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MissionAD1
TerminatedPhase 3Results postedA 24-Month Study to Evaluate the Efficacy and Safety of Elenbecestat (E2609) in Participants With Early Alzheimer's Disease
A Placebo-Controlled, Double-Blind, Parallel-Group, 24 Month Study With an Open-Label Extension Phase to Evaluate the Efficacy and Safety of Elenbecestat (E2609) in Subjects With Early Alzheimer's Disease
Lead sponsor
Asset
Elenbecestat
Listed sites
258
Recruiting sites
-
Enrollment
2,212
actual
Study population
Alzheimer’s disease
Key I/E criteria
•MCI due to AD / mild AD dementia•Amyloid biomarker required (PET/CSF)•CDR global 0.5•MMSE ≥24•MRI contraindications excluded
Primary endpoints
•Clinical Dementia Rating-Sum of Boxes (CDR-SB)•Treatment-emergent Adverse Events (TEAEs)
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
Core Study
1. Mini Mental State Examination score equal to or greater than 24
2. Clinical Dementia Rating (CDR) global score of 0.5
3. CDR Memory Box score of 0.5 or greater
Extension Phase
• Participants who complete the Core Study
Exclusion criteria
Core Study
1. Have lesions that could indicate a dementia diagnosis other than AD on brain MRI
2. Exhibit other significant pathological findings on brain MRI.
1. Absolute lymphocyte count below the lower limit of normal (LLN)
2. Thyroid stimulating hormone above normal range
3. Abnormally low Vitamin B12 levels
Note: Other protocol-defined Inclusion/Exclusion Criteria may apply.
Endpoints (54)
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
Global cognition
24 endpointsCore Phase: Change From Baseline up to Month 24 in the Clinical Dementia Rating-sum of Boxes (CDR-SB) Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
change from baseline, improvement
Core Phase: Change From Baseline up to Month 24 in the Clinical Dementia Rating-sum of Boxes (CDR-SB) Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=1078 Participants | 2.17 | 0.142 |
| Core Phase: Elenbecestat 50 mgn=1053 Participants | 1.99 | 0.146 |
Core Phase: Change From Baseline up to Month 24 in Alzheimer's Disease Composite Score (ADCOMS)
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
ADAS-Cog
change from baseline, improvement
Core Phase: Change From Baseline up to Month 24 in the CDR-SB Score for Participants Enriched by Baseline Amyloid PET SUVR Between 1.2 and 1.6
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
change from baseline, improvement
Core Phase: Change From Baseline up to Month 24 in the ADCOMS for Participants Enriched by Baseline Amyloid PET SUVR Between 1.2 and 1.6
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
ADAS-Cog
change from baseline, improvement
Core Phase: Change Per Year (Mean Slope) in CDR-SB Score up to Month 24
Time frame:Up to Month 24 of the core phase
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
change from baseline, improvement
Core Phase: Change From Baseline up to Month 24 in the MMSE Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
Mini-Mental State Examination (MMSE)
change from baseline, improvement
Core Phase: Change From Last Dose in the CDR-SB Score
Time frame:From last dose in the core phase (up to Month 24) up to 3 months follow up (up to Month 27)
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
categorical status, descriptive
Core Phase: Change From Last Dose in the ADCOMS
Time frame:From last dose in the core phase (up to Month 24) up to 3 months follow-up (up to Month 27)
ADAS-Cog
descriptive
Core Phase: Change From Last Dose in the MMSE Score
Time frame:From last dose in the core phase (up to Month 24) up to 3 months follow-up (up to Month 27)
Mini-Mental State Examination (MMSE)
ratio, descriptive
Extension Phase: Change From Core Phase Baseline up to Month 12 of the Extension Phase in CDR-SB Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
categorical status, descriptive
Extension Phase: Change From Core Phase Baseline up to Month 12 of the Extension Phase in ADCOMS
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
ADAS-Cog
descriptive
Extension Phase: Change From Core Phase Baseline up to Month 12 of the Extension Phase in MMSE Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
Mini-Mental State Examination (MMSE)
ratio, descriptive
Core Phase: Change From Baseline up to Month 24 in Alzheimer's Disease Composite Score (ADCOMS)
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
ADAS-Cog
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=1018 Participants | 0.24 | 0.014 |
| Core Phase: Elenbecestat 50 mgn=981 Participants | 0.23 | 0.015 |
Core Phase: Change From Baseline up to Month 24 in the CDR-SB Score for Participants Enriched by Baseline Amyloid PET SUVR Between 1.2 and 1.6
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=664 Participants | 1.97 | 0.157 |
| Core Phase: Elenbecestat 50 mgn=617 Participants | 1.74 | 0.169 |
Core Phase: Change From Baseline up to Month 24 in the ADCOMS for Participants Enriched by Baseline Amyloid PET SUVR Between 1.2 and 1.6
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
ADAS-Cog
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=627 Participants | 0.23 | 0.017 |
| Core Phase: Elenbecestat 50 mgn=571 Participants | 0.20 | 0.018 |
Core Phase: Change Per Year (Mean Slope) in CDR-SB Score up to Month 24
Time frame:Up to Month 24 of the core phase
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), change in score per year | Reported bounds |
|---|---|---|
| Core Phase: Placebon=1084 Participants | 0.934 | -0.838 - 1.030 |
| Core Phase: Elenbecestat 50 mgn=1062 Participants | 0.926 | -0.828 - 1.024 |
Based on the linear mixed effects model, which included assessment time and treatment group by assessment time interaction as covariate with random intercept and slope.
