ClinicalTrials.gg
TerminatedNCT03289143Updated Mar 16, 2022Results posted

A Study to Evaluate the Efficacy and Safety of Semorinemab in Patients With Prodromal to Mild Alzheimer's Disease

A Phase 2 interventional study of Semorinemab and Placebo in Alzheimer's Disease, sponsored by Genentech, Inc.. Terminated at 133 sites in 13 countries. Open to participants aged 50 Years to 80 Years. Per ClinicalTrials.gov, last updated 2022-03-16.

Sponsored by Genentech, Inc. (part of Hoffmann-La Roche) · Phase 2, Interventional, and Treatment

Why this study was terminated
Study was terminated during Open Label Extension period because analyses of placebo-controlled Blinded portion of study did not show any evidence of clinical efficacy or modulation of accumulation of tau PET signal at any of the doses studied.
Phase
Phase 2
Study type
Interventional
Enrollment
457
Allocation
Randomized
Ages
50 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 40 studies in Alzheimer Disease by Hoffmann-La Roche — 3 open to participants now, 8 under way, 4 of them phase 3. Alzheimer Disease · Hoffmann-La Roche.

Enrollment
12th of 40
457 · median 247
Started
2017
with 1 other
Phase 2
12 of 40
1 open now
Registered
20th of 40
by date

Among the 40 studies in Alzheimer Disease by Hoffmann-La Roche, this one is the 12th largest by enrollment, is one of 2 that started in 2017, is one of 12 in phase 2, and was the 20th registered.

Alzheimer Disease

3,967 studies on the registry are indexed under Alzheimer Disease; 928 are open to participants now.

Browse Alzheimer Disease studies →

Open to participants now

3 of the 40 studies in Alzheimer Disease by Hoffmann-La Roche are open now, in 12 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Who these studies take

Of the 642 Alzheimer Disease studies recruiting now, 283 (44%) set no upper age limit and 55 (9%) stop at 75 or younger; 34 take children under 18; 284 take healthy volunteers.

This study: 50 Years to 80 Years · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

This was a phase II, randomized, placebo-controlled, double-blind study to evaluate the efficacy and safety of Semorinemab in participants with prodromal to mild Alzheimer's disease. An optional 96-week open-label extension period was available to participants who completed the double-blind treatment period and who, in the judgment of the investigator, would potentially benefit from open-label Semorinemab treatment.

03

Conditions studied

  • Alzheimer's Disease

Keywords

  • Alzheimer Disease
  • Brain Diseases
  • Dementia
  • Neurodegenerative Diseases
  • Neurocognitive Disorders
04

Who can participate

Ages eligible
50 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age between 50 and 80 years
  • National Institute on Aging/Alzheimer's Association core clinical criteria for probable Alzheimer's disease (AD) dementia or mild cognitive impairment (prodromal AD)
  • Evidence of the AD pathological process, by a positive amyloid assessment either on cerebrospinal fluid Aβ1-42 OR amyloid positron emission tomography (PET) scan. Historical amyloid PET scans may be accepted in some cases
  • Mild AD symptomatology, as defined by a screening score of >= 20 points and Clinical Dementia Rating (CDR) -Global Score of 0.5 or 1
  • Abnormal memory function at screening
  • Availability of a person with sufficient contact with the participant to be able to provide accurate information on the participant's cognitive and functional ability

Exclusion criteria

Exclusion criteria

  • Pregnant or breastfeeding
  • Inability to tolerate magnetic resonance imaging (MRI) procedures or to MRI
  • Contraindications to both PET imaging and lumbar dural puncture (must be able to undergo at least one of these procedures to be eligible)
  • Residence in a skilled nursing facility
  • Any serious medical condition or abnormality in clinical laboratory tests that remains abnormal on retest and, in the investigator's judgment, precludes the patient's safe participation in and completion of the study, or bias the assessment of the clinical or mental status of the participant to a significant degree
  • Any evidence of a condition other than AD that may affect cognition
  • Alcohol or substance abuse within the past 2 years
  • Use of any experimental therapy within 90 days or 5 half-lives prior to screening, whichever is greater and any passive immunotherapy (immunoglobulin) against tau, except use of RO7105705 in Genentech Study GN39058, as long as the last dose was at least 90 days prior to screening
  • Use of any passive immunotherapy (immunoglobulin) against Aβ, unless the last dose was at least 1 year prior to screening and any active immunotherapy (vaccine) that is under evaluation to prevent or postpone cognitive decline
  • Any previous treatment with medications specifically intended to treat Parkinsonian symptoms or any other neurodegenerative disorder within 1 year of screening
  • Systemic therapy within 12 months of screening through the entire study period
  • Typical antipsychotic or neuroleptic medication within 6 months of screening
  • Daily treatment with any of the following classes of medication, except for intermittent short-term use, which is permitted except within 2 days or 5 half-lives (whichever is longer) prior to any COA: atypical antipsychotics, opiates or opioids, benzodiazepines, barbiturates, hypnotics, or any medication with centrally-acting antihistamine or anticholinergic activity
  • Stimulant medications, unless the dose has been stable within the 6 months prior to screening and is expected to be stable throughout the study
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
457 participants (actual)

Study arms

  • Experimental
    Dose 1 Semorinemab

    Drug: Semorinemab · Drug: [18F]GTP1

  • Experimental
    Dose 2 Semorinemab

    Drug: Semorinemab · Drug: [18F]GTP1

  • Experimental
    Dose 3 Semorinemab

    Drug: Semorinemab · Drug: [18F]GTP1

  • Placebo comparator
    Placebo

    Drug: Placebo · Drug: [18F]GTP1

Interventions

  • Participants will receive Semorinemab intravenously (IV).

