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Mild Cognitive Impairment Due to Alzheimer's DiseasePhase 2PRImus-ADNCT06182085

Study to Assess Safety and Efficacy of PRI-002 in Patients With MCI to Mild Dementia Due to Alzheimer's Disease (AD)

A Phase 2 study testing PRI-002 in people with Mild Cognitive Impairment Due to Alzheimer's Disease and Alzheimer's Disease, Early Onset, run by PRInnovation GmbH at 38 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Alzheimer's disease (AD) is the most common form of dementia. In the brains of people with AD, certain small substances stick together. This leads to changes in thinking and behaviour. The company PRInnovation is developing a new treatment for Alzheimer's disease, called PRI-002. Read more about this study

Who is it for?
Ages 55 to 80 years
What is being tested?
PRI-002
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
304 participants
Where
38 sitesin 6 countries
Study dates
15 Feb 2024to 2 Jul 2026
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

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

  • Ages 55 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed and dated written informed consent obtained from the subject and study companion in accordance with applicable regulations.
  • Male or female, aged 55 to 80 years, inclusive.
  • For female subjects: not being of child-bearing potential. This is defined as either permanently sterilised (via hysterectomy, bilateral salpingectomy, or bilateral oophorectomy) or postmenopausal (defined as no menses for 12 months without an alternative medical cause).
  • For male subjects who are sexually active with women of child-bearing potential: agreeing to use acceptable contraception (using a condom or having demonstrated successful vasectomy) and not donate sperm from Screening until 12 weeks after the last dose of study treatment.
  • Body mass index (BMI) between 18.5 and 30.0 kg/m2, inclusive.
  • Diagnosed with MCI due to AD or mild dementia due to AD, according to the NIA-AA criteria.
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  • MMSE score of 22 to 30, inclusive.
  • Repeatable battery for the assessment of neuropsychological status - delayed memory index (RBANS-DMI) score ≤85.
  • CDR global score of 0.5 or 1 with a memory score ≥0.5.
  • Confirmation of AD diagnosis, by
  • CSF biomarker profile reflecting AD, according to NIA-AA, or
  • existing positive amyloid positron emission tomography (PET) evidence.
  • Fluency in local language and evidence of adequate intellectual functioning in the opinion of the investigator.
  • Having a reliable informant or caregiver who is willing and able to act as the study companion throughout the duration of the subject's participation. The subject and the study companion must have frequent interaction (defined as a minimum of 6 hours/week on average) according to subject's report.

