Alzheimer's DiseasePhase 3EMERGENCT02484547
221AD302 Phase 3 Study of Aducanumab (BIIB037) in Early Alzheimer's Disease
A Phase 3 study testing Aducanumab (BIIB037) in people with Alzheimer's Disease, run by Biogen at 180 sites in 13 countries.
Trial summary
The primary objective of the study is to evaluate the efficacy of monthly doses of aducanumab in slowing cognitive and functional impairment as measured by changes in the Clinical Dementia Rating-Sum of Boxes (CDR-SB) score as compared with placebo in participants with early AD. Read more about this study
- Who is it for?
- Ages 50 to 85 years
- Conditions the study is for
- Alzheimer's Disease
- What is being tested?
- Aducanumab (BIIB037)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,643 participants
- Where
- 180 sitesin 13 countries
- Study dates
- 15 Sep 2015to 5 Aug 2019
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Must meet all of the following clinical criteria for MCI due to AD or mild AD and must have:
- A Clinical Dementia Rating (CDR)-Global Score of 0.5.
- Objective evidence of cognitive impairment at screening
- An MMSE score between 24 and 30 (inclusive)
- Must have a positive amyloid Positron Emission Tomography (PET) scan
- Must consent to apolipoprotein E (ApoE) genotyping
- If using drugs to treat symptoms related to AD, doses must be stable for at least 8 weeks prior to screening visit 1
- Must have a reliable informant or caregiver
Who cannot join
- Any medical or neurological condition (other than Alzheimer's Disease) that might be a contributing cause of the subject's cognitive impairment
- Have had a stroke or Transient Ischemic Attack (TIA) or unexplained loss of consciousness in the past 1 year
- Clinically significant unstable psychiatric illness in past 6 months
- History of unstable angina, myocardial infarction, advanced chronic heart failure, or clinically significant conduction abnormalities within 1 year prior to Screening
- Indication of impaired renal or liver function
- Have human immunodeficiency virus (HIV) infection
Show all 12Show fewer
- Have a significant systematic illness or infection in past 30 days
- Relevant brain hemorrhage, bleeding disorder and cerebrovascular abnormalities
- Any contraindications to brain magnetic resonance imaging (MRI) or PET scans
- Alcohol or substance abuse in past 1 year
- Taking blood thinners (except for aspirin at a prophylactic dose or less)
- NOTE: Other protocol defined Inclusion/Exclusion criteria may apply
Trial locations and contacts
180 sites in 13 countries.
180 sites in 13 countries
United States58 sites
Lehigh Center for Clinical Research, LLC
Allentown, Pennsylvania, 18104
Emory University Cognitive Neurology Clinic & ADRC
Atlanta, Georgia, 30329
JEM Research Institute
Atlantis, Florida, 33462
University Of Colorado Denver
Aurora, Colorado, 80045
Senior Adult Specialty Research
Austin, Texas, 78757
McLean Hospital
Belmont, Massachusetts, 02478
Clinical Neuroscience Research Association, Inc
Bennington, Vermont, 05201
University of Alabama at Birmingham
Birmingham, Alabama, 35233
Bradenton Research Center, Inc.
Bradenton, Florida, 34205
Meridien Research
Brooksville, Florida, 34601
Medical Research Health and Education Foundation, Inc
Columbus, Georgia, 31909
NeuroStudies.net, LLC
Decatur, Georgia, 30033
Quantum Laboratories Inc.