    Also known as: RG6100, MTAU9937A, RO7105705

  • DrugPlacebo

    Matching placebo doses of Semorinemab given intravenously (IV).

  • Drug[18F]GTP1

    \[18F\]GTP1 will be administered as a solution for intravenous (IV) use, as part of positron emission tomography (PET) imaging.

    Also known as: RO6880276

06

What researchers measure

Primary outcomes

  1. Change From Baseline on the CDR-SB

    The Clinical Dementia Rating-Sum of Boxes (CDR-SB) rates impairment in 6 categories (memory, orientation, judgement and problem solving, community affairs, home and hobbies and personal care) on a 5-point scale in which no impairment = 0, questionable impairment = 0.5 and mild, moderate and severe impairment = 1, 2 and 3 respectively. The score range is from 0 to 18 with a high score indicating a high disease severity. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.

    Time frame: Baseline and 73 Weeks

  2. Percentage of Participants With Adverse Events

    Percentage of participants with at least one adverse event

    Time frame: Up to the data cutoff date 15 January 2021 (up to approximately 39 months)

  3. Change From Baseline on the C-SSRS

    Categories are as defined in the Classification Algorithm for Suicide Assessment (CASA) based on the Columbia Suicide Severity Rating Scale (C-SSRS) questionnaire. SI1: Passive category is "Wish to be dead", SI2: Active-Nonspecific (no method, intent or plan), SI3: Active-Method, but no intent or Plan, SI4: Active-Method and intent, but no plan in C-SSRS. The worst post-baseline suicidal ideation is the highest across post-baseline visits, with highest as SI5 and lowest as SI1. Percentages are based on the total number of subjects in a treatment group. Baseline is the last observation prior to initiation of study drug.

    Time frame: Baseline to data cutoff date 15 January 2021 (up to approximately 39 months)

  4. Other Abnormal MRI Findings

    Other abnormal MRI findings by visit. For the Double Blind Period, baseline is defined as last results prior to initiation of study drug. For the Open Label Extension Period, baseline is defined as last results prior to entering the open label period.

    Time frame: Baseline, Week 9, Week 49, Week 73, Study Treatment Discontinuation, and Week 89

Secondary outcomes

  1. Change From Baseline on the Repeatable Battery for Assessment of Neuropsychological Status (RBANS)

    The RBANS is a validated neuropsychological assessment has been shown to be a useful tool in both clinical and research settings. The RBANS consists of ten subtests that are combined to provide five indices, one for each of the five domains tested (immediate memory, visuospatial/constructional, language, attention, and delayed memory). Scores range from 40 to 160 and a higher score indicates better cognitive functioning. A decrease in the outcome measure from baseline corresponds to disease worsening. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.

    Time frame: Baseline and 73 weeks

  2. Change From Baseline on the Alzheimer's Disease Assessment Scale-Cognitive Subscale 13 (ADAS-Cog-13) Subscale Score

    The ADAS-Cog-13 assesses multiple cognitive domains including memory, comprehension, praxis, orientation, and spontaneous speech. Most of these are assessed by tests although some are rated by the clinician on a 5-point scale. The ADAS-Cog-13 is the ADAS-Cog-11 with 2 further items: delayed word recall and total digit cancellation. The score range for ADAS-Cog-13 is from 0 to 85 with high scores representing severe dysfunction. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.

    Time frame: Baseline and 73 weeks

  3. Change From Baseline on the Amsterdam Instrumental Activity of Daily Living (iADL) Questionnaire

    The Amsterdam iADL questionnaire is an informant-based instrument for measuring iADL problems in participants with dementia. This instrument consists of 70 items, scored on a 5-point scale, that uses item response theory for scoring. Items presented to the informant are tailored to responses to earlier items; thus each administration of the Amsterdam iADL may consist of less than the total of 70 items. The resulting score ranges from 20 to 80 with lower scores indicating poorer performance. A decrease in the outcome measure from baseline corresponds to disease worsening. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.

    Time frame: Baseline and 73 weeks

  4. Change From Baseline on the Alzheimer's Disease Cooperative Study Group-Activities of Daily Living Inventory

    The ADCS-ADL (Alzheimer's Disease Cooperative Study-Activities of Daily Living) is the scale most widely used to assess functional outcomes in participants with AD. The ADCS-ADL covers both basic ADL (e.g., eating and toileting) and more complex 'instrumental' ADL or iADL (e.g., using the telephone, managing finances and preparing a meal). The ADCS-ADL consists of 23 questions with a score range of 0 to 78 where a higher score represents better function. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.