Who cannot join

  • Unable to give informed consent in accordance with applicable regulations.
  • Diagnosed with moderate or severe dementia due to AD according to NIA-AA.
  • History or evidence of any other central nervous system (CNS) disorder(s) that could be interpreted as a cause of cognitive impairment or dementia.
  • History of known or suspected seizures, loss of consciousness, or significant head trauma within 2 years before Screening.
  • History of known or suspected stroke or transient ischaemic attack (TIA) within 2 years before Screening.
  • Evidence of other clinically significant lesions on brain MRI (Fazekas score 3).
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  • History or presence of clinically evident cerebrovascular disease (diagnosis of possible, probable, or definite vascular dementia).
  • Other significant pathological findings on brain MRI (for example more than 10 microhaemorrhages or a single macrohaemorrhage >10 mm at the greatest diameter).
  • Unstable medical, neurological, or psychiatric condition, or presence of major depressive episode at Screening.
  • Life-time history of schizophrenia or history of uncontrolled bipolar disorder within 5 years before Screening.
  • Having a bleeding disorder that is not under adequate control (defined as a platelet count <50000 or international normalised ratio [INR] >1.5). Participants who are on anticoagulant therapy (for example, warfarin), should have their anticoagulant status optimised and be on a stable dose for 30 days before Screening. Anticoagulant therapy (e.g., clopidogrel bisulfate, carbasalate calcium 100 mg/day, or aspirin 325 mg/day or less) is permitted provided this therapy does not represent a contraindication for a lumbar puncture and CSF sampling (if CSF sampling is required in the absence of historical PET evidence).
  • Having significant kidney disease as indicated by either of the following:
  • Creatinine clearance (eGFR) ≤30 mL/min/1.73m2) as estimated using the modification of diet in renal disease (MDRD) method, or
  • Creatinine ≥2 mg/dL.
  • Having impaired hepatic function as indicated by aspartate amino transferase (AST) or alanine amino transferase (ALT) >3-fold the upper limit of normal (ULN), or total bilirubin >2-fold ULN, at Screening.
  • Known to be human immunodeficiency virus (HIV) positive.
  • Known to be hepatitis C or chronic hepatitis B positive.
  • Having any other clinically significant abnormalities in physical examination, vital signs, laboratory tests, MRI, or ECG at Screening or Baseline which in the opinion of the investigator requires further investigation or treatment or which may interfere with study procedures or safety.
  • Use of licensed symptomatic AD medication for less than 90 days or at a non-stable dose over the past 90 days at Baseline (for example acetylcholinesterase inhibitors, memantine, ginkgo).
  • Use of anti-Aβ monoclonal antibody therapy at Baseline.
  • Treatment with one of the following substances:
  • Typical antipsychotic or neuroleptic medication within 90 days before Screening (except for
  • ≤1 mg risperidon, and ≤300 mg quetiapin).
  • Chronic use of opiates or opioids (including long-acting opioid medication) within 90 days before Screening.
  • Stimulant medications (amphetamine, methylphenidate preparations, or modafinil) within 30 days before Screening.
  • Chronic use of benzodiazepines, barbiturates, or hypnotics within 90 days before Screening.
  • Contraindication to MRI. Patients with MRI compatible pacemakers may be allowed to enter the study.
  • Prior or current participation in a clinical trial testing active immunisation against Aβ or tau.
  • Participation in a clinical trial and having taken at least 1 dose of the investigational medicinal product (IMP), within 5 times the IMP half-life time before Baseline, unless confirmed as having been on placebo.

Trial locations and contacts

38 sites in 6 countries.

38 sites in 6 countries

Germany9 sites
  • Uniklinik RWTH Aachen

    Aachen, 52074

  • Charité - Universitätsmedizin

    Berlin, 13125

  • Universitätsklinikum Düsseldorf

    Düsseldorf, 40225

  • Universitätsklinikum Magdeburg

    Magdeburg, 39120

  • ISPG - Institut für Studien zur Psychischen Gesundheit

    Mannheim, 68165

  • Technische Universität München

    München, 81675

  • Universitätsklinikum Münster - Klinik für Allgemeine Neurologie

    Münster, 48149

  • University Medical Center Rostock

    Rostock, 18147

  • Universitätsklinikum Ulm

    Ulm, 89081

Other trials in Germany

Italy8 sites
  • Ospedale Bellaria - IRCCS Istituto delle Scienze Neurologiche

    Bologna, 40139

  • ASST Spedali Civili di Brescia

    Brescia, 25123

  • Clinica Neurologica Dipartimento di Neuroscienze e Imaging (CAST)

    Chieti, 66013

  • IRCCS Ospedale San Raffaele

    Milan, 20132

  • Fondazione IRCCS.Istituto Neurologico Carlo Besta

    Milan, 20133

  • Ospedale Santa Maria della Misericordia

    Perugia, 06129

  • AOU Policlinico Umberto I

    Rome, 00161

  • Fondazione Policlinico Universitario A. Gemelli IRCCS

    Rome, 00168

Other trials in Italy

Czechia7 sites
  • Neuro Health Centrum ltd.

    Brno, 62800

  • NeuropsychiatrieHK, s.r.o.

    Hradec Králové, 50341

  • A-Shine, s.r.o.

    Pilsen, 30100

  • CLINTRIAL, s.r.o.

    Prague, 10000

  • FORBELI s.r.o.

    Prague, 14800

  • Neuropsychiatrie s.r.o.

    Prague, 16000

  • INEP Medical s.r.o.

