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JNJ-54861911

Phase 2

Alzheimer's Disease | Small molecule | Neurology |Johnson & Johnson|Last Updated: Apr 29, 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment132

FDA Designations

No designations recorded

Clinical trial landscape

JNJ-54861911 · 11 trials · 3 indications

Phase 2 1Phase 1 10
NCT02260674A Safety and Tolerability Study of JNJ-54861911 in Participants With Early Alzheimer's DiseaseAlzheimer's Disease
COMPLETED114 Analytics
PHASE2COMPLETED
A Safety and Tolerability Study of JNJ-54861911 in Participants With Early Alzheimer's Disease
Alzheimer's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Adverse Events (AEs) or Serious Adverse Events (SAEs)
up to 10 months

An AE is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; lifethreatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Maximum Observed Plasma Concentration (Cmax)
Up to Day 17

The Cmax is the maximum observed concentration.

Area Under the Plasma Concentration-Time Curve From Time Zero to Last Quantifiable Time (AUC [0-last])
Up to Day 17

The AUC (0-last) is the area under the plasma concentration-time curve from time zero to last quantifiable time.

Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity])
Up to Day 17

The AUC (0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC (last) and C(last)/lambda(z); wherein AUC (last) is area under the plasma concentration time curve from time zero to last quantifiable time, C (last) is the last observed quantifiable concentration, and lambda (z) is elimination rate constant.

Levels of Amyloid (A)-beta1-40 in Cerebrospinal Fluid (CSF) After Treatment at the Intended Target Dose Range
Up to 4 weeks
Levels of A-beta1-40 in Plasma After Treatment at the Intended Target Dose Range
Up to 4 weeks
Maximum Observed Plasma Concentration (Cmax) of JNJ 54861911
Up to 4 weeks

The Cmax is the maximum observed plasma concentration.

Minimum Observed Plasma Concentration (Cmin) of JNJ 54861911
Up to 4 weeks

The Cmin is the minimum observed plasma concentration.

Time to Reach Maximum Observed Concentration (Tmax) of JNJ 54861911
Up to 4 weeks

The Tmax is time to reach the maximum observed plasma concentration.

Area Under the Curve From Time Zero to end of Dosing Interval (AUCtau)
Up to 4 weeks

The AUCtau is a measure of the plasma drug concentration from time zero to end of dosing interval. It is used to characterize drug absorption.

Cerebrospinal Fluid Exposure of JNJ-54861911
Up to 4 weeks
The Number of Participants who Experienced Adverse Events as a Measure of Safety and Tolerability of JNJ-54861911 After Multiple-Dose Administration in the Anticipated Target Dose Range
Up to 4 weeks

An AE is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Maximum Plasma Concentration (Cmax) of JNJ-54861911
Pre-dose; 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose on Day 1 of each period

The Cmax is the maximum observed plasma concentration of JNJ-54861911.

Time to Reach the Maximum Plasma Concentration (Tmax) of JNJ-54861911
Pre-dose; 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose on Day 1 of each period

The Tmax is the time to reach the maximum observed plasma concentration of JNJ-54861911.

Area Under the Plasma Concentration-Time Curve From 0 to t Hours (AUC[0-t]) Post Dose of JNJ-54861911
Pre-dose; 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose on Day 1 of each period

The AUC (0-t) calculated by trapezoidal summation \[time t is the time of the last quantifiable concentration (C\[last\])\].

Area Under the Plasma Concentration-Time Curve From 0 to 24 Hours (AUC[0-24]) Post Dose of JNJ-54861911
Pre-dose; 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose on Day 1 of each period

The AUC (0-24hrs) is the area under the plasma concentration-time curve from 0 to 24 hours post dosing.