    Time frame: Baseline and 73 weeks

  5. Serum Concentrations of Semorinemab at Specified Timepoints

    Serum concentrations of Semorinemab at specified timepoints.

    Time frame: Up to 109 weeks

  6. Presence of Anti-drug Antibodies During the Study Relative to Their Presence at Baseline

    Presence of anti-drug antibodies during the study relative to their presence at baseline.

    Time frame: Up to 109 weeks

07

Results

Posted Mar 16, 2022

Participant flow

Participant flow — Overall Study
MilestonePlacebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind Period
Started1359413692
Completed1020
Not completed1349413492
Withdrew: Caregiver unavailability1100
Withdrew: Research department closure0010
Withdrew: Caregiver and participant withdrew consent0010
Withdrew: Medical monitor decision1000
Withdrew: Participant non-compliance0010
Withdrew: Drug interrupted for too long due to prohibited med0010
Withdrew: Participant non compliance with concomitant medications0010
Withdrew: Caregiver passed away1000
Withdrew: Physician decision0222
Withdrew: Protocol deviation2131
Withdrew: Study terminated by sponsor1017510069
Withdrew: Withdrawal by subject1461412
Withdrew: Adverse event10765
Withdrew: Death2021
Withdrew: Lost to follow-up2110
Withdrew: Participant no longer has study partner0001
Withdrew: Withdrawal by caregiver0100
Withdrew: Caregiver passed away & family moved out of state0010
Withdrew: Absence of consistent and reliable caregiver0001

Outcome measures

PrimaryChange From Baseline on the CDR-SB

The Clinical Dementia Rating-Sum of Boxes (CDR-SB) rates impairment in 6 categories (memory, orientation, judgement and problem solving, community affairs, home and hobbies and personal care) on a 5-point scale in which no impairment = 0, questionable impairment = 0.5 and mild, moderate and severe impairment = 1, 2 and 3 respectively. The score range is from 0 to 18 with a high score indicating a high disease severity. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.

Time frame:
Baseline and 73 Weeks
Reported as:
Mean · Units on a scale
Change From Baseline on the CDR-SB
Units on a scalePlacebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind Period
Change From Baseline on the CDR-SB2.19 ± 0.2262.36 ± 0.2682.36 ± 0.2222.41 ± 0.27
Statistical analysis
  • Placebo Double Blind Period vs Dose 1 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.6147 (Unadjusted)
  • Placebo Double Blind Period vs Dose 2 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.5778 (Unadjusted)
  • Placebo Double Blind Period vs Dose 3 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.5136 (Unadjusted)
PrimaryPercentage of Participants With Adverse Events

Percentage of participants with at least one adverse event

Time frame:
Up to the data cutoff date 15 January 2021 (up to approximately 39 months)
Reported as:
Number · Percentage of participants
Percentage of Participants With Adverse Events
Percentage of participantsPlacebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind PeriodDose 2 Semorinemab Open Label Extension Period
Percentage of Participants With Adverse Events93.188.894.792.247.5
SecondaryChange From Baseline on the Repeatable Battery for Assessment of Neuropsychological Status (RBANS)

The RBANS is a validated neuropsychological assessment has been shown to be a useful tool in both clinical and research settings. The RBANS consists of ten subtests that are combined to provide five indices, one for each of the five domains tested (immediate memory, visuospatial/constructional, language, attention, and delayed memory). Scores range from 40 to 160 and a higher score indicates better cognitive functioning. A decrease in the outcome measure from baseline corresponds to disease worsening. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.

Time frame:
Baseline and 73 weeks
Reported as:
Mean · Score on a scale
Change From Baseline on the Repeatable Battery for Assessment of Neuropsychological Status (RBANS)
Score on a scalePlacebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind Period
Change From Baseline on the Repeatable Battery for Assessment of Neuropsychological Status (RBANS)-5.53 ± 0.787-5.25 ± 0.93-4.62 ± 0.765-6.15 ± 0.926
Statistical analysis
  • Placebo Double Blind Period vs Dose 1 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.8198 (Unadjusted)
  • Placebo Double Blind Period vs Dose 2 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.3961 (Unadjusted)
  • Placebo Double Blind Period vs Dose 3 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.6043 (Unadjusted)
SecondaryChange From Baseline on the Alzheimer's Disease Assessment Scale-Cognitive Subscale 13 (ADAS-Cog-13) Subscale Score

The ADAS-Cog-13 assesses multiple cognitive domains including memory, comprehension, praxis, orientation, and spontaneous speech. Most of these are assessed by tests although some are rated by the clinician on a 5-point scale. The ADAS-Cog-13 is the ADAS-Cog-11 with 2 further items: delayed word recall and total digit cancellation. The score range for ADAS-Cog-13 is from 0 to 85 with high scores representing severe dysfunction. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.

