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| ID | Type | Description | Link |
|---|---|---|---|
| I5T-MC-AACH | Other Identifier | Eli Lilly and Company |
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The main goals of this study are to further determine whether the study drug donanemab is safe and effective in participants with Alzheimer's disease and to validate neuropsychological assessments administered over videoconferencing
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: Validation of Remote Scale Assessments | Other | Participants from the originating trials did not receive any drug in Part A. Participants were randomized 1:1 into two groups to have their cognitive and functional scales assessed. Group 1: Cognitive/functional scale assessment at the study site (on-site), followed by an at-home assessment (VTC; video teleconference), or Group 2: Cognitive/functional scale assessment at home (VTC), followed by assessment on-site. Total time in Part A was up to 24 weeks. |
|
| Part B: Donanemab | Experimental | Participants who had received placebo in the originating trials received 700 milligrams (mg) donanemab administered intravenously (IV) every 4 weeks (Q4W) for 3 doses, then 1400 mg donanemab administered IV Q4W for up to 48 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No Intervention | Other | No intervention |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Intraclass Correlation Between On-Site and Video Teleconference (VTC) Assessments | Part A didn't involve any drug and drug related efficacy analyses. Participants in Part A were divided into 2 groups, and they completed the same set of clinical assessments. Participants in Part A Group 1 completed the clinical assessments at a clinic site first (on-site) followed by at home assessments (VTC). Participants in Part A Group 2 completed the assessments at home first, followed by on-site assessment. The goal of Part A was to evaluate the comparability of remote and on-site clinical assessments. The intra-class correlation coefficient (ICC), a measure of agreement for continuous outcome measures, was used to determine agreement between remote and onsite assessments for each outcome measure. Outcome measure tested were the Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog13), Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL), Mini Mental State Examination (MMSE), and Clinical Dementia Rating Scale-Sum of Boxes (CDR-SB). | Baseline to 4 Weeks |
| Part B: Percentage of Participants With One or More Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) | Percentage of participants with TEAEs and SAEs were reported here. A summary of SAEs and other non-serious AEs, regardless of causality is located in the Reported Adverse Events section of this record. | Baseline Up To 96 Weeks |
| Part B: Number of Participants With Suicidality Based on Columbia-Suicide Severity Rating Scale (C-SSRS) | Number of Participants with Suicidality Based on C-SSRS was reported. | Baseline, Week 72 |
| Measure | Description | Time Frame |
|---|---|---|
| Part B: Change From Baseline on the Mini Mental State Examination (MMSE) Score | The MMSE is an instrument used to assess cognitive function in participants. The instrument measures orientation, memory, and attention; the ability of the participant to name objects; follow verbal and written commands; write a sentence; and copy figures. The range for the total MMSE score is 0 to 30, with lower scores indicating greater level of impairment. LS Mean was determined by Mixed Models for Repeated Measurements (MMRM) model with Baseline + Visit + Baseline*Visit + Age + Years of Education + Presence/ Absence of Anti-dementia Drugs as variables. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) | Eli Lilly and Company | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Banner Alzheimer's Institute | Phoenix | Arizona | 85006 | United States | ||
| UC Irvine-Institute for Memory Impairments and Neurological Disorders (UCI MIND) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41804324 | Derived | Ardayfio P, Mullins GR, Khanna R, Zimmer JA, Wang H, Nery ESM, Evans CD, Piela P, Battioui C, Lauzon S, Anglin G, Ng HW, Jayaraman AR, Agada N, Natalie CR, Brooks DA, Sims JR. Infusion-related reactions in donanemab-treated participants with early symptomatic Alzheimer's disease. Alzheimers Dement (N Y). 2026 Mar 8;12(1):e70229. doi: 10.1002/trc2.70229. eCollection 2026 Jan-Mar. | |
| 40667684 |
| Label | URL |
|---|---|
| A Follow-On Study of Donanemab (LY3002813) With Video Assessments in Participants With Alzheimer's Disease (TRAILBLAZER-EXT) | View source |
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Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Data are available 6 months after the primary publication and approval of the indication studied in the US and European Union (EU), whichever is later. Data will be indefinitely available for requesting.
Access Criteria:
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
Participants in Part A were randomized 1:1 into two groups (Group 1 and Group 2) to have their cognitive and functional scales assessed.
Study AACH was an extension of sponsor-approved originating donanemab studies AACC (NCT01837641) and AACG (NCT03367403). This was a two-part study (Parts A and B). Participants received the study drug only in Part B, whereas Part A consisted of clinical assessments.