Deerfield Beach, Florida, 33064
Ohio State University Medical Center
Dublin, Ohio, 43017
Associated Neurologists of Southern Connecticut, PC
Fairfield, Connecticut, 06824
Hattiesburg Clinic, PA
Hattiesburg, Mississippi, 39401
Infinity Clinical Research, LLC
Hollywood, Florida, 33021
The Methodist Hospital Research Institute
Houston, Texas, 77030
Clinical Trial Network
Houston, Texas, 77074
Josephson, Wallack, Munshower Neurology, PC
Indianapolis, Indiana, 46256
Institute for Memory Impairments
Irvine, California, 92607
Mayo Clinic in Florida
Jacksonville, Florida, 32224
Cleveland Clinic Lou Ruvo Center for Brain Health
Las Vegas, Nevada, 89106
Empire Neurology, PC
Latham, New York, 12110
AdvanceMed Research
Lawrenceville, New Jersey, 08648
Renewal Behavioral Health
Long Beach, California, 85013
USC Keck School of Medicine
Los Angeles, California, 90033
Yale University School Of Medicine
New Haven, Connecticut, 06520
Weill Cornell Medical College-New York Presbyterian Hospital
New York, New York, 10021
Mount Sinai School of Medicine
New York, New York, 10029
Hoag Memorial Hospital Presbyterian
Newport Beach, California, 92663
Boston Center for Memory
Newton, Massachusetts, 05201
Roper St. Francis Healthcare
North Charleston, South Carolina, 29406-6076
Research Center for Clinical Studies, Inc.
Norwalk, Connecticut, 06851
Renstar Medical Research
Ocala, Florida, 34470
Excell Research, Inc.
Oceanside, California, 92056
Clinical Neuroscience Solutions, Inc.
Orlando, Florida, 32801
Pacific Neuroscience Medical Group
Oxnard, California, 93030
Penn Memory Center
Philadelphia, Pennsylvania, 19104
Banner Alzheimer's Institute
Phoenix, Arizona, 85006
Xenoscience Inc.
Phoenix, Arizona, 85013
ActivMed Practices & Research
Portsmouth, New Hampshire, 03801
Rhode Island Hospital
Providence, Rhode Island, 02903
Anderson Clinical Research
Redlands, California, 92354
University of Utah Health Sciences Center
Salt Lake City, Utah, 84132
Pacific Research Network
San Diego, California, 92103
University of California San Diego Medical Center
San Diego, California, 92103
California Pacific Medical Center
San Francisco, California, 94114
Syrentis Clinical Research
Santa Ana, California, 92705
St Joseph Heritage Healthcare
Santa Rosa, California, 95403
University of Washington Medical Center
Seattle, Washington, 98195
Northwest Neurological, PLLC
Spokane, Washington, 99202
Stanford University Medical Center
Stanford, California, 94305
Banner Sun Health Research Institute
Sun City, Arizona, 85351
Axiom Clinical Research of Florida
Tampa, Florida, 33609
IMMUNOe International Research Centers
Thornton, Colorado, 80233
PMG Research of Winston-Salem, LLC
Winston-Salem, North Carolina, 27103
Wake Forest Baptist Health
Winston-Salem, North Carolina, 27103
Japan27 sites
Research Site
Amagasaki-shi, Hyōgo, 660-8511
Research Site
Fukuoka, Fukuoka, 814-0180
Research site
Himeji-shi, Hyōgo, 670-0981
Research Site
Himeji-shi, Hyōgo, 672-8043
Research Site
Iwata-shi, Shizuoka, 438-0043
Research Site
Kishiwada-shi, Osaka, 596-8522
Research Site
Kita-gun, Kagawa-ken, 761-0793
Research Site
Kobe, Hyōgo, 650-0047
Research Site
Kurashiki-shi, Okayama-ken, 710-0813
Research Site
Kurume-shi, Fukuoka, 830-0011
Research Site
Kyoto, Kyoto, 607-8113
Research Site
