A Continuation Study of Latozinemab in Participants with Neurodegenerative Disease

2023-506805-20-01 Therapeutic confirmatory (Phase III) Ended

Start 25 Sep 2024 · End 7 Jan 2026 · Status Ended · 7 EU/EEA countries · 12 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 52
Countries 7
Sites 12

Neurodegenerative Diseases

To provide continued access to latozinemab for participants who have previously participated in a latozinemab study sponsored by Alector, or in partnership or collaboration with Alector.

Key facts

Sponsor
Alector LLC
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
25 Sep 2024 → 7 Jan 2026
Decision date (initial)
2025-10-14
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2023-506805-20-01
ClinicalTrials.gov
NCT06111014

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Therapy

To provide continued access to latozinemab for participants who have previously participated in a latozinemab study sponsored by Alector, or in partnership or collaboration with Alector.

Secondary objectives 2

  1. To monitor the safety and tolerability of latozinemab measured by safety assessments and anti-drug antibodies (ADAs).
  2. To monitor the clinical benefit of ongoing treatment with latozinemab for participants using clinical outcome assessments (COAs).

Conditions and MedDRA coding

Neurodegenerative Diseases

VersionLevelCodeTermSystem organ class
21.1 PT 10053643 Neurodegenerative disorder 100000004852

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 AL001 Continuation Study
A Continuation Study of Latozinemab in Participants with Neurodegenerative Disease
Not Applicable None latozinemab dose 1: latozinemab 60mg/kg every 4 weeks administered via intravenous (IV) infusion

Regulatory references

EMA paediatric investigation plan (PIP)
EMEA-002997-PIP01-21
Plan to share IPD
No
EU CT numberTitleSponsor
2019-004066-18 A Phase 3, Multicenter, Randomized, Double Blind, Placebo Controlled Study to Evaluate the Efficacy and Safety of AL001 in Individuals at Risk For or With Frontotemporal Dementia Due to Heterozygous Mutations in the Progranulin Gene, Estudio de fase 3, multicéntrico, aleatorizado, doble ciego y controlado con placebo para evaluar la eficacia y la seguridad de AL001 en pacientes con riesgo o con demencia frontotemporal causada por mutaciones heterocigotas en el gen de la progranulina, Studio di fase 3, multicentrico, randomizzato, in doppio cieco, controllato con placebo, per valutare l’efficacia e la sicurezza di AL001 in soggetti a rischio di o affetti da demenza frontotemporale dovuta a mutazioni eterozigote nel gene della progranulina.
2023-506805-20-00 A Continuation Study of Latozinemab in Participants with Neurodegenerative Disease Alector LLC
2019-000138-20 A Phase 2, Multicenter, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AL001 in Heterozygous Carriers of Granulin or C9ORF72 Mutations Causative of Frontotemporal Dementia, Studio di fase 2, multicentrico, in aperto per valutare sicurezza, tollerabilità, farmacocinetica e farmacodinamica di AL001 in portatori eterozigoti di mutazioni dei geni Granulina o C9orf72 responsabili di demenza frontotemporale

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Has provided informed consent for this study. Participants unable to provide consent on their own behalf are not eligible.
  2. Has successfully completed participation in their previous latozinemab study (e.g., AL001-2 or AL001-3).
  3. At the first visit, women must be nonpregnant and nonlactating, and one of the following conditions must apply: a. Not a woman of childbearing potential b. Is a woman of childbearing potential and agrees to use a highly effective contraceptive method from the first visit until 10 weeks after the last dose of study treatment. c. Women of childbearing potential must have a serum or urine pregnancy test conducted at the Transition Visit.
  4. Men must agree to use acceptable contraception and not donate sperm from the first visit until 10 weeks after the last dose of study treatment.
  5. Agrees not to donate blood or blood products for transfusion for the duration of the study and for 1 year after the final dose of study treatment.
  6. Willing to and can comply with the study protocol requirements, in the opinion of the investigator.

