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Alzheimer Disease, Early OnsetPhase 1NCT06750432

PMN310 in Patients With Early Alzheimer's Disease (PRECISE-AD)

A Phase 1 study testing PMN310 in people with Alzheimer Disease, Early Onset, run by ProMis Neurosciences, Inc at 22 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This Phase 1b study aims to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of multiple IV infusions of PMN310 in patients with early Alzheimer's disease. Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Alzheimer Disease, Early Onset
What is being tested?
PMN310
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
144 participants
Where
22 sitesUnited States
Study dates
13 Dec 2024to Dec 2026
Phase
Phase 1
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient and caregiver provide written informed consent.
  • Ambulatory male or female ≥ 50 years of age with adequate visual and auditory abilities to perform the cognitive and functional assessments in the opinion of the Investigator.
  • Meets all of the following clinical criteria for mild cognitive impairment (MCI) due to AD or mild AD dementia at Screening:
  • National Institute on Aging-Alzheimer's Association criteria for MCI due to AD or mild AD dementia (Stage 3 and 4)
  • Global Clinical Dementia Rating (CDR) of 0.5 or 1.0 and memory box score ≥ 0.5 at Screening and Baseline
  • MMSE score between ≥ 20 and 30 inclusive at Screening, and
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  • Either a positive amyloid PET scan within 12 months of Screening consistent with AD, or a positive amyloid PET during Screening.
  • Body mass index between 18 and 36 kg/m2 inclusive.
  • Patients of childbearing potential must meet the following criteria:
  • Male and female patients with reproductive potential must be willing to use an approved double barrier contraceptive method (e.g., condom plus intrauterine device, condom plus hormonal contraception, or double barrier device) during and for 120 days after the last dose of study drug
  • Females of childbearing potential must have a negative serum pregnancy test during Screening, a negative urine pregnancy test prior to each dose, and not currently be breastfeeding.
  • Patients of non-childbearing potential must meet 1 of the following:
  • Post-menopausal female (i.e., 12 consecutive months of spontaneous amenorrhea, age > 51 years).
  • Surgically sterile (i.e., bilateral oophorectomy or hysterectomy).
  • Has a reliable caregiver who agrees to accompany the patient at study visits, accurately report patient's status, provide feedback on functional and safety assessments, and ensure compliance to study requirements.
  • Confirmed to have acceptable venous access for blood collections and IV administration of study drug (i.e., PMN310 or placebo).
  • Patients taking Food and Drug Administration-approved acetylcholinesterase inhibitors or memantine are allowed as long as the dose has been stable for at least 3 months prior to Screening. Patients taking low-dose (5mg) donepezil only require a stable dose for at least 6 weeks prior to baseline.
  • Gradual and progressive memory impairment for >12 months as reported by the patient or informant.
  • A positive result on the Lumipulse G p-tau217/β-Amyloid 1-42 Plasma Ratio test during Screening (when available). If results are indeterminate or unavailable, a patient with a plasma p-tau-217 result of ≥0.50 ng/L will be considered eligible.

