NCT05231785 · Phase 1 · RECRUITING

A Study to Evaluate the Safety and Tolerability of ALN-APP in Patients With EOAD

This trial is testing ALN-APP, a drug injected directly into the spinal fluid that is designed to reduce production of amyloid precursor protein in the brain. It is focused on people with early-onset Alzheimer's disease who have mild symptoms. This is a Phase 1 trial, meaning the primary goal is to understand safety and dosing in humans — it is not yet known whether the drug works.

Eligibility criteria

Inclusion Criteria:
* Has mild cognitive impairment or mild dementia due to EOAD
* Has Clinical Dementia Rating (CDR) global score 0.5 or 1.0 and Mini Mental State Examination (MMSE) >20
Exclusion Criteria:
* Has Non-Alzheimer's disease dementia
* Has alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >2×upper limit of normal (ULN)
* Has estimated glomerular filtration rate (eGFR) \<45 mL/min/1.73m\^2 at Screening
* Has recently received an investigational agent
* Has recent treatment with amyloid-targeting antibody
Note: other protocol defined inclusion / exclusion criteria apply

The sponsor's own eligibility wording, lightly reformatted. The study team makes the final eligibility decision — worth discussing with your doctor.

Eligibility criteria as of 2026-03-31

View full record on ClinicalTrials.gov

All APOE4 clinical trials