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.
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
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
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
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
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
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
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
Argentina2 sites
Instituto Privado Kremer
Córdoba, Córdoba Province, X5004AOA
Centro de Psiquiatria Biologica
Mendoza, Mendoza Province, 05500
Canada2 sites
Kawartha Regional Memory Clinic
Peterborough, Ontario, K9H 2P4
Baycrest Health Sciences
Toronto, Ontario, M6A 2X8
Netherlands1 site
Brain Research Center Den Bosch - PPDS
's-Hertogenbosch, North Brabant, 5223 LA
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).
- Conditions
- Alzheimer's Disease
- 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 group | Role | What they receive |
|---|---|---|
| AL002 Dose 1 | Experimental | AL002 every 4 weeks Receives: Drug: AL002 |
| AL002 Dose 2 | Experimental | AL002 every 4 weeks Receives: Drug: AL002 |
| AL002 Dose 3 | Experimental | AL002 every 4 weeks Receives: Drug: AL002 |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
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.
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
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.
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
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.
- First posted27 Feb 2023
- Study start4 Jan 2023
- Primary completion31 Jan 2025
- 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
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Alzheimer's DiseaseStudies of the same condition, open and under way.
- 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 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)
Sponsor and investigators
- Lead sponsor
- Alector Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- AbbVie
- Responsible party
- Sponsor
- Investigators
- TBD TBD, Principal investigator
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Long-term Extension Study to Evaluate the Safety, Tolerability, and Efficacy of AL002 in Participants With Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT05744401
- Acronym / sponsor ID
- AL002-LTE
- Conditions
- Alzheimer's Disease
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Parent study failed to meet the primary endpoint and there were no treatment effects that favored AL002 on secondary clinical and functional endpoints.
- Enrolment
- 197 participants (actual)
- Lead sponsor
- Alector Inc.Industry (pharma, biotech, devices)
- Collaborators
- AbbVie
- Study start
- 4 Jan 2023 (actual)
- Primary completion
- 31 Jan 2025 (actual)
- Study completion
- 5 Feb 2025 (actual)
- First posted
- 27 Feb 2023 (actual)
- Results
- Posted 25 Feb 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A long-term extension study to evaluate the safety, tolerability, and efficacy of AL002 in participants with Early Alzheimer's Disease.
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).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| AL002 Dose 1 | Experimental | Drug: AL002AL002 every 4 weeks |
| AL002 Dose 2 | Experimental | Drug: AL002AL002 every 4 weeks |
| AL002 Dose 3 | Experimental | Drug: AL002AL002 every 4 weeks |
Who may qualify
- Ages
- 50 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- 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
Key exclusion criteria (3 listed)
- 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.
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 |
|---|---|---|
| AL002Administered via intravenous (IV) infusion | Drug | AL002 Dose 1, AL002 Dose 2, AL002 Dose 3 |
Primary outcome
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.
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.
Safety and Tolerability as Measured by Number of Adverse Events of Special Interest and Serious Adverse Events
Time frame: From the Screening period and throughout the treatment period until the end of study participation, up to 49 weeks.
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.
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.
Time frame: From the Screening period and throughout the treatment period until the end of study completion, up to 49 weeks
Evaluation of vital signs (blood pressure, pulse, temperature), clinical laboratory results (hematology, biochemistry, urinalysis), and findings from physical, neurological, ophthalmological examinations, and electrocardiograms.
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)
Time frame: From the Screening period and throughout the treatment period until the end of the study participation up to 49 weeks.
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.
To Evaluate the Effect of Dose Titration on the Occurrence of ARIA-E by Assessing the Number of Participants With ARIA-E Events
Time frame: 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
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.
To Evaluate the Effect of Dose Titration on the Occurrence of ARIA-H by Assessing the Number of Participants With ARIA-H Events
Time frame: 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
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.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Feb 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
TBD TBD principal investigator
54 sites in 10 countries: see every site and its status.
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.