for each of the six domains.
The CDR-Sum of Boxes (CDR-SB) score will be derived by adding the individual scores of the six domains at a given time point. The total CDR-SB score ranges from 0 to 18 with higher scores representing greater impairment.
Measured: From baseline (week 0) to week 104
Secondary outcomes (29)
Main Phase: Change in the 24-item Alzheimer's Disease Cooperative Study Activities of Daily Living Scale for Mild Cognitive Impairment (ADCS-ADL-MCI) score
Score on scale (0 to 53). An interview-based assessment of information provided by the study partner (informant). The total scores based on 18 items on the scale range from 0 to 53 with lower scores representing greater impairment.
Measured: From baseline (week 0) to week 104
Extension phase: Change in the ADCS-ADL-MCI score
Score on scale (0 to 53) An interview-based assessment of information provided by the study partner (informant). The total scores based on 18 items on the scale range from 0 to 53 with lower scores representing greater impairment.
Measured: From baseline (week 0) to week 156
Main Phase: Time to progression to Clinical Dementia Rating (CDR) global score greater than or equal to (≥)1.0 among patients with CDR global score equal to (=) 0.5 at baseline
Week(s)
Measured: From baseline (week 0) up to week 156
Extension Phase: Time to progression to Clinical Dementia Rating (CDR) global score greater than or equal to (≥)1.0 among patients with CDR global score equal to (=) 0.5 at baseline
Week(s)
Measured: From baseline (week 0) to week 156
Main Phase: Change in the 13-item Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog-13) score
Score on scale (0 to 85) Measures the severity of cognitive impairment in various domains including memory, language, orientation, praxis and executive function. The total scores on the scale range from 0 to 85 with higher scores representing greater impairment.
Measured: From baseline (week 0) to week 104
Extension Phase: Change in the 13-item Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog-13) score
Score on scale (0 to 85) Measures the severity of cognitive impairment in various domains including memory, language, orientation, praxis and executive function. The total scores on the scale range from 0 to 85 with higher scores representing greater impairment.
Measured: From baseline (week 0) to week 156
Main Phase: Change in the Montreal Cognitive Assessment (MoCA) score
Score on scale (0 to 30) The assessment includes 8 domains of cognitive function with total scores ranging from 0 to 30 and lower scores indicating greater impairment.
Measured: From baseline (week 0) to week 104
Extension Phase: Change in the Montreal Cognitive Assessment (MoCA) score
Score on scale (0 to 30) The assessment includes 8 domains of cognitive function with total scores ranging from 0 to 30 and lower scores indicating greater impairment.
Measured: From baseline (week 0) to week 156
Main Phase: Change in the Alzheimer's Disease Composite Score (ADCOMS)
Score on scale (0 to 1.97) The ADCOMS is a composite clinical outcome comprising 4 items from the ADAS-Cog-13, 2 items from the MMSE and all 6 items from the CDR-SB.32 The total scores on the scale range from 0 to 1.97 with higher scores indicating greater impairment.
Measured: From baseline (week 0) to week 104
Extension Phase: Change in the Alzheimer's Disease Composite Score (ADCOMS)
Score on scale (0 to 1.97) The ADCOMS is a composite clinical outcome comprising 4 items from the ADAS-Cog-13, 2 items from the MMSE and all 6 items from the CDR-SB.32 The total scores on the scale range from 0 to 1.97 with higher scores indicating greater impairment.
Measured: From baseline (week 0) to week 156
Main Phase: Change in the Mini-Mental State Examination (MMSE) score
Score on scale (0 to 30) The MMSE measures orientation, attention, memory, language and visuo-spatial function. The total scores on the scale range from 0 to 30 with lower scores indicating greater impairment.
Measured: From baseline (week 0) to week 104
Extension Phase: Change in the Mini-Mental State Examination (MMSE) score
Score on scale (0 to 30) The MMSE measures orientation, attention, memory, language and visuo-spatial function. The total scores on the scale range from 0 to 30 with lower scores indicating greater impairment.
Measured: From baseline (week 0) to week 156
Main Phase: Time to progression in disease stage based on CDR global score
Week(s)
Measured: From baseline (week 0) up to week 156
Extension Phase: Time to progression in disease stage based on CDR global score
Week(s)
Measured: From baseline (week 0) to week 156
Main Phase: Change in the composite Z-score based on the three outcome measures CDR-SB, ADCS-ADL-MCI, and ADAS-Cog-13
Score
Measured: From baseline (week 0) to week 104
Extension Phase: Change in the composite Z-score based on the three outcome measures CDR-SB, ADCS-ADL-MCI, and ADAS-Cog-13
Score
Measured: From baseline (week 0) to week 156
Main Phase: Change in the 10-item Neuropsychiatric Inventory (NPI) score
104 Score on scale (0 to 120) The 10-item scale assesses symptoms including delusions, hallucinations, agitation/aggression, dysphoria, anxiety, euphoria, apathy, disinhibition, irritability/lability and aberrant motor activity. For each domain the frequency (4-point scale) and severity (3-point scale) of symptoms is reported. The score for each domain is calculated by multiplying the frequency and severity score. The total 10-item NPI score is 0 to 120 with higher scores indicating a greater symptomatology.
