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NCT Number: NCT05262023

A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of DNL593 in Healthy Participants and Participants With Frontotemporal Dementia (FTD-GRN)

This is a Phase 1/2, multicenter, randomized, placebo-controlled, double-blind study to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of single and multiple doses of DNL593 in two parts followed by an optional open-label extension (OLE) period.

Part A will evaluate the safety, tolerability, PK, and PD of single doses of DNL593 in healthy male and healthy female participants of nonchildbearing potential. Part B will evaluate the safety, tolerability, PK, and PD of multiple doses of DNL593 in participants with frontotemporal dementia (FTD) over 25 weeks. Part B will be followed by Part C, an optional 18-month OLE period available for all participants who complete Part B.

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This study is active but is not currently recruiting participants.

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

University of Antwerp, Antwerp, Belgium

Loading trial locations.

Who can participate

Healthy volunteers accepted: Yes

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

Key Inclusion Criteria:

Part A:

  • Women of non-childbearing potential (surgically sterilized or post menopausal) or men, aged ≥18 to ≤ 55 years
  • BMI of ≥ 18 to ≤ 32 kg/m²
  • When engaging in sex with a woman of child bearing potential, two forms of birth control are required

Part B:

  • Women of non-childbearing potential (surgically sterilized or post menopausal) or men, aged ≥18 to ≤ 80 years. Women who are of childbearing potential but on highly effective, low user dependent contraceptive methods will be allowed.
  • BMI of ≥ 18 to ≤ 32 kg/m²
  • Have a Clinical Dementia Rating® plus National Alzheimer's Coordinating Center frontotemporal lobar degeneration global score ≥ 0.5
  • Have confirmed granulin (GRN) mutation via genetic testing or historical records available for review by investigator
  • When engaging in sex with a woman of child bearing potential, both the male participant and his female partner must use highly effective contraception

Part C:

  • All participants who completed Part B of this trial are eligible for an 18-month OLE if the participant has no unresolved clinically significant TEAEs, where continued dosing may represent a risk to participant safety.

Key Exclusion Criteria:

  • Have any history of clinically significant neurologic, psychiatric, endocrine, pulmonary, cardiovascular, gastrointestinal, hepatic, pancreatic, renal, metabolic, hematologic, immunologic, or allergic disease, or other major disorders
  • Have a history of malignancy, except fully resected basal cell carcinoma or other malignancies at low risk of recurrence
  • Have a clinically significant history of stroke, cognitive impairment due to causes other than FTD, seizure within 5 years of screening, or head trauma with loss of consciousness within 2 years of screening
  • Have a positive serum pregnancy test or are currently lactating or breastfeeding

Treatment and study plan

DNL593

Drug

Ascending single doses (for healthy participants) and multiple doses (for participants with FTD)

Placebo

Drug

Ascending single doses (for healthy participants) and multiple doses (for participants with FTD)

Primary outcomes

  1. Incidence, severity, and seriousness of treatment-emergent adverse events (TEAEs)

    Time frame: up to 18 months

  2. Incidence of treatment-emergent clinically significant abnormalities in safety laboratory values

    Time frame: up to 18 months

  3. Change from baseline in vital sign measurements: systolic and diastolic blood pressure

    Time frame: up to 18 months

  4. Change from baseline in vital sign measurements: heart rate

    Time frame: up to 18 months

  5. Change from baseline in vital sign measurements: respiratory rate

    Time frame: up to 18 months

  6. Change from baseline in vital sign measurements: body temperature

    Time frame: up to 18 months

  7. Change from baseline in electrocardiogram (ECG) results including PR, QRS, and QTcF intervals

    Time frame: up to 18 months

  8. Incidence of treatment-emergent clinically significant abnormalities in physical/neurological examination findings

    Time frame: up to 18 months

  9. Change from baseline in Columbia-Suicide Severity Rating Scale (C-SSRS; Parts B and C only)

    Time frame: up to 18 months

Secondary outcomes

  1. PK Parameter: Maximum concentration (Cmax) of DNL593 in serum

    Time frame: up to 18 months

  2. PK Parameter: Time to reach maximum concentration (tmax) of DNL593 in serum

    Time frame: up to 18 months

  3. PK Parameter: Area under the concentration-time curve (AUC) from time zero to time of last measurable concentration (AUClast) of DNL593 in serum

    Time frame: up to 18 months

  4. PK Parameter: terminal elimination half-life (t1/2) of DNL593 in serum

    Time frame: up to 18 months

  5. PK Parameter: AUC from time zero to infinity (AUC∞) of DNL593 in serum (Part A only)

    Time frame: up to 84 days

  6. PK Parameter: Accumulation ratio of DNL593 in serum (Parts B and C only)

    Time frame: up to 18 months

  7. PK Parameter: Trough concentration of DNL593 in serum (Ctrough) (Parts B and C only)

    Time frame: up to 18 months

  8. PK Parameter: AUC from time 0 to the end of the dosing interval (AUCτ) of DNL593 in serum (Parts B and C only)

    Time frame: up to 18 months

  9. Concentration of DNL593 in cerebrospinal fluid (CSF)

    Time frame: up to 18 months

  10. DNL593 CSF:serum concentration ratio

    Time frame: up to 18 months

  11. Percentage change from baseline in plasma NfL

    Time frame: up to 18 months

Sponsors and collaborators

Lead sponsor

Denali Therapeutics Inc.

Industry

Collaborators

  • Takeda

Registry information

Official study title

A Phase 1/2, Multicenter, Randomized, Placebo-Controlled, Double Blind Single Dose and Multiple Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of DNL593 in Healthy Participants and Participants With Frontotemporal Dementia Followed by an Open-Label Extension

Important dates

Study start
2022
Primary completion
2026
Study completion
2028
First posted
Mar 2, 2022
Registry last updated
Jan 15, 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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