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CompletedNCT04693520Updated Dec 18, 2025

Biomarker Effects of ALZ-801 in APOE4 Carriers With Early Alzheimer's Disease

A Phase 2 interventional study of ALZ-801 in Early Alzheimer's Disease, sponsored by Alzheon Inc.. Completed at 6 sites in 2 countries. Open to participants aged 50 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-12-18.

Sponsored by Alzheon Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jun 2023, 3 years 4 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
84
Allocation
Not applicable
Ages
50 Years to 80 Years
Sex
All
01

Study summary

The study will investigate the effects of oral ALZ-801, in subjects with Early AD who have the APOE4/4 or APOE3/4 genotype, on the biomarkers of core AD pathology. The objectives of this study include determining the efficacy and safety/tolerability of ALZ-801. In addition, the study will evaluate the extended PK profile over 8 hours in 16 subjects after 65 weeks of treatment.

Read the detailed description

The LTE year 1 \& 2 study will investigate the effects of oral ALZ-801, in subjects with Early AD who have the APOE4/4 or APOE3/4 genotype, on the biomarkers of core AD pathology. The objectives of LTE study are to continue longitudinal assessment of the efficacy and safety/tolerability of ALZ-801 over a total period of 4 years (2-year Core study plus 2 years of LTE).

Core study: ALZ-801 265 mg twice daily (BID) in the Core Study, Weeks 0-104

LTE year 1: ALZ-801 265 mg BID in the Core Study and the Long-Term Extension (LTE, Weeks 104-208)

LTE year 2: ALZ-801 265mg BID in the Core Study and LTE Year 1 (Weeks 104-156), and LTE Year 2 (Weeks 156-208)

02

Conditions studied

  • Early Alzheimer's Disease

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03

In context

Alzheimer Disease

3,965 studies on the registry are indexed under Alzheimer Disease; 926 are open to participants now.

This study's enrollment of 84 is above the median of 70 across 3,019 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Alzheon Inc. is the lead sponsor of 6 studies on the registry; 1 is open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 1 (20%) have results posted.

Counted across the registry records on this site, refreshed daily.

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

  1. Age between 50 and 80 years, inclusive.
  2. Early Alzheimer's Disease (AD): a diagnosis of Probable AD Dementia or Mild Cognitive Impairment (MCI) due to AD in accordance with the National Institute on Aging-Alzheimer's Association (NIA-AA) Working Group Criteria [Albert et al, 2011; McKhann et al, 2011].
  3. One of the following apolipoprotein E (APOE) genotypes - either APOE4/4 (homozygous) or APOE3/4 (heterozygous).
  4. score 22 to 30 inclusive; Clinical Dementia Rating (CDR)-Global Score of 0.5 or 1.0, and CDR Memory Box Score of ≥ 0.5.
  5. Documented confirmation of AD diagnosis by either positive amyloid positron emission tomography (PET) or positive CSF AD signature. Subjects without documented positive AD biomarker status must have a positive CSF biomarker result from a sample provided at screening.
  6. Stable doses of acetylcholinesterase for the duration of the study are allowed.

Exclusion criteria

Exclusion Criteria

  1. Brain MRI at screening indicative of significant abnormality
  2. Diagnosis of neurodegenerative disorder other than AD
  3. Current diagnosis of Major Depressive Disorder (MDD)
  4. Concomitant treatment with memantine.
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
84 participants (actual)

Study arms

  • Experimental
    Active treatment

    ALZ-801 265 mg tablets once daily for two weeks and twice daily thereafter

    Drug: ALZ-801

Interventions

  • ALZ-801 265 mg twice daily (BID)

06

What researchers measure

Primary outcomes

  1. Plasma Biomarker of Core AD Pathology

    Percent change from baseline in p-tau181

    Time frame: Week 104

  2. Incidence, Nature, and Severity of Treatment Emergent Adverse events (TEAE)

    Safety and tolerability as measured by incidence, nature and severity of treatment emergent adverse events (TEAE), serious TEAE, and TEAE leading to withdrawal.

