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RecruitingNCT07142954ANCHOR-ADUpdated Jul 7, 2026

Epidemiology and Biomarker Study in Alzheimer's Disease

A Phase 3 interventional study of P-tau217 Test in Alzheimer Disease, sponsored by Eli Lilly and Company. Recruiting at 4 sites in 2 countries. Open to participants aged 55 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-07.

Sponsored by Eli Lilly and Company · Phase 3, Interventional, and Other

From the registry’s dates

  • Started Aug 2025; still recruiting 1 year 1 month later.
Phase
Phase 3
Study type
Interventional
Enrollment
3,400
Allocation
Non-randomized
Ages
55 Years to 75 Years
Sex
All
01

Study summary

Study AACU determines rates of cognitive worsening in participants within elevated and not elevated plasma P-tau217 cohorts.

Participation in AACU will last approximately 7 years.

Read the detailed description

Study AACU is a non-drug interventional study. The intervention is annual plasma P-tau217 testing. Enrollment is anticipated to be approximately 3400 participants.

02

Conditions studied

  • Alzheimer Disease

Browse trials for

Keywords

  • Preclinical Alzheimer's Disease
  • Primary Prevention
03

In context

Alzheimer Disease

3,678 studies on the registry are indexed under Alzheimer Disease; 872 are open to participants now.

This study's planned enrollment of 3,400 is above the median of 70 across 2,808 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Eli Lilly and Company is the lead sponsor of 2,048 studies on the registry; 140 are open to participants now.

Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) have results posted.

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

04

Who can participate

Ages eligible
55 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • The participant must self-report unimpaired cognition.
  • The participant must have adequate literacy, vision, and hearing for neuropsychological assessments at the time of screening.

Exclusion criteria

Exclusion Criteria:

  • Have seen a doctor about memory concerns.
  • Have a history or diagnosis of cognitive impairment, or significant other neurodegenerative disease that can affect cognition.
  • Are currently enrolled or have previously participated in any Alzheimer's Disease (AD)-related study involving an investigational drug intervention.
  • Are currently using or have previously used prescription medications for treatment of mild cognitive impairment (MCI) or dementia such as amyloid targeting therapy (that is, lecanemab, donanemab, aducanumab), cholinesterase inhibitors (for example, benzgalantamine, donepezil, galantamine, rivastigmine), and memantine.
05

Study design

Phase
Phase 3
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
3,400 participants (estimated)

Study arms

  • Other
    Elevated Plasma P-tau217 Levels

    Participants with known elevated plasma P-tau217 levels who are cognitively unimpaired at baseline per self-report.

    Other: P-tau217 Test

  • Other
    Not-Elevated P-tau217 Levels

    Participants with known not-elevated plasma P-tau217 levels who are cognitively unimpaired at baseline per self-report.

    Other: P-tau217 Test

Interventions

  • OtherP-tau217 Test

    A plasma test measuring phosphorylated tau at Position 217 (P-tau217).

06

What researchers measure

Primary outcomes

  1. Time to Cognitive Worsening Within Cohorts as Measured by Cognitive Composite or Any of the Individual Composite Components

    Cognitive composite may consist of International Daily Symbol Substitution Test-Medicines (iDSSTm ), International Shopping List Test (ISLT), Continuous Paired Associate Learning Test (CPAL). Time to cognitive worsening is defined as a change in cognitive composite score or any of the individual composite components, from baseline at 2 consecutive visits.

    Time frame: Baseline up to 7 years

Secondary outcomes

  1. Time to Cognitive Worsening Between Groups (Participants Within Elevated and Not-Elevated Plasma P-Tau217) as Measured by Cognitive Composite or Any of the Individual Composite Components

    Cognitive composite may consist of iDSSTm, ISLT, and CPAL Time to cognitive worsening is defined as a change in cognitive composite score or any of the individual composite components, from baseline at 2 consecutive visits.

    Time frame: Baseline up to 7 years

  2. Time to Cognitive Worsening within Cohorts as Measured by Cognitive Function Index (CFI)

    Time frame: Baseline up to 7 years

  3. Time to Cognitive Worsening within Cohorts as Measured by Montreal Cognitive Assessment XpressO version (XpressO)

    Time frame: Baseline up to 7 years

  4. Time to Cognitive Worsening Between Groups as Measured by CFI

    Time frame: Baseline up to 7 years

  5. Time to Cognitive Worsening Between Groups as Measured by XpressO

    Time frame: Baseline up to 7 years

  6. Change from Baseline Within Not-Elevated and Elevated P-tau217 Groups as Measured by Cognitive Composite Score

    Time frame: Baseline, Year 7

  7. Change from Baseline Within Not-Elevated and Elevated P-tau217 Groups as Measured by ISLT

    Time frame: Baseline, Year 7

  8. Change from Baseline Within Not-Elevated and Elevated P-tau217 Groups as Measured by iDSSTm

    Time frame: Baseline, Year 7

  9. Change from Baseline Between Not-Elevated and Elevated P-tau217 Groups as Measured by Cognitive Composite Score

    Time frame: Baseline, Year 7

  10. Change from Baseline Between Not-Elevated and Elevated P-tau217 Groups as Measured by ISLT

    Time frame: Baseline, Year 7

  11. Change from Baseline Between Not-Elevated and Elevated P-tau217 Groups as Measured by iDSSTm

    Time frame: Baseline, Year 7

  12. Weighted Proportion of Participants with Elevated Plasma P-tau217 Levels in US and Japan with Unimpaired Cognition at Baseline

    Time frame: Baseline

07

Study locations

4 of 4 sites recruiting
  • Care Access - Houston
    Houston, Texas 77054, United States
    • · Contact · 877-791-0656
    • Ali Bajwa · Principal investigator
    Recruiting
  • The University of Tokyo Hospital
    Bunkyō City, 113-8654, Japan
    • · Contact · 81120023812
    • Yoshiki Niimi · Principal investigator
    Recruiting
  • Souseikai Sumida Hospital
    Tokyo, 130-0004, Japan
    • · Contact · 81120023812
    • Takuma Yonemura · Principal investigator
    Recruiting
  • Higashi Shinjuku Clinic
    Tokyo, 169-0072, Japan
    • · Contact · 81120023812
    • Hiroaki Kondo · Principal investigator
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07142954
Lead sponsor
Eli Lilly and Company
Responsible party
Sponsor
First posted
Aug 27, 2025
Start date
Aug 25, 2025
Primary completion
Jul 2033 (estimated)
Completion
Jul 2033 (estimated)
Last update
Jul 7, 2026

Study contacts

Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
Contact
LillyTrials@Lilly.com
1-317-615-4559
Physicians interested in becoming principal investigators please contact
Contact
clinical_inquiry_hub@lilly.com
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

Oversight

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

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