ClinicalTrials.gg
TerminatedNCT04886063Updated Apr 1, 2025Results posted

Open Label Study of ATH-1017 for Treatment of Mild to Moderate Alzheimer's Disease

A Phase 2/3 interventional study of ATH-1017 in Alzheimer Disease, sponsored by Athira Pharma. Terminated at 1 site in United States. Open to participants aged 55 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-04-01.

Sponsored by Athira Pharma · Phase 2/3, Interventional, and Treatment

Why this study was terminated
ATH-1017-AD-0203 was terminated after the Ph2/3 parent trial (LIFT-AD; NCT04488419) did not meet its primary endpoint, the GST score.
Phase
Phase 2/3
Study type
Interventional
Enrollment
423
Allocation
Not applicable
Ages
55 Years to 85 Years
Sex
All
01

Where this study stands

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

Among 1,939 studies in Alzheimer Disease with a site in United States — 345 open to participants now, 445 under way, 40 of them phase 3. Alzheimer Disease · United States.

Enrollment
218th of 1,608
423 · median 73
Started
2021
with 144 others
Phase 2/3
42 of 1,939
5 open now
Registered
1,326th of 1,939
by date

Among the 1,939 studies in Alzheimer Disease with a site in United States, this one is the 218th largest by enrollment of the 1,608 interventional ones that give a count, is one of 145 that started in 2021, is one of 42 in phase 2/3, and was the 1,326th 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

345 of the 1,939 studies in Alzheimer Disease with a site in United States are open now. Recruiting first, the newest first:

340 more — sign in →

All 345 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

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: 55 Years to 85 Years · all sexes · no healthy volunteers.

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02

Study summary

The objective of this study is to determine the safety and tolerability of fosgonimeton (ATH-1017) in subjects with mild to moderate Alzheimer's disease who completed the 26-week randomized treatment in Study ATH-1017-AD-0201 or Study ATH-1017-AD-0202.

Read the detailed description

This is a multicenter, seamless, open-label extension (OLEX) study of ATH-1017 treatment in subjects with a clinical diagnosis of mild to moderate Alzheimer's disease who completed 26 weeks treatment in the randomized, placebo-controlled, double-blind studies, ATH-1017-AD-0201 and ATH-1017-AD-0202. This OLEX study will provide additional, longer-term safety and tolerability information on ATH-1017 administration up to 48 months in subjects with mild to moderate Alzheimer's disease.

03

Conditions studied

  • Alzheimer Disease

Keywords

  • Alzheimer's
  • Dementia
  • ATH-1017
  • Open Label
04

Who can participate

Ages eligible
55 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

  • Subject has completed the Week 26 visit of either of the two blinded parent studies (ATH-1017-AD-0201 or ATH-1017-AD-0202).
  • Reliable and capable support person/caregiver who is willing to accept responsibility for supervising the daily treatment or, if required, administering study drug.
  • Subject capable of giving signed , or by a legally acceptable representative.
  • Subjects must be in generally good health.
  • Male subjects and their partners must agree to continue to use a double-barrier method of during the study, including the follow-up period, unless the partner is not of .

Exclusion criteria

Exclusion Criteria:

  • Subject has experienced a serious adverse event during the parent study, which could present an increased safety risk during the open label extension.
  • New diagnosis of severe major depressive disorder even without psychotic features.
  • Any subject with formalized delusions or hallucinations.
  • Significant suicide risk.
  • Newly-diagnosed malignant tumor, except for the following conditions that are stable in the judgement of the investigator:

    • Adequately treated squamous and basal cell carcinoma, or squamous and basal cell carcinoma in situ
    • Prostate carcinoma in situ
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
423 participants (actual)

Study arms

  • Experimental
    Treatment

    Daily subcutaneous (SC) injection of ATH-1017 - 40mg Dosage

    Drug: ATH-1017

Interventions

  • Daily subcutaneous (SC) injection of ATH-1017 in a pre-filled syringe

06

What researchers measure

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    Description - To determine the safety and tolerability of ATH-1017 in subjects with mild to moderate Alzheimer's disease (AD) who completed the 26-week randomized treatment in Study ATH-1017-AD-0201 or Study ATH-1017-AD-0202

    Time frame: Up to 173 weeks (study termination)

07

Results

Posted Apr 1, 2025
Limitations and caveats
The study was terminated early, following the completion of the parent study (ATH-1017-AD-0201; LIFT-AD)

Participant flow

This study was conducted in the United States and Australia.

