Alzheimer's drug under the microscope: Real-World registry launches
NCT ID NCT05999084
First seen Jun 27, 2026 · Last updated Jul 10, 2026 · Updated 1 time
Summary
This registry follows 735 people with mild Alzheimer's or mild cognitive impairment who are receiving an FDA-approved anti-amyloid drug (lecanemab) as part of their regular care. Researchers will track changes in memory, daily function, and caregiver needs over time to see how the drug performs outside of clinical trials. Participants must be between 50 and 90 years old and have confirmed amyloid buildup in the brain.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- lecanemab (anti-amyloid monoclonal antibody)
- What this could lead to
- If successful, this registry could provide real-world evidence on how well anti-amyloid drugs work for Alzheimer's in everyday clinics.
- What could go wrong
- This is an observational registry, not a controlled trial, so results may be less definitive. The drug requires ongoing infusions and may have side effects like brain swelling or bleeding.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 735 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2025
- Expected to finish
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Jul 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
This study includes patients receiving care through the Emory Cognitive Neurology Clinic and Georgia Memory Net (GMN) clinics, and their caregivers.
- Ages
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50 to 90 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age 50-90, inclusive 2. Diagnosis: Mild Cognitive Impairment (MCI) or mild AD dementia with positive cerebrospinal fluid (CSF) or amyloid PET 3. Objective measurement of baseline cognition and function within past 3 months: * Cognitive: Mini-Mental State Examination (MMSE) ≥ 22, MoCA ≥ 16 * Function: Independence in basic ADLs * Function: FAQ ≤ 9 may justify inclusion with lower cognitive score if felt to be impacted by prominent language impairment or other factors affecting score 4. MRI brain within last year and no exclusionary criteria 5. Complete blood count (CBC), comprehensive metabolic panel (CMP), B12, thyroid stimulating hormone (TSH), prothrombin time (PT), partial thromboplastin time (PTT), and International Normalized Ratio (INR) without clinically significant abnormality 6. Informant/care partner/family available to attend follow-up visits to provide information regarding patient's cognitive and functional abilities 7. Agree to MRI, PET, and testing clinical diagnostic requirements and drug label / FDA recommendations to determine drug eligibility and appropriateness, including Apolipoprotein E (APOE) testing Exclusion Criteria: 1. Any contraindication to MRI 2. MRI exclusion criteria: * Acute or sub-acute hemorrhage * Prior macro hemorrhage (\>1 cm), subarachnoid hemorrhage, or known aneurysm * \>4 microhemorrhages * Superficial siderosis * Any finding that might be a contributing cause of the subject's dementia that could pose a risk to the subject or prevent safety MRIs. 3. Seizure within the past 6 months or history of refractory epilepsy. 4. Unstable severe psychiatric illness in past 6 months 5. History of bleeding disorder, blood clotting, or clinically significant abnormal results on coagulation profile (platelet count \<50,000; INR \>1.5) 6. Uncontrolled diabetes (HgbA1c \>9%) 7. Uncontrolled hypertension 8. History of unstable angina, myocardial infarction (MI), advanced heart failure, or clinically significant conduction abnormalities within past year. 9. End stage renal disease 10. Receiving active treatment for cancer (e.g., chemotherapy, biologics, or radiation therapy) with exceptions for maintenance therapies for cancer in remission (e.g., anti-estrogen for breast cancer) 11. Systemic illness or serious infection, e.g., pneumonia, sepsis, Coronavirus disease 2029 (COVID-19), in past 30 days 12. Immunological disease requiring immunosuppression, immunoglobulins, monoclonal antibodies, or plasmapheresis 13. Exclude if breastfeeding or if female patients of childbearing potential unable to practice highly effective contraception 14. History of severe allergic or anaphylactic reactions or hypersensitivity to inactive ingredients (arginine hydrochloride, histidine, histidine hydrochloride monohydrate, polysorbate 80)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
8 sites. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Emory Cognitive Neurology Clinic at the Emory Brain Health Center
Atlanta, Georgia, 30322, United States
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Georgia Memory Net Memory Assessment Clinic - Albany
Albany, Georgia, 31707, United States
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Georgia Memory Net Memory Assessment Clinic - Atlanta
Atlanta, Georgia, 30303, United States
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Georgia Memory Net Memory Assessment Clinic - Augusta
Augusta, Georgia, 30912, United States
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Georgia Memory Net Memory Assessment Clinic - Gainesville
Gainesville, Georgia, 30501, United States
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Georgia Memory Net Memory Assessment Clinic - Macon
Macon, Georgia, 31206, United States
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Georgia Memory Net Memory Assessment Clinic - Savannah
Savannah, Georgia, 31406, United States
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Georgia Memory Net Memory Assessment Clinic - Vidalia
Vidalia, Georgia, 30474, United States
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