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Active, not recruitingNCT07170150TRONTIER 2Updated Sep 25, 2026

A Clinical Trial of Trontinemab in Participants With Early Symptomatic Alzheimer's Disease

A Phase 3 interventional study of Trontinemab and Placebo in Alzheimers Disease, sponsored by Hoffmann-La Roche. Active, not recruiting at 147 sites in 16 countries. Open to participants aged 50 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment

Updated Sep 25, 2026Now Active, not recruitingPrimary completion moved+4 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
1,060
Allocation
Randomized
Ages
50 Years to 90 Years
Sex
All
01

Study summary

The purpose of this study is to assess the efficacy and safety of trontinemab in participants with early symptomatic Alzheimer's disease (AD) (mild cognitive impairment [MCI] to mild dementia due to AD).

02

Conditions studied

  • Alzheimers Disease

Keywords

  • Early Alzheimers Disease
  • Mild Cognitive Impairment
  • Mild Dementia
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 enrollment of 1,060 is above the median of 70 across 2,808 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,061 studies on the registry; 85 are open to participants now.

Of its 319 completed or terminated interventional studies of FDA-regulated products, 239 (75%) have results posted.

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

04

Who can participate

Ages eligible
50 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Willingness and ability to complete all aspects of the study (including MRI, clinical genotyping, and PET imaging or CSF as applicable) for the duration of the study. The participant should be capable of completing assessments either alone or with the help of the study partner
  • Adequate visual and auditory acuity, in the investigator's judgment, sufficient to perform the neuropsychological testing (eyewear and hearing aids are permitted)
  • Evidence of AD pathological process, as confirmed on amyloid PET scan. A CSF tau181/Aβ42 ratio may be used as an alternative option if amyloid PET is not available
  • Probable AD dementia or MCI due to AD, also known as an Alzheimer's clinical syndrome clinical Stage 3 or Stage 4
  • Screening MMSE score ≥ 22 and CDR-GS of 0.5 or 1.0
  • Participant- and/or Informant-reported history of cognitive decline with gradual onset and progression over the last 1 year before screening
  • A Repeatable Battery for the Assessment of Neuropsychological Status Delayed Memory Index (RBANS DMI) score of 85 or order
  • Availability of a "study partner" as defined by the protocol

Exclusion criteria

Exclusion Criteria:

  • Any evidence of a condition other than AD that may affect cognition
  • History or presence of clinically significant cerebrovascular disease
  • History of severe, clinically significant (persistent neurologic deficit or structural brain damage) central nervous system (CNS) trauma
  • History or presence of clinically significant intracranial mass
  • MRI evidence of significant cerebral abnormalities or inability to tolerate MRI procedures or contraindication to MRI
  • Any other medical conditions (e.g., cardiovascular, hepatic, renal disease) which are not stable and adequately controlled or which in the opinion of the investigator could affect the participant's safety in the study or interfere with the study assessments
  • History of malignancy with the following exceptions: if considered to be cured; malignancies with a negligible risk of metastasis or death
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,060 participants (actual)

Study arms

  • Experimental
    Trontinemab

    Participants will receive intravenous (IV) trontinemab.

    Drug: Trontinemab

  • Placebo comparator
    Placebo

    Participants will receive IV placebo.

    Other: Placebo

Interventions

  • DrugTrontinemab

    Participants will receive IV trontinemab

    Also known as: RO7126209

  • OtherPlacebo

    Participants will receive IV placebo

06

What researchers measure

Primary outcomes

  1. Change From Baseline to Week 72 in Clinical Dementia Rating, Sum of Boxes (CDR-SB)

    Time frame: Baseline - Week 72

Secondary outcomes

  1. Change From Baseline Through Week 72 in Alzheimer's Disease Assessment Scale-Cognition 13 (ADAS-Cog-13)

    Time frame: Baseline - Week 72

  2. Change From Baseline Through Week 72 in Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL) Total Score and Instrumental Score

