A Study of Gantenerumab in Participants With Prodromal Alzheimer's Disease
Scarlet Road
Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Two Year Study to Evaluate the Effect of Subcutaneous RO4909832 on Cognition and Function in Prodromal Alzheimer's Disease With Option for up to an Additional Two Years of Treatment and an Open-Label Extension With Active Study Treatment
2 other identifiers
interventional
799
24 countries
139
Brief Summary
This multi-center, randomized, double-blind, placebo-controlled parallel-group study will evaluate the effect of gantenerumab (RO4909832) on cognition and functioning and the safety and pharmacokinetics in participants with prodromal Alzheimer's Disease. Participants will be randomized to receive subcutaneous (SC) injections of either gantenerumab or placebo. Participants who consent to be part of the sub study will undergo positron emission tomography (PET) scanning to assess brain amyloid. The anticipated time on study treatment is 104 weeks in Part 1, with an option for an additional up to 2 years of treatment in Part 2, followed by an open-label extension (Part 3) until July 2020. The dosing for Parts 1 and 2 was stopped after a planned futility interim analysis showed a low probability of meeting the primary outcome measure with the doses studied. The study has converted to open-label to investigate higher gantenerumab doses.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Nov 2010
Longer than P75 for phase_3
139 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 14, 2010
CompletedFirst Posted
Study publicly available on registry
October 19, 2010
CompletedStudy Start
First participant enrolled
November 30, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 10, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
September 10, 2020
CompletedResults Posted
Study results publicly available
December 13, 2021
CompletedDecember 13, 2021
December 1, 2021
9.8 years
October 14, 2010
September 8, 2021
December 10, 2021
Conditions
Outcome Measures
Primary Outcomes (2)
Mean Change From Baseline in Clinical Dementia Rating Scale Sum of Boxes (CDR-SOB) Total Score at Week 104 (Double-Blind Treatment Phase)
The CDR (Clinical Dementia Rating) is obtained through semi-structured interviews of participants and informants, and cognitive functioning is rated in six domains of functioning: memory, orientation, judgement and problem solving, community affairs, home and hobbies, and personal care. Each domain is rated on a five-point scale of functioning as follows: 0, no impairment; 0.5, questionable impairment; 1, mild impairment; 2, moderate impairment; and 3, severe impairment. The CDR-SOB (Clinical Dementia Rating-Sum of Boxes) is based on summing each of the domain box scores with total scores ranging from 0-18, where lower total scores represent better outcomes and higher total scores represent worse outcomes.
Baseline, Week 104
Number of Participants With Adverse Events (AEs) or Serious Adverse Events (SAEs) (OLE Phase)
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.
Baseline up until a maximum of 5 years
Secondary Outcomes (26)
Mean Change From Baseline in Alzheimer Disease Assessment Scale-Cognitive Subscale 11 (ADAS-Cog-11) Scores at Week 104 (Double-Blind Treatment Phase)
Baseline, Week 104
Time to Onset of Dementia at Week 104 (Double-Blind Treatment Phase)
Baseline, Week 104
Mean Change From Baseline in Cambridge Neuropsychological Test Automated Battery (CANTAB) Composite Score at Week 104 (Double-Blind Treatment Phase)
Baseline, Week 104
Mean Change From Baseline in Free and Cued Selective Reminding Test (FCSRT) Score at Week 104 (Double-Blind Treatment Phase)
Baseline, Week 104
Mean Change From Baseline in Functional Activities Questionnaire (FAQ) Score at Week 104 (Double-Blind Treatment Phase)
Baseline, Week 104
- +21 more secondary outcomes
Study Arms (5)
Placebo (Parts 1 and 2)
PLACEBO COMPARATORParticipants with Alzheimer's disease received Placebo by SC injection every 4 weeks (Q4W) for 104 weeks or approximately 2 years during Part 1 of the study. Participants who completed the Week 104 visit were given an option to continue the treatment received during Part 1, for 2 additional years in Part 2.
Gantenerumab 105 mg (Parts 1 and 2)
EXPERIMENTALParticipants with Alzheimer's disease received Gantenerumab 105 mg by SC injection every 4 weeks (Q4W) for 104 weeks or approximately 2 years during Part 1 of the study. Participants who completed the Week 104 visit were given an option to continue the treatment received during Part 1, for 2 additional years in Part 2.
Gantenerumab 225 mg (Parts 1 and 2)
EXPERIMENTALParticipants with Alzheimer's disease received Gantenerumab 225 mg by SC injection every 4 weeks (Q4W) for 104 weeks or approximately 2 years during Part 1 of the study. Participants who completed the Week 104 visit were given an option to continue the treatment received during Part 1, for 2 additional years in Part 2.
