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NCT Number: NCT07328451

A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of DNL628 in Participants With Early Alzheimer's Disease

This is a Phase 1b, multicenter, randomized, placebo-controlled, double-blind, multiple ascending dose (MAD) study to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of DNL628 in participants with early Alzheimer's disease (AD), defined as mild cognitive impairment, or mild AD with biomarker evidence of amyloid positivity.

Note: In the Netherlands, this study includes an open-label extension.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Clinical Site(s), 's-Hertogenbosch, Netherlands

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • BMI of ≥18 to < 32 kg/m2 and body weight of ≥45 kg
  • Have a diagnosis of probable AD dementia based on NIA AA 2011 criteria, including amnestic or nonamnestic presentation at screening
  • Have supportive evidence of AD pathology via historical records or laboratory testing at screening for amyloid positivity
  • Have AD severity defined as the following at screening:
  • A Clinical Dementia Rating global score of 0.5 or 1
  • A Mini-Mental State Examination score of 20 to 30 (inclusive)

Key Exclusion Criteria:

  • Have clinically significant neurological or cognitive disorders affecting the CNS other than AD, as determined by the investigator
  • Have clinically significant 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 (such as prostate cancer) at low risk of recurrence, depending on investigator and medical monitor agreement
  • Have had previous anti amyloid or anti tau immunotherapy (including active immunization)
  • Note: ADAD participants who have participated in previous passive anti-amyloid immunotherapy > 6 months previously will be allowed, contingent on investigator and Sponsor agreement
  • Have had previous exposure to gene therapy

Treatment and study plan

DNL628

Drug

Multiple ascending doses

Placebo

Drug

Multiple ascending doses

Primary outcomes

  1. Incidence and severity of treatment-emergent adverse events (TEAEs) throughout the double-blind period

    Time frame: 37 weeks

Secondary outcomes

  1. PK parameter: Maximum concentration (Cmax) of DNL628 in plasma

    Time frame: 37 weeks

  2. PK Parameter: Time to reach maximum concentration (tmax) of DNL628 in plasma

    Time frame: 37 weeks

  3. PK Parameter: Minimum concentration (Cmin) of DNL628 in plasma

    Time frame: 37 weeks

  4. PK Parameter: Area under the concentration-time curve (AUC) from time zero to time of last measurable concentration (AUClast) of DNL628 in plasma

    Time frame: 37 weeks

  5. PK Parameter: AUC from time 0 to the end of the dosing interval (AUCτ) of DNL628 in plasma

    Time frame: 37 weeks

  6. PK Parameter: terminal elimination half-life (t1/2) of DNL628 in plasma

    Time frame: 37 weeks

  7. PK Parameter: Accumulation ratio of DNL628 in plasma

    Time frame: 37 weeks

  8. Change from baseline in total tau and ptau181 as measured in CSF

    Time frame: 25 weeks

Study contacts

Contact information is provided by the study sponsor or research team.

Clinical Trials at Denali Therapeutics

CONTACT

[email protected]

Email:

Sponsors and collaborators

Lead sponsor

Denali Therapeutics Inc.

Industry

Registry information

Official study title

A Phase 1b, Multicenter, Randomized, Placebo-Controlled, Double-Blind Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of DNL628 in Participants With Early Alzheimer's Disease

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Jan 9, 2026
Registry last updated
Jul 1, 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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