ClinicalTrials.gg
CompletedNCT03367403Updated Mar 19, 2026Results posted

A Study of LY3002813 in Participants With Early Symptomatic Alzheimer's Disease (TRAILBLAZER-ALZ)

A Phase 2 interventional study of Donanemab and Placebo in Alzheimer Disease, sponsored by Eli Lilly and Company. Completed at 61 sites in 2 countries. Open to participants aged 60 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-03-19.

Sponsored by Eli Lilly and Company · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
272
Allocation
Randomized
Ages
60 Years to 85 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 15 studies testing donanemab in Alzheimer Disease — 7 open to participants now, 10 under way, 6 of them phase 3. donanemab · Alzheimer Disease.

Enrollment
7th of 15
272 · median 240
Started
2017
the only one that year
Phase 2
4 of 15
2 open now
Registered
3rd of 15
by date
Lead sponsor
12 of 15
Eli Lilly and Company

Among the 15 studies testing donanemab in Alzheimer Disease, this one is the 7th largest by enrollment, is the only one that started in 2017, is one of 4 in phase 2, and was the 3rd registered.

Alzheimer Disease

3,968 studies on the registry are indexed under Alzheimer Disease; 928 are open to participants now.

Browse Alzheimer Disease studies →

Open to participants now

7 of the 15 studies testing donanemab in Alzheimer Disease are open now, in 8 countries. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 7 open studies →

About donanemab

donanemab: first FDA approval 2024 (KISUNLA), first EMA approval 2025. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 643 Alzheimer Disease studies recruiting now, 284 (44%) set no upper age limit and 55 (9%) stop at 75 or younger; 34 take children under 18; 285 take healthy volunteers.

This study: 60 Years to 85 Years · all sexes · no healthy volunteers.

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02

Study summary

The purpose of this study is to evaluate the safety, tolerability and efficacy of LY3002813 in early symptomatic Alzheimer's disease.

03

Conditions studied

  • Alzheimer Disease

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Keywords

  • TRAILBLAZER-ALZ
04

Who can participate

Ages eligible
60 Years to 85 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

  • Gradual and progressive change in memory function reported by participants or informants for ≥ 6 months.
  • score of 20 to 28 (inclusive) at baseline or an acceptable historical flortaucipir PET scan within 6 months prior to baseline that meets the central read criteria.
  • Meet 18F flortaucipir PET scan eligibility criteria.
  • Meet 18F florbetapir PET scan (central read) eligibility criteria.

Exclusion criteria

Exclusion Criteria:

  • Have a history of long syndrome.
  • Have received treatment with a stable dose of an acetylcholinesterase inhibitor (AChEI) and/or memantine for less than 2 months before randomization.
  • to MRI.
Terms in these criteria, in plain language(3)

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
272 participants (actual)

Study arms

  • Experimental
    Donanemab Monotherapy (Donanemab-M)

    Participants received 700 milligram (mg) donanemab intravenously (IV) every 4 weeks (Q4W) x 3 doses, then 1400 mg donanemab IV Q4W for up to 72 weeks.

    Drug: Donanemab

  • Placebo comparator
    Placebo

    Participants received placebo IV Q4W for up to 72 weeks.

    Drug: Placebo

  • Experimental
    Donanemab in Combination With LY3202626 (Donanemab-C)

    Participants received 700 mg donanemab IV Q4W x 3 doses, then 1400 mg donanemab IV Q4W in combination with 12 mg of LY3202626 orally for up to 72 weeks. As per protocol amendment (d) approved on Oct 9, 2018, donanemab in combination with LY3202626 (donanemab-C) arm discontinued as there was a low probability of identifying a statistically significant effect of 12mg of LY3202626 slowing cognitive decline.

    Drug: Donanemab · Drug: LY3202626

Interventions

  • Administered IV

    Also known as: LY3002813

  • DrugPlacebo

    Administered IV

  • Administered orally

06

What researchers measure

Primary outcomes

  1. Change From Baseline in the Integrated Alzheimer's Disease Rating Scale (iADRS) Score

    Integrated Alzheimer's Disease Rating Scale is used to assess whether donanemab slows down the cognitive and functional decline associated with AD compared with placebo. iADRS is a simple linear combination of 13-item alzheimer's disease assessment scale-cognitive subscale (ADAS-Cog13) and the Alzheimer's disease cooperative study-instrumental activities of daily living scale (ADCS-iADL). The scale ranges from 0 to 144, where lower scores indicate worse performance and higher score indicates better performance. Least Squares (LS) Mean value was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, pooled investigator, acetylcholinesterase inhibitor (AChEI) and/or memantine use at baseline, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.