Who cannot join

  • Living in a continuous care or long-term care nursing facility. Patients in outpatient living at home or in an assisted living facility are eligible for the study.
  • Medical or neurological condition (other than AD; i.e., Parkinson's disease, Huntington's disease, frontal temporal dementia, dementia with Lewy bodies) judged to be contributing to the patient's cognitive impairment.
  • Laboratory and electrocardiogram (ECG) abnormalities:
  • QT (QTcF) interval > 450 msec (males) or > 470 msec (females) during Screening
  • Alanine aminotransferase ≥ 2 × upper limit of normal (ULN); aspartate aminotransferase ≥ 2 × ULN; total bilirubin ≥1.5 × ULN during Screening
  • Creatinine clearance < 30mL/min during Screening.
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  • In the opinion of the Investigator, any clinically significant current or relevant history of physical or psychiatric illness (including suicidal risk, ideation, behavior, or suicide attempts), any medical disorder that may require treatment or make the patient unlikely to fully complete the study, or any condition that presents undue risk from the investigational product or procedures.
  • Clinically significant recurrent disease or unstable disease that could affect the action, absorption, or disposition of the investigational product, or could affect clinical or laboratory assessments, such as (but not limited to) the following:
  • History of unstable angina, myocardial infarction, chronic heart failure, or clinically significant conduction abnormalities within 1 year prior to Screening
  • Indication of clinically significant impairment of renal or liver function, including hepatitis B surface antigen, or hepatitis C virus antibody at Screening
  • Poorly managed hypertension (systolic > 160 mmHg and/or diastolic > 95 mmHg) or hypotension (systolic < 90 mmHg and/or diastolic < 60 mmHg). Two repeated assessments during Screening are allowed
  • Known uncontrolled diabetes defined by hemoglobin A1c > 7.5 or insulin dependent diabetes.
  • Experienced a significant systemic illness, as judged by the Investigator, within 30 days of the first dose of study drug.
  • Seizure in the 3 years prior to Screening.
  • History of a clinically significant medical condition that would interfere with the patient's ability to comply with study instructions, would place the patient at increased risk, or might confound the interpretation of the study results.
  • History of prior malignancy (except adequately treated non-melanoma skin cancer or carcinoma in situ of the cervix).
  • Brain MRI with evidence of any of the following findings at Screening: >4 microhemorrhages; > 1 lobar microhemorrhage, area of superficial siderosis; subarachnoid hemorrhage; any other hemorrhage > 10 mm; > 2 lacunar infarcts or cortical infarct; subjects with severe perivascular spaces or with white matter hyperintensities in a multisort pattern will require PI review prior to inclusion.
  • History of stroke or transient ischemic attack within 12 months prior to Screening.
  • Contraindication to PET or brain MRI.
  • Negative PET scan with any amyloid-targeting ligand within 12 months of Screening or during Screening.
  • Pregnant or breastfeeding.
  • History of alcohol abuse and/or other substance abuse within 12 months prior to dosing with study drug.
  • Positive test for illicit drugs of abuse at Screening.
  • Documented history of human immunodeficiency virus antibody.
  • Coronavirus disease 2019 (COVID-19) infection within 2 weeks of Screening or ongoing symptoms of COVID-19 at Screening.
  • Currently receiving an anti-amyloid treatment, either marketed (lecanemab, donanemab) or investigational or has received anti amyloid therapy within 9 months prior to Screening. In the case of investigational treatment, those known to have received placebo will not be excluded.
  • Contraindication to undergoing lumbar puncture (LP) including: sensitivity to local anesthetic, international normalized ratio (INR) > 1.4 or other coagulopathy, platelet cell count of < 120,000/µL, infection at the desired LP site, current use of anti-coagulant medication except for low dose aspirin, degenerative arthritis, spinal scoliosis, back surgery, suspected increased intracranial pressure on history or neurologic exam, non-communicating hydrocephalus or intracranial mass, or prior history of spinal mass or trauma and/or other known clinically significant spinal abnormalities.
  • Donated blood or blood products (e.g., plasma, platelets) within 56 days prior to first dose of study drug.
  • Received an investigational active agent (e.g., not placebo) within the last 30 days or 5 half-lives, whichever is longer (if known).
  • Known history of severe allergic reaction or hypersensitivity to any components of the PMN310 infusion.

Trial locations and contacts

22 sites in 1 country.

22 sites in 1 country

United States22 sites
  • Alzheimer's Disease Research Center

    Albany, New York, 12208

  • JEM Research Institute

    Atlantis, Florida, 33462

  • Columbus Memory Center, LLC

    Columbus, Georgia, 31909

  • Kerwin Medical Center

    Dallas, Texas, 75231

  • CenExel iResearch, LLC

    Decatur, Georgia, 30030

  • Quantum Laboratories

    Deerfield Beach, Florida, 33442

  • Brain Matters Research

    Delray Beach, Florida, 33445

  • Irvine Center for Clinical Research

    Irvine, California, 92614

  • Healthy Brain Research

    Long Beach, California, 90804

  • Flourish Research

    Matthews, North Carolina, 28105

  • Finlay Medical Research

    Miami, Florida, 33126

  • Gonzalez MD and Aswad MD Health Services, Optimus U Corp

    Miami, Florida, 33135

  • Neuro Behavioral Clinical Research, Inc.

