A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of DNL593 in Healthy Participants and Participants with Frontotemporal Dementia

2023-508697-28-00 Protocol DNLI-H-0001 Phase I and Phase II (Integrated) - First administration to humans Ongoing, recruitment ended

Start 13 Nov 2024 · Status Ongoing, recruitment ended · 7 EU/EEA countries · 18 sites · Protocol DNLI-H-0001

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - First administration to humans
Status Ongoing, recruitment ended
Participants planned 69
Countries 7
Sites 18

Frontotemporal Dementia (FTD)

Part A - To investigate the safety and tolerability of single doses of DNL593 in healthy participants Part B - To investigate the safety and tolerability of multiple doses of DNL593 in participants with FTD-GRN. Part C - To investigate the safety and tolerability of multiple doses of DNL593 in participants with FTD-GRN…

Key facts

Sponsor
Denali Therapeutics Inc.
Participant type
Patients, Healthy volunteers
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
13 Nov 2024 → ongoing
Decision date (initial)
2024-05-24
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
Denali Therapeutics Inc & Takeda Pharmaceuticals Ltd - Commercial

External identifiers

EU CT number
2023-508697-28-00
EudraCT number
2021-005733-16
ClinicalTrials.gov
NCT05262023

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic, Pharmacokinetic, Safety, Others

Part A
- To investigate the safety and tolerability of single doses of DNL593 in healthy participants
Part B
- To investigate the safety and tolerability of multiple doses of DNL593 in
participants with FTD-GRN.
Part C
- To investigate the safety and tolerability of multiple doses of DNL593 in
participants with FTD-GRN up to 18 months.

Secondary objectives 1

  1. Part A: - To characterize the serum PK of DNL593 following single doses in healthy participants - To characterize the concentration of DNL593 in CSF following single doses of DNL593 in healthy participants Part B: - To characterize the serum PK of DNL593 following multiple doses of DNL593 in participants with FTD-GRN. - To characterize the concentration of DNL593 in CSF following multiple doses in participants with FTD-GRN. - To evaluate change in plasma Nfl following multiple doses of DNL594 in participants with FTD-GRN. Part C: - To characterize the serum PK of DNL593 following multiple doses of DNL593 in participants with FTD-GRN. - To characterize the concentration of DNL593 in CSF following multiple doses of DNL593 in participants with FTDGRN.

Conditions and MedDRA coding

Frontotemporal Dementia (FTD)

VersionLevelCodeTermSystem organ class
21.1 PT 10068968 Frontotemporal dementia 100000004852

Study design 3 periods

#TitleAllocationBlindingRoles blindedArms
1 Part A Dose Escalation
Part A will evaluate the safety, tolerability, PK, and PD of single doses of DNL593 in healthy male and healthy female participants of nonchildbearing potential.
Randomised Controlled Double [{"id":187721,"code":5,"name":"Carer"},{"id":187722,"code":3,"name":"Monitor"},{"id":187719,"code":1,"name":"Subject"},{"id":187720,"code":2,"name":"Investigator"}] Invetigational arm: DNL593 (Healthy Participant)
Placebo arm: Placebo (Healthy Participant)
2 Part B Multiple Dose
Part B will evaluate the safety, tolerability, PK, and PD of multiple doses of DNL593 in participants with frontotemporal dementia (FTD) over 25 weeks.
Randomised Controlled Double [{"id":187726,"code":1,"name":"Subject"},{"id":187725,"code":2,"name":"Investigator"},{"id":187724,"code":3,"name":"Monitor"},{"id":187727,"code":5,"name":"Carer"}] Invetigational arm: DNL593 (Participants with FTD)
Placebo arm: Placebo (Participants with FTD)
3 Part C Optional OLE
Part B will be followed by Part C, an optional 18-month OLE period available for all participants who complete Part B.
Not Applicable None Participants from Cohort B1: DNL593 (Participants with FTD)
Participants from Cohort B2: DNL593 (Participants with FTD)
Participants from Cohort B3: DNL593 (Participants with FTD)