    Time frame: Baseline - Week 72

  3. Change From Baseline Through Week 72 in Integrated Alzheimer's Disease Rating Scale (iADRS)

    Time frame: Baseline - Week 72

  4. Change From Baseline Through Week 72 in Mini-Mental State Examination (MMSE)

    Time frame: Baseline - Week 72

  5. Change From Baseline in CDR-SB

    Time frame: Baseline up to but excluding Week 72

  6. Time to Increase in Clinical Dementia Rating, Global Score (CDR-GS)

    Time frame: Baseline - Week 72

  7. Percentage of Participants With Adverse Events (AEs)

    Time frame: Baseline - Week 72

  8. Change from Baseline in C-SSRS (Columbia-Suicide Severity Rating Scale)

    Time frame: Baseline - Week 72

  9. Percentage of Participants With Amyloid-related Imaging Abnormalities (ARIA) Magnetic Resonance Imaging (MRI) Findings

    Time frame: Baseline - Week 72

  10. Percentage of Participants With Infusion-related Reactions (IRR)

    Time frame: Baseline - Week 72

  11. Percentage of Participants With Anti-drug Antibodies (ADAs) to Trontinemab

    Time frame: Baseline - Week 72

  12. Change From Baseline Through Week 72 in Brain Amyloid Load as Measured by Amyloid Positron Emission Tomography (PET) Scan

    Time frame: Baseline - Week 72

  13. Change From Baseline to Week 72 in Brain tau Load as Measured by tau PET Scan in a Subset of Participants

    Time frame: Baseline - Week 72

  14. Change From Baseline Through Week 72 in Cerebrospinal Fluid (CSF) Biomarkers of Disease p-tau181, Neurogranin, Amyloid Beta (Aβ)42, Aβ42/40 in a Subset of Participants

    Time frame: Baseline - Week 72

  15. Change From Baseline Through Week 72 in Blood Biomarkers p-tau217, Glial Fibrillar Acidic Protein (GFAP), Aβ42, Aβ42/40