    Time frame: Baseline, 76 Weeks

Secondary outcomes

  1. Change From Baseline in the 13-item Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog13) Score

    The ADAS is a rater administered instrument that was designed to assess the severity of the dysfunction in the cognitive and noncognitive behaviors characteristic of persons with AD. The cognitive subscale of the ADAS consists of 13 items assessing areas of cognitive function most typically impaired in AD: orientation, verbal memory, language, praxis, delayed free recall, digit cancellation. The ADAS--Cog13 scale ranges from 0 to 85. Higher scores indicate greater disease severity. LS Mean value was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, pooled investigator, AChEI and/or memantine use at baseline, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.

    Time frame: Baseline, 76 Weeks

  2. Change From Baseline in the Clinical Dementia Rating Scale Sum of Boxes (CDR-SB) Score

    CDR-SB is a semi-structured interview of participants and their caregivers. Participant's cognitive status is rated across 6 domains of functioning, including memory, orientation, judgment/problem solving, community affairs, home/hobbies, and personal care. Severity score assigned for each of 6 domains; Total score (SB) ranges from 0 to 18. Higher scores indicate greater disease severity. LS Mean value was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, pooled investigator, AChEI and/or memantine use at baseline, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.

    Time frame: Baseline, 76 Weeks

  3. Change From Baseline in the Mini Mental State Examination (MMSE) Score

    MMSE is a brief screening instrument used to assess cognitive function (orientation, memory, attention, ability to name objects, follow verbal/written commands, write a sentence, and copy figures). Total score ranges from 0 to 30; lower score indicates greater disease severity. LS Mean value was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, pooled investigator, AChEI and/or memantine use at baseline, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.

    Time frame: Baseline, 76 Weeks

  4. Change From Baseline in Alzheimer's Disease Cooperative Study-Instrumental Activities of Daily Living Scale (ADCS-iADL) Score

    The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. The ADCS-ADL measures both basic and instrumental activities (instrumental activity items 6a, 7-23) of daily living by participants. The range for the ADCS-iADL is 0-59 with higher scores reflecting better performance. LS Mean value was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, pooled investigator, AChEI and/or memantine use at baseline, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.

    Time frame: Baseline, 76 Weeks

  5. Change From Baseline in Brain Amyloid Plaque Deposition as Measured by Florbetapir F18 Positron Emission Tomography (PET) Scan

    Florbetapir PET imaging was used as a quantitative amyloid biomarker. Florbetapir PET scans at baseline and at 76 weeks after the first treatment were used to quantitatively estimate change in amyloid plaques. Quantitative amyloid burden was first formalized as the average Standardized Uptake Value Ratio (SUVR) in six predetermined cortical areas of the brain relative to the cerebellum as a reference region. Larger SUVR reflects the larger cortical amyloid burden relative to cerebellum. SUVR values were further calibrated to a centiloid (CL) scale. The Centiloid scale anchor points are 0 and 100, where 0 represents a high-certainty amyloid negative scan and 100 represents the amount of global amyloid deposition found in a typical AD scan. Least Squares mean change was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.

    Time frame: Baseline, 76 Weeks

  6. Change From Baseline in Brain Tau Deposition as Measured by Flortaucipir F18 PET Scan

    Flortaucipir PET imaging was used as a quantitative tau biomarker. Flortaucipir PET scans at baseline and at 76 weeks after the first treatment were used to quantitatively estimate change in aggregated tau neurofibrillary tangles (NFTs). Quantitative tau burden was formalized using two measures: weighted average Standardized Uptake Value Ratio (MUBADA SUVR) in the brain relative to the cerebellum gray as a reference region and the global tau load (TauL) generated using a TauIQ method. Larger weighted average SUVR reflects the larger cortical tau burden relative to cerebellum gray. The TauIQ method quantifies the spatiotemporal accumulation pattern of tau and larger TauL value reflects the larger global tau level in the brain as determined using a TauIQ mathematical framework. Least Squares mean change was controlled for baseline + age + treatment (Type III sum of squares).

    Time frame: Baseline, 76 Weeks

  7. Change From Baseline in Brain Volume as Measured by Volumetric Magnetic Resonance Imaging (vMRI)

    MRI scans at baseline and at 76 weeks after the first treatment were used to quantitatively estimate change in brain atrophy. Volumetric MRI (vMRI) parameters were measured in 14 brain regions: bilateral cortical, bilateral entorhinal cortex, bilateral hippocampus, bilateral inferior parietal lobe, bilateral isthmus cingulate, bilateral lateral parietal lobe, bilateral medial temporal lobe, bilateral precuneus, bilateral prefrontal lobe, bilateral superior temporal lobe, bilateral ventricles, bilateral whole brain, bilateral whole temporal lobe, and bilateral white matter. The atrophy was assessed by tensor-based morphometry, which captures volume changes within the deformation map. LS Mean value was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, fixed covariates of baseline, and age at baseline.