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Part A: - Women of non-childbearing potential (surgically sterilized or post menopausal) or men, aged ≥18 to ≤ 55 years - BMI of ≥ 18 to ≤ 32 kg/m² - When engaging in sex with a woman of child bearing potential, both the male participant and his female partner must use highly effective contraception Part B: - Women of non-childbearing potential (surgically sterilized or post menopausal) or men, aged ≥18 to ≤ 80 years. Women who are of childbearing potential but on highly effective, low user dependent contraceptive methods will be allowed. - BMI of ≥ 18 to ≤ 32 kg/m² - Have a Clinical Dementia Rating® plus National Alzheimer's Coordinating Center frontotemporal lobar degeneration global score ≥ 0.5 - Have confirmed granulin (GRN) mutation via genetic testing or historical records available for review by investigator - When engaging in sex with a woman of child bearing potential, both the male participant and his female partner must use highly effective contraception Part C: All participants who completed Part B of this trial are eligible for an 18-month OLE if the participant has no unresolved clinically significant TEAEs, where continued dosing may represent a risk to participant safety.

Exclusion criteria 1

  1. • Have any history of clinically significant neurologic, psychiatric, endocrine, pulmonary, cardiovascular, gastrointestinal, hepatic, pancreatic, renal, metabolic, hematologic, immunologic, or allergic disease, or other major disorders • Have a history of malignancy, except fully resected basal cell carcinoma or other malignancies at low risk of recurrence • Have a clinically significant history of stroke, cognitive impairment due to causes other than FTD, seizure within 5 years of screening, or head trauma with loss of consciousness within 2 years of screening • Have a positive serum pregnancy test or are currently lactating or breastfeeding

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Incidence, severity, and seriousness of treatment-emergent adverse events (TEAEs) [Timeframe: Up to 18 months]
  2. Change from baseline in safety laboratory values, vital sign measurements, ECG results, and physical/neurological examination findings [Timeframe: Up to 18 months]

Secondary endpoints 4

  1. DNL593 serum PK parameters (when feasible): Cmax, tmax, Ctrough, AUClast, AUCt , t 1/2, Accumulation ratio [Timeframe: Up to 18 months]
  2. Concentration of DNL593 in cerebrospinal fluid (CSF) [Timeframe: Up to 18 months]
  3. DNL593 CSF:serum concentration ratio [Timeframe: Up to 18 months]
  4. Percentage change from baseline in plasma Nfl at Week 25

Investigational products

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

Test 1

DNL593

PRD9649687 · Product

Active substance
DNL593
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Authorisation status
Not Authorised
MA holder
DENALI THERAPEUTICS INC.
Paediatric formulation
No
Orphan designation
No

Placebo 1

DNL593 Placebo, Sterile lyophilisate in single-dose glass vials

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No
Orphan designation
No

Auxiliary 3

-

R06A · Product

Pharmaceutical form
-
Route of administration
ORAL AND IV
Authorisation status
Authorised
ATC code
R06A — ANTIHISTAMINES FOR SYSTEMIC USE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

-

H02AB · Product

Pharmaceutical form
PHF00170MIG
Route of administration
ORAL AND IV
Authorisation status
Authorised
ATC code
H02AB — GLUCOCORTICOIDS
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Famotidine

SCP127871 · ATC

Active substance
Famotidine
Route of administration
ORAL AND IV
Authorisation status
Authorised
ATC code
A02BA03 — FAMOTIDINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Denali Therapeutics Inc.

Sponsor organisation
Denali Therapeutics Inc.
Address
161 Oyster Point Boulevard
City
South San Francisco
Postcode
94080-2042
Country
United States

Scientific contact point

Organisation
Denali Therapeutics Inc.
Contact name
Amy Berger

Public contact point

Organisation
Denali Therapeutics Inc.
Contact name
Clinical Trials Group

Third parties 14

OrganisationCity, countryDuties
Icon Clinical Research Limited
ORG-100008322
Dublin 18, Ireland Laboratory analysis
Fisher Clinical Services GmbH
ORG-100017323
Weil Am Rhein, Germany Code 14
PPD Development L.P.
ORG-100011560
Wilmington, United States Code 12, Code 2, Code 5, Code 8, Code 9
Scout Clinical
ORG-100042228
Dallas, United States Other
Primevigilance Limited
ORG-100027742
Guildford, United Kingdom Code 8
Aperio Clinical Outcomes LLC
ORG-100046387
Durham, United States Data management
Thermo Fisher Scientific Inc.
ORG-100045666
Waltham, United States Other
Preventiongenetics LLC
ORG-100043377
Marshfield, United States Other
IQVIA Limited
ORG-100008655
Reading, United Kingdom Interactive response technologies (IRT)
Eresearchtechnology Inc.
ORG-100013039
Pittsburgh, United States E-data capture
Bioagilytix Labs LLC
ORG-100013030
Durham, United States Other
Cogstate Limited
ORG-100044403
Melbourne, Australia Other
Kcas LLC
ORG-100043073
Olathe, United States Other
Redenlab Pty Limited
ORG-100051311
Melbourne, Australia Other