    Time frame: Baseline - Week 72

07

Study locations

147 sites
  • Banner Alzheimer?s Institute
    Phoenix, Arizona 85006, United States
  • Sun Valley Research Center, Inc.
    Imperial, California 92251, United States
  • Healthy Brain Clinic
    Long Beach, California 90804, United States
  • Oakland Clinical
    Oakland, California 94609, United States
  • Riverside Clinical
    Riverside, California 92506, United States
  • Cenexel California Neuroscience Research, LLC
    Sherman Oaks, California 91403, United States
  • Yale University
    New Haven, Connecticut 06510, United States
  • JEM Research LLC
    Atlantis, Florida 33462, United States
  • K2 Medical Research-Winter Garden
    Clermont, Florida 34711, United States
  • Visionary Investigators Network- Neurology Aventura
    Miami, Florida 33133, United States
  • Charter Research - Winter Park/Orlando
    Orlando, Florida 32803, United States
  • Conquest Research - Lake Nona
    Orlando, Florida 32832, United States
  • Alzheimer's Research and Treatment Center
    Stuart, Florida 34996, United States
  • CenExel iResearch, LLC
    Decatur, Georgia 30030, United States
  • Center for Advanced Research & Education
    Gainesville, Georgia 30501, United States
  • Great Lakes Clinical Trials Chicago d/b/a Flourish Research Andersonville
    Chicago, Illinois 60640, United States
  • Adams Clinical Boston
    Boston, Massachusetts 02116, United States
  • Adams Clinical Watertown
    Watertown, Massachusetts 02472, United States
  • Quest Research Institute
    Farmington Hills, Michigan 48334, United States
  • University of Nebraska Medical Center
    Omaha, Nebraska 68198-8440, United States
  • The Cognitive and Research Center of New Jersey
    Springfield, New Jersey 07081, United States
  • IMA Clinical Research - Albuquerque
    Albuquerque, New Mexico 87109, United States
  • AD-CARE, University of Rochester Medical Center
    Rochester, New York 14620, United States
  • Summit Research Network Inc.
    Portland, Oregon 97210, United States
  • Flourish Research ? Philadelphia
    Plymouth Meeting, Pennsylvania 19462, United States
  • Palmetto Clinical Trials
    Summerville, South Carolina 29485, United States
  • Gadolin Research, LLC
    Beaumont, Texas 77702, United States
  • Kerwin Medical Center
    Dallas, Texas 75216, United States
  • Re:Cognition Health - Fort Worth
    Fort Worth, Texas 76104, United States
  • Mt.Olympus Medical Research
    Katy, Texas 77450, United States
  • El Faro Health and Therapeutics
    Rio Grande City, Texas 78582, United States
  • Sana Research, LLC
    Arlington, Virginia 22205, United States
  • Re:Cognition Health
    Fairfax, Virginia 22031, United States
  • INECO Neurociencias Orono
    Rosario, Santa Fe Province S2000DTC, Argentina
  • CIER
    C. A. B. A., C1055AAF, Argentina
  • Fundacion Scherbovsky
    Mendoza, 5500, Argentina
  • Royal Prince Alfred Hospital
    Camperdown, New South Wales 2050, Australia
  • Southern Neurology
    Kogarah, New South Wales 2217, Australia
  • KaRa Institute of Neurological Diseases
    Macquarie Park, New South Wales 2113, Australia
  • Flinders Medical Centre
    Bedford Park, South Australia 5042, Australia
  • Queen Elizabeth Hospital
    Woodville, South Australia 5011, Australia
  • Box Hill Hospital
    Box Hill, Victoria 3128, Australia
  • Austin Health
    Heidelberg, Victoria 3084, Australia
  • Alfred Hospital
    Melbourne, Victoria 3004, Australia
  • Alzheimer?s Research Australia
    Nedlands, Western Australia 6009, Australia
  • L2 Ip Instituto de Pesquisas Clinicas Ltda ME
    Brasília, Federal District 70200-730, Brazil
  • Instituto de Neurologia de Curitiba
    Curitiba, Paraná 81210-310, Brazil
  • Clinica Clinilive ltda
    Maringá, Paraná 87013-250, Brazil
  • Instituto do Cerebro do Rio Grande do Sul
    Porto Alegre, Rio Grande do Sul 90610-000, Brazil
  • Clinica Neurologica
    Joinville, Santa Catarina 89202-190, Brazil
  • CEMEC - Centro Multidisciplinar de Estudos Clínicos
    São Bernardo do Campo, São Paulo 09715-090, Brazil
  • Okanagan Clinical Trials
    Kelowna, British Columbia V1Y 1Z9, Canada
  • Centricity Research
    Halifax, Nova Scotia B3S 1N2, Canada
  • Parkwood Institute Main Building
    London, Ontario N6C0A7, Canada
  • The Ottawa Memory Clinic
    Ottawa, Ontario K1Z 1G3, Canada
  • Kawartha Centre - Redefining Healthy Aging
    Peterborough, Ontario K9H 2P4, Canada
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N 3M5, Canada
  • St. Michael's Hospital
    Toronto, Ontario M5B 1W8, Canada
  • Genge Partners Inc.
    Montreal, Quebec H4A 3T2, Canada
  • Aalborg Universitetshospital
    Aalborg, 9000, Denmark
  • Aarhus Universitetshospital Skejby
    Aarhus N, 8200, Denmark
  • Rigshospitalet, Hukommelsesklinikken
    København Ø, 2100, Denmark
  • CHU Amiens Hopital Sud
    Amiens Cedex1, 80054, France
  • Centre Hospitalier Universitaire de Bordeaux Hopital Pellegrin
    Bordeaux, 33076, France
  • Groupement Hospitalier Est - Hôpital Neurologique
    Bron, 69677, France
  • CHU Dupruytren - Limoges
    Limoges, 87042, France
  • Hopital Gui de Chauliac
    Montpellier, 34295, France
  • Ch Pitie Salpetriere
    Paris, 75651, France
  • Hop Guillaume Et Rene Laennec
    Saint-Herblain, 44800, France
  • Hôpital Robertsau
    Strasbourg, 67000, France
  • Universitaetsklinikum Erlangen
    Erlangen, Bavaria 91054, Germany
  • Ambulates Gesundheitszentrum der Charité GmbH
    Berlin, 12200, Germany
  • ECRC Experimental and Clinical Research Center, Charité Campus Berlin Buch, Memory Clinic
    Berlin, 13125, Germany
  • German Center for Neurodegenerative Diseases (DZNE)
    Bonn, 53127, Germany
  • Universitätsklinikum Köln
    Cologne, 50937, Germany
  • Medizinische Fakultät Carl Gustav Carus
    Dresden, 01307, Germany
  • Universitätsklinikum des Saarlandes Klinik f. Psychiatrie und Psychotherapie
    Homburg/Saar, 66421, Germany
  • Universitätsklinikum Jena, Klinik für Neurologie
    Jena, 07747, Germany
  • Universität Leipzig
    Leipzig, 04103, Germany
  • Otto-von-Guericke-Universität Magdeburg
    Magdeburg, 39120, Germany
  • Zentralinstitut für Seelische Gesundheit Abt.Gerontopsychiatrie
    Mannheim, 68159, Germany
  • Universitätsklinikum Münster
    Münster, 48149, Germany
  • Neuropraxis München Süd
    Unterhaching, 82008, Germany
  • A. O. U. Federico II
    Naples, Campania 80131, Italy
  • Nuovo Ospedale Civile S. Agostino-Estense
    Modena, Emilia-Romagna 41126, Italy
  • Policlinico Universitario Agostino Gemelli
    Rome, Lazio 00168, Italy
  • Ospedale Isola Tiberina - Gemelli Isola
    Rome, Lazio 00186, Italy
  • AO di Perugia - Ospedale S. Maria della Misericordia
    Perugia, Umbria 06156, Italy
  • Brain Attack Center Ota Memorial Hospital
    Hiroshima, 720-0825, Japan
  • National Hospital Organization Hiroshima-Nishi Medical Center
    Hiroshima, 739-0696, Japan
  • Kobe University Hospital
    Hyōgo, 650-0017, Japan
  • Kagawa University Hospital
    Kagawa, 761-0793, Japan
  • Kochi Medical School Hospital
    Kochi, 783-8505, Japan
  • Okayama City Hospital
    Okayama, 700-8557, Japan
  • Rijikai Medical Corporation Katayama Medical Clinic
    Okayama, 710-0813, Japan
  • Kotobuki Social Medical Corporation Tominaga Clinic
    Osaka, 556-0015, Japan
  • The University of Tokyo Hospital
    Tokyo, 113-8655, Japan
  • Higashi-Shinjuku Clinic
    Tokyo, 169-0072, Japan
  • Brain Research Center Den Bosch
    's-Hertogenbosch, 5223 LA, Netherlands
  • Brain Research Center B.V
    Amsterdam, 1081 GN, Netherlands