Exclusion criteria 6

  1. Known history of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric, human, or humanized antibodies or fusion proteins.
  2. Significant kidney disease.
  3. Impaired liver function.
  4. Clinically significant blood abnormalities.
  5. Presence of an abnormal ECG that is clinically significant.
  6. Has a medical condition or extenuating circumstance that, in the opinion of the investigator, might compromise the participant’s well-being or safety.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Number of participants receiving latozinemab
  2. Duration of treatment

Secondary endpoints 4

  1. Number, percentages, nature, and severity of adverse events (AEs) and serious adverse events (SAEs)
  2. Number and percentage of cases of the development of ADAs to latozinemab
  3. Actual values of the CGI-S every 3 months
  4. Actual values of the CGI-I every 3 months

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

latozinemab

PRD10629885 · Product

Active substance
Latozinemab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENIOUS INFUSION
Max daily dose
60 mg/kg milligram(s)/kilogram
Max total dose
2340 mg/kg milligram(s)/kilogram
Max treatment duration
39 Month(s)
Authorisation status
Not Authorised
ATC code
NOTASSIGN — -
MA holder
ALECTOR INC.
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EMA/OD/0000055853

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Alector LLC

Sponsor organisation
Alector LLC
Address
131 Oyster Point Boulevard
City
South San Francisco
Postcode
94080-2029
Country
United States

Scientific contact point

Organisation
Alector LLC
Contact name
Clinical Trial Information Desk

Public contact point

Organisation
Alector LLC
Contact name
Clinical Trial Information Desk

Third parties 4

OrganisationCity, countryDuties
4g Clinical LLC
ORG-100042775
Wellesley, United States Interactive response technologies (IRT)
PPD Development LP
ORG-100011560
Wilmington, United States On site monitoring, Code 5, Data management, E-data capture
Worldwide Clinical Trials Holdings Inc.
ORG-100013130
Durham, United States Code 8
Azenta US Inc.
ORG-100016263
Indianapolis, United States Other

Locations

7 EU/EEA countries · 12 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ended 1 1
France Ended 1 1
Germany Ended 2 1
Italy Ended 17 4
Netherlands Ended 4 1
Portugal Ended 6 3
Sweden Ended 1 1
Rest of world
Canada, United States, United Kingdom
20

Investigational sites

Belgium

1 site · Ended
UZ Leuven
Neurology, Herestraat 49, 3000, Leuven

France

1 site · Ended
Assistance Publique Hopitaux De Paris
Département des maladies du système nerveux, Num Voie 47 A 83, 47 Boulevard De L Hopital, Paris

Germany

1 site · Ended
Universitaetsklinikum Ulm AöR
Department of Neurology, University Hospital Ulm, Oberer Eselsberg 45, Eselsberg, Ulm

Italy

4 sites · Ended
Provincia Lombardo Veneta Dell’ordine Ospedaliero Di San Giovanni Di Dio Fatebenefratelli
N/A, Via Pilastroni 4, 25125, Brescia
Azienda Ospedaliero Universitaria Di Modena
N/A, Via Pietro Giardini 1355, 41126, Modena
IRCCS Foundation Istituto Neurologico Carlo Besta
Neurology, Via Giovanni Celoria 11, 20133, Milan
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Neurology, Via Francesco Sforza 28, 20122, Milan

Netherlands

1 site · Ended
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Neurology, Dr. Molewaterplein 40, 3015 GD, Rotterdam

Portugal

3 sites · Ended
Centro Hospitalar Universitario De Lisboa Norte E.P.E.
Serviço de Neurologia, Avenida Professor Egas Moniz, 1649-035, Lisbon
Centro Hospitalar E Universitario De Coimbra E.P.E.
Serviço de Neurologia, Praceta Professor Mota Pinto, 3000-459, Coimbra
Unidade Local De Saude De Santa Maria E.P.E.
Serviço de Neurologia, Avenida Professor Egas Moniz, 1649-035, Lisbon

Sweden

1 site · Ended
Karolinska University Hospital
Klinisk Forskning, Halsovagen, Flemingsberg, Huddinge

