A Study to Learn About the Safety of BIIB080 Injections and Whether They Can Improve Symptoms of Participants With Mild Cognitive Impairment Due to Alzheimer's Disease (AD) or Mild AD Dementia Between 50 to 80 Years of Age

NCT ID: NCT05399888

Last Updated: 2025-05-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

416 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-24

Study Completion Date

2029-01-08

Brief Summary

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In this study, researchers will learn more about a study drug called BIIB080. The study will focus on participants with mild cognitive impairment or mild dementia due to AD.

The main question researchers are trying to answer is if BIIB080 can slow the worsening of AD more than placebo. It will focus on what dose of BIIB080 slows worsening of AD the most.

To help answer this question, researchers will use the Clinical Dementia Rating-Sum of Boxes, also known as the CDR-SB.

* Clinicians use the CDR-SB to measure several categories of dementia symptoms.
* The results for each category are added together for a total score. Lower scores are better.

Researchers will also learn more about the safety of BIIB080.

The study will be split into 2 parts. The 1st part is the Placebo-Controlled Period. The 2nd part is the Long-Term Extension (LTE) Period. The 2nd part of the study will help researchers learn about the long-term safety of BIIB080, and how it affects the participant's daily life, thinking, and memory abilities in the longer term.

A description of how the study will be done is given below.

* After screening, participants will first receive either a low dose or high dose of BIIB080, or a placebo, as an injection into the fluid around the spinal cord (cerebrospinal fluid). A placebo looks like the study drug but contains no real medicine.
* Participants will receive BIIB080 or placebo once every 12 weeks or 24 weeks.
* After 76 weeks of treatment in the Placebo-Controlled Period, eligible participants will move onto the Extension Treatment period, which will last 96 weeks.
* In the extension period, participants who received placebo will be switched to high dose BIIB080 every 12 or 24 weeks.
* Participants may be in the study for up to 201 weeks, or about 4 years. This includes the screening and follow-up periods.
* Participants can continue to take certain medications for AD. Participants must be on the same dose of medication for at least 8 weeks before the screening period.
* After the screening period, most participants will visit the clinic every 6 weeks.

Detailed Description

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BIIB080 is an investigational antisense therapy designed to target microtubule-associated protein tau (MAPT) messenger ribonucleic acid (mRNA) and prevent production of tau protein.

Conditions

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Mild Cognitive Impairment Due to Alzheimer's Disease Alzheimer's Disease Dementia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo Q12W

Participants will receive BIIB080-matching placebo, intrathecal (IT) injection, once on Day 1 and then once every 12 weeks (Q12W) for up to 72 weeks, during the placebo-controlled period. Eligible participants will enter the LTE period, during which they will be randomized to receive BIIB080 high dose, IT injection, either Q12W or once every 24 weeks (Q24W) for an additional 96 weeks.

Group Type PLACEBO_COMPARATOR

BIIB080

Intervention Type DRUG

Administered as specified in the treatment arm.

BIIB080-matching placebo

Intervention Type DRUG

Administered as specified in the treatment arm.

BIIB080 Low Dose Q24W

Participants will receive a low dose of BIIB080, IT injection, Q24W from Week 1 up to 72 weeks and BIIB080-matching placebo, IT injection, once at Weeks 12, 36, and 60 during the placebo-controlled period. Eligible participants will enter the LTE period, during which they will continue to receive BIIB080 low dose, IT injection, Q24W for an additional 96 weeks.

Group Type EXPERIMENTAL

BIIB080

Intervention Type DRUG

Administered as specified in the treatment arm.

BIIB080-matching placebo

Intervention Type DRUG

Administered as specified in the treatment arm.

BIIB080 High Dose Q24W

Participants will receive a high dose of BIIB080, IT injection, Q24W from Week 1 up to 72 weeks and BIIB080-matching placebo, IT injection, once at Weeks 12, 36, and 60 during the placebo-controlled period. Eligible participants will enter the LTE period, during which they will continue to receive BIIB080 high dose, IT injection, Q24W for an additional 96 weeks.

Group Type EXPERIMENTAL

BIIB080

Intervention Type DRUG

Administered as specified in the treatment arm.

BIIB080-matching placebo

Intervention Type DRUG

Administered as specified in the treatment arm.