Kyoto, Kyoto, 616-8255
Research Site
Nishisonogi, Nagasaki, 851-2103
Research Site
Obu-shi, Aichi-ken, 474-8511
Research Site
Okayama, Okayama-ken, 703-8265
Research Site
Osaka, Osaka, 530-0001
Research Site
Osaka, Osaka, 545-8586
Research Site
Osaka, Osaka, 553-0003
Research Site
Otake-shi, Hiroshima, 739-0696
Research Site
Sennan-shi, Osaka, 590-0503
Research Site
Shizuoka, Shizuoka, 420-8688
Research Site
Shizuoka, Shizuoka, 424-8636
Research Site
Suita-shi, Osaka, 565-0871
Research Site
Toon-shi, Ehime, 791-0295
Research Site
Tsu, Mie-ken, 514-8507
Research Site
Tsukuba-gun, Okayama-ken, 701-0304
Research Site
Yufu-shi, Oita Prefecture, 879-5593
Germany19 sites
Klinikum Altenburger Land GmbH
Altenburg, Thuringia, 04600
Klinik Hohe Warte Bayreuth
Bayreuth, Bavaria, 95445
emovis GmbH
Berlin, 10629
Neurologie im Tempelhofer Hafen
Berlin, 12099
Schwerpunktpraxis fuer Neurologie, Psychiatrie und Klinische Studien
Bielefeld, North Rhine-Westphalia, 33647
Klinikum Chemnitz gGmbH
Chemnitz, Saxony, 09131
Universitaetsklinikum Duesseldorf AoeR
Düsseldorf, North Rhine-Westphalia, 40629
Neuro Centrum Odenwald
Erbach im Odenwald, Hesse, 64711
Bezirkskrankenhaus Guenzburg
Gunzburg, Baden-Wurttemberg, 89312
Kopfzentrum Leipzig
Leipzig, Saxony, 04275
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz
Mainz, Rhineland-Palatinate, 55131
ISPG - Institut fuer Studien zur Psychischen Gesundheit
Mannheim, Baden-Wurttemberg, 68165
Institut fuer Schlaganfall- und Demenzforschung (ISD)
Munich, Bavaria, 81377
Klinikum rechts der Isar der TU Muenchen
Munich, Bavaria, 81675
Universitaetsklinikum Muenster
Münster, North Rhine-Westphalia, 48149
Zentrum f. Neurologisch- Psychiatrische Studien und Begutachtung
Siegen, North Rhine-Westphalia, 57076
Nervenfachaerztlichen Gemeinschaftspraxis Ulm
Ulm, Baden-Wurttemberg, 89078
Universitaetsklinikum Ulm
Ulm, Baden-Wurttemberg, 89081
Neuropraxis Muenchen Sued
Unterhaching, Bavaria, 82008
Poland14 sites
Podlaskie Centrum Psychogeriatrii
Bialystok, 15-732
PALLMED Sp. z o.o.
Bydgoszcz, 85-796
Uniwersyteckie Centrum Kliniczne
Gdansk
Novo-Med Zielinski i wspolnicy Sp. j.
Katowice, 40-650
SPZOZ Centralny Szpital Kliniczny UM w Lodzi
Lodz, 92-216
Centrum Diagnostyczno - Terapeutyczne "MEDICUS" Sp.z o.o.
Lubin, 59-300
Samodzielny Publiczny Szpital Kliniczny Nr 4 w Lublinie
Lublin, 20-950
Neurologiczny NZOZ Centrum Leczenia SM
Plewiska, 62-064
NZOZ "NEURO-KARD", "Ilkowski i Partnerzy" Sp. Partn. Lek.
Poznan, 61-853
Centrum Medyczne Medyk
Rzeszów, 35-055
Neuro-Care Gabriela Klodowska
Śląskie, 41-100
NZOZ "SENIOR" Poradnia Psychogeriatryczna
Sopot, 81-855
Osrodek Badan Klinicznych EUROMEDIS
Szczecin, 70-111
mMED Maciej Czarnecki
Warsaw, 01-697
Canada13 sites
JBN Medical Diagnostic Services Inc.
Burlington, Ontario, L7M 4Y1
Recherches Neuro-Hippocampe Inc.
Gatineau, Quebec, J8T 8J1
Recherche Sepmus, Inc.
Greenfield Park, Quebec, J4V 2J2
True North Clinical Research - Halifax Inc.
Halifax, Nova Scotia, B3S 1M7
Health Research.
Kamloops, British Columbia
True North Clinical Research Kentville, Inc
Kentville, Nova Scotia, B4N 4K9
St. Joseph's HC- Parkwood Institute
London, Ontario, N6C 5J1
Bruyere Continuing Care
Ottawa, Ontario, K1N 5C8
Kawartha Regional Memory Clinic
Peterborough, Ontario, K9H 2P4
DIEX Recherche Sherbrooke Inc.
Sherbrooke, Quebec, J1H 1Z1
Toronto Western Hospital
Toronto, Ontario, M5T 2S8
Douglas Hospital Research Centre
Verdun, Quebec, H4H 1R3
Health Research
West Vancouver, British Columbia
France9 sites
Hopital Roger Salengro - CHU Lille
Lille, Nord, 59037
Hôpital de la Timone
Marseille, Bouches-du-Rhône, 13385
Hôpital Gui de Chauliac
Montpellier, Herault, 34295
CHU Nantes - Hopital Nord Laënnec
Nantes, Loire Atlantique, 44093
Hôpital Fernand Widal
Paris, 75010
CHU Rennes - Hopital Pontchaillou
Rennes, Ille Et Vilaine, 35033
Centre de Recherche Clinique du Gérontopôle - Cité de la Santé
Toulouse, Haute Garonne, 31052
CHU de Toulouse - Hôpital Purpan
Toulouse, Haute Garonne, 31059
Hôpital des Charpennes
Villeurbanne, Rhone, 69100
Spain9 sites
Hospital del Mar
Barcelona, 08003
Hospital Universitari Quiron Dexeus
Barcelona, 08028
Hospital Universitari de Bellvitge
Barcelona, 8907
Hospital Universitario Reina Sofía
Córdoba, Córdoba, 14011
Hospital General Universitario de Elche
Elche, Alicante, 3203
Hospital Universitari Arnau de Vilanova
Lleida, 25198
ALTHAIA Hospital Sant Joan de Deu
Manresa, Barcelona, 08243
Clinica Universidad de Navarra
Pamplona, Navarre, 31008
Hospital Universitario Virgen Macarena
Seville, 41009
Belgium8 sites
A.Z. Klina
Brasschaat
AZ Sint-Jan Brugge
Bruges, 8000
Universitair Ziekenhuis Brussel
Brussels, 1090
Centre Neurologique & de Réadaptation Fonctionnelle
Fraiture, 4557
Universitair Ziekenhuis Gent
Ghent, 9000
AZ Groeninge - Campus Kennedylaan
Kortrijk, 8500
UZ Leuven
Leuven, 3000
AZ Delta
Roeselare, 8800
Italy8 sites
Fondazione IRCCS Istituto Neurologico Carlo Besta
Milan, 20133
ASST di Monza
Monza, Milano, 20052
Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone
Palermo, 90100
Azienda Ospedaliera di Perugia Ospedale S. Maria della Misericordia
Perugia, 06156
Ospedale degli Infermi
Ponderano, Biella, 13875
Fondazione Santa Lucia IRCCS
Roma, 00179
Umberto I Pol. di Roma-Università di Roma La Sapienza
Roma, 00185
Azienda Ospedaliera Card. G. Panico
Tricase, Lecce, 73039
Switzerland6 sites
Universitären Psychiatrischen Kliniken Basel (UPK)
Basel, 4025
Medizinisches Zentrum MZB Biel
Biel/Bienne, 2502
Hôpitaux Universitaires de Genève - HUG
Geneva, 1211
Centre Hospitalier Universitaire Vaudois
Lausanne, CH-1011
Ospedale Civico
Lugano, 6903
Institut fuer Regenerative Medizin (IREM) der Universitaet Zuerich, Zentrum fuer Praevention und Demenztherapie
Schlieren, 8952
Sweden4 sites
Skånes Universitetssjukhus, Malmö
Malmö, 20502
Sahlgrenska Universitetssjukhuset, Mölndal Sjukhus
Mölndal, 43141
Karolinska Universitetssjukhuset, Huddinge
Stockholm, 14186
Akademiska Sjukhuset
Uppsala, 75185
Finland3 sites
Terveystalo Kamppi
Helsinki, 00100
Itä-Suomen yliopisto, Aivotutkimusyksikkö
Kuopio, 70210
CRST, Clinical Research Services Turku
Turku, 20520
Netherlands2 sites
Alzheimer Research Center
Amsterdam, 1081 GM
Erasmus Medisch Centrum
Rotterdam, 3015 CE
About this study
Official title: A Phase 3 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Aducanumab (BIIB037) in Subjects With Early Alzheimer's Disease
The primary objective of the study is to evaluate the efficacy of monthly doses of aducanumab in slowing cognitive and functional impairment as measured by changes in the Clinical Dementia Rating-Sum of Boxes (CDR-SB) score as compared with placebo in participants with early AD. Secondary objectives are to assess the effect of monthly doses of aducanumab as compared with placebo on clinical progression as measured by Mini-Mental State Examination (MMSE), AD Assessment Scale-Cognitive Subscale (13 items) [ADAS-Cog 13], and AD Cooperative Study-Activities of Daily Living Inventory (Mild Cognitive Impairment version) [ADCS-ADL-MCI].
- Conditions
- Alzheimer's Disease
- Being tested
- Aducanumab (BIIB037), Placebo
- Keywords
- Aducanumab, BIIB037
- Medical subject headings
- Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Aducanumab (BIIB037)Drug
Low dose
Aducanumab (BIIB037)Drug
High dose
PlaceboDrug
Placebo
| Study group | Role | What they receive |
|---|---|---|
| Low Dose | Experimental | Monthly intravenous (IV) infusions Receives: Drug: Aducanumab (BIIB037); Drug: Placebo |
| High Dose | Experimental | Monthly intravenous (IV) infusions Receives: Drug: Aducanumab (BIIB037); Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) Score at Week 78
CDR-SB integrates assessments from 3 domains of cognition (memory, orientation, judgment/problem-solving) and 3 domains of function (community affairs, home/hobbies, personal care). Following caregiver interview and systematic patient examination, the rater assigns a score describing the participant's current performance level in each of these domains of life functioning. Prespecified severity anchors range from none = 0, questionable = 0.5, mild = 1, moderate = 2 to severe = 3 (the personal care domain omits the 0.5 score). "Sum of boxes" scoring methodology sums the score for each of the 6 domains and provides a value ranging from 0 to 18 that can change in increments of 0.5 or greater. Higher scores indicate greater disease severity. Mixed model for repeated measures (MMRM) analysis was used to analyze change from baseline in CDR-SB. A positive change from baseline indicates clinical decline.
Measured: Baseline, Week 78
Secondary outcomes (3)
Change From Baseline in Mini Mental State Examination (MMSE) Score at Week 78
The MMSE is a widely used performance-based test of global cognitive status. It consists of 11 tasks that assess orientation, word recall, attention and calculation, language abilities, and visuospatial functions. The scores from the 11 tests are combined to obtain the total score, which ranges from 0 to 30, with lower scores over time indicating increasing cognitive impairment. MMRM analysis was used to analyze change from baseline in MMSE. A negative change from baseline indicates clinical decline.
Measured: Baseline, Week 78
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (13 Items) (ADAS-Cog 13) at Week 78
ADAS-Cog13 comprises both cognitive tasks and clinical ratings of cognitive performance. The scale items capture word recall, ability to follow commands, the ability to correctly copy or draw an image, naming, the ability to interact with everyday objects, orientation, word recognition, memory, comprehension of spoken language, word-finding, and language ability, with a measure for delayed word recall and concentration/distractibility. The total score ranges from 0 to 85. An increase in score over time indicates increasing cognitive impairment. MMRM analysis was used to analyze change from baseline in ADAS-Cog 13. A positive change from baseline indicates clinical decline.
Measured: Baseline, Week 78
Change From Baseline in Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (Mild Cognitive Impairment Version) (ADCS-ADL-MCI) Score at Week 78
The ADCS-ADL-MCI consists of 17 instrumental items (e.g., shopping, preparing meals, using household appliances) and 1 basic item (getting dressed). Ratings reflect caregiver observations about the patient's actual functioning over the previous month and provide an assessment of change in the functional state of the participant over time. The total score ranges from 0 to 53, with lower values over time reflecting functional deterioration. MMRM analysis was used to analyze change from baseline in ADAS-ADL-MCI. A negative change from baseline indicates clinical decline.
Measured: Baseline, Week 78
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jun 2015 (estimated)
- Study start15 Sep 2015
- Primary completion5 Aug 2019
- Study completion5 Aug 2019
Why it stopped: Study was discontinued based on futility analysis done and not based on safety concerns. Follow-up visits and closing out study activities are completed
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Alzheimer's DiseaseStudies of the same condition, open and under way.
- More trials run by BiogenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,643 participants (actual)
Sponsor and investigators
- Lead sponsor
- Biogen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Biogen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02484547
- Sponsor's protocol ID
- 221AD302
- Other IDs
- 2015-000967-15, 2015
- Acronym
- EMERGE
- Status last verified
- Aug 2021
- First submitted
- 18 Jun 2015
- Last updated
- 2 Sep 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Atri A, Curiale GG, Aisen P, Barakos J, Purcell D, Bracoud L, Haeberlein SB, Grassi C, Hughes R, Smirnakis K. Spectrum of amyloid-related imaging abnormalities associated with aducanumab treatment: a case series report. BMC Neurol. 2026 Jul 30;26(1):671. doi: 10.1186/s12883-026-05097-9.
PubMed 42934592Pang M, Brothers HM, O'Gorman J, Murphy J, Zabar Y, Lasky T, Shen C, Rubino I, Knopman D. Longitudinal clinical outcomes after amyloid clearance in aducanumab phase 3 studies. Alzheimers Dement. 2026 Oct;22(10):e71758. doi: 10.1002/alz.71758.
PubMed 42841310Cummings J, Cohen S, Murphy J, Brothers HM, Nejati M, Forrestal F, de Moor C, O'Gorman J, Harrison J, Jaeger J, Mummery CJ, Porsteinsson AP, Potashman M, Tian Y, Yang L, He P, Haeberlein SB. Evaluation of cognitive, functional, and behavioral effects observed in EMERGE, a phase 3 trial of aducanumab in people with early Alzheimer's disease. Alzheimers Dement. 2025 Jun;21(6):e70224. doi: 10.1002/alz.70224.
PubMed 40545559Burton J, Brothers HM, Hutchison RM, Murphy J, Sun T, Dent G, Curiale G, Kowalski K. Lower baseline amyloid beta burden is associated with greater percent of amyloid beta positron emission tomography reduction and better clinical outcomes in the aducanumab Phase 3 trials ENGAGE and EMERGE in early Alzheimer's disease. J Prev Alzheimers Dis. 2025 Aug;12(7):100202. doi: 10.1016/j.tjpad.2025.100202. Epub 2025 May 24.
PubMed 40413110Loomis SJ, Miller R, Castrillo-Viguera C, Umans K, Cheng W, O'Gorman J, Hughes R, Budd Haeberlein S, Whelan CD. Genome-Wide Association Studies of ARIA From the Aducanumab Phase 3 ENGAGE and EMERGE Studies. Neurology. 2024 Feb 13;102(3):e207919. doi: 10.1212/WNL.0000000000207919. Epub 2023 Dec 28.
PubMed 38165296Muralidharan KK, Kowalski KG, Tong X, Haeberlein SB, Rajagovindan R, Nestorov I. Characterization of exposure-Clinical Dementia Rating-Sum of Boxes relationship in subjects with early Alzheimer's disease from the aducanumab Phase 3 trials. J Pharmacokinet Pharmacodyn. 2023 Feb;50(1):45-62. doi: 10.1007/s10928-022-09839-3. Epub 2023 Jan 4.
PubMed 36600109Salloway S, Chalkias S, Barkhof F, Burkett P, Barakos J, Purcell D, Suhy J, Forrestal F, Tian Y, Umans K, Wang G, Singhal P, Budd Haeberlein S, Smirnakis K. Amyloid-Related Imaging Abnormalities in 2 Phase 3 Studies Evaluating Aducanumab in Patients With Early Alzheimer Disease. JAMA Neurol. 2022 Jan 1;79(1):13-21. doi: 10.1001/jamaneurol.2021.4161.
