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Alzheimer's DiseasePhase 2NCT05744401

A Long-term Extension Study to Evaluate Safety, Tolerability, and Efficacy of AL002 in Alzheimer's Disease

A Phase 2 study testing AL002 in people with Alzheimer's Disease, run by Alector Inc. at 54 sites in 10 countries.

Terminated

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

Official record
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Trial summary

A long-term extension study to evaluate the safety, tolerability, and efficacy of AL002 in participants with Early Alzheimer's Disease. Read more about this study

Who is it for?
Ages 50 to 85 years
Conditions the study is for
Alzheimer's Disease
What is being tested?
AL002
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
197 participants
Where
54 sitesin 10 countries
Study dates
4 Jan 2023to 5 Feb 2025
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

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

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

Who may be able to join

  • Completion of the Planned Treatment Period in the AL002-2 study.
  • The participant is willing and able to give informed consent.
  • Study partner who consents to study participation and who cares for/visits the participant at least 10 hours a week

Who cannot join

  • Participants deemed not able to provide consent or assent by the Investigator or by local regulations.
  • Participants who were prematurely and permanently discontinued from treatment in the parent study for safety reasons.
  • Participation deemed inappropriate per Investigator discretion.

Trial locations and contacts

54 sites in 10 countries.

54 sites in 10 countries

United States15 sites
  • SFM Clinical Research, LLC

    Boca Raton, Florida, 33487

  • University of Cincinnati Medical Center

    Cincinnati, Ohio, 45219

  • Hattiesburg Clinic

    Hattiesburg, Mississippi, 39401

  • Charter Research

    Lady Lake, Florida, 32159

  • K2 Medical Research - Maitland

    Maitland, Florida, 32751

  • Feinstein Institute For Medical Research

    Manhasset, New York, 11030

  • Advanced Clinical Institute

    Neptune City, New Jersey, 07753

  • Banner Alzheimer's Institute

    Phoenix, Arizona, 85006

  • Progressive Medical Research - ClinEdge - PPDS

    Port Orange, Florida, 32127

  • Summit Research Network

    Portland, Oregon, 97210

  • SUNY Upstate Medical Center

    Syracuse, New York, 13210

  • Axiom Brain Health LLC

    Tampa, Florida, 33609

  • Georgetown University Medical Center

    Washington D.C., District of Columbia, 20007

  • "Alzheimers Research and Treatment Center-Wellington "

    Wellington, Florida, 33449

  • Conquest Research LLC - Winter Park - ClinEdge - PPDS

    Winter Park, Florida, 32819

Other trials in United States

Italy10 sites
  • ASST degli Spedali Civili di Brescia - Spedali Civili di Brescia - INCIPIT - PIN

    Brescia, Lombardy, 25123

  • IRCCS - Centro S. Giovanni di Dio Fatebene fratelli

    Brescia, Lombardy, 25125

  • Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico

    Milan, Lombardy, 20122

  • Fondazione IRCCS Di Rilievo Nazionale Istituto Nazionale Neurologico Carlo Besta-VIA MANGIAGALLI 3

    Milan, Lombardy, 20133

  • Azienda Ospedaliero-Universitaria di Modena - Policlinico di Modena

    Modena, Modena, 41126

  • Azienda Ospedaliero Universitaria Pisana

    Pisa

  • ASL Biella - Ospedale degli Infermi

    Ponderano, Piedmont, 13875

  • Fondazione Policlinico Universitario A Gemelli-Rome

    Rome, Lazio, 00168

  • Azienda Policlinico Umberto

    Rome, Lazio, 00185

  • Ospedale Isola Tiberina - Gemelli Isola

    Rome, Lazio, 00186

Other trials in Italy

Spain8 sites
  • Hospital de La Santa Creu i Sant Pau

    Barcelona, Barcelona, 08025

  • Fundacion ACE Instituto Catalan de Neurociencias-Gran via de Carles III, 85 bis