Placebo (Parts 1 and 2) switched to Gantenerumab Up to 1200mg (Part 3 Open-Label Extension [OLE])
PLACEBO COMPARATORParticipants with Alzheimer's disease who had received Placebo by SC injection in Part 1 or Part 2, now received Gantenerumab at doses up to 1200 mg by SC injection every 4 weeks (Q4W) for up to 5 additional years.
Gantenerumab Up to 1200 mg (Part 3 Open-Label Extension [OLE])
EXPERIMENTALParticipants with Alzheimer's disease who had received Gantenerumab by SC injection in Part 1 or Part 2, now received Gantenerumab at doses up to 1200 mg by SC injection every 4 weeks (Q4W) for up to 5 additional years.
Interventions
Participants received Gantenerumab at 105 mg , 225 mg, or at doses up to 1200 mg SC injection Q4W.
Eligibility Criteria
You may qualify if:
- Adult participants, 50-85 years of age
- Participants with prodromal Alzheimer's disease who are not receiving memantine or cholinesterase inhibitors
- Has a study partner who in the investigator's judgement has frequent and sufficient contact with the participant as to be able to provide accurate information as to the participant's cognitive and functional abilities, who agrees to provide information at clinic visits which require partner input for scale completion
- Has had sufficient education or work experience to exclude mental retardation
- Study partner has noticed a recent gradual decrease in participant's memory (over the last 12 months), which the participant may or may not be aware of
- Screening Mini Mental State Exam (MMSE) score of 24 or above
- Able and willing to travel to PET imaging center and complete the planned scanning sessions
- Past and planned exposure to ionizing radiation not exceeding safe and permissible levels
You may not qualify if:
- Other prior or current neurologic or medical disorder which may currently or during the course of the study impair cognition or psychiatric functioning
- A history of stroke
- A documented history of transient ischemic attack within the last 12 months
- History of schizophrenia, schizoaffective or bipolar disorder
- Currently meets criteria for major depression
- Within the last 2 years, unstable or clinical significant cardiovascular disease (myocardial infarction, angina pectoris)
- Present or planned participation in a research and/or medical protocol involving PET ligands or radioactive agents other than study WN25203
- Have planned or are planning to have exposure to ionizing radiation that in combination with the planned administration with study amyloid PET ligand would result in a cumulative exposure that exceeds local recommended exposure limits
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (139)
Banner Alzheimer's Institute
Phoenix, Arizona, 85006, United States
University of California, San Diego
La Jolla, California, 92037, United States
Yale University ADRU
New Haven, Connecticut, 06510, United States
Brain Matters Research, Inc.
Delray Beach, Florida, 33445, United States
Infinity Clinical Research
Hollywood, Florida, 33024, United States
Accelerated Enrollment Solutions
Orlando, Florida, 32806, United States
Roskamp Institute, Inc.
Sarasota, Florida, 34243, United States
Compass Research
The Villages, Florida, 32162, United States
Premiere Research Institute
West Palm Beach, Florida, 33407, United States
Indiana University
Indianapolis, Indiana, 46202, United States
Boston Center for Memory
Newton, Massachusetts, 02459, United States
Western Michigan University Homer Stryker M.D. School of Medicine Center for Clinical Research
Kalamazoo, Michigan, 49008, United States
Neurological Research Center
Hattiesburg, Mississippi, 39401, United States
Princeton Medical Institute
Princeton, New Jersey, 08540, United States
Nathan Kline Institute
Orangeburg, New York, 10962, United States
University of Rochester Medical Center; Monroe Community Hospital
Rochester, New York, 14627, United States
Alzheimer's Memory Center
Matthews, North Carolina, 28105, United States
Oregon Health and Science University, Layton Aging and Alzheimer's Disease Center
Portland, Oregon, 97239, United States
Northeastern Pennsylvania Memory
Plains, Pennsylvania, 18705, United States
Rhode Island Mood & Memory Research Institute
East Providence, Rhode Island, 02914, United States
Butler Hospital
Providence, Rhode Island, 02906, United States
Senior Adults Specialty Research
Austin, Texas, 78757, United States
Texas Neurology PA
Dallas, Texas, 75206, United States
Clinical Neuroscience Research Associates, Inc.