Area Under the Plasma Concentration-Time Curve From 0 to Infinite Time (AUC[0-infinity]) Post Dose of JNJ-54861911
Pre-dose; 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose on Day 1 of each period

The AUC (0-infinity) is the area under the plasma JNJ-54861911concentration-time curve from time 0 to infinite time, calculated as the sum of AUC (0-last) and C(last)/lambda(z), in which AUC(0-last) is area under the plasma JNJ-54861911 concentration-time curve from time zero to time of the last quantifiable concentration, C(last) is the last observed quantifiable concentration and lambda(z) is elimination rate constant.

Elimination Rate Constant (Lambda [z]) of JNJ-54861911
Pre-dose; 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose on Day 1 of each period

The Lambda (z) determined by linear regression of the terminal points of the ln-linear plasma concentration-time curve.

Terminal Half-life (t[1/2]) of JNJ-54861911
Pre-dose; 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose on Day 1 of each period

The t(1/2) is defined as 0.693/Lambda (z).

Relative Bioavailability (F[rel]) of JNJ-54861911
Pre-dose; 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose on Day 1 of each period

Relative bioavailability, calculated as individual Cmax and AUC treatment ratios (for the comparison of food effect).

Time to Reach Maximum Concentration (Tmax)
Pre-dose on Day 1,2,3,9,10 and 0.5,1,1.5,2,2.5,3,4,6,8,10,12,16 hours post-dose on Day 1,2,9 (for Caffeine and Tolbutamide); Pre-dose on Day 1,9 and 0.5,1,1.5,2,2.5,3,4,6 hours post-dose on Day 1,2,9 (for Midazolam)

The Tmax is time to reach the maximum observed plasma concentration.

Time to Last Quantifiable Plasma Concentration (Tlast)
Pre-dose on Day 1,2,3,9,10 and 0.5,1,1.5,2,2.5,3,4,6,8,10,12,16 hours post-dose on Day 1,2,9 (for Caffeine and Tolbutamide); Pre-dose on Day 1,9 and 0.5,1,1.5,2,2.5,3,4,6 hours post-dose on Day 1,2,9 (for Midazolam)

The Tlast is time to last observed quantifiable plasma concentration (Clast).

Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUC [0 - infinity])
Pre-dose on Day 1,2,3,9,10 and 0.5,1,1.5,2,2.5,3,4,6,8,10,12,16 hours post-dose on Day 1,2,9 (for Caffeine and Tolbutamide); Pre-dose on Day 1,9 and 0.5,1,1.5,2,2.5,3,4,6 hours post-dose on Day 1,2,9 (for Midazolam)

The AUC (0-infinity) is the area under the plasma concentration-time curve from time zero to extrapolated infinite time, calculated as the sum of AUC (0-last) and Clast/lambda(z), where AUC (0-last) is area under the plasma concentration-time curve from time zero to last quantifiable time; Clast is the last observed quantifiable concentration; and lambda(z) is first-order rate constant associated with the terminal portion of the semilogarithmic drug concentration-time curve.

Area Under the Plasma Concentration-time Curve From Time Zero to Time 24 Hours (AUC [0-24])
Pre-dose on Day 1,2,3,9,10 and 0.5,1,1.5,2,2.5,3,4,6,8,10,12,16 hours post-dose on Day 1,2,9 (for Caffeine and Tolbutamide); Pre-dose on Day 1,9 and 0.5,1,1.5,2,2.5,3,4,6 hours post-dose on Day 1,2,9 (for Midazolam)

The AUC (0-24) is area under the plasma concentration-time curve from time zero to time 24 hours.

Elimination Half-Life (t1/2)
Pre-dose on Day 1,2,3,9,10 and 0.5,1,1.5,2,2.5,3,4,6,8,10,12,16 hours post-dose on Day 1,2,9 (for Caffeine and Tolbutamide); Pre-dose on Day 1,9 and 0.5,1,1.5,2,2.5,3,4,6 hours post-dose on Day 1,2,9 (for Midazolam)

Elimination half-life associated with the terminal slope of the semilogarithmic drug concentration-time curve, is calculated as 0.693 divided by lambda(z), where lambda(z) is first-order rate constant associated with the terminal portion of the curve. The t1/2 is the measure of time, for plasma concentration to decrease by one half.

