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Alzheimer DiseaseNCT05999084

Georgia Memory Net Anti-Amyloid Monoclonal Antibody Registry

An observational study of Alzheimer Disease, run by Emory University at 8 sites in United States.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
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Trial summary

The purpose of this registry is to compile information on patients who are receiving FDA-approved anti-amyloid mAbs in the course of their clinic visits in the Emory Cognitive Neurology Clinic and in Georgia Memory Net Memory Assessment Clinics. Read more about this study

Who is it for?
Ages 50 to 90 years
Conditions the study is for
Alzheimer Disease
What is being tested?
Anti-amyloid Monoclonal Antibodies (mAbs)
Type of treatment
Injection or infusion
How many people
735 participants
Where
8 sitesUnited States
Study dates
6 Mar 2025to Jul 2028
How long will I take part?
5 Years
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

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

  • Ages 50 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: This study includes patients receiving care through the Emory Cognitive Neurology Clinic and Georgia Memory Net (GMN) clinics, and their caregivers.

Who may be able to join

  • Age 50-90, inclusive
  • Diagnosis: Mild Cognitive Impairment (MCI) or mild AD dementia with positive cerebrospinal fluid (CSF) or amyloid PET
  • Objective measurement of baseline cognition and function within past 3 months:
  • Cognitive: Mini-Mental State Examination (MMSE) ≥ 22, MoCA ≥ 16
  • Function: Independence in basic ADLs
  • Function: FAQ ≤ 9 may justify inclusion with lower cognitive score if felt to be impacted by prominent language impairment or other factors affecting score
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  • MRI brain within last year and no exclusionary criteria
  • Complete blood count (CBC), comprehensive metabolic panel (CMP), B12, thyroid stimulating hormone (TSH), prothrombin time (PT), partial thromboplastin time (PTT), and International Normalized Ratio (INR) without clinically significant abnormality
  • Informant/care partner/family available to attend follow-up visits to provide information regarding patient's cognitive and functional abilities
  • Agree to MRI, PET, and testing clinical diagnostic requirements and drug label / FDA recommendations to determine drug eligibility and appropriateness, including Apolipoprotein E (APOE) testing

Who cannot join

  • Any contraindication to MRI
  • MRI exclusion criteria:
  • Acute or sub-acute hemorrhage
  • Prior macro hemorrhage (>1 cm), subarachnoid hemorrhage, or known aneurysm
  • >4 microhemorrhages
  • Superficial siderosis
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  • Any finding that might be a contributing cause of the subject's dementia that could pose a risk to the subject or prevent safety MRIs.
  • Seizure within the past 6 months or history of refractory epilepsy.
  • Unstable severe psychiatric illness in past 6 months
  • History of bleeding disorder, blood clotting, or clinically significant abnormal results on coagulation profile (platelet count <50,000; INR >1.5)
  • Uncontrolled diabetes (HgbA1c >9%)
  • Uncontrolled hypertension
  • History of unstable angina, myocardial infarction (MI), advanced heart failure, or clinically significant conduction abnormalities within past year.
  • End stage renal disease
  • Receiving active treatment for cancer (e.g., chemotherapy, biologics, or radiation therapy) with exceptions for maintenance therapies for cancer in remission (e.g., anti-estrogen for breast cancer)
  • Systemic illness or serious infection, e.g., pneumonia, sepsis, Coronavirus disease 2029 (COVID-19), in past 30 days
  • Immunological disease requiring immunosuppression, immunoglobulins, monoclonal antibodies, or plasmapheresis
  • Exclude if breastfeeding or if female patients of childbearing potential unable to practice highly effective contraception
  • History of severe allergic or anaphylactic reactions or hypersensitivity to inactive ingredients (arginine hydrochloride, histidine, histidine hydrochloride monohydrate, polysorbate 80)

Trial locations and contacts

8 sites in 1 country. Contact the study team or a site near you to ask about taking part.

8 sites in 1 country

United States8 sites
  • Georgia Memory Net Memory Assessment Clinic - Albany

    Albany, Georgia, 31707

  • Georgia Memory Net Memory Assessment Clinic - Atlanta

    Atlanta, Georgia, 30303

  • Emory Cognitive Neurology Clinic at the Emory Brain Health Center

    Atlanta, Georgia, 30322

  • Georgia Memory Net Memory Assessment Clinic - Augusta

    Augusta, Georgia, 30912

  • Georgia Memory Net Memory Assessment Clinic - Gainesville

    Gainesville, Georgia, 30501

  • Georgia Memory Net Memory Assessment Clinic - Macon

    Macon, Georgia, 31206

  • Georgia Memory Net Memory Assessment Clinic - Savannah

    Savannah, Georgia, 31406

  • Georgia Memory Net Memory Assessment Clinic - Vidalia

    Vidalia, Georgia, 30474

Other trials in United States

About this study

Official title: Georgia Memory Net Center for Medicare and Medicaid Services Registry for Anti-Amyloid Monoclonal Antibody Coverage With Evidence Development

The purpose of this registry is to compile information on patients who are receiving FDA-approved anti-amyloid mAbs in the course of their clinic visits in the Emory Cognitive Neurology Clinic and in Georgia Memory Net Memory Assessment Clinics.

