Alzheimer DiseasePhase 3NCT05026866
A Donanemab (LY3002813) Study in Participants With Preclinical Alzheimer's Disease (TRAILBLAZER-ALZ 3)
A Phase 3 study testing Donanemab in people with Alzheimer Disease, run by Eli Lilly and Company at 216 sites in 3 countries.
Trial summary
The main purpose of this study is to evaluate the safety and efficacy of donanemab in participants with preclinical Alzheimer's Disease (AD) over up to 332 weeks. Approximately 800 additional participants will be enrolled in the 12-month Addendum 7 to assess safety of a different titration regimen. Read more about this study
- Who is it for?
- Ages 55 to 80 years
- Conditions the study is for
- Alzheimer Disease
- What is being tested?
- Donanemab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,996 participants
- Where
- 216 sitesin 3 countries
- Study dates
- 27 Aug 2021to Nov 2027
- Phase
- Phase 3
- 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 55 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- A Telephone Interview for Cognitive Status - modified (TICS-M) score reflective of intact cognitive functioning.
- Has a phosphorylated tau (P-tau) result consistent with the presence of amyloid pathology.
- Has a reliable study partner and backup study partner familiar with overall function and behavior, such as day-to-day activities and cognitive abilities.
- Have adequate literacy, vision, and hearing for neuropsychological testing at screening.
- Contraceptive use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies
- Female participants include those who are infertile due to surgical sterilization (hysterectomy, bilateral oophorectomy, or tubal ligation), congenital anomaly such as Mullerian agenesis; or post menopausal (women 55 or older not on hormone therapy and had at least 12 months of spontaneous amenorrhea; or with a diagnosis of menopause prior to starting hormone replacement therapy.
- Treatment Extension: (Study Period II Placebo Group Only)
- Are actively participating in Study AACM at the conclusion of Study Period III.
Who cannot join
- Mild cognitive impairment or dementia, or significant other neurodegenerative disease that can affect cognition.
- Current serious or unstable illnesses including cardiovascular, hepatic, renal, gastroenterologic, respiratory, endocrinologic, neurologic, psychiatric, immunologic, or hematologic disease that could interfere with the analysis of the study or a life expectancy of approximately ≤5 years.
- History of cancer with high risk of recurrence and preventing completion of the trial.
- History of clinically significant multiple or severe drug allergies, or severe posttreatment hypersensitivity reactions (including but not limited to erythema multiforme major, linear immunoglobulin A dermatosis, toxic epidermal necrolysis, and/or exfoliative dermatitis).
- Have any clinically important abnormality at screening on magnetic resonance imaging (MRI) or clinical laboratory test results that could be detrimental to the participant or study integrity.
- Have any contraindications for MRI, including claustrophobia or the presence of contraindicated metal (ferromagnetic) implants/cardiac pacemaker.
Show all 13Show fewer
- Have a centrally read MRI demonstrating presence of amyloid-related imaging abnormalities (ARIA-E), >4 cerebral microhemorrhages, more than 1 area of superficial siderosis, any macrohemorrhage or severe white matter disease at screening.
- Have had prior treatment with a passive anti-amyloid immunotherapy <5 half-lives prior to randomization.
- Have received active immunization against amyloid beta (Aβ) in any other study.
- Have received active immunization against Aβ in any other study.
- Current or previous use of prescription medications used as treatment for mild cognitive impairment (MCI) or AD.
- Addendum 7 Exclusion Criteria:
- Same as the main study except contraindications for florbetapir F 18 PET are exclusionary.
Trial locations and contacts
216 sites in 3 countries.
216 sites in 3 countries
United States198 sites
IMA Clinical Research Albany
Albany, New York, 12205
Neurological Associates Albany
Albany, New York, 12208
Albuquerque Neuroscience Inc.