Bennington, Vermont, 05201, United States
Hospital Italiano
Buenos Aires, C1181ACH, Argentina
IME - Instituto Médico Especializado; Ensayos Clínicos
Buenos Aires, C1405BCH, Argentina
ALPI-Inst. de Rehabilitacion Marcelo Fitte
Buenos Aires, C1425BWO, Argentina
CEMIC
Buenos Aires, C1431FWO, Argentina
Mulieris
CABA, C1022AAO, Argentina
Instituto De Neurología Cognitiva - INECO
Caba, C1126AAB, Argentina
FLENI
CABA, C1428AQK, Argentina
Instituto Kremer
Córdoba, X5004AOA, Argentina
CENPIA; Neurología - Psicología
La Plata, B1902AJU, Argentina
Hornsby Ku-ring-gai Hospital; Division of Rehabilitation & Aged Care
Hornsby, New South Wales, 2077, Australia
Prince of Wales Hospital, Academic Department for Old Age Psychiatry
Randwick, New South Wales, 2031, Australia
Royal Adelaide Hospital; Memory Trials Centre
Adelaide, South Australia, 5000, Australia
The Queen Elizabeth Hospital; Neurology
Woodville, South Australia, 5011, Australia
Heidelberg Repatriation Hospital; Medical and Cognitive Research Centre
Heidelberg West, Victoria, 3081, Australia
Australian Alzheimer's Research Foundation
Nedlands, Western Australia, 6009, Australia
UZ Leuven Gasthuisberg
Leuven, 3000, Belgium
Hospital das Clinicas - UFPR; Ciencias da Saude
Curitiba, Paraná, 80060-900, Brazil
Hospital das Clinicas - UFRGS
Porto Alegre, Rio Grande do Sul, 90035-903, Brazil
Hospital Mae de Deus
Porto Alegre, Rio Grande do Sul, 90470-340, Brazil
Universidade Federal de Sao Paulo - UNIFESPX; Neurologia
São Paulo, São Paulo, 04024-002, Brazil
Hospital das Clinicas - FMUSP; Psiquiatria
São Paulo, São Paulo, 05403-010, Brazil
True North Clinical Research
New Minas, Nova Scotia, B4N 3R7, Canada
Kawartha Centre - Redefining Healthy Aging
Peterborough, Ontario, K9H 2P4, Canada
Toronto Memory Program
Toronto, Ontario, M3B 2S7, Canada
Centre for Memory and Aging
Toronto, Ontario, M4G 3E8, Canada
NeuroSearch Developpements inc
Greenfield Park, Quebec, J4V 2J2, Canada
McGill University; Sir Mortimer B Davis Jewish General Hospital; Neurological and Psychiatric
Montreal, Quebec, H3T 1E2, Canada
CHAUQ - Hôpital Enfant-Jésus
Québec, Quebec, G1J 1Z4, Canada
Biomedica Research Group
Santiago, 7500710, Chile
Especialidades Medicas LYS
Santiago, 7560356, Chile
St. Anne´s University Hospital; Clinical Trials Department
Brno, 656 91, Czechia
Vestra Clinics s.r.o.
Rychnov nad Kněžnou, 516 01, Czechia
Aarhus Universitetshospital, Neurologisk Afdeling F, Demensklinikken
Aarhus N, 8200, Denmark
Rigshospitalet, Hukommelsesklinikken
Koebenhavn Oe, 2100, Denmark
CRST Oy
Turku, 20520, Finland
Hopital Avicenne; Neurologie
Bobigny, 93009, France
Hopital Pellegrin; Cmrr Aquitaine
Bordeaux, 33076, France
Hopital Pierre Wertheimer; Laboratoire De Neuro Psychologie
Bron, 69677, France
CHU De Caen; Service De Neurologie Dejerine
Caen, 14033, France
Hopital B Roger Salengro; Cmrr Lille
Lille, 59037, France
Ch Pitie Salpetriere; Cmrr Ile De France Salpetriere
Paris, 75651, France
CHU de Rouen Hopital; Service de Neurologie
Rouen, 76031, France
Hop Guillaume Et Rene Laennec; Cmrr St Herblain
Saint-Herblain, 44800, France
Hopital Hautepierre; Centre dInvestigation Clinique
Strasbourg, 67098, France
Hopital de La Grave
Toulouse, 31059, France
Univ Berlin; Klin fur Psychi & Psycho Charite
Berlin, 12203, Germany
Universitätsklinikum Bonn; Medizinische Klinik und Poliklinik I; Allgemeine Innere Medizin
Bonn, 53127, Germany
