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NCT04971733

A Study to Assess Safety and Target Engagement of E2814 in Participants With Mild to Moderate Cognitive Impairment Due to Dominantly Inherited Alzheimer's Disease

Completed Phase 1, PHASE2 Results posted Last updated 10 June 2025
What this trial tests

Phase 1, PHASE2 trial testing E2814 in Alzheimer Disease in 8 participants. Completed in 24 May 2024.

Timeline
28 June 2021
Primary endpoint
24 May 2024
24 May 2024

Quick facts

Lead sponsorEisai Inc.
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsequential
Maskingnone
Primary purposetreatment
Enrollment8
Start date28 June 2021
Primary completion24 May 2024
Estimated completion24 May 2024
Sites3 locations across United Kingdom, United States

Drugs / interventions tested

Conditions studied

Sponsor

Eisai Inc. — full company profile →

Who can join

Adults 18 to 80, any sex, with Alzheimer Disease. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs Primary · From first dose of study drug up to 120 weeks

A TEAE was defined as adverse event (AE) that started at or after the time of administration of study drug or a worsening of severity from Baseline on or after 1st dose up to last assessment. An AE was any untoward medical occurrence in a participant or clinical investigation participant administered an investigational product. An AE did not necessarily have a causal relationship with the medicinal product. SAE was any untoward medical occurrence that at any dose: resulted in death; was life-threatening (that is, the participant was at immediate risk of death from the AE as it occurred; this d

TEAEs
GroupValue95% CI
Cohort A: E2814 750 mg4
Cohort A: E2814 1500 mg1
Cohort A+B: E2814 3000 mg8
Cohort A: E2814 4500 mg4
Serious TEAEs
GroupValue95% CI
Cohort A: E2814 750 mg0
Cohort A: E2814 1500 mg0
Cohort A+B: E2814 3000 mg2
Cohort A: E2814 4500 mg1
Number of Participants With Markedly Abnormal Laboratory Values Primary · From first dose of study drug up to 120 weeks

Clinical laboratory tests included hematology, clinical chemistry, and urinalysis assessments. Markedly abnormal value was defined as a post-baseline value with an increase from baseline to a grade of 2 or higher on Common Terminology Criteria for Adverse events (CTCAE) Version 5.0 scale.

GroupValue95% CI
Cohort A: E2814 750 mg0
Cohort A: E2814 1500 mg1
Cohort A+B: E2814 3000 mg1
Cohort A: E2814 4500 mg2
Number of Participants With Clinically Significant Change in Vital Signs Values Primary · From first dose of study drug up to 120 weeks

Vital sign measurements included systolic and diastolic blood pressure, pulse, respiratory rate, body temperature, height and weight assessment. The clinically significant assessment was based on investigator judgement.

GroupValue95% CI
Cohort A: E2814 750 mg0
Cohort A: E2814 1500 mg0
Cohort A+B: E2814 3000 mg0
Cohort A: E2814 4500 mg0
Number of Participants With Clinically Significant Change in Electrocardiogram (ECG) Findings Primary · From first dose of study drug up to 120 weeks

The clinically significant assessment was based on investigator judgement.

GroupValue95% CI
Cohort A: E2814 750 mg0
Cohort A: E2814 1500 mg0
Cohort A+B: E2814 3000 mg0
Cohort A: E2814 4500 mg0
Cohort A: Change From Baseline in Cerebrospinal Fluid (CSF) Free, CSF Bound and Total Microtubule Binding Region of Tau (MTBR-tau; Starting at Amino Acid 354 and 299) at 12 Weeks Primary · Pre-dose at Week 12

Total MTBR-Tau was the total of bound MTBR-Tau + free MTBR-Tau. CSF samples were collected for the assessment.

Change in CSF Free MTBR-tau354
GroupValue95% CI
Cohort A: E2814 750 mg-0.0534± 0.0690
Change in CSF Free MTBR-tau299
GroupValue95% CI
Cohort A: E2814 750 mg-0.0147± 0.0267
Change in CSF Bound MTBR-tau354
GroupValue95% CI
Cohort A: E2814 750 mg0.178± 0.0886
Change in CSF Bound MTBR-tau299
GroupValue95% CI
Cohort A: E2814 750 mg0.0420± 0.0194
Change in CSF Total MTBR-tau354
GroupValue95% CI
Cohort A: E2814 750 mg0.125± 0.0899
Change in CSF Total MTBR-tau299
GroupValue95% CI
Cohort A: E2814 750 mg0.0273± 0.0191
Cohort A, Cmax: Maximum Observed Plasma Concentration for E2814 Secondary · Cohort A, E2814 750 mg: Day 1 pre-dose up to 25 hours post-dose; Cohort A, E2814 1500 mg: Day 85 pre-dose up to 25 hours post-dose

The concentration of E2814 were measured by validated electrochemiluminescence assay methods and/or by a validated immunoprecipitation/purification followed by liquid chromatography with tandem mass spectrometry methods.