Albuquerque, New Mexico, 87109
Care Access - Anderson
Anderson, South Carolina, 29621
Velocity Clinical Research, Anderson
Anderson, South Carolina, 29621
Care Access - Arlington
Arlington, Virginia, 22206
Asheville Neurology Specialists
Asheville, North Carolina, 28806
JEM Research Institute
Atlantis, Florida, 33462
Masters of Clinical Research
Augusta, Georgia, 30909
Care Access - Aurora
Aurora, Colorado, 80012
Texas Diabetes & Endocrinology, P.A.
Austin, Texas, 78749
Senior Adults Specialty Research
Austin, Texas, 78757
VIN-Julie Schwartzbard
Aventura, Florida, 33180
Mountain Neurological Research Center
Basalt, Colorado, 81621
Optum Infusion - Baton Rouge
Baton Rouge, Louisiana, 70809
Gadolin Research
Beaumont, Texas, 77702
Northwest Clinical Research Center
Bellevue, Washington, 98007
Optum Infusion - Bend
Bend, Oregon, 97701
The Memory Clinic
Bennington, Vermont, 05201-9810
Care Access - Berkeley
Berkeley, California, 94705
Care Access - Beverly Hills
Beverly Hills, California, 90212
Parkway Medical Center
Birmingham, Alabama, 35215
Neurology Offices of South Florida
Boca Raton, Florida, 33428
Excel Medical Clinical Trials
Boca Raton, Florida, 33434
SFM Clinical Research
Boca Raton, Florida, 33487
Northwest Clinical Trials
Boise, Idaho, 83704
Citizens Memorial Hospital District
Bolivar, Missouri, 65613
Bradenton Research Center, Inc.
Bradenton, Florida, 34205
Headlands Research - Brownsville
Brownsville, Texas, 78526
Minneapolis Clinic of Neurology - Burnsville Office
Burnsville, Minnesota, 55337
NeuroScience Research Center
Canton, Ohio, 44718
Option Care - Chantilly
Chantilly, Virginia, 20151
Care Access - Charlotte
Charlotte, North Carolina, 28210
Clinical Research Professionals
Chesterfield, Missouri, 63005
IMA Clinical Research Chicago
Chicago, Illinois, 60602
Great Lakes Clinical Trials - Andersonville
Chicago, Illinois, 60640
Uptown Research Institute
Chicago, Illinois, 60640
Velocity Clinical Research, Chula Vista
Chula Vista, California, 91911
Clinical Research of West Florida, Inc. (Clearwater)
Clearwater, Florida, 33765
VitaLink Research - Columbia
Columbia, South Carolina, 29204
Conroe Willis Medical Research
Conroe, Texas, 77304
Neurology Clinic
Cordova, Tennessee, 38018
Valley Clinical Trials, Inc.
Covina, California, 91723
Hometown Urgent Care and Research - Cincinnati
Dayton, Ohio, 45424
Neurology Diagnostics, Inc.
Dayton, Ohio, 45459
Care Access - Daytona Beach
Daytona Beach, Florida, 32114
iResearch Atlanta
Decatur, Georgia, 30030
Care Access - Delray Beach
Delray Beach, Florida, 33484
Denver Neurological Research
Denver, Colorado, 80210
Velocity Clinical Research, Syracuse
East Syracuse, New York, 13057
Advanced Neuro Research Center - ANRC
El Paso, Texas, 79912
AMITA Health - Alexian Brothers Neurosciences Institute Clinical Research
Elk Grove Village, Illinois, 60007
Care Access - Fairview Heights
Fairview Heights, Illinois, 62208
SKY Clinical Research Network Group - Hall
Fayette, Mississippi, 39069
Care Access - Fayetteville
Fayetteville, North Carolina, 28314
Coram CVS/Specialty Infusion Services - Fort Wayne
Fort Wayne, Indiana, 46805
Neurology Center of North Orange County
Fullerton, California, 92835
Velocity Clinical Research, Gaffney
Gaffney, South Carolina, 29340
Center for Advanced Research & Education
