A Study of Gantenerumab in Participants With Prodromal Alzheimer's Disease

NCT ID: NCT01224106

Last Updated: 2021-12-13

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

799 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-30

Study Completion Date

2020-09-10

Brief Summary

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This multi-center, randomized, double-blind, placebo-controlled parallel-group study will evaluate the effect of gantenerumab (RO4909832) on cognition and functioning and the safety and pharmacokinetics in participants with prodromal Alzheimer's Disease. Participants will be randomized to receive subcutaneous (SC) injections of either gantenerumab or placebo. Participants who consent to be part of the sub study will undergo positron emission tomography (PET) scanning to assess brain amyloid. The anticipated time on study treatment is 104 weeks in Part 1, with an option for an additional up to 2 years of treatment in Part 2, followed by an open-label extension (Part 3) until July 2020.

The dosing for Parts 1 and 2 was stopped after a planned futility interim analysis showed a low probability of meeting the primary outcome measure with the doses studied. The study has converted to open-label to investigate higher gantenerumab doses.

Detailed Description

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Conditions

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Alzheimer's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Placebo (Parts 1 and 2)

Participants with Alzheimer's disease received Placebo by SC injection every 4 weeks (Q4W) for 104 weeks or approximately 2 years during Part 1 of the study. Participants who completed the Week 104 visit were given an option to continue the treatment received during Part 1, for 2 additional years in Part 2.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Participants received Placebo SC injection Q4W.

Gantenerumab 105 mg (Parts 1 and 2)

Participants with Alzheimer's disease received Gantenerumab 105 mg by SC injection every 4 weeks (Q4W) for 104 weeks or approximately 2 years during Part 1 of the study. Participants who completed the Week 104 visit were given an option to continue the treatment received during Part 1, for 2 additional years in Part 2.

Group Type EXPERIMENTAL

Gantenerumab

Intervention Type DRUG

Participants received Gantenerumab at 105 mg , 225 mg, or at doses up to 1200 mg SC injection Q4W.

Gantenerumab 225 mg (Parts 1 and 2)

Participants with Alzheimer's disease received Gantenerumab 225 mg by SC injection every 4 weeks (Q4W) for 104 weeks or approximately 2 years during Part 1 of the study. Participants who completed the Week 104 visit were given an option to continue the treatment received during Part 1, for 2 additional years in Part 2.

Group Type EXPERIMENTAL

Gantenerumab

Intervention Type DRUG

Participants received Gantenerumab at 105 mg , 225 mg, or at doses up to 1200 mg SC injection Q4W.

Placebo (Parts 1 and 2) switched to Gantenerumab Up to 1200mg (Part 3 Open-Label Extension [OLE])

Participants with Alzheimer's disease who had received Placebo by SC injection in Part 1 or Part 2, now received Gantenerumab at doses up to 1200 mg by SC injection every 4 weeks (Q4W) for up to 5 additional years.

Group Type PLACEBO_COMPARATOR

Gantenerumab

Intervention Type DRUG

Participants received Gantenerumab at 105 mg , 225 mg, or at doses up to 1200 mg SC injection Q4W.

Gantenerumab Up to 1200 mg (Part 3 Open-Label Extension [OLE])

Participants with Alzheimer's disease who had received Gantenerumab by SC injection in Part 1 or Part 2, now received Gantenerumab at doses up to 1200 mg by SC injection every 4 weeks (Q4W) for up to 5 additional years.

Group Type EXPERIMENTAL

Gantenerumab

Intervention Type DRUG

Participants received Gantenerumab at 105 mg , 225 mg, or at doses up to 1200 mg SC injection Q4W.

Interventions

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Gantenerumab

Participants received Gantenerumab at 105 mg , 225 mg, or at doses up to 1200 mg SC injection Q4W.

