Alzheimer's DiseasePhase 3ENVISIONNCT05310071
A Study to Verify the Clinical Benefit of Aducanumab in Participants With Early Alzheimer's Disease
A Phase 3 study testing Aducanumab in people with Alzheimer's Disease, run by Biogen at 265 sites in 16 countries.
Trial summary
The primary objective of this study is to verify the clinical benefit of monthly doses of aducanumab in slowing cognitive and functional impairment as measured by changes in the Clinical Dementia Rating Scale Sum of Boxes (CDR-SB) score as compared with placebo in participants with early Alzheimer's disease. Read more about this study
- Who is it for?
- Ages 60 to 85 years
- Conditions the study is for
- Alzheimer's Disease
- What is being tested?
- Aducanumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,027 participants
- Where
- 265 sitesin 16 countries
- Study dates
- 2 Jun 2022to 12 Aug 2024
- 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 60 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The participant must have confirmed amyloid beta pathology by cerebrospinal fluid (CSF) or amyloid PET
- Must have a history of subjective memory decline with gradual onset and slow progression over the 6 months before Screening, confirmed by study partner
- The participant must have 1 informant/care partner who, in the Investigator's opinion, has frequent and sufficient contact with the participant (at least 10 hours/week in person or by phone) as to be able to provide accurate information about the participant's cognitive and functional abilities over time
- Must meet all of the following clinical criteria for MCI due to Alzheimer's disease or mild Alzheimer's disease according to National Institute on Aging and Alzheimer's Association (NIA-AA) criteria
- Have an MMSE score between 22 and 30 inclusive
- Have a CDR memory score >0.5
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- Have a Clinical Dementia Rating Scale Global Score (CDR-GS) of 0.5 or 1.0
- Have a Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) score of 85 or lower indicative of objective cognitive impairment
- Apart from a clinical diagnosis of early Alzheimer's disease, the participant must be in good health as determined by the Investigator based on medical history and screening assessments
- Must consent to apolipoprotein E (ApoE) genotyping. (Note: Participants are not required to be ApoE ε4 carriers)
Who cannot join
- Any uncontrolled medical or neurological/neurodegenerative condition (other than Alzheimer's disease) that, in the opinion of the Investigator, might be a contributing cause of the participant's cognitive impairment
- Clinically significant and/or unstable psychiatric illness within 6 months prior to Screening
- Transient ischemic attack or stroke or any unexplained loss of consciousness within 1 year prior to Screening
- History of severe allergic or anaphylactic reactions or of hypersensitivity to any of the inactive ingredients in the drug product
- Participation in any study with purported disease-modifying effect in Alzheimer's disease within 12 months prior to Screening unless documentation of receipt of placebo is available
- Current use or previous use of medications with a purported disease-modifying effect in Alzheimer's disease, outside of investigational studies
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- Use of any medications that, in the opinion of the Investigator, may contribute to cognitive impairment, put the participant at higher risk for AEs, or impair the participant's ability to perform cognitive testing or complete study procedures
- Use of any investigational drug
- Prior exposure to aducanumab either commercially or by participation in a previous study with aducanumab. (Participants are eligible if they did not receive active aducanumab.)
- A negative PET scan result with any amyloid-targeting ligand within 12 months prior to Screening
- NOTE: Other protocol defined Inclusion/Exclusion criteria may apply
Trial locations and contacts
265 sites in 16 countries.
265 sites in 16 countries
United States130 sites
Abington Neurological Associates, LTD
Abington, Pennsylvania, 19001
Neurological Associates of Albany, PC
Albany, New York, 12208
Neurology of Central Florida Research Center, LLC
Altamonte Springs, Florida, 32714
Dent Neurologic Institute
Amherst, New York, 14226
JEM Research Institute
Atlantis, Florida, 33462
University of Colorado Anschutz Medical Campus
Aurora, Colorado, 80045
Senior Adult Specialty Research
Austin, Texas, 78757
University of Maryland Medical Center
Baltimore, Maryland, 21201
Mountain Neurological Research Center
Basalt, Colorado, 81621
McLean Hospital
Belmont, Massachusetts, 02478
The Memory Clinic
Bennington, Vermont, 05201
Neurology Offices of South Florida, PLLC
Boca Raton, Florida, 33428
ECommunity Research, LLC
Boca Raton, Florida, 33486
Brigham and Women's Hospital Department of Neurology
Boston, Massachusetts, 02115-5804
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Nova Clinical Research, LLC
Bradenton, Florida, 34209
Social Psychiatry Research Institute (SPRI)
Brooklyn, New York, 11235
Headlands Research - Brownsville
Brownsville, Texas, 78526
University of Virginia Health System
Charlottesville, Virginia, 22903
Great Lakes Clinical Trials, LLC Ravenswood dba Flourish Research
Chicago, Illinois, 60637
University of Chicago Medical Center
Chicago, Illinois, 60637
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Ohio State University Medical Center
Columbus, Ohio, 43210
Neurology Clinic, PC
Cordova, Tennessee, 38018
JY Research Institute
Cutler Bay, Florida, 45417
Kerwin Medical Center
Dallas, Texas, 75231
UT Southwestern Medical Center
Dallas, Texas, 75390-8896
Brain Matters Research
Delray Beach, Florida, 33445
Wayne State University - Detroit Medical Center
Detroit, Michigan, 48201
Duke University
Durham, North Carolina, 27710
Rhode Island Hospital
East Providence, Rhode Island, 02915-2237
Rhode Island Mood & Memory Research Institute
East Providence, Rhode Island, 02915
Sun Valley Behaivoral Med Center
El Centro, California, 92243
Alexian Brothers Medical Center - Neuroscience Research Institute
Elk Grove Village, Illinois, 60007
Yale University
Fairfield, Connecticut, 06824
University of Kansas Medical Center Research Institute, Inc.
Fairway, Kansas, 66205
Michigan Institute for Neurological Disorders
Farmington Hills, Michigan, 48334
Health Initiatives Research
Fayetteville, Arkansas, 72703
Neuropsychiatric Research Center of Southwest Florida
Fort Myers, Florida, 33912
University of North Texas Health Science Center
Fort Worth, Texas, 76107
Neuropain Medical Center
Fresno, California, 93710
Neurology Center of North Orange County
Fullerton, California, 92835
Gilbert Neurology Partners, PLLC
Gilbert, Arizona, 85297
Hattiesburg Clinic, PA
Hattiesburg, Mississippi, 39401
Infinity Clinical Research, LLC
Hollywood, Florida, 33024
Hawaii Pacific Neuroscience
Honolulu, Hawaii, 96817
Baylor College Of Medicine
Houston, Texas, 77030
The Methodist Hospital Research Institute
Houston, Texas, 77030
Clinical Trial Network LLC
Houston, Texas, 77074
Indiana University School of Medicine
Indianapolis, Indiana, 46202
Irvine Center for Clinical Research, Inc.
Irvine, California, 92614
The Clinical Trial Center, LLC
Jenkintown, Pennsylvania, 19046
Genesis Neuroscience Clinic
Knoxville, Tennessee, 37909
Charter Research, LLC
Lady Lake, Florida, 32159
ARS - Lake Oconee
Lakeland, Florida, 33803
Cleveland Clinic Lou Ruvo Center for Brain Health
Las Vegas, Nevada, 89106
Las Vegas Medical Research
Las Vegas, Nevada, 89113
University of Kentucky Medical Center
Lexington, Kentucky, 40506
Mary S. Easton Center for Alzheimer's Disease Research, UCLA
Los Angeles, California, 90095
University of Wisconsin-Madison
Madison, Wisconsin, 53705
Marshfield Clinic
Marshfield, Wisconsin, 54449
AMC Research, LLC
Matthews, North Carolina, 28105
ActivMed Practices and Research
Methuen, Massachusetts, 01844
Medical Research Center
Miami, Florida, 33165
Medical College of Wisconsin, Inc.
Milwaukee, Wisconsin, 53226
Institute for Neurodegenerative Disorders (IND)
New Haven, Connecticut, 06510
Yale University School Of Medicine
New Haven, Connecticut, 06511
Ochsner Health System PARENT
New Orleans, Louisiana, 70121
New York University Medical Center PRIME
New York, New York, 10016
Mount Sinai
New York, New York, 10029
Hoag Memorial Hospital Presbyterian
Newport Beach, California, 92663
Boston Center for Memory
Newton, Massachusetts, 02459
Glennan Center for Geriatrics and Gerontology
Norfolk, Virginia, 23510
Neuro-Behavioral Clinical Research, Inc.
North Canton, Ohio, 44720
Research Center for Clinical Studies, Inc.
Norwalk, Connecticut, 06851
Renstar Medical Research
Ocala, Florida, 34470
K2 Medical Research, LLC
Ocoee, Florida, 34761
Lynn Health Science Institute
Oklahoma City, Oklahoma, 73112
University of Nebraska Medical Center
Omaha, Nebraska, 68198-3285
K2 Medical Research, LLC
Orlando, Florida, 32751
K2 Medical Research
Orlando, Florida, 32751
Headlands Research LLC
Orlando, Florida, 32819
Conquest Research
Orlando, Florida, 32832
Sharlin Health and Neurology
Ozark, Missouri, 65721
Stanford Hospital and Clinics
Palo Alto, California, 94304
VA Palo Alto Health Care System
Palo Alto, California, 94304
South Shore Neurologic Associates, P.C.