Gainesville, Georgia, 30501
Care Access - Georgetown
Georgetown, Texas, 78633
Care Access - Gilroy
Gilroy, California, 95020
Finlay Medical Research
Greenacres City, Florida, 33467
Care Access - Greensboro
Greensboro, North Carolina, 27401
Medication Management
Greensboro, North Carolina, 27405
VitaLink Research - Greenville
Greenville, South Carolina, 29615
Great Lakes Clinical Trials - Gurnee
Gurnee, Illinois, 60031
IMA Clinical Research Westchester
Hartsdale, New York, 10530
Coram CVS/Specialty Infusion Services - Henderson
Henderson, Nevada, 89014
Indago Research & Health Center, Inc
Hialeah, Florida, 33012
IMA Clinical Research Hoboken
Hoboken, New Jersey, 07030
Infinity Clinical Research, LLC
Hollywood, Florida, 33024
Alabama Psychiatry - Birmingham - Brookwood Medical Center Drive
Homewood, Alabama, 35209
Optum Infusion - Houston
Houston, Texas, 77054
The University of Texas Health Science Center at Houston
Houston, Texas, 77054
Next Level Urgent Care
Houston, Texas, 77057
Marvel Clinical Research
Huntington Beach, California, 92647
Care Access Research - Huntington Beach
Huntington Beach, California, 92648
Rehabilitation & Neurological Services
Huntsville, Alabama, 35805
Care Access - South Indianapolis
Indianapolis, Indiana, 46227
Josephson Wallack Munshower Neurology, PC
Indianapolis, Indiana, 46256
Irvine Clinical Research
Irvine, California, 92614
Option Care - Irvine
Irvine, California, 92618
Jacksonville Center for Clinical Research
Jacksonville, Florida, 32216
The Clinical Trial Center, LLC
Jenkintown, Pennsylvania, 19046
Care Access - Kinston
Kinston, North Carolina, 28501
Kaizen Brain Center
La Jolla, California, 92037
Velocity Clinical Research, San Diego
La Mesa, California, 91942
Care Access - Guava Street
Lady Lake, Florida, 32159
Care Access - Lake Charles
Lake Charles, Louisiana, 70601
Accel Research Sites - St. Pete-Largo Clinical Research Unit
Largo, Florida, 33777
Option Care - Las Vegas
Las Vegas, Nevada, 89102
Las Vegas Medical Research
Las Vegas, Nevada, 89128
Pacific Research Network
Lemon Grove, California, 91945
Care Access - Lima
Lima, Ohio, 45805
Accellacare - DuPage
Lombard, Illinois, 60148
Healthy Brain Clinic
Long Beach, California, 90804
Norton Brownsboro Hospital
Louisville, Kentucky, 40241
ClinCloud - Maitland
Maitland, Florida, 32751
K2 Medical Research
Maitland, Florida, 32751
Care Access - Mauldin
Mauldin, South Carolina, 29662
Family Practice Center
McAllen, Texas, 78501
Velocity Clinical Research, Medford
Medford, Oregon, 97504
ClinCloud - Viera
Melbourne, Florida, 32940
Clinical Neuroscience Solutions, Inc. dba CNS Healthcare
Memphis, Tennessee, 38119
Coram CVS/Specialty Infusion Services - Mendota Heights
Mendota Heights, Minnesota, 55120
Merritt Island Medical Research, LLC
Merritt Island, Florida, 32952
Care Access - 801 South Power Road, Mesa
Mesa, Arizona, 85206
ActivMed Practices and Research
Methuen, Massachusetts, 01844
Optimus U Corporation
Miami, Florida, 33125
Finlay Medical Research
Miami, Florida, 33126
VIN-Andrew Lerman
Miami, Florida, 33133
South Florida Research Phase I-IV
Miami, Florida, 33166
Brainstorm Research Group
Miami, Florida, 33176
IMIC, Inc.
Miami, Florida, 33176
VIN-Victor Faradji
Miami, Florida, 33176
San Marcus Research Clinic, Inc.
