Alzheimer's DiseasePhase 3CREAD 2NCT03114657
A Study of Crenezumab Versus Placebo to Evaluate the Efficacy and Safety in Participants With Prodromal to Mild Alzheimer's Disease (AD)
A Phase 3 study testing Crenezumab in people with Alzheimer's Disease, run by Hoffmann-La Roche at 211 sites in 27 countries.
Trial summary
This randomized, double-blind, placebo-controlled, parallel-group study will evaluate the efficacy and safety of crenezumab versus placebo in participants with prodromal to mild 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?
- Crenezumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 806 participants
- Where
- 211 sitesin 27 countries
- Study dates
- 29 Mar 2017to 11 Jun 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
- Weight between 40 and 120 kilograms (Kg) inclusive
- Availability of a person (referred to as the "caregiver") who in the investigator's judgment:
- Has frequent and sufficient contact with the participant to be able to provide accurate information regarding the participant's cognitive and functional abilities, agrees to provide information at clinic visits (which require partner input for scale completion), signs the necessary consent form, and has sufficient cognitive capacity to accurately report upon the participant's behavior and cognitive and functional abilities
- 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 (eye glasses and hearing aids are permitted)
- Evidence of the AD pathological process, by a positive amyloid assessment either on cerebrospinal fluid (CSF) amyloid beta 1-42 levels as measured on the Elecsys beta-amyloid(1-42) test system or amyloid PET scan by qualitative read by the core/central PET laboratory
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- Demonstrated abnormal memory function at screening (up to 4 weeks before screening begins) or screening (FCSRT cueing index =<0.67 AND free recall =<27)
- Screening mini mental state examination (MMSE) score of greater than or equal to (>=) 22 points and Clinical Dementia Rating-Global Score (CDR-GS) of 0.5 or 1.0
- Meets National Institute on Aging/Alzheimer's Association (NIAAA) core clinical criteria for probable AD dementia or prodromal AD (consistent with the NIAAA diagnostic criteria and guidelines for mild cognitive impairment (MCI)
- If receiving symptomatic AD medications, the dosing regimen must have been stable for 3 months prior to screening
- Participant must have completed at least 6 years of formal education after the age of 5 years
Who cannot join
- Any evidence of a condition other than AD that may affect cognition such as other dementias, stroke, brain damage, autoimmune disorders (e.g. multiple sclerosis) or infections with neurological sequelae.
- History of major psychiatric illness such as schizophrenia or major depression (if not considered in remission)
- At risk of suicide in the opinion of the investigator
- Any abnormal MRI findings, such as presence of cerebral vascular pathology, cortical stroke, etc or inability to tolerate MRI procedures or contraindication to MRI
- Unstable or clinically significant cardiovascular (e.g., myocardial infarction), kidney or liver disease
- Uncontrolled hypertension
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- Screening hemoglobin A1c (HbA1C) >8%
- Poor peripheral venous access
- History of cancer except:
- If considered to be cured or If not being actively treated with anti-cancer therapy or radiotherapy
- Known history of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric, human, or humanized antibodies or fusion proteins
Trial locations and contacts
211 sites in 27 countries.
211 sites in 27 countries
United States48 sites
JEM Research LLC
Atlantis, Florida, 33462
Senior Adults Specialty Research
Austin, Texas, 78757
Gadolin Research, LLC
Beaumont, Texas, 77702
Bradenton Research Center
Bradenton, Florida, 34205
Behavioral Health Research
Charlotte, North Carolina, 28211
University of Cincinnati; Department of Psychiatry and Behavioral Neuroscience
Cincinnati, Ohio, 45219
MCB Clinical Research Centers
Colorado Springs, Colorado, 80910
Columbus Memory Center
Columbus, Georgia, 31909
Ohio State University; College of Medicine
Columbus, Ohio, 43210
Neurology Clinic PC
Cordova, Tennessee, 38018
Texas Neurology PA
Dallas, Texas, 75214
Kerwin Research Center, LLC
Dallas, Texas, 75231
Dayton Center for Neuro Disorders
Dayton, Ohio, 45459
Health Initiatives Research, PLLC
Fayetteville, Arkansas, 72703
Precise Research Centers
Flowood, Mississippi, 39232
Neuropsychiatric Research; Center of Southwest Florida
Fort Myers, Florida, 33912
Alzheimers Disease & Memory Disorders Center; Department of Neurology Baylor College of Medicine
Houston, Texas, 77030
Lake Charles Clinical Trials, LLC
Lake Charles, Louisiana, 70601
Alzheimer's Research and Treatment Center
Lake Worth, Florida, 33414
Cleveland Clinic Lou Ruvo; Center for Brain Research
Las Vegas, Nevada, 89106
Clinical Trials Inc.
Little Rock, Arkansas, 72205
Columbia University Medical Center
New York, New York, 10032
Sentara Medical Group
Norfolk, Virginia, 23507
Research Center for Clinical Studies, Inc.
Norwalk, Connecticut, 06851
Renstar Medical Research
Ocala, Florida, 34470
University of Nebraska Medical Center; Dept of Neurological Sciences
Omaha, Nebraska, 68198-8440
Bioclinica Research
Orlando, Florida, 32806
Neuro-Therapeutics Inc.
Pasadena, California, 91105
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Northeastern Pennsylvania Memory
Plains, Pennsylvania, 18705
Progressive Medical Research
Port Orange, Florida, 32127
Summit Research Network Inc.
Portland, Oregon, 97210
Wake Research Associates
Raleigh, North Carolina, 27612
Desert Valley Medical Group
Rancho Mirage, California, 92270
Anderson Clinical Research, Inc.
