Clinical trial Recruiting at 6 sites Phase 1 Interventional Ages 18 and up

Evaluating ALN-APP for Early-Onset Alzheimer's Disease

Official title: A Randomized, Double-blind, Placebo-controlled Single Ascending Dose and Open-label Multi-dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Intrathecally Administered ALN-APP in Adult Patients With Early-onset Alzheimer's Disease (EOAD)

Run by Alnylam Pharmaceuticals · NCT05231785 · Data updated 2026-11-12

This study is testing a new treatment called ALN-APP to see if it is safe and can help people with early-onset Alzheimer's disease.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment60 (estimated)
SponsorAlnylam Pharmaceuticals
Industry-sponsored
Locations8 sites (La Jolla, California and 7 other locations)
StatusRecruiting
StartedFebruary 4, 2022
Main results expectedJanuary 11, 2029
Study endsJanuary 11, 2029
Registry record updatedOctober 20, 2026
Trial IDNCT05231785 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults with mild cognitive impairment or mild dementia due to early-onset Alzheimer's Disease.

Probably not a fit

Patients with non-Alzheimer's disease dementia or those with significant liver or kidney dysfunction may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to assess the safety and tolerability of ALN-APP, an investigational treatment, in patients with early-onset Alzheimer's Disease (EOAD). Participants will receive either a single dose or multiple doses of ALN-APP via intrathecal injection, with the first part of the study focusing on a single dose and the second part lasting up to 12 months. The study will also evaluate the pharmacodynamics and pharmacokinetics of the treatment. Patients will be monitored for cognitive impairment and overall health throughout the trial.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients suffering from early-onset Alzheimer's Disease.

How similar studies have gone: While this approach is novel, similar studies targeting Alzheimer's Disease have shown promise, indicating potential for success.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Has mild cognitive impairment or mild dementia due to EOAD
* Has Clinical Dementia Rating (CDR) global score 0.5 or 1.0 and Mini Mental State Examination (MMSE) \>20

Exclusion Criteria:

* Has Non-Alzheimer's disease dementia
* Has alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>2×upper limit of normal (ULN)
* Has estimated glomerular filtration rate (eGFR) \<45 mL/min/1.73m\^2 at Screening
* Has recently received an investigational agent
* Has recent treatment with amyloid-targeting antibody

Note: other protocol defined inclusion / exclusion criteria apply

Where it's running

  • Clinical Trial Site
    Indianapolis, Indiana, United States
    Recruiting
  • Clinical Trial Site
    Montreal, Canada
    Recruiting
  • Clinical Trial Site
    Toronto, Canada
    Recruiting
  • Clinical Trial Site
    Amsterdam, Netherlands
    Recruiting
  • Clinical Trial Site
    Huntley Street, United Kingdom
    Recruiting
  • Clinical Trial Site
    Sheffield, United Kingdom
    Recruiting
Show 2 more locations
  • Clinical Trial Site
    La Jolla, California, United States
    Completed
  • Clinical Trial Site
    Groningen, Netherlands
    Completed

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.