Time frame:
Baseline and 73 weeks
Reported as:
Mean · Score on a scale
Change From Baseline on the Alzheimer's Disease Assessment Scale-Cognitive Subscale 13 (ADAS-Cog-13) Subscale Score
Score on a scalePlacebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind Period
Change From Baseline on the Alzheimer's Disease Assessment Scale-Cognitive Subscale 13 (ADAS-Cog-13) Subscale Score6.56 ± 0.7778.68 ± 0.9376 ± 0.7697.58 ± 0.932
Statistical analysis
  • Placebo Double Blind Period vs Dose 1 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.0783 (Unadjusted)
  • Placebo Double Blind Period vs Dose 2 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.6010 (Unadjusted)
  • Placebo Double Blind Period vs Dose 3 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.3961 (Unadjusted)
SecondaryChange From Baseline on the Amsterdam Instrumental Activity of Daily Living (iADL) Questionnaire

The Amsterdam iADL questionnaire is an informant-based instrument for measuring iADL problems in participants with dementia. This instrument consists of 70 items, scored on a 5-point scale, that uses item response theory for scoring. Items presented to the informant are tailored to responses to earlier items; thus each administration of the Amsterdam iADL may consist of less than the total of 70 items. The resulting score ranges from 20 to 80 with lower scores indicating poorer performance. A decrease in the outcome measure from baseline corresponds to disease worsening. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.

Time frame:
Baseline and 73 weeks
Reported as:
Mean · Score on a scale
Change From Baseline on the Amsterdam Instrumental Activity of Daily Living (iADL) Questionnaire
Score on a scalePlacebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind Period
Change From Baseline on the Amsterdam Instrumental Activity of Daily Living (iADL) Questionnaire-6.59 ± 0.856-6.55 ± 0.999-6.92 ± 0.824-7.31 ± 1.013
Statistical analysis
  • Placebo Double Blind Period vs Dose 1 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.9749 (Unadjusted)
  • Placebo Double Blind Period vs Dose 2 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.7718 (Unadjusted)
  • Placebo Double Blind Period vs Dose 3 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.5789 (Unadjusted)
SecondaryChange From Baseline on the Alzheimer's Disease Cooperative Study Group-Activities of Daily Living Inventory

The ADCS-ADL (Alzheimer's Disease Cooperative Study-Activities of Daily Living) is the scale most widely used to assess functional outcomes in participants with AD. The ADCS-ADL covers both basic ADL (e.g., eating and toileting) and more complex 'instrumental' ADL or iADL (e.g., using the telephone, managing finances and preparing a meal). The ADCS-ADL consists of 23 questions with a score range of 0 to 78 where a higher score represents better function. The difference in mean change from Baseline to Week 73 between Semorinemab doses and Placebo treated participants was estimated.

Time frame:
Baseline and 73 weeks
Reported as:
Mean · Score on a scale
Change From Baseline on the Alzheimer's Disease Cooperative Study Group-Activities of Daily Living Inventory
Score on a scalePlacebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind Period
Change From Baseline on the Alzheimer's Disease Cooperative Study Group-Activities of Daily Living Inventory-8.55 ± 0.996-9.52 ± 1.179-7.75 ± 0.986-7.99 ± 1.183
Statistical analysis
  • Placebo Double Blind Period vs Dose 1 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.5235 (Unadjusted)
  • Placebo Double Blind Period vs Dose 2 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.5612 (Unadjusted)
  • Placebo Double Blind Period vs Dose 3 Semorinemab Double Blind Period · Mixed-effect Model Repeated Measures · p = 0.7130 (Unadjusted)
SecondarySerum Concentrations of Semorinemab at Specified Timepoints

Serum concentrations of Semorinemab at specified timepoints.

Time frame:
Up to 109 weeks
Reported as:
Mean · ug/mL
Serum Concentrations of Semorinemab at Specified Timepoints
ug/mLDose 1 Semorinemab Double Blind and Open Label Extension PeriodsDose 2 Semorinemab Double Blind and Open Label Extension PeriodsDose 3 Semorinemab Double Blind and Open Label Extension Periods
Week 1, 0-4 Hours PredoseNA ± NANA ± NANA ± NA
Week 1, 1 Hour Postdose472 ± 1311580 ± 4962690 ± 689
Week 1, 2 Hours Postdose476 ± 1231510 ± 4192600 ± 707
Week 1, 4 Hours postdose463 ± 1351370 ± 4052570 ± 785
Week 3, 0-4 hours Predose184 ± 52.7601 ± 2111100 ± 449
Week 3, 30 min Post dose718 ± 1982320 ± 5814190 ± 1010
Week 5, 0-4 Hours Predose318 ± 81.5955 ± 2561920 ± 614
Week 5, 30 min Postdose908 ± 5082780 ± 6954860 ± 1250
Week 9, 0-4 hours Predose344 ± 128961 ± 2881840 ± 513
Week 9, 30 Minutes Postdose889 ± 3212790 ± 7574960 ± 1270
Week 13, 0-4 Hours Predose360 ± 1051060 ± 3331910 ± 545
Week 13, 30 Minutes Postdose998 ± 8962900 ± 6684880 ± 1250
Week 17——1750 ± NA
Week 17, 0-4 Hours Predose386 ± 1161040 ± 3161890 ± 522
Week 17, 30 Minutes Postdose819 ± 2422930 ± 9024770 ± 1270
Week 33, 0-4 Hours Predose404 ± 134960 ± 2772050 ± 648
Week 33, 30 Minutes Postdose801 ± 2602540 ± 8534800 ± 1200
Week 49, 0-4 Hours Predose377 ± 1051060 ± 3322160 ± 605
Week 49, 30 Minutes Postdose871 ± 2602810 ± 9674960 ± 1030
Week 65——2100 ± NA
Week 65, 0-4 Hours Predose405 ± 1271170 ± 2762020 ± 681
Week 65, 30 Minutes Postdose963 ± 4012930 ± 8304710 ± 1450
Week 73327 ± 1541030 ± 4511830 ± 752
Week 73, 0-4 Hours Predose—382 ± NA—
Week 73, 1 Hour Postdose—1910 ± NA—
Week 73, 2 Hours Postdose—1740 ± NA—
Week 73, 4 Hours Postdose—1710 ± NA—
Week 77 OLE, 0-4 Hours Predose180 ± 71.0724 ± 1671030 ± 345
Week 77 OLE, 1 hour Postdose1700 ± 5232460 ± 8682670 ± 707
Week 77 OLE, 2 hours Postdose1830 ± 5522270 ± 4422510 ± 579
Week 77 OLE, 4 hours Postdose1850 ± 5162270 ± 4802790 ± 558
Week 93 OLE, 0-4 Hours Pre-dose632 ± 37.51040 ± 1131290 ± 307
Week 93 OLE, 30 Minutes Postdose1920 ± 4312570 ± 91.92880 ± 492
Week 109 OLE, 0-4 Hours Predose—1270 ± NA—
Week 109 OLE, 30 Minutes Postdose—3330 ± NA—
SecondaryPresence of Anti-drug Antibodies During the Study Relative to Their Presence at Baseline