Locations

7 EU/EEA countries · 18 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruitment ended 5 2
Czechia Ended 5 1
France Ongoing, recruitment ended 8 4
Italy Ongoing, recruitment ended 12 4
Netherlands Authorised, recruiting 3 1
Portugal Ongoing, recruitment ended 7 3
Spain Ongoing, recruitment ended 15 3
Rest of world
Brazil, Turkey, Colombia, United States
14

Investigational sites

Belgium

2 sites · Ongoing, recruitment ended
Antwerp University Hospital
Neurology, Drie Eikenstraat 655, 2650, Edegem
UZ Leuven
Neurology, Herestraat 49, 3000, Leuven

Czechia

1 site · Ended
Fakultni Nemocnice V Motole
Neurologická klinika, V Uvalu 84/1, Motol, Prague

France

4 sites · Ongoing, recruitment ended
Centre Hospitalier Universitaire De Nantes
CentreMémoire Ressources et Recherche, Boulevard Du Professeur Jacques Monod, 44800, Saint Herblain
Assistance Publique Hopitaux De Paris
Institut de la mémoire et de la maladie d’Alzheimer, Num Voie 47 A 83, 47 Boulevard De L Hopital, Paris
Centre Hospitalier Universitaire De Toulouse
Department of Neurology, 1 Place Du Docteur Joseph Baylac, 31300, Toulouse
Centre Hospitalier Universitaire Rouen
Department of Neurology, 1 Rue De Germont, Bp 96031, Rouen Cedex

Italy

4 sites · Ongoing, recruitment ended
Istituto Auxologico Italiano IRCCS
U.O. Neurologia e Laboratorio di Neuroscienze, Piazzale Brescia 20, 20149, Milan
Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
Unità Operativa di Neurologia, Piazzale Spedali Civili 1, 25123, Brescia
Careggi University Hospital
Dipartimento Neuromuscoloscheletrico e degli organi di senso - (Padiglione 25 CTO-Neuromotorio), Largo Giovanni Alessandro Brambilla 3, 50134, Florence
Pia Fondazione Di Culto E Religione Card G Panico
U.O.C. Malattie Neurodegenerative, Via Pio X 4, 73039, Tricase

Netherlands

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

Portugal

3 sites · Ongoing, recruitment ended
CCAB Centro Clinico Academico Braga Associacao
Serviço de Neurologia, Lugar De Sete Fontes S Victor, 4710-243, Braga
CNS Saude Lda.
Unidade de Demências, Bairro De Santo Antonio 47, 2560-280, Torres Vedras
Hospital Pedro Hispano
Departamento de Neurologia, Rua Doutor Eduardo Torres 1, 4450-113, Matosinhos

Spain

3 sites · Ongoing, recruitment ended
University Hospital Virgen Del Rocio S.L.
Neurology Department, Avenida De Manuel Siurot S/n, 41013, Sevilla
Hospital Universitario Donostia
Neurology Department, Pasealeku Doct. Begiristain 109, 20014, Donostia
Hospital Clinic De Barcelona
Neurology Department, Calle Villarroel 170, 08036, Barcelona

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2023-05-16 2023-10-23 2026-01-07
France 2023-04-12 2023-04-14 2026-01-07
Italy 2023-03-28 2023-04-13 2026-01-07
Netherlands 2023-02-28
Portugal 2023-03-14 2023-06-02 2026-01-07
Spain 2022-09-22 2022-10-11 2026-01-07