Elimination Rate Constant (lambda[z])
Pre-dose on Day 1,2,3,9,10 and 0.5,1,1.5,2,2.5,3,4,6,8,10,12,16 hours post-dose on Day 1,2,9 (for Caffeine and Tolbutamide); Pre-dose on Day 1,9 and 0.5,1,1.5,2,2.5,3,4,6 hours post-dose on Day 1,2,9 (for Midazolam)

Lambda(z) is first-order elimination rate constant associated with the terminal portion of the semilogarithmic drug concentration-time curve.

Maximum Observed Plasma Concentration (Cmax) of JNJ-54861911 and diaminothiazine (DIAT)
Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 18, 24, 36, 48, 72, 96 hours post-dose on Day 1 and 9

The Cmax is the maximum observed plasma concentration.

Time to Reach Maximum Concentration (Tmax) of JNJ-54861911 and DIAT
Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 18, 24, 36, 48, 72, 96 hours post-dose on Day 1 and 9

The Tmax is time to reach the maximum observed plasma concentration.

Time to Last Quantifiable Plasma Concentration (Tlast) of JNJ-54861911 and DIAT
Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 18, 24, 36, 48, 72, 96 hours post-dose on Day 1 and 9

The Tlast is time to last observed quantifiable plasma concentration (Clast).

Area Under the Plasma Concentration-time Curve From Time Zero to Last Quantifiable Time (AUC [0-last]) of JNJ-54861911 and DIAT
Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 18, 24, 36, 48, 72, 96 hours post-dose on Day 1 and 9

The AUC (0-last) is area under the plasma concentration-time curve from time zero to time of last quantifiable concentration.

Area Under the Plasma Concentration-time Curve From Time Zero to Extrapolated Infinite Time (AUC [0-infinity]) of JNJ-54861911 and DIAT
Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 18, 24, 36, 48, 72, 96 hours post-dose on Day 1 and 9

The AUC (0-infinity) is the area under the plasma concentration-time curve from time zero to extrapolated infinite time, calculated as the sum of AUC (0-last) and Clast/lambda(z), where AUC (0-last) is area under the plasma concentration-time curve from time zero to last quantifiable time; Clast is the last observed quantifiable concentration; and lambda(z) is first-order rate constant associated with the terminal portion of the semilogarithmic drug concentration-time curve.

Area Under the Plasma Concentration-time Curve From Time Zero to Time 24 Hours (AUC [0-24]) of JNJ-54861911 and DIAT
Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 18, 24, 36, 48, 72, 96 hours post-dose on Day 1 and 9

Area under the plasma concentration-time curve from time zero to time 24 hours.

Elimination Half-Life (t1/2) of JNJ-54861911 and DIAT
Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 18, 24, 36, 48, 72, 96 hours post-dose on Day 1 and 9

Elimination half-life associated with the terminal slope of the semilogarithmic drug concentration-time curve, is calculated as 0.693 divided by lambda(z), where lambda(z) is first-order rate constant associated with the terminal portion of the curve. The t1/2 is the measure of time, for plasma concentration to decrease by one half.

Elimination Rate Constant (lambda[z]) of JNJ-54861911 and DIAT
Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 18, 24, 36, 48, 72, 96 hours post-dose on Day 1 and 9

Lambda(z) is first-order elimination rate constant associated with the terminal portion of the semilogarithmic drug concentration-time curve.

Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
Screening up to 14 days after last dose administration or early withdrawal

An AE is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 14 days after last dose administration, that were absent before treatment or that worsened relative to pretreatment state.

Maximum Plasma Concentration (Cmax)
Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96 hours post-administration of drug on Day 1

The Cmax is the maximum observed plasma concentration.

Apparent Clearance (CL/F)
Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96 hours post-administration of drug on Day 1

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.