    Time frame: Baseline, 76 Weeks

07

Results

Posted Feb 15, 2022
Limitations and caveats
As per protocol amendment (d) approved on Oct 9, 2018, donanemab in combination with LY3202626 (donanemab-C) arm discontinued as there was a low probability of identifying a statistically significant effect of 12mg of LY3202626 slowing cognitive decline. Clinical efficacy was not reported for this group.

Participant flow

As per protocol amendment (d) approved on Oct 9, 2018, donanemab in combination with LY3202626 (donanemab-C) arm discontinued as there was a low probability of identifying a statistically significant effect of 12 milligram (mg) of LY3202626 slowing cognitive decline. Clinical efficacy was not reported for this group.

Participant flow — Overall Study
MilestoneDonanemab Monotherapy (Donanemab-M)PlaceboDonanemab in Combination With LY3202626 (Donanemab-C)
Started13112615
Received at least one dose of study drug13112515
Completed949312
Not completed37333
Withdrew: Adverse event2062
Withdrew: Withdrawal by subject12131
Withdrew: Death120
Withdrew: Physician decision010
Withdrew: Protocol violation110
Withdrew: Withdrawal due to caregiver circumstances020
Withdrew: Covid-19360
Withdrew: Abuse of alcohol intake010
Withdrew: Subject and study partner do not believe study has been beneficial and cognition has declined010

Outcome measures

PrimaryChange From Baseline in the Integrated Alzheimer's Disease Rating Scale (iADRS) Score

Integrated Alzheimer's Disease Rating Scale is used to assess whether donanemab slows down the cognitive and functional decline associated with AD compared with placebo. iADRS is a simple linear combination of 13-item alzheimer's disease assessment scale-cognitive subscale (ADAS-Cog13) and the Alzheimer's disease cooperative study-instrumental activities of daily living scale (ADCS-iADL). The scale ranges from 0 to 144, where lower scores indicate worse performance and higher score indicates better performance. Least Squares (LS) Mean value was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, pooled investigator, acetylcholinesterase inhibitor (AChEI) and/or memantine use at baseline, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.

Time frame:
Baseline, 76 Weeks
Reported as:
Least squares mean · score on a scale
Change From Baseline in the Integrated Alzheimer's Disease Rating Scale (iADRS) Score
score on a scaleDonanemab Monotherapy (Donanemab-M)Placebo
Change From Baseline in the Integrated Alzheimer's Disease Rating Scale (iADRS) Score-6.86 ± 1.135-10.06 ± 1.141
Statistical analysis
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = 0.042 · Mean difference (final values): 3.20 · 95% CI 0.12 to 6.27
SecondaryChange From Baseline in the 13-item Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog13) Score

The ADAS is a rater administered instrument that was designed to assess the severity of the dysfunction in the cognitive and noncognitive behaviors characteristic of persons with AD. The cognitive subscale of the ADAS consists of 13 items assessing areas of cognitive function most typically impaired in AD: orientation, verbal memory, language, praxis, delayed free recall, digit cancellation. The ADAS--Cog13 scale ranges from 0 to 85. Higher scores indicate greater disease severity. LS Mean value was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, pooled investigator, AChEI and/or memantine use at baseline, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.

Time frame:
Baseline, 76 Weeks
Reported as:
Least squares mean · score on a scale
Change From Baseline in the 13-item Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog13) Score
score on a scaleDonanemab Monotherapy (Donanemab-M)Placebo
Change From Baseline in the 13-item Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog13) Score2.91 ± 0.6594.77 ± 0.660
Statistical analysis
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = 0.040 · Mean difference (final values): -1.86 · 95% CI -3.63 to -0.09
SecondaryChange From Baseline in the Clinical Dementia Rating Scale Sum of Boxes (CDR-SB) Score

CDR-SB is a semi-structured interview of participants and their caregivers. Participant's cognitive status is rated across 6 domains of functioning, including memory, orientation, judgment/problem solving, community affairs, home/hobbies, and personal care. Severity score assigned for each of 6 domains; Total score (SB) ranges from 0 to 18. Higher scores indicate greater disease severity. LS Mean value was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, pooled investigator, AChEI and/or memantine use at baseline, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.

