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APOLLOE4
CompletedPhase 3Results postedAn Efficacy and Safety Study of ALZ-801 in APOE4/4 Early AD Subjects
A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled Study of the Efficacy, Safety and Biomarker Effects of ALZ-801 in Subjects With Early Alzheimer's Disease and APOE4/4 Genotype
Lead sponsor
Asset
ALZ-801
Listed sites
95
Recruiting sites
-
Enrollment
325
actual
Study population
Alzheimer’s disease
Key I/E criteria
•Alzheimer's disease•MMSE 22-30
Primary endpoints
•ADAS-Cog•Incidence, Nature, and Severity of Treatment Emergent Adverse Events (TEAE)
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
Exclusion criteria
Endpoints (71)
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
18 endpointsPrimary Cognitive Efficacy Endpoint (ADAS-Cog13)
Time frame:Baseline to Week 78
ADAS-Cog
change from baseline, improvement
Primary Cognitive Efficacy Endpoint (ADAS-Cog13)
Time frame:Baseline to Week 78
ADAS-Cog
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), Score on a scale | Standard error |
|---|---|---|
| Placebon=158 Participants | 4.40 | 0.69 |
| ALZ-801n=162 Participants | 3.89 | 0.69 |
Key Secondary Endpoint (CDR-SB)
Time frame:Baseline to Week 78
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
change from baseline, improvement
Global Cognition Assessment (MMSE)
Time frame:Baseline to Week 78
Mini-Mental State Examination (MMSE)
change from baseline, improvement
Key Secondary Endpoint (CDR-SB)
Time frame:Baseline to Week 78
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 |
|---|---|---|
| Placebon=158 Participants | 1.36 | 0.21 |
| ALZ-801n=162 Participants | 1.05 | 0.22 |
Global Cognition Assessment (MMSE)
Time frame:Baseline to Week 78
Mini-Mental State Examination (MMSE)
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Placebon=158 Participants | -2.03 | 0.33 |
| ALZ-801n=162 Participants | -1.60 | 0.33 |
Cognitive Efficacy Endpoint (ADAS-Cog 13) - MCI Subgroup
Time frame:Baseline to Week 78
ADAS-Cog
change from baseline, improvement
Cognitive Efficacy Endpoint (ADAS-Cog 13) - Mild Alzheimer's Disease(Mild AD) Subgroup
Time frame:Baseline to Week 78
ADAS-Cog
change from baseline, improvement
CDR-SB - MCI Subgroup
Time frame:Baseline to Week 78
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
change from baseline, improvement
CDR-SB - Mild AD Subgroup
Time frame:Baseline to Week 78
Clinical Dementia Rating-Sum of Boxes (CDR-SB)
change from baseline, improvement
Global Cognition Assessment (MMSE) - MCI Subgroup
Time frame:Baseline to Week 78
Mini-Mental State Examination (MMSE)
change from baseline, improvement
Global Cognition Assessment (MMSE) - Mild AD Subgroup
Time frame:Baseline to Week 78
Mini-Mental State Examination (MMSE)
change from baseline, improvement
Cognitive Efficacy Endpoint (ADAS-Cog 13) - MCI Subgroup
Time frame:Baseline to Week 78
ADAS-Cog
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), Score on a scale | Standard error |
|---|---|---|
| Placebon=58 Participants | 4.10 | 0.81 |
| ALZ-801n=67 Participants | 1.97 | 0.83 |
Cognitive Efficacy Endpoint (ADAS-Cog 13) - Mild Alzheimer's Disease(Mild AD) Subgroup
Time frame:Baseline to Week 78
ADAS-Cog
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Placebon=100 Participants | 4.79 | 0.75 |
| ALZ-801n=95 Participants | 5.66 | 0.75 |
CDR-SB - MCI Subgroup
Time frame:Baseline to Week 78
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 |
|---|---|---|
| Placebon=58 Participants | 0.63 | 0.26 |
| ALZ-801n=67 Participants | -0.02 | 0.27 |
CDR-SB - Mild AD Subgroup
Time frame:Baseline to Week 78
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 |
|---|---|---|