Read the detailed description

Alzheimer's disease is a devastating neurodegenerative illness impacting millions of Americans including patients and caregivers. Treatments have been limited to symptomatic therapies leading to the pervasive sentiment that 'nothing can be done'; however, recent advances in the field have created excitement and hope for patients, families, and healthcare providers. On 6 January 2023, the anti-amyloid monoclonal antibody (mAb) lecanemab received accelerated approval from the Food and Drug Administration (FDA). A similar medication, donanemab, also recently demonstrated positive results in a large trial. Despite the positive trials, questions remain about anti-amyloid mAbs efficacy as well as how they will perform in a real-world setting. The Centers for Medicare \& Medicaid Services (CMS) released a National Coverage Analysis (NCA) Memo with a framework for deploying anti-amyloid mAbs in a way that improves understanding of benefit and harm.

This registry will be managed through Georgia Memory Net (GMN), an initiative that was launched in 2018 to build statewide capacity for early and specific diagnosis of Alzheimer's disease and related dementias (ADRD), improve patient and caregiver support, and provide access to emerging disease modifying therapies. The GMN supports Memory Assessment Clinics (MACs) geographically distributed at 7 sites around the state with common data elements modeled on best practices developed in the Emory University Cognitive Neurology Memory Assessment Clinic over the past 25 years. The GMN infrastructure and care model provides an optimal real-world testing ground for evidence development on the effectiveness, safety, and appropriate use of anti-amyloid mAbs in the Medicare population.

The clinical data for patients treated with anti-amyloid mAbs will be compared to historical clinical data from comparable patients who were seen in GMN clinics prior to availability of anti-amyloid mAbs. Patients in the registry will be followed for the duration of their initial treatment as specified by FDA for specific anti-amyloid monoclonal antibody and subsequent maintenance treatment which is currently unspecified.

The objectives of this registry are to:

  1. Monitor clinical use of FDA approved anti-amyloid mAbs to report health outcomes for patients in broad community practice.
  2. Understand how patient characteristics, treating clinicians, and clinical settings impact benefits and harms (brain hemorrhage and edema) of FDA approved anti-amyloid mAbs.
  3. Define how benefits and harms of FDA approved anti-amyloid mAbs change over time.
Being tested
Anti-amyloid Monoclonal Antibodies (mAbs), Standard of Care
Keywords
Monoclonal antibodies, Amyloid, Mild Cognitive Impairment, Lecanemab, Leqembi
Medical subject headings
Alzheimer Disease, Cognitive Dysfunction

What participants receive

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

  • Anti-amyloid Monoclonal Antibodies (mAbs)Drug

    Also called lecanemab

    Infusions of lecanemab occur every 2-weeks as indicated in the FDA labeling. After 18 months of treatment, an amyloid positron emission tomography (PET) scan with FDA-approved radiotracer is performed to confirm clearance of amyloid pathology. It is anticipated that most individuals treated with lecanemab for 18 months will no longer have positive amyloid PET scans. In those instances where persistent amyloid pathology is seen, every 2-week treatment with lecanemab will be continued for an additional 6 months with repeat amyloid PET scan until amyloid clearance is achieved. If an individual has progressed to moderate or severe stages of AD dementia during the initial 18 months of treatment and amyloid PET shows failure to clear amyloid pathology, treatment will be terminated. Dosing frequency after 18 months (or after amyloid clearance) remains unclear and will need to be determined with additional evidence development.

  • Standard of CareCombination product

    The standard of care, other than treatment with anti-amyloid mAbs, provided at the study clinics.

Study groups in NCT05999084
Study groupRoleWhat they receive
Anti-amyloid Monoclonal Antibodies (mAbs)Patients with Mild Cognitive Impairment (MCI) or mild AD dementia who are receiving treatment with anti-amyloid mAbs, per standard of care. Patients seen in the Emory and GMN MACs are evaluated with standard instruments for cognitive and functional abilities.
Receives: Drug: Anti-amyloid Monoclonal Antibodies (mAbs)
Historical Comparator GroupAvailable historical data from biomarker-confirmed patients with MCI or mild dementia due to AD who have been followed in the Emory Cognitive Neurology Clinic will serve as a comparator group. Patients seen in the Emory and GMN MACs are evaluated with standard instruments for cognitive and functional abilities.
Receives: Combination Product: Standard of Care
Caregivers of Patients Receiving Anti-amyloid Monoclonal Antibodies (mAbs)Caregivers of patients with Mild Cognitive Impairment (MCI) or mild AD dementia who are receiving treatment with anti-amyloid mAbs, per standard of care. Caregivers of patients seen in the Emory and GMN MACs are evaluated with standard instruments for cognitive and functional abilities.
Receives: Drug: Anti-amyloid Monoclonal Antibodies (mAbs)

What is being measured

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

  1. Change in Quick Dementia Rating System (QDRS) Score

    The QDRS is a 10-item questionnaire assessing cognitive impairment. Items are rated on a 5-point scale where no problems = 0, slight problems = 0.5, mild problems = 1, moderate to severe problems = 2, and severe problems = 3. Total scores range from 0 to 30 and higher scores indicate increased cognitive impairment.

