Alzheimer DiseasePhase 2ReτainNCT06544616
A Study of JNJ-64042056 in Participants With Preclinical Alzheimer's Disease
A Phase 2 study testing JNJ-64042056 in people with Alzheimer Disease, run by Janssen Pharmaceutica N.V., Belgium at 90 sites in 9 countries.
Trial summary
The purpose of this study is to assess whether JNJ-64042056 affects the spread and build up of tau (a protein in brain) when compared with placebo, using brain scan (tau PET) to determine results from specific areas of the brain. Read more about this study
- Who is it for?
- Ages 55 to 75 years
- Conditions the study is for
- Alzheimer Disease
- What is being tested?
- JNJ-64042056
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 55 participants
- Where
- 90 sitesin 9 countries
- Study dates
- 22 Jul 2024to 5 Jan 2027
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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 55 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Elevated brain tau pathology defined as Braak 3 region of interest standardized uptake value ratio (ROI SUVR) greater than (>) 1.1 (or equivalent based on emerging data) on a screening tau PET scan, reviewed centrally by a qualified reader to enrich for probability of disease progression during the study
- Clinical Dementia Rating (CDR) global score of 0 at screening and baseline
- Mini Mental State Examination (MMSE) greater than or equal to (>=) 27 (with educational adjustment) at screening
- Able to read and write and with a minimum 5 years of formal education as reported by participant and study partner at screening
- A participant must be of non-childbearing potential
Who cannot join
- History consistent with or known autosomal dominant AD (mutation identified in the family and/or participant)
- Fulfills diagnostic criteria for Alzheimer's Dementia or non-Alzheimer's Dementia, including, but not limited to Frontotemporal Dementia (FTD), Diffuse Lewy Body Dementia (DLBD), Vascular Dementia (VAD), alcoholic dementia, Parkinson's dementia, Korsakov, Creutzfeldt-Jakob or other prion diseases, Posterior Cortical Atrophy
- Diagnosis of Mild Cognitive Impairment (MCI)
- Vitamin B12 or folate levels below the central laboratory lower limit of normal, unless the investigator determines that supplementation is not required after randomization
- History of or current neurological disease other than preclinical AD that may make interpretation of possible new neurological signs or symptoms difficult
Trial locations and contacts
90 sites in 9 countries.
90 sites in 9 countries
United States34 sites
Neurological Associates of Albany, PC
Albany, New York, 12208
JEM Research LLC
Atlantis, Florida, 33462
Memory Clinic Inc
Bennington, Vermont, 05201
Excel Medical Clinical Trials, LLC
Boca Raton, Florida, 33434
Valley Medical Research
Centerville, Ohio, 45459-2785
University of Virginia
Charlottesville, Virginia, 22903
Great Lakes Clinical Trials Chicago
Chicago, Illinois, 60640
K2 Medical Research Winter Garden
Clermont, Florida, 34711
Velocity Clinical Research East Syracuse
East Syracuse, New York, 13057
Quest Research Institute
Farmington Hills, Michigan, 48334
Great Lakes Clinical Trials Gurnee
Gurnee, Illinois, 60031
Hattiesburg Clinic
Hattiesburg, Mississippi, 39401
Irvine Clinical Research
Irvine, California, 92614
Clinical NeuroScience Solutions Inc
Jacksonville, Florida, 32256
K2 Medical Research Lady Lake
Lady Lake, Florida, 32159
K2 Medical Research Maitland
Maitland, Florida, 32751
AMC Research, LLC
Matthews, North Carolina, 28105
Merritt Island Medical Research, LLC
Merritt Island, Florida, 32952
Esperanza Clinical
Murrieta, California, 92562
Yale University School Of Medicine
New Haven, Connecticut, 06510
The Medical Research Network, LLC
New York, New York, 10128
Headlands Research Orlando
Orlando, Florida, 32806
Xenoscience Inc.