Presence of anti-drug antibodies during the study relative to their presence at baseline.

Time frame:
Up to 109 weeks
Reported as:
Number · Percentage of participants
Presence of Anti-drug Antibodies During the Study Relative to Their Presence at Baseline
Percentage of participantsPlacebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind Period
Baseline0000
Post-baseline—000
PrimaryChange From Baseline on the C-SSRS

Categories are as defined in the Classification Algorithm for Suicide Assessment (CASA) based on the Columbia Suicide Severity Rating Scale (C-SSRS) questionnaire. SI1: Passive category is "Wish to be dead", SI2: Active-Nonspecific (no method, intent or plan), SI3: Active-Method, but no intent or Plan, SI4: Active-Method and intent, but no plan in C-SSRS. The worst post-baseline suicidal ideation is the highest across post-baseline visits, with highest as SI5 and lowest as SI1. Percentages are based on the total number of subjects in a treatment group. Baseline is the last observation prior to initiation of study drug.

Time frame:
Baseline to data cutoff date 15 January 2021 (up to approximately 39 months)
Reported as:
Count of participants · Participants
Change From Baseline on the C-SSRS
ParticipantsPlacebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind PeriodDose 2 Semorinemab Open Label Extension Period
Missing/No Events11203
Missing/SI100000
Missing/SI200000
Missing/SI300000
Missing/SI400000
Missing/Missing00000
No Event/No Event1198012383336
No Event/SI133245
No Event/ SI201101
No Event/SI300000
No Event/ SI400000
No Event/ Missing10011
SI1/No Event33118
SI1/SI100001
SI1/SI210000
SI1/SI300000
SI1/SI410000
SI1/Missing00000
SI2/No Event01201
SI2/SI100102
SI2/SI200010
SI2/SI300000
SI2/SI400000
SI2/Missing00000
SI3/No Event10001
SI3/SI100000
SI3/SI200000
SI3/SI300000
SI3/SI400000
SI3/Missing00000
SI4/No Event00000
SI4/SI100000
SI4/SI200000
SI4/SI300001
SI4/Missing00000
PrimaryOther Abnormal MRI Findings

Other abnormal MRI findings by visit. For the Double Blind Period, baseline is defined as last results prior to initiation of study drug. For the Open Label Extension Period, baseline is defined as last results prior to entering the open label period.