    Measured: Baseline and every 6 months until end of study (up to 5 years)

  2. Montreal Cognitive Assessment (MoCA) Score

    MoCA is an instrument to screen for mild cognitive dysfunction, assessing the cognitive domains of attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. Total scores range from 0 to 30 with higher scores indicating better cognitive function. A normal score is considered to be 26 or higher.

    Measured: Baseline and every 6 months until end of study (up to 5 years)

  3. Change in Functional Activities Questionnaire (FAQ) Score

    Instrumental activities of daily living are assessed with the Functional Activities Questionnaire (FAQ). The FAQ includes 10 items which are scored on a scale from 0 to 3 where 0 = normal and 3 = dependent. Total scores range from 0 to 30 and lower scores indicate that the respondent is able to perform daily activities. A score of 9 (where the person is dependent in 3 activities) is used as a cut-point indicating impairments with functioning.

    Measured: Baseline and every 6 months until end of study (up to 5 years)

  4. Change in Lawton-Brody Activities of Daily Living (ADL) Physical Self-Maintenance Scale (PSMS) Score

    Independence with tasks such as toilet behaviors, feeding, and grooming is measured with the Physical Self-Maintenance Scale (PSMS). The PSMS is a 6-item instrument with multiple options for responses, which are scored as 0 or 1. Complete independence with the activity is scored as 1 and if any sort of assistance is needed the score is 0 . Total scores range from 0 to 6 with higher scores indicating greater independence with tasks of self-maintenance.

    Measured: Baseline and every 6 months until end of study (up to 5 years)

  5. Change in Lawton-Brody Instrumental Activities of Daily Living (IADL) Scale Score

    Functional independence is measured with the Instrumental Activities of Daily Living (IADL) scale. The IADL is an 8-item instrument which assesses how well the respondent can perform daily tasks of using the telephone, shopping, food preparation, housekeeping, laundry, transport, medication, and finances by rating the responses as 0 or 1. The total score for women ranges from 0 to 8 and the total score for men ranges from 0 to 5, with higher scores indicating greater independence.

    Measured: Baseline and every 6 months until end of study (up to 5 years)

Secondary outcomes (3)
  1. Change in Care Needs Assessment Tool (CNAT) Score

    The CNAT asks caregivers to indicate whether or not certain challenging behaviors (9 items) or difficulties with activities of daily living (4 items) have occurred with the care recipient in the past month. For the behaviors and difficulties that have happened, caregivers rate how much they were bothered by this on a 5-point scale where "not at all" = 0 and "extremely" = 4. Total score for this section range from 0 to 52, with higher scores indicating a increased feelings of being upset about the behaviors and functional difficulties of the care recipient.

    Measured: Baseline and every 6 months until end of study (up to 5 years)

  2. Change in Zarit Burden Interview Score

    The Zarit Burden Interview instrument assesses caregiver burden and needs. The measurement has 22 items about feelings while caring for another person and each item on the interview is a statement which the caregiver is asked how often they feel that way. Responses are given on a 5-point scale where Never - 0 and Nearly Always = 4. Total scores range from 0 to 88 and higher scores indicate greater feelings of burden.

    Measured: Baseline and every 6 months until end of study (up to 5 years)

  3. Change in Patient-Reported Outcomes Measurement Information System Global Health (PROMIS 10) Score

    The PROMIS Global Health questionnaire consists of 10 items assessing general domains of health and functioning. Items are scored on a 5-point scale where poor = 1 and excellent = 5. Total scores are standardized to a T-score with a mean of 50 and a standard deviation of 10. Scores above 50 indicate better health and functioning, while scores below 50 indicate physical, mental and social health that is below average.

    Measured: Baseline and every 6 months until end of study (up to 5 years)

Timeline

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

  1. First posted21 Aug 2023
  2. Study start6 Mar 2025
  3. Primary completionJul 2028 (estimated)
  4. Study completionJul 2028 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
735 participants (estimated)
Target duration
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT05999084
Sponsor's protocol ID
STUDY00006475
Other IDs
2023P006262
Status last verified
Jul 2026
First submitted
13 Aug 2023
Last updated
10 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data regarding the results of longitudinal cognitive testing and functional surveys, and type, frequency, and severity of adverse events, will be available for sharing with other researchers.

Questions about this trial

What is this clinical trial studying?

An observational study of Alzheimer Disease, run by Emory University at 8 sites in United States.

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 10 inclusion and 19 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: enrolling by invitation, as of the sponsor's last update on 10 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States. 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.

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?

Change in Quick Dementia Rating System (QDRS) Score (time frame: Baseline and every 6 months until end of study (up to 5 years)). The study lists 5 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 10 Jul 2026.

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