Intervention Type DRUG

Placebo

Participants received Placebo SC injection Q4W.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult participants, 50-85 years of age
* Participants with prodromal Alzheimer's disease who are not receiving memantine or cholinesterase inhibitors
* Has a study partner who in the investigator's judgement has frequent and sufficient contact with the participant as to be able to provide accurate information as to the participant's cognitive and functional abilities, who agrees to provide information at clinic visits which require partner input for scale completion
* Has had sufficient education or work experience to exclude mental retardation
* Study partner has noticed a recent gradual decrease in participant's memory (over the last 12 months), which the participant may or may not be aware of
* Screening Mini Mental State Exam (MMSE) score of 24 or above


* Able and willing to travel to PET imaging center and complete the planned scanning sessions
* Past and planned exposure to ionizing radiation not exceeding safe and permissible levels

Exclusion Criteria

* Other prior or current neurologic or medical disorder which may currently or during the course of the study impair cognition or psychiatric functioning
* A history of stroke
* A documented history of transient ischemic attack within the last 12 months
* History of schizophrenia, schizoaffective or bipolar disorder
* Currently meets criteria for major depression
* Within the last 2 years, unstable or clinical significant cardiovascular disease (myocardial infarction, angina pectoris)


* Inclusion in a research and/or medical protocol involving PET ligands or other radioactive agents within 12 months
* Present or planned participation in a research and/or medical protocol involving PET ligands or radioactive agents other than study WN25203
* Have planned or are planning to have exposure to ionizing radiation that in combination with the planned administration with study amyloid PET ligand would result in a cumulative exposure that exceeds local recommended exposure limits
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Banner Alzheimer's Institute

Phoenix, Arizona, United States

Site Status

University of California, San Diego

La Jolla, California, United States

Site Status

Yale University ADRU

New Haven, Connecticut, United States

Site Status

Brain Matters Research, Inc.

Delray Beach, Florida, United States

Site Status

Infinity Clinical Research

Hollywood, Florida, United States

Site Status

Accelerated Enrollment Solutions

Orlando, Florida, United States

Site Status

Roskamp Institute, Inc.

Sarasota, Florida, United States

Site Status

Compass Research

The Villages, Florida, United States

Site Status

Premiere Research Institute

West Palm Beach, Florida, United States

Site Status

Indiana University

Indianapolis, Indiana, United States

Site Status

Boston Center for Memory

Newton, Massachusetts, United States

Site Status

Western Michigan University Homer Stryker M.D. School of Medicine Center for Clinical Research

Kalamazoo, Michigan, United States

Site Status

Neurological Research Center

Hattiesburg, Mississippi, United States

Site Status

Princeton Medical Institute

Princeton, New Jersey, United States

Site Status

Nathan Kline Institute

Orangeburg, New York, United States

Site Status

University of Rochester Medical Center; Monroe Community Hospital

Rochester, New York, United States

Site Status

Alzheimer's Memory Center

Matthews, North Carolina, United States

Site Status

Oregon Health and Science University, Layton Aging and Alzheimer's Disease Center

Portland, Oregon, United States

Site Status

Northeastern Pennsylvania Memory

Plains, Pennsylvania, United States

Site Status

Rhode Island Mood & Memory Research Institute

East Providence, Rhode Island, United States

Site Status

Butler Hospital

Providence, Rhode Island, United States

Site Status

Senior Adults Specialty Research

Austin, Texas, United States

Site Status

Texas Neurology PA

Dallas, Texas, United States

Site Status

Clinical Neuroscience Research Associates, Inc.

Bennington, Vermont, United States

Site Status

Hospital Italiano

Buenos Aires, , Argentina

Site Status

IME - Instituto Médico Especializado; Ensayos Clínicos

Buenos Aires, , Argentina

Site Status

ALPI-Inst. de Rehabilitacion Marcelo Fitte

Buenos Aires, , Argentina

Site Status

CEMIC

Buenos Aires, , Argentina

Site Status

Mulieris

CABA, , Argentina

Site Status

Instituto De Neurología Cognitiva - INECO

Caba, , Argentina

Site Status

FLENI

CABA, , Argentina

Site Status

Instituto Kremer

Córdoba, , Argentina

Site Status

CENPIA; Neurología - Psicología

La Plata, , Argentina

Site Status

Hornsby Ku-ring-gai Hospital; Division of Rehabilitation & Aged Care

Hornsby, New South Wales, Australia

Site Status

Prince of Wales Hospital, Academic Department for Old Age Psychiatry

Randwick, New South Wales, Australia

Site Status

Royal Adelaide Hospital; Memory Trials Centre

Adelaide, South Australia, Australia

Site Status

The Queen Elizabeth Hospital; Neurology

Woodville, South Australia, Australia

Site Status

Heidelberg Repatriation Hospital; Medical and Cognitive Research Centre

Heidelberg West, Victoria, Australia

Site Status

Australian Alzheimer's Research Foundation

Nedlands, Western Australia, Australia

Site Status

UZ Leuven Gasthuisberg

Leuven, , Belgium

Site Status

Hospital das Clinicas - UFPR; Ciencias da Saude

Curitiba, Paraná, Brazil

Site Status

Hospital das Clinicas - UFRGS

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Hospital Mae de Deus

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Universidade Federal de Sao Paulo - UNIFESPX; Neurologia

