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A Randomized, Double-blind, Placebo-controlled Study to Assess Safety, Tolerability, Pharmacokinetics, Immunogenicity, and Pharmacodynamic Response of Repeated Intravenous Infusions of BAN2401 in Subjects With Mild Cognitive Impairment Due to Alzheimer's Disease and Mild Alzheimer's Disease
Lead sponsor
Asset
Lecanemab
Listed sites
4
Recruiting sites
-
Enrollment
26
actual
Study population
Alzheimer’s disease, MCI / preclinical Alzheimer’s
Key I/E criteria
•MCI due to AD•MMSE 22-30•Study partner/caregiver required
Primary endpoint
•Adverse Events as a Measure of Safety and Tolerability
Footprint
Where this trial recruits
Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.
Identifiers
Registered as
Timeline
Milestones
Assets
Drug assets
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
MCI due to AD
1. Subjects who have clinical and cognitive symptoms consistent with the National Institute on Aging-Alzheimer's Association (NIA-AA) core criteria for MCI
2. Subjects who have a Clinical Dementia Rating (CDR) of 0.5 and a memory box score of 0.5 or greater at Screening
3. Subjects who report a history of subjective memory decline with slow progression at least 1 year before Screening, or subjects whose information provider or attending physician reports a history of memory decline with slow progression at least 1 year before Screening
4. Subjects with objective impairment in episodic memory as indicated by 1-1.5 standard deviations below age-adjusted mean in the Wechsler Memory Scale-Revised (WMS-R) logical memory II (delayed recall) at Screening:
Mild AD
5. Subjects who meet the NIA-AA core clinical criteria for probable AD
6. Subjects who have a CDR of 0.5 or 1.0 and a memory box score of 0.5 or greater at Screening
All subjects
7. Male or female subjects aged between 50 and 90 years, inclusive, at obtaining informed consent
8. Subjects who have an Mini Mental State Examination (MMSE) score greater than or equal to 22 and less than or equal to 30 at Screening
9. Body Mass Index (BMI) less than 35 kg/m2 at Screening
10. Females must not be pregnant or lactating, and specified contraceptive precautions must be followed
11. Subjects must have identified caregivers/informants
12. Must have an informant or a caregiver who will provide written informed consent voluntarily and is able to spend 3 days a week with the subject (4 hours per day), and is able to support the subject during the study period by providing necessary patient information, assisting treatment compliance, and accompanying the subject to all scheduled visits (if needed) throughout the study.
13. Provide voluntary written informed consent (obtaining as much as possible from subjects, but mandatory from their legal guardians).
14. Willing and able to comply with all aspects of the protocol
Exclusion criteria
1. Any neurological condition that may affect cognitive impairment
2. History of transient ischemic attacks (TIA), stroke, or seizures within 12 months of Screening
3. Any psychiatric diagnosis or symptoms (e.g., hallucinations, major depression, or delusions) that could interfere with study procedures in the subject
4. Any medical devices contraindicated for MRI scanning (e.g., cardiac pacemaker/defibrillator, ferromagnetic metal implants, any devices other than those approved as safe for use in MRI scanners)
5. Evidence of infection, tumor, stroke or other clinically significant lesions that could indicate a dementia diagnosis other than AD on brain MRI at Screening
6. Evidence of other clinically significant lesions that could indicate a dementia diagnosis other than AD on brain MRI at Screening, or other significant pathological findings on brain MRI at Screening
7. A prolonged QT interval (QTcF greater than or equal to 450 ms) as demonstrated by a repeated ECG at Screening
8. Any other clinically significant conditions (e.g., cardiac, respiratory, gastrointestinal, renal disease) that in the opinion of the investigator(s) could affect the subject's safety or interfere with the study assessments
9. Severe visual or hearing impairment that would prevent the subject from performing psychometric tests accurately.
Endpoints (8)
What's being measured
Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.
Coverage by outcome category
Tau biomarkers
1 endpointInvestigation of the effect of repeated intravenous infusions of BAN2401 on the immunogenicity and CSF biomarkers
Time frame:Up to 14 weeks
percent change from baseline, improvement
Neuroimaging
1 endpointNumber of Participants with Adverse Events as a Measure of Safety and Tolerability
Time frame:Up to 14 weeks
event count, event
Safety / tolerability / PK
6 endpointsPharmacokinetics of BAN2401: Maximum Concentration (Cmax)
Time frame:Up to 14 weeks
concentration, descriptive
Pharmacokinetics of BAN2401: time attain to Cmax (tmax)
Time frame:Up to 14 weeks
concentration, descriptive
Pharmacokinetics of BAN2401: Area under the curve (AUC)
Time frame:Up to 14 weeks
concentration, descriptive
Pharmacokinetics of BAN2401: Drug Clearance (CL)
Time frame:Up to 14 weeks
ratio, event
Pharmacokinetics of BAN2401: apparent volume of distribution at steady state (Vss)
Time frame:Up to 14 weeks
ratio, event
Investigation of the effect of apolipoprotein allele4 (ApoE4) on the safety, tolerability and pharmacodynamic (PD) response of repeated intravenous infusions of BAN2401
Time frame:Up to 14 weeks
descriptive
Provenance
Sources
Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 21, 2026 snapshot.