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CompletedPhase 2Results posted

A Study to Evaluate the Safety and Tolerability of SAGE-718 in Participants With Mild Cognitive Impairment or Mild Dementia Due to Alzheimer's Disease (AD)

An Open-Label Evaluation of the Safety and Tolerability of SAGE-718 in Participants With Mild Cognitive Impairment or Mild Dementia Due to Alzheimer's Disease

Asset

SAGE-718

Listed sites

10

Recruiting sites

-

Enrollment

26

actual

Study population

Alzheimer’s disease, MCI / preclinical Alzheimer’s

Key I/E criteria

Alzheimer's diseaseMoCA 15-24Study partner/caregiver required

Primary endpoint

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

Org study ID718-CNA-201
NCT IDNCT04602624

Timeline

Milestones

Study first posted2020-10-26actual
Study start2020-12-07actual
Primary completion2021-09-28actual
Study completion2021-09-28actual
Results first posted2024-10-10actual
Last update posted2025-09-15actual

Assets

Drug assets

Study populations

Who this study enrolls

Alzheimer’s diseaseMCI / preclinical Alzheimer’s

Eligibility

Who can enroll

Minimum age50 Years
Maximum age80 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

1. Participant meets the following criteria for MCI or mild dementia due to AD at Screening: has a memory complaint, has clinical dementia rating (CDR) score of 0.5 to 1.0 (inclusive) with a memory box score ≥0.5, has essentially preserved activities of daily living

2. Participant has a score of 15 to 24 (inclusive) on the Montreal Cognitive Assessment at Screening

3. Participant has normal premorbid intelligence quotient (IQ) at Screening

4. Participant has a study partner who is reliable, competent, at least 18 years of age, willing to be available to the study center by phone, support study-specific activities, and accompany the participant to study visits as needed

Exclusion criteria

1. Participant has any medical or neurological condition (other than AD) that might be contributing to the participant's cognitive impairment or history of cognitive decline

2. Participant has a history of brain surgery, deep brain stimulation, a significant head injury causing loss of consciousness greater than 30 minutes, or hospitalization due to a brain injury

3. Participant has a history, presence, and/or current evidence of a clinically-significant intracranial abnormality (eg, stroke, hemorrhage, space-occupying lesion) that could account for the observed cognitive impairment (excluding abnormalities consistent with underlying AD pathology)

4. Participant has a history of possible or probable cerebral amyloid angiopathy, according to the Boston Criteria

5. Participant has a history of seizures or epilepsy, with the exception of a single episode of febrile seizures in childhood

6. Participant has current or recent suicidality

Endpoints (10)

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

Safety / tolerability / PK
6
Behavior / neuropsychiatric
2
Other (unclassified)
2

Behavior / neuropsychiatric

2 endpoints
Secondary/protocol endpoint

Percentage of Participants With Suicidal Ideation or Behavior Assessed Using the Columbia Suicide Severity Rating Scale (C-SSRS)

Time frame:Up to Day 28

threshold achievement, improvement

Secondary/registry result

Percentage of Participants With Suicidal Ideation or Behavior Assessed Using the Columbia Suicide Severity Rating Scale (C-SSRS)

Time frame:Up to Day 28

threshold achievement, improvement

Posted result

GroupValue (number), percentage of participantsReported bounds
SAGE-718n=26 Participants0-

Safety / tolerability / PK

6 endpoints
Primary/protocol endpoint

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

Time frame:From first dose of study drug up to last follow up visit (up to 28 days)

event count, event

Primary/registry result

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

Time frame:From first dose of study drug up to last follow up visit (up to 28 days)

event count, event

Posted result

GroupValue (count_of_participants), ParticipantsReported bounds
SAGE-718n=26 Participants7-
Secondary/protocol endpoint

Percentage of Participants With at Least One Potentially Clinically Significant (PCS) Change in Vital Signs Measurements

Time frame:From first dose of study drug up to last follow-up visit (up to 28 days)

change from baseline, event

Secondary/protocol endpoint

Percentage of Participants With at Least One Potentially Clinically Significant Change in Electrocardiogram (ECG) Measurements

Time frame:From first dose of study drug up to last follow-up visit (up to 28 days)

change from baseline, event

Secondary/registry result

Percentage of Participants With at Least One Potentially Clinically Significant (PCS) Change in Vital Signs Measurements

Time frame:From first dose of study drug up to last follow-up visit (up to 28 days)

change from baseline, event

Posted result

GroupValue (number), percentage of participantsReported bounds
SAGE-718n=25 Participants64.0-
Secondary/registry result

Percentage of Participants With at Least One Potentially Clinically Significant Change in Electrocardiogram (ECG) Measurements

Time frame:From first dose of study drug up to last follow-up visit (up to 28 days)

change from baseline, event

Posted result

GroupValue (number), percentage of participantsReported bounds
SAGE-718n=25 Participants32.0-

Other (unclassified)

2 endpoints
Secondary/protocol endpoint/low confidence

Percentage of Participants With at Least One Potentially Clinically Significant Change in Laboratory Assessments

Time frame:From first dose of study drug up to last follow-up visit (up to 28 days)

change from baseline, improvement

Secondary/registry result/low confidence

Percentage of Participants With at Least One Potentially Clinically Significant Change in Laboratory Assessments

Time frame:From first dose of study drug up to last follow-up visit (up to 28 days)

change from baseline, improvement

Posted result

GroupValue (number), percentage of participantsReported bounds
SAGE-718Hematologyn=25 Participants12.0-
Biochemistryn=25 Participants16.0-

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 21, 2026
Endpoint classificationDelfa ADRD endpoint taxonomy
Results tableClinicalTrials.gov results section

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.