Patchogue, New York, 11772
Penn Memory Center
Philadelphia, Pennsylvania, 19104
Xenoscience Inc.
Phoenix, Arizona, 85004
Banner Alzheimer's Institute
Phoenix, Arizona, 85006
Barrow Neurological Institute
Phoenix, Arizona, 85013
Donald S. Marks, M.D., P.C.
Plymouth, Massachusetts, 02360
Quantum Laboratories Inc.
Pompano Beach, Florida, 33064
United Medical Research
Port Orange, Florida, 32127
Coastal Neurology PA
Port Royal, South Carolina, 29935
Oregon Health & Science University (OHSU)
Portland, Oregon, 97239
Butler Hospital
Providence, Rhode Island, 02906
Anderson Clinical Research
Redlands, California, 92374
National Clinical Research Inc. - Richmond
Richmond, Virginia, 23294
Finger Lakes Clinical Research
Rochester, New York, 14618
University of Rochester - PARENT
Rochester, New York, 14642
Central Texas Neurology Consultants
Round Rock, Texas, 78681
Center for Memory and Aging
Saint Paul, Minnesota, 55130
University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229
Sutter Health-San Francisco
San Francisco, California, 94115
University of California San Francisco (PARENT)
San Francisco, California, 94143
The Neuron Clinic
San Marcos, California, 92069
Syrentis Clinical Research
Santa Ana, California, 92705
HonorHealth Neurology
Scottsdale, Arizona, 85251
Mayo Clinic Arizona
Scottsdale, Arizona, 85259
University of Washington Medical Center
Seattle, Washington, 98109
California Neuroscience Research, LLC
Sherman Oaks, California, 91403
LSU Health Sciences Center Shreveport
Shreveport, Louisiana, 71103
Kingfisher Cooperative, LLC
Spokane, Washington, 99202
The Cognitive Research Center of New Jersey
Springfield, New Jersey, 07081
Richmond Behavioral Associates ERG Clinical Research - New York PLLC
Staten Island, New York, 10314
Stony Brook University Hospital
Stony Brook, New York, 11794
Brain Matters Research
Stuart, Florida, 34997
Banner Sun Health Research Institute
Sun City, Arizona, 85351
SUNY Upstate Medical University
Syracuse, New York, 13210
K2 Medical Research Tampa
Tampa, Florida, 33607
USF Health Byrd Institute
Tampa, Florida, 33613
IMA Evaluations LLC
Tarrytown, New York, 10591
Viking Clinical Research Center
Temecula, California, 92591
CenExel Advanced Memory Research Institute of NJ
Toms River, New Jersey, 08755
Banner Alzheimer's Institute
Tucson, Arizona, 85012
Central States Research, LLC
Tulsa, Oklahoma, 74136
Howard University Health Sciences
Washington D.C., District of Columbia, 20060-0002
Ascension Via Christi Research, a division of Ascension Via Christi Hospitals Wichita, Inc.