GroupValue95% CI
Cohort A: E2814 750 mg218± 25.9
Cohort A: E2814 1500 mg499± 24.3
Cohort A, Tmax: Time to Reach the Maximum Plasma Concentration for E2814 Secondary · Cohort A, E2814 750 mg: Day 1 pre-dose up to 25 hours post-dose; Cohort A, E2814 1500 mg: Day 85 pre-dose up to 25 hours post-dose

The concentration of E2814 was measured by validated electrochemiluminescence assay methods and/or by a validated immunoprecipitation/purification followed by liquid chromatography with tandem mass spectrometry methods.

GroupValue95% CI
Cohort A: E2814 750 mg1.001.00 – 5.00
Cohort A: E2814 1500 mg1.001.00 – 5.00
Cohort A, AUC(0-672h): Area Under the Plasma Concentration-time Curve From Zero Time to 672 Hours for E2814 Secondary · Cohort A, E2814 750 mg: Day 1 pre-dose up to 672 hours post-dose; Cohort A, E2814 1500 mg: Day 85 pre-dose up to 672 hours post-dose

The concentration of E2814 was measured by validated electrochemiluminescence assay methods and/or by a validated immunoprecipitation/purification followed by liquid chromatography with tandem mass spectrometry methods.

GroupValue95% CI
Cohort A: E2814 750 mg66500± 23.2
Cohort A, Cmax: Maximum Observed Serum Concentration for E2814 Secondary · Cohort A, E2814 750 mg: Day 1 pre-dose up to 25 hours post-dose; Cohort A, E2814 1500 mg: Day 85 pre-dose up to 25 hours post-dose

The concentration of E2814 was measured by validated electrochemiluminescence assay methods and/or by a validated immunoprecipitation/purification followed by liquid chromatography with tandem mass spectrometry methods.

GroupValue95% CI
Cohort A: E2814 750 mg41.7± 64.1
Cohort A: E2814 1500 mg101± 47.1
Cohort A, Tmax: Time to Reach the Maximum Serum Concentration for E2814 Secondary · Cohort A, E2814 750 mg: Day 1 pre-dose up to 25 hours post-dose; Cohort A, E2814 1500 mg: Day 85 pre-dose up to 25 hours post-dose

The concentration of E2814 was measured by validated electrochemiluminescence assay methods and/or by a validated immunoprecipitation/purification followed by liquid chromatography with tandem mass spectrometry methods.

GroupValue95% CI
Cohort A: E2814 750 mg1.001.00 – 25.00
Cohort A: E2814 1500 mg5.001.00 – 9.00
Cohort A, AUC(0-672h): Area Under the Serum Concentration-time Curve From Zero Time to 672 Hours for E2814 Secondary · Cohort A, E2814 750 mg: Day 1 pre-dose up to 672 hours post-dose; Cohort A, E2814 1500 mg: Day 85 pre-dose up to 672 hours post-dose

The concentration of E2814 was measured by validated electrochemiluminescence assay methods and/or by a validated immunoprecipitation/purification followed by liquid chromatography with tandem mass spectrometry methods.

GroupValue95% CI
Cohort A: E2814 750 mg8030± 54.8
Cohort A: CSF Concentrations of E2814 Secondary · Pre-dose at Days 1, 84, 85, 169, 253, 421, and 757

The concentration of E2814 was measured by validated electrochemiluminescence assay methods and/or by a validated immunoprecipitation/purification followed by liquid chromatography with tandem mass spectrometry methods.

Day 1: Pre-dose
GroupValue95% CI
Cohort A: E2814 750 mg0± 0
Day 84: Pre-dose
GroupValue95% CI
Cohort A: E2814 750 mg172± 77.8
Day 85: Pre-dose
GroupValue95% CI
Cohort A: E2814 750 mg153± 32.2
Day 169: Pre-dose
GroupValue95% CI
Cohort A: E2814 1500 mg429± 212
Day 253: Pre-dose
GroupValue95% CI
Cohort A: E2814 3000 mg806± 426
Day 421: Pre-dose
GroupValue95% CI
Cohort A: E2814 3000 mg1035± 35.4
Day 757: Pre-dose
GroupValue95% CI
Cohort A: E2814 4500 mg1611± 1567

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug up to 120 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort A: E2814 750 mg
Serious: 0/7 (0%)
Deaths: 0/7
Cohort A: E2814 1500 mg
Serious: 0/7 (0%)
Deaths: 0/7
Cohort A+B: E2814 3000 mg
Serious: 2/8 (25%)
Deaths: 0/8
Cohort A: E2814 4500 mg
Serious: 1/4 (25%)
Deaths: 0/4

