Open-label extension of GSK4527226 for people with early Alzheimer's disease
Official title: A Multi-Centre, Single Arm, Open-Label Extension Study to Evaluate the Long-term Safety and Efficacy of GSK4527226 (AL101) in Participants With Early Alzheimer's Disease
Run by GlaxoSmithKline · NCT07105709 · Data updated 2026-11-12
This extension gives GSK4527226 to people with early Alzheimer's disease who completed the parent study to see if the medicine stays safe and helps over the long term.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 50 Years to 85 Years |
| Sex | All |
| Enrollment | 220 (estimated) |
| Sponsor | GlaxoSmithKline Industry-sponsored |
| Locations | 33 sites (Maitland, Florida and 32 other locations) |
| Status | Recruiting |
| Started | August 14, 2025 |
| Main results expected | September 15, 2028 |
| Study ends | December 8, 2028 |
| Registry record updated | February 2, 2026 |
| Trial ID | NCT07105709 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are people with early Alzheimer's disease (MCI or mild dementia) who completed the parent study treatment period, can provide informed consent, and have a study partner who can attend visits.
✕Probably not a fit
Patients who withdrew early or were permanently discontinued from the parent study, those with more advanced Alzheimer's disease, or those unable to meet safety or partner requirements (including pregnancy) are unlikely to benefit from joining this extension.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This open-label extension enrolls participants who completed the parent randomized study (NCT06079190) and provides all enrolled participants with GSK4527226. The main goals are to collect longer-term safety data and to observe ongoing clinical effects in people with early Alzheimer's disease, including mild cognitive impairment and mild dementia due to AD. Participants must have completed the parent study without permanent early discontinuation and must have an available study partner to report on function and cognition. Study visits are conducted at designated GSK investigational sites in Florida.
Why it matters
Potential benefit: If successful, continued treatment with GSK4527226 could stabilize or slow cognitive and functional decline in people with early Alzheimer's disease.
How similar studies have gone: Open-label extensions of other investigational Alzheimer's therapies have produced mixed results, with occasional safety and tolerability data but no consistent, definitive disease-modifying success to date.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Completion of the Treatment Period in the parent study (NCT06079190). * Participants may have missed doses during the Treatment Period or may be on a temporary dose suspension but must not have been permanently discontinued early from study intervention or withdrawn from the parent study. * Willing and able to give informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF). * Availability of an adult person who has frequent and sufficient contact with the participant, is able to provide accurate information regarding the participant's cognitive and functional abilities, agrees to provide information at clinic visits, and signs the study partner ICF. * A female participant is eligible to participate if she is not pregnant or breastfeeding, and if of childbearing potential follows contraception requirements outlined in the protocol. * A male participant is eligible to participate if he follows contraception requirements outlined in the protocol. Exclusion Criteria: * QT interval corrected (QTc) assessment at Day 1 that meets the stopping criteria described in the protocol. * Participant is taking or will be starting a prohibited medication described in the protocol. * Evidence of any Amyloid related imaging abnormalities (ARIA) or cerebral macrohemorrhage that meets the permanent discontinuation criteria described in the protocol. * Other newly identified intracranial hemorrhage aneurysm, vascular malformation, infective lesion, space occupying lesion or brain tumor, or other Magnetic resonance imaging (MRI) findings contraindicating participation in the study. * Newly identified infection(s) that may affect the Central nervous system (CNS). * New diagnosis of moderate to severe alcohol and/or substance use disorder. * Change in participant's ability to tolerate MRI procedures, contraindication to MRI, or any other clinical history or examination finding that would pose a potential hazard in combination with MRI. * Newly diagnosed cancer. * Newly identified severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric, human, or humanized antibodies or fusion proteins. * Newly identified genetic predisposition for clotting disorder or hemorrhagic disease. * Any other clinically significant change in health status (which, in the opinion of the investigator, would make the participant unsuitable for participation in the OLE study.
Where it's running
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GSK Investigational Site
Maitland, Florida, United States Recruiting -
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Miami, Florida, United States Recruiting -
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Stuart, Florida, United States Recruiting -
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Toms River, New Jersey, United States Recruiting -
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Staten Island, New York, United States Recruiting -
GSK Investigational Site
Matthews, North Carolina, United States Recruiting
Show 27 more locations
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GSK Investigational Site
Oklahoma City, Oklahoma, United States Recruiting -
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Houston, Texas, United States Recruiting -
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Fairfax, Virginia, United States Recruiting -
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Buenos Aires, Argentina Recruiting -
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Buenos Aires, Argentina Recruiting -
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Ciudad Autonoma de Buenos Aire, Argentina Recruiting -
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Ciudad Autonoma de Bueno, Argentina Recruiting -
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Macquarie Park, New South Wales, Australia Recruiting -
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Nedlands, Western Australia, Australia Recruiting -
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Ottawa, Ontario, Canada Recruiting -
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Peterborough, Ontario, Canada Recruiting -
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Toronto, Ontario, Canada Recruiting -
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Greenfield Park, Quebec, Canada Recruiting -
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Sherbrooke, Quebec, Canada Recruiting -
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Oulu, Finland Recruiting -
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Bergen, Norway Recruiting -
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Oslo, Norway Recruiting -
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Junggu, South Korea Recruiting -
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Barcelona, Spain Recruiting -
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Gothenburg, Sweden Recruiting -
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Malmö, Sweden Recruiting -
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Stockholm, Sweden Recruiting -
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Tainan, Taiwan Recruiting -
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Taoyuan, Taiwan Recruiting -
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Birmingham, United Kingdom Recruiting -
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Bristol, United Kingdom Recruiting -
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London, United Kingdom Recruiting
Study contacts
- Study coordinator: US GSK Clinical Trials Call Center
- Email: GSKClinicalSupportHD@gsk.com
- Phone: 877-379-3718
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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.