BIIB080 High Dose Q12W

Participants will receive a high dose of BIIB080, IT injection, once on Day 1 and then Q12W for up to 72 weeks during the placebo-controlled period. Eligible participants will enter the LTE period, during which they will continue to receive BIIB080 high dose, IT injection, Q12W for an additional 96 weeks.

Group Type EXPERIMENTAL

BIIB080

Intervention Type DRUG

Administered as specified in the treatment arm.

Interventions

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BIIB080

Administered as specified in the treatment arm.

Intervention Type DRUG

BIIB080-matching placebo

Administered as specified in the treatment arm.

Intervention Type DRUG

Other Intervention Names

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ISIS 814907

Eligibility Criteria

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Inclusion Criteria

* Must meet all the clinical staging criteria for MCI due to AD (Stage 3) or mild AD dementia (Stage 4) according to the National Institute on Aging at National Institutes of Health and the Alzheimer's Association (NIA-AA) and must have the following at Screening Visit 1:

1. Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Delayed Memory Index score of ≤85, indicative of objective evidence of memory impairment.
2. CDR global score of 0.5 for MCI due to AD or 0.5 or 1 for mild AD dementia
3. MMSE score of 21 to 30 (inclusive).
4. CDR Memory Box score of ≥0.5.
* Evidence of amyloid pathology as measured by positive emission tomography (PET) or cerebrospinal fluid (CSF) sampling.
* Must have 1 care partner who, in the Investigator's judgment, has frequent and sufficient contact with the participant (at least 10 hours/week) to be able to provide accurate information about the participant's cognitive and functional abilities.


* Ability of the participant and/or his/her legally authorized representative (e.g., parent, spouse, or legal guardian), where local regulations and institutional practices permit, as appropriate and applicable, to understand the purpose and risks of the study, to provide informed consent, and to authorize the use of confidential health information in accordance with national and local privacy regulations. Incapacitated individuals will not be enrolled in the EU (European Union) and other countries where local laws, regulations, and practices do not permit their inclusion.
* Participants must have completed the placebo-controlled period of the study, including the Week 76 visit.
* Participants must have taken at least 5 doses of BIIB080 or placebo during the placebo-controlled period.
* Medically able to undergo the study procedures (including LP \[lumbar puncture\]) and to adhere to the visit schedule at the time of study entry into the LTE period, as determined by the Investigator.
* Apart from a clinical diagnosis of AD, the participant must be in good health as determined by the Investigator, based on medical history.
* Must have 1 care partner who, in the Investigator's judgment, has frequent and sufficient contact with the participant (at least 10 hours/week) to be able to provide accurate information about the participant's cognitive and functional abilities.

Exclusion Criteria

* Known allergy to BIIB080 or a history of hypersensitivity to any of the inactive ingredients in the drug product.
* Previous participation in this study or previous studies with BIIB080.
* Use of non-disease-modifying AD medications (including but not limited to donepezil, rivastigmine, galantamine, tacrine, and memantine) at doses that have not been stable for at least 8 weeks prior to Screening Visit 1 and during the screening period up to Day 1.
* Use of any commercially available disease-modifying AD medications such as anti-amyloid monoclonal antibodies.
* Prior participation in any active or passive immunotherapy study targeting Aβ, unless documentation of receipt of placebo is available.
* Prior participation in any passive immunotherapy study targeting tau, unless the last administration occurred 6 months or 5 half-lives, whichever is sooner, prior to Screening or documentation of receipt of placebo is available.
* Prior participation in any study involving an investigational treatment targeting tau that is not a passive immunotherapy, unless documentation of receipt of placebo is available.
* Prior participation in a study of any gene therapy with a purported disease-modifying effect in AD, unless documentation of receipt of placebo is available.
* Current use or previous use of medications with a purported disease-modifying effect in AD, outside of investigational studies.
* Any vaccination given within 10 days prior to Day -1. Coronavirus disease 2019 (COVID-19) vaccinations using RNA or deoxyribonucleic acid (DNA) technology are allowed during the study, as well as other types of immunization/vaccination/booster, except during the 10 days before and after clinic visits.
* Contraindications to having a brain magnetic resonance imaging (MRI) \[e.g., MRI-incompatible pacemaker; MRI-incompatible aneurysm clips, artificial heart valves, or other metal foreign body; claustrophobia that cannot be medically managed\]. If the MRI compatibility of implanted devices is unknown, the participant must be excluded from the study.
* Current enrollment or a plan to enroll in any interventional clinical study in which an investigational treatment or approved therapy for investigational use is administered within 52 weeks prior to the Baseline Visit.