Phoenix, Arizona, 85004
Keystone Clinical Studies LLC
Plymouth Meeting, Pennsylvania, 19462
Butler Hospital
Providence, Rhode Island, 02906
Artemis Institute for Clinical Research Riverside
Riverside, California, 92503
Clinical Trials of Texas Inc
San Antonio, Texas, 78229
Artemis Institute for Clinical Research San Diego
San Diego, California, 92123
The Cognitive and Research Center of New Jersey LLC
Springfield, New Jersey, 07081
Alzheimers Research and Treatment Center Stuart
Stuart, Florida, 34996
K2 Medical Research Tampa
Tampa, Florida, 33634
Charter Research
The Villages, Florida, 32162
Alzheimers Research and Treatment Center Wellington
Wellington, Florida, 33414
Palm Beach Neurology and Premier Research Institute
West Palm Beach, Florida, 33407
Japan13 sites
Enomoto Internal Medicine Clinic
Chofu-shi, 1820036
Tokyo Asbo Clinic
Chūōku, 104-0031
Hatsuta Neurology Clinic
Hirakata-shi, 573-1121
Kobe City Medical Center General Hospital
Kobe, 650 0047
Kusunoki Clinic
Kobe, 650-0044
Musashimurayama Hospital
Musashimurayama, 208-0022
Saiseikai Narashino Hospital
Narashino-shi, 275-8580
ToCROM Clinic
Shinjuku Ku, 160 0008
Higashi-Shinjuku Clinic
Shinjuku-ku, 169-0072
Medical corporation Shinanokai Samoncho Clinic
Shinjyuku Ku, 160 0017
OCROM Clinic
Suita Shi, 565 0853
Nagomi Clinic
Toyonaka-shi, 560-0004
Jinsenkai MI Clinic
Toyonaka-shi, 5600004
United Kingdom12 sites
Royal United Hospital
Bath, BA1 3NG
Re-Cognition Health Birmingham
Birmingham, B16 8LT
Re-Cognition Health Bristol
Bristol, BS32 4SY
Scottish Brain Sciences
Edinburgh, EH12 5PJ
Re-Cognition Health Guildford
Guildford, GU2 7YD
Re-Cognition Health London
London, W1G 8TA
Kings College Hospital
London, WC2R 2LS
University of Oxford
Oxford, OX3 7JX
Re-Cognition Health Plymouth
Plymouth, PL6 8BT
Moorgreen Hospital Memory Assessment And Research Centre
Southampton, S03 3JB
Southampton General Hospital
Southampton, SO16 6YD
Re-Cognition Health Winchester
Winchester, SO23 8SR
Spain11 sites
Barcelona Beta Brain Research Center
Barcelona, 08005
Fund. Ace-Inst. Cat. Neuroc. Aplicades
Barcelona, 08028
Hosp Clinic de Barcelona
Barcelona, 08036
Centro At. Esp. Oroitu
Getxo, 48993
Hosp. Univ. Santa Maria
Lleida, 25198
Hosp. Clinico San Carlos
Madrid, 28040
Clinica Univ. de Navarra
Pamplona, 31008
Hosp. Quiron Madrid Pozuelo
Pozuelo de Alarcón, 28223
Idc Salud Hosp. Gral. de Catalunya
Sant Cugat del Vallès, 08195
Hosp. Mutua Terrassa
Terrassa, 08222
Hosp. Viamed Montecanal
Zaragoza, 50012
Australia7 sites
Neuro Trials Victoria
Carlton, 3053
The Prince Charles Hospital
Chermside, 4032
St Vincent's Centre for Applied Medical Research
Darlinghurst, 2010
Austin Health Heidelberg Repatriation Hospital
Ivanhoe, 3079
Southern Neurology
Kogarah, 2217
KaRa Institute of Neurological Diseases
Macquarie Park, 2113
Alzheimers Research Australia
Nedlands, 6009
France6 sites
Hopital Roger Salengro - CHU Lille
Lille, 59037
Hopital Nord Laennec CHU NANTES
Nantes, 44800
Hopital Lariboisiere-Fernand Widal
Paris, 75010
CHU Pitie Salpetriere
Paris, 75013
CHU Toulouse - Hôpital La Grave
Toulouse, 31059
CHRU Tours Hopital Bretonneau
Tours, 37000
Germany4 sites
Universitaetsklinikum der RWTH Aachen
Aachen, 52074
Universitaetsklinikum Koeln
Cologne, 50937
Universitaetsklinikum des Saarlandes
Homburg, 66421
Universitatsklinikum Munster
Münster, 48149
Sweden2 sites
Skanes universitetssjukhus
Malmö, 20502
Karolinska Universitetssjukhuset Huddinge
Stockholm, 14186
About this study
Official title: A Multicenter, Randomized, Placebo-Controlled, Double-Blind, Parallel-Group Study, to Assess Efficacy, Safety and Immunogenicity of JNJ-64042056, a Phosphorylated Tau Targeted Active Immunotherapy, in Participants With Preclinical Alzheimer's Disease
The purpose of this study is to assess whether JNJ-64042056 affects the spread and build up of tau (a protein in brain) when compared with placebo, using brain scan (tau PET) to determine results from specific areas of the brain.
- Conditions
- Alzheimer Disease
- Being tested
- JNJ-64042056, 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.
JNJ-64042056Drug
JNJ-64042056 will be administered intramuscularly.
PlaceboDrug
Placebo will be administered intramuscularly.
| Study group | Role | What they receive |
|---|---|---|
| Arm A: JNJ-64042056 | Experimental | Participants will receive intramuscular (IM) injection of JNJ-64042056 from Week 0 up to a maximum of Week 76. Receives: Drug: JNJ-64042056 |
| Arm B: Placebo | Placebo comparator | Participants will receive IM injection of placebo from Week 0 up to a maximum of Week 76. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Brain Tau Burden as Measured by Tau PET in Specified Regions of Interest (ROI)
Change from baseline in brain tau burden, as measured by tau PET (including but not limited to Braak I-VI ROIs, tau naive composite ROI, Connection Rank ROI, and New Tau Composite ROI Volume) will be reported.
Measured: Baseline up to Week 102
Secondary outcomes (8)
Levels of IgG Titers Against Enriched Paired Helical Filaments (ePHF), p-tau and tau in Serum
Levels of IgG titers against ePHF, p-tau peptide and tau peptide in serum will be measured.
Measured: Up to Week 102
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
An adverse event (AE) is any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the pharmaceutical or biological agent under study. TEAEs are defined as AEs with onset or worsening on or after date of first dose of study treatment.
Measured: Up to Week 104
Number of Participants With Reactogenicity
Solicited AEs will be used to assess the reactogenicity of the active immunotherapy and are predefined local (at the injection site) and systemic events for which the participant is specifically questioned, and which are noted by participants in their participant diary.
Measured: Up to Week 78
Number of Participants with Vital Signs Abnormalities
Participants with vital signs abnormalities including temperature and blood pressure (systolic and diastolic) (supine) will be summarized over time.
Measured: Up to Week 102
Number of Participants with Clinical Laboratory Abnormalities
Participants with clinical laboratory abnormalities values (chemistry, hematology, urinalysis and coagulation) will be reported.
Measured: Up to Week 102
Change from Baseline in Electrocardiogram (ECG) Values
Change from baseline in ECG values will be reported.
Measured: Baseline up to Week 102
Change From Baseline in Columbia-Suicidality Severity Rating Scale (C-SSRS)
A frequency distribution of C-SSRS scores at each scheduled time point by treatment will be provided. Shifts from the baseline visit to the most severe/maximum score during the treatment period will be summarized by treatment. The maximum score assigned for each participant will also be summarized into 1 of 3 categories: no suicidal ideation or behavior (0), suicidal ideation (1 to 5), suicidal behavior (6 to 10).
Measured: Baseline up to Week 102
Change From Baseline in Magnetic Resonance Imaging (MRI) Findings
Change from baseline in brain MRI safety findings will be reported.