Core Phase: Change From Baseline up to Month 24 in the MMSE Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
Mini-Mental State Examination (MMSE)
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=1056 Participants | -2.87 | 0.234 |
| Core Phase: Elenbecestat 50 mgn=1017 Participants | -2.87 | 0.241 |
Core Phase: Change From Last Dose in the CDR-SB Score
Time frame:From last dose in the core phase (up to Month 24) up to 3 months follow up (up to Month 27)
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
categorical status, descriptive
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=759 Participants | 0.40 | 0.045 |
| Core Phase: Elenbecestat 50 mgn=734 Participants | 0.44 | 0.046 |
Core Phase: Change From Last Dose in the ADCOMS
Time frame:From last dose in the core phase (up to Month 24) up to 3 months follow-up (up to Month 27)
ADAS-Cog
descriptive
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=666 Participants | 0.06 | 0.005 |
| Core Phase: Elenbecestat 50 mgn=646 Participants | 0.06 | 0.005 |
Core Phase: Change From Last Dose in the MMSE Score
Time frame:From last dose in the core phase (up to Month 24) up to 3 months follow-up (up to Month 27)
Mini-Mental State Examination (MMSE)
ratio, descriptive
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=734 Participants | -0.22 | 0.101 |
| Core Phase: Elenbecestat 50 mgn=719 Participants | -0.26 | 0.102 |
Extension Phase: Change From Core Phase Baseline up to Month 12 of the Extension Phase in CDR-SB Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
categorical status, descriptive
Extension Phase: Change From Core Phase Baseline up to Month 12 of the Extension Phase in ADCOMS
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
ADAS-Cog
descriptive
Extension Phase: Change From Core Phase Baseline up to Month 12 of the Extension Phase in MMSE Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
Mini-Mental State Examination (MMSE)
ratio, descriptive
Memory
18 endpointsCore Phase: Time to Worsening of CDR Score up to Month 24
Time frame:Up to Month 24 of the core phase
time to event, event
Core Phase: Change From Baseline up to Month 24 in the Alzheimer's Disease Assessment Scale-cognition14 (ADAS-Cog14) Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
ADAS-Cog
change from baseline, improvement
Core Phase: Change From Baseline up to Month 24 in the ADAS-cog14 Word List (Immediate Recall and Delayed Recall) Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
ADAS-Cog
change from baseline, improvement
Core Phase: Change From Baseline up to Month 24 in the Alzheimer's Disease Assessment Scale-cognition11 (ADAS-Cog11) Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
ADAS-Cog
change from baseline, improvement
Core Phase: Change From Last Dose in the ADAS-cog11 Score
Time frame:From last dose in the core phase (up to Month 24) up to 3 months follow-up (up to Month 27)
ADAS-Cog
descriptive
Core Phase: Change From Last Dose in the ADAS-cog14 Score
Time frame:From last dose in the core phase (up to Month 24) up to 3 months follow-up (up to Month 27)
ADAS-Cog
descriptive
Core Phase: Change From Last Dose in the ADAS-cog14 Word List (Immediate Recall and Delayed Recall) Score
Time frame:From last dose in the core phase (up to Month 24) up to 3 months follow-up (up to Month 27)
ADAS-Cog
event count, event
Extension Phase: Change From Core Phase Baseline up to Month 12 of the Extension Phase in ADAS-cog14 Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
ADAS-Cog
descriptive
Extension Phase: Change From Core Phase Baseline up to Month 12 of the Extension Phase in ADAS-cog14 Word List (Immediate Recall and Delayed Recall) Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
ADAS-Cog
event count, event
Core Phase: Time to Worsening of CDR Score up to Month 24
Time frame:Up to Month 24 of the core phase
time to event, event
Posted result
| Group | Value (median), months | Reported bounds |
|---|---|---|
| Core Phase: Placebon=1084 Participants | NA | -NA - NA |
| Core Phase: Elenbecestat 50 mgn=1062 Participants | NA | -24.07 - NA |
Core Phase: Change From Baseline up to Month 24 in the Alzheimer's Disease Assessment Scale-cognition14 (ADAS-Cog14) Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
ADAS-Cog
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=1010 Participants | 5.38 | 0.490 |
| Core Phase: Elenbecestat 50 mgn=972 Participants | 4.95 | 0.520 |
Core Phase: Change From Baseline up to Month 24 in the ADAS-cog14 Word List (Immediate Recall and Delayed Recall) Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
ADAS-Cog
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=1050 Participants | 1.63 | 0.195 |
| Core Phase: Elenbecestat 50 mgn=1005 Participants | 1.36 | 0.207 |
Core Phase: Change From Baseline up to Month 24 in the Alzheimer's Disease Assessment Scale-cognition11 (ADAS-Cog11) Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
ADAS-Cog
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=1010 Participants | 4.11 | 0.370 |
| Core Phase: Elenbecestat 50 mgn=972 Participants | 4.18 | 0.391 |
Core Phase: Change From Last Dose in the ADAS-cog11 Score