* Any medical or psychiatric contraindication or clinically significant abnormality that, in the opinion of the Investigator, will substantially increase the risk associated with the participant's enrollment in and completion of the study.
Minimum Eligible Age

50 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biogen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Biogen

Locations

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Xenoscience Inc.

Phoenix, Arizona, United States

Site Status

HonorHealth Neurology

Scottsdale, Arizona, United States

Site Status

Banner Sun Health Research Institute

Sun City, Arizona, United States

Site Status

Center for Neurosciences

Tucson, Arizona, United States

Site Status

Mary S. Easton Center for Alzheimer's Disease Research, UCLA

Los Angeles, California, United States

Site Status

PNS Clinical Research, LLC dba

Orange, California, United States

Site Status

Stanford Hospital and Clinics

Palo Alto, California, United States

Site Status

Sutter Institute for Medical Research

Sacramento, California, United States

Site Status

University of California San Diego Medical Center

San Diego, California, United States

Site Status

University of California San Francisco (PARENT)

San Francisco, California, United States

Site Status

Rocky Mountain Movement Disorders Center, PC

Englewood, Colorado, United States

Site Status

Charter Research, LLC

Lady Lake, Florida, United States

Site Status

K2 Medical Research, LLC

Orlando, Florida, United States

Site Status

Advent Health

Orlando, Florida, United States

Site Status

Conquest Research

Winter Park, Florida, United States

Site Status

Charter Research, LLC

Winter Park, Florida, United States

Site Status

Hawaii Pacific Neuroscience

Honolulu, Hawaii, United States

Site Status

Brigham and Women's Hospital Department of Neurology

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Lahey Clinic Medical Center - Burlington

Burlington, Massachusetts, United States

Site Status

Boston Center for Memory

Newton, Massachusetts, United States

Site Status

Neurological Associates of Albany, PC

Albany, New York, United States

Site Status

Dent Neurologic Institute

Amherst, New York, United States

Site Status

New York University Medical Center PRIME

New York, New York, United States

Site Status

South Shore Neurologic Associates, P.C.

Patchogue, New York, United States

Site Status

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

AMC Research, LLC

Matthews, North Carolina, United States

Site Status

NeuroScience Research Center, LLC.

Canton, Ohio, United States

Site Status

University of Cincinnati Physicians Group, LLC

Cincinnati, Ohio, United States

Site Status

Butler Hospital

Providence, Rhode Island, United States

Site Status

Neurology Clinic, PC

Cordova, Tennessee, United States

Site Status

Neurology Consultants of Dallas, PA

Dallas, Texas, United States

Site Status

University of Texas Health Science Center at San Antonio

San Antonio, Texas, United States

Site Status

EvergreenHealth

Kirkland, Washington, United States

Site Status

Kingfisher Cooperative, LLC

Spokane, Washington, United States

Site Status

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia

Site Status

St Vincent's Hospital Sydney

Darlinghurst, New South Wales, Australia

Site Status

Southern Neurology

Kogarah, New South Wales, Australia

Site Status

Liverpool Hospital

Liverpool, New South Wales, Australia

Site Status

Mater Hospital Brisbane

South Brisbane, Queensland, Australia

Site Status

UZ Brussel

Brussels, , Belgium

Site Status

Cliniques Universitaires Saint-Luc

Brussels, , Belgium

Site Status

AZ Groeninge

Kortrijk, , Belgium

Site Status

UZ Leuven

Leuven, , Belgium

Site Status

The Medical Arts Health Research Group

Kamloops, British Columbia, Canada

Site Status

UBC Hospital

Vancouver, British Columbia, Canada

Site Status

Medical Arts Health Research Group

West Vancouver, British Columbia, Canada

Site Status

Recherches Neuro-Hippocampe Inc., d/b/a Ottawa Memory Clinic

Ottawa, Ontario, Canada

Site Status

Toronto Memory Program (Neurology Research Inc.)