Redlands, California, 92374
National Clinical Research Inc.-Richmond
Richmond, Virginia, 23294
University of California, Davis; Alzheimers Disease Center, Department of Neurology
Sacramento, California, 95817
Health Partners Institute for Education and Research
Saint Paul, Minnesota, 55130
Clinical Trials of Texas, Inc
San Antonio, Texas, 78229
UCSF - Memory and Aging Center
San Francisco, California, 94158
Imaging End Points Clinical Research
Scottsdale, Arizona, 85258
KI Health Partners, LLC; New England Institute for Clinical Research
Stamford, Connecticut, 06905
The Cognitive and Research Center of New Jersey
Summit, New Jersey, 07081
Advanced Memory Research Institute of NJ
Toms River, New Jersey, 08755
Georgetown University Hospital
Washington D.C., District of Columbia, 20057
Burke Rehabilitation Hospital
White Plains, New York, 10605
Abington Neurological Associates
Willow Grove, Pennsylvania, 19090
Alzheimers Disease Center; Neurology
Winchester, Massachusetts, 01890
Japan22 sites
National Center for Geriatrics and Gerontology
Aichi, 474-8511
Inage Neurology and Memory Clinic
Chiba, 263-0043
Fukuoka Mirai Hospital
Fukuoka, 813-0017
National Hospital Organization Hiroshima-Nishi Medical Center
Hiroshima, 739-0696
Tsukazaki Hospital
Hyōgo, 671-1227
Kagawa Prefectural Central Hospital
Kagawa, 760-8557
Fujisawa City Hospital
Kanagawa, 251-8550
National Hospital Organization Sagamihara National Hospital
Kanagawa, 252-0392
Ijinkai Takeda General Hospital
Kyoto, 601-1495
Rakuwakai Otowarehabilitation Hospital
Kyoto, 607-8113
National Hospital Organization Matsumoto Medical Center
Nagano, 399-8701
Iwate Medical University Hospital
Numakunai, 028-3695
Katayama Medical Clinic
Okayama, 710-0813
Osaka University Hospital
Osaka, 565-0871
Asakayama General Hospital
Osaka, 590-0018
NHO Shizuoka Institute of Epilepsy and Neurological Disorders
Shizuoka, 420-8688
Kanto Central Hospital
Tokyo, 158-8531
Tokyo Medical University Hospital
Tokyo, 160-0023
Shinjuku Research Park Clinic
Tokyo, 169-0073
Tokyo Metropolitan Geriatric Hospital
Tokyo, 173-0015
National Center of Neurology and Psychiatry
Tokyo, 187-8551
Tokyo Medical University Hachioji Medical Center
Tokyo, 193-0998
Spain21 sites
Hospital Perpetuo Socorro, Servicio de Geriatria
Albacete, 2006
CAE Oroitu
Barakaldo, Vizcaya, 48903
Fundació ACE
BArcelon, Barcelona, 08034
Hospital de la Santa Creu i Sant Pau; Servicio de Neurologia
Barcelona, 08025
Hospital Universitario de Burgos. Servicio de Neurología
Burgos, 09006
Hospital la Magdalena; Servicio de Neurologia
Castellon, Castellon, 12004
Hospital Universitario Reina Sofia; Servicio de Neurologia
Córdoba, 14011
Policlínica Guipuzkoa; Servicio de Neurología
Donosti-San Sebastián, Guipuzcoa, 20014
Hospital General Universitario de Elche; Servicio de Neurología
Elche, Alicante, 03203
Hospital San Pedro; Servicio de Neurología
Logroño, La Rioja, 26006
Hospital Ramon y Cajal; Servicio de Neurologia
Madrid, 28034
Clinica Universitaria de Navarra; Servicio de Neurología
Pamplona, Navarre, 31008
Hospital Virgen del Puerto. Servicio de Neurología
Plasencia, Caceres, 10600
Hospital Quiron de Madrid; Servicio de Neurologia
Pozuelo de Alarcón, Madrid, 28223
Complejo Asistencial Universitario de Salamanca; Servicio de Psiquiatría; CSM La Alamedilla
Salamanca, 37005
Hospital Santa Caterina, Unitat de Valoració de la memoria i les demencies
Salt, Girona, 17090
Hospital General De Catalunya; Servicio de Neurologia
Sant Cugat del Vallès, Barcelona, 8195
Hospital Universitario Marques de Valdecilla; Servicio de Neurología
Santander, Cantabria
Complejo Hospitalario Universitario de Santiago (CHUS) ; Servicio de Neurologia
Santiago de Compostela, LA Coruña, 15706
Hospital Universitario Virgen Macarena; Servicio de Neurologia
Seville, 41009
Hospital Mutua De Terrasa; Servicio de Neurologia
Terrassa, Barcelona, 08222
Canada12 sites
Clinique Neuro Rive-Sud
Greenfield Park, Quebec, J4V 2J2
True North Clinical Research-Halifax
Halifax, Nova Scotia, B3S 1M7
OCT Research ULC
Kelowna, British Columbia, V1Y 1Z9
True North Clinical Research Kentville
Kentville, Nova Scotia, B4N 5E3
Providence Care; Mental Health Services
Kingston, Ontario, K7L 4X3
Parkwood Hospital; Geriatric Medicine
London, Ontario, N6C 5J1
Kawartha Centre - Redefining Healthy Aging
Peterborough, Ontario, K9H 2P4
ALPHA Recherche Clinique
Québec, G3K 2P8
The Centre for Memory and Aging
Toronto, Ontario, M4G 3E8
St. Michael's Hospital
Toronto, Ontario, M5B 1N9
Vancouver Island Health Authority
Victoria, British Columbia, V8R 1J8
Devonshire Clinical Research Inc.