Wichita, Kansas, 67214
Wake Forest Baptist Health Sciences
Winston-Salem, North Carolina, 27157
Japan19 sites
Tokushukai Shonan Atsugi Hospital
Atsugi-shi, Kanagawa, 243-8551
Memory Clinic Ochanomizu
Bunkyō City, Tokyo-To, 113-0034
Hakuyokai Kashiwado Hospital
Chiba, Chiba, 260-8656
Inage Neurology and Memory Clinic
Chiba, Chiba, 263-0043
Himeji Central Hospital Clinic
Himeji-shi, Hyōgo, 672-8043
Tokushukai Shonan Kamakura General Hospital
Kamakura-shi, Kanagawa, 247-8533
Midorikai Takesato Hospital
Kasukabe-shi, Saitama, 344-0036
Teikyo University Hospital, Mizonokuchi
Kawasaki-shi, Kanagawa, 213-8507
Tokushukai Kishiwada Tokushukai Hospital
Kishiwada-shi, Osaka, 596-0042
Kagawa University Hospital
Kita-gun, Kagawa-ken, 761-0793
National Center of Neurology and Psychiatry
Kodaira-shi, Tokyo-To, 187-8551
Southern Tohoku Medical Clinic
Koriyama-shi, Fukushima, 963-8563
Katayama Medical Clinic
Kurashiki-shi, Okayama-ken, 710-0813
Rakuwakai Otowa Rehabilitation Hospital
Kyoto, Kyoto, 607-8113
NHO Utano National Hospital
Kyoto, Kyoto, 616-8255
National Center For Geriatrics And Gerontology
Obu-shi, Aichi-ken, 474-8511
NHO Hiroshima-Nishi Medical Center
Otake-shi, Hiroshima, 739-0696
Osaka University Hospital
Suita-shi, Osaka, 565-0871
Tokushukai Yamagata Tokushukai Hospital
Yamagata, Yamagata, 990-0834
Germany18 sites
Zentrum für klinische Forschung Dr.med. Irma Schöll
Bad Homburg, Hesse, 61350
Klinikum Bayreuth GmbH- Hohe Warte
Bayreuth, Bavaria, 95445
NEUROZENTRUM tempelhof.berlin
Berlin, 12099
Charité - Universitätsmedizin Berlin
Berlin, 13125
Katholisches Klinikum Bochum gGmbH
Bochum, North Rhine-Westphalia, 44791
Deutsches Zentrum fuer Neurodegenerative Erkrankungen (DZNE)
Bonn, North Rhine-Westphalia, 53127
Universitaetsklinikum Koeln
Cologne, North Rhine-Westphalia, 50937
Universitaetsklinikum Carl Gustav Carus TU Dresden
Dresden, Saxony, 1307
Universitaetsklinikum Duesseldorf AoeR
Düsseldorf, North Rhine-Westphalia, 40225
Universitaetsklinikum Frankfurt Goethe-Universitaet
Frankfurt am Main, Hesse, 60528
Universitaetsklinikum Freiburg
Freiburg im Breisgau, Baden-Wurttemberg, 79106
Universitaetsmedizin Goettingen
Göttingen, Lower Saxony, 37075
Universitaetsmedizin Greifswald
Greifswald, Mecklenburg-Vorpommern, 17475
Universitaetsklinikum Magdeburg
Magdeburg, Saxony-Anhalt, 39120
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 Tuebingen
Tübingen, Baden-Wurttemberg, 72076
Canada14 sites
University of Calgary - Heritage Medical Research Clinic
Calgary, Alberta, T2N 4Z6
Clinique de la Memoire de l'Outaouais
Gatineau, Quebec, J8T 8J1
MoCA Research and Innovation Inc
Greenfield Park, Quebec, J4V 2J2
Centricity Research Halifax
Halifax, Nova Scotia, B3S 1N2
Montreal Neurological Institute Clinical Research Unit
Montreal, Quebec, H3A 2B4
Recherches Neuro-Hippocampe Inc., d/b/a Ottawa Memory Clinic
Ottawa, Ontario, K1Z 1G3
Kawartha Centre - Redefining Healthy Aging
Peterborough, Ontario, K9H 2P4
CHU de Quebec- Hopital de l Enfant Jesus
Québec, G1J1Z4
Toronto Memory Program (Neurology Research Inc.)
Toronto, Ontario, M3B 2S7
Centricity Research Toronto LMC
Toronto, Ontario, M4G 3E8
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
Toronto Western Hospital
Toronto, Ontario, M5T 2S8
Baycrest Centre for Geriatric Care
Toronto, Ontario, M6A 2E1
UBC Hospital
Vancouver, British Columbia, V6T 2B5
France12 sites
Groupe Hospitalier Pellegrin - Hôpital Pellegrin
Bordeaux, Gironde, 33076
Hopital Roger Salengro - CHU Lille
Lille, Nord, 59037
Hôpital de la Timone
Marseille, Bouches-du-Rhône, 13385
Hopital Gui de Chauliac
Montpellier, Herault, 34295
Hôpital Lariboisière
Paris, Paris, 75010
Groupe Hospitalier Pitie-Salpetriere
Paris, 75013
Hôpital Broca
Paris, 75013
CHU Rennes - Pontchaillou
Rennes, Ille Et Vilaine, 35033
CHU Nantes - Hopital Nord Laënnec
Saint-Herblain, Loire Atlantique, 44800
