A Study of Different Donanemab (LY3002813) Dosing Regimens in Adults With Early Alzheimer's Disease (TRAILBLAZER-ALZ 6)

NCT ID: NCT05738486

Last Updated: 2025-11-14

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

1175 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-28

Study Completion Date

2027-05-31

Brief Summary

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This study will investigate different donanemab dosing regimens and their effect on the frequency and severity of ARIA-E in adults with early symptomatic Alzheimer's disease (AD) and explore participant characteristics that might predict risk of ARIA.

Approximately 375 additional participants will be enrolled per addendum.

The study will last approximately 91 weeks and include up to 26 visits in the main study.

Detailed Description

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Conditions

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Alzheimer's Disease Dementia Brain Diseases Central Nervous System Diseases Nervous System Diseases Neurodegenerative Diseases Neurocognitive Disorders Mental Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Phase 3b
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1400 mg Donanemab - Standard Regimen

Participants received:

* 700 milligrams (mg) donanemab administered intravenously (IV) at baseline, week 4, and 8.
* placebo administered IV at week 2, 6, 10, and 14.
* 1400 mg of donanemab administered IV at week 12, 16, 20, and 24.

Group Type EXPERIMENTAL

Donanemab

Intervention Type DRUG

Administered IV

Placebo

Intervention Type DRUG

Administered IV

1400 mg Donanemab - Dose Skipping

Participants received:

* 700 mg donanemab administered IV at baseline.
* placebo administered IV at week 2, 4, 6, 10, and 14.
* 1400 mg of donanemab administered IV at week 8, 12, 16, 20, and 24.

Group Type EXPERIMENTAL

Donanemab

Intervention Type DRUG

Administered IV

Placebo

Intervention Type DRUG

Administered IV

1400 mg Donanemab - Titration

Participants received:

* 350 mg donanemab administered IV at baseline.
* placebo administered IV at week 2, 6, 10, and 14.
* 700 mg donanemab administered IV at week 4.
* 1050 mg of donanemab administered IV at week 8.
* 1400 mg of donanemab administered IV at week 12, 16, 20, and 24.

Group Type EXPERIMENTAL

Donanemab

Intervention Type DRUG

Administered IV

Placebo

Intervention Type DRUG

Administered IV

1400 mg Donanemab - Maximum Concentration (Cmax)

Participants received:

* 350 mg donanemab administered IV at baseline, weeks 2, 4, 6, 8, and 10.
* 700 mg donanemab administered IV at weeks 12 and 14.
* 1400 mg of donanemab administered IV at weeks 16, 20, and 24.

Group Type EXPERIMENTAL

Donanemab

Intervention Type DRUG

Administered IV

Placebo

Intervention Type DRUG

Administered IV

Donanemab Addendum Arm 1

Participants will receive donanemab by IV infusion.

Participants will receive placebo pretreatment to preserve the blind prior to donanemab infusion.

Group Type EXPERIMENTAL

Donanemab

Intervention Type DRUG

Administered IV

Placebo

Intervention Type DRUG

Administered IV

Donanemab Addendum Arm 2

Participants will receive donanemab by IV infusion.

Participants will receive dexamethasone pretreatment prior to donanemab infusion

Group Type EXPERIMENTAL

Donanemab

Intervention Type DRUG

Administered IV

Dexamethasone

Intervention Type DRUG

Administered IV

Interventions

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Donanemab

Administered IV

Intervention Type DRUG

Placebo

Administered IV

Intervention Type DRUG

Dexamethasone

Administered IV

Intervention Type DRUG

Other Intervention Names

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LY3002813

Eligibility Criteria

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Inclusion Criteria

* Gradual and progressive change in memory function reported by the participant or informant for ≥6 months.
* A mini mental state examination (MMSE) score of 20 to 28 (inclusive) at screening.
* Have an amyloid PET scan result from central read, consistent with the presence of amyloid pathology.

Exclusion Criteria

* Have significant neurological disease affecting the central nervous system other than AD, that may affect cognition or ability to complete the study, including but not limited to, other dementias, serious infection of the brain, Parkinson's disease, multiple concussions, or epilepsy or recurrent seizures, except febrile childhood seizures.
* Has current serious or unstable illnesses including cardiovascular, hepatic, renal, gastroenterologic, respiratory, endocrinologic, neurologic (other than AD), psychiatric, immunologic, or hematologic disease and other conditions that, in the investigator's opinion, could interfere with the analyses in this study.
* A life expectancy of \<24 months.
* Contraindication to MRI or PET scans
* Have had prior treatment with a passive anti-amyloid immunotherapy.
* Have a presence or history of malignant neoplasms within the past 5 years prior to Visit 1.

Exceptions:

* non-metastatic basal- or squamous-cell skin cancer
* Stage 0 non-invasive carcinoma of the cervix
* Stage 0 non-invasive prostate cancer, or
* other cancers with low risk of recurrence or spread
Minimum Eligible Age

60 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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MD First Research - Chandler

Chandler, Arizona, United States

Site Status

Irvine Clinical Research

Irvine, California, United States

Site Status

Healthy Brain Clinic

Long Beach, California, United States

Site Status

California Neuroscience Research Medical Group, Inc.