Miami Lakes, Florida, 33014
North Star Medical Research
Middleburg Heights, Ohio, 44130
Monroe Biomedical Research
Monroe, North Carolina, 28112
Carteret Medical Group
Morehead City, North Carolina, 28557
Exemplar Research
Morgantown, West Virginia, 26505
Adult Medicine of Lake County
Mt. Dora, Florida, 32757
Neurovations
Napa, California, 94558
Invicro
New Haven, Connecticut, 06510
Suncoast Clinical Research, Inc.
New Port Richey, Florida, 34652
IMA Clinical Research
New York, New York, 10036
Care Access - Newport Beach
Newport Beach, California, 92660
Boston Center for Memory
Newton, Massachusetts, 02459
Valley Clinical Trials, Inc.
Northridge, California, 91325
Renstar Medical Research
Ocala, Florida, 34470
Charter Research - Winter Park
Orlando, Florida, 32803
Headlands Research Orlando
Orlando, Florida, 32806
College Park Specialty Center
Overland Park, Kansas, 66212
MD Medical Research
Oxon Hill, Maryland, 20745
South Shore Neurologic Associates
Patchogue, New York, 11772
Pines Care Research Center, LLC
Pembroke Pines, Florida, 33024
VIN- Margarita Almeida El-Ramey
Pembroke Pines, Florida, 33026
Emerald Coast Neurology - Airport Boulevard
Pensacola, Florida, 32504
Banner Alzheimer's Institute
Phoenix, Arizona, 85006
Care Access - Youngstown
Poland, Ohio, 44514
Progressive Medical Research
Port Orange, Florida, 32127
Center for Cognitive Health
Portland, Oregon, 97225
Care Access - Pottsville
Pottsville, Pennsylvania, 17901
Care Access - Quincy
Quincy, Massachusetts, 02169
Care Access - Raleigh
Raleigh, North Carolina, 27607
Health Concepts
Rapid City, South Dakota, 57702
Inland Psychiatric Medical Group
Redlands, California, 92373
Anderson Clinical Research
Redlands, California, 92374
Dominion Medical Associates, Inc.
Richmond, Virginia, 23219
SKY Clinical Research Network Group-Quinn
Ridgeland, Mississippi, 39157
El Faro Health and Therapeutics
Rio Grande City, Texas, 78582
Artemis Institute for Clinical Research
Riverside, California, 92503
Option Care - Riverside
Riverside, California, 92507
Clinical Trials Research
Sacramento, California, 95821
Benchmark Research - Knickerbocker
San Angelo, Texas, 76904
Diagnostics Research Group
San Antonio, Texas, 78229
Artemis Institute for Clinical Research
San Diego, California, 92123
Ray Dolby Brain Health Center
San Francisco, California, 94114
Care Access - Los Gatos
San Jose, California, 95124
Syrentis Clinical Research
Santa Ana, California, 92705
Care Access - Santa Clarita
Santa Clarita, California, 91321
Option Care - Los Angeles South
Santa Fe Springs, California, 90670
Providence Medical Foundation
Santa Rosa, California, 95403
Meridian Clinical Research, LLC
Savannah, Georgia, 31406
Consano Clinical Research, LLC
Shavano Park, Texas, 78231
Revival Research Institute
Southfield, Michigan, 48075
VitaLink Research - Spartanburg
Spartanburg, South Carolina, 29303
The Cognitive and Research Center of New Jersey
Springfield, New Jersey, 07081
IMA Clinical Research - St. Louis
St Louis, Missouri, 63117
Richmond Behavioral Associates
Staten Island, New York, 10314