PubMed 34807243
Study at a glance
From the registry record, last updated by the sponsor on 2 Sep 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Aducanumab (BIIB037) in Subjects With Early Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT02484547
- Acronym / sponsor ID
- EMERGE / 221AD302
- Conditions
- Alzheimer's Disease
- Keywords
- Aducanumab, BIIB037
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Study was discontinued based on futility analysis done and not based on safety concerns. Follow-up visits and closing out study activities are completed
- Enrolment
- 1,643 participants (actual)
- Lead sponsor
- BiogenIndustry (pharma, biotech, devices)
- Study start
- 15 Sep 2015 (actual)
- Primary completion
- 5 Aug 2019 (actual)
- Study completion
- 5 Aug 2019 (actual)
- First posted
- 29 Jun 2015 (estimated)
- Results
- Posted 2 Sep 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of the study is to evaluate the efficacy of monthly doses of aducanumab in slowing cognitive and functional impairment as measured by changes in the Clinical Dementia Rating-Sum of Boxes (CDR-SB) score as compared with placebo in participants with early AD. Secondary objectives are to assess the effect of monthly doses of aducanumab as compared with placebo on clinical progression as measured by Mini-Mental State Examination (MMSE), AD Assessment Scale-Cognitive Subscale (13 items) [ADAS-Cog 13], and AD Cooperative Study-Activities of Daily Living Inventory (Mild Cognitive Impairment version) [ADCS-ADL-MCI].
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Low Dose | Experimental | Drug: Aducanumab (BIIB037), Drug: PlaceboMonthly intravenous (IV) infusions |
| High Dose | Experimental | Drug: Aducanumab (BIIB037), Drug: PlaceboMonthly intravenous (IV) infusions |
Who may qualify
- Ages
- 50 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Must meet all of the following clinical criteria for MCI due to AD or mild AD and must have:
- A Clinical Dementia Rating (CDR)-Global Score of 0.5.
- Objective evidence of cognitive impairment at screening
- An MMSE score between 24 and 30 (inclusive)
- Must have a positive amyloid Positron Emission Tomography (PET) scan
Key exclusion criteria (12 listed)
- Any medical or neurological condition (other than Alzheimer's Disease) that might be a contributing cause of the subject's cognitive impairment
- Have had a stroke or Transient Ischemic Attack (TIA) or unexplained loss of consciousness in the past 1 year
- Clinically significant unstable psychiatric illness in past 6 months
- History of unstable angina, myocardial infarction, advanced chronic heart failure, or clinically significant conduction abnormalities within 1 year prior to Screening
- Indication of impaired renal or liver function
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Aducanumab (BIIB037)Low dose | Drug | Low Dose |
| Aducanumab (BIIB037)High dose | Drug | High Dose |
| PlaceboPlacebo | Drug | High Dose, Low Dose |
Primary outcome
Change From Baseline in Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) Score at Week 78
Time frame: Baseline, Week 78
CDR-SB integrates assessments from 3 domains of cognition (memory, orientation, judgment/problem-solving) and 3 domains of function (community affairs, home/hobbies, personal care). Following caregiver interview and systematic patient examination, the rater assigns a score describing the participant's current performance level in each of these domains of life functioning. Prespecified severity anchors range from none = 0, questionable = 0.5, mild = 1, moderate = 2 to severe = 3 (the personal care domain omits the 0.5 score). "Sum of boxes" scoring methodology sums the score for each of the 6 domains and provides a value ranging from 0 to 18 that can change in increments of 0.5 or greater. Higher scores indicate greater disease severity. Mixed model for repeated measures (MMRM) analysis was used to analyze change from baseline in CDR-SB. A positive change from baseline indicates clinical decline.
