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RecruitingPhase 1

A Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of RO7812653 in Participants With Early Symptomatic Alzheimer's Disease (eAD)

A Phase I, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Single Ascending Dose Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of RO7812653 Following Intrathecal Administration in Participants With Early Symptomatic Alzheimer's Disease

Lead sponsor

Hoffmann-La Roche

Asset

RO7812653

Listed sites

10

Recruiting sites

10

Enrollment

50

estimated

Study population

Alzheimer’s disease

Key I/E criteria

MCI due to ADStudy partner/caregiver required

Primary endpoints

Adverse EventsColumbia-Suicide Severity Rating Scale (C-SSRS) Scores

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

Ctis2025-522101-37-00
Org study IDBP45770
NCT IDNCT07234942

Timeline

Milestones

Study first posted2025-11-19actual
Study start2026-01-27actual
Last update posted2026-06-30actual
Primary completion2028-04-19estimated
Study completion2030-03-05estimated

Assets

Drug assets

Study populations

Who this study enrolls

Alzheimer’s disease

Eligibility

Who can enroll

Minimum age50 Years
Maximum age75 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

Probable AD dementia (consistent with National Institute on Aging and Alzheimer's Association (NIA-AA) core clinical criteria for probable AD dementia) [McKhann et al 2011] or Mild Cognitive Impairment (MCI) due to AD (consistent with the NIA-AA core clinical criteria for mild cognitive impairment due to AD) [Albert et al 2011]).
Willingness and ability to complete all aspects of the study. The participant should be capable of completing assessments either alone or with the help of the study partner.
Fluency in the language of the tests used at the study site.
Adequate visual and auditory acuity, in the investigator's judgment, sufficient to perform the neuropsychological testing (eyewear and hearing aids are permitted).
If the participant is receiving symptomatic AD medications, a stable dosing regimen for at least 8 weeks prior to screening and until randomization is required.
Agreement not to participate in other research studies for the duration of this study

Exclusion criteria

Any medical history or evidence of a condition other than AD that may affect cognition.
Presence of any significant cerebral abnormalities that would contraindicate lumbar puncture, as assessed on MRI
Any other significant cerebral abnormalities that the Investigator considers clinically significant
History of schizophrenia, schizoaffective disorder, major depression or bipolar disorder.'
Presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological medical conditions which are not stable and adequately controlled or which in the opinion of the investigator could affect the subject's safety in the study or interfere with the study assessments

Endpoints (5)

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
2
Behavior / neuropsychiatric
1
Fluid / digital biomarkers
1
Other (unclassified)
1

Behavior / neuropsychiatric

1 endpoint
Primary/protocol endpoint

Change From Baseline in Columbia-Suicide Severity Rating Scale (C-SSRS) Scores

Time frame:Up to approximately 40 weeks

change from baseline, improvement

Fluid / digital biomarkers

1 endpoint
Secondary/protocol endpoint

Cerebral Spinal Fluid (CSF) Concentration of RO7812653

Time frame:Up to approximately 40 weeks

concentration, descriptive

Safety / tolerability / PK

2 endpoints
Primary/protocol endpoint

Percentage of Participants with Adverse Events

Time frame:Up to approximately 40 weeks

threshold achievement, event

Secondary/protocol endpoint

Plasma Concentration of RO7812653

Time frame:Up to approximately 40 weeks

concentration, descriptive

Other (unclassified)

1 endpoint
Secondary/protocol endpoint/low confidence

Percentage of Participants with Anti-Drug Antibodies (ADAs) to RO7812653

Time frame:Up to approximately 40 weeks

threshold achievement, improvement

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 21, 2026
Endpoint classificationDelfa ADRD endpoint taxonomy
Results tableno registry results posted yet

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.