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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06653153
Registration number
NCT06653153
Ethics application status
Date submitted
21/10/2024
Date registered
22/10/2024
Date last updated
8/07/2025
Titles & IDs
Public title
A Study of Remternetug (LY3372993) in Early Alzheimer's Disease (TRAILRUNNER-ALZ 3)
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Scientific title
A Study of Remternetug Versus Placebo in Early Alzheimer's Disease Participants at Risk for Cognitive and Functional Decline
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Secondary ID [1]
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J1G-MC-LAKI
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Secondary ID [2]
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27183
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Alzheimer's Disease
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Condition category
Condition code
Neurological
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Alzheimer's disease
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Neurological
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Dementias
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Remternetug
Treatment: Drugs - Placebo
Experimental: Remternetug - Remternetug administered subcutaneously (SC).
Placebo comparator: Placebo - Placebo administered SC.
Treatment: Drugs: Remternetug
Administered SC
Treatment: Drugs: Placebo
Administered SC
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Time to Clinically Meaningful Progression as Measured by Clinical Dementia Rate (CDR)
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Assessment method [1]
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Time to clinically meaningful progression as measured by CDR. CDR is a clinician-rated scale that provides an overall assessment of the participant's stage and degree of impairment across the continuum of early Alzheimer's Disease (AD).
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Timepoint [1]
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Baseline to Time to Event up to Week 255
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Secondary outcome [1]
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Change from Baseline in Clinical Dementia Rate Box Score (SB)
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Assessment method [1]
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Change from baseline in Clinical Dementia Rate Box Score (SB) scores range from 0 to 18, with higher scores indicative of more impairment.
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Timepoint [1]
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Baseline, Week 255
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Secondary outcome [2]
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Change from Baseline in Montreal Cognitive Assessment (MoCA)
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Assessment method [2]
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Change from baseline in Montreal Cognitive Assessment (MoCA). Total MoCA score is 0 to 30, with lower scores indicating greater level of impairment.
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Timepoint [2]
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Baseline, Week 255
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Secondary outcome [3]
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Change from Baseline in the Category Fluency - Language, Executive Function, Semantic Memory
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Assessment method [3]
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Change from baseline in the Category Fluency - Language, Executive Function, Semantic Memory. The total score reflects the sum of correct responses generated across all categories presented, with higher values indicating better performance.
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Timepoint [3]
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Baseline, Week 255
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Secondary outcome [4]
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Change from Baseline in the Continuous Paired Associate Learning (CPAL)
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Assessment method [4]
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Change from baseline in Continuous Paired Associate Learning (CPAL) - Visual episodic memory.
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Timepoint [4]
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Baseline, Week 255
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Secondary outcome [5]
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Change from Baseline in International Shopping List Test (ISLT) - Verbal Episodic Mem
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Assessment method [5]
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Change from baseline in the International Shopping List Test (ISLT) - verbal episodic memory.
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Timepoint [5]
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Baseline, Week 255
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Secondary outcome [6]
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Change from Baseline in International Daily Symbol Substitution Test-Medicines (iDSSTm) - Complex Attention Memory
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Assessment method [6]
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Change from baseline in the International Daily Symbol Substitution Test-Medicines (iDSSTm) - complex attention memory.
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Timepoint [6]
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Baseline, Week 255
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Secondary outcome [7]
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Change from Baseline in Cogstate Brief Battery (CBB) - Psychomotor Function, Attention, Learning and Working Memory
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Assessment method [7]
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Change from baseline in the Cogstate Brief Battery (CBB) - Psychomotor function, attention, learning, and working memory.
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Timepoint [7]
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Baseline, Week 255
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Secondary outcome [8]
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Change from Baseline in Cognitive Function Index (CFI)
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Assessment method [8]
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Change from baseline in the Cognitive Function Index (CFI).
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Timepoint [8]
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Baseline, Week 255
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Secondary outcome [9]
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Change from Baseline in Mild Behavioral Impairment Checklist (MBI-C)
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Assessment method [9]
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Change from baseline in the Mild Behavioral Impairment Checklist (MBI-C) The MBI-C total score range is 0 to 102, with higher scores indicating greater impairment.
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Timepoint [9]
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Baseline, Week 255
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Secondary outcome [10]
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Change from Baseline in Alzheimer's Disease Cooperative Study (ADCS) Activities of Daily Living - Prevention Instrument (ADCS-ADL-PI)
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Assessment method [10]
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Change from baseline in the Activities of Daily Living - Prevention Instrument total scores range from 0 to 54, with higher scores indicating better performance.
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Timepoint [10]
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Baseline, Week 255
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Secondary outcome [11]
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Pharmacokinetics: Serum Concentrations of Remternetug
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Assessment method [11]
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PK: serum concentration of remternetug.
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Timepoint [11]
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Baseline through Week 255
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Secondary outcome [12]
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Number of Participants with Treatment Emergent Anti-Drug Antibodies (TE-ADAs)
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Assessment method [12]
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Number of participants with treatment emergent anti-drug antibodies (TE-ADAs).
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Timepoint [12]
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Baseline through Week 255
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Eligibility
Key inclusion criteria
* Have a phosphorylated tau (P-tau) result consistent with the presence of amyloid pathology.
* Have a reliable study partner and backup study partner familiar with overall function and behavior, such as day-to-day activities and cognitive abilities.
* Have adequate literacy, vision, and hearing for neuropsychological testing at screening.
* Have a Mini Mental Status Exam (MMSE) score consistent with no to minimal cognitive impairment.