São Paulo, São Paulo, Brazil

Site Status

Hospital das Clinicas - FMUSP; Psiquiatria

São Paulo, São Paulo, Brazil

Site Status

True North Clinical Research

New Minas, Nova Scotia, Canada

Site Status

Kawartha Centre - Redefining Healthy Aging

Peterborough, Ontario, Canada

Site Status

Toronto Memory Program

Toronto, Ontario, Canada

Site Status

Centre for Memory and Aging

Toronto, Ontario, Canada

Site Status

NeuroSearch Developpements inc

Greenfield Park, Quebec, Canada

Site Status

McGill University; Sir Mortimer B Davis Jewish General Hospital; Neurological and Psychiatric

Montreal, Quebec, Canada

Site Status

CHAUQ - Hôpital Enfant-Jésus

Québec, Quebec, Canada

Site Status

Biomedica Research Group

Santiago, , Chile

Site Status

Especialidades Medicas LYS

Santiago, , Chile

Site Status

St. Anne´s University Hospital; Clinical Trials Department

Brno, , Czechia

Site Status

Vestra Clinics s.r.o.

Rychnov nad Kněžnou, , Czechia

Site Status

Aarhus Universitetshospital, Neurologisk Afdeling F, Demensklinikken

Aarhus N, , Denmark

Site Status

Rigshospitalet, Hukommelsesklinikken

Koebenhavn Oe, , Denmark

Site Status

CRST Oy

Turku, , Finland

Site Status

Hopital Avicenne; Neurologie

Bobigny, , France

Site Status

Hopital Pellegrin; Cmrr Aquitaine

Bordeaux, , France

Site Status

Hopital Pierre Wertheimer; Laboratoire De Neuro Psychologie

Bron, , France

Site Status

CHU De Caen; Service De Neurologie Dejerine

Caen, , France

Site Status

Hopital B Roger Salengro; Cmrr Lille

Lille, , France

Site Status

Ch Pitie Salpetriere; Cmrr Ile De France Salpetriere

Paris, , France

Site Status

CHU de Rouen Hopital; Service de Neurologie

Rouen, , France

Site Status

Hop Guillaume Et Rene Laennec; Cmrr St Herblain

Saint-Herblain, , France

Site Status

Hopital Hautepierre; Centre dInvestigation Clinique

Strasbourg, , France

Site Status

Hopital de La Grave

Toulouse, , France

Site Status

Univ Berlin; Klin fur Psychi & Psycho Charite

Berlin, , Germany

Site Status

Universitätsklinikum Bonn; Medizinische Klinik und Poliklinik I; Allgemeine Innere Medizin

Bonn, , Germany

Site Status

Klinikum Joh.Wolfg.Goethe-UNI Zentrum d. Psychiatrie Klinik f. Psychiatrie Psychosomatik

Frankfurt, , Germany

Site Status

PANAKEIA - Arzneimittelforschung Leipzig GmbH

Leipzig, , Germany

Site Status

Zentralinstitut für Seelische Gesundheit Abt.Gerontopsychiatrie

Mannheim, , Germany

Site Status

Pharmakologisches Studienzentrum

Mittweida, , Germany

Site Status

Neurologische Praxis Dr. Andrej Pauls

München, , Germany

Site Status

Klinikum rechts der Isar der TU München; Klinik für Psychiatrie und Psychotherapie

München, , Germany

Site Status

Office of Dr Klaus Steinwachs Neurology & Psychiatry

Nuremberg, , Germany

Site Status

Universitätsklinikum Rostock Zentrum für Nervenheilkunde

Rostock, , Germany

Site Status

Universitätsklinikum Ulm; Klinik für Neurologie

Ulm, , Germany

Site Status

Nuovo Ospedale Civile S. Agostino-Estense; Clinica Neurologica - Dipartimento di Neuroscienze