Participant flow — Overall Study
MilestoneATH-1017 40 Milligrams (mg)
Started423
Completed35
Not completed388
Withdrew: Adverse event50
Withdrew: Lack of efficacy31
Withdrew: Withdrawal by subject45
Withdrew: Physician decision3
Withdrew: Protocol violation3
Withdrew: Site closure4
Withdrew: Nursing home replacement3
Withdrew: Lost to follow-up5
Withdrew: Early study termination or other undetermined reasons224
Withdrew: >1 reason20

Outcome measures

PrimaryIncidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

Description - To determine the safety and tolerability of ATH-1017 in subjects with mild to moderate Alzheimer's disease (AD) who completed the 26-week randomized treatment in Study ATH-1017-AD-0201 or Study ATH-1017-AD-0202

Time frame:
Up to 173 weeks (study termination)
Reported as:
Count of participants · Participants
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
ParticipantsATH-1017 40 Milligrams (mg)
At least 1 TEAE323
No TEAEs100

Adverse events

Collected over Up to 173 weeks; the protocolled 206-week treatment duration ended early due to study termination.. Non-serious events are listed at a 4% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ATH-1017 40 Milligrams (mg)4/423 (0.9%)54/423 (12.8%)348/423 (82.3%)
Most frequent serious events
Showing 10 of 58
Most frequent serious events
EventATH-1017 40 Milligrams (mg)
COVID-19Infections and infestations4/423
PneumoniaInfections and infestations4/423
Urinary tract infectionInfections and infestations4/423
FallInjury, poisoning and procedural complications3/423
SeizureNervous system disorders3/423
Atrial fibrillationCardiac disorders2/423
Respiratory syncytial virus infectionInfections and infestations2/423
ArthralgiaMusculoskeletal and connective tissue disorders2/423
Metabolic encephalopathyNervous system disorders2/423
AnaemiaBlood and lymphatic system disorders1/423
Most frequent other events
Most frequent other events
EventATH-1017 40 Milligrams (mg)
Injection site reactionsGeneral disorders213/423
COVID-19Infections and infestations44/423
Urinary tract infectionInfections and infestations28/423
FallInjury, poisoning and procedural complications24/423
EosinophiliaBlood and lymphatic system disorders20/423
Upper respiratory tract infectionInfections and infestations19/423

Baseline characteristics

Age, Continuous
Age, Continuous(years)ATH-1017 40 Milligrams (mg)
Mean72.5 ± 7.34
Sex: Female, Male
Sex: Female, Male(Participants)ATH-1017 40 Milligrams (mg)
Female218
Male205
Race (NIH/OMB)
Race (NIH/OMB)(Participants)ATH-1017 40 Milligrams (mg)
American Indian or Alaska Native0
Asian14
Native Hawaiian or Other Pacific Islander1
Black or African American17
White384
More than one race0
Unknown or Not Reported7
08

Study locations

1 site
  • University of Rochester-AD-CARE Program
    Rochester, New York 14620, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2021 to primary completion in Oct 2024, 39 months.

Results were first posted in Apr 2025, 5 months after primary completion.

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

Registered
May 10, 2021
First posted
May 13, 2021
StartActual
Jun 30, 2021
Primary completionActual
Oct 23, 2024
CompletionActual
Oct 23, 2024
Results first posted
Apr 1, 2025
Last update
Apr 1, 2025
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 Apr 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04886063
Lead sponsor
Athira Pharma
Responsible party
Sponsor
First posted
May 13, 2021
Start date
Jun 30, 2021
Primary completion
Oct 23, 2024
Completion
Oct 23, 2024
Results posted
Apr 1, 2025
Last update
Apr 1, 2025

Oversight

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

Not currently enrolling

This study is terminated, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Fosgonimeton sodium

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