| Placebon=100 Participants | 1.84 | 0.23 |
| ALZ-801n=95 Participants | 1.97 | 0.24 |
Global Cognition Assessment (MMSE) - MCI Subgroup
Time frame:Baseline to Week 78
Mini-Mental State Examination (MMSE)
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), Score on a scale | Standard error |
|---|---|---|
| Placebon=58 Participants | -1.4 | 0.4 |
| ALZ-801n=67 Participants | -0.5 | 0.4 |
Global Cognition Assessment (MMSE) - Mild AD Subgroup
Time frame:Baseline to Week 78
Mini-Mental State Examination (MMSE)
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Placebon=100 Participants | -2.6 | 0.4 |
| ALZ-801n=95 Participants | -2.7 | 0.4 |
Function / daily living
12 endpointsKey Secondary Endpoint (A-IADL-W)
Time frame:Baseline to Week 78
change from baseline, improvement
Functional Assessment (DAD)
Time frame:Baseline to Week 78
change from baseline, improvement
Key Secondary Endpoint (A-IADL-W)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Placebon=158 Participants | 13.59 | 2.02 |
| ALZ-801n=162 Participants | 13.60 | 2.00 |
Functional Assessment (DAD)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Placebon=158 Participants | -9.2 | 1.7 |
| ALZ-801n=162 Participants | -6.5 | 1.7 |
A-IADL-W - MCI Subgroup
Time frame:Baseline to Week 78
change from baseline, improvement
A-IADL-W - Mild AD Subgroup
Time frame:Baseline to Week 78
change from baseline, improvement
Functional Assessment (DAD) - MCI Subgroup
Time frame:Baseline to Week 78
change from baseline, improvement
Functional Assessment (DAD) - Mild AD Subgroup
Time frame:Baseline to Week 78
change from baseline, improvement
A-IADL-W - MCI Subgroup
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Placebon=58 Participants | 4.84 | 2.45 |
| ALZ-801n=67 Participants | 1.43 | 2.50 |
A-IADL-W - Mild AD Subgroup
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Placebon=100 Participants | 18.55 | 2.21 |
| ALZ-801n=95 Participants | 22.20 | 2.21 |
Functional Assessment (DAD) - MCI Subgroup
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Placebon=58 Participants | -6.3 | 1.9 |
| ALZ-801n=67 Participants | -0.2 | 2.0 |
Functional Assessment (DAD) - Mild AD Subgroup
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), score on a scale | Standard error |
|---|---|---|
| Placebon=100 Participants | -11.1 | 1.8 |
| ALZ-801n=95 Participants | -11.6 | 1.8 |
Neurodegeneration biomarkers
6 endpointsImaging Biomarker Endpoint (Hippocampal Volume)
Time frame:Baseline to Week 78
change from baseline, improvement
Hippocampal Volume (MCI Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Hippocampal Volume (Mild AD Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Imaging Biomarker Endpoint (Hippocampal Volume)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), microliters | Standard error |
|---|---|---|
| Placebon=144 Participants | -418.5 | 21.46 |
| ALZ-801n=146 Participants | -345.0 | 22.01 |
Hippocampal Volume (MCI Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), microliters | Standard error |
|---|---|---|
| Placebon=52 Participants | -411.2 | 29.60 |
| ALZ-801n=61 Participants | -303.1 | 30.16 |
Hippocampal Volume (Mild AD Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), microliters | Standard error |
|---|---|---|
| Placebon=92 Participants | -423.2 | 23.27 |
| ALZ-801n=85 Participants | -371.8 | 24.75 |
Neuroimaging
33 endpointsImaging Biomarker Endpoint (Cortical Thickness [Whole Cortex])
Time frame:Baseline to Week 78
change from baseline, improvement
Imaging Biomarker Endpoint (Cortical Thickness [Mayo Index])
Time frame:Baseline to Week 78
change from baseline, improvement
Imaging Biomarker Endpoint (Whole Brain Volume)
Time frame:Baseline to Week 78
change from baseline, improvement
Imaging Biomarker Endpoint (Ventricular Volume)
Time frame:Baseline to Week 78
change from baseline, improvement
Imaging Biomarker Endpoint - DTI in Grey Matter Mean Diffusivity - Bilateral Caudate
Time frame:Baseline to Week 78
change from baseline, improvement
Imaging Biomarker Endpoint - DTI in White Matter Mean Diffusivity (Bilateral Fornix)
Time frame:Baseline to Week 78
change from baseline, improvement
Imaging Biomarker Endpoint - White Matter Fractional Anisotropy (Bilateral Fornix)
Time frame:Baseline to Week 78
change from baseline, improvement
Cortical Thickness (Whole Cortex) (MCI Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Cortical Thickness (Whole Cortex) (Mild AD Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Cortical Thickness (Mayo Index) (MCI Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Cortical Thickness (Mayo Index) (Mild AD Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Whole Brain Volume (MCI Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Whole Brain Volume (Mild AD Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Ventricular Volume (MCI Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Ventricular Volume (Mild AD Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Imaging Biomarker Endpoint (Cortical Thickness [Whole Cortex])
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), mm | Standard error |
|---|---|---|
| Placebon=144 Participants | -0.060 | 0.003 |
| ALZ-801n=146 Participants | -0.048 | 0.003 |
Imaging Biomarker Endpoint (Cortical Thickness [Mayo Index])
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), mm | Standard error |
|---|---|---|
| Placebon=144 Participants | -0.121 | 0.005 |
| ALZ-801n=146 Participants | -0.099 | 0.005 |
Imaging Biomarker Endpoint (Whole Brain Volume)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), microliters | Standard error |
|---|---|---|
| Placebon=144 Participants | -17877.0 | 955.98 |
| ALZ-801n=146 Participants | -15056.0 | 979.86 |
Imaging Biomarker Endpoint (Ventricular Volume)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), microliters | Standard error |
|---|---|---|
| Placebon=144 Participants | 5186.3 | 256.19 |
| ALZ-801n=146 Participants | 4028.9 | 262.86 |
Imaging Biomarker Endpoint - DTI in Grey Matter Mean Diffusivity - Bilateral Caudate
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), square millimeters per second (mm²/s) | Standard error |
|---|---|---|
| Placebon=103 Participants | 0.000028 | 0.00000775 |
| ALZ-801n=105 Participants | 0.000007439 | 0.00000792 |
Imaging Biomarker Endpoint - DTI in White Matter Mean Diffusivity (Bilateral Fornix)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), square millimeters per second (mm²/s) | Standard error |
|---|---|---|
| Placebon=103 Participants | 0.0000237 | 0.0000058 |
| ALZ-801n=105 Participants | 0.000000843 | 0.00000593 |
Imaging Biomarker Endpoint - White Matter Fractional Anisotropy (Bilateral Fornix)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), Units on a scale (fractions 0-1) | Standard error |
|---|---|---|
| Placebon=103 Participants | -0.0154 | 0.00332 |
| ALZ-801n=105 Participants | -0.002089 | 0.00336 |
Cortical Thickness (Whole Cortex) (MCI Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), mm | Standard error |
|---|---|---|
| Placebon=52 Participants | -0.059 | 0.004 |
| ALZ-801n=61 Participants | -0.038 | 0.004 |
Cortical Thickness (Whole Cortex) (Mild AD Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), mm | Standard error |
|---|---|---|
| Placebon=92 Participants | -0.061 | 0.003 |
| ALZ-801n=85 Participants | -0.054 | 0.003 |