Levels of amyloid beta 1-40 in cerebrospinal (CSF) after treatment at the intended target dose range
Up to 4 weeks
Levels of amyloid beta 1-40 in plasma after treatment at the intended target dose range
Up to 4 weeks
Maximum observed plasma concentration (Cmax) of JNJ-54861911
Up to 4 weeks

Cmax is the observed maximum plasma concentration of study drug, taken directly from the plasma concentration-time profile

Time to reach maximum observed plasma concentration of JNJ-54861911
Up to 4 weeks

Time when Cmax is observed, taken directly from the plasma concentration-time profile

Area under the plasma concentration time curve (AUC) from 0 to t hours of JNJ-54861911
Up to 4 weeks

Area under the plasma concentration-time curve from 0 to t hours post dosing (time t is the dosing interval)

Half-life of JNJ-54861911
Up to 4 weeks

Elimination half-life associated with the terminal slope of the semi-logarithmic drug concentration-time curve, calculated as 0.693/terminal slope

The number of volunteers who experience adverse events as a measure of safety and tolerability of JNJ-54861911 after multiple-dose administration in the anticipated target dose range
Up to 4 weeks
Rate of Absorption of JNJ-54861911
Pre-dose; 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post-dose on Day 1 of each period

Rate of absorption will be measured using the peak concentration of JNJ-54861911 (following administration of solid dosage form and suspension dosage form) under fasted conditions and fed conditions.

Extent of Absorption of JNJ-54861911
Pre-dose; 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post-dose on Day 1 of each period

Extent of absorption will be measured under fasted conditions and fed conditions, using the area under plasma concentrations of JNJ-54861911 versus time from time 0 to the last sample point (AUC\[0-t\]) and from time 0 to infinity (AUC\[0-inf\]).

The number of volunteers who experience adverse events as a measure of safety and tolerability of JNJ-54861911 after multiple dose administration in the target dose range and above
Up to 72 hours
Maximum Tolerated Dose (MTD) of JNJ-54861911
Up to 96 hours

The maximal tolerated dose (MTD) after single dose administration of JNJ-54861911 or the safety and tolerability at the maximum feasible dose level, whichever is reached first

