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RNAi Therapeutics
ALN-APP for Alzheimer's Disease
Phase 1
Recruiting
Research Sponsored by Alnylam Pharmaceuticals
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Has mild cognitive impairment or mild dementia due to EOAD
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up part a up to 12 months; part b up to 24 months
Awards & highlights
Study Summary
This trial is to study the safety of a single dose of ALN-APP, a new drug for Alzheimer's, in adults. Part A is a single dose, and Part B is 12 months.
Who is the study for?
This trial is for adults with early-onset Alzheimer's Disease (EOAD) who have mild cognitive impairment or dementia. Participants should have a CDR score of 0.5 or 1.0 and an MMSE score over 20, indicating some memory issues but not severe dementia. People can't join if they have poor kidney function, recently took experimental drugs, suffer from non-Alzheimer's dementias, or have certain liver enzyme levels that are too high.Check my eligibility
What is being tested?
The study tests the safety and effects of ALN-APP given through spinal injection to EOAD patients compared to a placebo group receiving no active treatment. The drug's behavior in the body (pharmacokinetics) and its impact on disease processes (pharmacodynamics) will be monitored for up to one year.See study design
What are the potential side effects?
While specific side effects aren't listed here, common ones may include discomfort at the injection site, potential allergic reactions to components of ALN-APP, headache, nausea, back pain and possible changes in cognition or mood.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have mild memory problems or mild dementia from early-onset Alzheimer's.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ part a up to 12 months; part b up to 24 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~part a up to 12 months; part b up to 24 months
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Part A: Frequency of Adverse Events
Part B: Frequency of Adverse Events
Secondary outcome measures
Part A and Part B: Area Under the Plasma Concentration-time Curve (AUC) of ALN-APP and of Potential Metabolites
Part A and Part B: Change from Baseline in Levels of Cerebrospinal Fluid (CSF) Soluble Amyloid Precursor Protein Alpha (sAPPα) and Soluble Amyloid Precursor Protein Beta (sAPPβ)
Part A and Part B: Concentration of ALN-APP and Potential Metabolites at Time 't' (Ct) in Plasma and CSF
+2 moreTrial Design
3Treatment groups
Experimental Treatment
Placebo Group
Group I: Part B:Experimental Treatment1 Intervention
Participants will be administered multiple doses of ALN-APP.
Group II: Part A: ALN-APPExperimental Treatment1 Intervention
Participants will be administered a single dose of ALN-APP.
Group III: Part A: PlaceboPlacebo Group1 Intervention
Participants will be administered a single dose of placebo.
Research Highlights
Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
The investigational drug ALN-APP targets amyloid precursor protein (APP) to reduce the production of amyloid-beta, a protein that forms plaques in the brains of Alzheimer's Disease patients. Similar treatments include aducanumab, which targets amyloid-beta plaques to reduce their accumulation, and cholinesterase inhibitors (donepezil, rivastigmine, galantamine), which increase acetylcholine levels to improve cognitive function.
These treatments are important as they aim to address the underlying pathology of Alzheimer's Disease or improve symptoms, thereby managing disease progression and enhancing the quality of life for patients.
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Who is running the clinical trial?
Alnylam PharmaceuticalsLead Sponsor
74 Previous Clinical Trials
14,994 Total Patients Enrolled
Medical DirectorStudy DirectorAlnylam Pharmaceuticals
2,789 Previous Clinical Trials
8,067,244 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have mild memory problems or mild dementia from early-onset Alzheimer's.Your ALT or AST levels are more than twice the normal limit.My kidney function is reduced, with an eGFR below 45.My condition is dementia, but not Alzheimer's disease.You have mild cognitive impairment with a specific score on two different memory tests.You have taken a new, experimental medication recently.I recently received treatment with an amyloid-targeting antibody.
Research Study Groups:
This trial has the following groups:- Group 1: Part B:
- Group 2: Part A: Placebo
- Group 3: Part A: ALN-APP
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Alzheimer's Disease Patient Testimony for trial: Trial Name: NCT05231785 — Phase 1
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