Measured: From baseline (week 0) to week 104
Extension Phase: Change in the 10-item Neuropsychiatric Inventory (NPI) score
104 Score on scale (0 to 120) The 10-item scale assesses symptoms including delusions, hallucinations, agitation/aggression, dysphoria, anxiety, euphoria, apathy, disinhibition, irritability/lability and aberrant motor activity. For each domain the frequency (4-point scale) and severity (3-point scale) of symptoms is reported. The score for each domain is calculated by multiplying the frequency and severity score. The total 10-item NPI score is 0 to 120 with higher scores indicating a greater symptomatology.
Measured: From baseline (week 0) to week 156
Main Phase: Change in high sensitivity C-reactive protein level
Ratio to baseline
Measured: From baseline (week 0) to week 104
Extension Phase: Change in high sensitivity C-reactive protein level
Ratio to baseline
Measured: From baseline (week 0) to week 156
Main Phase: Number of treatment emergent adverse events (TEAEs)
Number of events
Measured: From baseline (week 0) up to week 156
Extension Phase: Number of treatment emergent adverse events (TEAEs)
Number of events
Measured: From baseline (week 0) to week 156
Main Phase: Time to first occurrence of major adverse cardiovascular event (MACE) comprising non-fatal myocardial infarction, non-fatal stroke and allcause death
Week(s)
Measured: From baseline (week 0) to week 104
Extension Phase: Time to first occurrence of major adverse cardiovascular event (MACE) comprising non-fatal myocardial infarction, non-fatal stroke and allcause death
Week(s)
Measured: From baseline (week 0) to week 156
Main Phase: Time to first occurrence of stroke
Weeks
Measured: From baseline (week 0) to week 104
Extension Phase: Time to first occurrence of stroke
Weeks
Measured: From baseline (week 0) to week 156
Main Phase: Change in the EQ-5D-5L (proxy version) index score
Score The EQ-5D-5L descriptive system comprises mobility, self-care, usual activities, pain/discomfort and anxiety/depression with five response levels each (no problems, slight problems, moderate problems, severe problems, unable to /extreme problems). The EQ-5D-5L proxy version 1 (the study partner is asked to rate how he/she [the proxy] would rate the subject´s health) will be used in this trial.
Measured: From baseline (week 0) to week 104
Extension Phase: Change in the EQ-5D-5L (proxy version) index score
Score The EQ-5D-5L descriptive system comprises mobility, self-care, usual activities, pain/discomfort and anxiety/depression with five response levels each (no problems, slight problems, moderate problems, severe problems, unable to /extreme problems). The EQ-5D-5L proxy version 1 (the study partner is asked to rate how he/she [the proxy] would rate the subject´s health) will be used in this trial.
Measured: From baseline (week 0) to week 156
Extension phase: Change in the CDR-SB score
Score on scale (0 to 18)
Measures the impact of cognitive decline on daily function using the following six domains commonly affected in Alzheimer's disease:
- Cognitive domains: memory, orientation, and judgement and problem solving
- Function domains: community affairs, home and hobbies, and personal care Based on clinical information obtained from the subject and informant, an individual box score ranging from 0 to 3 is determined that represents "none" to "severe" impairment for each of the six domains.
The CDR-Sum of Boxes (CDR-SB) score will be derived by adding the individual scores of the six domains at a given time point. The total CDR-SB score ranges from 0 to 18 with higher scores representing greater impairment.
Measured: From baseline (week 0) to week 156
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Mar 2021
- Study start18 May 2021
- Primary completion15 Sep 2025
- Study completion30 Jan 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Early Alzheimer´s DiseaseStudies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,840 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Transparency (dept. 2834), Study director, Novo Nordisk A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04777409
- Sponsor's protocol ID
- NN6535-4725
- Other IDs
- U1111-1259-2920, 2023-506918-45, 2023
- Acronym
- EVOKE Plus
- Status last verified
- Jun 2026
- First submitted
- 26 Feb 2021
- Last updated
- 26 Jun 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
Publications
Cummings JL, Atri A, Sano M, Zetterberg H, Scheltens P, Knop FK, Johannsen P, Wichmann CA, Abschneider RM, Leon T, Feldman HH. Efficacy and safety of oral semaglutide 14 mg (flexible dose) in early-stage symptomatic Alzheimer's disease (evoke and evoke+): two phase 3, randomised, placebo-controlled trials. Lancet. 2026 May 30;407(10544):2167-2179. doi: 10.1016/S0140-6736(26)00459-9. Epub 2026 Mar 19.
