NCT06544616

Brief Summary

The purpose of this study is to assess the effect of JNJ-64042056 on cognitive decline, as measured by Preclinical Alzheimer's disease Cognitive Composite 5 (PACC-5) compared with placebo.

Trial Health

82
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
498

participants targeted

Target at P75+ for phase_2

Timeline
75mo left

Started Jul 2024

Longer than P75 for phase_2

Geographic Reach
9 countries

90 active sites

Status
active not recruiting

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

Study Progress22%
Jul 2024Jul 2032

Study Start

First participant enrolled

July 22, 2024

Completed
15 days until next milestone

First Submitted

Initial submission to the registry

August 6, 2024

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 9, 2024

Completed
6.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 17, 2031

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

July 16, 2032

Last Updated

February 17, 2026

Status Verified

February 1, 2026

Enrollment Period

7 years

First QC Date

August 6, 2024

Last Update Submit

February 13, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in Preclinical Alzheimer's Disease Cognitive Composite 5 (PACC-5) Total Scores up to Week 206

    Cognition will be measured using the PACC-5 scale, which includes 5 components: free/cued selective reminding test, delayed paragraph recall (logical memory test), digit-symbol substitution test, mini mental state examination, and the category fluency test (CFT). PACC-5 is a composite score which provides unique information about early cognitive decline not currently captured by the episodic memory, executive function, and global cognition components. The total score is a sum of z-score, with higher scores indicating better cognitive performance.

    Baseline up to Week 206

Secondary Outcomes (21)

  • Change From Baseline in Brain tau Burden as Measured by tau PET

    Baseline and Weeks 102, 154 and 206

  • Change From Baseline in PACC-5 Individual Domain Scores

    Baseline up to Week 206

  • Time to Event of Clinical Progression as Measured by Clinical Dementia Rating-Global Score (CDR-GS)

    Baseline up to Week 206

  • Change From Baseline in Clinical Dementia Rating-Sum of Boxes (CDR-SB) Scores

    Baseline up to Week 206

  • Change from Baseline in Tau PET Standardized Uptake Value Ratio (SUVR) Biomarkers

    Baseline up to Week 206

  • +16 more secondary outcomes

Study Arms (2)

Arm A: JNJ-64042056

EXPERIMENTAL

Participants will receive intramuscular (IM) injection of JNJ-64042056 from Week 0 until Week 180.

Drug: JNJ-64042056

Arm B: Placebo

PLACEBO COMPARATOR

Participants will receive IM injection of placebo from Week 0 until Week 180.

Drug: Placebo

Interventions

JNJ-64042056 will be administered intramuscularly.

Arm A: JNJ-64042056

Placebo will be administered intramuscularly.

Arm B: Placebo

Eligibility Criteria

Age55 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • 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

You may not qualify if:

  • 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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (90)

Xenoscience Inc.