Universal Research Group
Tacoma, Washington, 98405
Care Access - Tamarac
Tamarac, Florida, 33321
Clinical Research of West Florida
Tampa, Florida, 33606
Stedman Clinical Trials
Tampa, Florida, 33613
Vicis Clinical Research
Tampa, Florida, 33615
Care Access - Tampa
Tampa, Florida, 33625
Coram CVS/Specialty Infusion Services - Tampa
Tampa, Florida, 33634
K2 Medical Research - Tampa
Tampa, Florida, 33634
Prime Global Research
The Bronx, New York, 10456
Charter Research - Lady Lake
The Villages, Florida, 32162
Mazur, Statner, Dutta, Nathan, PC
Thousand Oaks, California, 91360
Banner Alzheimer's Institute Tucson
Tucson, Arizona, 85718
Center for Neurosciences
Tucson, Arizona, 85718
Central States Research
Tulsa, Oklahoma, 74136
Tilda Research
Tustin, California, 92780
VitaLink Research - Union
Union, South Carolina, 29379
SKY Clinical Research Network Group-Blake
Union City, Georgia, 30291
Velocity Clinical Research, Panorama City
Van Nuys, California, 91405
Infectious Disease Doctors Medical Group, APC
Walnut Creek, California, 94598
MedVadis Research Corporation
Waltham, Massachusetts, 02451
IMA Clinical Research Warren
Warren Township, New Jersey, 07059
Care Access Research - Warwick
Warwick, Rhode Island, 02886
Covenant Medical Center
Waterloo, Iowa, 50702
Texas Valley Clinical Research
Weslaco, Texas, 78596
Palm Beach Research Center
West Palm Beach, Florida, 33409
Accellacare - Winston-Salem
Winston-Salem, North Carolina, 27103
Conquest Research
Winter Park, Florida, 32789
Optum Infusion - Woodinville
Woodinville, Washington, 98072
North Georgia Clinical Research
Woodstock, Georgia, 30189
Japan12 sites
The University of Tokyo Hospital
Bunkyō City, 113-8654
Tokyo-Eki Center-building Clinic
Chūōku, 103-0027
Fukuwa Clinic
Chūōku, 104-0031
Tokyo Asbo Clinic
Chūōku, 104-0031
P-One Clinic
Hachiōji, 192-0071
National Center for Geriatrics and Gerontology
Ōbu, 474-8511
AMC Nishiumeda Clinic
Osaka, 530-0001
Samoncho Clinic
Shinjuku, 160-0017
Heishinkai Medical Group ToCROM Clinic
Shinjuku-ku, 160-0008
Medical Corporation Heishinkai OCROM Clinic
Suita-shi, 565-0853
Tokyo Metropolitan Geriatric Hospital
tabashi City, 173-0015
Oita University Hospital
Yufu, 879-5593
Puerto Rico6 sites
SCB Research Center
Bayamón, 00961
Dr. Samuel Sanchez PSC
Caguas, 00727
INSPIRA Clinical Research
San Juan, 00918
Instituto De Neurologia Dra. Ivonne Fraga
San Juan, 00918
Mindful Medical Research
San Juan, 00918
University of Puerto Rico - Medical Sciences Campus_Do not use - Duplicate facility
San Juan, 00935
About this study
Official title: A Study of Donanemab Versus Placebo in Participants at Risk for Cognitive and Functional Decline of Alzheimer's Disease
The main purpose of this study is to evaluate the safety and efficacy of donanemab in participants with preclinical Alzheimer's Disease (AD) over up to 332 weeks. Approximately 800 additional participants will be enrolled in the 12-month Addendum 7 to assess safety of a different titration regimen.
- Conditions
- Alzheimer Disease
- Being tested
- Donanemab, 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.
