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Semorinemab

Phase 2

Alzheimer's Disease | Monoclonal antibody | Neurology |Roche Holding AG|Trials Updated: Sep 24, 2024

Semorinemab development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since Jul 2016

Semorinemab target and mechanism

Molecular targetMAPT
Target classInhibitor
ModalityMonoclonal antibody

Also known as MTAU9937A, RO7105705

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment346

FDA Designations

No designations recorded

Semorinemab clinical trials

Semorinemab · 2 trials · 1 indication

Phase 2 1Phase 1 1
NCT03828747A Study of Semorinemab in Patients With Moderate Alzheimer's DiseaseAlzheimer's Disease
COMPLETED272 Analytics
PHASE2COMPLETED
A Study of Semorinemab in Patients With Moderate Alzheimer's Disease
Alzheimer's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline to Last Visit of Double-Blind Treatment Period in Cognitive Function as Measured by the Alzheimer's Disease Assessment Scale, Cognitive Subscale, 11-Item Version (ADAS-Cog11)
Baseline to Week 49 for Cohorts 1 and 2, and Baseline to Week 61 for Cohort 2

The Alzheimer's Disease Assessment Scale, Cognitive Subscale, 11-Item Version (ADAS-Cog11) is an 11 item cognitive subscale used to quantify the areas of cognitive function most often affected in Alzheimer's disease. The total score ranges from 0-70 with lower scores indicating better cognitive function.

Change From Baseline to Last Visit of Double-Blind Treatment Period in Functional Capacities as Measured by the Alzheimer's Disease Cooperative Study-Daily Living Inventory (ADCS-ADL)
Baseline to Week 49 for Cohorts 1 and 2, and Baseline to Week 61 for Cohort 2

The Alzheimer's Disease Cooperative Study-Daily Living Inventory (ADCS-ADL) is a scale used to quantify performance of activities of daily living (ADL). Scores on the ADCS-ADL range from 0-78, with higher scores indicating better ADL function.

Number of Participants with Adverse Events
Screening up to Day 134
Number of Participants with Dose Limiting Adverse Events (DLAEs)
Day 1 up to Day 36
Change from Baseline in Suicidal Ideation and Behavior Using the Columbia Suicide Severity Rating Scale (C-SSRS) Score
Baseline, up to approximately 134 days

Secondary Endpoints

Change From Baseline to Last Visit of Double-Blind Treatment Period on the Clinical Dementia Rating-Sum of Boxes (CDR-SB)
Baseline to Week 49 for Cohorts 1 and 2, and Baseline to Week 61 for Cohort 2
Change From Baseline to Last Visit of Double-Blind Treatment Period on the Mini-Mental State Examination (MMSE)
Baseline to Week 49 for Cohorts 1 and 2, and Baseline to Week 61 for Cohort 2
Percentage of Participants With Adverse Events
Baseline up to end of study (approximately 4 years and 7 months)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SemorinemabEXPERIMENTALSemorinemab will be administered intravenously in the double-blind treatment period, and semorinemab will be administered intravenously in the optional open-label extension period.
PlaceboPLACEBO_COMPARATORPlacebo will be administered intravenously in the double-blind treatment period and semorinemab will be administered intravenously in the optional open-label extension.
Multiple Dose Placebo IVPLACEBO_COMPARATORHealthy participants or participants with Alzheimer's disease will receive multiple doses of matching placebo IV QW, a total of 4 doses.
Multiple Dose RO7105705 IVEXPERIMENTALHealthy participants or participants with Alzheimer's disease will receive multiple doses of RO7105705 IV QW, a total of 4 doses.
Single Dose RO7105705 SCEXPERIMENTALHealthy participants will receive a single dose of RO7105705 SC on Day 1.
Single dose Placebo IVPLACEBO_COMPARATORHealthy participants will receive a single dose of placebo IV on Day 1.
Single dose RO7105705 IVEXPERIMENTALHealthy participants will receive a single dose of RO7105705 IV on Day 1.

Interventions

NameTypeDescription
SemorinemabDRUGParticipants will receive semorinemab every 2 weeks (Q2W) for the first three doses of the double-blind treatment period and every 4 weeks (Q4W) thereafter during the double-blind treatment period. Semorinemab will be administered Q4W in the OLE period.
PlaceboDRUGParticipants will receive placebo every 2 weeks (Q2W) for the first three doses of the double-blind treatment period and every 4 weeks (Q4W) thereafter during the double-blind treatment period.
[18F]GTP1DRUG\[18F\]GTP1 will be administered as a solution for intravenous (IV) use, as part of positron emission tomography (PET) imaging.
RO7105705DRUGParticipants will receive single or multiple doses of RO7105705 IV or SC.
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Eligibility Criteria

Age Range50 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites49

Inclusion Criteria: * National Institute on Aging/Alzheimer's Association core clinical criteria for probable AD dementia * Evidence of the AD pathological process, by a positive amyloid assessment either on CSF Aβ1-42 as measured on Elecsys β-Amyloid(1-42) Test System OR amyloid PET scan * AD deme...

Countries:United StatesFrancePolandSpain
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Frequently asked questions about Semorinemab

What is Semorinemab used for?

Semorinemab is an investigational monoclonal antibody being studied for the treatment of Alzheimer's disease. It was evaluated in a Phase 2 clinical trial in patients with moderate Alzheimer's disease. Semorinemab is not approved for any indication and remains in clinical development.

What does Semorinemab target?

Semorinemab targets MAPT, the gene encoding the tau protein. It is designed as an inhibitor of tau, a protein that forms neurofibrillary tangles in Alzheimer's disease. By targeting tau, semorinemab aims to interfere with tau pathology, though its clinical benefit has not been established.

Who is developing Semorinemab?

Semorinemab is being developed by Roche Holding AG, which trades under the ticker RHHBY. Roche conducted the clinical development of semorinemab for Alzheimer's disease.

What phase is Semorinemab in?

Semorinemab is in Phase 2 development. A Phase 2 trial in moderate Alzheimer's disease has been completed. Semorinemab is investigational and has not been approved by the FDA or any regulatory agency for any indication.

What clinical trials is Semorinemab in?

Semorinemab was evaluated in a completed Phase 2 trial, NCT03828747, titled A Study of Semorinemab in Patients With Moderate Alzheimer's Disease. The trial enrolled 272 participants across the United States, France, Poland, and Spain. It was randomized, double-blind, and placebo-controlled.