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Gantenerumab

Phase 2

Alzheimers Disease | Small molecule | Neurology |Eli Lilly and Company|Last Updated: Jul 27, 2026

Target and mechanism

Molecular targetAPP
Target classBinding Agent
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment684

FDA Designations

No designations recorded

Clinical trial landscape

Gantenerumab · 2 trials · 3 indications

Phase 2 2
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.Alzheimers Disease
COMPLETED194 Analytics
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-001Alzheimers Disease
ACTIVE NOT_RECRUITING490 Analytics
PHASE2COMPLETED
Dominantly 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.
Alzheimers DiseaseUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
Dominantly 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-001
Alzheimers DiseaseUnlock trial analytics

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 to 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)

LOWJul 27, 2026NCT01760005lastUpdatePostDate: changed
LOWJul 27, 2026NCT01760005lastUpdatePostDate: changed
LOWJul 27, 2026NCT01760005lastUpdatePostDate: changed

Frequently asked questions about Gantenerumab

What is Gantenerumab used for in Alzheimer's disease?

Gantenerumab is an investigational antibody being studied for Alzheimer's disease, including familial early-onset Alzheimer's caused by genetic mutations. It is in Phase 2 clinical development and is not yet approved. The drug is being evaluated in trials enrolling adults aged 18 years and older.

What does Gantenerumab target?

Gantenerumab is a monoclonal antibody, indicated by its -mab suffix. It is designed to target and bind to amyloid beta proteins in the brain, which are implicated in Alzheimer's disease pathology. This mechanism aims to clear these proteins and potentially slow disease progression.

Who makes Gantenerumab?

Gantenerumab is being developed by Eli Lilly and Company, a pharmaceutical company listed on the stock exchange under the ticker LLY. The company is conducting clinical trials to evaluate the drug's safety and efficacy in Alzheimer's disease.

What phase is Gantenerumab in?

Gantenerumab is currently in Phase 2 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities. The ongoing trials are designed to assess its potential as a disease-modifying treatment for Alzheimer's disease.

What clinical trials is Gantenerumab in?

Gantenerumab is being studied in two Phase 2 trials. NCT01760005 is an active, not recruiting study with 490 participants, and NCT04623242 is a completed study with 194 participants. Both trials focus on Alzheimer's disease, including familial forms, and are placebo-controlled, double-blind, and randomized.

Is Gantenerumab the same as other Alzheimer's drugs?

Gantenerumab is a distinct monoclonal antibody developed by Eli Lilly. It is not the same as other Alzheimer's treatments, as it specifically targets amyloid beta. Its development is focused on early-onset familial Alzheimer's disease, differentiating it from other investigational therapies.