PubMed 41865758Scheltens P, Atri A, Feldman HH, Zetterberg H, Sano M, Johannsen P, Colombo TL, Bardtrum L, Jeppesen R, Hansen CT, Cummings JL. Baseline characteristics from evoke and evoke+: Two phase 3 randomized placebo-controlled trials of semaglutide in participants with early-stage symptomatic Alzheimer's disease. Alzheimers Dement (N Y). 2026 Jan 10;12(1):e70200. doi: 10.1002/trc2.70200. eCollection 2026 Jan-Mar.
PubMed 41522368Cummings JL, Atri A, Feldman HH, Hansson O, Sano M, Knop FK, Johannsen P, Leon T, Scheltens P. evoke and evoke+: design of two large-scale, double-blind, placebo-controlled, phase 3 studies evaluating efficacy, safety, and tolerability of semaglutide in early-stage symptomatic Alzheimer's disease. Alzheimers Res Ther. 2025 Jan 8;17(1):14. doi: 10.1186/s13195-024-01666-7.
PubMed 39780249van Sloten TT, Luchsinger JA, Launer LJ, Strachan M, Cukierman-Yaffe T, Gerstein HC, Sattar N, Biessels GJ. Call for effective therapies for preventing dementia in people with type 2 diabetes. Lancet Diabetes Endocrinol. 2024 Aug;12(8):510-513. doi: 10.1016/S2213-8587(24)00158-X. Epub 2024 Jun 17. No abstract available.
PubMed 38901446
Study at a glance
From the registry record, last updated by the sponsor on 26 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised Double-blind Placebo-controlled Clinical Trial Investigating the Effect and Safety of Oral Semaglutide in Subjects With Early Alzheimer´s Disease (EVOKE Plus)
- ClinicalTrials.gov ID
- NCT04777409
- Acronym / sponsor ID
- EVOKE Plus / NN6535-4725
- Conditions
- Early Alzheimer´s Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,840 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 18 May 2021 (actual)
- Primary completion
- 15 Sep 2025 (actual)
- Study completion
- 30 Jan 2026 (actual)
- First posted
- 2 Mar 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is done to find out whether the medicine, semaglutide, has a positive effect on early Alzheimer's disease.
Participants will either get semaglutide or placebo (a "dummy" medicine which does not contain any study medicine) - which treatment participants get is decided by an equal chance.
The study will last for up to 173 weeks (about 3 years and 4 months). Participants will have 17 clinic visits and 1 phone call with the study doctor. The study includes various tests and scans. At 10 of the clinic visits participants will have blood samples taken.
Participants must have a study partner, who is willing to take part in the study.
Women cannot take part if pregnant, breastfeeding or plan to become pregnant during the study period.
A cerebrospinal fluid (CSF) sub-study will be performed as a part of the study. The sub-study will be performed on a selection of sites based on their experience with CSF sampling and willingness to participate in this sub-study. The endpoints related to this sub-study are exploratory only.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Oral semaglutide | Experimental | Drug: SemaglutideParticipants are given oral semaglutide once daily |
| Placebo (semaglutide) | Placebo comparator | Drug: Placebo (semaglutide)Participants are given oral placebo once daily |
Who may qualify
- Ages
- 55 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Male or female, aged 55-85 years (both inclusive) at the time of signing informed consent.
- MCI (mild cognitive impairment) or mild dementia of the Alzheimer's type according to the NIA-AA (National Institute of Aging-Alzheimer's Association) 2018 criteria.
- CDR (Clinical Dementia Rating) global score of 0.5 and CDR of 0.5 or more in at least one of the three instrumental activities of daily living categories (personal care, home \& hobbies, community affairs) Or CDR global score of 1.0
- RBANS (Repeatable Battery for the Assessment of Neuropsychological Status) delayed memory index score of below or equal to (≤) 85
- MMSE (Mini-Mental State Examination) greater than or equal to (≥) 22
Key exclusion criteria (4 listed)
- Brain Magnetic resonance imaging (MRI) (or Computed Tomography (CT)) scan suggestive of clinically significant structural CNS (central nervous system) disease confirmed by central read (e.g. cerebral large-vessel disease [large vessel (cortical) infarcts greater than (>) 10 milimeter (mm) in diameter], prior macro-haemorrhage [greater than 1 cubic centimetre (cm^3)], cerebral vascular malformations, cortical hemosiderosis, intracranial aneurism(s), intracranial tumours, changes suggestive of normal pressure hydrocephalus).
