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Gantenerumab

Phase 2

Alzheimers Disease | Small molecule | Neurology |Eli Lilly and Company|Last Updated: Feb 13, 2026

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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment684
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04623242Dominantly Inherited Alzheimer Network Trial: An Opportunity to Prevent Dementia. A Study of Potential Disease Modifying Treatments in Individuals at Risk for or With a Type of Early Onset Alzheimer's Disease Caused by a Genetic Mutation.PHASE2 COMPLETED 194Dec 1, 2012Mar 6, 2020Sep 22, 202225 United States, Australia +6
NCT01760005Dominantly Inherited Alzheimer Network Trial: An Opportunity to Prevent Dementia. A Study of Potential Disease Modifying Treatments in Individuals at Risk for or With a Type of Early Onset Alzheimer's Disease Caused by a Genetic Mutation. Master Protocol DIAN-TU-001PHASE2 ACTIVE NOT_RECRUITING 490Dec 1, 2012Jul 1, 2028Feb 13, 202638 United States, Argentina +13
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Study Endpoints
Primary Endpoints
Assess Cognitive Efficacy in Individuals With Mutations Causing Dominantly Inherited AD as Measured by the DIAN-Multivariate Cognitive Endpoint (DIAN-MCE);
Baseline through Week 260

Multivariate Disease Progression Model adjusted for Estimated Years to Onset (EYO)and includes all timepoints up to treatment discontinuation. The treatment effect is reported relative to the mutation positive placebo arm. Multivariate Cognitive Endpoint comprising: (i) Wechsler Memory Scale-Revised Logical Memory Delayed Recall Test (MEMUNITS), (ii) Wechsler Adult Intelligence Scale Digit Symbol Substitution Test (WAIS), (iii) Mini-Mental State Examination (MMSE), and (iv) International Shopping List Task (ISLT). Measurements for each test were normalized using the mean (SD) at DIAN-TU-001 baseline for mutation negative subjects. Higher scores indicate more favourable cognitive performance.

Assess cognitive efficacy in individuals with mutations causing dominantly inherited AD as measured by the change from baseline in the DIAN-Multivariate Cognitive Endpoint (DIAN-MCE)
Baseline and Weeks 52, 104, 156, and 208

The DIAN-Multivariate Cognitive Endpoint (DIAN-MCE) consists of 4 cognitive measures: Wechsler Memory Scale-Revised Logical Memory Delayed Recall Test, Wechsler Adult Intelligence Sale Digit Symbol Substitution Test (WAIS), International Shopping List Task (ISLT), Mini-Mental State Examination (MMSE)

Secondary Endpoints
Gantenerumab: Rate of Change Over Time- Clinical Dementia Rating Sum of Boxes (CDR-SB)
Baseline and Weeks 52, 104, 156, 208 and 260
Gantenerumab: Rate of Change Over Time- Functional Assessment Scale (FAS)
Baseline and Weeks 52, 104, 156, 208 and 260
Gantenerumab: Imaging Measures Composite [11C] PiB Partial Volume Corrected Regional Spread Function Standardized Uptake Value Ratio - Composite
Baseline, Weeks 52, 104 and 208
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
GantenerumabEXPERIMENTAL -
SolanezumabEXPERIMENTAL -
Matching placebo (Gantenerumab)PLACEBO_COMPARATOR -
Matching Placebo (Solanezumab)PLACEBO_COMPARATOR -
Cognitive Run-inNO_INTERVENTIONThis arm is completed and closed.
Gantenerumab Open Label ExtensionACTIVE_COMPARATORSubcutaneously every 4 weeks at escalating doses. This arm is completed and closed.
E2814 plus lecanemabEXPERIMENTALSymptomatic Population (Cohort 1) At Week 0, participants will receive open-label lecanemab administered intravenously for the full treatment period. At Week 24, participants randomized to E2814 will receive intravenously in a blinded fashion for the remainder of their treatment period. Asymptomatic Population (Cohort 2) At Week 0, participants randomized to E2814 will receive intravenously in a blinded fashion for the full treatment period. At Week 52, all participants will initiate open-label lecanemab administered intravenously for the remainder of their treatment period.
Matching placebo (E2814) plus lecanemabEXPERIMENTALSymptomatic Population (Cohort 1) At Week 0, participants will receive open-label lecanemab administered intravenously for the full treatment period. At Week 24, participants randomized to E2814 placebo will receive placebo intravenously in a blinded fashion for the remainder of their treatment period. Asymptomatic Population (Cohort 2) At Week 0, participants randomized to E2814 placebo will receive placebo intravenously in a blinded fashion for the full treatment period. At Week 52, all participants will initiate open-label lecanemab administered intravenously for the remainder of their treatment period.
Interventions
NameTypeDescription
GantenerumabDRUGSubcutaneously every 4 weeks at escalating doses
SolanezumabDRUGIntravenous infusion every 4 weeks at escalating doses
Matching Placebo (Gantenerumab)DRUGSubcutaneous injection of placebo every 4 weeks
Matching Placebo (Solanezumab)DRUGIntravenous infusion of placebo every 4 weeks
E2814DRUGAdministered intravenously in a blinded fashion
LecanemabDRUGAdministered intravenously
Matching Placebo (E2814)DRUGPlacebo administered intravenously in a blinded fashion.
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Eligibility Criteria
Age Range18 Years — 80 Years
SexALL
Healthy VolunteersYes
Study Sites25

Inclusion Criteria: * Between 18-80 years of age * Individuals who know they have an Alzheimer's disease-causing mutation or are unaware of their genetic status and have dominantly inherited Alzheimer's disease (DIAD) mutation in their family. * Are within -15 to + 10 years of the predicted or actu...

Countries:United StatesAustraliaCanadaFranceIrelandPuerto RicoSpainUnited KingdomArgentinaBrazilColombiaGermanyItalyJapanNetherlands
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT01760005primaryCompletionDate: changed
LOWMay 24, 2026NCT01760005studyFirstPostDate: changed