Showing the first 100 of 147 sites across 16 countries.

08

References and documents

Individual participant data

Plan to share: Yes — For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing

09

Updates

1 registry update since Sep 25, 2026
Status
Recruiting→Active, not recruiting
changed Sep 25, 2026
Sites
3 sites removed
Show 3 removed
  • CHU de Rouen Hopital · Rouen, France
  • LMU Klinikum, Neurologische Klinik und Poliklinik · München, Germany
  • Ludwig-Maximilians-Univ. · München, Germany
Sep 25, 2026
Primary completion
Jun 7, 2028→Feb 16, 2028
Sep 25, 2026
Study completion
Jun 7, 2028→Feb 16, 2028
Sep 25, 2026
Enrollment
800 (estimated)→1060 (actual)
Sep 25, 2026
Also revised
primary outcomes
Show all 1 update
  1. Sep 25, 2026
    Recruiting→Active, not recruiting
    3 sites removed
    Show 3 removed
    • CHU de Rouen Hopital · Rouen, France
    • LMU Klinikum, Neurologische Klinik und Poliklinik · München, Germany
    • Ludwig-Maximilians-Univ. · München, Germany
    Primary completion Jun 7, 2028→Feb 16, 2028
    Study completion Jun 7, 2028→Feb 16, 2028
    Enrollment 800 (estimated)→1060 (actual)
    Primary outcomes Revised (2 changes)
    + 4 other changes: identifiers, verification date, secondary outcomes and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07170150
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Sep 12, 2025
Start date
Nov 12, 2025
Primary completion
Feb 16, 2028 (estimated)
Completion
Feb 16, 2028 (estimated)
Last update
Sep 25, 2026

Study contacts

Clinical Trials
study director · Hoffmann-La Roche

Oversight

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

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