Time frame:
Baseline, Week 9, Week 49, Week 73, Study Treatment Discontinuation, and Week 89
Reported as:
Number · Number of participants
Other Abnormal MRI Findings
Number of participantsPlacebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind PeriodDose 2 Semorinemab Open Label Extension Period
Cerebrovascular Pathology, Baseline30215
CNS Trauma, Baseline00011
Intracranial Tumor, Baseline00324
Lacunar Infarct, Baseline13311623
Superficial Hemosiderosis, Baseline30207
Territorial Infarct, Baseline31004
Vasogenic Edema/Sulcal Effusion, Baseline00000
Cerebrovascular Pathology, Week 90100—
CNS Trauma, Week 90000—
Intracranial Tumor, Week 90000—
Lacunar Infarct, Week 90100—
Superficial Hemosiderosis, Week 93001—
Territorial Infarct, Week 90000—
Vasogenic Edema/Sulcal Effusion, Week 90010—
Cerebrovascular Pathology, Week 490000—
CNS Trauma, Week 490000—
Intracranial Tumor, Week 490000—
Lacunar Infarct, Week 490000—
Superficial Hemosiderosis, Week 491110—
Territorial Infarct, Week 490000—
Vasogenic Edema/Sulcal Effusion, Week 490000—
Cerebrovascular Pathology, Week 730000—
CNS Trauma, Week 730000—
Intracranial Tumor, Week 731000—
Lacunar Infarct, Week 730100—
Superficial Hemosiderosis, Week 730101—
Territorial Infarct, Week 730000—
Vasogenic Edema/Sulcal Effusion, Week 731000—
Cerebrovascular Pathology, Study Treatment Early Discontinuation0000—
CSN Trauma, Study Treatment Early Discontinuation0000—
Intracranial Tumor, Study Treatment Early Discontinuation0000—
Lucunar Infarct, Study Treatment Early Discontinuation1000—
Superficial Hemosiderosis, Study Treatment Early Discontinuation1000—
Territorial Infarct, Study Treatment Early Discontinuation0000—
Vasogenic Edema/Sulcal Effusion, Study Treatment Early Discontinuation0000—
Cerebrovascular Pathology, Week 89 Open Label Extension (OLE)————0
CNS Trauma, Week 89 OLE————0
Intracranial Tumor, Week 89 OLE————1
Lacunar Infarct, Week 89 OLE————0
Superficial Hemosiderosis, Week 89 OLE————0
Territorial Infarct, Week 89 OLE————0
Vasogenic Edema/Sulcal Effusion, Week 89 OLE————1

Adverse events

Collected over From the first study drug to the data cutoff date: 15 January 2021 (up to approximately 39 months). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo Double Blind Period2/130 (1.5%)14/130 (10.8%)76/130 (58.5%)
Dose 1 Semorinemab Double Blind Period0/89 (0%)17/89 (19.1%)57/89 (64%)
Dose 2 Semorinemab Double Blind Period1/132 (0.8%)17/132 (12.9%)88/132 (66.7%)
Dose 3 Semorinemab Double Blind Period1/90 (1.1%)16/90 (17.8%)60/90 (66.7%)
Dose 2 Semorinemab Open Label1/360 (0.3%)17/360 (4.7%)76/360 (21.1%)
Most frequent serious events
Showing 10 of 94
Most frequent serious events
EventPlacebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind PeriodDose 2 Semorinemab Open Label
PneumoniaInfections and infestations1/1301/891/1323/901/360
AgitationPsychiatric disorders0/1301/890/1322/900/360
FallInjury, poisoning and procedural complications2/1300/891/1321/900/360
Hip fractureInjury, poisoning and procedural complications0/1301/892/1320/900/360
SyncopeNervous system disorders0/1301/892/1320/900/360
AnaemiaBlood and lymphatic system disorders0/1301/890/1320/900/360
Sinus node dysfunctionCardiac disorders0/1301/890/1320/900/360
EnteritisGastrointestinal disorders0/1301/890/1320/900/360
HaemorrhoidsGastrointestinal disorders0/1301/890/1320/900/360
Lower gastrointestinal haemorrhageGastrointestinal disorders0/1301/890/1320/900/360
Most frequent other events
Showing 10 of 19
Most frequent other events
EventPlacebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind PeriodDose 2 Semorinemab Open Label
FallInjury, poisoning and procedural complications22/13014/8922/1327/9018/360
NasopharyngitisInfections and infestations11/1305/8918/13212/902/360
Upper respiratory tract infectionInfections and infestations15/1306/897/1325/904/360
Infusion related reactionInjury, poisoning and procedural complications6/13010/8911/1326/905/360
AnxietyPsychiatric disorders3/13010/896/1326/901/360
HypertensionVascular disorders7/1304/8914/1325/904/360
NauseaGastrointestinal disorders0/1309/898/1324/903/360
DizzinessNervous system disorders12/1305/896/1327/904/360
ArthralgiaMusculoskeletal and connective tissue disorders8/1306/8910/1328/908/360
Urinary tract infectionInfections and infestations10/1304/8910/1325/9010/360

Baseline characteristics

Age, Continuous
Age, Continuous(Year)Placebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind PeriodTotal
Mean69.7 ± 7.370.2 ± 6.769.3 ± 7.169.6 ± 6.769.6 ± 6.9
Sex: Female, Male
Sex: Female, Male(Participants)Placebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind PeriodTotal
Female75517948253
Male60435744204
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Placebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind PeriodTotal
Hispanic or Latino145313
Not Hispanic or Latino1268012579410
Unknown or Not Reported81061034
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Placebo Double Blind PeriodDose 1 Semorinemab Double Blind PeriodDose 2 Semorinemab Double Blind PeriodDose 3 Semorinemab Double Blind PeriodTotal
American Indian or Alaska Native01001
Asian01203
Native Hawaiian or Other Pacific Islander10001
Black or African American02114
White1298312882422
More than one race11002
Unknown or Not Reported465924
08