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| ID | Title | Description |
|---|---|---|
| FG000 | Part A - Group 1: Validation of Remote Scale Assessments | Participants from the originating trials did not receive any drug in Part A. Participants in Group 1 underwent cognitive/functional scale assessment at the study site (on-site), followed by an at-home assessment (VTC; video teleconference). Total time in Part A - Group 1 was up to 24 weeks. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Period 1 |
|
Not provided
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 11, 2021 | Feb 7, 2025 |
Not provided
Not provided
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| donanemab |
| Drug |
Administered IV |
|
|
| Baseline, Week 72 |
| Part B: Change From Baseline on the Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog13) Score | The ADAS-Cog13 (13-item version of ADAS Cog) assesses areas of cognitive function that are the most typically impaired in Alzheimer's Disease (AD): orientation, verbal memory, language, praxis, delayed free recall, digit cancellation, and maze-completion measures. The ADAS-Cog13 scale ranges from 0 to 85, with higher scores indicating greater disease severity. LS Mean was determined by MMRM model with Baseline + Visit + Baseline*Visit + Age + Years of Education + Presence/Absence of Anti-dementia Drugs as variables. | Baseline, Week 72 |
| Part B: Change From Baseline on the Integrated Alzheimer's Disease Rating Scale (iADRS) | The iADRS is a composite that measures both cognition and function from the ADAS-Cog and the ADCS-iADL (Alzheimer's Disease Cooperative Study - instrumental Activities of Daily Living). The iADRS is calculated as a linear combination of the total scores of the ADAS-Cog13 (score range 0 to 85 with higher scores reflecting worse performance) and the ADCS-iADL (score range from 0-59 with higher scores reflecting better performance). The iADRS score ranges from 0 to 144 with lower scores indicating greater impairment. LS Mean was determined by MMRM model using Baseline + Visit + Baseline*Visit + Age + Years of Education + Presence/Absence of Anti-dementia Drugs as variables. | Baseline, Week 72 |
| Part B: Change From Baseline on the Alzheimer's Disease Cooperative Study - Instrumental Activities of Daily Living (ADCS-iADL) | The ADCS-iADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. The range for the ADCS-iADL is 0-59 with higher scores reflecting better performance. LS Mean was determined by MMRM model using = Baseline + Visit + Baseline*Visit + Age + Years of Education + Presence/Absence of Anti-dementia Drugs as variables. | Baseline, Week 72 |
| Part B: Change From Baseline on the Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) | The CDR-SB is a global assessment tool than can be used to effectively evaluate both cognition and function. Participant's cognitive status is rated across 6 domains or 'boxes' of functioning: Memory, Orientation, Judgment and Problem Solving, Community Affairs, Home and Hobbies, and Personal Care. The CDR-SB scores are calculated by adding the box scores and range from 0 to 18 with higher scores indicative of more impairment. LS Mean was determined by MMRM model using Baseline + Visit + Baseline*Visit + Age + Years of Education + Presence/Absence of Anti-dementia Drugs as variables. | Baseline, Week 72 |
| Part B: Change From Baseline in Brain Amyloid Plaque Deposition as Measured by Florbetapir F18 Positron Emission Tomography (PET) Scan | Florbetapir PET imaging was used as a quantitative amyloid biomarker. Florbetapir PET scans at baseline and at 36 weeks after the first treatment were used to quantitatively estimate change in amyloid plaques. Quantitative amyloid burden was first formalized as the average Standardized Uptake Value Ratio (SUVR) in six predetermined cortical areas of the brain relative to the cerebellum as a reference region. Larger SUVR reflects the larger cortical amyloid burden relative to cerebellum. SUVR values were further calibrated to a centiloid (CL) scale. The Centiloid scale anchor points are 0 and 100, where 0 represents a high-certainty amyloid negative scan and 100 represents the amount of global amyloid deposition found in a typical AD scan. LS Mean was determined by ANCOVA model using originating study's Baseline + Age + Treatment (Type III sum of squares) as variables. | Baseline, Week 36 |
| Part B: Change From Baseline in Whole Brain Volume as Measured by Volumetric Magnetic Resonance Imaging (vMRI) | Change from Baseline in Whole Brain Volume as Measured by vMRI in Part B. LS mean were derived using MMRM model with fixed factors for visit, and covariates for baseline score, and age at baseline. | Baseline, Week 72 |
| Part B: Pharmacokinetics (PK): Trough Concentrations of Donanemab (Ctrough) | PK: Trough Concentration of donanemab. Ctrough is the concentration of drug in the blood immediately before the next dose of drug was administered. | Predose at Week 8 and Week 16 |