DonanemabDrug
Also called LY3002813
Administered intravenously
PlaceboDrug
Administered intravenously
| Study group | Role | What they receive |
|---|---|---|
| Donanemab | Experimental | Donanemab administered intravenously (IV) Receives: Drug: Donanemab |
| Placebo | Placebo comparator | Placebo is administered intravenously Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to Clinical Progression of Composite Endpoint as Measured by Clinical Dementia Rating (CDR) in the Primary Study Population (Baseline CDR-Global Score [GS 0])
Time to clinical progression as measured by CDR. CDR is a clinician-rated scale that provides an overall assessment of the participant's stage on the spectrum of Alzheimer's Disease (AD) dementia
Measured: Estimated up to Week 332
Secondary outcomes (17)
Change from Baseline in Cognitive Composite in the Primary Study Population (Baseline CDR-GS 0)
Change from baseline in Cognitive Composite in the Primary Study Population (CDR-GS 0)
Measured: Baseline, Up to Week 332
Change from Baseline in International Shopping List Test (ISLT) in the Primary Study Population (Baseline CDR-GS 0)
Change from baseline in clinical progression as measured by ISLT in the Primary Study Population (Baseline CDR-GS 0)
Measured: Baseline, Up to Week 332
Change from Baseline in Continuous Paired Associate Learning (CPAL ) in the Primary Study Population (Baseline CDR-GS 0)
Change from baseline in clinical progression as measured by CPAL in the Primary Study Population (baseline CDR-GS 0)
Measured: Baseline, Up to Week 332
Change from Baseline in International Daily Symbol Substitution Test-Medicines (iDSSTm) in the Primary Study Population (Baseline CDR-GS 0)
Change from baseline in clinical progression as measured by iDSSTm in the Primary Study Population (Baseline CDR-GS 0)
Measured: Baseline, Up to Week 332
Change from Baseline in Category Fluency in the Primary Study Population (Baseline CDR-GS 0)
Change from baseline in clinical progression as measured by Category Fluency in the Primary Study Population (Baseline CDR-GS 0)
Measured: Baseline, Up to Week 332
Change from Baseline in CDR-Sum of Boxes (CDR-SB) n the Primary Study Population (Baseline CDR-GS 0)
Change from baseline in clinical progression as measured by CDR-SB in the Primary Study Population (Baseline CDR-GS 0)
Measured: Baseline, Up Week 332
Change from Baseline in Cognitive Function Index (CFI) in the Primary Study Population (Baseline CDR-GS 0)
Change from baseline in clinical progression as measured by CFI in the Primary Study Population (Baseline CDR-GS 0)
Measured: Baseline, Up to Week 332
Change from Baseline in Montreal Cognitive Assessment (MoCA) Score in the Primary Study Population (Baseline CDR-GS 0)
Change from baseline in clinical progression as measured by MoCA score in the Primary Study Population (Baseline CDR-GS 0)
Measured: Baseline, Up to Week 332
Change from Baseline in Mild Behavioral Impairment Checklist (MBI-C) in the Primary Study Population (Baseline CDR-GS 0)
Change from baseline in MBI-C in the Primary Study Population (Baseline CDR-GS 0)
Measured: Baseline, Up to Week 332
Time to Clinical Progression of Composite Endpoint as Measured by CDR in the Overall Study Population (Baseline CDR-GS 0 or 0.5)
Time to clinical progression as measured by CDR in the Overall Study Population (Baseline CDR-GS 0 or 0.5)
Measured: Baseline, Up to Week 332
Time to Clinical Progression as Measured by CDR Memory Box in Primary Study Population (Baseline CDR-GS 0)
Time to clinical progression as measured by CDR Memory Box in the Primary Study Population (Baseline CDR-GS 0)
Measured: Estimated up to Week 332
Time to Clinical Progression as Measured by CDR Judgment and Problem Solving Box in the Primary Study Population (Baseline CDR-GS 0)
Time to clinical progression as measured by CDR Judgment and Problem Solving Box in the Primary Study Population (Baseline CDR-GS 0)
Measured: Estimated up to Week 332
Time to Clinical Progression as Measured by At Least 0.5 Change on CDR-SB in Primary Study Population (Baseline CDR-GS 0)
Time to clinical progression as measured by at least 0.5 change on CDR-SB in Primary Study Population (Baseline CDR-GS 0)
Measured: Estimated up to Week 332
Time to Clinical Progression of Composite Endpoint as Measured by CDR in Subpopulation Positive Based on Secondary Diagnostic Test