Study locations

133 sites
  • University of Alabama at Birmingham
    Birmingham, Alabama 35249, United States
  • California Clinical Trials
    Glendale, California 91206, United States
  • University of California Irvine
    Irvine, California 92697, United States
  • Pharmacology Research Inst
    Newport Beach, California 92660, United States
  • Stanford Neuroscience Health Center (SNHC)
    Palo Alto, California 94304, United States
  • Pacific Research Network - PRN
    San Diego, California 92103, United States
  • Neurological Research Inst
    Santa Monica, California 90404, United States
  • Collaborative Neuroscience Network Inc.
    Torrance, California 90502, United States
  • Invicro, a Konica Minolta company
    New Haven, Connecticut 06510, United States
  • Yale University
    New Haven, Connecticut 06510, United States
  • KI Health Partners, LLC; New England Institute for Clinical Research
    Stamford, Connecticut 06905, United States
  • Georgetown University Hospital
    Washington, District of Columbia 20057, United States
  • JEM Research LLC
    Atlantis, Florida 33462, United States
  • Bradenton Research Center
    Bradenton, Florida 34205, United States
  • Brain Matters Research, Inc.
    Delray Beach, Florida 33445, United States
  • Neuropsychiatric Research; Center of Southwest Florida
    Fort Myers, Florida 33912, United States
  • Miami Jewish Health Systems
    Miami, Florida 33137, United States
  • Collier Neurologic Specialists
    Naples, Florida 34105, United States
  • Compass Research East, LLC
    Orlando, Florida 32806, United States
  • Stedman Clinical Trials, LLC
    Tampa, Florida 33613, United States
  • Alzheimer's Research and Treatment Center
    Wellington, Florida 33414, United States
  • Premiere Research Institute
    West Palm Beach, Florida 33407, United States
  • Emory University; Global Health
    Atlanta, Georgia 30322, United States
  • Rush Alzheimer's Disease Cntr.
    Chicago, Illinois 60612, United States
  • Alexian Brothers Neuroscience Institute
    Elk Grove Village, Illinois 60007, United States
  • Southern Illinois University, School of Medicine
    Springfield, Illinois 62702, United States
  • Eastern Maine Medical Center
    Bangor, Maine 04401, United States
  • Brigham & Women's Hosp; TIMI Study Grp
    Boston, Massachusetts 02115, United States
  • Alzheimers Disease Center
    Quincy, Massachusetts 02169, United States
  • Health Partners Institute for Education and Research
    Saint Paul, Minnesota 55130, United States
  • NeuroCognitive Institute
    Mount Arlington, New Jersey 07856, United States
  • Advanced Memory Research Institute of NJ
    Toms River, New Jersey 08755, United States
  • Albany Medical College; Neurology
    Albany, New York 12208, United States
  • Empire Neurology PC; MS Center of Northeastern NY
    Latham, New York 12110, United States
  • Columbia Univ Medical Center
    New York, New York 10032, United States
  • University of Rochester; AD-CARE
    Rochester, New York 14642, United States
  • Summit Research Network Inc.
    Portland, Oregon 97210, United States
  • Abington Neurological Associates
    Abington, Pennsylvania 19001, United States
  • Rhode Island Mood & Memory Research Institute
    East Providence, Rhode Island 02914, United States
  • Butler Hospital
    Providence, Rhode Island 02906, United States
  • Neurology Clinic PC
    Cordova, Tennessee 38018, United States
  • New Orleans Center For Clinical Research
    Knoxville, Tennessee 37920, United States
  • Clinical Neuroscience Research Associates, Inc.
    Bennington, Vermont 05201, United States
  • St Vincents Medical Centre
    Darlinghurst, New South Wales 2010, Australia
  • Southern Neurology
    Kogarah, New South Wales 2217, Australia
  • Queensland University of Technology
    Mermaid Waters, Queensland 4218, Australia
  • Eastern Clinical Research Unit; Pharmacy
    Box Hill, Victoria 3128, Australia
  • HammondCare Aged Psychiatry Clinical Trials
    Malvern, Victoria 3144, Australia
  • The Alfred Hospital, Melbourne; Thrombosis and Haemostasis Unit
    Melbourne, Victoria 3004, Australia
  • Neuro Trials Victoria
    Noble Park, Victoria 3174, Australia
  • Royal Melbourne Hospital
    Parkville, Victoria 3050, Australia
  • UZ Brussel
    Brussel, 1090, Belgium
  • AZ Groeninge
    Kortrijk, 8500, Belgium
  • UZ Leuven
    Leuven, 3000, Belgium
  • AZ Delta Campus Westlaan
    Roeselare, 8800, Belgium
  • JBN Medical Diagnostic Services; Clinical Trials Division
    Burlington, Ontario L7M 1K9, Canada
  • Parkwood Institute, Mental Health Care Building
    London, Ontario N6C 0A7, Canada
  • Elisabeth Bruyere Hospital
    Ottawa, Ontario K1N 5C8, Canada
  • Toronto Memory Program
    Toronto, Ontario M3B 2S7, Canada
  • Centre for Memory and Aging
    Toronto, Ontario M4G 3E8, Canada
  • Toronto Sunnybrook Hospital
    Toronto, Ontario M4N 3M5, Canada
  • Toronto Western Hospital
    Toronto, Ontario M5T 2S8, Canada
  • Recherches Neuro-Hippocame
    Gatineau, Quebec J8T 8J1, Canada
  • Center For Clinical and Basic Research (Ccbr); Site Management Organisation
    Aalborg, 9000, Denmark
  • CCBR - Vejle - DK
    Vejle, 7100, Denmark
  • Groupe Hospitalier Pellegrin; Service de Neurologie - 3ème étage
    Bordeaux, 33076, France
  • Hopital Neurologique Pierre Wertheimer
    Bron, 69500, France
  • Hopital Roger Salengro
    Lille, 59037, France
  • CHU de la Timone - Hopital d Adultes; Service de Neurologie
    Marseille, 13005, France
  • Hopital Gui de Chauliac; Neurologie
    Montpellier, 34295, France
  • Hopital Fernand Widal Centre
    Paris, 75010, France
  • Groupe Hospitalier Pitie-Salpetriere
    Paris, 75651, France
  • CHU Rennes
    Rennes, 35033, France
  • CHU Hautepierre; ACTR Association Recherche Clinique Rhumatologie
    Strasbourg, 67000, France
  • CHU Strasbourg - Hôpital Hautepierre
    Strasbourg, 67098, France
  • Hopital de La Grave
    Toulouse, 31059, France
  • Hopital des Charpennes
    Villeurbanne, 69100, France
  • Klinikum Bayreuth; Krankenhaus Hohe Warte
    Bayreuth, 95445, Germany
  • Praxis Dr. med. Volker Shumann
    Berlin, 10245, Germany
  • Studienambulanz emovis GmbH; St. Joseph Krankenhaus
    Berlin, 10626, Germany
  • Charite Campus Benjamin Franklin
    Berlin, 12203, Germany
  • Neurologisch-psychiatrische Praxis am Brosepark
    Berlin, 13156, Germany
  • Bezirkskrankenhaus Günzburg
    Günzburg, 89312, Germany
  • Klinische Forschung Hannover-Mitte GmbH
    Hannover, 30159, Germany
  • Klinikum rechts der Isar der TU München; Klinik & Poliklinik für Neurologie
    München, 81675, Germany
  • ZNS Siegen im MVZ Weidenau
    Siegen, 57076, Germany
  • Universitätsklinik Tübingen; Psychiatrie und Psychotherapie
    Tubingen, 72076, Germany
  • Universitätsklinikum Ulm; Klinik für Neurologie
    Ulm, 89081, Germany
  • Umberto I Policlinico di Roma-Università di Roma La Sapienza
    Roma, Lazio 00185, Italy
  • Ospedale San Giovanni Calibita Fatebenefratell;Neurologia
    Roma, Lazio 00186, Italy
  • Azienda Ospedaliero Universitaria San Martino; Dip. di Neuroscienze Oftalmologia e Genetica
    Genova, Liguria 16132, Italy
  • IRCCS Centro San Giovanni di Dio FBF
    Brescia, Lombardia 25125, Italy
  • Fondazione IRCCS Istituto Neurologico Carlo Besta
    Milano, Lombardia 20133, Italy
  • IRCCS Neuromed; Neurologia I-Centro studio e cura delle demenze e UVA
    Pozzilli, Molise 86077, Italy
  • Az. Osp. C. Panico; Rep. Ematologia E Trapianto
    Tricase - LE, Puglia 73039, Italy
  • Jeroen Bosch Ziekenhuis
    'S Hertogenbosch, 5223 GZ, Netherlands
  • Brain Research Center B.V
    Amsterdam, 1081 GN, Netherlands
  • Podlaskie Centrum Psychogeriatrii
    Białystok, 15-756, Poland
  • PALLMED Sp. z o.o. prowadząca NZOZ DOM SUE RYDER
    Bydgoszcz, 85-796, Poland
  • M.A. - LEK A.M.Maciejowscy SC.
    Katowice, 40-595, Poland