Serious adverse events (5 terms)

ReactionSystemCohort A: E2814 750 mgCohort A: E2814 1500 mgCohort A+B: E2814 3000 mgCohort A: E2814 4500 mg
Lower respiratory tract infectionInfections and infestations
ArthritisMusculoskeletal and connective tissue disorders
Cerebral venous sinus thrombosisNervous system disorders
SeizureNervous system disorders
Vaginal haemorrhageReproductive system and breast disorders
Other adverse events (44 terms — click to expand)

ReactionSystemCohort A: E2814 750 mgCohort A: E2814 1500 mgCohort A+B: E2814 3000 mgCohort A: E2814 4500 mg
COVID-19Infections and infestations
Upper respiratory tract infectionInfections and infestations
Bundle branch block leftCardiac disorders
VertigoEar and labyrinth disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
Gait disturbanceGeneral disorders
Non-cardiac chest painGeneral disorders
Peripheral swellingGeneral disorders
Fungal infectionInfections and infestations
Fungal skin infectionInfections and infestations
Genital herpesInfections and infestations
HordeolumInfections and infestations
NasopharyngitisInfections and infestations
Otitis mediaInfections and infestations
Clavicle fractureInjury, poisoning and procedural complications
Eye injuryInjury, poisoning and procedural complications
FallInjury, poisoning and procedural complications
Rib fractureInjury, poisoning and procedural complications
Skin lacerationInjury, poisoning and procedural complications
ArthralgiaMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Chronic lymphocytic leukaemia recurrentNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Skin papillomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
AphasiaNervous system disorders
BradykinesiaNervous system disorders
DizzinessNervous system disorders
HemiapraxiaNervous system disorders
MigraineNervous system disorders
MyoclonusNervous system disorders
Tension headacheNervous system disorders
AgitationPsychiatric disorders
AnxietyPsychiatric disorders
Confusional statePsychiatric disorders
DelusionPsychiatric disorders
HallucinationPsychiatric disorders
Hallucination, visualPsychiatric disorders
Hypertonic bladderRenal and urinary disorders
Micturition urgencyRenal and urinary disorders

Most-reported serious reactions: Lower respiratory tract infection, Arthritis, Cerebral venous sinus thrombosis, Seizure, Vaginal haemorrhage.

Data from ClinicalTrials.gov NCT04971733 adverse events section.

Sponsor's own description

The primary objective of the study is to assess the safety and tolerability of intravenous (IV) infusions of E2814 in participants with dominantly inherited Alzheimer's disease (DIAD), and to evaluate target engagement (TE) of E2814 on microtubule binding region (MTBR)-tau species in cerebrospinal fluid (CSF) in participants with DIAD.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Recent advances in Alzheimer's disease: Mechanisms, clinical trials and new drug development strategies.
    Zhang J, Zhang Y, Wang J, Xia Y, et al · · 2024 · cited 489× · PMID 39174535 · DOI 10.1038/s41392-024-01911-3
  2. Alzheimer's disease drug development pipeline: 2022.
    Cummings J, Lee G, Nahed P, Kambar MEZN, et al · · 2022 · cited 369× · PMID 35516416 · DOI 10.1002/trc2.12295
  3. Alzheimer's disease drug development pipeline: 2023.
    Cummings J, Zhou Y, Lee G, Zhong K, et al · · 2023 · cited 326× · PMID 37251912 · DOI 10.1002/trc2.12385
  4. Tau and neuroinflammation in Alzheimer's disease: interplay mechanisms and clinical translation.
    Chen Y, Yu Y. · · 2023 · cited 275× · PMID 37452321 · DOI 10.1186/s12974-023-02853-3
  5. Tau-targeting therapies for Alzheimer disease: current status and future directions.
    Congdon EE, Ji C, Tetlow AM, Jiang Y, et al · · 2023 · cited 246× · PMID 37875627 · DOI 10.1038/s41582-023-00883-2
  6. Tauopathies: new perspectives and challenges.
    Zhang Y, Wu KM, Yang L, Dong Q, et al · · 2022 · cited 212× · PMID 35392986 · DOI 10.1186/s13024-022-00533-z
  7. Alzheimer's disease drug development pipeline: 2024.
    Cummings J, Zhou Y, Lee G, Zhong K, et al · · 2024 · cited 209× · PMID 38659717 · DOI 10.1002/trc2.12465
  8. Immunotherapy for Alzheimer's disease: targeting β-amyloid and beyond.
    Song C, Shi J, Zhang P, Zhang Y, et al · · 2022 · cited 160× · PMID 35300725 · DOI 10.1186/s40035-022-00292-3

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Other trials of E2814

Trials testing the same drug.

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Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04971733.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing