New hope for rare dementia: experimental drug DNL593 enters human trials
NCT ID NCT05262023
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests an experimental drug called DNL593 in healthy volunteers and people with frontotemporal dementia (FTD), a rare brain disease that causes personality changes and memory loss. The trial aims to check if the drug is safe, how the body processes it, and whether it might help. It includes a small number of participants and an optional long-term follow-up.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- DNL593
- What this could lead to
- If successful, this could point toward a treatment that slows or manages frontotemporal dementia, a currently untreatable disease.
- What could go wrong
- This is an early-phase trial with only 85 participants, so results may not confirm effectiveness. The drug may cause side effects or fail to show benefit.
Why investors are watching
Denali Therapeutics is testing DNL593, an experimental drug for frontotemporal dementia (FTD), a brain disease with no approved treatment. The trial first checks safety in healthy volunteers, then measures whether the drug is safe and shows signs of working in 85 people with FTD over 25 weeks. For a small company like Denali, this readout is a key test of whether DNL593 deserves further development, and a positive signal could support its pipeline value.
If it works: If DNL593 proves safe and shows meaningful effects in people with FTD, Denali could advance the drug to later-stage trials. That result would strengthen the company's position in a disease area with few options, which could attract partnership interest or support further investment in the program.
If it fails: If the drug fails to show a clear benefit or causes safety problems, Denali may need to stop or redesign the program, wasting years of research and money. Trials in brain diseases often fail, so a negative result is a real possibility that could hurt the company's prospects.
AI-written from the trial record. Speculative, and not investment advice.
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.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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85 people
The number who actually took part.
- Started
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Feb 2022
- Expected to finish
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Nov 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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.
Key Inclusion Criteria: Part A: * Women of non-childbearing potential (surgically sterilized or post menopausal) or men, aged ≥18 to ≤ 55 years * BMI of ≥ 18 to ≤ 32 kg/m² * When engaging in sex with a woman of child bearing potential, two forms of birth control are required Part B: * Women of non-childbearing potential (surgically sterilized or post menopausal) or men, aged ≥18 to ≤ 80 years. Women who are of childbearing potential but on highly effective, low user dependent contraceptive methods will be allowed. * BMI of ≥ 18 to ≤ 32 kg/m² * Have a Clinical Dementia Rating® plus National Alzheimer's Coordinating Center frontotemporal lobar degeneration global score ≥ 0.5 * Have confirmed granulin (GRN) mutation via genetic testing or historical records available for review by investigator * When engaging in sex with a woman of child bearing potential, both the male participant and his female partner must use highly effective contraception Part C: * All participants who completed Part B of this trial are eligible for an 18-month OLE if the participant has no unresolved clinically significant TEAEs, where continued dosing may represent a risk to participant safety. Key Exclusion Criteria: * Have any history of clinically significant neurologic, psychiatric, endocrine, pulmonary, cardiovascular, gastrointestinal, hepatic, pancreatic, renal, metabolic, hematologic, immunologic, or allergic disease, or other major disorders * Have a history of malignancy, except fully resected basal cell carcinoma or other malignancies at low risk of recurrence * Have a clinically significant history of stroke, cognitive impairment due to causes other than FTD, seizure within 5 years of screening, or head trauma with loss of consciousness within 2 years of screening * Have a positive serum pregnancy test or are currently lactating or breastfeeding
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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.
Contacts and locations
Locations
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ASST degli Spedali Civili di Brescia
Brescia, Italy
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Azienda Ospedaliera Cardinale G Panico
Tricase, Italy
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Azienda Ospedaliera Universitaria Careggi
Florence, Italy
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CHU Rouen
Rouen, France
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CHU Toulouse
Toulouse, France
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CHU de Nantes
Nantes, France
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Campus Neurológico Sénior
Torres Vedras, Portugal
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Erasmus University Medical Center
Rotterdam, Netherlands
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Faculdade de Medicina Da Universidade de São Paulo
São Paulo, Brazil
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Fakultni nemocnice v Motole
Prague, Czechia
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Grupo de Neurosicencias de la Universidad de Antioquia
Medellín, Colombia
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Hospital Clinic de Barcelona
Barcelona, Barcelona, 8036, Spain
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Hospital Universitario San Ignacio
Bogotá, Colombia
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Hospital Universitario Virgen del Rocio
Seville, Sevilla, 41013, Spain
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Hospital Universitario de Donostia
Donostia / San Sebastian, Guipúzcoa, 20014, Spain
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Hospital de Braga
Braga, Portugal
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Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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IRCCS Istituto Auxologico Italiano
Milan, Italy
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Istanbul University Istanbul Medical Faculty
Istanbul, Turkey (Türkiye)
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John Hopkins University
Baltimore, Maryland, 21218, United States
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L2IP - Instituto de Pesquisas Clinicas LTDA
Brasília, Brazil
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Ondokuz Mayis University Hospital
Samsun, Turkey (Türkiye)
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Simbec Orion
Merthyr Tydfil, Wales, CF48 4DR, United Kingdom
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UZ Leuven
Leuven, Belgium
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University of Antwerp
Antwerp, Belgium
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University of California San Francisco
San Francisco, California, 94143, United States
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Other studies related to the condition(s) this trial covers.
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- Could a brain disease change behavior years before diagnosis?
- Can a synthetic cannabinoid calm agitation in frontotemporal dementia?
- Can sound waves soothe Dementia's emotional turmoil?