CHU Strasbourg - Hôpital Hautepierre
Strasbourg, Bas Rhin, 67000
Hôpital La Grave
Toulouse, Haute Garonne, 31059
Hôpital des Chapennes
Villeurbanne, Rhone, 69100
Italy12 sites
Ospedale di Arzignano
Arzignano VI, Vicenza, 36071
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)
Brescia, 25123
Fondazione Istituto G.Giglio di Cefalù
Cefalù, Palermo, 90015
IRCCS Ospedale Policlinico San Martino
Genova, 16132
Ospedale San Raffaele
Milan, 20132
ASST di Monza
Monza, Milano, 20052
Azienda Ospedaliera Universitaria- Università degli Studi della Campania "Luigi Vanvitelli"
Naples, 80138
Azienda Ospedaliera e Universitaria di Perugia
Perugia, 6156
Fondazione Santa Lucia IRCCS
Roma, 00179
Azienda Ospedaliera Universitaria Policlinico Umberto I - Università di Roma La Sapienza
Roma, 00185
Azienda Ospedaliera Universitaria OO. RR. S. Giovanni di Dio e Ruggi D'Aragona
Salerno, 84131
Azienda Ospedaliera Card. G. Panico
Tricase, Lecce, 73039
Spain11 sites
Fundacio ACE
Barcelona, 08028
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital de la Santa Creu i Sant Pau
Barcelona, 08041
Hospital Universitario Reina Sofia
Córdoba, Córdoba, 14004
Policlinica Gipuzkoa
Donostia / San Sebastian, Guipuzcoa, 20009
Hospital Universitari de Santa Maria
Lleida, 25198
Clinica Universidad de Navarra (MAD)
Madrid, 28027
Clinica Universidad de Navarra
Pamplona, Navarre, 31008
Hospital Victoria Eugenia
Seville, 41009
Hospital Universitario Dr. Peset
Valencia, 46017
Hospital Universitari i Politecnic La Fe
Valencia, 46026
United Kingdom11 sites
The RICE Centre
Bath, Somerset, BA1 3NG
Re Cognition Health Bristol
Bristol, BS32 4SY
The University of Edinburgh
Edinburgh, East Lothian, EH8 9YL
Brain Health Scotland Life Sciences
Edinburgh, Lothian Region, EH12 9DQ
Institute of Psychiatry, Psychology and Neuroscience
London, Greater London, SE5 8AF
Re:Cognition Health Ltd (London)
London, Greater London, W1G 9RU
Charing Cross Hospital
London, Greater London, W6 8RF
Park House
Manchester, Greater Manchester, MR8 5RB
Glasgow Memory Clinic Ltd
Motherwell, Strathclyde, ML1 4UF
Southampton General Hospital
Southampton, Hampshire, SO16 6YD
Moorgreen Hospital
Southampton, Hampshire, SO30 3JB
Australia8 sites
Box Hill Hospital
Box Hill, Victoria, 3128
St Vincent's Hospital Sydney
Darlinghurst, New South Wales, 2010
Frankston Hospital
Frankston, Victoria, 3199
Austin Health
Heidelberg, Victoria, 3084
KaRa Institute of Neurological Diseases
Macquarie Park, New South Wales, 2113
The Alfred Hospital
Melbourne, Victoria, 3004
Australian Alzheimer's Research Foundation
Nedlands, Western Australia, 6009
Royal Melbourne Hospital
Parkville, Victoria, 3050
Poland8 sites
Podlaskie Centrum Psychogeriatrii
Bialystok, Podkarpackie Wojewódctwo, 15-756
PROMENTE Sp. z o.o.
Bydgoszcz, Kujawsko-Pomorskie Województwo, 85-133
Nzoz Novo-Med
Katowice, Śląskie Województwo, 40-650
Samodzielny Publiczny Szpital Kliniczny Nr 4 w Lublinie Kliniczny Oddział Neurologii Oddział Udarowy
Lublin, 20-090
Neuro-Care Gabriela Klodowska
Siemianowice Śląskie, Śląskie Województwo, 41-100
Centrum Medyczne Senior
Sopot, Pomorskie Województwo, 81-855
Centrum Medyczne NeuroProtect
Warsaw, Mazowieckie Województwo, 01-684
NZOZ Wroclawskie Centrum Alzheimerowskie
Wroclaw, 53659
Brazil5 sites
Trial Tech Tecnologia em Pesquisas com Medicamentos Ltda
Curitiba, Paraná, 80240-280
Instituto de Neurologia de Curitiba - Hospital Ecoville
Curitiba, Paraná, 81210-310
IMV Pesquisa Neurologica Sociedade Simples Ltda
Porto Alegre, Rio Grande do Sul, 90110-000
Instituto do Cerebro do Rio Grande do Sul
Porto Alegre, Rio Grande do Sul, 90610-000
IPq-HCFMUSP - Instituto de Psiquiatria do Hospital das Clínicas da FMUSP
São Paulo, São Paulo, 05403-010
Mexico5 sites
Hospital Mexico Americano SC
Guadalara, Jalisco, 44610
Health Pharma Professional Research S.A. de C.V.