Klinikum Joh.Wolfg.Goethe-UNI Zentrum d. Psychiatrie Klinik f. Psychiatrie Psychosomatik
Frankfurt, 60528, Germany
PANAKEIA - Arzneimittelforschung Leipzig GmbH
Leipzig, 04275, Germany
Zentralinstitut für Seelische Gesundheit Abt.Gerontopsychiatrie
Mannheim, 68159, Germany
Pharmakologisches Studienzentrum
Mittweida, 09648, Germany
Neurologische Praxis Dr. Andrej Pauls
München, 80331, Germany
Klinikum rechts der Isar der TU München; Klinik für Psychiatrie und Psychotherapie
München, 81675, Germany
Office of Dr Klaus Steinwachs Neurology & Psychiatry
Nuremberg, 90402, Germany
Universitätsklinikum Rostock Zentrum für Nervenheilkunde
Rostock, 18147, Germany
Universitätsklinikum Ulm; Klinik für Neurologie
Ulm, 89081, Germany
Nuovo Ospedale Civile S. Agostino-Estense; Clinica Neurologica - Dipartimento di Neuroscienze
Modena, Emilia-Romagna, 41126, Italy
Universita' Di Parma Istituto Neurologia
Parma, Emilia-Romagna, 43126, Italy
Azienda Ospedaliera Spedali Civili; Scienze Neurologiche
Brescia, Lombardy, 25100, Italy
IRCCS "Centro S. Giovanni di Dio" Fatebenefratelli -UO Alzheimer
Brescia, Lombardy, 25125, Italy
Irccs Multimedica Santa Maria; Unita' Di Neurologia
Castellanza, Lombardy, 21053, Italy
Fondazione San Raffaele Del Monte Tabor; Dipartimento Di Neurologia
Milan, Lombardy, 20132, Italy
Azienda Ospedaliero Universitaria Ospedali Riuniti Umberto I-G.M. Lancisi-G. Salesi Di Ancona
Torrette - Ancona, The Marches, 60100, Italy
Uni Di Firenze Dip. Scienze Neurol Psic Sod Neurologia 1
Florence, Tuscany, 50134, Italy
Hospital Mexico Americano
Guadalajara, Mexico CITY (federal District), 44610, Mexico
Hospital Universitario; Dr. Jose E. Gonzalez
Monterrey, Nuevo León, 64460, Mexico
Hospital Angeles de Culiacán, Neurociencias Estudios Clínicos SC
Culiacán, 80020, Mexico
Unidad de Investigacion en Enfermedades Cronico-Degenerativa; Reumatologia
Guadalajara, 44620, Mexico
Estimulacion Magnetica Trnscraneal de Mexico SC.
Mexico City, 11000, Mexico
Centro Medico San Francisco; Geriatrics
Monterrey, 64710, Mexico
Hospital Universitario de Saltillo
Saltillo, 25000, Mexico
Jeroen Bosch Ziekenhuis; Polikliniek Geriatrie
's-Hertogenbosch, 5223 GZ, Netherlands
Brain Research Center B.V
Amsterdam, 1081 GN, Netherlands
Podlaskie Centrum Psychogeriatrii
Bialystok, 15-756, Poland
PALLMED Sp. z o.o. prowadząca NZOZ DOM SUE RYDER
Bydgoszcz, 85-796, Poland
NEURO - KARD Ośrodek Badań Klinicznych
Poznan, 61-853, Poland
Przychodnia Specjalistyczna PROSEN
Warsaw, 01-231, Poland
mMED Maciej Czarnecki
Warsaw, 01-684, Poland
Hospital Prof. Dr. Fernando Fonseca; Servico de Neurologia
Amadora, 2720-276, Portugal
Hospital de Santa Maria; Servico de Neurologia
Lisbon, 1649-035, Portugal
State autonomous institution of healthcare Inter-regional clinical and diagnostic center
Kazan', 420101, Russia
Saint Petersburg State Institution of Healthcare City Geriatric Medico-Social Center
Saint Petersburg, 190103, Russia
Russian Medical Military Academy n.a. S.M.Kirov; Neurology Department
Saint Petersburg, 194044, Russia
City Clinical Hospital # 2 n.a. V.I. Razumovsky
Saratov, 410028, Russia
Sverdlovsk Regional Clinical Psychoneurological War Veteran Hospital
Yekaterinburg, 620036, Russia
Seoul National University Bundang Hospital; Neurology Department
Gyeonggi-do, 13620, South Korea
Konkuk University Medical Center
Seoul, 05030, South Korea
Samsung Medical Center
Seoul, 06351, South Korea
Seoul St Mary's Hospital
Seoul, 06591, South Korea
Asan Medical Center.