Woodstock, Ontario, N4S 5P5
Italy12 sites
IRCCS "Centro S. Giovanni di Dio" Fatebenefratelli -UO Alzheimer
Brescia, Lombardy, 25125
Irccs Multimedica Santa Maria; Unita' Di Neurologia
Castellanza, Lombardy, 21053
IRCCS Ospedale San Raffaele; Centro Disturbi della Memoria
Milan, Lombardy, 20132
Fondazione IRCCS Istituto Nazionale Neurologico Besta; UO Neuropatologia
Milan, Lombardy, 20133
Ospedale S. Maria Nascente; Fondazione Don Gnocchi; Dip. Neurologia Riabilitativa
Milan, Lombardy, 20148
Ospedale Casati Passirana di Rho; Centro Regionale Alzheimer
Passirana, Lombardy, 20017
A.O. Universitaria Pisana; Neurologia
Pisa, Tuscany, 56126
IRCCS Neuromed; Neurologia I-Centro studio e cura delle demenze e UVA
Pozzilli, Molise, 86077
Azienda Ospedaliera Universitaria Policlinico Tor Vergata; Neurologia
Rome, Lazio, 00133
Umberto I Policlinico di Roma-Università di Roma La Sapienza
Rome, Lazio, 00185
Ospedale San Giovanni Calibita Fatebenefratell;Neurologia
Rome, Lazio, 00186
AO Città della Salute e della Scienza Osp.S.Giov.Battista Molinette; SC Geriatria
Turin, Piedmont, 10126
France11 sites
Hopital Pellegrin; Cmrr Aquitaine
Bordeaux, 33076
Hôpital de Jour du Centre pour Personnes Âgées; Louis Pasteur Neurologie
Colmar, 68000
Hopital Roger Salengro; Service de Neurologie
Lille
CHU de Limoges Hopital Dupuytren; Service de Medecine Geriatrique
Limoges, 87042
Hopital Broca
Paris, 75013
CH Pitie Salpetriere; IM2A
Paris, 75651
Hôpital Maison Blanche
Reims, 51092
CHU Rennes - Hopital Pontchaillou
Rennes, 35033
CHU de Rouen Hopital; Service de Neurologie
Rouen, 76031
Hop Guillaume Et Rene Laennec; Cmrr St Herblain
Saint-Herblain, 44800
Hopital des Charpennes
Villeurbanne, 69100
United Kingdom11 sites
The Fritchie Centre, Charlton Lane Centre, Charlon Lane, Leckhampton; The Fritchie Centre
Cheltenham, GL53 9DZ
Surrey and Borders NHS Foundation Trust; Brain Science Research Unit
Chertsey, KT16 0AE
Sussex Partnership NHS Foundation Trust; Cognitive Treatment and Research unit
Crowborough, TN6 1HB
Ninewells Hospital
Dundee, DD12 9SY
NHS Lothian - Western General Hospital; NHS Lothian - Western General Hospital
Edinburgh, EH4 2XU
Queen Elizabeth University Hospital; Clinical Research Facility
Glasgow, G51 4TF
RE:Cognition Health
London, W1G 9RU
Charing Cross Hospital; Imperial Memory Unit, Level 10 West
London, W6 8RF
Manchester Royal Infirmary
Manchester, M13 9WL
John Radcliffe Hospital
Oxford, OX3 9DU
University Southampton NHS Foundation Trust; Wessex Neurologica Centre
Southampton, SO166YD
South Korea9 sites
Dong-A University Hospital
Busan, 49201
Gachon University Gil Medical Center
Incheon, 21565
Seoul National University Bundang Hospital
Seongnam-si, 13605
Seoul National University Hospital
Seoul, 03080
Hanyang University Seoul Hospital
Seoul, 04763
Konkuk University Medical Center
Seoul, 05030
Samsung Medical Center
Seoul, 06351
Seoul St Mary's Hospital
Seoul, 06591
Borame Medical Center
Seoul, 07061
Russia8 sites
State Autonomous Healthcare Institution "Republican Clinical Neurological Center
Kazan', 420021
State autonomous institution of healthcare Inter-regional clinical and diagnostic center
Kazan', 420101
Institution of RAMS (Mental Health Research Center of RAMS)
Moscow, 115522
City Clinical Psychiatry Hospital #1
Nizhny Novgorod, 603155
LLC Baltic Medicine
Saint Petersburg, Sankt-Peterburg, 194356
St Nicolas Psychiatric Hospital; Chair of Psychiatry and Narcology of St. Petersburg Medical Academy
Saint Petersburg, 190121
Nebbiolo Center for Clinical Trials
Tomsk, 634009
State Healthcare Institution of Sverdlovsk Region Sverdlovsk Regional Clinical Psychiatric Hospita
Yekaterinburg, Sverdlovsk Oblast, 620030
Germany7 sites
ECRC Experimental and Clinical Research Center, Charité Campus Berlin Buch, Memory Clinic
Berlin, 13125
Klinikum Joh.Wolfg.Goethe-UNI Zentrum d. Psychiatrie Klinik f. Psychiatrie Psychosomatik
Frankfurt, 60528
Universitätsklinikum Freiburg, Zentrum für Geriatrie und Gerontologie
Freiburg im Breisgau, 79106
Universitätsklinikum des Saarlandes Klinik f. Psychiatrie und Psychotherapie
Homburg/Saar, 66421
PANAKEIA - Arzneimittelforschung Leipzig GmbH
Leipzig, 04275
Pharmakologisches Studienzentrum
Mittweida, 09648
Klinikum rechts der Isar der TU München; Klinik für Psychiatrie und Psychotherapie
München, 81675
Brazil6 sites
Hospital das Clinicas - UFMG
Belo Horizonte, Minas Gerais, 31270-901
CCBR - Brasilia
Brasília, Federal District, 70200-730
Instituto de Neurologia de Curitiba
Curitiba, Paraná, 81210-310
Hospital das Clinicas - UFRGS
Porto Alegre, Rio Grande do Sul
Centro Psiquiatria Sandra Ruschel Ltda
Rio de Janeiro, Rio de Janeiro, 22270-060
Clínica Dr. Norton Sayeg LTDA - EPP
São Paulo, São Paulo, 04534-011
Taiwan5 sites
Changhua Christian Hospital; Neurology
Changhua County, 500
Kaohsiung Medical University Hospital; Neurology
Kaohsiung City, 807
Taipei Medical University - Shuang Ho Hospital - Neurology
New Taipei City, 23561
National Taiwan University Hospital; Neurology
Taipei, 100
Chang Gung Memorial Foundation - Linkou - Neurology
Taoyuan, 333
Australia4 sites
St Vincent's Hospital Sydney
Darlinghurst, New South Wales, 2010
Central Coast Neurosciences Research
Erina, New South Wales, 2250
Hornsby Ku-ring-gai Hospital; Division of Rehabilitation & Aged Care
Hornsby, New South Wales, 2077
The Queen Elizabeth Hospital; Neurology
Woodville, South Australia, 5011
Poland4 sites
NZOZ Dom Sue Ryder
Bydgoszcz, 85-023
Centrum Medyczne Euromedis Sp. z o.o.
Szczecin, 70-111
Centrum Medyczne NeuroProtect
Warsaw, 01-684
NZOZ WCA
Wroclaw, 53-659
Portugal4 sites
Hospital de Braga; Servico de Neurologia
Braga, 4710-243
HUC; Servico de Neurologia
Coimbra, 3000-075
Hospital Pedro Hispano; Servico de Neurologia
Matosinhos Municipality, 4464-513
Hospital Geral de Santo Antonio; Servico de Neurologia
Porto, 4099-001
Argentina3 sites
Hospital Italiano
Buenos Aires, C1181ACH
Universidad Maimonides
Caba, C1405BCK
DAMIC
Córdoba, X500 3DCE
Belgium3 sites
AZ Sint Jan
Bruges, 8000
AZ Groeninge
Kortrijk, 8500
UZ Leuven Gasthuisberg
Leuven, 3000
Israel3 sites
Rambam Medical Center
Haifa, 3109601
Sheba Medical Center; Psychiatry Department
Ramat Gan, 5262100
Tel Aviv Sourasky Medical Center; Department of Neurology
Tel Aviv, 6423906
Serbia3 sites
Clinic for Mental disorders Dr Laza Lazarevic
Belgrade, 11000
Neurology clinic, Clinical Center of Serbia
Belgrade, 11000
Clinic for neurology, Clinical Center Kragujevac
Kragujevac, 34000
Turkey (Türkiye)3 sites
Hacettepe University Medical Faculty; Neurology
Ankara, 06100
Istanbul University Istanbul School of Medicine; Neurology
Istanbul, 34093
Ondokuz Mayis Univ. Med. Fac.; Neurology
Samsun, 55139
China2 sites
Beijing Union Hospital
Beijing, 100730
Tianjin Medical University General Hospital
Tianjin (天津), 300052
Denmark2 sites
Aarhus Universitetshospital, Neurologisk Afdeling F, Demensklinikken
Aarhus N, 8200
Rigshospitalet, Hukommelsesklinikken
København Ø, 2100
Norway2 sites
Akershus universitetssykehus HF; Nevroklinikken S203
Lørenskog, 1478
Oslo universitetssykehus HF Ullevål sykehus; Hukommelsesklinikken
Oslo, 0450
Peru2 sites
Clinica Internacional; Unidad De Investigacion
Lima, 15001
Hospital Nacional Dos de Mayo; Unidad de Investigacion de Neurologia
Lima, Lima 01
Sweden2 sites
Skånes Universitetssjukhus Malmö, Minneskliniken
Malmö, 211 46
Sahlgrenska Academy University,Neuroscience and Physiology;Departmt of Psychiatry and Neurochemistry
Mölndal, 431 41
South Africa1 site
Private Practice; the Osteoporosis Clinic
Johannesburg, 2196
About this study
Official title: A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Efficacy and Safety Study of Crenezumab in Patients With Prodromal to Mild Alzheimer's Disease
This randomized, double-blind, placebo-controlled, parallel-group study will evaluate the efficacy and safety of crenezumab versus placebo in participants with prodromal to mild AD. Participants will be randomized 1:1 to receive either intravenous (IV) infusion of crenezumab or placebo every 4 weeks (Q4W) for 100 weeks. The primary efficacy assessment will be performed at 105 weeks. The participants who do not enter open-label extension will enter for a long term follow-up period for up to 52 weeks after the last crenezumab dose (Week 153).
- Conditions
- Alzheimer's Disease
- Being tested
- Crenezumab, Placebo
- Medical subject headings
- Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CrenezumabDrug
Crenezumab was administered by intravenous (IV) infusion at 60mg/kg as per the dosing schedule described above.
PlaceboDrug
Placebo was administered by intravenous (IV) infusion at 60mg/kg as per the dosing schedule described above.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants received intravenous (IV) infusion of Placebo every 4 weeks (Q4W) for 100 weeks. Receives: Drug: Placebo |
| Crenezumab | Experimental | Participants received intravenous (IV) infusion of Crenezumab every 4 weeks (Q4W) for 100 weeks. Receives: Drug: Crenezumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline to Week 77 in Clinical Dementia Rating-Sum of Boxes (CDR-SB) Scale Score
The CDR-SB rates impairment in 6 categories (memory, orientation, judgement and problem solving, community affairs, home and hobbies and personal care) on a 5-point scale in which no impairment = 0, questionable impairment = 0.5 and mild, moderate and severe impairment = 1, 2 and 3 respectively. The score range is from 0 to 18 with a high score indicating a high disease severity. The difference in mean change from Baseline to Week 77 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline for this primary endpoint. Data after 29 January 2019 are censored for the primary and secondary efficacy analyses to avoid potential biases due to investigators, participants, raters, etc. being potentially influenced by early closure of the study due to lack of efficacy.
Measured: Baseline, Week 77
Secondary outcomes (21)
Change From Baseline to Week 77 in Alzheimer's Disease Assessment Scale-Cognition 13 (ADAS-Cog-13) Subscale Score
The ADAS-Cog-13 assesses multiple cognitive domains including memory, comprehension, praxis, orientation, and spontaneous speech. Most of these are assessed by tests although some are rated by the clinician on a 5-point scale. The ADAS-Cog-13 is the ADAS-Cog-11 with 2 further items: delayed word recall and total digit cancellation. The score range for ADAS-Cog-13 is from 0 to 85 with high scores representing severe dysfunction. The difference in mean change from Baseline to Week 77 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 77
Change From Baseline to Week 77 in Alzheimer's Disease Assessment Scale-Cognition 11 (ADAS-Cog-11) Subscale Score
The ADAS-Cog-11 assesses multiple cognitive domains including memory, comprehension, praxis, orientation, and spontaneous speech. Most of these are assessed by tests although some are rated by the clinician on a 5-point scale. The score range for ADAS-Cog-11 is from 0 to 70 with high scores representing severe dysfunction. The difference in mean change from Baseline to Week 77 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 77
Change From Baseline to Week 77 on Severity of Dementia, Assessed Using the CDR-Global Score (CDR-GS)
The CDR-GS represents a semi-structured interview which rates impairment in 6 categories (memory, orientation, judgement and problem solving, community affairs, home and hobbies, and personal care) on a 5-point scale in which CDR 0 = no dementia and CDR 0.5, 1, 2 or 3 = questionable, mild, moderate or severe dementia respectively. The range in scores for the CDR-GS is from 0 to 3 and a high score on the CDR-GS would indicate a high disease severity. The difference in mean change from Baseline to Week 77 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 77
Change From Baseline to Week 77 on Severity of Dementia, Assessed Using the Mini Mental State Evaluation (MMSE)
The MMSE is a set of standardized questions used to evaluate possible cognitive impairment and help stage the severity level of this impairment. The questions target 6 areas: orientation, registration, attention, short-term recall, language and constructional praxis/visuospatial abilities. The scores on the MMSE range from 0 to 30, with higher scores indicating better function. The difference in mean change from Baseline to Week 77 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 77
Change From Baseline to Week 77 on Function as Assessed by (ADCS-ADL) Total Score
The ADCS-ADL (Alzheimer's Disease Cooperative Study-Activities of Daily Living) is the scale most widely used to assess functional outcomes in participants with AD. The ADCS-ADL covers both basic ADL (e.g., eating and toileting) and more complex 'instrumental' ADL or iADL (e.g., using the telephone, managing finances and preparing a meal). The ADCS-ADL consists of 23 questions with a score range of 0 to 78 where a higher score represents better function. The difference in mean change from Baseline to Week 77 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 77
Change From Baseline to Week 77 on Function as Assessed by (ADCS-iADL) Instrumental Score
The ADCS-iADL (Alzheimer's Disease Cooperative Study-Instrumental Activities of Daily Living) measures activities such as using the telephone, managing finances and preparing a meal. The ADCS-iADL consists of 16 questions with a score range of 0 to 56 where a higher score represents better function. The difference in mean change from Baseline to Week 77 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 77
Change From Baseline to Week 77 on Function as Assessed by the Functional Activities Questionnaire (FAQ) Total Score
The Functional Activities Questionnaire (FAQ) is an instrument consisting of 10 items and assesses instrumental, social and cognitive functioning. The score range is from 0 to 30 with higher scores representing higher impairment. The difference in mean change from Baseline to Week 77 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 77
Change From Baseline to Week 77 on a Measure of Dependence Level Assessed From the ADCS-ADL Score
The ADCS-ADL (Alzheimer's Disease Cooperative Study-Activities of Daily Living) is the scale most widely used to assess functional outcomes in participants with AD. The ADCS-ADL covers both basic ADL (e.g., eating and toileting) and more complex 'instrumental' ADL or iADL (e.g., using the telephone, managing finances and preparing a meal). The ADCS-ADL consists of 23 questions with a score range of 0 to 78 where a higher score represents better function. The difference in mean change from Baseline to Week 77 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 77
Change From Baseline to Week 53 on Behavior in Neuropsychiatric Inventory Questionnaire (NPI-Q) Total Score
The NPI-Q evaluates 12 neuropsychiatric disturbances common in dementia: delusions, hallucinations, agitation, dysphoria, anxiety, apathy, irritability, euphoria, disinhibition, aberrant motor behavior, night-time behavioral disturbances and appetite/eating abnormalities. The severity of each neuropsychiatric symptom is rated on a 3-point scale (mild, moderate and marked). The total severity score range is from 0 to 36 with higher scores representing higher severity. Difference in mean change from Baseline to Week 53 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures adjusting for disease severity, APOEe4 status, geographic region and the use/non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 53
Quality of Life-Alzheimer's Disease (QoL-AD) Scale Score
The QoL-AD (Quality of Life - Alzheimer's Disease) scale assesses QoL in participants who have dementia. The QoL-AD consists of 13 items covering aspects of participants' relationships with friends and family, physical condition, mood, concerns about finances and overall assessment of QoL. Items are rated on 4-point Likert-type scales ranging from 1 [poor] to 4 [excellent]. The score range is from 13 to 52, with higher scores indicating a better QoL. The difference in mean change from Baseline to Week 77 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 77
Zarit Caregiver Interview for Alzheimer's Disease (ZCI-AD) Scale Score
The ZCI-AD is a modified version of the Zarit Burden Interview, which was originally designed to reflect the stresses experienced by caregivers of people with dementia. This modified version includes slight modifications in item and title wording (e.g., removal of "your relative" to refer directly to the patient, removal of "burden" from title) and the use of 11-point numerical rating scales. The ZCI-AD scale consists of a total of 30 items. Total scores will be calculated with a total score range from 0 to 300 (higher scores indicate a higher burden on the caregiver). The difference in mean change from Baseline to Week 53 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 53
European Quality of Life-5 Dimensions (EQ-5D) Questionnaire Domain Scores for Participants
The EQ-5D is a standardized measure of health status designed to provide a simple generic measure of health for clinical and economic appraisal. It is broadly applicable across a wide range of health conditions and treatment. The EQ-5D assesses five domains to provide a health state index. These are anxiety/depression, pain/discomfort, usual activities, mobility, and self-care. The scores on the EQ-5D ranges from 0 (worst imaginable health state) to 100 (best imaginable health state). The difference in mean change from Baseline to Week 77 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 77
European Quality of Life-5 Dimensions (EQ-5D) Questionnaire Domain Scores for Caregivers
The EQ-5D is a standardized measure of health status designed to provide a simple generic measure of health for clinical and economic appraisal. It is broadly applicable across a wide range of health conditions and treatment. The EQ-5D assesses five domains to provide a health state index. These are anxiety/depression, pain/discomfort, usual activities, mobility, and self-care. The scores on the EQ-5D ranges from 0 (worst imaginable health state) to 100 (best imaginable health state). The difference in mean change from Baseline to Week 77 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 77
Percentage of Participants With Adverse Event (AEs) and Serious Adverse Event (SAEs)
An Adverse Event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.
Measured: Baseline up until 16 weeks after the last dose of study drug (up to 117 weeks).
Percentage of Participants With Anti-Crenezumab Antibodies
Participants were considered positive or negative for ADA based on their baseline and post-baseline sample results. The number and percentage of participants with confirmed positive ADA levels were determined for Crenezumab and Placebo groups. The prevalence of ADA at baseline was calculated as the proportion of participants with confirmed positive ADA levels at baseline relative to the total number of participants with a sample available at baseline. The incidence of treatment-emergent ADAs was determined as the proportion of participants with confirmed post-baseline positive ADAs relative to the total number of participants that had at least one post-baseline sample available for ADA analysis.
Measured: Baseline up to Week 105
Serum Concentration of Crenezumab
Serum concentration data for Crenezumab will be tabulated and summarized. Descriptive summary statistics will include the arithmetic mean and SD. Since a sparse PK sampling design is being used, population (non-linear mixed-effects) modeling will be used to analyze the dose concentration-time data of crenezumab. Information from other clinical studies may be incorporated to establish the PK model. Please note that Post-dose samples were not collected at Weeks 5, 13, 37, 53 and 77.
Measured: Pre-infusion (0 hour), 60-90 minutes post-infusion on Day 1 Week 1 and on Week 25; Weeks 13 (Pre-dose), 37 (Pre-dose), 53 (Pre-dose) and 77 (Pre-dose) (infusion length = as per the Pharmacy Manual)
Plasma Amyloid Beta (Abeta) 40 Concentrations
Plasma Abeta 40 concentrations will be measured over time and descriptive summary statistics will include the arithmetic mean and SD. Please note that Pre-dose samples were only collected at Weeks 1 and 53.
Measured: Week 1 Day 1; Weeks 53
Plasma Amyloid Beta (Abeta) 42 Concentrations
Plasma Abeta 42 concentrations will be measured over time and descriptive summary statistics will include the arithmetic mean and SD. Please note that Pre-dose samples were only collected at Weeks 1 and 53.
Measured: Week 1 Day 1; Weeks 53
Percentage Change From Baseline to Week 105 in Whole Brain Volume as Determined by Magnetic Resonance Imaging (MRI)
Percentage Change in Whole Brain Volume will be measured over time and descriptive summary statistics will include the arithmetic mean, median, range, SD, and coefficient of variation, as appropriate. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 105
Percentage Change From Baseline to Week 105 in Ventricle Volume as Determined by Magnetic Resonance Imaging (MRI)
Percentage Change in Ventricle Volume will be measured over time and descriptive summary statistics will include the arithmetic mean, median, range, SD, and coefficient of variation, as appropriate. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 105
Percentage Change From Baseline to Week 105 in Hippocampal Volume as Determined by Magnetic Resonance Imaging (MRI)
Percentage Change in Hippocampal Volume will be measured over time and descriptive summary statistics will include the arithmetic mean, median, range, SD, and coefficient of variation, as appropriate. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region, and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline.
Measured: Baseline, Week 105
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Apr 2017
- Study start29 Mar 2017
- Primary completion11 Jun 2019
- Study completion11 Jun 2019
Why it stopped: This study was discontinued due to an interim analysis in the BN29552 study, which indicated that Crenezumab was unlikely to meet its primary endpoint.
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 (4)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 Hoffmann-La RocheThe 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 806 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03114657
- Sponsor's protocol ID
- BN29553
- Other IDs
- 2016-003288-20, 2016
- Acronym
- CREAD 2
- Status last verified
- Jun 2020
- First submitted
- 28 Mar 2017
- Last updated
- 16 Jul 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Hibar DP, Bauer A, Rabe C, Borlinghaus N, Jethwa A, Kollmorgen G, Di Domenico A, Zetterberg H, Blennow K, Masters CL, Sperling RA, Bittner T. Elecsys pTau217 plasma immunoassay detection of amyloid pathology in clinical cohorts. Alzheimers Dement. 2026 Jan;22(1):e71009. doi: 10.1002/alz.71009.
PubMed 41537338Chandler JM, Lansdall CJ, Ye W, McDougall F, Belger M, Toth B, Mi X, Sink KM, Atkins AS. The Alzheimer's Disease Cooperative Study - Activities of Daily Living dependence score: revision and validation of an algorithm evaluating patient dependence across the spectrum of AD severity. J Prev Alzheimers Dis. 2025 Sep;12(8):100261. doi: 10.1016/j.tjpad.2025.100261. Epub 2025 Jul 1.
