Overview
Sponsor-declared trial summary
Early Symptomatic Alzheimer’s Disease (MCI to Mild Dementia Due to AD)
To evaluate the effect of trontinemab on clinical progression at Week 72 as compared with placebo
Key facts
- Sponsor
- F. Hoffmann-La Roche AG
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Nervous System Diseases [C10]
- Trial duration
- 13 Nov 2025 → ongoing
- Decision date (initial)
- 2025-11-04
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- F. Hoffmann-La Roche AG
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Pharmacodynamic, Others, Efficacy
To evaluate the effect of trontinemab on clinical progression at Week 72 as compared with placebo
Secondary objectives 4
- To evaluate the efficacy of trontinemab compared with placebo on clinical progression
- To evaluate the efficacy of trontinemab compared with placebo on time to clinical progression
- To evaluate the safety of trontinemab compared with placebo
- To evaluate the pharmacodynamic effect of trontinemab compared with placebo
Conditions and MedDRA coding
Early Symptomatic Alzheimer’s Disease (MCI to Mild Dementia Due to AD)
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | LLT | 10001896 | Alzheimer's disease | 10029205 |
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency
- Plan to share IPD
- No
- IPD plan description
- N/A
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 6
- Fluency in the language of the tests used at the study site
- Adequate visual and auditory acuity, in the investigator’s judgment, sufficient to perform the neuropsychological testing
- Evidence of AD pathological process, as confirmed by amyloid positron emission tomography (PET) scan or CSF
- Screening Mini-Mental State Examination (MMSE) score ≥ 22 and Clinical Dementia Rating, Global Score (CDR-GS) of 0.5 or 1.0
- A Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Delayed Memory Index (DMI) score of 85 or lower
- Availability of an appropriate study partner
Exclusion criteria 6
- Any evidence of a condition other than AD that may affect cognition
- Inability to tolerate MRI procedures or contraindication to MRI
- Any other medical conditions (e.g., cardiovascular, hepatic, renal disease) which are not stable and adequately controlled or which in the opinion of the investigator could affect the participant’s safety in the study or interfere with the study assessments
- History or presence of clinically significant cerebrovascular disease
- Any previous or current use of passive immunotherapy (immunoglobulin) or other long-acting biologic agent that is approved or under evaluation or has been evaluated to prevent or postpone cognitive decline
- History of hypersensitivity to biologic agents or any of the excipients in the formulation
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Change from baseline to Week 72 in Clinical Dementia Rating, Sum of Boxes (CDR-SB)
Secondary endpoints 14
- Change from baseline through Week 72 in: ▪ Alzheimer’s Disease Assessment Scale-Cognition 13 (ADAS-Cog-13)
- Change from baseline through Week 72 in: ▪ Alzheimer’s Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL) total score and instrumental score
- Change from baseline through Week 72 in: ▪ Integrated Alzheimer’s Disease Rating Scale (iADRS)
- Change from baseline through Week 72 in: ▪ MMSE
- Time to increase in CDR-GS
- Nature, frequency, severity of adverse event (AEs) and serious adverse event (SAEs)
- Change from baseline in clinical laboratory assessments and vital signs, physical examinations (including neurological systems), Electrocardiogram (ECGs), and Columbia-Suicide Severity Rating Scale (C-SSRS)
- Nature, frequency, severity, and timing of ARIA-E and ARIA-H MRI findings
- Nature, frequency, severity, and timing of Infusion-related reactions (IRRs)
- Incidence and titer of anti-drug antibody (ADAs) to trontinemab during the study relative to the prevalence of ADAs at baseline
- Change from baseline through Week 72 in brain amyloid load, as measured by amyloid positron emission tomography (PET) scan
- Change from baseline to Week 72 in brain tau load, as measured by tau PET scan in a subset of participants
- Change from baseline through Week 72 in cerebrospinal fluid (CSF) biomarkers of disease phosphorylated tau 181 (p-tau181), Neurogranin, amyloid-beta 42 (Aβ42) in a subset of participants
- Change from baseline through Week 72 in blood biomarkers p-tau217, glial fibrillar acidic protein (GFAP)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD10948805 · Product
- Active substance
- Trontinemab
- Substance synonyms
- RO-7126209
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- IV INFUSION
- Max daily dose
- 0 DF dosage form
- Max total dose
- 0 DF dosage form
- Max treatment duration
- 1 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- F. HOFFMANN-LA ROCHE LTD
- Paediatric formulation
- No
- Orphan designation
- No
Placebo 1
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
Auxiliary 7
VIZAMYL 400 MBq/mL solution for injection
PRD10888598 · Product
- Active substance
- Flutemetamol (18F)
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Max daily dose
- 185 MBq megabecquerel(s)
- Max total dose
- 555 MBq megabecquerel(s)
- Max treatment duration
- 1 Week(s)
- Authorisation status
- Authorised
- ATC code
- V09AX04 — -
- Marketing authorisation
- EU/1/14/941/001
- MA holder
- GE HEALTHCARE AS
- MA country
- Liechtenstein
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Different manufacturing
Neuraceq 300 MBq/mL solution for injection
PRD10894409 · Product
- Active substance
- Florbetaben (18F)
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Max daily dose
- 300 MBq megabecquerel(s)
- Max total dose
- 900 MBq megabecquerel(s)
- Max treatment duration
- 1 Week(s)
- Authorisation status
- Authorised
- ATC code
- V09AX06 — -
- Marketing authorisation
- EU/1/13/906/001
- MA holder
- LIFE MOLECULAR IMAGING GMBH
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD12459635 · Product
- Active substance
- Florquinitau (18F)
- Substance synonyms
- Florquinitau F18, [18F] MK-6240
- Other product name
- florquinitau F-18
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Max daily dose
- 0 DF dosage form
- Max total dose
- 0 DF dosage form
- Max treatment duration
- 1 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- F. HOFFMANN-LA ROCHE LTD
- Paediatric formulation
- No
- Orphan designation
- No
Amyvid 1900 MBq/mL solution for injection
PRD2433351 · Product
- Active substance
- Florbetapir (18F)
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Max daily dose
- 370 MBq megabecquerel(s)
- Max total dose
- 1110 MBq megabecquerel(s)
- Max treatment duration
- 1 Week(s)
- Authorisation status
- Authorised
- ATC code
- V09AX05 — -
- Marketing authorisation
- EU/1/12/805/004
- MA holder
- ELI LILLY NEDERLAND B.V.