    North Canton, Ohio, 44720

  • Renstar Medical Research

    Ocala, Florida, 34470

  • Charter Research

    Orlando, Florida, 32803

  • Headlands Eastern MA LLC

    Plymouth, Massachusetts, 02360

  • Keystone Clinical Studies, LLC

    Plymouth Meeting, Pennsylvania, 19462

  • Alzheimer's Research and Treatment Center

    Stuart, Florida, 34997

  • Charter Research

    The Villages, Florida, 32162

  • Advanced Memory Research Institute of NJ

    Toms River, New Jersey, 08755

  • Alzheimer's Research and Treatment Center

    Wellington, Florida, 33414

  • Conquest Research, LLC

    Winter Park, Florida, 32789

Other trials in United States

About this study

Official title: A Phase 1b, Double-Blind, Placebo-Controlled, Multiple Ascending Dose Study of the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of PMN310 in Patients With Early Alzheimer's Disease

This Phase 1b study aims to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of multiple IV infusions of PMN310 in patients with early Alzheimer's disease.

Read the detailed description

This study is a Phase 1b, randomized, double-blind, placebo controlled, multi-ascending dose study of repeat doses of PMN310 to evaluate the safety, tolerability, PK, PD, and preliminary efficacy of multiple intravenous infusions of PMN310 in patients with early Alzheimer's disease. This study will evaluate 3 dose levels (350 mg, 700 mg, and 1400 mg are planned). Patients will be randomly assigned 3:1, PMN310: placebo.

Each patient will receive PMN310 or placebo once every 28 days for a total of 12 infusions.

Being tested
PMN310, 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.

  • PMN310Drug

    A humanized immunoglobulin G1 (IgG1) monoclonal antibody

  • PlaceboDrug

    0.9% NaCl 100 mL

Study groups in NCT06750432
Study groupRoleWhat they receive
Cohort 1 PMN310 350 mg or placeboExperimentalPMN310 350 mg or placebo administered as a 60-minute infusion.
Receives: Drug: PMN310; Drug: Placebo
Cohort 2 PMN310 700 mg or placeboExperimentalPMN310 700 mg or placebo administered as a 60-minute infusion.
Receives: Drug: PMN310; Drug: Placebo
Cohort 3 PMN310 1400 mg or placeboExperimentalPMN310 1400 mg or placebo administered as a 60-minute infusion.
Receives: Drug: PMN310; Drug: Placebo

What is being measured

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

  1. Safety and tolerability of PMN310 following repeat intravenous infusions of PMN310

    Number and severity of adverse events

    Measured: Up to Day 337

  2. Biomarker response to PMN310 following repeat intravenous infusions of PMN310

    Mean change in plasma p-tau217 in response to repeat intravenous infusions of PMN310

    Measured: Up to Day 337

  3. Safety and tolerability of PMN310 following repeat intravenous infusions of PMN310

    Percent of patients with symptomatic and/or non symptomatic amyloid-related imaging abnormalities

    Measured: Up to Day 337

Secondary outcomes (23)
  1. Pk profile of PMN310 with repeat dosing

    Serum PK parameter area under the curve to the end of the dosing period (AUCtau)

    Measured: Up to Day 337

  2. Assessment of the immunogenicity of PMN310 following repeat intravenous infusions

    Immunogenicity of PMN310 - anti-drug antibodies (ADAs) in serum

    Measured: Up to Day 309

  3. Assessment of biomarker response to PMN310

    Mean change from baseline for amyloid PET

    Measured: Up to Day 337

  4. Assessment of cortical and hippocampal volume

    Mean change from Baseline in cortical and hippocampal volume

    Measured: Up to Day 337

  5. Preliminary efficacy of repeat doses of PMN310 on CDR-SB

    Mean change from Baseline in Clinical Dementia Rating Scale-Sum of Boxes (CDR-SB)