Phoenix, Arizona, 85004, United States

Location

Irvine Clinical Research

Irvine, California, 92614, United States

Location

Esperanza Clinical

Murrieta, California, 92562, United States

Location

Artemis Institute for Clinical Research

Riverside, California, 92503, United States

Location

Artemis Institute for Clinical Research

San Diego, California, 92123, United States

Location

Yale University School Of Medicine

New Haven, Connecticut, 06510, United States

Location

JEM Research LLC

Atlantis, Florida, 33462, United States

Location

Excel Medical Clinical Trials, LLC

Boca Raton, Florida, 33434, United States

Location

K2 Medical Research Winter Garden

Clermont, Florida, 34711, United States

Location

Clinical NeuroScience Solutions Inc

Jacksonville, Florida, 32256, United States

Location

K2 Medical Research

Lady Lake, Florida, 32159, United States

Location

K2 Medical Research

Maitland, Florida, 32751, United States

Location

Merritt Island Medical Research, LLC

Merritt Island, Florida, 32952, United States

Location

Headlands Research Orlando

Orlando, Florida, 32806, United States

Location

Alzheimers Research and Treatment Center

Stuart, Florida, 34997, United States

Location

K2 Medical Research

Tampa, Florida, 33634, United States

Location

Charter Research

The Villages, Florida, 32162, United States

Location

Alzheimers Research and Treatment Center

Wellington, Florida, 33414, United States

Location

Palm Beach Neurology and Premier Research Institute

West Palm Beach, Florida, 33407, United States

Location

Great Lakes Clinical Trials

Chicago, Illinois, 60640, United States

Location

Great Lakes Clinical Trials

Gurnee, Illinois, 60031, United States

Location

Quest Research Institute

Farmington Hills, Michigan, 48334, United States

Location

Hattiesburg Clinic

Hattiesburg, Mississippi, 39401, United States

Location

The Cognitive and Research Center of New Jersey LLC

Springfield, New Jersey, 07081, United States

Location

Neurological Associates of Albany, PC

Albany, New York, 12208, United States

Location

Velocity Clinical Research

East Syracuse, New York, 13057, United States

Location

The Medical Research Network, LLC

New York, New York, 10128, United States

Location

AMC Research, LLC

Matthews, North Carolina, 28105, United States

Location

Valley Medical Research

Centerville, Ohio, 45459-2785, United States

Location

Keystone Clinical Studies LLC

Plymouth Meeting, Pennsylvania, 19462, United States

Location

Butler Hospital

Providence, Rhode Island, 02906, United States

Location

Clinical Trials of Texas Inc

San Antonio, Texas, 78229, United States

Location

Memory Clinic Inc

Bennington, Vermont, 05201, United States

Location

University of Virginia

Charlottesville, Virginia, 22903, United States

Location

Neuro Trials Victoria

Carlton, 3053, Australia

Location

The Prince Charles Hospital

Chermside, 4032, Australia

Location

St Vincent's Centre for Applied Medical Research

Darlinghurst, 2010, Australia

Location

Austin Health Heidelberg Repatriation Hospital

Ivanhoe, 3079, Australia

Location

Southern Neurology

Kogarah, 2217, Australia

Location

KaRa Institute of Neurological Diseases

Macquarie Park, 2113, Australia

Location

Alzheimers Research Australia

Nedlands, 6009, Australia

Location

Az Groeninge

Kortrijk, 8500, Belgium

Location

Hopital Roger Salengro - CHU Lille

Lille, 59037, France

Location

Hopital Nord Laennec CHU NANTES

Nantes, 44800, France

Location

Hopital Lariboisiere-Fernand Widal

Paris, 75010, France

Location

CHU Pitie Salpetriere

Paris, 75013, France

Location

CHU Toulouse - Hôpital La Grave

Toulouse, 31059, France

Location

CHRU Tours Hopital Bretonneau

Tours, 37000, France

Location

Universitaetsklinikum der RWTH Aachen

Aachen, 52074, Germany

Location

Universitaetsklinikum Koeln

Cologne, 50937, Germany

Location

Universitaetsklinikum des Saarlandes

Homburg, 66421, Germany

Location

Universitatsklinikum Munster

Münster, 48149, Germany

Location

Enomoto Internal Medicine Clinic

Chofu-shi, 1820036, Japan

Location

Tokyo Asbo Clinic

Chūōku, 104-0031, Japan

Location

Hatsuta Neurology Clinic

Hirakata-shi, 573-1121, Japan

Location

Kobe City Medical Center General Hospital

Kobe, 650 0047, Japan

Location

Kusunoki Clinic

Kobe, 650-0044, Japan

Location

Musashimurayama Hospital

Musashimurayama, 208-0022, Japan

Location

Saiseikai Narashino Hospital

Narashino-shi, 275-8580, Japan

Location

ToCROM Clinic

Shinjuku Ku, 160 0008, Japan

Location

Higashi-Shinjuku Clinic

Shinjuku-ku, 169-0072, Japan

Location

Medical corporation Shinanokai Samoncho Clinic

Shinjyuku Ku, 160 0017, Japan

Location

OCROM Clinic

Suita Shi, 565 0853, Japan

Location

Nagomi Clinic

Toyonaka-shi, 560-0004, Japan

Location

Jinsenkai MI Clinic

Toyonaka-shi, 5600004, Japan

Location

Barcelona Beta Brain Research Center

Barcelona, 08005, Spain

Location

Fund. Ace-Inst. Cat. Neuroc. Aplicades

Barcelona, 08028, Spain

Location

Hosp Clinic de Barcelona

Barcelona, 08036, Spain

Location

Centro At. Esp. Oroitu

Getxo, 48993, Spain

Location

Hosp. Univ. Santa Maria

Lleida, 25198, Spain

Location

Hosp. Clinico San Carlos

Madrid, 28040, Spain

Location

Clinica Univ. de Navarra

Pamplona, 31008, Spain

Location

Hosp. Quiron Madrid Pozuelo

Pozuelo de Alarcón, 28223, Spain

Location

Idc Salud Hosp. Gral. de Catalunya

Sant Cugat del Vallès, 08190, Spain

Location

Hosp. Mutua Terrassa

Terrassa, 08222, Spain

Location

Hosp. Viamed Montecanal

Zaragoza, 50012, Spain

Location

Skanes universitetssjukhus

Malmo, 20502, Sweden

Location

Karolinska Universitetssjukhuset Huddinge

Stockholm, 14186, Sweden

Location

Royal United Hospital

Bath, BA1 3NG, United Kingdom

Location

Re-Cognition Health

Birmingham, B16 8LT, United Kingdom

Location

Re-Cognition Health

Bristol, BS32 4SY, United Kingdom

Location

Scottish Brain Sciences

Edinburgh, EH12 5PJ, United Kingdom

Location

Re-Cognition Health

Guildford, GU2 7YD, United Kingdom

Location

Re-Cognition Health

London, W1G 8TA, United Kingdom

Location

Kings College Hospital

London, WC2R 2LS, United Kingdom

Location

University of Oxford

Oxford, OX3 7JX, United Kingdom

Location

Re-Cognition Health

Plymouth, PL6 8BT, United Kingdom

Location

Moorgreen Hospital Memory Assessment And Research Centre

Southampton, S03 3JB, United Kingdom

Location

Southampton General Hospital

Southampton, SO16 6YD, United Kingdom

Location

Re-Cognition Health

Winchester, SO23 8SR, United Kingdom

Location

Study Officials

  • Janssen Pharmaceutica N.V., Belgium Clinical trial

    Janssen Pharmaceutica N.V., Belgium

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 6, 2024

First Posted

August 9, 2024

Study Start

July 22, 2024

Primary Completion (Estimated)

July 17, 2031

Study Completion (Estimated)

July 16, 2032

Last Updated

February 17, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will share

The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/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.

More information

Locations