- MA country
- Iceland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Amyvid 800 MBq/mL solution for injection
PRD2433277 · Product
- Active substance
- Florbetapir (18F)
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Max daily dose
- 370 MBq megabecquerel(s)
- Max total dose
- 1110 MBq megabecquerel(s)
- Max treatment duration
- 1 Week(s)
- Authorisation status
- Authorised
- ATC code
- V09AX05 — -
- Marketing authorisation
- EU/1/12/805/002
- MA holder
- ELI LILLY NEDERLAND B.V.
- MA country
- Iceland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Amyvid 1900 MBq/mL solution for injection
PRD2433313 · Product
- Active substance
- Florbetapir (18F)
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Max daily dose
- 370 MBq megabecquerel(s)
- Max total dose
- 1110 MBq megabecquerel(s)
- Max treatment duration
- 1 Week(s)
- Authorisation status
- Authorised
- ATC code
- V09AX05 — -
- Marketing authorisation
- EU/1/12/805/003
- MA holder
- ELI LILLY NEDERLAND B.V.
- MA country
- Iceland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Amyvid 800 MBq/mL solution for injection
PRD2426694 · Product
- Active substance
- Florbetapir (18F)
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Max daily dose
- 370 MBq megabecquerel(s)
- Max total dose
- 1110 MBq megabecquerel(s)
- Max treatment duration
- 1 Week(s)
- Authorisation status
- Authorised
- ATC code
- V09AX05 — -
- Marketing authorisation
- EU/1/12/805/001
- MA holder
- ELI LILLY NEDERLAND B.V.
- MA country
- Iceland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
F. Hoffmann-La Roche AG
- Sponsor organisation
- F. Hoffmann-La Roche AG
- Address
- Grenzacherstrasse 124
- City
- Basel
- Postcode
- 4058
- Country
- Switzerland
Scientific contact point
- Organisation
- F. Hoffmann-La Roche AG
- Contact name
- Trial Information System - TISL
Public contact point
- Organisation
- F. Hoffmann-La Roche AG
- Contact name
- Trial Information System - TISL
Third parties 10
| Organisation | City, country | Duties |
|---|---|---|
| Woodley Equipment Company Limited ORG-100043990
|
Bolton, United Kingdom | Other |
| IQVIA Limited ORG-100008655
|
Livingston, United Kingdom | Other |
| Bioclinica Inc. ORG-100033079
|
Philadelphia, United States | Other |
| Q2q Communications Limited ORG-100041455
|
Richmond, United Kingdom | Other |
| Bioclinica Inc. ORG-100033079
|
Philadelphia, United States | Other |
| Q Squared Solutions Limited ORG-100042527
|
Reading, United Kingdom | Other |
| Pharmaceutical Product Development LLC ORG-100016999
|
Richmond, United States | Other |
| Eresearchtechnology Inc. ORG-100013039
|
Philadelphia, United States | Other |
| IQVIA Limited ORG-100008655
|
Reading, United Kingdom | Other |
| 4g Clinical LLC ORG-100042775
|
Wellesley, United States | Other |
Locations
6 EU/EEA countries · 85 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Denmark | Ended | 7 | 3 |
| France | Ongoing, recruiting | 38 | 18 |
| Germany | Ongoing, recruiting | 50 | 30 |
| Italy | Ongoing, recruiting | 50 | 12 |
| Poland | Ongoing, recruiting | 70 | 13 |
| Spain | Ongoing, recruiting | 50 | 9 |
| Rest of world
Taiwan, Canada, Brazil, Japan, United States, Argentina, United Kingdom
|
— | 535 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| France | 2025-11-13 | 2025-11-14 | |||
| Germany | 2025-11-18 | 2025-11-18 | |||
| Italy | 2025-12-12 | 2025-12-22 | |||
| Poland | 2025-11-18 | 2025-11-24 | |||
| Spain | 2025-11-14 | 2025-11-25 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 81 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | d1_protocol-2024-518006-40-00-redacted | 1 EEA only |
| Protocol (for publication) | d4_patient-facing-documents_redaction-memo | 3 |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements | 3 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements_WN45443 | 1 |
| Recruitment arrangements (for publication) | K2_D and I Leaflet | 2 |
| Recruitment arrangements (for publication) | K2_Document_additionnel redacted | 1 |
| Recruitment arrangements (for publication) | K2_Inclusive Research Guide | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material Flyer | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material Placeholder | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material Poster | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_ Inclusive research guide_CAT | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_ Inclusive research guide_ES | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Social media support_CAT | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Social media support_ES | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Trontier 1_Flyer_DE_WN45443 | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Trontier 1_Inclusive Research Guide_DE_WN45443 | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Trontier 1_Online banner V1_DE_WN45443 | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Trontier 1_Poster_DE_WN45443 | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_Placeholder | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_Placeholder ICF script | 1 |
| Recruitment arrangements (for publication) | K2_Recrutiment material_Flyer_CAT | 1 |
| Recruitment arrangements (for publication) | K2_Recrutiment material_Flyer_ES | 1 |