Mexico City, Mexico City, 3103
Hospital Universitario Dr. Jose Eleuterio Gonzalez
Monterrey, Nuevo León, 64460
Centro de Estudios Clinicos y Especialidades Medicas, S.C.
Monterrey, Nuevo León, 64620
AVIX Investigación Clínica S.C
Monterrey, Nuevo León, 64710
Belgium4 sites
AZ Sint-Jan
Bruges, 8000
Universitair Ziekenhuis Brussel
Brussels, 1090
AZ Groeninge
Kortrijk, 8500
UZ Leuven
Leuven, Flemish Brabant, 3000
South Korea3 sites
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Konkuk University Medical Center
Seoul, 5030
Asan Medical Center
Seoul, 5505
Sweden3 sites
Skane University Hospital
Malmö, Skåne County, 205 02
Sahlgrenska Universitetssjukhuset, Mölndal Sjukhus
Mölndal, Västra Götaland County, 43180
Karolinska Universitetssjukhuset
Stockholm, 14186
Finland2 sites
Terveystalo Ruoholahti
Helsinki, 00100
CRST, Clinical Research Services Turku
Turku, 20520
About this study
Official title: A Phase 3b/4 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Verify the Clinical Benefit of Aducanumab (BIIB037) in Participants With Alzheimer's Disease
The primary objective of this study is to verify the clinical benefit of monthly doses of aducanumab in slowing cognitive and functional impairment as measured by changes in the Clinical Dementia Rating Scale Sum of Boxes (CDR-SB) score as compared with placebo in participants with early Alzheimer's disease.
- Conditions
- Alzheimer's Disease
- Being tested
- Aducanumab, 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.
AducanumabDrug
Also called BIIB037, Aducanumab-avwa, Aduhelm
Administered as specified in the treatment arm.
PlaceboDrug
Administered as specified in the treatment arm.
| Study group | Role | What they receive |
|---|---|---|
| Aducanumab | Experimental | Participants will receive aducanumab, up to 10 milligrams per kilogram (mg/kg), monthly (once every four weeks), administered as intravenous (IV) infusion. Receives: Drug: Aducanumab |
| Placebo | Placebo comparator | Participants will receive placebo, monthly (once every four weeks), administered as IV infusion. Receives: 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
The Clinical Dementia Rate Scale integrates assessments from 3 domains of cognition (memory, orientation, judgment/problem-solving) and 3 domains of function (community affairs, home/hobbies, personal care). Following the caregiver interview and systematic participant examination, the rater assigns a score describing the participant's current performance level in each of these domains of life functioning. The "Sum of boxes" scoring methodology sums the score for each of the 6 domains and provides a value ranging from 0 to 18. Higher scores indicate greater impairment. A positive change from baseline indicates greater impairment.
Measured: Baseline, Week 78
Secondary outcomes (9)
Change From Baseline in Integrated Alzheimer's Disease Rating Scale (iADRS) Score at Weeks 78 and 106
The iADRS composite captures a decline in both cognition and daily function. It is a simple linear combination of the Alzheimer's disease assessment scale, cognitive subscale (ADAS-Cog13), and the Alzheimer's disease cooperative study scale for activities of daily living in mild cognitive impairment (ADCS-ADL-MCI). The ADAS-Cog13 scale ranges from 0 to 85 (higher scores indicate worse performance) and the ADCS-ADL-MCI scale ranges from 0 to 53 (higher scores indicate greater independent, healthy functioning). The total score for iADRS scale ranges from 0 to 138, where higher scores indicate better performance.
Measured: Baseline, Weeks 78 and 106
Change From Baseline in Alzheimer's Disease Cooperative Study for Activities of Daily Living in Mild Cognitive Impairment (ADCS-ADL-MCI) Scale Score at Weeks 78 and 106
The ADCS-ADL-MCI scale consists of 17 instrumental items (e.g., shopping, preparing meals, using household appliances, etc) and 1 basic item (getting dressed). Ratings reflect caregiver observations about the participant'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. Higher scores indicate greater independent, healthy functioning. A positive change from baseline indicates healthy functioning while a negative change from baseline indicates a decline in independent functioning.
Measured: Baseline, Weeks 78 and 106
Change From Baseline in Alzheimer's Disease Assessment Scale, Cognitive Subscale (ADAS-Cog13) at Weeks 78 and 106
ADAS-Cog13 comprises both cognitive tasks and clinical ratings of cognitive performance. The cognitive subscale 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. Higher scores indicate worse performance. A positive change from baseline indicates decline in cognitive performance.