Modena, Emilia-Romagna, Italy

Site Status

Universita' Di Parma Istituto Neurologia

Parma, Emilia-Romagna, Italy

Site Status

Azienda Ospedaliera Spedali Civili; Scienze Neurologiche

Brescia, Lombardy, Italy

Site Status

IRCCS "Centro S. Giovanni di Dio" Fatebenefratelli -UO Alzheimer

Brescia, Lombardy, Italy

Site Status

Irccs Multimedica Santa Maria; Unita' Di Neurologia

Castellanza, Lombardy, Italy

Site Status

Fondazione San Raffaele Del Monte Tabor; Dipartimento Di Neurologia

Milan, Lombardy, Italy

Site Status

Azienda Ospedaliero Universitaria Ospedali Riuniti Umberto I-G.M. Lancisi-G. Salesi Di Ancona

Torrette - Ancona, The Marches, Italy

Site Status

Uni Di Firenze Dip. Scienze Neurol Psic Sod Neurologia 1

Florence, Tuscany, Italy

Site Status

Hospital Mexico Americano

Guadalajara, Mexico CITY (federal District), Mexico

Site Status

Hospital Universitario; Dr. Jose E. Gonzalez

Monterrey, Nuevo León, Mexico

Site Status

Hospital Angeles de Culiacán, Neurociencias Estudios Clínicos SC

Culiacán, , Mexico

Site Status

Unidad de Investigacion en Enfermedades Cronico-Degenerativa; Reumatologia

Guadalajara, , Mexico

Site Status

Estimulacion Magnetica Trnscraneal de Mexico SC.

Mexico City, , Mexico

Site Status

Centro Medico San Francisco; Geriatrics

Monterrey, , Mexico

Site Status

Hospital Universitario de Saltillo

Saltillo, , Mexico

Site Status

Jeroen Bosch Ziekenhuis; Polikliniek Geriatrie

's-Hertogenbosch, , Netherlands

Site Status

Brain Research Center B.V

Amsterdam, , Netherlands

Site Status

Podlaskie Centrum Psychogeriatrii

Bialystok, , Poland

Site Status

PALLMED Sp. z o.o. prowadząca NZOZ DOM SUE RYDER

Bydgoszcz, , Poland

Site Status

NEURO - KARD Ośrodek Badań Klinicznych

Poznan, , Poland

Site Status

Przychodnia Specjalistyczna PROSEN

Warsaw, , Poland

Site Status

mMED Maciej Czarnecki

Warsaw, , Poland

Site Status

Hospital Prof. Dr. Fernando Fonseca; Servico de Neurologia

Amadora, , Portugal

Site Status

Hospital de Santa Maria; Servico de Neurologia

Lisbon, , Portugal

Site Status

State autonomous institution of healthcare Inter-regional clinical and diagnostic center

Kazan', , Russia

Site Status

Saint Petersburg State Institution of Healthcare City Geriatric Medico-Social Center

Saint Petersburg, , Russia

Site Status

Russian Medical Military Academy n.a. S.M.Kirov; Neurology Department

Saint Petersburg, , Russia

Site Status

City Clinical Hospital # 2 n.a. V.I. Razumovsky

Saratov, , Russia

Site Status

Sverdlovsk Regional Clinical Psychoneurological War Veteran Hospital

Yekaterinburg, , Russia

Site Status

Seoul National University Bundang Hospital; Neurology Department

Gyeonggi-do, , South Korea

Site Status

Konkuk University Medical Center

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Seoul St Mary's Hospital

Seoul, , South Korea

Site Status

Asan Medical Center.

Seoul, , South Korea

Site Status

Fundació ACE

BArcelon, Barcelona, Spain

Site Status

Hospital Mutua De Terrasa; Servicio de Neurologia

Terrassa, Barcelona, Spain

Site Status

Hospital de Cruces; Servicio de Neurologia

Barakaldo, Vizcaya, Spain

Site Status

Hospital del Mar; Servicio de Neurologia

Barcelona, , Spain

Site Status

Hospital Clinic i Provincial; Servicio de Neurologia

Barcelona, , Spain

Site Status

Hospital de la Santa Creu i Sant Pau; Servicio de Neurologia

Barcelona, , Spain

Site Status

Hospital Ramon y Cajal; Servicio de Neurologia

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre; Servicio de Neurologia

Madrid, , Spain

Site Status

Hospital Universitario La Paz; Servicio de Neurologia

Madrid, , Spain

Site Status

Hospital Universitario Dr. Peset; Servicio de Neurologia

Valencia, , Spain

Site Status

Skånes Universitetssjukhus Malmö, Minneskliniken

Malmo, , Sweden

Site Status

Felix Platter-Spital Medizin Geriatrie

Basel, , Switzerland

Site Status

HUG; Département de santé mentale et de psychiatrie Unité de psychiatrie gériatrique