PubMed 40603145Teng E, Manser PT, Shah M, Pickthorn K, Hu N, Djakovic S, Swendsen H, Blendstrup M, Faccin G, Ostrowitzki S, Sink KM. The Use of Episodic Memory Tests for Screening in Clinical Trials for Early Alzheimer's Disease: A Comparison of the Free and Cued Selective Reminding Test (FCSRT) and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). J Prev Alzheimers Dis. 2023;10(1):41-49. doi: 10.14283/jpad.2022.101.
PubMed 36641609Ostrowitzki S, Bittner T, Sink KM, Mackey H, Rabe C, Honig LS, Cassetta E, Woodward M, Boada M, van Dyck CH, Grimmer T, Selkoe DJ, Schneider A, Blondeau K, Hu N, Quartino A, Clayton D, Dolton M, Dang Y, Ostaszewski B, Sanabria-Bohorquez SM, Rabbia M, Toth B, Eichenlaub U, Smith J, Honigberg LA, Doody RS. Evaluating the Safety and Efficacy of Crenezumab vs Placebo in Adults With Early Alzheimer Disease: Two Phase 3 Randomized Placebo-Controlled Trials. JAMA Neurol. 2022 Nov 1;79(11):1113-1121. doi: 10.1001/jamaneurol.2022.2909.
PubMed 36121669
Study at a glance
From the registry record, last updated by the sponsor on 16 Jul 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Efficacy and Safety Study of Crenezumab in Patients With Prodromal to Mild Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT03114657
- Acronym / sponsor ID
- CREAD 2 / BN29553
- Conditions
- Alzheimer's Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: This study was discontinued due to an interim analysis in the BN29552 study, which indicated that Crenezumab was unlikely to meet its primary endpoint.
- Enrolment
- 806 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 29 Mar 2017 (actual)
- Primary completion
- 11 Jun 2019 (actual)
- Study completion
- 11 Jun 2019 (actual)
- First posted
- 14 Apr 2017 (actual)
- Results
- Posted 16 Jul 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized, double-blind, placebo-controlled, parallel-group study will evaluate the efficacy and safety of crenezumab versus placebo in participants with prodromal to mild AD. Participants will be randomized 1:1 to receive either intravenous (IV) infusion of crenezumab or placebo every 4 weeks (Q4W) for 100 weeks. The primary efficacy assessment will be performed at 105 weeks. The participants who do not enter open-label extension will enter for a long term follow-up period for up to 52 weeks after the last crenezumab dose (Week 153).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboParticipants received intravenous (IV) infusion of Placebo every 4 weeks (Q4W) for 100 weeks. |
| Crenezumab | Experimental | Drug: CrenezumabParticipants received intravenous (IV) infusion of Crenezumab every 4 weeks (Q4W) for 100 weeks. |
Who may qualify
- Ages
- 50 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Weight between 40 and 120 kilograms (Kg) inclusive
- Availability of a person (referred to as the "caregiver") who in the investigator's judgment:
- Has frequent and sufficient contact with the participant to be able to provide accurate information regarding the participant's cognitive and functional abilities, agrees to provide information at clinic visits (which require partner input for scale completion), signs the necessary consent form, and has sufficient cognitive capacity to accurately report upon the participant's behavior and cognitive and functional abilities
- 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 (eye glasses and hearing aids are permitted)
Key exclusion criteria (11 listed)
- Any evidence of a condition other than AD that may affect cognition such as other dementias, stroke, brain damage, autoimmune disorders (e.g. multiple sclerosis) or infections with neurological sequelae.
- History of major psychiatric illness such as schizophrenia or major depression (if not considered in remission)
- At risk of suicide in the opinion of the investigator
- Any abnormal MRI findings, such as presence of cerebral vascular pathology, cortical stroke, etc or inability to tolerate MRI procedures or contraindication to MRI
- Unstable or clinically significant cardiovascular (e.g., myocardial infarction), kidney or liver disease
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 |
|---|---|---|
| CrenezumabCrenezumab was administered by intravenous (IV) infusion at 60mg/kg as per the dosing schedule described above. | Drug | Crenezumab |
| PlaceboPlacebo was administered by intravenous (IV) infusion at 60mg/kg as per the dosing schedule described above. | Drug | Placebo |
Primary outcome
Change From Baseline to Week 77 in Clinical Dementia Rating-Sum of Boxes (CDR-SB) Scale Score
Time frame: Baseline, Week 77
The CDR-SB rates impairment in 6 categories (memory, orientation, judgement and problem solving, community affairs, home and hobbies and personal care) on a 5-point scale in which no impairment = 0, questionable impairment = 0.5 and mild, moderate and severe impairment = 1, 2 and 3 respectively. The score range is from 0 to 18 with a high score indicating a high disease severity. The difference in mean change from Baseline to Week 77 between Crenezumab and Placebo treated participants was estimated. Mixed model repeated measures (MMRMs) adjusting for disease severity, APOEe4 status, geographic region and the use or non-use of anti-dementia medications at baseline were used to estimate the mean change from baseline for this primary endpoint. Data after 29 January 2019 are censored for the primary and secondary efficacy analyses to avoid potential biases due to investigators, participants, raters, etc. being potentially influenced by early closure of the study due to lack of efficacy.