| Part B: Number or Participants With Treatment-Emergent Anti-Drug Antibodies (TE ADA) of Donanemab | Number of participants in Part B with positive Anti-drug antibodies (TE ADA+) was reported. A TE ADA evaluable participant is classified as TE ADA+ if they have at least one postbaseline titer that is 4 times or more higher than the baseline titer (treatment-boosted). If the baseline result is ADA Not Present, the subject is considered TE ADA+ if there is at least one postbaseline result showing ADA present with a titer of 1:10 or higher (treatment-induced). | Baseline, 4, 8, 16, 24, 36, 48, 60, 72, 84, and 96 Weeks |
| Irvine |
| California |
| 92697 |
| United States |
| Bradenton Research Center, Inc. | Bradenton | Florida | 34205 | United States |
| Merritt Island Medical Research, LLC | Merritt Island | Florida | 32952 | United States |
| Synexus Clinical Research US, Inc. | Orlando | Florida | 32806 | United States |
| Advanced Research Consultants | Palm Beach Gardens | Florida | 33410 | United States |
| Progressive Medical Research | Port Orange | Florida | 32127 | United States |
| Intercoastal Medical Group - Hyde Park | Sarasota | Florida | 34239 | United States |
| Stedman Clinical Trials | Tampa | Florida | 33613 | United States |
| Indiana University | Indianapolis | Indiana | 46202 | United States |
| Josephson Wallack Munshower Neurology, PC | Indianapolis | Indiana | 46256 | United States |
| The University of Kansas - Clinical Research Center | Fairway | Kansas | 66205 | United States |
| Cotton O'Neil Clinical Research Center - Central Office | Topeka | Kansas | 66606 | United States |
| Boston Center for Memory | Newton | Massachusetts | 02459 | United States |
| Washington University | St Louis | Missouri | 63110 | United States |
| Las Vegas Medical Research | Las Vegas | Nevada | 89113 | United States |
| Advanced Memory Research Institute of New Jersey | Toms River | New Jersey | 08755 | United States |
| Guilford Neurologic Research, PA | Greensboro | North Carolina | 27405 | United States |
| Ohio State University | Columbus | Ohio | 43210 | United States |
| Neurology Diagnostics, Inc. | Dayton | Ohio | 45459 | United States |
| Abington Neurological Associates, Ltd. | Abington | Pennsylvania | 19001 | United States |
| Rhode Island Hospital | Providence | Rhode Island | 02903 | United States |
| National Clinical Research, Inc | Richmond | Virginia | 23294 | United States |
| Bruyère Research Institute | Ottawa | Ontario | K1N 5C8 | Canada |
| Toronto Memory Program | Toronto | Ontario | M3B 2S7 | Canada |
| Clinique de la Mémoire de l'Outaouais | Gatineau | Quebec | J8T 8J1 | Canada |
| Diex Recherche Sherbrooke Inc. | Sherbrooke | Quebec | J1L 0H8 | Canada |
| Derived |
| Gueorguieva I, Chow K, Chua L, Shcherbinin S, Zimmer JA, Evans CD, Wang H, Nery ESM, Brooks DA, Sims JR. Donanemab exposure-response in early symptomatic Alzheimer's disease. Alzheimers Dement. 2025 Jul;21(7):e70491. doi: 10.1002/alz.70491. |
| FG001 |
| Part A - Group 2: Validation of Remote Scale Assessments |
Participants from the originating trials did not receive any drug in Part A. Participants in Group 2 underwent cognitive/functional scale assessment at home (VTC), followed by assessment on-site. Total time in Part A - Group 2 was up to 24 weeks. |
| FG002 | Part B: Donanemab | Participants who had received placebo in the originating trials received 700 milligrams (mg) donanemab administered intravenously (IV) every 4 weeks (Q4W) for 3 doses, then 1400 mg donanemab administered IV Q4W for up to 48 weeks. |
| Received At Least 1 Dose of Study Drug |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
| Period 2 |
|
|
All enrolled participants in Part A.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Part A: Validation of Remote Scale Assessments | Participants from the originating trials did not receive any drug in Part A. Participants were randomized 1:1 into two groups to have their cognitive and functional scales assessed. Group 1: Cognitive/functional scale assessment at the study site (on-site), followed by an at-home assessment (VTC; video teleconference), or Group 2: Cognitive/functional scale assessment at home (VTC), followed by assessment on-site. Total time in Part A was up to 24 weeks. After Part A, participants who had received placebo in the originating trials moved to Part B. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| ||||||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants | No |
| ||||||||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants | No |
| ||||||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants | No |
| ||||||||||||||||||||||
| Region of Enrollment | Count of Participants | Participants | No |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Part A: Intraclass Correlation Between On-Site and Video Teleconference (VTC) Assessments | Part A didn't involve any drug and drug related efficacy analyses. Participants in Part A were divided into 2 groups, and they completed the same set of clinical assessments. Participants in Part A Group 1 completed the clinical assessments at a clinic site first (on-site) followed by at home assessments (VTC). Participants in Part A Group 2 completed the assessments at home first, followed by on-site assessment. The goal of Part A was to evaluate the comparability of remote and on-site clinical assessments. The intra-class correlation coefficient (ICC), a measure of agreement for continuous outcome measures, was used to determine agreement between remote and onsite assessments for each outcome measure. Outcome measure tested were the Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog13), Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL), Mini Mental State Examination (MMSE), and Clinical Dementia Rating Scale-Sum of Boxes (CDR-SB). | All participants in Part A who had evaluable data for this outcome. | Posted | Number | 95% Confidence Interval | Intraclass correlation coefficient | Baseline to 4 Weeks |
|
|
| |||||||||||||||||||||||||||
| Primary | Part B: Percentage of Participants With One or More Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) | Percentage of participants with TEAEs and SAEs were reported here. A summary of SAEs and other non-serious AEs, regardless of causality is located in the Reported Adverse Events section of this record. | All participants from Part B, who received at least one dose of donanemab. | Posted | Number | Percentage of participants | Baseline Up To 96 Weeks |
|
| |||||||||||||||||||||||||||||
| Primary | Part B: Number of Participants With Suicidality Based on Columbia-Suicide Severity Rating Scale (C-SSRS) | Number of Participants with Suicidality Based on C-SSRS was reported. | All participants in Part B, who received at least one dose of donanemab and had evaluable data for this outcome. | Posted | Count of Participants | Participants | No | Baseline, Week 72 |
|
| ||||||||||||||||||||||||||||
| Secondary | Part B: Change From Baseline on the Mini Mental State Examination (MMSE) Score | The MMSE is an instrument used to assess cognitive function in participants. The instrument measures orientation, memory, and attention; the ability of the participant to name objects; follow verbal and written commands; write a sentence; and copy figures. The range for the total MMSE score is 0 to 30, with lower scores indicating greater level of impairment. LS Mean was determined by Mixed Models for Repeated Measurements (MMRM) model with Baseline + Visit + Baseline*Visit + Age + Years of Education + Presence/ Absence of Anti-dementia Drugs as variables. | All participants in Part B who received at least one dose of donanemab and had evaluable data for this outcome. | Posted | Least Squares Mean | Standard Error | Score on a scale | Baseline, Week 72 |
|
| ||||||||||||||||||||||||||||
| Secondary | Part B: Change From Baseline on the Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog13) Score | The ADAS-Cog13 (13-item version of ADAS Cog) assesses areas of cognitive function that are the most typically impaired in Alzheimer's Disease (AD): orientation, verbal memory, language, praxis, delayed free recall, digit cancellation, and maze-completion measures. The ADAS-Cog13 scale ranges from 0 to 85, with higher scores indicating greater disease severity. LS Mean was determined by MMRM model with Baseline + Visit + Baseline*Visit + Age + Years of Education + Presence/Absence of Anti-dementia Drugs as variables. | All participants in Part B, who received at least one dose of donanemab and had evaluable data for this outcome. | Posted | Least Squares Mean | Standard Error | Score on a scale | Baseline, Week 72 |
|
| ||||||||||||||||||||||||||||
| Secondary | Part B: Change From Baseline on the Integrated Alzheimer's Disease Rating Scale (iADRS) | The iADRS is a composite that measures both cognition and function from the ADAS-Cog and the ADCS-iADL (Alzheimer's Disease Cooperative Study - instrumental Activities of Daily Living). The iADRS is calculated as a linear combination of the total scores of the ADAS-Cog13 (score range 0 to 85 with higher scores reflecting worse performance) and the ADCS-iADL (score range from 0-59 with higher scores reflecting better performance). The iADRS score ranges from 0 to 144 with lower scores indicating greater impairment. LS Mean was determined by MMRM model using Baseline + Visit + Baseline*Visit + Age + Years of Education + Presence/Absence of Anti-dementia Drugs as variables. | All participants in Part B, who received at least one dose of donanemab and had evaluable data for this outcome. | Posted | Least Squares Mean | Standard Error | Score on a scale | Baseline, Week 72 |
|
| ||||||||||||||||||||||||||||
| Secondary | Part B: Change From Baseline on the Alzheimer's Disease Cooperative Study - Instrumental Activities of Daily Living (ADCS-iADL) | The ADCS-iADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. The range for the ADCS-iADL is 0-59 with higher scores reflecting better performance. LS Mean was determined by MMRM model using = Baseline + Visit + Baseline*Visit + Age + Years of Education + Presence/Absence of Anti-dementia Drugs as variables. | All participants in Part B, who received at least one dose of donanemab and had evaluable data for this outcome. | Posted | Least Squares Mean | Standard Error | Score on a scale | Baseline, Week 72 |
|
| ||||||||||||||||||||||||||||
| Secondary | Part B: Change From Baseline on the Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) | The CDR-SB is a global assessment tool than can be used to effectively evaluate both cognition and function. Participant's cognitive status is rated across 6 domains or 'boxes' of functioning: Memory, Orientation, Judgment and Problem Solving, Community Affairs, Home and Hobbies, and Personal Care. The CDR-SB scores are calculated by adding the box scores and range from 0 to 18 with higher scores indicative of more impairment. LS Mean was determined by MMRM model using Baseline + Visit + Baseline*Visit + Age + Years of Education + Presence/Absence of Anti-dementia Drugs as variables. | All participants in Part B who received at least one dose of donanemab and had evaluable data for this outcome. | Posted | Least Squares Mean | Standard Error | Score on a scale | Baseline, Week 72 |
|
| ||||||||||||||||||||||||||||
| Secondary | Part B: Change From Baseline in Brain Amyloid Plaque Deposition as Measured by Florbetapir F18 Positron Emission Tomography (PET) Scan | Florbetapir PET imaging was used as a quantitative amyloid biomarker. Florbetapir PET scans at baseline and at 36 weeks after the first treatment were used to quantitatively estimate change in amyloid plaques. Quantitative amyloid burden was first formalized as the average Standardized Uptake Value Ratio (SUVR) in six predetermined cortical areas of the brain relative to the cerebellum as a reference region. Larger SUVR reflects the larger cortical amyloid burden relative to cerebellum. SUVR values were further calibrated to a centiloid (CL) scale. The Centiloid scale anchor points are 0 and 100, where 0 represents a high-certainty amyloid negative scan and 100 represents the amount of global amyloid deposition found in a typical AD scan. LS Mean was determined by ANCOVA model using originating study's Baseline + Age + Treatment (Type III sum of squares) as variables. | All participants in Part B, who received at least one dose of donanemab and had evaluable data for this outcome. | Posted | Least Squares Mean | Standard Error | Centiloids | Baseline, Week 36 |
|
| ||||||||||||||||||||||||||||
| Secondary | Part B: Change From Baseline in Whole Brain Volume as Measured by Volumetric Magnetic Resonance Imaging (vMRI) | Change from Baseline in Whole Brain Volume as Measured by vMRI in Part B. LS mean were derived using MMRM model with fixed factors for visit, and covariates for baseline score, and age at baseline. | All participants in Part B who received at least one dose of donanemab and had evaluable data for this outcome. | Posted | Least Squares Mean | Standard Error | cubic centimeters (cm3) | Baseline, Week 72 |
|
| ||||||||||||||||||||||||||||
| Secondary | Part B: Pharmacokinetics (PK): Trough Concentrations of Donanemab (Ctrough) | PK: Trough Concentration of donanemab. Ctrough is the concentration of drug in the blood immediately before the next dose of drug was administered. | All participants in Part B, who received at least one dose of donanemab and had evaluable PK data. | Posted | Geometric Mean | Geometric Coefficient of Variation | micrograms per milliliter (μg/mL) | Predose at Week 8 and Week 16 |
|
| ||||||||||||||||||||||||||||
| Secondary | Part B: Number or Participants With Treatment-Emergent Anti-Drug Antibodies (TE ADA) of Donanemab | Number of participants in Part B with positive Anti-drug antibodies (TE ADA+) was reported. A TE ADA evaluable participant is classified as TE ADA+ if they have at least one postbaseline titer that is 4 times or more higher than the baseline titer (treatment-boosted). If the baseline result is ADA Not Present, the subject is considered TE ADA+ if there is at least one postbaseline result showing ADA present with a titer of 1:10 or higher (treatment-induced). | All participants in Part B who received at least one dose of donanemab and had baseline and at least one post baseline ADA assessment. | Posted | Count of Participants | Participants | No | Baseline, 4, 8, 16, 24, 36, 48, 60, 72, 84, and 96 Weeks |
|
|
Baseline Up To 96 Weeks