    Barcelona, Barcelona, 8028

  • Centro De Atencion Especializada Oroitu

    Getxo, Vizcaya, 48993

  • Hospital Universitario Ramon y Cajal

    Madrid, Madrid, 28034

  • Fundacion CITA Alzheimer Fundazioa

    San Sebastián, Guipúzcoa, 20009

  • Hospital Universitario Doctor Peset

    Valencia, Valencia, 46017

  • Hospital Universitari i Politecnic La Fe de Valencia

    Valencia, Valencia, 46026

  • Hospital Viamed Montecanal

    Zaragoza, Zaragoza, 50012

Other trials in Spain

United Kingdom6 sites
  • Re-Cognition Health - Bristol

    Bristol, Bristol, BS32 4SY

  • Re:Cognition Health - Guildford - PPDS

    Guildford, Surrey, GU2 7YD

  • Re:Cognition Health

    London, W1G 9RU

  • The National Hospital for Neurology and Neurosurgery

    London, WC1N 3BG

  • NeuroClin Glasgow

    Motherwell, ML1 4UF

  • RE: Cognition Health - Plymouth

    Plymouth, Devon, PL6 8BT

Other trials in United Kingdom

Germany4 sites
  • Ambulantes Gesundheitszebtrum der Charite GmbH

    Berlin, State of Berlin, 12200

  • Charité - Universitätsmedizin Berlin

    Berlin, State of Berlin, 13125

  • Klinikum rechts der Isar der Technischen Universitaet Muenchen

    Munich, Bavaria, 81675

  • Universitätsklinikum Ulm-Oberer Eselsberg 45

    Ulm, Baden-Wurttemberg, 89081

Other trials in Germany

Australia3 sites
  • Box Hill Hospital

    Box Hill, Victoria, 3128

  • KaRa Institute of Neurological Disease

    Macquarie Park, New South Wales, 2113

  • Alfred Health

    Melbourne, Victoria, 3004

Other trials in Australia

Poland3 sites
  • EUROMEDIS Sp. z o.o.

    Szczecin, West Pomeranian Voivodeship, 70-111

  • Centrum Medyczne NeuroProtect

    Warsaw, Masovian Voivodeship, 01-684

  • NZOZ Wroclawskie Centrum Alzheimerowskie

    Wroclaw, Lower Silesian Voivodeship, 53-110

Other trials in Poland

Argentina2 sites
  • Instituto Privado Kremer

    Córdoba, Córdoba Province, X5004AOA

  • Centro de Psiquiatria Biologica

    Mendoza, Mendoza Province, 05500

Other trials in Argentina

Canada2 sites
  • Kawartha Regional Memory Clinic

    Peterborough, Ontario, K9H 2P4

  • Baycrest Health Sciences

    Toronto, Ontario, M6A 2X8

Other trials in Canada

Netherlands1 site
  • Brain Research Center Den Bosch - PPDS

    's-Hertogenbosch, North Brabant, 5223 LA

Other trials in Netherlands

About this study

Official title: A Multicenter, Long-term Extension Study to Evaluate the Safety, Tolerability, and Efficacy of AL002 in Participants With Alzheimer's Disease

A long-term extension study to evaluate the safety, tolerability, and efficacy of AL002 in participants with Early Alzheimer's Disease.

Read the detailed description

This is a Phase 2, parallel-group, long-term extension (LTE), dose-blind study to evaluate the long-term safety and efficacy of AL002 in participants with Early Alzheimer's Disease. The study is a multicenter, global trial that will enroll participants who completed the planned treatment period in AL002-2 (parent study).

Being tested
AL002
Medical subject headings
Alzheimer Disease

What participants receive

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

  • AL002Drug

    Administered via intravenous (IV) infusion

Study groups in NCT05744401
Study groupRoleWhat they receive
AL002 Dose 1ExperimentalAL002 every 4 weeks
Receives: Drug: AL002
AL002 Dose 2ExperimentalAL002 every 4 weeks
Receives: Drug: AL002
AL002 Dose 3ExperimentalAL002 every 4 weeks
Receives: Drug: AL002

What is being measured

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

  1. Safety and Tolerability as Measured by Number of Treatment-expected Adverse Events (TEAE) and Treatment-related Adverse Events (AEs).

    Adverse Events are any untoward medical occurrence in a participant enrolled in this study, including side effects, injury, toxicity, sensitivity reaction, intercurrent illnesses, clinically significant physical exam signs, or sudden death, whether or not it is considered related to the study drug.

    Measured: From the Screening period and throughout the treatment period until the end of study participation, up to 49 weeks.