Toronto, Ontario, Canada

Site Status

Clinique de la Memoire de l'Outaouais

Gatineau, Quebec, Canada

Site Status

Montreal Neurological Institute Clinical Research Unit

Montreal, Quebec, Canada

Site Status

Jewish General Hospital - NETWORK

Montreal, Quebec, Canada

Site Status

Fakultni nemocnice u sv. Anny v Brne

Brno, , Czechia

Site Status

Fakultni nemocnice Hradec Kralove

Hradec Králové, , Czechia

Site Status

Fakultni nemocnice Ostrava

Ostrava, , Czechia

Site Status

Fakultni nemocnice v Motole

Prague, , Czechia

Site Status

FORBELI s.r.o.

Prague, , Czechia

Site Status

Vestra Clinics s.r.o.

Rychnov nad Kněžnou, , Czechia

Site Status

Ålborg Universitets Hospital

Aalborg, , Denmark

Site Status

Rigshospitalet

Copenhagen, , Denmark

Site Status

Itä-Suomen yliopisto, Kuopion kampus

Kuopio, , Finland

Site Status

CRST, Clinical Research Services Turku

Turku, , Finland

Site Status

CHU Strasbourg - Hôpital Hautepierre

Strasbourg, Bas Rhin, France

Site Status

Hopital Purpan

Toulouse, Haute Garonne, France

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Hôpital La Grave

Toulouse, Haute Garonne, France

Site Status

Hopital Gui de Chauliac

Montpellier, Herault, France

Site Status

CHU Nantes - Hopital Nord Laënnec

Saint-Herblain, Loire Atlantique, France

Site Status

Hopital Roger Salengro - CHU Lille

Lille, Nord, France

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Hôpital Lariboisière

Paris, Paris, France

Site Status

CHU de Rouen - Hôpital Charles Nicolle

Rouen, Seine Maritime, France

Site Status

Groupe Hospitalier Pitie-Salpetriere

Paris, , France

Site Status

Universitaetsmedizin Mannheim

Mannheim, Baden-Wurttemberg, Germany

Site Status

Universitaetsklinikum Tuebingen

Tübingen, Baden-Wurttemberg, Germany

Site Status

Universitaetsklinikum Ulm

Ulm, Baden-Wurttemberg, Germany

Site Status

Klinikum Bayreuth GmbH- Hohe Warte

Bayreuth, Bavaria, Germany

Site Status

Klinikum der Universität München

München, Bavaria, Germany

Site Status

Neuro Centrum Science GmbH

Erbach im Odenwald, Hesse, Germany

Site Status

Universitaetsmedizin Goettingen

Göttingen, Lower Saxony, Germany

Site Status

Deutsches Zentrum fuer Neurodegenerative Erkrankungen (DZNE)

Bonn, North Rhine-Westphalia, Germany

Site Status

Universitaetsklinikum Koeln

Cologne, North Rhine-Westphalia, Germany

Site Status

Klinikum Altenburger Land GmbH

Altenburg, Thuringia, Germany

Site Status

Charité - Campus Charité Mitte

Berlin, , Germany

Site Status

Charité - Universitätsmedizin Berlin

Berlin, , Germany

Site Status

Katholisches Klinikum Bochum gGmbH

Bochum, , Germany

Site Status

Azienda Ospedaliera Card. G. Panico

Tricase, Lecce, Italy

Site Status

Fondazione Istituto G.Giglio di Cefalù

Cefalù, Palermo, Italy

Site Status

Ospedale di Arzignano

Arzignano VI, Vicenza, Italy

Site Status

Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)

Brescia, , Italy

Site Status

Ospedale San Raffaele

Milan, , Italy

Site Status

Fondazione IRCCS Istituto Neurologico Carlo Besta

Milan, , Italy

Site Status

Azienda Ospedaliera e Universitaria di Perugia

Perugia, , Italy

Site Status

Azienda Ospedaliera Universitaria Policlinico Umberto I - Università di Roma La Sapienza