- Brain MRI (or CT) scan suggestive of strategic infarcts defined as bilateral thalamic lacunar infarcts and singular paramedian thalamic infarcts confirmed by central read.
- Evidence of a relevant neurological disorder other than mild cognitive impairment (MCI) or mild dementia of the Alzheimer's type at screening, including but not limited to Parkinson's disease, Lewy body disease, frontotemporal dementia of any type, Huntington's disease, amyotrophic lateral sclerosis, multiple sclerosis, systemic lupus erythematosus, progressive supranuclear palsy, neurosyphilis, human immunodeficiency virus (HIV), learning disability, intellectual disability, hypoxic cerebral damage, or significant head trauma with loss of consciousness that led to persistent cognitive deficits.
- Evidence of a clinically relevant or unstable psychiatric disorder, based on Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria, including schizophrenia or other psychotic disorder, or bipolar disorder. A participant with a history of major depression who has not had an episode in the last 24 months before the day of screening and is considered in remission or whose depression is controlled with treatment can be included in the study per investigator's judgement.
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 |
|---|---|---|
| SemaglutideOral semaglutide once-daily, dose gradually increased to 14 mg. The study will last for up to 173 weeks | Drug | Oral semaglutide |
| Placebo (semaglutide)Oral placebo (semaglutide) once-daily. The study will last for up to 173 weeks | Drug | Placebo (semaglutide) |
Primary outcome
Change in the Clinical Dementia Rating - Sum of Boxes (CDR-SB) score
Time frame: From baseline (week 0) to week 104
Score on scale (0 to 18) Measures the impact of cognitive decline on daily function using the following six domains commonly affected in Alzheimer's disease: * Cognitive domains: memory, orientation, and judgement and problem solving * Function domains: community affairs, home and hobbies, and personal care Based on clinical information obtained from the subject and informant, an individual box score ranging from 0 to 3 is determined that represents "none" to "severe" impairment for each of the six domains. The CDR-Sum of Boxes (CDR-SB) score will be derived by adding the individual scores of the six domains at a given time point. The total CDR-SB score ranges from 0 to 18 with higher scores representing greater impairment.
29 secondary outcomes
Main Phase: Change in the 24-item Alzheimer's Disease Cooperative Study Activities of Daily Living Scale for Mild Cognitive Impairment (ADCS-ADL-MCI) score
Time frame: From baseline (week 0) to week 104
Extension phase: Change in the ADCS-ADL-MCI score
Time frame: From baseline (week 0) to week 156
Main Phase: Time to progression to Clinical Dementia Rating (CDR) global score greater than or equal to (≥)1.0 among patients with CDR global score equal to (=) 0.5 at baseline
Time frame: From baseline (week 0) up to week 156
Extension Phase: Time to progression to Clinical Dementia Rating (CDR) global score greater than or equal to (≥)1.0 among patients with CDR global score equal to (=) 0.5 at baseline
Time frame: From baseline (week 0) to week 156
Main Phase: Change in the 13-item Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog-13) score
Time frame: From baseline (week 0) to week 104
Extension Phase: Change in the 13-item Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog-13) score
Time frame: From baseline (week 0) to week 156
Main Phase: Change in the Montreal Cognitive Assessment (MoCA) score
Time frame: From baseline (week 0) to week 104
Extension Phase: Change in the Montreal Cognitive Assessment (MoCA) score
Time frame: From baseline (week 0) to week 156
Main Phase: Change in the Alzheimer's Disease Composite Score (ADCOMS)
Time frame: From baseline (week 0) to week 104
Extension Phase: Change in the Alzheimer's Disease Composite Score (ADCOMS)
Time frame: From baseline (week 0) to week 156
Main Phase: Change in the Mini-Mental State Examination (MMSE) score
Time frame: From baseline (week 0) to week 104
Extension Phase: Change in the Mini-Mental State Examination (MMSE) score
Time frame: From baseline (week 0) to week 156
Main Phase: Time to progression in disease stage based on CDR global score
Time frame: From baseline (week 0) up to week 156
Extension Phase: Time to progression in disease stage based on CDR global score
Time frame: From baseline (week 0) to week 156
Main Phase: Change in the composite Z-score based on the three outcome measures CDR-SB, ADCS-ADL-MCI, and ADAS-Cog-13
