Could a new drug slow lewy body dementia? phase 2 trial begins
NCT ID NCT07589595
First seen Jun 24, 2026 · Last updated Sep 09, 2026 · Updated 11 times
Summary
This phase 2 trial tests whether donanemab, an antibody given by IV, can slow worsening of thinking and daily function in people with early cognitive decline and Lewy body dementia. The study enrolls 350 participants who also have signs of two brain proteins (amyloid and alpha-synuclein). Each person will be followed for 1.5 years, comparing donanemab to a placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- donanemab
- What this could lead to
- If successful, this could point toward a treatment that slows cognitive and functional decline in people with early Lewy body dementia.
- What could go wrong
- This is a phase 2 trial with only 350 participants, so results may not confirm effectiveness. Donanemab also carries risks like brain swelling or bleeding, and the trial requires confirmation of specific brain proteins, which may limit who can benefit.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 350 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2026
- Expected to finish
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Aug 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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55 to 85 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: * Have gradual and progressive cognitive decline for greater than or equal to ( ≥) 6 months. * Have least 1 core clinical feature of dementia with Lewy bodies (DLB). * Have a score ≥20 on Montreal Cognitive Assessment (MoCA). * Meet plasma P-tau217 criteria. * Have a cerebrospinal fluid (CSF) result consistent with the presence of brain amyloid pathology. * Have a CSF result consistent with the presence of alpha-synuclein pathology. * Have at least 1 reliable study partner who will provide written informed consent to participate, is in frequent contact with the participant, and is familiar with overall function and behavior, such as day-to-day activities and cognitive abilities. Exclusion Criteria: * Have a disease or condition that could interfere with this study or is a current serious or unstable illness. * Have, or is suspected to have, a significant neurological disease (other than the studied condition) that affects the central nervous system and may affect the individual's cognition or ability to complete the study. * Have a history of cancer that, in the investigator's opinion, has a high risk of recurrence and preventing the completion of the study. * Have clinically significant multiple or severe drug allergies, significant atopy, or severe posttreatment hypersensitivity reactions. * Have previously received amyloid-targeting therapy. * Active immunization against amyloid-beta. * Have a centrally read MRI that does not meet study entry criteria. * Have contraindication to MRI or PET scans. * Have any contraindication to lumbar puncture.
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Get notified about this study
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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
72 sites in 4 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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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Axiom Brain Health LLC
RECRUITINGTampa, Florida, 33609, United States
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BRP-Kendal Lakes
RECRUITINGMiami, Florida, 33175, United States
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Brain Matters Research
RECRUITINGDelray Beach, Florida, 33445, United States
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CenExel Rocky Mountain Clinical Research
NOT_YET_RECRUITINGEnglewood, Colorado, 80113, United States
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Central Texas Neurology Consultants
RECRUITINGRound Rock, Texas, 78681, United States
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Chang Gung Medical Foundation-Linkou Branch
NOT_YET_RECRUITINGTaoyuan, 333, Taiwan
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Charter Research - Orlando
RECRUITINGOrlando, Florida, 32803, United States
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Citizens Memorial Hospital District
RECRUITINGBolivar, Missouri, 65613, United States
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Conquest Research
RECRUITINGWinter Park, Florida, 32789, United States
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EvergreenHealth
NOT_YET_RECRUITINGKirkland, Washington, 98034, United States
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Ewha Womans University Mokdong Hospital
NOT_YET_RECRUITINGSeoul, 07985, South Korea
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Gachon University Gil Medical Center
NOT_YET_RECRUITINGNamdong-gu, 21565, South Korea
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Gadolin Research
RECRUITINGBeaumont, Texas, 77702, United States
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Gangnam Severance Hospital, Yonsei University Health System
NOT_YET_RECRUITINGGangnam-gu, 06273, South Korea
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Hanyang University Seoul Hospital
NOT_YET_RECRUITINGSeoul, 04763, South Korea
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Headlands Eastern MA LLC
RECRUITINGPlymouth, Massachusetts, 02360, United States
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HonorHealth Research Institute
NOT_YET_RECRUITINGScottsdale, Arizona, 85251, United States
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Houston Methodist Hospital
NOT_YET_RECRUITINGHouston, Texas, 77030, United States
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Hyogo Prefectural Harima-Himeji General Medical Center
RECRUITINGHimeji, 670-8560, Japan
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Inage Neurology and Memory Clinic
RECRUITINGInage, 263-0043, Japan
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Indiana University Health Neuroscience Center
RECRUITINGIndianapolis, Indiana, 46202, United States
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Inha University Hospital
NOT_YET_RECRUITINGIncheon, 22332, South Korea
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Irvine Clinical Research
RECRUITINGIrvine, California, 92614, United States
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JEM Research Institute
RECRUITINGAtlantis, Florida, 33462, United States
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Juntendo Tokyo Koto Geriatric Medical Center