Time to clinical progression as measured by CDR in subpopulation positive based on secondary diagnostic test
Measured: Estimated up to Week 332
Change from Baseline in Plasma P-tau217
Change from baseline in Plasma P-tau217
Measured: Baseline, Up to Week 332
Pharmacokinetics (PK): Average Serum Donanemab Concentration at Steady State
PK: Average serum donanemab concentration at steady state
Measured: Baseline through Week 76
Percentage of Participants with Treatment-emergent Anti-Drug Antibody (ADAs)
Percentage of participants with treatment-emergent anti-drug antibody (ADAs)
Measured: Baseline through Week 16
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Aug 2021
- Study start27 Aug 2021
- Primary completionNov 2027 (estimated)
- Study completionNov 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Alzheimer DiseaseStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 2,996 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05026866
- Sponsor's protocol ID
- 18284
- Other IDs
- I5T-MC-AACM
- Status last verified
- Jan 2026
- First submitted
- 27 Aug 2021
- Last updated
- 21 Jan 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Publications
Yaari R, Holdridge KC, Williamson M, Wessels AM, Shcherbinin S, Kotari V, Reiman EM, Tariot PN, Alexander R, Langbaum JB, Sims JR. Donanemab in preclinical Alzheimer's disease: Screening and baseline data from TRAILBLAZER-ALZ 3. Alzheimers Dement. 2025 Sep;21(9):e70662. doi: 10.1002/alz.70662.
PubMed 40955720
Study at a glance
From the registry record, last updated by the sponsor on 21 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Study of Donanemab Versus Placebo in Participants at Risk for Cognitive and Functional Decline of Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT05026866
- Acronym / sponsor ID
- 18284
- Conditions
- Alzheimer Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 2,996 participants (estimated)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- 27 Aug 2021 (actual)
- Primary completion
- Nov 2027 (estimated)
- Study completion
- Nov 2027 (estimated)
- First posted
- 30 Aug 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.
The main purpose of this study is to evaluate the safety and efficacy of donanemab in participants with preclinical Alzheimer's Disease (AD) over up to 332 weeks. Approximately 800 additional participants will be enrolled in the 12-month Addendum 7 to assess safety of a different titration regimen.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Donanemab | Experimental | Drug: DonanemabDonanemab administered intravenously (IV) |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo is administered intravenously |
Who may qualify
- Ages
- 55 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- A Telephone Interview for Cognitive Status - modified (TICS-M) score reflective of intact cognitive functioning.
- Has a phosphorylated tau (P-tau) result consistent with the presence of amyloid pathology.
- Has a reliable study partner and backup study partner familiar with overall function and behavior, such as day-to-day activities and cognitive abilities.
- Have adequate literacy, vision, and hearing for neuropsychological testing at screening.
- Contraceptive use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies
Key exclusion criteria (13 listed)
- Mild cognitive impairment or dementia, or significant other neurodegenerative disease that can affect cognition.
- Current serious or unstable illnesses including cardiovascular, hepatic, renal, gastroenterologic, respiratory, endocrinologic, neurologic, psychiatric, immunologic, or hematologic disease that could interfere with the analysis of the study or a life expectancy of approximately ≤5 years.
- History of cancer with high risk of recurrence and preventing completion of the trial.
- History of clinically significant multiple or severe drug allergies, or severe posttreatment hypersensitivity reactions (including but not limited to erythema multiforme major, linear immunoglobulin A dermatosis, toxic epidermal necrolysis, and/or exfoliative dermatitis).
- Have any clinically important abnormality at screening on magnetic resonance imaging (MRI) or clinical laboratory test results that could be detrimental to the participant or study integrity.