3 secondary outcomes
Change From Baseline in Mini Mental State Examination (MMSE) Score at Week 78
Time frame: Baseline, Week 78
Change From Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (13 Items) (ADAS-Cog 13) at Week 78
Time frame: Baseline, Week 78
Change From Baseline in Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (Mild Cognitive Impairment Version) (ADCS-ADL-MCI) Score at Week 78
Time frame: Baseline, Week 78
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Sep 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42934592Atri A, Curiale GG, Aisen P, Barakos J, Purcell D, Bracoud L, Haeberlein SB, Grassi C, Hughes R, Smirnakis K. Spectrum of amyloid-related imaging abnormalities associated with aducanumab treatment: a case series report. BMC Neurol. 2026 Jul 30;26(1):671. doi: 10.1186/s12883-026-05097-9.
- Derived from this study: PubMed 42841310Pang M, Brothers HM, O'Gorman J, Murphy J, Zabar Y, Lasky T, Shen C, Rubino I, Knopman D. Longitudinal clinical outcomes after amyloid clearance in aducanumab phase 3 studies. Alzheimers Dement. 2026 Oct;22(10):e71758. doi: 10.1002/alz.71758.
- Derived from this study: PubMed 40545559Cummings J, Cohen S, Murphy J, Brothers HM, Nejati M, Forrestal F, de Moor C, O'Gorman J, Harrison J, Jaeger J, Mummery CJ, Porsteinsson AP, Potashman M, Tian Y, Yang L, He P, Haeberlein SB. Evaluation of cognitive, functional, and behavioral effects observed in EMERGE, a phase 3 trial of aducanumab in people with early Alzheimer's disease. Alzheimers Dement. 2025 Jun;21(6):e70224. doi: 10.1002/alz.70224.
- Derived from this study: PubMed 40413110Burton J, Brothers HM, Hutchison RM, Murphy J, Sun T, Dent G, Curiale G, Kowalski K. Lower baseline amyloid beta burden is associated with greater percent of amyloid beta positron emission tomography reduction and better clinical outcomes in the aducanumab Phase 3 trials ENGAGE and EMERGE in early Alzheimer's disease. J Prev Alzheimers Dis. 2025 Aug;12(7):100202. doi: 10.1016/j.tjpad.2025.100202. Epub 2025 May 24.
- Derived from this study: PubMed 38165296Loomis SJ, Miller R, Castrillo-Viguera C, Umans K, Cheng W, O'Gorman J, Hughes R, Budd Haeberlein S, Whelan CD. Genome-Wide Association Studies of ARIA From the Aducanumab Phase 3 ENGAGE and EMERGE Studies. Neurology. 2024 Feb 13;102(3):e207919. doi: 10.1212/WNL.0000000000207919. Epub 2023 Dec 28.
- Derived from this study: PubMed 36600109Muralidharan KK, Kowalski KG, Tong X, Haeberlein SB, Rajagovindan R, Nestorov I. Characterization of exposure-Clinical Dementia Rating-Sum of Boxes relationship in subjects with early Alzheimer's disease from the aducanumab Phase 3 trials. J Pharmacokinet Pharmacodyn. 2023 Feb;50(1):45-62. doi: 10.1007/s10928-022-09839-3. Epub 2023 Jan 4.
- Derived from this study: PubMed 34807243Salloway S, Chalkias S, Barkhof F, Burkett P, Barakos J, Purcell D, Suhy J, Forrestal F, Tian Y, Umans K, Wang G, Singhal P, Budd Haeberlein S, Smirnakis K. Amyloid-Related Imaging Abnormalities in 2 Phase 3 Studies Evaluating Aducanumab in Patients With Early Alzheimer Disease. JAMA Neurol. 2022 Jan 1;79(1):13-21. doi: 10.1001/jamaneurol.2021.4161.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Biogen
180 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Aducanumab (BIIB037) in people with Alzheimer's Disease, run by Biogen at 180 sites in 13 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 2 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 180 sites in United States, Japan, Germany, Poland, Canada and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 2 Sep 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) Score at Week 78 (time frame: Baseline, Week 78). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02484547, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Sep 2021.