    Prague, 18600

Other trials in Czechia

Poland6 sites
  • Revit Sp. z o.o., Podlaskie Centrum Psychogeriatrii

    Bialystok, 15-756

  • Krakowska Akademia Neurologii Sp. z o.o., Centrum Neurologii Klinicznej

    Krakow, 30-505

  • NeuroCor, ul. Medweciego 7/U12

    Krakow, 31-870

  • Euromedis Sp. z o.o., Centrum Medyczne EUROMEDIS

    Szczecin, 70-111

  • Neuroprotect Sp. z o.o., Centrum Medyczne NeuroProtect

    Warsaw, 01-684

  • Wielospecjalistyczne Centrum Medyczne "Ibismed" s.c.

    Zabrze, 41-800

Other trials in Poland

Spain5 sites
  • Fundació ACE - Institut Català de Neurociències Aplicades

    Barcelona, 08028

  • Hospital Clínico Universitario Virgen de la Arrixaca

    El Palmar, Murcia, 30120

  • Hospital Universitario Virgen Macarena,

    Seville, 41003

  • Hospital Universitario Doctor Peset

    Valencia, 46017

  • Hospital Viamed Montecanal

    Zaragoza, 50012

Other trials in Spain

Netherlands3 sites
  • Brain Research Center Den Bosch B.V.

    's-Hertogenbosch, 5223 LA

  • Brain Research Center Amsterdam B.V.

    Amsterdam, 1081 GN

  • Brain Research Center Zwolle B.V.

    Zwolle, 8025 AZ

Other trials in Netherlands

About this study

Official title: Randomised, Double-blind, Placebo-controlled Study to Assess Safety and Efficacy of PRI-002 in Patients With MCI to Mild Dementia Due to Alzheimer's Disease (AD) (PRImus-AD)

Alzheimer's disease (AD) is the most common form of dementia. In the brains of people with AD, certain small substances stick together. This leads to changes in thinking and behaviour. The company PRInnovation is developing a new treatment for Alzheimer's disease, called PRI-002. It is thought that PRI-002 can cut the sticked substances back into small pieces. That would reduce the effects of Alzheimer's disease. In the current study the investigators examine whether PRI-002 is safe and effective in participants with mild cognitive impairment (MCI) or mild dementia due to AD.

Read the detailed description

Alzheimer's disease (AD) is a progressive neurodegenerative disorder and the most common form of dementia. The post-mortem pathology of AD is mainly characterised by neurodegeneration as well as extracellular amyloid plaques and intracellular neurofibrillary tangles. Research suggests that the amyloid-β-peptide (Aβ) aggregation plays a major role in the development of AD, while Aβ oligomers are thought to be the most toxic species. Therefore, various strategies to develop AD therapeutics address Aβ and some examples include trying to reduce its formation, inhibit its aggregation to fibrils or enhancing its clearance.

PRI-002 is being investigated as a possible treatment for cognitive impairment due to AD. PRI-002 is an all D-amino acid peptide (all-D-peptide) consisting of a rationally designed primary structure, resulting in efficient removal of Aβ oligomers. PRI-002 specifically aims to eliminate neurotoxic Aβ oligomers by disassembling prion-like behaving Aβ oligomers into non-toxic Aβ monomer units. This therapeutic principle is new and unique and differs from that of other amyloid related drug candidates currently in clinical development, which aim to increase the degradation rate of different Aβ species.

The current trial is a Phase 2 proof-of-concept study to further investigate the safety and efficacy of PRI-002 in patients with mild cognitive impairment (MCI) or mild dementia due to AD.

Being tested
PRI-002, Placebo
Keywords
PRI-002, PRImus-AD, Clinical Dementia Rating Sum of Boxes (CDR-SB), Prodromal Alzheimer's disease, Mild Alzheimer's disease dementia
Medical subject headings
Alzheimer Disease

What participants receive

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

  • PRI-002Drug

    Also called Contraloid

    Oral administration

  • PlaceboDrug

    Oral administration

Study groups in NCT06182085
Study groupRoleWhat they receive
PlaceboPlacebo comparatorDaily oral administration of 3 capsules in the morning and evening.
Receives: Drug: Placebo
PRI-002, dosage arm 1ExperimentalDaily oral administration of 3 capsules in the morning and evening, lower dose.
Receives: Drug: PRI-002
PRI-002, dosage arm 2ExperimentalDaily oral administration of 3 capsules in the morning and evening, higher dose.
Receives: Drug: PRI-002

What is being measured

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

  1. To evaluate the safety and tolerability of multiple doses of PRI-002 in subjects with MCI or mild dementia due to AD, based on incidence of drug-related adverse events (AEs).