Chêne-Bourg, , Switzerland

Site Status

Akdeniz University School of Medicine, Neurology Department

Antalya, , Turkey (Türkiye)

Site Status

Istanbul University Istanbul School of Medicine; Neurology

Istanbul, , Turkey (Türkiye)

Site Status

Ondokuz Mayis University School of Medicine; Neurology

Samsun, , Turkey (Türkiye)

Site Status

Addenbrooke's Hospital

Cambridge, , United Kingdom

Site Status

Llandough Hospital; Llandough Hospital Memory Team 3rd Floor Academic Building

Cardiff, , United Kingdom

Site Status

St Margaret's Hospital

Epping, , United Kingdom

Site Status

Glasgow Memory Clinic

Glasgow, , United Kingdom

Site Status

Charing Cross Hospital; Dept of Neurosciences

London, , United Kingdom

Site Status

Campus for Ageing & Vitality; Clincal Ageing Research Unit

Newcastle, , United Kingdom

Site Status

Moorgreen Hospital; Memory Assessment & Rsch Ctr

Southampton, , United Kingdom

Site Status

Victoria Centre; Kingshill Research Centre

Swindon, , United Kingdom

Site Status

Hollins Park Hospital

Warrington, , United Kingdom

Site Status

Countries

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Israel United States Argentina Australia Belgium Brazil Canada Chile Czechia Denmark Finland France Germany Italy Mexico Netherlands Poland Portugal Russia South Korea Spain Sweden Switzerland Turkey (Türkiye) United Kingdom

References

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Boada M, Neve A, Das B, Wojtowicz J, Huang Z, Bullain S, Watkin M, Lott D, Bittner T, Delmar P, Klein G, Hofmann C, Kerchner GA, Smith J, Baudler M, Fontoura P, Doody RS. Long-term safety of gantenerumab in participants with Alzheimer's disease: A phase III, open-label extension study (SCarlet RoAD). J Alzheimers Dis. 2025 Jan;103(2):528-541. doi: 10.1177/13872877241303644. Epub 2024 Dec 16.

Reference Type DERIVED
PMID: 39686620 (View on PubMed)

Klein G, Delmar P, Voyle N, Rehal S, Hofmann C, Abi-Saab D, Andjelkovic M, Ristic S, Wang G, Bateman R, Kerchner GA, Baudler M, Fontoura P, Doody R. Gantenerumab reduces amyloid-beta plaques in patients with prodromal to moderate Alzheimer's disease: a PET substudy interim analysis. Alzheimers Res Ther. 2019 Dec 12;11(1):101. doi: 10.1186/s13195-019-0559-z.

Reference Type DERIVED
PMID: 31831056 (View on PubMed)

Ostrowitzki S, Lasser RA, Dorflinger E, Scheltens P, Barkhof F, Nikolcheva T, Ashford E, Retout S, Hofmann C, Delmar P, Klein G, Andjelkovic M, Dubois B, Boada M, Blennow K, Santarelli L, Fontoura P; SCarlet RoAD Investigators. A phase III randomized trial of gantenerumab in prodromal Alzheimer's disease. Alzheimers Res Ther. 2017 Dec 8;9(1):95. doi: 10.1186/s13195-017-0318-y.

Reference Type DERIVED
PMID: 29221491 (View on PubMed)

Delrieu J, Ousset PJ, Vellas B. Gantenerumab for the treatment of Alzheimer's disease. Expert Opin Biol Ther. 2012 Aug;12(8):1077-86. doi: 10.1517/14712598.2012.688022. Epub 2012 May 15.

Reference Type DERIVED
PMID: 22583155 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2010-019895-66

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

WN25203

Identifier Type: -

Identifier Source: org_study_id