Secondary Endpoints

Relationship Between Dose and Exposure of JNJ-54861911 With Safety
Month 1 up to Month 6
Percent Change From Baseline in Cerebrospinal Fluid (CSF) Amyloid Beta (ABeta) (1-37, 1-38, 1-40, 1-42) Levels and Soluble Amyloid Precursor Protein (sAPP) Fragments (sAPP-alpha, sAPP-beta), Total sAPP Levels
Baseline and Month 6
Percent Change From Baseline in Plasma ABeta 1-40 Levels and sAPP Fragments (sAPP-alpha, sAPP-beta), Total sAPP Levels
Baseline and Month 6 (Day 168)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment Group 1EXPERIMENTALParticipants will self-administer JNJ-54861911, two tablets of 5 milligram (mg) each for a total of 10 mg, orally, once daily, from Day 1 until Month 6.
Treatment Group 2EXPERIMENTALParticipants will self-administer JNJ-54861911, two tablets of 25 mg each for a total of 50 mg, orally, once daily, from Day 1 until Month 6.
PlaceboPLACEBO_COMPARATORPlacebo matched to JNJ-54861911, orally, once daily, from Day 1 until Month 6.
Panel 1EXPERIMENTALParticipant will be administered a single oral dose of rosuvastatin 10 milligram (mg) on Day 1 and Day 14 and JNJ-54861911 at a dose of 25 mg once daily from Day 8 until Day 17.
Panel 2EXPERIMENTALParticipant will be administered a single oral dose of metformin 500-mg on Day 1 and Day 14 and JNJ-54861911 at a dose of 25 mg once daily from Day 8 until Day 16.
JNJ-54861911, 10 mgEXPERIMENTALJNJ-54861911, 10 milligram (mg) (2\*5 mg tablet) orally once daily for 4 weeks.
JNJ-54861911, 50 mgEXPERIMENTALJNJ-54861911, 50 mg (2\*25 mg tablet) orally once daily for 4 weeks.
Sequence 1 (ABC)EXPERIMENTALParticipants will receive Treatment A (single dose of JNJ-54861911 25 milligram \[mg\] formulation 1 \[reference\] under fasted conditions) in Period 1; followed by Treatment B (single oral dose of JNJ-54861911 25 mg formulation 2 \[test\] under fasted conditions) in Period 2; followed by Treatment C (single oral dose of JNJ-54861911 25 mg formulation 2 under fed conditions) in Period 3. A washout period of at least 7 days will be maintained between each treatment period.
Sequence 2 (ACB)EXPERIMENTALParticipants will receive Treatment A in Period 1; followed by Treatment C in Period 2; followed by Treatment B in Period 3. A washout period of at least 7 days will be maintained between each treatment period.
Sequence 3 (BAC)EXPERIMENTALParticipants will receive Treatment B in Period 1; followed by Treatment A in Period 2; followed by Treatment C in Period 3. A washout period of at least 7 days will be maintained between each treatment period.
Sequence 4 (BCA)EXPERIMENTALParticipants will receive Treatment B in Period 1; followed by Treatment C in Period 2; followed by Treatment A in Period 3. A washout period of at least 7 days will be maintained between each treatment period.
Sequence 5 (CAB)EXPERIMENTALParticipants will receive Treatment C in Period 1; followed by Treatment A in Period 2; followed by Treatment B in Period 3. A washout period of at least 7 days will be maintained between each treatment period.
Sequence 6 (CBA)EXPERIMENTALParticipants will receive Treatment C in Period 1; followed by Treatment B in Period 2; followed by Treatment A in Period 3. A washout period of at least 7 days will be maintained between each treatment period.
JNJ-54861911 + Caffeine + Midazolam +TolbutamideEXPERIMENTALJNJ-54861911, 50 milligram (mg) (2\*25 mg tablets) orally once daily from Day 2 to Day 9 along with caffeine 100 mg (2\*50 mg tablets), midazolam 2 mg (1 milliliter \[mL\], 2 mg/mL solution), and tolbutamide 500 mg tablet, orally on Day 1, 2, and 9.
Itraconazole + JNJ-54861911 (Part 1)EXPERIMENTALSingle dose of JNJ-54861911, 25 milligram (mg) tablet orally on Day 1 and Day 9 along with itraconazole 200 mg (2\*100 mg capsule) orally once daily from Day 5 to Day 12.
Clarithromycin + JNJ-54861911 (Part 2)EXPERIMENTALSingle dose of JNJ-54861911, 25 mg tablet orally on Day 1 and Day 9 along with clarithromycin 500 mg immediate release tablet orally twice daily from Day 5 to Day 12.
Cohort AEXPERIMENTALSingle oral dose of either JNJ-54861911, 25 milligram (mg) tablet or matched placebo tablet on Day 1.
Cohort BEXPERIMENTALSingle oral dose of either JNJ-54861911, 50 mg (2\*25 mg tablets) or matched placebo tablets on Day 1.
Cohort CEXPERIMENTALSingle oral dose of either JNJ-54861911, 100 mg (4\*25 mg tablets) or matched placebo tablets on Day 1.
JNJ-54861911 10 mgEXPERIMENTALFrom Day 1 to Day 28 inclusive, patients will self-administer once daily study drug (JNJ-54861911 or placebo) with a glass of non-carbonated water (approximately 200 mL).
JNJ-54861911 50 mgEXPERIMENTAL -
Cohort 1: JNJ-54861911 3 mgEXPERIMENTALParticipants will be administered single doses of JNJ-54861911 on Days 1 to 14. Initially the doses will be once per day, but the frequency of daily dosing (eg, once-daily, twice-daily, three times daily) may change prior to or during study conduct depending on the pharmacokinetic data from the ongoing single-ascending dose study (54861911ALZ1001) or ongoing cohorts in this current study. Actual dose levels as well as the magnitude of dose escalation will depend on the results of the ongoing single-ascending dose study, the observed safety and tolerability profile as well as the observed exposures.
Cohort 2: JNJ-54861911 10 mgEXPERIMENTAL -
Cohort 3: JNJ-54861911 30 mgEXPERIMENTAL -
Cohort 4: JNJ-54861911 80 mgEXPERIMENTAL -
Cohort 5: JNJ-54861911 25 mgEXPERIMENTAL -
Cohorts 1-4: PlaceboPLACEBO_COMPARATORParticipants in Cohorts 1-4 will receive matching placebo.
Part 1 - Cohort 1: JNJ-54861911 1 mgEXPERIMENTALFollowing each dose level the observed safety and tolerability profile will be evaluated. The dose will be escalated only if the observed safety and tolerability profile is acceptable.
Part 1 - Cohort 2: JNJ-54861911 3 mgEXPERIMENTAL -
Part 1 - Cohort 3: JNJ-54861911 9 mgEXPERIMENTAL -
Part 2 - Cohort 4: JNJ-54861911 9 mgEXPERIMENTAL -
Part 2 - Cohort 5: JNJ-54861911 27 mgEXPERIMENTAL -
Part 2 - Cohort 6: JNJ-54861911 81 mgEXPERIMENTAL -
Part 2 - Cohort 7: JNJ-54861911 160 mgEXPERIMENTAL -
Part 3 - Cohort 8: JNJ-54861911 (dose to be determined [tbd])EXPERIMENTAL -
Parts 1 through 3 - PlaceboPLACEBO_COMPARATORParticipants in each cohort will receive matching placebo.