Seoul, 138-736, South Korea
Fundació ACE
BArcelon, Barcelona, 08034, Spain
Hospital Mutua De Terrasa; Servicio de Neurologia
Terrassa, Barcelona, 08222, Spain
Hospital de Cruces; Servicio de Neurologia
Barakaldo, Vizcaya, 48903, Spain
Hospital del Mar; Servicio de Neurologia
Barcelona, 08003, Spain
Hospital Clinic i Provincial; Servicio de Neurologia
Barcelona, 08036, Spain
Hospital de la Santa Creu i Sant Pau; Servicio de Neurologia
Barcelona, 08041, Spain
Hospital Ramon y Cajal; Servicio de Neurologia
Madrid, 28034, Spain
Hospital Universitario 12 de Octubre; Servicio de Neurologia
Madrid, 28041, Spain
Hospital Universitario La Paz; Servicio de Neurologia
Madrid, 28046, Spain
Hospital Universitario Dr. Peset; Servicio de Neurologia
Valencia, 46017, Spain
Skånes Universitetssjukhus Malmö, Minneskliniken
Malmo, 211 46, Sweden
Felix Platter-Spital Medizin Geriatrie
Basel, 4002, Switzerland
HUG; Département de santé mentale et de psychiatrie Unité de psychiatrie gériatrique
Chêne-Bourg, 1225, Switzerland
Akdeniz University School of Medicine, Neurology Department
Antalya, 07058, Turkey (Türkiye)
Istanbul University Istanbul School of Medicine; Neurology
Istanbul, 34093, Turkey (Türkiye)
Ondokuz Mayis University School of Medicine; Neurology
Samsun, 55239, Turkey (Türkiye)
Addenbrooke's Hospital
Cambridge, CB2 0QQ, United Kingdom
Llandough Hospital; Llandough Hospital Memory Team 3rd Floor Academic Building
Cardiff, CF64 2XX, United Kingdom
St Margaret's Hospital
Epping, CM16 6TN, United Kingdom
Glasgow Memory Clinic
Glasgow, G20 0XA, United Kingdom
Charing Cross Hospital; Dept of Neurosciences
London, W6 8RF, United Kingdom
Campus for Ageing & Vitality; Clincal Ageing Research Unit
Newcastle, NE4 5PL, United Kingdom
Moorgreen Hospital; Memory Assessment & Rsch Ctr
Southampton, SO30 3JB, United Kingdom
Victoria Centre; Kingshill Research Centre
Swindon, SN3 6BW, United Kingdom
Hollins Park Hospital
Warrington, WA2 8WA, United Kingdom
Related Publications (4)
Boada M, Neve A, Das B, Wojtowicz J, Huang Z, Bullain S, Watkin M, Lott D, Bittner T, Delmar P, Klein G, Hofmann C, Kerchner GA, Smith J, Baudler M, Fontoura P, Doody RS. Long-term safety of gantenerumab in participants with Alzheimer's disease: A phase III, open-label extension study (SCarlet RoAD). J Alzheimers Dis. 2025 Jan;103(2):528-541. doi: 10.1177/13872877241303644. Epub 2024 Dec 16.
PMID: 39686620DERIVEDKlein G, Delmar P, Voyle N, Rehal S, Hofmann C, Abi-Saab D, Andjelkovic M, Ristic S, Wang G, Bateman R, Kerchner GA, Baudler M, Fontoura P, Doody R. Gantenerumab reduces amyloid-beta plaques in patients with prodromal to moderate Alzheimer's disease: a PET substudy interim analysis. Alzheimers Res Ther. 2019 Dec 12;11(1):101. doi: 10.1186/s13195-019-0559-z.
PMID: 31831056DERIVEDOstrowitzki S, Lasser RA, Dorflinger E, Scheltens P, Barkhof F, Nikolcheva T, Ashford E, Retout S, Hofmann C, Delmar P, Klein G, Andjelkovic M, Dubois B, Boada M, Blennow K, Santarelli L, Fontoura P; SCarlet RoAD Investigators. A phase III randomized trial of gantenerumab in prodromal Alzheimer's disease. Alzheimers Res Ther. 2017 Dec 8;9(1):95. doi: 10.1186/s13195-017-0318-y.
PMID: 29221491DERIVEDDelrieu J, Ousset PJ, Vellas B. Gantenerumab for the treatment of Alzheimer's disease. Expert Opin Biol Ther. 2012 Aug;12(8):1077-86. doi: 10.1517/14712598.2012.688022. Epub 2012 May 15.
PMID: 22583155DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Medical Communications
- Organization
- Hoffmann-La Roche
Study Officials
- STUDY DIRECTOR
Clinical Trials
Hoffmann-La Roche
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 14, 2010
First Posted
October 19, 2010
Study Start
November 30, 2010
Primary Completion
September 10, 2020
Study Completion
September 10, 2020
Last Updated
December 13, 2021
Results First Posted
December 13, 2021
Record last verified: 2021-12