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 6 · Art. 38 CTR

Temporary halt TH-29646

Halt date
2023-12-11
Member states concerned
Belgium
Publication date
2024-06-14
Reason
Sponsor decision, Safety related (clinical or pre-clinical results)
Explanation
This temporary halt was previously notified to all participating Member States under the Clinical Trial Directive, and now that the study has been transitioned to the Clinical Trial Regulation during the halt, it is being notified again as required in CTIS.] Per Protocol Section 4.1.5 (version 5), dosing for all participants would be halted if 2 participants experience severe (Grade 3 or higher) or serious AEs related to IRRs. On 30 August 2023, a Grade 3 IRR consistent with anaphylaxis was observed in a participant in this study. On 6 December 2023, a Grade 2 IRR consistent with anaphylaxis was observed in a 2nd participant. Both participants recovered on the day of the event. Additional details in the form of CIOMS report have been shared with all investigators, per our serious AE case processing procedures. Given that cohort stopping criteria were met per protocol, the Dose Escalation Committee for Part B (DEC-B, consisting of: Dr. Harro Seelaar of Erasmus Medical Center, the Netherlands; Dr. Leonel Takada, University of Sãu Paolo, Brazil; and the Sponsor Medical Monitor) met on 11 December 2023 and agreed to pause dosing, screening, and enrollment for all participants, effective immediately.
Follow-up measures
As mentioned above, both participants who experienced IRRs recovered on the day of the event. Both were discontinued from study intervention per protocol-specified individual dose-stopping criteria.
Following analysis of the study data to-date, the protocol will be updated with the addition of safety measures to reduce the risk of IRRs prior to further dosing. Resumption of dosing in this study will require agreement of the DEC-B and appropriate regulatory and ethics approvals.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Temporary halt TH-29648

Halt date
2023-12-11
Member states concerned
Spain
Publication date
2024-06-14
Reason
Sponsor decision, Safety related (clinical or pre-clinical results)
Explanation
This temporary halt was previously notified to all participating Member States under the Clinical Trial Directive, and now that the study has been transitioned to the Clinical Trial Regulation during the halt, it is being notified again as required in CTIS.] Per Protocol Section 4.1.5 (version 5), dosing for all participants would be halted if 2 participants experience severe (Grade 3 or higher) or serious AEs related to IRRs. On 30 August 2023, a Grade 3 IRR consistent with anaphylaxis was observed in a participant in this study. On 6 December 2023, a Grade 2 IRR consistent with anaphylaxis was observed in a 2nd participant. Both participants recovered on the day of the event. Additional details in the form of CIOMS report have been shared with all investigators, per our serious AE case processing procedures. Given that cohort stopping criteria were met per protocol, the Dose Escalation Committee for Part B (DEC-B, consisting of: Dr. Harro Seelaar of Erasmus Medical Center, the Netherlands; Dr. Leonel Takada, University of Sãu Paolo, Brazil; and the Sponsor Medical Monitor) met on 11 December 2023 and agreed to pause dosing, screening, and enrollment for all participants, effective immediately.
Follow-up measures
As mentioned above, both participants who experienced IRRs recovered on the day of the event. Both were discontinued from study intervention per protocol-specified individual dose-stopping criteria.
Following analysis of the study data to-date, the protocol will be updated with the addition of safety measures to reduce the risk of IRRs prior to further dosing. Resumption of dosing in this study will require agreement of the DEC-B and appropriate regulatory and ethics approvals.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Temporary halt TH-29650

Halt date
2023-12-11
Member states concerned
France
Publication date
2024-06-14
Reason
Sponsor decision, Safety related (clinical or pre-clinical results)
Explanation
This temporary halt was previously notified to all participating Member States under the Clinical Trial Directive, and now that the study has been transitioned to the Clinical Trial Regulation during the halt, it is being notified again as required in CTIS.] Per Protocol Section 4.1.5 (version 5), dosing for all participants would be halted if 2 participants experience severe (Grade 3 or higher) or serious AEs related to IRRs. On 30 August 2023, a Grade 3 IRR consistent with anaphylaxis was observed in a participant in this study. On 6 December 2023, a Grade 2 IRR consistent with anaphylaxis was observed in a 2nd participant. Both participants recovered on the day of the event. Additional details in the form of CIOMS report have been shared with all investigators, per our serious AE case processing procedures. Given that cohort stopping criteria were met per protocol, the Dose Escalation Committee for Part B (DEC-B, consisting of: Dr. Harro Seelaar of Erasmus Medical Center, the Netherlands; Dr. Leonel Takada, University of Sãu Paolo, Brazil; and the Sponsor Medical Monitor) met on 11 December 2023 and agreed to pause dosing, screening, and enrollment for all participants, effective immediately.
Follow-up measures
As mentioned above, both participants who experienced IRRs recovered on the day of the event. Both were discontinued from study intervention per protocol-specified individual dose-stopping criteria.
Following analysis of the study data to-date, the protocol will be updated with the addition of safety measures to reduce the risk of IRRs prior to further dosing. Resumption of dosing in this study will require agreement of the DEC-B and appropriate regulatory and ethics approvals.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Temporary halt TH-29652