Time frame:
Baseline, 76 Weeks
Reported as:
Least squares mean · score on a scale
Change From Baseline in the Clinical Dementia Rating Scale Sum of Boxes (CDR-SB) Score
score on a scaleDonanemab Monotherapy (Donanemab-M)Placebo
Change From Baseline in the Clinical Dementia Rating Scale Sum of Boxes (CDR-SB) Score1.22 ± 0.1761.58 ± 0.178
Statistical analysis
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = 0.139 · Mean difference (final values): -0.36 · 95% CI -0.83 to 0.12
SecondaryChange From Baseline in the Mini Mental State Examination (MMSE) Score

MMSE is a brief screening instrument used to assess cognitive function (orientation, memory, attention, ability to name objects, follow verbal/written commands, write a sentence, and copy figures). Total score ranges from 0 to 30; lower score indicates greater disease severity. LS Mean value was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, pooled investigator, AChEI and/or memantine use at baseline, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.

Time frame:
Baseline, 76 Weeks
Reported as:
Least squares mean · score on a scale
Change From Baseline in the Mini Mental State Examination (MMSE) Score
score on a scaleDonanemab Monotherapy (Donanemab-M)Placebo
Change From Baseline in the Mini Mental State Examination (MMSE) Score-2.35 ± 0.386-2.98 ± 0.390
Statistical analysis
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = 0.227 · Mean difference (final values): 0.64 · 95% CI -0.40 to 1.67
SecondaryChange From Baseline in Alzheimer's Disease Cooperative Study-Instrumental Activities of Daily Living Scale (ADCS-iADL) Score

The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. The ADCS-ADL measures both basic and instrumental activities (instrumental activity items 6a, 7-23) of daily living by participants. The range for the ADCS-iADL is 0-59 with higher scores reflecting better performance. LS Mean value was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, pooled investigator, AChEI and/or memantine use at baseline, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.

Time frame:
Baseline, 76 Weeks
Reported as:
Least squares mean · score on a scale
Change From Baseline in Alzheimer's Disease Cooperative Study-Instrumental Activities of Daily Living Scale (ADCS-iADL) Score
score on a scaleDonanemab Monotherapy (Donanemab-M)Placebo
Change From Baseline in Alzheimer's Disease Cooperative Study-Instrumental Activities of Daily Living Scale (ADCS-iADL) Score-3.98 ± 0.738-5.20 ± 0.743
Statistical analysis
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = 0.230 · Mean difference (final values): 1.21 · 95% CI -0.77 to 3.20
SecondaryChange From Baseline in Brain Amyloid Plaque Deposition as Measured by Florbetapir F18 Positron Emission Tomography (PET) Scan

Florbetapir PET imaging was used as a quantitative amyloid biomarker. Florbetapir PET scans at baseline and at 76 weeks after the first treatment were used to quantitatively estimate change in amyloid plaques. Quantitative amyloid burden was first formalized as the average Standardized Uptake Value Ratio (SUVR) in six predetermined cortical areas of the brain relative to the cerebellum as a reference region. Larger SUVR reflects the larger cortical amyloid burden relative to cerebellum. SUVR values were further calibrated to a centiloid (CL) scale. The Centiloid scale anchor points are 0 and 100, where 0 represents a high-certainty amyloid negative scan and 100 represents the amount of global amyloid deposition found in a typical AD scan. Least Squares mean change was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.

Time frame:
Baseline, 76 Weeks
Reported as:
Least squares mean · centiloids
Change From Baseline in Brain Amyloid Plaque Deposition as Measured by Florbetapir F18 Positron Emission Tomography (PET) Scan
centiloidsDonanemab Monotherapy (Donanemab-M)Placebo
Change From Baseline in Brain Amyloid Plaque Deposition as Measured by Florbetapir F18 Positron Emission Tomography (PET) Scan-84.13 ± 2.7230.93 ± 2.739
Statistical analysis
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -85.06 · 95% CI -92.68 to -77.43
SecondaryChange From Baseline in Brain Tau Deposition as Measured by Flortaucipir F18 PET Scan

Flortaucipir PET imaging was used as a quantitative tau biomarker. Flortaucipir PET scans at baseline and at 76 weeks after the first treatment were used to quantitatively estimate change in aggregated tau neurofibrillary tangles (NFTs). Quantitative tau burden was formalized using two measures: weighted average Standardized Uptake Value Ratio (MUBADA SUVR) in the brain relative to the cerebellum gray as a reference region and the global tau load (TauL) generated using a TauIQ method. Larger weighted average SUVR reflects the larger cortical tau burden relative to cerebellum gray. The TauIQ method quantifies the spatiotemporal accumulation pattern of tau and larger TauL value reflects the larger global tau level in the brain as determined using a TauIQ mathematical framework. Least Squares mean change was controlled for baseline + age + treatment (Type III sum of squares).