    Measured: Up to Day 337

  6. Pk profile of PMN310 with repeat dosing

    Serum PK parameter concentration 4 weeks post-dose (C4W)

    Measured: Up to Day 337

  7. Pk profile of PMN310 with repeat dosing

    Serum PK parameter maximum observed concentration (Cmax)

    Measured: Up to Day 337

  8. Pk profile of PMN310 with repeat dosing

    Serum PK parameter trough concentration (Ctrough)

    Measured: Up to Day 337

  9. Pk profile of PMN310 with repeat dosing

    Serum PK parameter time to reach maximum observed concentration (Tmax)

    Measured: Up to Day 337

  10. Pk profile of PMN310 with repeat dosing

    Concentration of PMN310 in CSF at selected timepoints

    Measured: Up to Day 337

  11. Assessment of biomarker response to PMN310

    Mean change from baseline for imaging

    Measured: Up to Day 337

  12. Assessment of biomarker response to PMN310

    Mean change from baseline for plasma biomarkers

    Measured: Up to Day 337

  13. Assessment of biomarker response to PMN310

    Mean change from baseline for CSF biomarkers

    Measured: Up to Day 337

  14. Preliminary efficacy of repeat doses of PMN310 on ADAS-Cog 14

    Mean change from Baseline in Alzheimer's Disease Assessment Scale-Cognition 14 item (ADAS-Cog 14)

    Measured: Up to Day 337

  15. Preliminary efficacy of repeat doses of PMN310 on ADCS-ADL

    Mean change from Baseline in Alzheimer's Disease Cooperative Study-Activities of Daily Living (ADCS-ADL)

    Measured: Up to Day 337

  16. Preliminary efficacy of repeat doses of PMN310 on iADRS

    Mean change from Baseline in Integrated Alzheimer's Disease Rating Score (iADRS)

    Measured: Up to Day 337

  17. Preliminary efficacy of repeat doses of PMN310 on CGI Scale

    Mean change from Baseline in Clinical Global Impressions (CGI) Scale

    Measured: Up to Day 337

  18. Preliminary efficacy of repeat doses of PMN310 on MMSE

    Mean change from Baseline in Mini-Mental State Examination (MMSE)

    Measured: Up to Day 337

  19. Pk profile of PMN310 with repeat dosing

    Serum PK parameter steady state concentration (Css)

    Measured: Up to Day 337

  20. Pk profile of PMN310 with repeat dosing

    Serum PK parameter terminal half-life (t1/2)

    Measured: Up to Day 337

  21. Assessment of the strength of the relationship between biomarker response and response on clinical outcomes following repeat intravenous infusions of PMN310

    Correlation between changes from baseline of CSF biomarkers and amyloid PET with clinical outcomes

    Measured: Up to Day 337

  22. Assessment of the strength of the relationship between biomarker response and response on clinical outcomes following repeat intravenous infusions of PMN310

    Correlation between changes from baseline of blood-based biomarkers

    Measured: Up to Day 309 or early termination

  23. Assessment of the strength of the relationship between biomarker response and response on clinical outcomes following repeat intravenous infusions of PMN310

    Path analysis of the proportion of treatment effect on clinical outcomes explained by changes in biomarkers

    Measured: Up to Day 337

Timeline

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

  1. First posted27 Dec 2024
  2. Study start13 Dec 2024
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2026 (estimated)

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
There will be 3 sequential escalating dose cohort groups. Dose groups are 350 mg, 700 mg, and 1400 mg administered as a single 60-minute infusion.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
144 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06750432
Sponsor's protocol ID
PMN310-102
Status last verified
Jul 2026
First submitted
16 Dec 2024
Last updated
13 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing PMN310 in people with Alzheimer Disease, Early Onset, run by ProMis Neurosciences, Inc at 22 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 19 inclusion and 30 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 13 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 22 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.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Safety and tolerability of PMN310 following repeat intravenous infusions of PMN310 (time frame: Up to Day 337). The study lists 3 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 13 Jul 2026.

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