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
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Alnylam Pharmaceuticals Industry-sponsored |
| Locations | 8 sites (La Jolla, California and 7 other locations) |
| Status | Recruiting |
| Started | February 4, 2022 |
| Main results expected | January 11, 2029 |
| Study ends | January 11, 2029 |
| Registry record updated | October 20, 2026 |
| Trial ID | NCT05231785 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
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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
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Clinical Trial Site
La Jolla, California, United States Completed -
Clinical Trial Site
Groningen, Netherlands Completed
Study contacts
- Study coordinator: Alnylam Clinical Trial Information Line
- Email: clinicaltrials@alnylam.com
- Phone: 1-877-ALNYLAM
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.