New Alzheimer's drug shows promise in Mid-Stage trial
NCT ID NCT06881836
First seen Jun 27, 2026 · Last updated Sep 01, 2026 · Updated 2 times
Summary
This study tests a new medicine called ONO-2020 in 240 people with mild to moderate Alzheimer's disease. The goal is to see if it can safely improve memory and thinking skills. Participants will receive either the drug or a placebo for 26 weeks, and researchers will track side effects and cognitive changes.
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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260 people
The number who actually took part.
- Started
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Apr 2025
- Expected to finish
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Sep 2026
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: 1. Have a diagnosis of Alzheimer's disease according to the recommendations from the revised criteria for diagnosis and staging of Alzheimer's disease: Alzheimer's Association Workgroup , along with any positive AD-specific biomarker results (abnormal Core 1 or Core 2 biomarkers) from a previous diagnosis or at screening. 2. Have a previous MRI or CT scan of the brain, which was performed within 1 year prior to enrollment in the study, to confirm that more recent neurological events (e.g., stroke) would not potentially constitute a confounder in the assessment of the etiology of the participant's cognitive status. 3. MMSE score of 15 to 24, inclusive, and MMSE score cannot deviate more than 3 points in either direction between the screening and baseline visits. 4. AD numeric clinical stage 4 or stage 5 based on NIA-AA criteria 2024, at screening and baseline visits 5. Participants receiving concurrent AD treatment (acetylcholinesterase inhibitors and /or memantine) must be on a stable dose for at least 90 days prior to randomization, and the participant must be willing to remain on the same dose for the duration of the study. 6. Have the ability to comply with procedures for cognitive and other tests in the opinion of the investigator 7. If female, postmenopausal for at least 1 year 8. Non-vasectomized male participants with female partners of childbearing potential must agree to use an effective method of contraception from dosing on Day 1 until 3 months after the last administration of study intervention and agree not to donate sperm until 3 months after the last administration of study intervention. 9. Participant must have a Caregiver who has frequent contact with the participant (defined as at least 8 hours per week spread across 3\~4 visits per week) to provide support to the participant to ensure compliance with study requirements. The Caregiver must be willing to consent to participate in this study, to provide a rating of the extent and severity of change of the participant's memory, problem-solving abilities, or activities of daily living from prior abilities. 10. General health status acceptable for participation in the study, and the participant must be able to ingest pills. 11. Participant and his/her Caregiver have provided full written informed consent prior to the performance of any protocol-specified procedure; or if a participant is unable to provide informed consent due to cognitive status, he/she has provided assent, and a legally acceptable representative (LAR) has provided full written informed consent on behalf of the participant. Exclusion Criteria: 1. Participants with dementia or other memory impairment not due to Alzheimer's disease, including, but not limited to, dementia with Lewy bodies, vascular dementia, Parkinson's disease, Huntington disease, corticobasal degeneration, Creutzfeldt-Jakob disease, progressive supranuclear palsy, frontotemporal degeneration, normal pressure hydrocephalus, hypoxia, severe sleep apnea or other chronic sleep disturbance, or baseline intellectual disability. 2. Participants with a history of stroke, well-documented transient ischemic attack, or pulmonary or cerebral embolism. 3. History of significant psychiatric illness such as schizophrenia or bipolar affective disorder, or history or current major depressive disorder in the past year and any other significant psychiatric illness that in the opinion of the investigator could interfere with participation in the study. 4. Participants with delirium or history of delirium within the 30 days prior to the screening visit. 5. Have suicide ideation according to the investigator's clinical judgment as per the Columbia-Suicide Severity Rating Scale (C-SSRS) at screening or have made a suicide attempt in the 6 months prior to screening. 6. Clinically significant ECG abnormality as judged by the investigator. 7. Confirmed absolute QTcF \>450 msec for males or \>470 msec for females. 8. Positive results at screening for active viral infections that include human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), and hepatitis C virus (HCV) RNA PCR test. 9. Participants with total bilirubin, alanine transaminase (ALT) or aspartate transaminase (AST) greater than 1.5×upper limit of normal (ULN), or international normalized ratio (INR) greater than 1.7 at screening. 10. Participants with estimated creatinine clearance (CrCL, Cockcroft-Gault equation) ≤30 mL/min at screening. 11. Participants with a history of treatment, and/or current treatment, with anti-Aβ antibodies 12. Changes in any medications that, in the opinion of the investigator, may potentially impair participants' ability to perform cognitive testing or study procedures during the study period (from Screening to EOT), and their dosing should be stable for at least 1 month before Screening (such as benzodiazepines and sedatives/hypnotics). All concomitant medications must be kept as stable as medically possible during the study. 13. Participants who have taken any investigational products, or used investigational medical devices, within 3 months or five half-lives of the therapy (whichever is longer) with respect to first dosing and throughout the 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.
Contacts and locations
Locations
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AD-CARE; University of Rochester
Rochester, New York, 14620, United States
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Accel Research Sites - Brain and Spine Institute
Port Orange, Florida, 32127, United States
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ActivMed Research
Methuen, Massachusetts, 01844, United States
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Advanced Clinical Institute Inc.