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2024-09-25 2025-12-17 2024-10-08
Italy 2024-12-09 2025-12-19 2025-03-27
Netherlands 2024-10-15 2024-10-29
Portugal 2024-11-13 2025-12-17 2024-11-25

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
AL001-CS-302 Summary of Results
SUM-136256
2026-05-27T23:00:48 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
AL001-CS-302 LPS 2026-05-27T23:05:24 Submitted Laypersons Summary of Results

Documents 59 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) AL001-CS-302 LPS EU 19May2026_DE 1
Laypersons summary of results (for publication) AL001-CS-302 LPS EU 19May2026_EN 1
Laypersons summary of results (for publication) AL001-CS-302 LPS EU 19May2026_ES 1
Laypersons summary of results (for publication) AL001-CS-302 LPS EU 19May2026_FR 1
Laypersons summary of results (for publication) AL001-CS-302 LPS EU 19May2026_IT 1
Laypersons summary of results (for publication) AL001-CS-302 LPS EU 19May2026_NL 1
Laypersons summary of results (for publication) AL001-CS-302 LPS EU 19May2026_PT 1
Laypersons summary of results (for publication) AL001-CS-302 LPS EU 19May2026_se 1
Protocol (for publication) D1_Protocol 2023-506805-20-01 Protocol Redacted 1.6
Protocol (for publication) D4_Patient facing document_CDR plus NACC FTLD_English_Placeholder 1
Protocol (for publication) D4_Patient facing document_CGI-I_English 1
Protocol (for publication) D4_Patient facing document_CGI-I_German 1
Protocol (for publication) D4_Patient facing document_CGI-I_Italian 1
Protocol (for publication) D4_Patient facing document_CGI-I_Portuguese 1
Protocol (for publication) D4_Patient facing document_CGI-S_English 1
Protocol (for publication) D4_Patient facing document_CGI-S_German 1
Protocol (for publication) D4_Patient facing document_CGI-S_Italian 1
Protocol (for publication) D4_Patient facing document_CGI-S_Portuguese 1
Protocol (for publication) D4_Patient facing document_Sheehan STS Scale_German 1
Protocol (for publication) D4_Patient facing document_Sheehan STS Scale_Italian 1
Protocol (for publication) D4_Patient facing document_Sheehan STS Scale_Portuguese 1
Protocol (for publication) D4_Patient facing documents_Sheehan STS Scale_English_Redacted 1
Recruitment arrangements (for publication) K1_AL001-CS-302_Recruitment Arrangements_SE_Swedish_Public N/A
Recruitment arrangements (for publication) K1_AL001-CS-302_Recruitment-and-Informed-Consent-Procedure_DE_English_Public 1.2
Recruitment arrangements (for publication) K1_AL001-CS-302_Recruitment-Arrangements_FR_French_Public 1.2
Recruitment arrangements (for publication) K1_AL001-CS-302_Recruitment-Arrangements_IT_Public n/a
Recruitment arrangements (for publication) K1_AL001-CS-302_Recruitment-Arrangements_PT_Public 1.2
Recruitment arrangements (for publication) K1_AL001-CS-302_Recruitment-Informed-Consent-Procedure_BE_English_Public 1.2
Recruitment arrangements (for publication) K2_AL001-CS-302_GP-Letter_IT_Italian_Public n/a
Recruitment arrangements (for publication) K2_AL001-CS-302_GP-Letter_PT_Portuguese_Public 1
Subject information and informed consent form (for publication) L1_AL001-CS-302_ICF-Study-Partner_PT_Portuguese_Public 1.0
Subject information and informed consent form (for publication) L1_AL001-CS-302_Main ICF_BE_Dutch_Public 2.0
Subject information and informed consent form (for publication) L1_AL001-CS-302_Main ICF_BE_English_Public 2.0
Subject information and informed consent form (for publication) L1_AL001-CS-302_Main ICF_SE_Swedish_Public 2.4
