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Protollin

Phase 1

Alzheimer Disease (AD) | Small molecule | Neurology |I-Mab Sponsored ADR|Last Updated: Sep 22, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment16
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07187141Nasal Protollin in Early Symptomatic Alzheimer's DiseasePHASE1 COMPLETED 16Nov 18, 2021Feb 21, 2023Sep 22, 20251 United States
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Study Endpoints
Primary Endpoints
Safety and tolerability of ascending doses of nasal Protollin
Day 1 (enrollment) to 180 days (end of study)

Safety and tolerability of ascending doses of nasal Protollin following administration of two doses one week apart in subjects, 60-85 years inclusive with Early Symptomatic Alzheimer's Disease (29-20 MMSE classification). Safety will be assessed by physical examination (including evaluation of the nose and oropharynx), laboratory studies, EKG, and elicited and spontaneously reported signs and symptoms, using the FDA Guidance for Industry: Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (September 2007) for the evaluation of toxicities and reactogenicity. Tolerability will be assessed by the degree of severity of both spontaneously reported and elicited symptoms and associated signs, systemically and at the site of administration following administration of nasal Protollin, if thought by the investigator to be related or possibly related to its administration.

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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort AACTIVE_COMPARATORProtollin 0.1 mg or placebo
Cohort BACTIVE_COMPARATORProtollin 0.5 mg or placebo
Cohort CACTIVE_COMPARATORProtollin 1.0 mg or placebo
Cohort DACTIVE_COMPARATORProtollin 1.5 mg or placebo
Interventions
NameTypeDescription
ProtollinDRUGFor the 0.1, 0.5, and 1.0 mg dose groups, Protollin (450 μL per vial) in an aqueous buffer will be administered in two, 0.1 μL sprays, one per nostril. For the 1.5 mg dose group, Protollin (450 muL per vial) in an aqueous buffer will be administered in three, 0.1 μL sprays, two in one nostril and one in the other nostril.
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Eligibility Criteria
Age Range60 Years — 85 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. The Sponsor will rely on NIA-AA Alzheimer's Disease Diagnostic Guidelines1 for Early Symptomatic Alzheimer's Disease and have a MMSE of 29-20. 2. Age between 60-85 years (inclusive). 3. Good general health with no disease expected to interfere with the study. 4. On a stable m...

Countries:United States
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