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NCT Number: NCT07758595

A Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of DNL921 in Healthy Participants and Participants With Alzheimer's Disease

This is a Phase 1/1b, multicenter, randomized, placebo-controlled, double-blind study to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of single and multiple doses of DNL921 in healthy participants and participants with Alzheimer's disease (AD). The principal aim of this study is to obtain safety and tolerability data. This information, together with PK and PD data, will inform dose selection and design of future studies.

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Key information

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria (Healthy Participants):

  • Are male or female of non-childbearing potential and are aged 18 through 60 years at the time of screening
  • Have a BMI of 18 through 32 kg/m2 and a body weight of at least 50 kg
  • For female participants: Are of non-childbearing potential
  • For male participants: Are surgically sterile by bilateral orchidectomy, or are abstinent, or agree to use two acceptable forms of contraception

Key Exclusion Criteria (Healthy Participants):

  • Have any history of clinically significant neurological, psychiatric, endocrine, pulmonary, cardiovascular, gastrointestinal, hepatic, pancreatic, renal, metabolic, hematological, immunological, or allergic disease, or other major disorders
  • Have a positive serum pregnancy test or are currently lactating or breastfeeding
  • Have been hospitalized during the 4 weeks prior to screening

Key Inclusion Criteria (Participants with AD):

  • Are male or female of non-childbearing potential and aged 50 to 75 years at the time of screening
  • Have a BMI between 18 and 32 kg/m2 and a body weight of at least 45 kg
  • Have a diagnosis of probable mild to moderate AD dementia based on NIA AA 2011 criteria, including amnestic or nonamnestic presentation at screening or prodromal AD (consistent with the NIA-AA diagnostic criteria and guidelines for mild cognitive impairment due to AD)
  • Have supportive evidence of AD pathology by the following:
  • Plasma ptau217/Abeta42 positive
  • Positive amyloid PET scan
  • For female participants: Are of non-childbearing potential
  • For male participants: Are surgically sterile by bilateral orchidectomy, or are abstinent, or agree to use two acceptable forms of contraception

Key Exclusion Criteria (Participants with AD):

  • Have other clinically significant neurological or cognitive disorders affecting the CNS, as determined by the investigator, other than AD
  • Have specific psychiatric conditions
  • Have any history of unstable or poorly controlled endocrine, pulmonary, cardiovascular, gastrointestinal, hepatic, hematological, or other significant medical condition that, in the opinion of the investigator, may interfere with the completion or interpretation of study assessment
  • Have had a malignancy within 5 years before screening, except fully resected basal cell carcinoma or other malignancies treated with curative intent (such as prostate cancer) at low risk of recurrence
  • Have a positive serum pregnancy test or are currently lactating or breastfeeding
  • Have been hospitalized during the 4 weeks prior to screening
  • Have had previous anti-amyloid or anti-tau immunotherapy (including active immunization) or have participated in experimental gene therapy or cell therapy at any time

Treatment and study plan

DNL921

Drug

Single or multiple doses

Placebo

Drug

Single or multiple doses matched to experimental treatment

Primary outcomes

  1. Part A: Incidence and severity of treatment-emergent averse events (TEAEs)

    Time frame: 46 days

  2. Parts B and C: Incidence and severity of TEAEs in participants with AD

    Time frame: 242 days

Secondary outcomes

  1. PK Parameter: Maximum concentration (Cmax) of DNL921 in serum

    Time frame: Up to 242 Days

  2. PK Parameter: Time to reach maximum concentration (tmax) of DNL921 in serum

    Time frame: Up to 242 Days

  3. PK Parameter: Area under the concentration-time curve (AUC) from time zero to time of last measurable concentration (AUClast) of DNL921 in serum

    Time frame: Up to 242 Days

  4. Part A: PK Parameter: AUC from time zero to infinity of DNL921 in serum

    Time frame: 46 Days

  5. PK Parameter: Elimination half-life (t1/2) of DNL921 in serum

    Time frame: Up to 242 Days

  6. Parts B and C: PK Parameter: Time to reach minimum concentration (Cmin) of DNL921 in serum

    Time frame: 242 Days

  7. Parts B and C: PK Parameter: AUC during a dosing interval (AUCtau) of DNL921 in serum

    Time frame: 242 Days

  8. Parts B and C: PK Parameter: Accumulation ratio of DNL921 in serum

    Time frame: 242 Days

  9. Parts B and C: Change from baseline in brain amyloid load at Weeks 12 and 28 as measured by amyloid PET scan

    Time frame: 28 Weeks

  10. Parts B and C: Amyloid clearance at Weeks 12 and 28 as measured by amyloid PET scan

    Time frame: 28 Weeks

Sponsors and collaborators

Lead sponsor

Denali Therapeutics Inc.

Industry

Registry information

Official study title

A Phase 1/1b, Multicenter, Randomized, Placebo-Controlled, Double-Blind, Single-Dose and Multiple-Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of DNL921 in Healthy Participants and Participants With Alzheimer's Disease

Important dates

Study start
2026
Primary completion
2030
Study completion
2030
First posted
Aug 11, 2026
Registry last updated
Aug 11, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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