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 |
|---|---|---|
| DonanemabAlso: LY3002813Administered intravenously | Drug | Donanemab |
| PlaceboAdministered intravenously | Drug | Placebo |
Primary outcome
Time to Clinical Progression of Composite Endpoint as Measured by Clinical Dementia Rating (CDR) in the Primary Study Population (Baseline CDR-Global Score [GS 0])
Time frame: Estimated up to Week 332
Time to clinical progression as measured by CDR. CDR is a clinician-rated scale that provides an overall assessment of the participant's stage on the spectrum of Alzheimer's Disease (AD) dementia
17 secondary outcomes
Change from Baseline in Cognitive Composite in the Primary Study Population (Baseline CDR-GS 0)
Time frame: Baseline, Up to Week 332
Change from Baseline in International Shopping List Test (ISLT) in the Primary Study Population (Baseline CDR-GS 0)
Time frame: Baseline, Up to Week 332
Change from Baseline in Continuous Paired Associate Learning (CPAL ) in the Primary Study Population (Baseline CDR-GS 0)
Time frame: Baseline, Up to Week 332
Change from Baseline in International Daily Symbol Substitution Test-Medicines (iDSSTm) in the Primary Study Population (Baseline CDR-GS 0)
Time frame: Baseline, Up to Week 332
Change from Baseline in Category Fluency in the Primary Study Population (Baseline CDR-GS 0)
Time frame: Baseline, Up to Week 332
Change from Baseline in CDR-Sum of Boxes (CDR-SB) n the Primary Study Population (Baseline CDR-GS 0)
Time frame: Baseline, Up Week 332
Change from Baseline in Cognitive Function Index (CFI) in the Primary Study Population (Baseline CDR-GS 0)
Time frame: Baseline, Up to Week 332
Change from Baseline in Montreal Cognitive Assessment (MoCA) Score in the Primary Study Population (Baseline CDR-GS 0)
Time frame: Baseline, Up to Week 332
Change from Baseline in Mild Behavioral Impairment Checklist (MBI-C) in the Primary Study Population (Baseline CDR-GS 0)
Time frame: Baseline, Up to Week 332
Time to Clinical Progression of Composite Endpoint as Measured by CDR in the Overall Study Population (Baseline CDR-GS 0 or 0.5)
Time frame: Baseline, Up to Week 332
Time to Clinical Progression as Measured by CDR Memory Box in Primary Study Population (Baseline CDR-GS 0)
Time frame: Estimated up to Week 332
Time to Clinical Progression as Measured by CDR Judgment and Problem Solving Box in the Primary Study Population (Baseline CDR-GS 0)
Time frame: Estimated up to Week 332
Time to Clinical Progression as Measured by At Least 0.5 Change on CDR-SB in Primary Study Population (Baseline CDR-GS 0)
Time frame: Estimated up to Week 332
Time to Clinical Progression of Composite Endpoint as Measured by CDR in Subpopulation Positive Based on Secondary Diagnostic Test
Time frame: Estimated up to Week 332
Change from Baseline in Plasma P-tau217
Time frame: Baseline, Up to Week 332
Pharmacokinetics (PK): Average Serum Donanemab Concentration at Steady State
Time frame: Baseline through Week 76
Percentage of Participants with Treatment-emergent Anti-Drug Antibody (ADAs)
Time frame: Baseline through Week 16
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jan 2026.
- Derived from this study: PubMed 40955720Yaari R, Holdridge KC, Williamson M, Wessels AM, Shcherbinin S, Kotari V, Reiman EM, Tariot PN, Alexander R, Langbaum JB, Sims JR. Donanemab in preclinical Alzheimer's disease: Screening and baseline data from TRAILBLAZER-ALZ 3. Alzheimers Dement. 2025 Sep;21(9):e70662. doi: 10.1002/alz.70662.
- A Donanemab (LY3002813) Prevention Study in Participants With Alzheimer's Disease (TRAILBLAZER-ALZ 3)Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
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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.
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
216 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Donanemab in people with Alzheimer Disease, run by Eli Lilly and Company at 216 sites in 3 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 8 inclusion and 13 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 21 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 216 sites in United States, Japan, Puerto Rico. 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?
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?
Time to Clinical Progression of Composite Endpoint as Measured by Clinical Dementia Rating (CDR) in the Primary Study Population (Baseline CDR-Global Score [GS 0]) (time frame: Estimated up to Week 332). 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 NCT05026866, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jan 2026.