Time frame:
Baseline, 76 Weeks
Reported as:
Least squares mean · standardized uptake value ratio (SUVR)
Change From Baseline in Brain Tau Deposition as Measured by Flortaucipir F18 PET Scan
standardized uptake value ratio (SUVR)Donanemab Monotherapy (Donanemab-M)Placebo
Tau-IQ0.55 ± 0.0070.55 ± 0.007
MUBADA-Cerebellum1.54 ± 0.0091.58 ± 0.010
Statistical analysis
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · ANCOVA · p = 0.560 · Mean difference (final values): 0.01 · 95% CI -0.01 to 0.03
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · ANCOVA · p = 0.012 · Mean difference (final values): 0.035 · 95% CI 0.007 to 0.062
SecondaryChange From Baseline in Brain Volume as Measured by Volumetric Magnetic Resonance Imaging (vMRI)

MRI scans at baseline and at 76 weeks after the first treatment were used to quantitatively estimate change in brain atrophy. Volumetric MRI (vMRI) parameters were measured in 14 brain regions: bilateral cortical, bilateral entorhinal cortex, bilateral hippocampus, bilateral inferior parietal lobe, bilateral isthmus cingulate, bilateral lateral parietal lobe, bilateral medial temporal lobe, bilateral precuneus, bilateral prefrontal lobe, bilateral superior temporal lobe, bilateral ventricles, bilateral whole brain, bilateral whole temporal lobe, and bilateral white matter. The atrophy was assessed by tensor-based morphometry, which captures volume changes within the deformation map. LS Mean value was controlled for fixed, categorical effects of treatment, visit and treatment-by-visit interaction, fixed covariates of baseline, and age at baseline.

Time frame:
Baseline, 76 Weeks
Reported as:
Least squares mean · cubic centimeter (cm^3)
Change From Baseline in Brain Volume as Measured by Volumetric Magnetic Resonance Imaging (vMRI)
cubic centimeter (cm^3)Donanemab Monotherapy (Donanemab-M)Placebo
Bilateral Cortical-11.18 ± 0.447-8.51 ± 0.445
Bilateral Entorhinal Cortex-0.17 ± 0.008-0.17 ± 0.008
Bilateral Hippocampus-0.22 ± 0.013-0.22 ± 0.013
Bilateral Inferior Parietal Lobe-0.53 ± 0.033-0.45 ± 0.033
Bilateral Isthmuscingulate-0.15 ± 0.008-0.13 ± 0.008
Bilateral Lateral Parietal Lobe-1.60 ± 0.084-1.26 ± 0.083
Bilateral Medial Temporal Lobe-0.73 ± 0.025-0.72 ± 0.025
Bilateral Precuneus-0.71 ± 0.032-0.55 ± 0.032
Bilateral Prefrontal Lobe-1.50 ± 0.081-1.11 ± 0.080
Bilateral Superior Temporal Lobe-0.73 ± 0.031-0.52 ± 0.031
Bilateral Ventricles8.66 ± 0.4126.38 ± 0.410
Bilateral Whole Brain-24.53 ± 1.077-19.95 ± 1.072
Bilateral Whole Temporal Lobe-3.52 ± 0.126-2.84 ± 0.126
Bilateral White Matter-11.03 ± 0.700-8.75 ± 0.696
Statistical analysis
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = < 0.001 · Mean difference (final values): -2.67 · 95% CI -3.92 to -1.43
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = 0.916 · Mean difference (final values): -0.00 · 95% CI -0.02 to 0.02
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = 0.771 · Mean difference (final values): 0.01 · 95% CI -0.03 to 0.04
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = 0.094 · Mean difference (final values): -0.08 · 95% CI -0.17 to 0.01
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = 0.052 · Mean difference (final values): -0.02 · 95% CI -0.04 to 0.00
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = 0.005 · Mean difference (final values): -0.34 · 95% CI -0.57 to -0.11
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = 0.731 · Mean difference (final values): -0.01 · 95% CI -0.08 to 0.06
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -0.16 · 95% CI -0.25 to -0.07
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -0.40 · 95% CI -0.62 to -0.17
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -0.21 · 95% CI -0.30 to -0.12
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = < 0.001 · Mean difference (final values): 2.28 · 95% CI 1.14 to 3.43
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = 0.003 · Mean difference (final values): -4.58 · 95% CI -7.58 to -1.59
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = <0.001 · Mean difference (final values): -0.68 · 95% CI -1.03 to -0.33
  • Donanemab Monotherapy (Donanemab-M) vs Placebo · Mixed Models Analysis · p = 0.022 · Mean difference (final values): -2.28 · 95% CI -4.23 to -0.33