All enrolled participants. Participants in Part A did not receive any intervention (i.e., study drug). As such, there were no treatment emergent adverse events in Part A. Per pre-planned analysis, adverse events for Part A were reported as per the groups they were randomized into (Group 1 and Group 2) and not as per VTC or on-site as every participant was supposed to participate in both VTC and on-site assessments.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Period 1: Part A - Group 1: Validation of Remote Scale Assessments | Participants from the originating trials did not receive any drug in Part A. Participants in Group 1 underwent cognitive/functional scale assessment at the study site (on-site), followed by an at-home assessment (VTC; video teleconference). | 0 | 50 | 0 | 50 | 0 | 50 |
| EG001 | Period 1: Part A - Group 2: Validation of Remote Scale Assessments | Participants from the originating trials did not receive any drug in Part A. Participants in Group 2 underwent cognitive/functional scale assessment at home (VTC), followed by assessment on-site. | 0 | 45 | 1 | 45 | 0 | 45 |
| EG002 | Period 2: Part B: Donanemab | Participants who had received placebo in the originating trials received 700 mg donanemab administered IV Q4W for 3 doses, then 1400 mg donanemab administered IV Q4W for up to 48 weeks. | 2 | 55 | 16 | 55 | 40 | 55 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acute myocardial infarction | Cardiac disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Cardiac failure congestive | Cardiac disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA 26.1 | Systematic Assessment |
| |
| Covid-19 | Infections and infestations | MedDRA 26.1 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 26.1 | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA 26.1 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 26.1 | Systematic Assessment |
| |
| Diabetic ketoacidosis | Metabolism and nutrition disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Polymyalgia rheumatica | Musculoskeletal and connective tissue disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Amyloid related imaging abnormality-microhaemorrhages and haemosiderin deposits | Nervous system disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Amyloid related imaging abnormality-oedema/effusion | Nervous system disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Metabolic encephalopathy | Nervous system disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Migraine | Nervous system disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Toxic encephalopathy | Nervous system disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA 26.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Asthenia | General disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Covid-19 | Infections and infestations | MedDRA 26.1 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 26.1 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 26.1 | Systematic Assessment |
| |
| Infusion related reaction | Injury, poisoning and procedural complications | MedDRA 26.1 | Systematic Assessment |
| |
| Blood pressure increased | Investigations | MedDRA 26.1 | Systematic Assessment |
| |
| Basal cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 26.1 | Systematic Assessment |
| |
| Amyloid related imaging abnormality-microhaemorrhages and haemosiderin deposits | Nervous system disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Amyloid related imaging abnormality-oedema/effusion | Nervous system disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Cerebral microhaemorrhage | Nervous system disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Superficial siderosis of central nervous system | Nervous system disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA 26.1 | Systematic Assessment |
| |
| Confusional state | Psychiatric disorders | MedDRA 26.1 | Systematic Assessment |
|
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Chief Medical Officer | Eli Lilly and Company | 800-545-5979 | ClinicalTrials.gov@lilly.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 13, 2022 | Feb 7, 2025 | SAP_001.pdf |
Not provided
| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D060825 | Cognitive Dysfunction |
| ID | Term |
|---|---|
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D003072 | Cognition Disorders |
Not provided
Not provided
| ID | Term |
|---|---|
| C000729112 | donanemab |
Not provided
Not provided
Not provided
| Lost to Follow-up |
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| Death |
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| Progressive Disease |
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| Withdrawal Due To Caregiver Circumstances |
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| Unknown or Not Reported |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| MMSE |
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| CDR-SB |
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| Participants |
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