Interventions

NameTypeDescription
JNJ-54861911, 10 milligram (mg)DRUGParticipants will self-administer JNJ-54861911, two tablets of 5 mg each for a total of 10 mg, orally, once daily, from Day 1 until Month 6 in treatment group 1.
JNJ-54861911, 50 mgDRUGParticipants will self-administer JNJ-54861911, two tablets of 25 mg each for a total of 50 mg, orally, once daily, from Day 1 until Month 6 in treatment group 2.
PlaceboDRUGPlacebo matched to JNJ-54861911, orally, once daily, from Day 1 until Month 6 in placebo group.
RosuvastatinDRUGRosuvastatin will be administered as a single oral 10 milligram (mg) dose on Day 1 and Day 14.
JNJ-54861911DRUGJNJ-54861911 will be administered at a dose of 25 mg once daily from Day 8 to Day 17 (in panel 1), Day 8 to 16 (in panel 2).
MetforminDRUGMetformin will be administered as a single oral 500 mg on Day 1 and Day 14.
JNJ-54861911, 10 mgDRUGJNJ-54861911, 10 mg (2\*5 mg tablet) orally once daily for 4 weeks.
JNJ-54861911 (Treatment A)DRUGParticipants will receive a single oral 25 mg formulation 1 of JNJ-54861911 tablet as Treatment A under fasted conditions in one of the treatment periods.
JNJ-54861911 (Treatment B)DRUGParticipants will receive a single oral 25 mg formulation 2 of JNJ-54861911 tablet as Treatment B under fasted conditions in one of the treatment periods.
JNJ-54861911 (Treatment C)DRUGParticipants will receive a single oral 25 mg formulation 2 of JNJ-54861911 tablet as Treatment C under fed conditions in one of the treatment periods.
CaffeineDRUGSingle oral dose of caffeine 100 mg (2\*50 mg tablets), on Day 1, 2, and 9.
MidazolamDRUGSingle oral dose of midazolam 2 mg (1 mL, 2 mg/mL solution), on Day 1, 2, and 9.
TolbutamideDRUGSingle oral dose of Tolbutamide 500 mg tablet, on Day 1, 2, and 9.
JNJ-54861911, 25 mgDRUGJNJ-54861911, 25 mg tablet orally on Day 1 and Day 9.
Itraconazole 200 mgDRUGItraconazole 200 mg (2\*100 mg capsule) orally once daily from Day 5 to Day 12.
Clarithromycin 500 mgDRUGClarithromycin 500 mg immediate release tablet orally twice daily from Day 5 to Day 12.
JNJ-54861911 (25 mg)DRUGSingle oral dose of JNJ-54861911, 25 mg on Day 1.
JNJ-54861911 (50 mg)DRUGSingle oral dose of JNJ-54861911, 50 mg on Day 1.
JNJ-54861911 (100 mg)DRUGSingle oral dose of JNJ-54861911, 100 mg on Day 1.
JNJ-54861911 10 mgDRUGJNJ-54861911 10 mg will be administered as two 5 mg oral tablets once daily.
JNJ-54861911 50 mgDRUGJNJ-54861911 50 mg will be administered as two 25 mg oral tablets once daily.
JNJ-54861911 3 mgDRUGJNJ-54861911 3 mg will be administered as an oral suspension formulation.
JNJ-54861911 30 mgDRUGJNJ-54861911 30 mg will be administered as an oral suspension formulation.
JNJ-54861911 80 mgDRUGJNJ-54861911 80 mg will be administered as an oral suspension formulation.
JNJ-54861911 25 mgDRUGJNJ-54861911 25 mg will be administered as a solid dose formulation.
JNJ-54861911 1mgDRUGJNJ-54861911 1 mg will be administered as a single oral dose after an overnight fast of at least 10 hours.
JNJ-54861911 9 mgDRUGJNJ-54861911 9 mg will be administered as a single oral dose.
JNJ-54861911 27 mgDRUGJNJ-54861911 27 mg will be administered as a single oral dose.
JNJ-54861911 81 mgDRUGJNJ-54861911 81 mg will be administered as a single oral dose.
JNJ-54861911 160 mgDRUGJNJ-54861911 160 mg will be administered as a single oral dose.
JNJ-54861911 tbdDRUGThe dose of JNJ-54861911 will be derived from the results obtained in Parts 1 and 2.
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Eligibility Criteria