Time frame:From last dose in the core phase (up to Month 24) up to 3 months follow-up (up to Month 27)
ADAS-Cog
descriptive
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=679 Participants | 0.95 | 0.150 |
| Core Phase: Elenbecestat 50 mgn=647 Participants | 0.56 | 0.153 |
Core Phase: Change From Last Dose in the ADAS-cog14 Score
Time frame:From last dose in the core phase (up to Month 24) up to 3 months follow-up (up to Month 27)
ADAS-Cog
descriptive
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=679 Participants | 0.96 | 0.196 |
| Core Phase: Elenbecestat 50 mgn=647 Participants | 0.40 | 0.201 |
Core Phase: Change From Last Dose in the ADAS-cog14 Word List (Immediate Recall and Delayed Recall) Score
Time frame:From last dose in the core phase (up to Month 24) up to 3 months follow-up (up to Month 27)
ADAS-Cog
event count, event
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=707 Participants | 0.54 | 0.088 |
| Core Phase: Elenbecestat 50 mgn=685 Participants | 0.22 | 0.090 |
Extension Phase: Change From Core Phase Baseline up to Month 12 of the Extension Phase in ADAS-cog14 Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
ADAS-Cog
descriptive
Extension Phase: Change From Core Phase Baseline up to Month 12 of the Extension Phase in ADAS-cog14 Word List (Immediate Recall and Delayed Recall) Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
ADAS-Cog
event count, event
Executive function / language
4 endpointsCore Phase: Change From Baseline up to Month 24 in the Functional Assessment Questionnaire (FAQ) Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
change from baseline, improvement
Extension Phase: Change From Core Phase Baseline up to Month 12 of the Extension Phase in FAQ Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
event count, event
Core Phase: Change From Baseline up to Month 24 in the Functional Assessment Questionnaire (FAQ) Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=1038 Participants | 5.20 | 0.448 |
| Core Phase: Elenbecestat 50 mgn=1001 Participants | 5.32 | 0.459 |
Extension Phase: Change From Core Phase Baseline up to Month 12 of the Extension Phase in FAQ Score
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
event count, event
Behavior / neuropsychiatric
2 endpointsExtension Phase: Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)
Time frame:From first dose of study drug up to approximately 6 months (including 1 month follow up) for the extension phase
event count, event
Extension Phase: Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)
Time frame:From first dose of study drug up to approximately 6 months (including 1 month follow up) for the extension phase
event count, event
Posted result
| Group | Value (count_of_participants), Participants | Reported bounds |
|---|---|---|
| Extension Phase: Elenbecestat 50 mgn=18 Participants | 6 | - |
Disease progression
4 endpointsCore Phase: Time to Conversion to Dementia for Participants Who Were Not Clinically Staged as Having Dementia at the Core Phase Baseline up to Month 24
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
time to event, event
Extension Phase: Time to Conversion to Dementia for Participants Who Were Not Clinically Staged as Having Dementia at the Core Phase Baseline up to Month 12 of the Extension Phase
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
time to event, event
Core Phase: Time to Conversion to Dementia for Participants Who Were Not Clinically Staged as Having Dementia at the Core Phase Baseline up to Month 24
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
time to event, event
Posted result
| Group | Value (median), months | Reported bounds |
|---|---|---|
| Core Phase: Placebon=902 Participants | 23.05 | -21.14 - 24.66 |
| Core Phase: Elenbecestat 50 mgn=901 Participants | 21.40 | -20.45 - 24.43 |
Based on a Cox regression model which included treatment group, concurrent AD medication use, region, APOE4 status (positive, negative) as covariate.
Extension Phase: Time to Conversion to Dementia for Participants Who Were Not Clinically Staged as Having Dementia at the Core Phase Baseline up to Month 12 of the Extension Phase
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 12 of the extension phase
time to event, event
Amyloid biomarkers
2 endpointsCore Phase: Change From Baseline up to Month 24 in Amyloid Positron Emission Tomography (PET) Standardized Uptake Value Ratio (SUVR)
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
Amyloid PET Centiloid
change from baseline, improvement
Core Phase: Change From Baseline up to Month 24 in Amyloid Positron Emission Tomography (PET) Standardized Uptake Value Ratio (SUVR)
Time frame:Baseline (Day 1: before first dose in the core phase) up to Month 24 of the core phase
Amyloid PET Centiloid
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Core Phase: Placebon=268 Participants | 7.81 | 2.500 |
| Core Phase: Elenbecestat 50 mgn=248 Participants | -5.02 | 2.046 |
Publications (3)
Bibliography
Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.
Registry references + supporting bibliography
- PMID38087949via DERIVED
- PMID35897078via DERIVED
- PMID38940656via DERIVED
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.