Time frame: From baseline (week 0) to week 104
Extension Phase: Change in the composite Z-score based on the three outcome measures CDR-SB, ADCS-ADL-MCI, and ADAS-Cog-13
Time frame: From baseline (week 0) to week 156
Main Phase: Change in the 10-item Neuropsychiatric Inventory (NPI) score
Time frame: From baseline (week 0) to week 104
Extension Phase: Change in the 10-item Neuropsychiatric Inventory (NPI) score
Time frame: From baseline (week 0) to week 156
Main Phase: Change in high sensitivity C-reactive protein level
Time frame: From baseline (week 0) to week 104
Extension Phase: Change in high sensitivity C-reactive protein level
Time frame: From baseline (week 0) to week 156
Main Phase: Number of treatment emergent adverse events (TEAEs)
Time frame: From baseline (week 0) up to week 156
Extension Phase: Number of treatment emergent adverse events (TEAEs)
Time frame: From baseline (week 0) to week 156
Main Phase: Time to first occurrence of major adverse cardiovascular event (MACE) comprising non-fatal myocardial infarction, non-fatal stroke and allcause death
Time frame: From baseline (week 0) to week 104
Extension Phase: Time to first occurrence of major adverse cardiovascular event (MACE) comprising non-fatal myocardial infarction, non-fatal stroke and allcause death
Time frame: From baseline (week 0) to week 156
Main Phase: Time to first occurrence of stroke
Time frame: From baseline (week 0) to week 104
Extension Phase: Time to first occurrence of stroke
Time frame: From baseline (week 0) to week 156
Main Phase: Change in the EQ-5D-5L (proxy version) index score
Time frame: From baseline (week 0) to week 104
Extension Phase: Change in the EQ-5D-5L (proxy version) index score
Time frame: From baseline (week 0) to week 156
Extension phase: Change in the CDR-SB score
Time frame: From baseline (week 0) to week 156
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Jun 2026.
- Derived from this study: PubMed 41865758Cummings JL, Atri A, Sano M, Zetterberg H, Scheltens P, Knop FK, Johannsen P, Wichmann CA, Abschneider RM, Leon T, Feldman HH. Efficacy and safety of oral semaglutide 14 mg (flexible dose) in early-stage symptomatic Alzheimer's disease (evoke and evoke+): two phase 3, randomised, placebo-controlled trials. Lancet. 2026 May 30;407(10544):2167-2179. doi: 10.1016/S0140-6736(26)00459-9. Epub 2026 Mar 19.
- Derived from this study: PubMed 41522368Scheltens P, Atri A, Feldman HH, Zetterberg H, Sano M, Johannsen P, Colombo TL, Bardtrum L, Jeppesen R, Hansen CT, Cummings JL. Baseline characteristics from evoke and evoke+: Two phase 3 randomized placebo-controlled trials of semaglutide in participants with early-stage symptomatic Alzheimer's disease. Alzheimers Dement (N Y). 2026 Jan 10;12(1):e70200. doi: 10.1002/trc2.70200. eCollection 2026 Jan-Mar.
- Derived from this study: PubMed 39780249Cummings JL, Atri A, Feldman HH, Hansson O, Sano M, Knop FK, Johannsen P, Leon T, Scheltens P. evoke and evoke+: design of two large-scale, double-blind, placebo-controlled, phase 3 studies evaluating efficacy, safety, and tolerability of semaglutide in early-stage symptomatic Alzheimer's disease. Alzheimers Res Ther. 2025 Jan 8;17(1):14. doi: 10.1186/s13195-024-01666-7.
- Derived from this study: PubMed 38901446van Sloten TT, Luchsinger JA, Launer LJ, Strachan M, Cukierman-Yaffe T, Gerstein HC, Sattar N, Biessels GJ. Call for effective therapies for preventing dementia in people with type 2 diabetes. Lancet Diabetes Endocrinol. 2024 Aug;12(8):510-513. doi: 10.1016/S2213-8587(24)00158-X. Epub 2024 Jun 17. No abstract available.
- Individual participant dataSharing planned: Yes. According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Transparency (dept. 2834) study director
Novo Nordisk A/S
498 sites in 38 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Semaglutide in people with Early Alzheimer´s Disease, run by Novo Nordisk A/S at 498 sites in 38 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 7 inclusion and 4 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 26 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 498 sites in United States, Japan, China, Canada, Russia and 33 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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 in the Clinical Dementia Rating - Sum of Boxes (CDR-SB) score (time frame: From baseline (week 0) to week 104). 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 NCT04777409, 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 26 Jun 2026.