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Phase III: Trontinemab in AD (TRONTIER 1)

Clinical Trial Overview

A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Efficacy and Safety Study of Trontinemab in Participants With Early Symptomatic Alzheimer's Disease (MCI to Mild Dementia Due to AD)

Objective

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).

AD=Alzheimer’s disease; MCI=mild cognitive impairment

Primary Endpoints

  • Change from baseline to Week 72 in Clinical Dementia Rating, Sum of Boxes (CDR-SB)

Secondary Endpoints

  • Change from baseline through Week 72 in Alzheimer's Disease Assessment Scale-Cognition 13 (ADAS-Cog-13)
  • Change from baseline through Week 72 in Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory (ADCS-ADL) total score and instrumental score
  • Change from baseline through Week 72 in Integrated Alzheimer's Disease Rating Scale (iADRS)
  • Change from baseline through Week 72 in Mini-Mental State Examination (MMSE)
  • Change from baseline in CDR-SB
  • Time to increase in Clinical Dementia Rating, Global Score (CDR-GS)
  • Percentage of participants with adverse events (AEs)
  • Percentage of participants with amyloid-related imaging abnormalities (ARIA) magnetic resonance imaging (MRI) findings
  • Percentage of participants with infusion-related reactions (IRR)
  • Percentage of participants with anti-drug antibodies (ADAs) to trontinemab
  • Change from baseline through Week 72 in brain amyloid load as measured by amyloid positron emission tomography (PET) scan
  • Change from baseline to Week 72 in brain tau load as measured by tau PET scan in a subset of participants
  • Change from baseline through Week 72 in cerebrospinal fluid (CSF) biomarkers of disease p-tau181, neurogranin, Aβ42 in a subset of participants
  • Change from baseline through Week 72 in blood biomarkers p-tau217, glial fibrillar acidic protein (GFAP)

ADAs=anti-drug antibodies; ADAS-Cog-13=Alzheimer's Disease Assessment Scale-Cognition 13; ADCS-ADL=Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory; AEs=adverse events; ARIA=amyloid-related imaging abnormalities; CDR-GS=Clinical Dementia Rating, Global Score; CDR-SB=Clinical Dementia Rating, Sum of Boxes; CSF=cerebrospinal fluid; GFAP=glial fibrillar acidic protein; iADRS=Integrated Alzheimer's Disease Rating Scale; IRR=infusion-related reactions; MMSE=Mini-Mental State Examination; MRI=magnetic resonance imaging; PET=positron emission tomography

Inclusion and Exclusion Criteria

Key Inclusion Criteria Key Exclusion 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 lower
  • Availability of a "study partner" as defined by the protocol
  • 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

CNS=central nervous system; RBANS DMI=Repeatable Battery for the Assessment of Neuropsychological Status Delayed Memory Index

Enrollment & Resources

Enrollment

For more information on eligibility criteria, view the study or reach out to our team.

General icon

Web

ClinicalTrials.gov
Identifier: NCT07169578

Call icon

Phone

1-888-662-6728
(US and Canada)

Clinical Trial Site Locations

Clinical Trial Site Locations

For more information on recruitment status, or where the study is being conducted

Information is consistent with ClinicalTrials.gov as of February 2, 2026. Products under investigation have not been approved for use outside of the clinical trial setting. This information is presented only for the purposes of providing an overview of clinical trials and should not be construed as a recommendation for use of any product for unapproved purposes.

Looking for more information?

Reach out to a Genentech Medical Science Liaison near you, or connect with the contact center.

Call the Trial Information Support Team: 1-888-662-6728 Hours: Monday-Friday, 5am-5pm PT

  • AD
    Alzheimer’s disease

  • ADAS-Cog-13
    Alzheimer's Disease Assessment Scale-Cognition 13

  • ADAs
    Anti-drug antibodies

  • ADCS-ADL
    Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory

  • AEs
    Adverse events

  • ARIA
    Amyloid-related imaging abnormalities

  • CDR-GS
    Clinical Dementia Rating, Global Score

  • CDR-SB
    Clinical Dementia Rating, Sum of Boxes

  • CNS
    Central nervous system

  • CSF
    Cerebrospinal fluid

  • GFAP
    Glial fibrillar acidic protein

  • iADRS
    Integrated Alzheimer's Disease Rating Scale

  • IRR
    Infusion-related reactions

  • MCI
    Mild cognitive impairment

  • MMSE
    Mini-Mental State Examination

  • MRI
    Magnetic resonance imaging

  • PET
    Positron emission tomography

  • RBANS DMI
    Repeatable Battery for the Assessment of Neuropsychological Status Delayed Memory Index