* Have a Functional Activities Questionnaire (FAQ) score consistent with no to minimal functional impairment.
* If currently receiving medications as symptomatic treatment for AD, dose has been stable for at least 30 days before screening.
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Minimum age
55
Years
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Maximum age
80
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Have dementia or significant other neurological disease that can affect cognition.
* Have current serious or unstable illnesses that in the investigator's opinion, could interfere with the analyses of the study.
* Have a history of cancer that, in the investigator's opinion, has a high risk of recurrence.
* Have a history of clinically significant multiple or severe drug allergies, or hypersensitivity reactions.
* Have a clinically important laboratory test result or other abnormality as determined by investigator, prior to randomization, that could be detrimental to the participant or could compromise the study.
* Have any contraindications for magnetic resonance imaging (MRI).
* Have a centrally read MRI that does not meets study entry criteria.
Prior or Current Therapies
* Have ever had prior treatment with a passive anti-amyloid immunotherapy.
* Have received active immunization against Aß in any other study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
24/10/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/10/2030
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Actual
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Sample size
Target
1200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC
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Recruitment hospital [1]
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Emeritus Research - Botany
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GenesisCare - Maitland - East Maitland
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Southern Neurology - Kogarah
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KARA Institute for Neurological Diseases - Macquarie Park
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St Vincent's Hospital - Sydney
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USC Clinical Trials Sunshine Coast - Birtinya
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The University of Queensland - Herston
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Ipswich Hospital - Ipswich
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USC Clinical Trials Brisbane (South Bank) - South Brisbane
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Fusion Clinical Research - Norwood
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The Queen Elizabeth Hospital - Woodville
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Box Hill Hospital - Box Hill
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Emeritus Research - Camberwell
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Austin Health - Ivanhoe
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HammondCare - Malvern
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Recruitment hospital [16]
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The Royal Melbourne Hospital - Parkville
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Recruitment postcode(s) [1]
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2019 - Botany
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Recruitment postcode(s) [2]
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2323 - East Maitland
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Recruitment postcode(s) [3]
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2217 - Kogarah
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Recruitment postcode(s) [4]
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2113 - Macquarie Park
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Recruitment postcode(s) [5]
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2010 - Sydney
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Recruitment postcode(s) [6]
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4575 - Birtinya
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Recruitment postcode(s) [7]
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4029 - Herston
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Recruitment postcode(s) [8]
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4305 - Ipswich
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Recruitment postcode(s) [9]
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4101 - South Brisbane
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Recruitment postcode(s) [10]
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5067 - Norwood
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Recruitment postcode(s) [11]
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5011 - Woodville
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Recruitment postcode(s) [12]
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3128 - Box Hill
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Recruitment postcode(s) [13]
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3124 - Camberwell
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Recruitment postcode(s) [14]
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3079 - Ivanhoe
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Recruitment postcode(s) [15]
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3144 - Malvern
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Recruitment postcode(s) [16]
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3050 - Parkville
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Recruitment outside Australia
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Ontario
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Jilin
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Tianjin
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Aichi
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Fukuoka
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Kyoto
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Chungcheongbuk-do [Chungbuk]
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Incheon-gwangyeoksi [Incheon]
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Distrito Federal
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Jalisco
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Aguascalientes
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Mexico
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Chihuahua
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Bayamon
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San Juan
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AndalucÃa
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Spain
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State/province [98]
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Madrid
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Country [99]
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Spain
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PaÃs Vasco
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Taiwan
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State/province [100]
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Changhua
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Taiwan
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State/province [101]
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Kaohsiung
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Taiwan
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State/province [102]
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New Taipei
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Country [103]
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Taiwan
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State/province [103]
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Yunlin
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Taiwan
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State/province [104]
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Taichung
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Taiwan
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State/province [105]
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Tainan
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Country [106]
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Taiwan
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State/province [106]
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Taipei
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Country [107]
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Taiwan
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State/province [107]
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Taoyuan
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Country [108]
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United Kingdom
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State/province [108]
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Bath And North East Somerset
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Country [109]
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United Kingdom
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State/province [109]
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Cornwall
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Country [110]
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United Kingdom
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State/province [110]
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Devon
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Country [111]
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United Kingdom
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State/province [111]
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Edinburgh, City Of
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Country [112]
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United Kingdom
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State/province [112]
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England
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United Kingdom
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State/province [113]
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Great Britain
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Country [114]
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United Kingdom
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State/province [114]
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Hampshire
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Country [115]
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United Kingdom
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State/province [115]
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Lancashire
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Country [116]
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United Kingdom
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State/province [116]
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London, City Of
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Country [117]
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United Kingdom
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State/province [117]
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Oxfordshire
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Country [118]
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United Kingdom
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State/province [118]
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Wirral
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United Kingdom
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State/province [119]
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Birmingham
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United Kingdom
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Manchester
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Eli Lilly and Company
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to measure the difference in time to developing or worsening memory, thinking, or functional problems due to Alzheimer's disease occurring in participants receiving study drug compared to placebo. Participation could last up to 255 weeks including screening, a double-blind treatment period, and a double-blind observation period. In addition, eligible participants who receive placebo during the double-blind treatment period may choose to extend their study participation to receive open-label remternetug in an extension period.
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Trial website
https://clinicaltrials.gov/study/NCT06653153
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Public notes
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Contacts
Principal investigator
Name
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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
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Address
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Eli Lilly and Company
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Email
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Contact person for public queries
Name
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There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or
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Address
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Country
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Phone
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3176154559
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06653153
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