Actively Recruiting

Phase 1
Phase 2
Age: 35Years - 85Years
All Genders
NCT05462106

A Study to Assess the Effects of ACI-24.060 in Alzheimer's Disease and in Down Syndrome (ABATE Study)

Led by AC Immune SA · Updated on 2025-12-15

176

Participants Needed

19

Research Sites

205 weeks

Total Duration

On this page

Sponsors

A

AC Immune SA

Lead Sponsor

W

Worldwide Clinical Trials

Collaborating Sponsor

AI-Summary

What this Trial Is About

The purpose of this study is to assess the safety, tolerability, immunogenicity and pharmacodynamic effects of ACI-24.060 in subjects with prodromal Alzheimer's disease and in non-demented adults with Down syndrome.

CONDITIONS

Official Title

A Study to Assess the Effects of ACI-24.060 in Alzheimer's Disease and in Down Syndrome (ABATE Study)

Who Can Participate

Age: 35Years - 85Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 50 to 85 years at screening for prodromal Alzheimer's disease group
  • Diagnosis of prodromal Alzheimer's disease meeting NIA-AA criteria
  • PET scan at screening showing amyloid pathology
  • Clinical Dementia Rating (CDR) Global Score of 0.5
  • Either no Alzheimer's treatment or stable dose of acetylcholinesterase inhibitors and/or memantine for at least 2 months before baseline
  • Age 35 to 50 years at screening for Down syndrome group (ages 35 to 39 may be considered with evidence of amyloid pathology)
  • Male or female with cytogenetic diagnosis of trisomy 21 or complete unbalanced translocation of chromosome 21
  • PET scan at screening showing amyloid pathology
  • Mild to moderate intellectual disability by DSM-5 criteria
  • Have a study partner with direct and regular contact (at least 10 hours per week) able to provide reliable information about the participant
Not Eligible

You will not qualify if you...

  • Unstable or clinically significant medical conditions that could affect safety or study evaluation
  • Drug or alcohol abuse or dependence within past 5 years
  • History or presence of uncontrolled seizures (must have been seizure-free for 2 years if history present)
  • Psychiatric or neurologic disorders unrelated to Alzheimer's disease
  • History of meningitis, meningoencephalitis, moderate or severe traumatic brain injury
  • Inflammatory, immunological, or autoimmune disorders
  • Severe allergic reactions including to vaccines, foods, or medications
  • Significant suicide risk as defined by C-SSRS
  • MRI findings showing cerebral edema, hemorrhages, multiple microhemorrhages, or other significant brain pathology
  • Clinically significant abnormal blood counts, liver or biochemical tests
  • Positive tests for HIV, active hepatitis B or C, or active syphilis
  • Positive antibody titers related to immunological or autoimmune disorders at screening
  • Contraindications to MRI or PET scans
  • Contraindications to lumbar puncture (optional for Down syndrome participants)
  • Prior treatment with ACI-24 or active immunotherapy for Alzheimer's disease unless only placebo received
  • Recent use of passive immunotherapy for Alzheimer's disease
  • Ongoing treatment with approved anti-amyloid passive immunotherapy
  • Use of acetylcholinesterase inhibitors or glutamatergic drugs not stable for at least 2 months
  • Vaccination within 4 weeks before randomization
  • Untreated or unstable hypothyroidism
  • Use of certain anticoagulants or antiplatelet drugs (except low dose aspirin) if undergoing lumbar puncture
  • Use of some antidepressants, antipsychotics, GABA agonists, or stimulants except stable doses of some allowed
  • Chronic opioid use except short-term use for acute conditions
  • Current or recent use of immunosuppressant or immunomodulating drugs or steroids
  • Additional Down syndrome exclusions at randomization: diagnosis of Alzheimer's dementia, DSQIID score over 20, or IQ below 40 (KBIT-2)

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 19 locations

1

Barrow Neurological Institute

Phoenix, Arizona, United States, 85013

Actively Recruiting

2

Indiana University / IU Health

Indianapolis, Indiana, United States, 46202

Actively Recruiting

3

University of Kansas Medical Center Research Institute

Fairway, Kansas, United States, 66205-2513

Actively Recruiting

4

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Actively Recruiting

5

The Washington University

St Louis, Missouri, United States, 63130

Actively Recruiting

6

Vanderbilt University Medical Center

Nashville, Tennessee, United States, 37232-2103

Actively Recruiting

7

UT Health San Antonio

San Antonio, Texas, United States, 78229

Actively Recruiting

8

Fundació ACE, Institut Català de Neurociències Aplicades

Barcelona, Spain

Actively Recruiting

9

Hospital de la Santa Creu i Sant Pau

Barcelona, Spain

Actively Recruiting

10

Hospital Universitario Virgen De Las Nieves

Granada, Spain

Withdrawn

11

Hospital Clínico San Carlos

Madrid, Spain

Actively Recruiting

12

Hospital Universitario de la Princesa

Madrid, Spain

Actively Recruiting

13

Hospital Universitario Marqués de Valdecilla

Santander, Spain

Actively Recruiting

14

Hospital Universitario y Politécnico La Fe

Valencia, Spain

Actively Recruiting

15

Cambridge and Peterborough NHS Foundation Trust - Windsor Research Units

Cambridge, United Kingdom

Actively Recruiting

16

Liverpool University Hospitals NHS Foundation Trust

Liverpool, United Kingdom

Actively Recruiting

17

Re:Cognition Health Limited

London, United Kingdom

Actively Recruiting

18

South London and Maudsley NHS Foundation Trust of The Maudsley Hospital

London, United Kingdom

Actively Recruiting

19

Oxford Health NHS Foundation Trust

Oxford, United Kingdom

Actively Recruiting

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Research Team

O

Olivier Sol, MD

CONTACT

B

Benedicte Le

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

9

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