Subject information and informed consent form (for publication) L1_AL001-CS-302_Main ICF_Sponsor Statement_BE_English_Public 2.0
Subject information and informed consent form (for publication) L1_AL001-CS-302_Main_ICF_FR_French_Public 2.4
Subject information and informed consent form (for publication) L1_AL001-CS-302_Main_StudyPartner-ICF_DE_German_Public 2.4
Subject information and informed consent form (for publication) L1_AL001-CS-302_Main-ICF_IT_Italian_Clean_Public 2.4
Subject information and informed consent form (for publication) L1_AL001-CS-302_Main-ICF_PT_Portuguese_clean_Public 2.4
Subject information and informed consent form (for publication) L1_AL001-CS-302_PP-Newborn-ICF_IT_Italian_Clean_Public 2.2
Subject information and informed consent form (for publication) L1_AL001-CS-302_Pregnancy and Newborn-ICF_FR_French_Public 2.2
Subject information and informed consent form (for publication) L1_AL001-CS-302_Pregnancy ICF_SE_Swedish_Public 2.2
Subject information and informed consent form (for publication) L1_AL001-CS-302_Pregnancy-ICF_PT_Portuguese_clean_Public 2.2
Subject information and informed consent form (for publication) L1_AL001-CS-302_Pregnant-Sj-or-Partner-and-Newborn-ICF_DE_German_Public 2.2
Subject information and informed consent form (for publication) L1_AL001-CS-302_Privacy-addendum_ICF_IT_Italian_Clean_Public 2.2
Subject information and informed consent form (for publication) L1_AL001-CS-302_Study Partner ICF_SE_Swedish_Public 1.0
Subject information and informed consent form (for publication) L1_AL001-CS-302_Study Partner-ICF_FR_French_Public 1.0
Subject information and informed consent form (for publication) L1_AL001-CS-302_Study Partner-ICF_IT_Italian_Public 1.0
Subject information and informed consent form (for publication) L1_AL001-CS-302_Trial Partner ICF_BE_Dutch_Public 1.0
Subject information and informed consent form (for publication) L1_AL001-CS-302_Trial Partner ICF_BE_English_Public 1.0
Summary of results (for publication) AL001-CS-302 Summary of Results EU 14May2026 1
Synopsis of the protocol (for publication) D1_Protocol synopsis English 2023-506805-20-01 1.6
Synopsis of the protocol (for publication) D1_Protocol synopsis English TC 2023-506805-20-01 1.5 to 1.6
Synopsis of the protocol (for publication) D1_Protocol synopsis Italy 2023-506805-20-01 1.6
Synopsis of the protocol (for publication) D1_Protocol synopsis Italy TC 2023-506805-20-01 1.5 to 1.6
Synopsis of the protocol (for publication) D1_Protocol synopsis Netherlands 2023-506805-20-01 1.6
Synopsis of the protocol (for publication) D1_Protocol synopsis Netherlands TC 2023-506805-20-01 1.5 to 1.6
Synopsis of the protocol (for publication) D1_Protocol synopsis Portugal 2023-506805-20-01 1.6
Synopsis of the protocol (for publication) D1_Protocol synopsis Portugal TC 2023-506805-20-01 1.5 to 1.6

Application history

8 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-05-01 Italy Acceptable with conditions
2024-08-19
2024-08-20
2 NON SUBSTANTIAL MODIFICATION NSM-3 2024-09-11 Italy Acceptable with conditions
2024-08-19
2024-09-11
3 SUBSTANTIAL MODIFICATION SM-1 2024-09-17 Acceptable with conditions 2024-09-27
4 SUBSTANTIAL MODIFICATION SM-2 2024-10-31 Italy Acceptable with conditions 2024-11-26
5 SUBSTANTIAL MODIFICATION SM-3 2025-01-10 Italy Acceptable
2025-03-11
2025-03-11
6 SUBSEQUENT ADDITION OF MSC APP-6 2025-08-15 Acceptable
2025-03-11
2025-10-14
7 SUBSEQUENT ADDITION OF MSC APP-7 2025-08-15 Acceptable
2025-03-11
2025-10-02
8 SUBSEQUENT ADDITION OF MSC APP-8 2025-08-15 Acceptable
2025-03-11
2025-10-08