Roma, , Italy

Site Status

Ehime University Hospital

Toon-shi, Ehime, Japan

Site Status

Himeji Central Hospital Clinic

Himeji-shi, Hyōgo, Japan

Site Status

Nippon Medical School Musashi Kosugi Hospital

Kawasaki-shi, Kanagawa, Japan

Site Status

Yokohama City Minato Red Cross Hospital

Yokohama, Kanagawa, Japan

Site Status

Osaka Metropolitan University Hospital

Osaka, Osaka, Japan

Site Status

Osaka University Hospital

Suita-shi, Osaka, Japan

Site Status

Tokyo Metropolitan Institute for Geriatrics and Gerontology

Itabashi-ku, Tokyo-To, Japan

Site Status

Brain Research Center Amsterdam

Amsterdam, , Netherlands

Site Status

Podlaskie Centrum Psychogeriatrii

Bialystok, , Poland

Site Status

PROMENTE Sp. z o.o.

Bydgoszcz, , Poland

Site Status

Nzoz Novo-Med

Katowice, , Poland

Site Status

Care Clinic Centrum Medyczne

Katowice, , Poland

Site Status

SPZOZ Szpital Uniwersytecki w Krakowie

Krakow, , Poland

Site Status

SPZOZ Centralny Szpital Kliniczny UM w Lodzi

Lodz, , Poland

Site Status

Samodzielny Publiczny Szpital Kliniczny Nr 4 w Lublinie Kliniczny Oddział Neurologii Oddział Udarowy

Lublin, , Poland

Site Status

Centrum Medyczne Senior

Sopot, , Poland

Site Status

NeuroProtect Sp. z o.o.

Warsaw, , Poland

Site Status

Mazowiecki Szpital Wojewódzki w Warszawie Sp z oo

Warsaw, , Poland

Site Status

Clinica Universidad de Navarra

Pamplona, Navarre, Spain

Site Status

CAE Oroitu

Getxo, Vizcaya, Spain

Site Status

Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

Site Status

Fundacio ACE

Barcelona, , Spain

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Hospital Universitario Reina Sofia

Córdoba, , Spain

Site Status

Hospital Universitari de Santa Maria

Lleida, , Spain

Site Status

Hospital Victoria Eugenia

Seville, , Spain

Site Status

Hospital Universitario Dr. Peset

Valencia, , Spain

Site Status

Hospital Universitari i Politecnic La Fe

Valencia, , Spain

Site Status

Sahlgrenska Universitetssjukhuset, Mölndal Sjukhus

Mölndal, , Sweden

Site Status

Karolinska universitetssjukhuset - Huddinge

Stockholm, , Sweden

Site Status

Ospedale Regionale di Lugano

Lugano, Canton Ticino, Switzerland

Site Status

Spitalzentrum Biel

Biel/Bienne, , Switzerland

Site Status

Hôpitaux Universitaires de Genève - HUG- Centre de la mémoire, Bâtiment A1 - Morier

Geneva, , Switzerland

Site Status

Kantonsspital St. Gallen

Sankt Gallen, , Switzerland

Site Status

Institute of Psychiatry, Psychology and Neuroscience

London, Greater London, United Kingdom

Site Status

Re:Cognition Health Ltd (London)

London, Greater London, United Kingdom

Site Status

Charing Cross Hospital

London, Greater London, United Kingdom

Site Status

The National Hospital for Neurology and Neurosurgery Centre

London, Greater London, United Kingdom

Site Status

Greater Manchester Mental Health NHS Foundation Trust

Manchester, Greater Manchester, United Kingdom

Site Status

Southampton General Hospital

Southampton, Hampshire, United Kingdom

Site Status

Warneford Hospital

Oxford, Oxfordshire, United Kingdom

Site Status

Royal Hallamshire Hospital

Sheffield, South Yorkshire, United Kingdom

Site Status

NeuroClin Limited

Motherwell, Strathclyde, United Kingdom

Site Status

Re:Cognition Health - Birmingham

Birmingham, West Midlands, United Kingdom

Site Status

Re Cognition Health Bristol

Bristol, , United Kingdom

Site Status

Countries

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United States Australia Belgium Canada Czechia Denmark Finland France Germany Italy Japan Netherlands Poland Spain Sweden Switzerland United Kingdom

Other Identifiers

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2022-501644-15

Identifier Type: OTHER

Identifier Source: secondary_id

247AD201

Identifier Type: -

Identifier Source: org_study_id

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