  2. Safety and Tolerability as Measured by Number of Adverse Events of Special Interest and Serious Adverse Events

    Adverse Events are any untoward medical occurrence in a participant enrolled in this study, including side effects, injury, toxicity, sensitivity reaction, intercurrent illnesses, clinically significant physical exam signs, or sudden death, whether or not it is considered related to the study drug.

    Measured: From the Screening period and throughout the treatment period until the end of study participation, up to 49 weeks.

  3. Safety and Tolerability as Measured by the Number of Cases of Abnormal Vital Signs, Clinical Laboratory Results and Findings From Physical, Neurological, Ophthalmological Examinations and Electrocardiograms.

    Evaluation of vital signs (blood pressure, pulse, temperature), clinical laboratory results (hematology, biochemistry, urinalysis), and findings from physical, neurological, ophthalmological examinations, and electrocardiograms.

    Measured: From the Screening period and throughout the treatment period until the end of study completion, up to 49 weeks

  4. To Evaluate the Long-term Safety and Tolerability of AL002, by Assessing the Number of Suicidal Risk Events Using the Columbia-Suicide Severity Rating Scale (C-SSRS)

    Two versions of the C-SSRS were used in the parent study: a Screening/Baseline version and a Since Last Visit version. The Screening/Baseline version of the C-SSRS assesses the lifetime suicidal ideation and behavior and non-suicidal self-injurious behavior, the suicidal ideation in the past 6 months, and suicidal behavior and non-suicidal self-injurious behavior in the past two years. The C-SSRS uses a point scale where a higher score indicates a greater risk of suicidality.

    Measured: From the Screening period and throughout the treatment period until the end of the study participation up to 49 weeks.

  5. To Evaluate the Effect of Dose Titration on the Occurrence of ARIA-E by Assessing the Number of Participants With ARIA-E Events

    Among the brain abnormalities detected on MRI are ARIA, which are believed to reflect leakage of proteinaceous fluid or other blood products in the leptomeninges or brain parenchyma. The term ARIA was originally coined to describe specific brain abnormalities seen on MRI in anti-amyloid clinical trials. Specifically, according to the convention developed to describe ARIA occurring in clinical trials of anti-amyloid immunotherapies, ARIA-E refers to MRI findings of vasogenic edema and leptomeningeal/sulcal effusion.

    Measured: Screening, Week 9, Week 17, Week 25, Week 33, Week 41, End of Study visit, and Early Termination visit, if applicable up to 49 weeks

  6. To Evaluate the Effect of Dose Titration on the Occurrence of ARIA-H by Assessing the Number of Participants With ARIA-H Events

    Among the brain abnormalities detected on MRI are ARIA, which are believed to reflect leakage of proteinaceous fluid or other blood products int the leptomeninges or brain parenchyma. The term ARIA was originally coined to describe specific brain abnormalities seen on MRI in anti-amyloid clinical trials. Specifically, according to the convention developed to describe ARIA occurring in clinical trials of anti-amyloid immunotherapies, ARIA-H refers to MRI findings of cerebral microhemorrhages, leptomeningeal hemosiderosis, and cerebral macrohemorrhages.

    Measured: Screening, Week 9, Week 17, Week 25, Week 33, Week 41, End of Study visit, and Early Termination visit, if applicable up to 49 weeks

Timeline

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

  1. First posted27 Feb 2023
  2. Study start4 Jan 2023
  3. Primary completion31 Jan 2025
  4. Study completion5 Feb 2025

Why it stopped: Parent study failed to meet the primary endpoint and there were no treatment effects that favored AL002 on secondary clinical and functional endpoints.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
197 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05744401
Sponsor's protocol ID
AL002-LTE
Status last verified
Feb 2026
First submitted
19 Jan 2023
Last updated
25 Feb 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AL002 in people with Alzheimer's Disease, run by Alector Inc. at 54 sites in 10 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 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 25 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 54 sites in United States, Italy, Spain, United Kingdom, Germany and 5 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 25 Feb 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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

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

What does the primary outcome measure?

Safety and Tolerability as Measured by Number of Treatment-expected Adverse Events (TEAE) and Treatment-related Adverse Events (AEs). (time frame: From the Screening period and throughout the treatment period until the end of study participation, up to 49 weeks.). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Feb 2026.

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