21 secondary outcomes
Change From Baseline to Week 77 in Alzheimer's Disease Assessment Scale-Cognition 13 (ADAS-Cog-13) Subscale Score
Time frame: Baseline, Week 77
Change From Baseline to Week 77 in Alzheimer's Disease Assessment Scale-Cognition 11 (ADAS-Cog-11) Subscale Score
Time frame: Baseline, Week 77
Change From Baseline to Week 77 on Severity of Dementia, Assessed Using the CDR-Global Score (CDR-GS)
Time frame: Baseline, Week 77
Change From Baseline to Week 77 on Severity of Dementia, Assessed Using the Mini Mental State Evaluation (MMSE)
Time frame: Baseline, Week 77
Change From Baseline to Week 77 on Function as Assessed by (ADCS-ADL) Total Score
Time frame: Baseline, Week 77
Change From Baseline to Week 77 on Function as Assessed by (ADCS-iADL) Instrumental Score
Time frame: Baseline, Week 77
Change From Baseline to Week 77 on Function as Assessed by the Functional Activities Questionnaire (FAQ) Total Score
Time frame: Baseline, Week 77
Change From Baseline to Week 77 on a Measure of Dependence Level Assessed From the ADCS-ADL Score
Time frame: Baseline, Week 77
Change From Baseline to Week 53 on Behavior in Neuropsychiatric Inventory Questionnaire (NPI-Q) Total Score
Time frame: Baseline, Week 53
Quality of Life-Alzheimer's Disease (QoL-AD) Scale Score
Time frame: Baseline, Week 77
Zarit Caregiver Interview for Alzheimer's Disease (ZCI-AD) Scale Score
Time frame: Baseline, Week 53
European Quality of Life-5 Dimensions (EQ-5D) Questionnaire Domain Scores for Participants
Time frame: Baseline, Week 77
European Quality of Life-5 Dimensions (EQ-5D) Questionnaire Domain Scores for Caregivers
Time frame: Baseline, Week 77
Percentage of Participants With Adverse Event (AEs) and Serious Adverse Event (SAEs)
Time frame: Baseline up until 16 weeks after the last dose of study drug (up to 117 weeks).
Percentage of Participants With Anti-Crenezumab Antibodies
Time frame: Baseline up to Week 105
Serum Concentration of Crenezumab
Time frame: Pre-infusion (0 hour), 60-90 minutes post-infusion on Day 1 Week 1 and on Week 25; Weeks 13 (Pre-dose), 37 (Pre-dose), 53 (Pre-dose) and 77 (Pre-dose) (infusion length = as per the Pharmacy Manual)
Plasma Amyloid Beta (Abeta) 40 Concentrations
Time frame: Week 1 Day 1; Weeks 53
Plasma Amyloid Beta (Abeta) 42 Concentrations
Time frame: Week 1 Day 1; Weeks 53
Percentage Change From Baseline to Week 105 in Whole Brain Volume as Determined by Magnetic Resonance Imaging (MRI)
Time frame: Baseline, Week 105
Percentage Change From Baseline to Week 105 in Ventricle Volume as Determined by Magnetic Resonance Imaging (MRI)
Time frame: Baseline, Week 105
Percentage Change From Baseline to Week 105 in Hippocampal Volume as Determined by Magnetic Resonance Imaging (MRI)
Time frame: Baseline, Week 105
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jul 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41537338Hibar DP, Bauer A, Rabe C, Borlinghaus N, Jethwa A, Kollmorgen G, Di Domenico A, Zetterberg H, Blennow K, Masters CL, Sperling RA, Bittner T. Elecsys pTau217 plasma immunoassay detection of amyloid pathology in clinical cohorts. Alzheimers Dement. 2026 Jan;22(1):e71009. doi: 10.1002/alz.71009.
- Derived from this study: PubMed 40603145Chandler JM, Lansdall CJ, Ye W, McDougall F, Belger M, Toth B, Mi X, Sink KM, Atkins AS. The Alzheimer's Disease Cooperative Study - Activities of Daily Living dependence score: revision and validation of an algorithm evaluating patient dependence across the spectrum of AD severity. J Prev Alzheimers Dis. 2025 Sep;12(8):100261. doi: 10.1016/j.tjpad.2025.100261. Epub 2025 Jul 1.
- Derived from this study: PubMed 36641609Teng E, Manser PT, Shah M, Pickthorn K, Hu N, Djakovic S, Swendsen H, Blendstrup M, Faccin G, Ostrowitzki S, Sink KM. The Use of Episodic Memory Tests for Screening in Clinical Trials for Early Alzheimer's Disease: A Comparison of the Free and Cued Selective Reminding Test (FCSRT) and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). J Prev Alzheimers Dis. 2023;10(1):41-49. doi: 10.14283/jpad.2022.101.
- Derived from this study: PubMed 36121669Ostrowitzki S, Bittner T, Sink KM, Mackey H, Rabe C, Honig LS, Cassetta E, Woodward M, Boada M, van Dyck CH, Grimmer T, Selkoe DJ, Schneider A, Blondeau K, Hu N, Quartino A, Clayton D, Dolton M, Dang Y, Ostaszewski B, Sanabria-Bohorquez SM, Rabbia M, Toth B, Eichenlaub U, Smith J, Honigberg LA, Doody RS. Evaluating the Safety and Efficacy of Crenezumab vs Placebo in Adults With Early Alzheimer Disease: Two Phase 3 Randomized Placebo-Controlled Trials. JAMA Neurol. 2022 Nov 1;79(11):1113-1121. doi: 10.1001/jamaneurol.2022.2909.
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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.
Clinical Trials study director
Hoffmann-La Roche
211 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Crenezumab in people with Alzheimer's Disease, run by Hoffmann-La Roche at 211 sites in 27 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 11 inclusion and 11 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 16 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 211 sites in United States, Japan, Spain, Canada, Italy and 22 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. Some participants in this study may receive a placebo. 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 16 Jul 2020). 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 to Week 77 in Clinical Dementia Rating-Sum of Boxes (CDR-SB) Scale Score (time frame: Baseline, Week 77). 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 NCT03114657, which also lists 4 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 16 Jul 2020.