Measured: Baseline, Weeks 78 and 106
Change From Baseline in Mini-Mental State Examination (MMSE) Scale Score at Weeks 78 and 106
The MMSE scale is a 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. Higher scores indicate better performance. A negative change from baseline indicates decline in cognitive performance.
Measured: Baseline, Weeks 78 and 106
Change From Baseline in Neuropsychiatric Inventory-10 (NPI-10) Score at Weeks 78 and 106
The NPI-10 is a questionnaire administered to the informant, designed to obtain information on the presence of neuropsychiatric symptoms and behaviors in a participant with Alzheimer's disease. Ten areas are assessed: delusions, hallucinations, agitation/aggression, depression, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability and aberrant motor behavior. The NPI total score ranges from 0 to 120. Higher scores indicate greater impairment. A negative change from baseline indicates improvement (symptom reduction).
Measured: Baseline, Weeks 78 and 106
Change From Baseline in Amyloid Positron Emission Tomography (PET) Signal at Weeks 78 and 104
Amyloid PET scan assesses cerebral amyloid load using radiotracers which is standardized into centiloids. Centiloid values on centiloid scale is based on mean composite standardized uptake value ratio (SUVR).
Measured: Baseline, Weeks 78 and 104
Change From Baseline in Tau PET Signal at Weeks 78 and 104
The cerebral tau level was measured by tau PET imaging. Tau PET imaging was conducted using radiotracer. SUVR is a ratio of PET uptake measured in brain region of interest and a disease-free reference region. A higher SUVR is an indication of increased PET radiotracer uptake and worsening disease.
Measured: Baseline, Weeks 78 and 104
Change From Baseline in CDR-SB Score at Week 106
The CDR 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 participant examination, the rater assigns a score describing the participant's current performance level in each of these domains of life functioning. The CDR-SB sums the score for each of the 6 domains and provides a value ranging from 0 to 18. Higher scores indicate greater impairment. Positive change from baseline indicates greater impairment.
Measured: Baseline, Week 106
Change From Baseline in Global Statistical Test (GST) Composite Z-Score at Weeks 78 and 106
GST z-score is an average of z-scores of CDR-SB, ADASCog13 and ADCS-ADL-MCI. CDR-SB assesses 3 cognitive (memory,orientation, judgment/problem-solving)and 3 functional(community affairs,home/hobbies,personal care) domains. Sum of Boxes method combines scores across 6 domains, ranging from 0-18(higher scores=greater impairment). ADAS-Cog13 evaluates cognitive tasks like word recall, naming, orientation and memory, with scores from 0-85 (higher scores=worse performance). ADCS-ADL-MCI rates 17 tasks (e.g.,shopping, preparing meal) and 1 basic task(dressing) with scores from 0-53 (higher scores=greater independence/healthy functioning). z-score>0 indicates greater impairment/worse performance for CDR-SB and ADASCog13 scales and improved functioning for ADCS-ADL-MCI. For ADCS-ADL-MCI, z-score were reversed (new reversed value=original value-1) to make interpretation consistent. The GST z-score of 0 indicates population mean and score>0 indicate greater impairment/worse performance.
Measured: Baseline, Weeks 78 and 106
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Apr 2022
- Study start2 Jun 2022
- Primary completion12 Aug 2024
- Study completion12 Aug 2024
Why it stopped: Sponsor's Decision
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.
- 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
- 1,027 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
- NCT05310071
- Sponsor's protocol ID
- 221AD305
- Other IDs
- 2022-001671-14
- Acronym
- ENVISION
- Status last verified
- Apr 2025
- First submitted
- 25 Mar 2022
- Last updated
- 23 Apr 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/
Study at a glance
From the registry record, last updated by the sponsor on 23 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3b/4 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Verify the Clinical Benefit of Aducanumab (BIIB037) in Participants With Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT05310071
- Acronym / sponsor ID
- ENVISION / 221AD305
- Conditions
- Alzheimer's Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Sponsor's Decision
- Enrolment
- 1,027 participants (actual)
- Lead sponsor
- BiogenIndustry (pharma, biotech, devices)
- Study start
- 2 Jun 2022 (actual)
- Primary completion
- 12 Aug 2024 (actual)
- Study completion
- 12 Aug 2024 (actual)
- First posted
- 4 Apr 2022 (actual)
- Results
- Posted 23 Apr 2025
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 this study is to verify the clinical benefit of monthly doses of aducanumab in slowing cognitive and functional impairment as measured by changes in the Clinical Dementia Rating Scale Sum of Boxes (CDR-SB) score as compared with placebo in participants with early Alzheimer's disease.