Adverse events

Collected over Baseline Up To 124 Weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Donanemab Monotherapy (Donanemab-M)1/131 (0.8%)26/131 (19.8%)118/131 (90.1%)
Placebo2/125 (1.6%)25/125 (20%)112/125 (89.6%)
Donanemab in Combination With LY3202626 (Donanemab-C)0/15 (0%)3/15 (20%)15/15 (100%)
Most frequent serious events
Showing 10 of 73
Most frequent serious events
EventDonanemab Monotherapy (Donanemab-M)PlaceboDonanemab in Combination With LY3202626 (Donanemab-C)
VertigoEar and labyrinth disorders0/1310/1251/15
NauseaGastrointestinal disorders0/1310/1251/15
Urinary tract infectionInfections and infestations0/1311/1251/15
UrosepsisInfections and infestations0/1310/1251/15
DehydrationMetabolism and nutrition disorders2/1311/1251/15
Type 2 diabetes mellitusMetabolism and nutrition disorders0/1310/1251/15
Intervertebral disc degenerationMusculoskeletal and connective tissue disorders0/1310/1251/15
Subarachnoid haemorrhageNervous system disorders0/1310/1251/15
AnxietyPsychiatric disorders0/1310/1251/15
Mental disorder due to a general medical conditionPsychiatric disorders0/1310/1251/15
Most frequent other events
Showing 10 of 422
Most frequent other events
EventDonanemab Monotherapy (Donanemab-M)PlaceboDonanemab in Combination With LY3202626 (Donanemab-C)
Amyloid related imaging abnormality-oedema/effusionNervous system disorders33/1311/1254/15
DizzinessNervous system disorders11/13114/1254/15
ArthralgiaMusculoskeletal and connective tissue disorders12/13110/1253/15
Superficial siderosis of central nervous systemNervous system disorders18/1314/1253/15
FallInjury, poisoning and procedural complications19/13121/1251/15
CellulitisInfections and infestations2/1312/1252/15
Upper respiratory tract infectionInfections and infestations9/1319/1252/15
Urinary tract infectionInfections and infestations13/1314/1252/15
Cerebral microhaemorrhageNervous system disorders10/1313/1252/15
ParaesthesiaNervous system disorders1/1310/1252/15

Baseline characteristics

All randomized participants.

Age, Continuous
Age, Continuous(years)Donanemab Monotherapy (Donanemab-M)PlaceboDonanemab in Combination With LY3202626 (Donanemab-C)Total
Mean74.95 ± 5.5875.35 ± 5.4375.20 ± 5.9975.15 ± 5.52
Sex: Female, Male
Sex: Female, Male(Participants)Donanemab Monotherapy (Donanemab-M)PlaceboDonanemab in Combination With LY3202626 (Donanemab-C)Total
Female686512145
Male63613127
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Donanemab Monotherapy (Donanemab-M)PlaceboDonanemab in Combination With LY3202626 (Donanemab-C)Total
Hispanic or Latino5319
Not Hispanic or Latino12612314263
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Donanemab Monotherapy (Donanemab-M)PlaceboDonanemab in Combination With LY3202626 (Donanemab-C)Total
American Indian or Alaska Native2002
Asian1203
Native Hawaiian or Other Pacific Islander0000
Black or African American5308
White12212115258
More than one race1001
Unknown or Not Reported0000
Region of Enrollment
Region of Enrollment(Participants)Donanemab Monotherapy (Donanemab-M)PlaceboDonanemab in Combination With LY3202626 (Donanemab-C)Total
Canada1011021
United States12111515251
Integrated Alzheimer's Disease Rating Scale (iADRS)
Integrated Alzheimer's Disease Rating Scale (iADRS)(score on a scale)Donanemab Monotherapy (Donanemab-M)PlaceboDonanemab in Combination With LY3202626 (Donanemab-C)Total
Mean106.20 ± 13.03105.88 ± 13.22108.93 ± 10.17106.20 ± 12.96
08