Measured: Baseline up to Week 102
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Aug 2024
- Study start22 Jul 2024
- Primary completion22 Dec 2026 (estimated)
- Study completion5 Jan 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Alzheimer DiseaseStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 55 participants (actual)
Sponsor and investigators
- Lead sponsor
- Janssen Pharmaceutica N.V., Belgium
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Pharmaceutica N.V., Belgium Clinical trial, Study director, Janssen Pharmaceutica N.V., Belgium
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06544616
- Sponsor's protocol ID
- 64042056ALZ2001
- Other IDs
- 2023-505096-68-00, 2023
- Acronym
- Reτain
- Status last verified
- Nov 2026
- First submitted
- 6 Aug 2024
- Last updated
- 3 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.jnj.com/innovativemedicine/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Placebo-Controlled, Double-Blind, Parallel-Group Study, to Assess Efficacy, Safety and Immunogenicity of JNJ-64042056, a Phosphorylated Tau Targeted Active Immunotherapy, in Participants With Preclinical Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT06544616
- Acronym / sponsor ID
- Reτain / 64042056ALZ2001
- Conditions
- Alzheimer Disease
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 55 participants (actual)
- Lead sponsor
- Janssen Pharmaceutica N.V., BelgiumIndustry (pharma, biotech, devices)
- Study start
- 22 Jul 2024 (actual)
- Primary completion
- 22 Dec 2026 (estimated)
- Study completion
- 5 Jan 2027 (estimated)
- First posted
- 9 Aug 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess whether JNJ-64042056 affects the spread and build up of tau (a protein in brain) when compared with placebo, using brain scan (tau PET) to determine results from specific areas of the brain.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A: JNJ-64042056 | Experimental | Drug: JNJ-64042056Participants will receive intramuscular (IM) injection of JNJ-64042056 from Week 0 up to a maximum of Week 76. |
| Arm B: Placebo | Placebo comparator | Drug: PlaceboParticipants will receive IM injection of placebo from Week 0 up to a maximum of Week 76. |
Who may qualify
- Ages
- 55 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Elevated brain tau pathology defined as Braak 3 region of interest standardized uptake value ratio (ROI SUVR) greater than (>) 1.1 (or equivalent based on emerging data) on a screening tau PET scan, reviewed centrally by a qualified reader to enrich for probability of disease progression during the study
- Clinical Dementia Rating (CDR) global score of 0 at screening and baseline
- Mini Mental State Examination (MMSE) greater than or equal to (>=) 27 (with educational adjustment) at screening
- Able to read and write and with a minimum 5 years of formal education as reported by participant and study partner at screening
- A participant must be of non-childbearing potential
Key exclusion criteria (5 listed)
- History consistent with or known autosomal dominant AD (mutation identified in the family and/or participant)
- Fulfills diagnostic criteria for Alzheimer's Dementia or non-Alzheimer's Dementia, including, but not limited to Frontotemporal Dementia (FTD), Diffuse Lewy Body Dementia (DLBD), Vascular Dementia (VAD), alcoholic dementia, Parkinson's dementia, Korsakov, Creutzfeldt-Jakob or other prion diseases, Posterior Cortical Atrophy
- Diagnosis of Mild Cognitive Impairment (MCI)
- Vitamin B12 or folate levels below the central laboratory lower limit of normal, unless the investigator determines that supplementation is not required after randomization
- History of or current neurological disease other than preclinical AD that may make interpretation of possible new neurological signs or symptoms difficult
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 |
|---|---|---|
| JNJ-64042056JNJ-64042056 will be administered intramuscularly. | Drug | Arm A: JNJ-64042056 |
| PlaceboPlacebo will be administered intramuscularly. | Drug | Arm B: Placebo |
Primary outcome
Change From Baseline in Brain Tau Burden as Measured by Tau PET in Specified Regions of Interest (ROI)
Time frame: Baseline up to Week 102
Change from baseline in brain tau burden, as measured by tau PET (including but not limited to Braak I-VI ROIs, tau naive composite ROI, Connection Rank ROI, and New Tau Composite ROI Volume) will be reported.
8 secondary outcomes
Levels of IgG Titers Against Enriched Paired Helical Filaments (ePHF), p-tau and tau in Serum
Time frame: Up to Week 102
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Time frame: Up to Week 104
Number of Participants With Reactogenicity
Time frame: Up to Week 78
Number of Participants with Vital Signs Abnormalities
Time frame: Up to Week 102
Number of Participants with Clinical Laboratory Abnormalities
Time frame: Up to Week 102
Change from Baseline in Electrocardiogram (ECG) Values
Time frame: Baseline up to Week 102
Change From Baseline in Columbia-Suicidality Severity Rating Scale (C-SSRS)
Time frame: Baseline up to Week 102
Change From Baseline in Magnetic Resonance Imaging (MRI) Findings
Time frame: Baseline up to Week 102
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2026.
- Individual participant dataSharing planned: Yes. The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.jnj.com/innovativemedicine/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.
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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.
Janssen Pharmaceutica N.V., Belgium Clinical trial study director
Janssen Pharmaceutica N.V., Belgium
90 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing JNJ-64042056 in people with Alzheimer Disease, run by Janssen Pharmaceutica N.V., Belgium at 90 sites in 9 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 5 inclusion and 5 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: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 90 sites in United States, Japan, United Kingdom, Spain, Australia and 4 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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 Brain Tau Burden as Measured by Tau PET in Specified Regions of Interest (ROI) (time frame: Baseline up to Week 102). 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 3 Nov 2026.