Halt date
2023-12-11
Member states concerned
Portugal
Publication date
2024-06-14
Reason
Sponsor decision, Safety related (clinical or pre-clinical results)
Explanation
This temporary halt was previously notified to all participating Member States under the Clinical Trial Directive, and now that the study has been transitioned to the Clinical Trial Regulation during the halt, it is being notified again as required in CTIS.] Per Protocol Section 4.1.5 (version 5), dosing for all participants would be halted if 2 participants experience severe (Grade 3 or higher) or serious AEs related to IRRs. On 30 August 2023, a Grade 3 IRR consistent with anaphylaxis was observed in a participant in this study. On 6 December 2023, a Grade 2 IRR consistent with anaphylaxis was observed in a 2nd participant. Both participants recovered on the day of the event. Additional details in the form of CIOMS report have been shared with all investigators, per our serious AE case processing procedures. Given that cohort stopping criteria were met per protocol, the Dose Escalation Committee for Part B (DEC-B, consisting of: Dr. Harro Seelaar of Erasmus Medical Center, the Netherlands; Dr. Leonel Takada, University of Sãu Paolo, Brazil; and the Sponsor Medical Monitor) met on 11 December 2023 and agreed to pause dosing, screening, and enrollment for all participants, effective immediately.
Follow-up measures
As mentioned above, both participants who experienced IRRs recovered on the day of the event. Both were discontinued from study intervention per protocol-specified individual dose-stopping criteria.
Following analysis of the study data to-date, the protocol will be updated with the addition of safety measures to reduce the risk of IRRs prior to further dosing. Resumption of dosing in this study will require agreement of the DEC-B and appropriate regulatory and ethics approvals.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Temporary halt TH-29643

Halt date
2023-12-11
Member states concerned
Italy
Publication date
2024-06-14
Reason
Sponsor decision, Safety related (clinical or pre-clinical results)
Explanation
This temporary halt was previously notified to all participating Member States under the Clinical Trial Directive, and now that the study has been transitioned to the Clinical Trial Regulation during the halt, it is being notified again as required in CTIS.] Per Protocol Section 4.1.5 (version 5), dosing for all participants would be halted if 2 participants experience severe (Grade 3 or higher) or serious AEs related to IRRs. On 30 August 2023, a Grade 3 IRR consistent with anaphylaxis was observed in a participant in this study. On 6 December 2023, a Grade 2 IRR consistent with anaphylaxis was observed in a 2nd participant. Both participants recovered on the day of the event. Additional details in the form of CIOMS report have been shared with all investigators, per our serious AE case processing procedures. Given that cohort stopping criteria were met per protocol, the Dose Escalation Committee for Part B (DEC-B, consisting of: Dr. Harro Seelaar of Erasmus Medical Center, the Netherlands; Dr. Leonel Takada, University of Sãu Paolo, Brazil; and the Sponsor Medical Monitor) met on 11 December 2023 and agreed to pause dosing, screening, and enrollment for all participants, effective immediately.
Follow-up measures
As mentioned above, both participants who experienced IRRs recovered on the day of the event. Both were discontinued from study intervention per protocol-specified individual dose-stopping criteria.
Following analysis of the study data to-date, the protocol will be updated with the addition of safety measures to reduce the risk of IRRs prior to further dosing. Resumption of dosing in this study will require agreement of the DEC-B and appropriate regulatory and ethics approvals.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Temporary halt TH-29645