    Percentage of subjects with at least 1 drug- related AE or drug-related serious adverse event (SAE) between Baseline and Week 48.

    Measured: Baseline to week 48.

  2. To evaluate the efficacy of multiple doses of PRI-002 in subjects with MCI or mild dementia due to AD, based on the Clinical Dementia Rating - Sum of Boxes (CDR-SB).

    Change from Baseline to Week 48 in global outcome as measured by CDR-SB.

    Measured: Baseline to week 48.

Secondary outcomes (6)
  1. To evaluate safety and tolerability of multiple doses of PRI-002 in subjects with MCI or mild dementia due to AD, based on AEs, amyloid related imaging abnormalities oedema (ARIA-E) and haemosiderin (ARIA-H), and treatment discontinuations due to AEs.

    Percentage of subjects with AEs and SAEs from Baseline until End of Study (EoS).

    Measured: Through study completion up to 96 weeks.

  2. To evaluate clinical outcome measures of multiple doses of PRI-002 in subjects with MCI or mild dementia due to AD.

    Change from Baseline to Week 48 of:

    Alzheimer's disease cooperative study - activities of daily living inventory (ADCS-ADL), Alzheimer disease assessment scale - cognitive subscale, 13 tests (ADAS-Cog 13)

    Measured: Through study completion up to 48 weeks.

  3. To evaluate clinical outcome measures of multiple doses of PRI-002 in subjects with MCI or mild dementia due to AD.

    Change from Baseline to study completion of: CDR-SB, ADCS-ADL, ADAS-Cog 13

    Measured: Baseline to study completion.

  4. To evaluate clinical outcome measures and biomarkers of multiple doses of PRI-002 in subjects with MCI or mild dementia due to AD.

    Change from Baseline to EoT of: Mini mental state examination (MMSE) scores, Cerebrospinal fluid (CSF) concentrations of AD-related biomarkers including, but not limited to, ratio Aβ 1-42/1-40, p-tau, t-tau, Aβ oligomers, and tau oligomers, Plasma concentrations of AD-related biomarkers including, but not limited to, ratio Aβ 1-42/1-40, p-tau, t-tau, neurofilament light chain (NfL), glial fibrillary acidic protein (GFAP), and Aβ oligomers, Correlations between changes in CSF and plasma biomarkers and clinical changes (CDR-SB, ADCS-ADL, ADAS-Cog 13, MMSE)

    Measured: Baseline to study completion.

  5. To follow drug levels of PRI-002 during multiple doses of PRI-002 in subjects with MCI or mild dementia due to AD.

    PRI-002 plasma concentrations over time.

    Measured: Through study completion up to 96 weeks.

  6. To evaluate the correlation between PRI-002 exposure and efficacy and the correlation between PRI-002 exposure and safety in subjects with MCI or mild dementia due to AD.

    Correlations between PRI-002 plasma concentrations and clinical changes (CDR-SB, ADCS-ADL, ADAS-Cog 13, MMSE) and safety endpoints (AEs and SAEs).

    Measured: Through study completion up to 96 weeks.

Timeline

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

  1. First posted26 Dec 2023
  2. Study start15 Feb 2024
  3. Primary completion15 Apr 2026
  4. Study completion2 Jul 2026

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
304 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06182085
Sponsor's protocol ID
PRI-002-004
Acronym
PRImus-AD
Status last verified
Jul 2026
First submitted
29 Nov 2023
Last updated
10 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PRI-002 in people with Mild Cognitive Impairment Due to Alzheimer's Disease and Alzheimer's Disease, Early Onset, run by PRInnovation GmbH at 38 sites in 6 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 14 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 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 38 sites in Germany, Italy, Czechia, Poland, Spain and 1 more country. 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 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

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

What does the primary outcome measure?

To evaluate the safety and tolerability of multiple doses of PRI-002 in subjects with MCI or mild dementia due to AD, based on incidence of drug-related adverse events (AEs). (time frame: Baseline to week 48.). The study lists 2 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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