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JNJ-54861911

Phase 2

Alzheimer Disease | Small molecule | Neurology |Johnson & Johnson|Trials Updated: Apr 29, 2025

JNJ-54861911 development status

Highest phase Phase 2
Registered trials 8 across 2 sponsors since Jul 2014

JNJ-54861911 target and mechanism

ModalitySmall molecule

Also known as Atabecestat

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment186

FDA Designations

No designations recorded

JNJ-54861911 clinical trials

JNJ-54861911 · 4 trials · 2 indications

Phase 2 1Phase 1 2Early Phase 1 1
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.

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.

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
Number of Participants with Atabecestat-Specific T-cell Mediated Inflammatory Immune Response
Day 1

Number of Participants with Atabecestat-Specific T-cell Mediated Inflammatory Immune Response (via cluster of differentiation \[CD\] 4+ T-cells and CD8+ T-cells) will be determined.

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.
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.
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 -
Participants with Elevated Liver EnzymesEXPERIMENTALBlood samples will be collected on Day 1 from participants previously treated with atabecestat and who had elevated liver enzymes while on atabecestat.
Participants Without Elevated Liver EnzymesACTIVE_COMPARATORBlood samples will be collected on Day 1 from participants who completed at least 3 months of dosing with atabecestat and who did not have the elevated liver enzymes (adverse event) while on atabecestat.

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.
JNJ-54861911, 10 mgDRUGJNJ-54861911, 10 mg (2\*5 mg tablet) orally once daily for 4 weeks.
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.
AtabecestatDRUGBlood samples will be collected from participants previously treated with atabecestat.
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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 disease. It was evaluated in clinical trials involving participants with early Alzheimer's disease, prodromal Alzheimer's disease, and asymptomatic individuals at risk for Alzheimer dementia. It is not an approved treatment.

Who is developing JNJ-54861911?

JNJ-54861911 is being developed by Johnson & Johnson, which trades under the ticker JNJ. The company sponsored the clinical trials evaluating the drug in Alzheimer disease and related early stages.

What phase is JNJ-54861911 in?

JNJ-54861911 has completed Phase 2 clinical development. The Phase 2 trial, NCT02260674, was a safety and tolerability study in participants with early Alzheimer's disease. The drug is investigational and has not been approved for any indication.

What clinical trials is JNJ-54861911 in?

JNJ-54861911 has been studied in three completed trials: NCT02360657, a Phase 1 study in Japanese participants asymptomatic at risk for Alzheimer dementia; NCT02260674, a Phase 2 safety and tolerability study in early Alzheimer's disease; and NCT01978548, a Phase 1 study in prodromal Alzheimer's disease.