Halt date
2023-12-11
Member states concerned
Netherlands
Publication date
2024-06-14
Reason
Sponsor decision, Safety related (clinical or pre-clinical results)
Explanation
This temporary halt was previously notified to all participating Member States under the Clinical Trial Directive, and now that the study has been transitioned to the Clinical Trial Regulation during the halt, it is being notified again as required in CTIS.] Per Protocol Section 4.1.5 (version 5), dosing for all participants would be halted if 2 participants experience severe (Grade 3 or higher) or serious AEs related to IRRs. On 30 August 2023, a Grade 3 IRR consistent with anaphylaxis was observed in a participant in this study. On 6 December 2023, a Grade 2 IRR consistent with anaphylaxis was observed in a 2nd participant. Both participants recovered on the day of the event. Additional details in the form of CIOMS report have been shared with all investigators, per our serious AE case processing procedures. Given that cohort stopping criteria were met per protocol, the Dose Escalation Committee for Part B (DEC-B, consisting of: Dr. Harro Seelaar of Erasmus Medical Center, the Netherlands; Dr. Leonel Takada, University of Sãu Paolo, Brazil; and the Sponsor Medical Monitor) met on 11 December 2023 and agreed to pause dosing, screening, and enrollment for all participants, effective immediately.
Follow-up measures
As mentioned above, both participants who experienced IRRs recovered on the day of the event. Both were discontinued from study intervention per protocol-specified individual dose-stopping criteria.
Following analysis of the study data to-date, the protocol will be updated with the addition of safety measures to reduce the risk of IRRs prior to further dosing. Resumption of dosing in this study will require agreement of the DEC-B and appropriate regulatory and ethics approvals.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Results and documents