Age Range50 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites19

Inclusion Criteria: * Participants in the early alzheimer's disease (AD) spectrum must have a global Clinical Dementia Rating Scale( CDR) score of 0 (asymptomatic at risk for AD) to 0.5 prodromal AD (pAD) inclusive * Participants must have evidence of amyloid pathology by means of either: a) low Ce...

Countries:BelgiumFranceGermanyNetherlandsSpainSwedenJapan
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Frequently asked questions about JNJ-54861911

What is JNJ-54861911 used for?

JNJ-54861911 is an investigational small molecule being studied for Alzheimer's disease. It has been evaluated in clinical trials involving healthy volunteers and patients with prodromal Alzheimer's disease. The drug is in Phase 1 clinical development and is not yet approved by regulatory authorities.

Who makes JNJ-54861911?

JNJ-54861911 is being developed by Johnson & Johnson, a company traded on the New York Stock Exchange under the ticker symbol JNJ. The drug is an investigational small molecule in Phase 1 clinical development for Alzheimer's disease.

What phase is JNJ-54861911 in?

JNJ-54861911 is in Phase 1 clinical development. All eight clinical trials for the drug have been completed, with no active trials currently ongoing. The drug remains investigational and has not received regulatory approval for any indication.

What clinical trials has JNJ-54861911 been in?

JNJ-54861911 has been studied in several completed Phase 1 trials. NCT01827982 and NCT01887535 evaluated safety and tolerability in healthy volunteers. NCT01978548 assessed effects on amyloid beta processing in patients with prodromal Alzheimer's disease. NCT02211079 examined drug interactions with cytochrome P450 substrates.

How does JNJ-54861911 work?

JNJ-54861911 is a small molecule designed to affect amyloid beta processing in the brain. In clinical trials, researchers measured its effects on amyloid beta levels in cerebrospinal fluid and plasma of patients with prodromal Alzheimer's disease, indicating the drug targets pathways involved in amyloid beta production or clearance.