NOT_YET_RECRUITINGKōtoku, 136-0075, Japan
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K2 Medical Research - Foxborough
RECRUITINGFoxborough, Massachusetts, 02035, United States
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K2 Medical Research ORLANDO
RECRUITINGMaitland, Florida, 32751, United States
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Katayama Medical Clinic
RECRUITINGKurashiki, 710-0813, Japan
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Kerwin Medical Center
RECRUITINGDallas, Texas, 75231, United States
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Ki Health Partners, LLc, dba New England Institute for Clinical Research
NOT_YET_RECRUITINGStamford, Connecticut, 06905, United States
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Kobe University Hospital
RECRUITINGKobe, 650-0017, Japan
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Konkuk University Medical Center
NOT_YET_RECRUITINGSeoul, 05030, South Korea
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Massachusetts General Hospital - Charlestown
NOT_YET_RECRUITINGCharlestown, Massachusetts, 02129, United States
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Mayo Clinic in Florida
NOT_YET_RECRUITINGJacksonville, Florida, 32224, United States
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Mayo Clinic in Rochester, Minnesota
NOT_YET_RECRUITINGRochester, Minnesota, 55905, United States
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Memory Clinic Ochanomizu
RECRUITINGBunkyō City, 113-0034, Japan
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Memory Clinic Toride
NOT_YET_RECRUITINGToride, 302-0004, Japan
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Nagoya Ekisaikai Hospital
NOT_YET_RECRUITINGNagoya, 454-8502, Japan
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Nagoya University Hospital
NOT_YET_RECRUITINGNagoya, 466-8560, Japan
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National Center for Geriatrics and Gerontology
RECRUITINGŌbu, 474-8511, Japan
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National Cheng Kung University Hospital
NOT_YET_RECRUITINGTainan, 704, Taiwan
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National Taiwan University Hospital
NOT_YET_RECRUITINGTaipei, 10002, Taiwan
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Neurology Center of New England
RECRUITINGFoxborough, Massachusetts, 02035, United States
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Neuropsychiatric Research Center of Southwest Florida
RECRUITINGFort Myers, Florida, 33912, United States
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New Taipei Municipal TuCheng Hospital
NOT_YET_RECRUITINGNew Taipei City, 236, Taiwan
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Nippon Medical School Musashi Kosugi Hospital
NOT_YET_RECRUITINGKawasaki, 211-8533, Japan
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Norman Fixel Institute for Neurological Diseases (FIND)
NOT_YET_RECRUITINGGainesville, Florida, 32608, United States
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Oita University Hospital
NOT_YET_RECRUITINGYufu, 879-5593, Japan
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Oregon Health and Science University
NOT_YET_RECRUITINGPortland, Oregon, 97239, United States
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Palm Beach Neurology
RECRUITINGWest Palm Beach, Florida, 33407, United States
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Pennsylvania Hospital
NOT_YET_RECRUITINGPhiladelphia, Pennsylvania, 19107, United States
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Profound Research LLC
RECRUITINGCarlsbad, California, 92011, United States
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QUEST Research Institute
RECRUITINGFarmington Hills, Michigan, 48334, United States
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Re:Cognition Health
RECRUITINGFairfax, Virginia, 22031, United States
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Renstar Medical Research
RECRUITINGOcala, Florida, 34471, United States
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Shonan Keiiku Hospital
NOT_YET_RECRUITINGFujisawa, 252-0816, Japan
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St. Marianna University Hospital
NOT_YET_RECRUITINGKawasaki, 216-8511, Japan
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Stanford Neuroscience Health Center
NOT_YET_RECRUITINGPalo Alto, California, 94304, United States
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Struthers Parkinson's Center
NOT_YET_RECRUITINGGolden Valley, Minnesota, 55427, United States
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Summit Headlands
RECRUITINGPortland, Oregon, 97210, United States
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Tachikawa Hospital
NOT_YET_RECRUITINGTachikawa, 190-8531, Japan
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Taipei Medical University Shuang Ho Hospital
NOT_YET_RECRUITINGNew Taipei City, 235, Taiwan
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Taipei Veterans General Hospital
NOT_YET_RECRUITINGTaipei, 11217, Taiwan
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The University of Kansas - Clinical Research Center
NOT_YET_RECRUITINGFairway, Kansas, 66205, United States
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The University of Osaka Hospital
NOT_YET_RECRUITINGSuita, 565-0871, Japan
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The University of Texas Health Science Center
RECRUITINGSan Antonio, Texas, 78229, United States
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The University of Texas Health Science Center at Houston
NOT_YET_RECRUITINGHouston, Texas, 77054, United States
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Tokyo Metropolitan Institute for Geriatrics and Gerontology
NOT_YET_RECRUITINGtabashi City, 173-0015, Japan
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TrialSphere Corp
RECRUITINGChandler, Arizona, 85286, United States
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UCSD - Altman Clinical and Translational Research Institute (ACTRI)
NOT_YET_RECRUITINGLa Jolla, California, 92037, United States
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VIN - Aventura
RECRUITINGAventura, Florida, 33180, United States
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Yokohama Minami Kyosai Hospital
NOT_YET_RECRUITINGYokohama, 236-0037, Japan
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