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 |
|---|---|---|
| Aducanumab | Experimental | Drug: AducanumabParticipants will receive aducanumab, up to 10 milligrams per kilogram (mg/kg), monthly (once every four weeks), administered as intravenous (IV) infusion. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants will receive placebo, monthly (once every four weeks), administered as IV infusion. |
Who may qualify
- Ages
- 60 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- The participant must have confirmed amyloid beta pathology by cerebrospinal fluid (CSF) or amyloid PET
- Must have a history of subjective memory decline with gradual onset and slow progression over the 6 months before Screening, confirmed by study partner
- The participant must have 1 informant/care partner who, in the Investigator's opinion, has frequent and sufficient contact with the participant (at least 10 hours/week in person or by phone) as to be able to provide accurate information about the participant's cognitive and functional abilities over time
- Must meet all of the following clinical criteria for MCI due to Alzheimer's disease or mild Alzheimer's disease according to National Institute on Aging and Alzheimer's Association (NIA-AA) criteria
- Apart from a clinical diagnosis of early Alzheimer's disease, the participant must be in good health as determined by the Investigator based on medical history and screening assessments
Key exclusion criteria (11 listed)
- Any uncontrolled medical or neurological/neurodegenerative condition (other than Alzheimer's disease) that, in the opinion of the Investigator, might be a contributing cause of the participant's cognitive impairment
- Clinically significant and/or unstable psychiatric illness within 6 months prior to Screening
- Transient ischemic attack or stroke or any unexplained loss of consciousness within 1 year prior to Screening
- History of severe allergic or anaphylactic reactions or of hypersensitivity to any of the inactive ingredients in the drug product
- Participation in any study with purported disease-modifying effect in Alzheimer's disease within 12 months prior to Screening unless documentation of receipt of placebo is available
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 |
|---|---|---|
| AducanumabAlso: BIIB037, Aducanumab-avwa, AduhelmAdministered as specified in the treatment arm. | Drug | Aducanumab |
| PlaceboAdministered as specified in the treatment arm. | Drug | Placebo |
Primary outcome
Change From Baseline in Clinical Dementia Rating Scale - Sum of Boxes (CDR-SB) Score at Week 78
Time frame: Baseline, Week 78
The Clinical Dementia Rate Scale integrates assessments from 3 domains of cognition (memory, orientation, judgment/problem-solving) and 3 domains of function (community affairs, home/hobbies, personal care). Following the caregiver interview and systematic participant examination, the rater assigns a score describing the participant's current performance level in each of these domains of life functioning. The "Sum of boxes" scoring methodology sums the score for each of the 6 domains and provides a value ranging from 0 to 18. Higher scores indicate greater impairment. A positive change from baseline indicates greater impairment.
9 secondary outcomes
Change From Baseline in Integrated Alzheimer's Disease Rating Scale (iADRS) Score at Weeks 78 and 106
Time frame: Baseline, Weeks 78 and 106
Change From Baseline in Alzheimer's Disease Cooperative Study for Activities of Daily Living in Mild Cognitive Impairment (ADCS-ADL-MCI) Scale Score at Weeks 78 and 106
Time frame: Baseline, Weeks 78 and 106
Change From Baseline in Alzheimer's Disease Assessment Scale, Cognitive Subscale (ADAS-Cog13) at Weeks 78 and 106
Time frame: Baseline, Weeks 78 and 106
Change From Baseline in Mini-Mental State Examination (MMSE) Scale Score at Weeks 78 and 106
Time frame: Baseline, Weeks 78 and 106
Change From Baseline in Neuropsychiatric Inventory-10 (NPI-10) Score at Weeks 78 and 106
Time frame: Baseline, Weeks 78 and 106
Change From Baseline in Amyloid Positron Emission Tomography (PET) Signal at Weeks 78 and 104
Time frame: Baseline, Weeks 78 and 104
Change From Baseline in Tau PET Signal at Weeks 78 and 104
Time frame: Baseline, Weeks 78 and 104
Change From Baseline in CDR-SB Score at Week 106
Time frame: Baseline, Week 106
Change From Baseline in Global Statistical Test (GST) Composite Z-Score at Weeks 78 and 106
Time frame: Baseline, Weeks 78 and 106
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Apr 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/
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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
265 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Aducanumab in people with Alzheimer's Disease, run by Biogen at 265 sites in 16 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 10 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 23 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 265 sites in United States, Japan, Germany, Canada, France and 11 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 23 Apr 2025). 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?
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 23 Apr 2025.