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Phase 3 N=325 Randomized Quadruple-blind Treatment

An Efficacy and Safety Study of ALZ-801 in APOE4/4 Early AD Subjects

Early Alzheimer's Disease

Enrolled (actual)
325
Serious AEs
8.6%
Results posted
Nov 2025
Primary outcome: Primary: Primary Cognitive Efficacy Endpoint (ADAS-Cog13) — 4.40; 3.89 Score on a scale — p=0.6058

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Experimental: ALZ-801 (Drug); Placebo Comparator: Placebo (Drug)
Age
Adult, Older Adult · 50+ yrs
Sex
All
Sponsor
Alzheon Inc.
Primary completion
May 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Primary Cognitive Efficacy Endpoint (ADAS-Cog13)
4.40; 3.89 0.6058
PRIMARY
Incidence, Nature, and Severity of Treatment Emergent Adverse Events (TEAE)
137; 140; 44; 75; 13; 14
SECONDARY
Key Secondary Endpoint (A-IADL-W)
13.59; 13.60 0.9966
SECONDARY
Key Secondary Endpoint (CDR-SB)
1.36; 1.05 0.3090
SECONDARY
Functional Assessment (DAD)
-9.2; -6.5 0.2763
SECONDARY
Global Cognition Assessment (MMSE)
-2.03; -1.60 0.4484

Summary

This study is being conducted to evaluate the safety and efficacy of ALZ-801 in Early Alzheimer's disease (AD) subjects with the APOE4/4 genotype. This is a double-blind, randomized trial with one dose of ALZ-801 compared to placebo.

Eligibility Criteria

Inclusion Criteria

  • Clinical diagnosis of MCI or Mild Dementia due to AD consistent with the National Institute on Aging-Alzheimer's Association (NIA-AA) Working Group Criteria.
  • Homozygous for the ε4 allele of the apolipoprotein E gene (APOE4/4).
  • MMSE score at Screening of 22 to 30 (inclusive).
  • CDR - Global score of 0.5 or 1 and CDR Memory Box Score of ≥ 0.5.
  • RBANS delayed memory index score ≤ 85.
  • Evidence of progressive memory loss over the last 12 months per investigator assessment

Exclusion Criteria

  • Brain magnetic resonance imaging (MRI) indicative of significant abnormality per central reader, other than AD related atrophy. Computed tomography (CT) scan acceptable for subjects who cannot undergo MRI.
  • Diagnosis of neurodegenerative disorder other than AD.
  • Diagnosis of major depressive disorder (MDD) within one year prior to screening.
  • Currently taking memantine or has taken memantine within 12 weeks prior to the Baseline Visit.
  • History of suicidal behavior within one year prior to screening or has ongoing suicidal ideation.
  • History of seizures, excluding febrile seizures of childhood or a single distant seizure (> 5 years).
  • Medically confirmed history of recent cerebral infarct or transient ischemic attack within one year prior to screening.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04770220). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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