    Time frame: Week 108

  3. Volumetric Magnetic Resonance Imaging (vMRI) Biomarker - Hippocampal Volume

    Change from baseline in hippocampal volume measured in mm3

    Time frame: Weeks 104

Secondary outcomes

  1. Plasma Biomarkers of AD and Neurodegeneration

    Percent changes from baseline in: Aβ-40, Aβ-42,p-tau217 and plasma glial fibrillary acidic protein (GFAP),NfL

    Time frame: Weeks 104

  2. vMRI Biomarker - Ventricular volume and Cortical Thickness

    Change from baseline in cortical thickness measured in mm3

    Time frame: Weeks 104, 156 and 208

  3. Additional CSF Biomarkers of AD Pathology and Neurodegeneration

    Percent changes from baseline for: p-tau217,Aβ-40, Aβ-42, NfL, t-tau, sTREM2, YKL-40 and neurogranin

    Time frame: Weeks 104

  4. Incidence, Nature, and Severity of Treatment Emergent Adverse events (TEAE)

    Safety and tolerability as measured by incidence, nature and severity of treatment emergent adverse events (TEAE), serious TEAE, and TEAE leading to withdrawal.

    Time frame: Week 160 and week 212

  5. Volumetric Magnetic Resonance Imaging (vMRI) Biomarker - Hippocampal Volume

    Change from baseline in hippocampal volume measured in mm3

    Time frame: Week 156 and week 208

Other outcomes

  1. Cognitive assessment - Rey Auditory Verbal Learning Test (RAVLT)

    Change from baseline in RAVLT score

    Time frame: Weeks 104, week 156 and week 208

  2. Cognitive Assessment - Digit Symbol Substitution Test (DSST)

    Change from baseline in DSST score

    Time frame: Weeks 104, Week 156 and Week 208

  3. Functional Assessment - Amsterdam Instrumental Activities of Daily Living (A-IADL)

    Change from baseline in A-IADL score

    Time frame: Weeks 104, Week 156 and Week 208

  4. Cognitive Assessment - Mini Mental State Examination (MMSE)

    Change from baseline in MMSE score

    Time frame: Weeks 104, Week 156 and Week 208

  5. Global Assessment - Clinical Dementia Rating - Sum of Boxes (CDR-SB)

    Change from baseline in CDR-SB score

    Time frame: Weeks 104, Week 156 and Week 208

07

Study locations

6 sites
  • St. Anne's University Hospital
    Brno, Czechia
  • Motol University Hospital
    Prague, Czechia
  • Vestra Clinics
    Rychnov nad Kněžnou, Czechia
  • Brain Research Center
    's-Hertogenbosch, Netherlands
  • Brain Research Center
    Amsterdam, Netherlands
  • Brain Research Center
    Zwolle, Netherlands
08

References and documents

Publications

  • Hey JA, Yu JY, Abushakra S, Schaefer JF, Power A, Kesslak P, Paul J, Tolar M. Clinical Pharmacokinetics of Oral ALZ-801/Valiltramiprosate in a 2-Year Phase 2 Trial of APOE4 Carriers with Early Alzheimer's Disease. Clin Pharmacokinet. 2025 Mar;64(3):407-424. doi: 10.1007/s40262-025-01482-8. Epub 2025 Feb 5. PubMed 39907966 ↗
  • Hey JA, Yu JY, Abushakra S, Schaefer JF, Power A, Kesslak P, Tolar M. Analysis of Cerebrospinal Fluid, Plasma beta-Amyloid Biomarkers, and Cognition from a 2-Year Phase 2 Trial Evaluating Oral ALZ-801/Valiltramiprosate in APOE4 Carriers with Early Alzheimer's Disease Using Quantitative Systems Pharmacology Model. Drugs. 2024 Jul;84(7):825-839. doi: 10.1007/s40265-024-02068-7. Epub 2024 Jun 20. PubMed 38902572 ↗
  • Hey JA, Abushakra S, Blennow K, Reiman EM, Hort J, Prins ND, Sheardova K, Kesslak P, Shen L, Zhu X, Albayrak A, Paul J, Schaefer JF, Power A, Tolar M. Effects of Oral ALZ-801/Valiltramiprosate on Plasma Biomarkers, Brain Hippocampal Volume, and Cognition: Results of 2-Year Single-Arm, Open-Label, Phase 2 Trial in APOE4 Carriers with Early Alzheimer's Disease. Drugs. 2024 Jul;84(7):811-823. doi: 10.1007/s40265-024-02067-8. Epub 2024 Jun 20. PubMed 38902571 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04693520
Lead sponsor
Alzheon Inc.
Responsible party
Sponsor
First posted
Jan 5, 2021
Start date
Sep 30, 2020
Primary completion
Jun 20, 2023
Completion
Jul 16, 2025
Last update
Dec 18, 2025

Study contacts

John Hey, PhD
study director · Alzheon Inc.

Oversight

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

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