Sherman Oaks, California, United States

Site Status

JEM Research Institute

Atlantis, Florida, United States

Site Status

VIN-Julie Schwartzbard

Aventura, Florida, United States

Site Status

Excel Medical Clinical Trials

Boca Raton, Florida, United States

Site Status

K2 Medical Research

Clermont, Florida, United States

Site Status

Brain Matters Research

Delray Beach, Florida, United States

Site Status

Neuropsychiatric Research Center of Southwest Florida

Fort Myers, Florida, United States

Site Status

Finlay Medical Research

Greenacres City, Florida, United States

Site Status

Infinity Clinical Research, LLC

Hollywood, Florida, United States

Site Status

Jacksonville Center for Clinical Research

Jacksonville, Florida, United States

Site Status

ClinCloud - Maitland

Maitland, Florida, United States

Site Status

K2 Medical Research

Maitland, Florida, United States

Site Status

ClinCloud - Viera

Melbourne, Florida, United States

Site Status

Suncoast Clinical Research, Inc.

New Port Richey, Florida, United States

Site Status

Renstar Medical Research

Ocala, Florida, United States

Site Status

Charter Research - Winter Park

Orlando, Florida, United States

Site Status

Progressive Medical Research

Port Orange, Florida, United States

Site Status

Alzheimer's Research and Treatment Center

Stuart, Florida, United States

Site Status

K2 Medical Research - Tampa

Tampa, Florida, United States

Site Status

K2 Summit Research

The Villages, Florida, United States

Site Status

Charter Research - Lady Lake

The Villages, Florida, United States

Site Status

Alzheimer's Research and Treatment Center

Wellington, Florida, United States

Site Status

Palm Beach Neurology

West Palm Beach, Florida, United States

Site Status

Conquest Research

Winter Park, Florida, United States

Site Status

Columbus Memory Center, LLC

Columbus, Georgia, United States

Site Status

CenExel iResearch, LLC

Decatur, Georgia, United States

Site Status

Center for Advanced Research & Education

Gainesville, Georgia, United States

Site Status

CenExel iResearch, LLC

Savannah, Georgia, United States

Site Status

MedVadis Research Corporation

Waltham, Massachusetts, United States

Site Status

Adams Clinical

Watertown, Massachusetts, United States

Site Status

QUEST Research Institute

Farmington Hills, Michigan, United States

Site Status

The Cognitive and Research Center of New Jersey

Springfield, New Jersey, United States

Site Status

Butler Hospital

Providence, Rhode Island, United States

Site Status

Neurology Clinic, P.C.

Cordova, Tennessee, United States

Site Status

Gadolin Research

Beaumont, Texas, United States

Site Status

Kerwin Medical Center

Dallas, Texas, United States

Site Status

The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

Re:Cognition Health

Fairfax, Virginia, United States

Site Status

Northwest Clinical Research Center

Bellevue, Washington, United States

Site Status

Universal Research Group

Tacoma, Washington, United States

Site Status

Re:Cognition Health - Bristol

Bristol, Bristol, City of, United Kingdom

Site Status

Re:Cognition Health - Winchester

Winchester, Hampshire, United Kingdom

Site Status

Re:Cognition Health - London

London, London, City of, United Kingdom

Site Status

Re:Cognition Health Guildford

Guildford, Reading, United Kingdom

Site Status

Re:Cognition Health - Birmingham

Birmingham, , United Kingdom

Site Status

Re:Cognition Health - Plymouth

Plymouth, , United Kingdom

Site Status

Countries

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Italy United States United Kingdom

References

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Wang H, Nery ESM, Ardayfio P, Khanna R, Svaldi DO, Shcherbinin S, Xu W, Andersen SW, Hauck PM, Brooks DA, Collins EC, Salloway S, Mintun MA, Sims JR. The effect of modified donanemab titration on amyloid-related imaging abnormalities with edema/effusions and amyloid reduction: 18-month results from TRAILBLAZER-ALZ 6. J Prev Alzheimers Dis. 2025 Sep;12(8):100266. doi: 10.1016/j.tjpad.2025.100266. Epub 2025 Jul 5.

Reference Type DERIVED
PMID: 40619285 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://trials.lilly.com/en-US/trial/389475

A Study of Different Donanemab (LY3002813) Dosing Regimens in Adults With Early Alzheimer's Disease (TRAILBLAZER-ALZ 6)

Other Identifiers

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I5T-MC-AACQ

Identifier Type: OTHER

Identifier Source: secondary_id

2022-502268-18-00

Identifier Type: OTHER

Identifier Source: secondary_id

U1111-1285-9438

Identifier Type: OTHER

Identifier Source: secondary_id

18648

Identifier Type: -

Identifier Source: org_study_id