Cortical Thickness (Mayo Index) (MCI Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), mm | Standard error |
|---|---|---|
| Placebon=52 Participants | -0.117 | 0.007 |
| ALZ-801n=61 Participants | -0.084 | 0.007 |
Cortical Thickness (Mayo Index) (Mild AD Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), mm | Standard error |
|---|---|---|
| Placebon=92 Participants | -0.123 | 0.006 |
| ALZ-801n=85 Participants | -0.109 | 0.006 |
Whole Brain Volume (MCI Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), microliters | Standard error |
|---|---|---|
| Placebon=52 Participants | -17559.5 | 1417.91 |
| ALZ-801n=61 Participants | -13715.7 | 1449.14 |
Whole Brain Volume (Mild AD Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), microliters | Standard error |
|---|---|---|
| Placebon=92 Participants | -18081.4 | 1056.74 |
| ALZ-801n=85 Participants | -15917.1 | 1143.24 |
Ventricular Volume (MCI Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), microliters | Standard error |
|---|---|---|
| Placebon=52 Participants | 4490.5 | 343.65 |
| ALZ-801n=61 Participants | 3178.2 | 350.44 |
Ventricular Volume (Mild AD Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), microliters | Standard error |
|---|---|---|
| Placebon=92 Participants | 5630.4 | 274.91 |
| ALZ-801n=85 Participants | 4573.4 | 294.71 |
Cerebellar Volume
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), microliters | Standard error |
|---|---|---|
| Placebon=144 Participants | -577.0 | 62.50 |
| ALZ-801n=146 Participants | -427.2 | 64.70 |
Cerebellar Volume (MCI Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), microliters | Standard error |
|---|---|---|
| Placebon=52 Participants | -566.8 | 91.78 |
| ALZ-801n=61 Participants | -428.8 | 94.09 |
Cerebellar Volume (Mild AD Subgroup)
Time frame:Baseline to Week 78
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), microliters | Standard error |
|---|---|---|
| Placebon=92 Participants | -583.6 | 68.62 |
| ALZ-801n=85 Participants | -426.2 | 75.18 |
Safety / tolerability / PK
2 endpointsIncidence, Nature, and Severity of Treatment Emergent Adverse Events (TEAE)
Time frame:Entire study: approximately 82 weeks. (first dose of study drug until end of Safety Follow-up Visit at 28 +/- 7 days after the last dose (ie, 78-week treatment period plus 4-weeks follow-up after last dose up to total of 82 weeks)
event count, event
Incidence, Nature, and Severity of Treatment Emergent Adverse Events (TEAE)
Time frame:Entire study: approximately 82 weeks. (first dose of study drug until end of Safety Follow-up Visit at 28 +/- 7 days after the last dose (ie, 78-week treatment period plus 4-weeks follow-up after last dose up to total of 82 weeks)
event count, event
Posted result
| Group | Value (count_of_participants), Participants | Reported bounds |
|---|---|---|
| PlaceboTEAEn=162 Participants | 137 | - |
| Study drug related TEAEn=162 Participants | 44 | - |
| Serious TEAEn=162 Participants | 13 | - |
| Serious study drug related TEAEn=162 Participants | 0 | - |
| TEAE leading to discontinuation of study drugn=162 Participants | 4 | - |
| Study drug related TEAE leading to study drug discontinuationn=162 Participants | 1 | - |
| ALZ-801TEAEn=163 Participants | 140 | - |
| Study drug related TEAEn=163 Participants | 75 | - |
| Serious TEAEn=163 Participants | 14 | - |
| Serious study drug related TEAEn=163 Participants | 1 | - |
| TEAE leading to discontinuation of study drugn=163 Participants | 13 | - |
| Study drug related TEAE leading to study drug discontinuationn=163 Participants | 10 | - |
Publications (1)
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
- PMID41015981via 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.