Study locations

61 sites
  • Banner Alzheimer's Institute
    Phoenix, Arizona 85006, United States
  • Banner Sun Health Research Institute
    Sun City, Arizona 85351, United States
  • Neurology Center of North Orange County
    Fullerton, California 92835, United States
  • Irvine Clinical Research Center
    Irvine, California 92614, United States
  • Institute for Memory Impairment & Neurological Disorders
    Irvine, California 92697, United States
  • Pharmacology Research Institute
    Newport Beach, California 92660, United States
  • Pacific Research Network Inc
    San Diego, California 92103, United States
  • Sharp Mesa Vista Hospital
    San Diego, California 92123, United States
  • Syrentis Clinical Research
    Santa Ana, California 92705, United States
  • Associated Neurologists, PC - Danbury
    Danbury, Connecticut 06810, United States
  • KI Health Partners, LLC d/b/a NE Inst. for Clin. Res.
    Stamford, Connecticut 06905, United States
  • JEM Research Institute
    Atlantis, Florida 33462, United States
  • Bradenton Research Center
    Bradenton, Florida 34205, United States
  • Brain Matters Research
    Delray Beach, Florida 33445, United States
  • Infinity Clinical Research, LLC
    Hollywood, Florida 33021, United States
  • Jacksonville Center for Clinical Research
    Jacksonville, Florida 32216, United States
  • Merritt Island Medical Research LLC
    Merritt Island, Florida 32592, United States
  • Pharmax Research Clinic
    Miami, Florida 33126, United States
  • Miami Jewish Health Systems
    Miami, Florida 33137, United States
  • Suncoast Clinical Research
    New Port Richey, Florida 34652, United States
  • Compass Research
    Orlando, Florida 32806, United States
  • Palm Beach Neurological Group
    Palm Beach Gardens, Florida 33410, United States
  • Quantum Laboratories
    Pompano Beach, Florida 33064, United States
  • Progressive Medical Research
    Port Orange, Florida 32127, United States
  • Intercoastal Medical Group
    Sarasota, Florida 34239, United States
  • Axiom Research
    Tampa, Florida 33609, United States
  • Stedman Clinical Trials
    Tampa, Florida 33613, United States
  • Compass Research
    The Villages, Florida 32162, United States
  • Great Lakes Clinical Trials
    Chicago, Illinois 60640, United States
  • Alexian Brothers Medical Center
    Elk Grove Village, Illinois 60007, United States
  • Indiana University School of Medicine
    Indianapolis, Indiana 46202, United States
  • Josephson Wallack Munshower Neurology
    Indianapolis, Indiana 46256, United States
  • University of Kansas Hospital
    Fairway, Kansas 66160, United States
  • Cotton O'Neil Clinic
    Topeka, Kansas 66606, United States
  • McLean Hospital
    Belmont, Massachusetts 02478, United States
  • ActivMed Practices & Research, Inc
    Methuen, Massachusetts 01844, United States
  • Boston Center for Memory
    Newton, Massachusetts 02459, United States
  • Donald S Marks
    Plymouth, Massachusetts 02360-4843, United States
  • Washington University
    St Louis, Missouri 63108, United States
  • Las Vegas Medical Research
    Las Vegas, Nevada 89113, United States
  • Advanced Memory Research Institute of New Jersey
    Toms River, New Jersey 08755, United States
  • Behavioral Health Center Research
    Charlotte, North Carolina 28211, United States
  • Guilford Neurologic Associates
    Greensboro, North Carolina 27405, United States
  • Raleigh Neurology Associates
    Raleigh, North Carolina 27607, United States
  • Piedmont Medical Research
    Winston-Salem, North Carolina 27103, United States
  • Insight Clinical Trials
    Beachwood, Ohio 44122, United States
  • Ohio State University Medical Center
    Columbus, Ohio 43210, United States
  • Neurology Diagnostics, Inc.
    Dayton, Ohio 45459, United States
  • Abington Neurological Associates
    Willow Grove, Pennsylvania 19090, United States
  • Rhode Island Hospital
    Providence, Rhode Island 02903, United States
  • Butler Hospital
    Providence, Rhode Island 02906, United States
  • Texas Neurology, PA
    Dallas, Texas 75214, United States
  • Houston Methodist
    Houston, Texas 77030, United States
  • The Memory Clinic
    Bennington, Vermont 05201, United States
  • Cognition Health
    Fairfax, Virginia 22031, United States
  • National Clinical Research - Richmond
    Richmond, Virginia 23294, United States
  • Bruyere Research Institute
    Ottawa, Ontario K1N 5C8, Canada
  • Kawartha Regional Memory Clinic
    Peterborough, Ontario K9H2P4, Canada
  • Toronto Memory Program
    Toronto, Ontario M3B2S7, Canada
  • Clinique de la Memoire de l'Outaouais
    Gatineau, Quebec J8T 8J1, Canada
  • DIEX Recherche Sherbrooke, Inc
    Sherbrooke, Quebec J1L 0H8, Canada
09