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

Documents 102 files

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

TypeTitleVersion
Protocol (for publication) D1_Denali_DNLI-H-0001_FR_ANSM_Approval_FR_ENG_Public 5
Protocol (for publication) D1_Denali_DNLI-H-0001_FR_EC_Fav opinion_FR_ENG_Public 5
Protocol (for publication) D1_Denali_DNLI-H-0001_Protocol Summary_2023-508697-28_CZE_Public 8.0
Protocol (for publication) D1_Denali_DNLI-H-0001_Protocol_2023-508697-28_Public 8.0
Protocol (for publication) D4_Denali_DNLI-H-0001_All patient-facing materials_BE_ENG_Public 1.0
Protocol (for publication) D4_Denali_DNLI-H-0001_All patient-facing materials_BE_FRA_Public 1.0
Protocol (for publication) D4_Denali_DNLI-H-0001_All patient-facing materials_BE_NDL_Public 1.0
Protocol (for publication) D4_Denali_DNLI-H-0001_All patient-facing materials_CZ_CZE_Public 1.0
Protocol (for publication) D4_Denali_DNLI-H-0001_All patient-facing materials_CZ_ENG_Public 1.0
Protocol (for publication) D4_Denali_DNLI-H-0001_All patient-facing materials_ES_SPA_Public 1.0
Protocol (for publication) D4_Denali_DNLI-H-0001_All patient-facing materials_FR_FRA_Public 1.0
Protocol (for publication) D4_Denali_DNLI-H-0001_All patient-facing materials_IT_ITA_Public 1.0
Protocol (for publication) D4_Denali_DNLI-H-0001_All patient-facing materials_NL_NDL_Public 1.0
Protocol (for publication) D4_Denali_DNLI-H-0001_All patient-facing materials_PT_POR_Public 1.0
Recruitment arrangements (for publication) K1_DNLI-H-0001_Recruitment_and_Informed_consent_procedure_CZ_English 1.0
Recruitment arrangements (for publication) K1_DNLI-H-0001_Recruitment-and-Informed-Consent-Procedure_PT_Public 1
Recruitment arrangements (for publication) K1_DNLI-H-0001_Recruitment-Arrangements_BE_English_Public 1.0
Recruitment arrangements (for publication) K1_DNLI-H-0001_Recruitment-Arrangements_ES_Public 1
Recruitment arrangements (for publication) K1_DNLI-H-0001_Recruitment-Arrangements_FR_French_Public 1
Recruitment arrangements (for publication) K1_DNLI-H-0001_Recruitment-Arrangements_IT_Public 1.0
Recruitment arrangements (for publication) K1_DNLI-H-0001_Recruitment-arrangements_NL_English_Public n/a
Recruitment arrangements (for publication) K1_DNLI-H-0001_Referral-Letter_PT_Portuguese_clean_Public 3.0
Recruitment arrangements (for publication) K2_DNLI-H-0001_GP letter_IT_Italian_Public 2.0
Recruitment arrangements (for publication) K2_DNLI-H-0001_Referral-Letter_ES_Spanish_clean_Public 3.0
Recruitment arrangements (for publication) K2_DNLI-H-0001_Referral-letter_IT_Italian_Public 3.0
Subject information and informed consent form (for publication) L1_DNL-H-0001_Main-ICF-B_BE_Dutch_Public 4.0
Subject information and informed consent form (for publication) L1_DNL-H-0001_Main-ICF-B_BE_English_Public 4.0
Subject information and informed consent form (for publication) L1_DNL-H-0001_Main-ICF-B_BE_French_Public 4.0
Subject information and informed consent form (for publication) L1_DNL-H-0001_Main-ICF-C_BE_Dutch_Public 4.0
Subject information and informed consent form (for publication) L1_DNL-H-0001_Main-ICF-C_BE_English_Public 4.0
Subject information and informed consent form (for publication) L1_DNL-H-0001_Main-ICF-C_BE_French_Public 4.0
Subject information and informed consent form (for publication) L1_DNL-H-0001_Study-Partner-caregiver-ICF_BE_Dutch_Public 4.0
Subject information and informed consent form (for publication) L1_DNL-H-0001_Study-Partner-caregiver-ICF_BE_English_Public 4.0
Subject information and informed consent form (for publication) L1_DNL-H-0001_Study-Partner-caregiver-ICF_BE_French_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001 Main-ICF-Part B_ES_Spanish_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Caregiver ICF_FR_French_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Caregiver_ICF_IT_Italian_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Future-Use-ICF_BE_Dutch_Public 1.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Future-Use-ICF_BE_English_Public 1.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Future-Use-ICF_BE_French_Public 1.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Future-Use-ICF_FR_French_Public 1.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_GDPR ICF_CZ_Czech_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_GUID ICF_CZ_Czech_Public 1.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_GUID ICF_ES_Spanish_Public 2.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_GUID-ICF_PT_Portuguese_clean_Public 1.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Main ICF Part B_CZ_Czech_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Main ICF Part C_CZ_Czech_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Main part B ICF_FR_French_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Main part C ICF_FR_French_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Main-ICF-Part-C_ES_Spanish_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Main-Part B-ICF_PT_Portuguese_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Main-Part C-ICF_PT_Portuguese_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_MainB_ICF_IT_Italian_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_MainC_ICF_IT_Italian_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Optional Future Research ICF_CZ_Czech_Public 1.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Optional-Genetic-Testing-ICF_PT_Portuguese_clean_Public 1.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_PP ICF_FR_French_Public 2.