West Long Branch, New Jersey, 07764, United States
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Advanced Memory Research Institute of NJ (CenExel AMRI)
Toms River, New Jersey, 08755, United States
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Ascension Alexian Brothers Medical Center
Elk Grove Village, Illinois, 60007, United States
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Banner Alzheimer's Institute (BAI)
Phoenix, Arizona, 85006, United States
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Banner Sun Health Research Institute
Sun City, Arizona, 85351, United States
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Be Well Clinical Studies
Round Rock, Texas, 78681, United States
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Boston Clinical Trials
Boston, Massachusetts, 02131, United States
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Brain Matters Research
Delray Beach, Florida, 33445, United States
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CenExel Rocky Mountain Clinical Research
Englewood, Colorado, 80113, United States
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CenExel iResearch, LLC
Savannah, Georgia, 31405, United States
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Center for Neurosciences-Research
Tucson, Arizona, 85718, United States
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Central Texas Neurology Consultants
Round Rock, Texas, 78681, United States
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Charter Research - Orlando
Orlando, Florida, 32803, United States
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Charter Research - The Villages
The Villages, Florida, 32162, United States
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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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Cleveland Clinic Lou Ruvo Center for Brain Health
Las Vegas, Nevada, 89106, United States
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Clinical Endpoints
Scottsdale, Arizona, 85258, United States
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Conquest Research LLC
Winter Park, Florida, 32789, United States
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Federation of National Public Service Personnel Mutual Aid Associations Tachikawa Hospital
Tokyo, Japan
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ForCare Clinical Research
Tampa, Florida, 33647, United States
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Grayline Research Center
Wichita Falls, Texas, 76309, United States
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Himeji Central Hospital Clinic
Hyōgo, Japan
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Horizon Clinical Research Group
Cypress, Texas, 77429, United States
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Ichiekai Itsuki Hospital
Tokushima, Japan
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Ikuseikai Shinozuka Hospital
Gunma, Japan
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Imon Yukari Neurology Clinic
Hiroshima, Japan
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Inage Neurology and Memory Clinic
Chiba, Japan
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Jichiidai Station Brain Clinic
Tochigi, Japan
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Kagawa Prefectural Central Hospital
Kagawa, Japan
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Katayama Medical Clinic
Okayama, Japan
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Kingfisher Cooperative; LLC
Spokane, Washington, 99201, United States
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Kobe City Medical Center General Hospital
Hyōgo, Japan
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Mabashi Clinic
Chiba, Japan
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Meiwakai Izaki Clinic
Nagasaki, Japan
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Memory Clinic Ochanomizu
Tokyo, Japan
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Memory Clinic Toride
Ibaraki, Japan
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NHO Hiroshima-Nishi Medical Center
Hiroshima, Japan
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NYU Center for Cognitive Neurology
New York, New York, 10016, United States
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National Center for Geriatrics and Gerontology
Aichi, Japan
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Neural Net Research / Center for Cognitive Health
Portland, Oregon, 97225, United States
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Neuro Behavioral Clinical Research, Inc.
North Canton, Ohio, 44720, United States
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NeuroScience Research Center
Canton, Ohio, 44718, United States
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Neurology Center of North Orange County
Fullerton, California, 92835, United States
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Neurology Clinic, P.C.
Cordova, Tennessee, 38018, United States
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Neurology Diagnostics Research
Dayton, Ohio, 45459, United States
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New Hope Clinical Research
Charlotte, North Carolina, 28211, United States
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Olympus Clinical Research - Katy
Katy, Texas, 77450, United States
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Oregon Health & Science University
Portland, Oregon, 97239, United States
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Penn Medicine
Philadelphia, Pennsylvania, 19104, United States
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Profound Research LLC at The Neurology Center of Southern California
Carlsbad, California, 92011, United States
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Quantum Clinical Trials
Miami Beach, Florida, 33140, United States
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Re:Cognition Health - Fairfax
Fairfax, Virginia, 22031, United States
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Re:Cognition Health-Chicago
Chicago, Illinois, 60611, United States
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Renstar Medical Research
Ocala, Florida, 34470, United States
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Rhode Island Hospital
Providence, Rhode Island, 02903, United States
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Sandhill Research, LLC d/b/a Accel Research Sites - NeuroStudies CRU
Decatur, Georgia, 30030, United States
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Southern Tohoku Medical Clinic
Fukushima, Japan
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Stanford University
Palo Alto, California, 94304, United States
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Stony Brook University Hospital
Stony Brook, New York, 11794, United States
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Suncoast Clinical Research
New Port Richey, Florida, 34652, United States
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Sunwise Clinical Research
Walnut Creek, California, 94596, United States
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Takesato Hospital
Saitama, Japan
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Texas Neurology
Dallas, Texas, 75206, United States
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The Cognitive and Research Center of New Jersey
Springfield, New Jersey, 07081, United States
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The Feinstein Institutes for Medical Research
Manhasset, New York, 11030, United States
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The Ohio State University
Columbus, Ohio, 43221, United States
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Tokyo Medical University Hospital
Tokyo, Japan
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Tokyo Metropolitan Institute for Geriatrics and Gerontology
Tokyo, Japan
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USF Health Byrd Alzheimer's Institute
Tampa, Florida, 33613, United States
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Univ of Kentucky Sanders-Brown Center on Aging
Lexington, Kentucky, 40504, United States
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University at Buffalo
Buffalo, New York, 14203, United States
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University of Cincinnati
Cincinnati, Ohio, 45219, United States
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University of Kansas Medical Center
Fairway, Kansas, 66205, United States
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Vanderbilt UMC-Cognitive Med
Nashville, Tennessee, 37212, United States
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Vector Clinical Trials
Las Vegas, Nevada, 89128, United States
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Velocity Clinical Research at Raleigh Neurology
Raleigh, North Carolina, 27607, United States
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Velocity Clinical Research, Boise
Meridian, Idaho, 83642, United States
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