Amyloid Lowering for Alzheimer's in Down's With Donanemab Investigation
- Sponsor
- Michael Rafii, MD, PhD
- Study ID
- NCT06911944
- Phase
- PHASE4
- Status
- Not Yet Recruiting
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Conditions
- Alzheimer Disease
- Amyloid Beta Protein
- Down Syndrome (DS)
- Down Syndrome (Trisomy 21)
Eligibility Criteria
- Sex
- ALL
- Age
- 35 Years - 50 Years
- Healthy Volunteers
- Not accepted
Interventions
- Donanemab — DRUGDonanemab will be administered as an IV infusion every 4 weeks using an up-titration regimen that will allow participants to reach a target dose of 1400 mg within 24 weeks.
- Placebo — DRUGThe control product (placebo) will be supplied in vials containing 350 mg/20 mL of donanemab Placebo for donanemab is supplied to the clinical site to match the active study intervention and contains only inactive ingredients. Normal sterile saline solution (0.9% sodium chloride) will be used for dilution.
Study Details
The goal of this clinical trial is to learn if donanemab can reduce levels of amyloid in the brain, and if donanemab is safe and well-tolerated in participants with Down syndrome. The main questions it aims to answer are: Does donanemab reduce amyloid in the brain? Is donanemab safe and well-tolerated in people with Down syndrome? Researchers will compare donanemab to a placebo (a look-alike substance that contains no drug) to see if donanemab works to reduce levels of amyloid in the brain. Participants in the study will be 35-50 years old and will be in the study for 12 months. Participants will then stay in the study for an additional 12 months in an long-term extension where all participants will receive donanemab. Participants who had a reduction in amyloid (measured by amyloid brain scan) by the end of the first 12 months will receive placebo for the long-term extension, while participants who did not have an amyloid reduction will receive study donanemab for the long-term extension. Everyone (participants and study staff) will remain blinded to treatment for the duration of the study. Participants will: * Have intravenous (IV) infusions of donanemab (or placebo) every 4 weeks * Visit the clinic once every other month for checkups and tests. These tests will include brain scans (magnetic resonance imaging \[MRI\] and positron emission tomography \[PET\] ), blood draws and memory tests. * Have a study partner who who can provide information about the participant and can join participant for some of the study visits.
Key Dates
- Start date
- Aug 1, 2026
- Status verified
- May 2026
- Primary completion
- Dec 31, 2028
- Completion
- Dec 31, 2028
Study Design
- Enrollment
- 60 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: donanemabDonanemab will be administered per label instructions and the pharmacy manual as an IV infusion every 4 weeks using an up-titration regimen that will allow participants to reach a target dose of 1400 mg within 12 weeks
- Placebo Comparator: placebo
Primary Outcome Measure
Change from baseline on brain amyloid levels [ Time Frame: 12 months ]
Central Contacts
- ATRI Recruitment and Retention (RER) Unit213-821-0569
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