References and documents

Publications

  • Ardayfio P, Mullins GR, Khanna R, Zimmer JA, Wang H, Nery ESM, Evans CD, Piela P, Battioui C, Lauzon S, Anglin G, Ng HW, Jayaraman AR, Agada N, Natalie CR, Brooks DA, Sims JR. Infusion-related reactions in donanemab-treated participants with early symptomatic Alzheimer's disease. Alzheimers Dement (N Y). 2026 Mar 8;12(1):e70229. doi: 10.1002/trc2.70229. eCollection 2026 Jan-Mar. PubMed 41804324 ↗
  • Gueorguieva I, Chow K, Chua L, Shcherbinin S, Zimmer JA, Evans CD, Wang H, Nery ESM, Brooks DA, Sims JR. Donanemab exposure-response in early symptomatic Alzheimer's disease. Alzheimers Dement. 2025 Jul;21(7):e70491. doi: 10.1002/alz.70491. PubMed 40667684 ↗
  • Chandler JM, Lansdall CJ, Ye W, McDougall F, Belger M, Toth B, Mi X, Sink KM, Atkins AS. The Alzheimer's Disease Cooperative Study - Activities of Daily Living dependence score: revision and validation of an algorithm evaluating patient dependence across the spectrum of AD severity. J Prev Alzheimers Dis. 2025 Sep;12(8):100261. doi: 10.1016/j.tjpad.2025.100261. Epub 2025 Jul 1. PubMed 40603145 ↗
  • Zimmer JA, Ardayfio P, Wang H, Khanna R, Evans CD, Lu M, Sparks J, Andersen S, Lauzon S, Nery ESM, Battioui C, Engle SE, Biffi A, Svaldi D, Salloway S, Greenberg SM, Sperling RA, Mintun M, Brooks DA, Sims JR. Amyloid-Related Imaging Abnormalities With Donanemab in Early Symptomatic Alzheimer Disease: Secondary Analysis of the TRAILBLAZER-ALZ and ALZ 2 Randomized Clinical Trials. JAMA Neurol. 2025 May 1;82(5):461-469. doi: 10.1001/jamaneurol.2025.0065. PubMed 40063015 ↗
  • Klein EG, Schroeder K, Wessels AM, Phipps A, Japha M, Schilling T, Zimmer JA. How donanemab data address the coverage with evidence development questions. Alzheimers Dement. 2024 Apr;20(4):3127-3140. doi: 10.1002/alz.13700. Epub 2024 Feb 7. PubMed 38323738 ↗
  • Pontecorvo MJ, Lu M, Burnham SC, Schade AE, Dage JL, Shcherbinin S, Collins EC, Sims JR, Mintun MA. Association of Donanemab Treatment With Exploratory Plasma Biomarkers in Early Symptomatic Alzheimer Disease: A Secondary Analysis of the TRAILBLAZER-ALZ Randomized Clinical Trial. JAMA Neurol. 2022 Dec 1;79(12):1250-1259. doi: 10.1001/jamaneurol.2022.3392. PubMed 36251300 ↗
  • Shcherbinin S, Evans CD, Lu M, Andersen SW, Pontecorvo MJ, Willis BA, Gueorguieva I, Hauck PM, Brooks DA, Mintun MA, Sims JR. Association of Amyloid Reduction After Donanemab Treatment With Tau Pathology and Clinical Outcomes: The TRAILBLAZER-ALZ Randomized Clinical Trial. JAMA Neurol. 2022 Oct 1;79(10):1015-1024. doi: 10.1001/jamaneurol.2022.2793. PubMed 36094645 ↗
  • Mintun MA, Lo AC, Duggan Evans C, Wessels AM, Ardayfio PA, Andersen SW, Shcherbinin S, Sparks J, Sims JR, Brys M, Apostolova LG, Salloway SP, Skovronsky DM. Donanemab in Early Alzheimer's Disease. N Engl J Med. 2021 May 6;384(18):1691-1704. doi: 10.1056/NEJMoa2100708. Epub 2021 Mar 13. PubMed 33720637 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: Data are available 6 months after the primary publication or approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.

Access criteria: A research proposal should be approved by an independent review panel and researchers should sign a data sharing agreement.

Data sharing details ↗ · vivli.org

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2017 to primary completion in Dec 2020, 35 months.

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

Of 130 industry-sponsored phase 2 interventional studies under Alzheimer Disease, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 39. This study's 35 months is above that.

Counting every sponsor, half of 257 studies reached it within 37 months; a quarter within 21 and three quarters within 58.

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

Registered
Dec 5, 2017
First posted
Dec 8, 2017
StartActual
Dec 18, 2017
Primary completionActual
Dec 4, 2020
CompletionActual
Sep 21, 2021
Results first posted
Feb 15, 2022
Last update
Mar 19, 2026
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 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03367403
Responsible party
Sponsor
First posted
Dec 8, 2017
Start date
Dec 18, 2017
Primary completion
Dec 4, 2020
Completion
Sep 21, 2021
Results posted
Feb 15, 2022
Last update
Mar 19, 2026

Study contacts

Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

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: Donanemab

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