| Recruitment arrangements (for publication) | K2_Recrutiment material_Poster_CAT | 1 |
| Recruitment arrangements (for publication) | K2_Recrutiment material_Poster_ES | 1 |
| Recruitment arrangements (for publication) | K2_Roche_Alzheimer_RollUp QR_Code 1_WN45443 | 1 |
| Recruitment arrangements (for publication) | K2_Roche_Alzheimer_RollUp QR_Code 2_WN4544_ | 1 |
| Recruitment arrangements (for publication) | K2_WN45443_Recruitment materials_Placeholder | 1 |
| Recruitment arrangements (for publication) | K3_Recruitment material Social Media posts | 1 |
| Recruitment arrangements (for publication) | K3_Recruitment materials_Placeholder | 1 |
| Recruitment arrangements (for publication) | K3_Recruitment materials_Reference Guide | 1 |
| Recruitment arrangements (for publication) | K4_Patient card | 1 |
| Recruitment arrangements (for publication) | K4_Recruitment material Poster | 1 |
| Recruitment arrangements (for publication) | K5_Recruitment material Flyer | 1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF IAF | 2 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Main REDACTED | 3 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Optional PET Scan REDACTED | 1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF RBR | 2 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Study partner REDACTED | 2 |
| Subject information and informed consent form (for publication) | L1_Appendix 1 GDPR | 1 |
| Subject information and informed consent form (for publication) | L1_ICF Caregiver_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_ICF Main_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_ICF Optional Tau PET_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_other subject information material_APOE Result Explainer Booklet_DE_WN45443 | 1 |
| Subject information and informed consent form (for publication) | L1_Privacy consent form other subjects | 1.0 |
| Subject information and informed consent form (for publication) | L1_Recruitment Arrangements | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF IAF | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF IAF | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF MAIN_redacted | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF MAIN_WN45443_redacted | 7.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Participant_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Partner_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF PET Tau_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Patient_WN45443 | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF RBR | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF STUDY PARTNER_redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF TAU-PET_redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Caregiver_WN45443_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_IAF | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional PET Tau_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_RBR | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_RBR_WN45443 | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Study Partner_Redacted | 2 |
| Subject information and informed consent form (for publication) | L2_APOE Result Explainer Booklet | 1 |
| Subject information and informed consent form (for publication) | L2_APOE Result Explainer Booklet_CAT | 1 |
| Subject information and informed consent form (for publication) | L2_APOE Result Explainer Booklet_ES | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material APOE Explainer | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material APOE result explainer booklet | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_APOE Result Explainer Booklet | 1 |
| Subject information and informed consent form (for publication) | L2_Right to not know | 1 |
| Subject information and informed consent form (for publication) | L2_Your rights as a Trial Participant | 1 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_de_de-2024-518006-40-00 | 3 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_en_gb-2024-518006-40-00 | 3 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_es_es-2024-518006-40-00 | 3 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_fr_fr-2024-518006-40-00 | 3 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_it-it-2024-518006-40-00 | 3 |
| Synopsis of the protocol (for publication) | d1_protocol-synopsis_pl_pl-2024-518006-40-00 | 3 |
Application history
7 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-07-15 | Denmark | Acceptable with conditions 2025-11-03
|
2025-11-04 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2025-11-11 | Denmark | Acceptable with conditions 2025-11-03
|
2025-11-11 |
| 3 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2025-11-12 | Acceptable with conditions 2025-11-03
|
2025-11-12 | |
| 4 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2025-11-18 | Acceptable with conditions 2025-11-03
|
2025-11-18 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-11-19 | Acceptable with conditions | 2025-12-15 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-11-20 | Acceptable with conditions | 2025-12-05 | |
| 7 | NON SUBSTANTIAL MODIFICATION | NSM-5 | 2026-02-05 | Denmark | Acceptable with conditions | 2026-02-05 |