Showing the first 100 of 133 sites across 13 countries. Choose a country and city above to see the rest.

09

References and documents

Publications

  • Teng E, Manser PT, Pickthorn K, Brunstein F, Blendstrup M, Sanabria Bohorquez S, Wildsmith KR, Toth B, Dolton M, Ramakrishnan V, Bobbala A, Sikkes SAM, Ward M, Fuji RN, Kerchner GA; Tauriel Investigators. Safety and Efficacy of Semorinemab in Individuals With Prodromal to Mild Alzheimer Disease: A Randomized Clinical Trial. JAMA Neurol. 2022 Aug 1;79(8):758-767. doi: 10.1001/jamaneurol.2022.1375. PubMed 35696185 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2017 to primary completion in Jan 2021, 39 months.

Results were first posted in Mar 2022, 1 year 2 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 18, 2017
First posted
Sep 20, 2017
StartActual
Oct 4, 2017
Primary completionActual
Jan 15, 2021
CompletionActual
Jan 15, 2021
Results first posted
Mar 16, 2022
Last update
Mar 16, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 16, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03289143
Lead sponsor
Genentech, Inc.
Responsible party
Sponsor
First posted
Sep 20, 2017
Start date
Oct 4, 2017
Primary completion
Jan 15, 2021
Completion
Jan 15, 2021
Results posted
Mar 16, 2022
Last update
Mar 16, 2022

Study contacts

Clinical Trials
study director · Genentech, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Semorinemab

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