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pre-ICF_Travel Reimbursement-Telephone-Data-Consent_ES_Spanish_Public 1.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pre-Screening Genetic Test ICF_CZ_Czech_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pre-Screening-Genetic-Test_ES_Spanish_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pre-Screening-Genetic-Test-ICF_BE_Dutch_Public 3.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pre-Screening-Genetic-Test-ICF_BE_English_Public 3.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pre-Screening-Genetic-Test-ICF_BE_French_Public 3.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pre-Screening-Genetic-Testing-ICF_PT_Portuguese_Public 3.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pregnancy and Newborn ICF_CZ_Czech_Public 1.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pregnancy and Newborn ICF_IT_ITalian_Public 2.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pregnancy-and-Newborn-ICF_ ES_Spanish_Public 2.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pregnancy-and-Newborn-ICF_BE_Dutch_Public 1.1
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pregnancy-and-Newborn-ICF_BE_English_Public 1.1
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pregnancy-and-Newborn-ICF_BE_French_Public 1.1
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Pregnancy-and-Newborn-ICF_PT_Portuguese_Public 1.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_PreScreening ICF_FR_French_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_PreScreening_ICF_IT_Italian_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_SC_Pre-ICF Telephone-Data-Consent_PT_Portuguese_Public 1.1
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Scout-ICF_ES_Spanish_clean_Public 2.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_SIS-and-ICF-Main-Part-B_NL_Dutch_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_SIS-and-ICF-Main-Part-C_NL_Dutch_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_SIS-and-ICF-Study-Partner_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Study Partner ICF_CZ_Czech_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Study-Partner-ICF_ES_Spanish_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Study-Partner-ICF_PT_Portuguese_Public 4.0
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Travel-Reimbursement-ICF_BE_Dutch_Public 1.4
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Travel-Reimbursement-ICF_BE_English_Public 1.4
Subject information and informed consent form (for publication) L1_DNLI-H-0001_Travel-Reimbursement-ICF_BE_French_Public 1.4
Subject information and informed consent form (for publication) L1_DNLI-H-0001-Future-Use-ICF_PT_Portuguese_clean_Public 1.0
Subject information and informed consent form (for publication) L1_DNLI-H-001_Future Use ICF_IT_Italian_Public 1.0
Subject information and informed consent form (for publication) L1_DNLI-H-001_GUID ICF_IT_Italian_Public 1.0
Subject information and informed consent form (for publication) L2_DNLI-H-0001_Country-Patient-Card_PT_Portuguese_Public 2.0.0
Subject information and informed consent form (for publication) L2_DNLI-H-0001_S495-SC-PFD-Email Communication_PT_Portuguese_clean_Public 2.0
Subject information and informed consent form (for publication) L2_DNLI-H-0001_S495-SC-PFD-ScoutPass-Reloadable-EUR_PT_Portuguese_Public 1.1
Subject information and informed consent form (for publication) L2_DNLI-H-0001_S495-SC-PFD-Study Brochure_PT_Portuguese_Public 1.0
Subject information and informed consent form (for publication) L2_DNLI-H-0001_ScoutPass-EUR_PT_Portuguese_Public N/A
Subject information and informed consent form (for publication) L2_DNLI-H-0001_Study-Partner-Autorization-Form_NL_Dutch_Public 1.0
Synopsis of the protocol (for publication) D1_Denali_DNLI-H-0001_Protocol Summary_2023-508697-28_BE_DEU_Public 8.0
Synopsis of the protocol (for publication) D1_Denali_DNLI-H-0001_Protocol Summary_2023-508697-28_BE_FRA_Public 8.0
Synopsis of the protocol (for publication) D1_Denali_DNLI-H-0001_Protocol Summary_2023-508697-28_BE_NDL_Public 8.0
Synopsis of the protocol (for publication) D1_Denali_DNLI-H-0001_Protocol Summary_2023-508697-28_ENG_Public 8.0
Synopsis of the protocol (for publication) D1_Denali_DNLI-H-0001_Protocol Summary_2023-508697-28_ES_SPA_Public 8.0
Synopsis of the protocol (for publication) D1_Denali_DNLI-H-0001_Protocol Summary_2023-508697-28_FR_FRA_Public 8.0
Synopsis of the protocol (for publication) D1_Denali_DNLI-H-0001_Protocol Summary_2023-508697-28_IT_ITA_Public 8.0
Synopsis of the protocol (for publication) D1_Denali_DNLI-H-0001_Protocol Summary_2023-508697-28_NL_NDL_Public 8.0
Synopsis of the protocol (for publication) D1_Denali_DNLI-H-0001_Protocol Summary_2023-508697-28_PT_POR_Public 8.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-04-08 Netherlands Acceptable
2024-05-15
2024-05-15
2 SUBSTANTIAL MODIFICATION SM-1 2024-08-07 Netherlands Acceptable
2024-11-08
2024-11-08
3 SUBSTANTIAL MODIFICATION SM-2 2024-12-30 Acceptable 2025-02-19
4 SUBSTANTIAL MODIFICATION SM-3 2025-06-09 Acceptable 2025-07-18
5 SUBSTANTIAL MODIFICATION SM-4 2025-06-13 Acceptable 2025-07-23
6 SUBSEQUENT ADDITION OF MSC APP-6 2025-07-04 2025-09-05
7 NON SUBSTANTIAL MODIFICATION NSM-2 2025-09-19 2025-09-19
8 NON SUBSTANTIAL MODIFICATION NSM-3 2025-12-03 Netherlands 2025-12-03
9 SUBSTANTIAL MODIFICATION SM-5 2025-12-19 Netherlands Acceptable
2026-02-24
2026-02-24
10 SUBSTANTIAL MODIFICATION SM-6 2026-05-26 Netherlands Acceptable 2026-05-29