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
CompletedPhase 1, PHASE2Results postedLast 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.
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 TEAEsPrimary· 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
Group
Value
95% CI
Cohort A: E2814 750 mg
4
Cohort A: E2814 1500 mg
1
Cohort A+B: E2814 3000 mg
8
Cohort A: E2814 4500 mg
4
Serious TEAEs
Group
Value
95% CI
Cohort A: E2814 750 mg
0
Cohort A: E2814 1500 mg
0
Cohort A+B: E2814 3000 mg
2
Cohort A: E2814 4500 mg
1
Number of Participants With Markedly Abnormal Laboratory ValuesPrimary· 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.
Group
Value
95% CI
Cohort A: E2814 750 mg
0
Cohort A: E2814 1500 mg
1
Cohort A+B: E2814 3000 mg
1
Cohort A: E2814 4500 mg
2
Number of Participants With Clinically Significant Change in Vital Signs ValuesPrimary· 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.
Group
Value
95% CI
Cohort A: E2814 750 mg
0
Cohort A: E2814 1500 mg
0
Cohort A+B: E2814 3000 mg
0
Cohort A: E2814 4500 mg
0
Number of Participants With Clinically Significant Change in Electrocardiogram (ECG) FindingsPrimary· From first dose of study drug up to 120 weeks
The clinically significant assessment was based on investigator judgement.
Group
Value
95% CI
Cohort A: E2814 750 mg
0
Cohort A: E2814 1500 mg
0
Cohort A+B: E2814 3000 mg
0
Cohort A: E2814 4500 mg
0
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 WeeksPrimary· 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
Group
Value
95% CI
Cohort A: E2814 750 mg
-0.0534
± 0.0690
Change in CSF Free MTBR-tau299
Group
Value
95% CI
Cohort A: E2814 750 mg
-0.0147
± 0.0267
Change in CSF Bound MTBR-tau354
Group
Value
95% CI
Cohort A: E2814 750 mg
0.178
± 0.0886
Change in CSF Bound MTBR-tau299
Group
Value
95% CI
Cohort A: E2814 750 mg
0.0420
± 0.0194
Change in CSF Total MTBR-tau354
Group
Value
95% CI
Cohort A: E2814 750 mg
0.125
± 0.0899
Change in CSF Total MTBR-tau299
Group
Value
95% CI
Cohort A: E2814 750 mg
0.0273
± 0.0191
Cohort A, Cmax: Maximum Observed Plasma Concentration for E2814Secondary· 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.
Group
Value
95% CI
Cohort A: E2814 750 mg
218
± 25.9
Cohort A: E2814 1500 mg
499
± 24.3
Cohort A, Tmax: Time to Reach the Maximum Plasma Concentration for E2814Secondary· 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.
Group
Value
95% CI
Cohort A: E2814 750 mg
1.00
1.00 – 5.00
Cohort A: E2814 1500 mg
1.00
1.00 – 5.00
Cohort A, AUC(0-672h): Area Under the Plasma Concentration-time Curve From Zero Time to 672 Hours for E2814Secondary· 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.
Group
Value
95% CI
Cohort A: E2814 750 mg
66500
± 23.2
Cohort A, Cmax: Maximum Observed Serum Concentration for E2814Secondary· 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.
Group
Value
95% CI
Cohort A: E2814 750 mg
41.7
± 64.1
Cohort A: E2814 1500 mg
101
± 47.1
Cohort A, Tmax: Time to Reach the Maximum Serum Concentration for E2814Secondary· 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.
Group
Value
95% CI
Cohort A: E2814 750 mg
1.00
1.00 – 25.00
Cohort A: E2814 1500 mg
5.00
1.00 – 9.00
Cohort A, AUC(0-672h): Area Under the Serum Concentration-time Curve From Zero Time to 672 Hours for E2814Secondary· 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.
Group
Value
95% CI
Cohort A: E2814 750 mg
8030
± 54.8
Cohort A: CSF Concentrations of E2814Secondary· 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
Group
Value
95% CI
Cohort A: E2814 750 mg
0
± 0
Day 84: Pre-dose
Group
Value
95% CI
Cohort A: E2814 750 mg
172
± 77.8
Day 85: Pre-dose
Group
Value
95% CI
Cohort A: E2814 750 mg
153
± 32.2
Day 169: Pre-dose
Group
Value
95% CI
Cohort A: E2814 1500 mg
429
± 212
Day 253: Pre-dose
Group
Value
95% CI
Cohort A: E2814 3000 mg
806
± 426
Day 421: Pre-dose
Group
Value
95% CI
Cohort A: E2814 3000 mg
1035
± 35.4
Day 757: Pre-dose
Group
Value
95% CI
Cohort A: E2814 4500 mg
1611
± 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)
Reaction
System
Cohort A: E2814 750 mg
Cohort A: E2814 1500 mg
Cohort A+B: E2814 3000 mg
Cohort A: E2814 4500 mg
Lower respiratory tract infection
Infections and infestations
—
—
—
—
Arthritis
Musculoskeletal and connective tissue disorders
—
—
—
—
Cerebral venous sinus thrombosis
Nervous system disorders
—
—
—
—
Seizure
Nervous system disorders
—
—
—
—
Vaginal haemorrhage
Reproductive system and breast disorders
—
—
—
—
Other adverse events (44 terms — click to expand)
Reaction
System
Cohort A: E2814 750 mg
Cohort A: E2814 1500 mg
Cohort A+B: E2814 3000 mg
Cohort A: E2814 4500 mg
COVID-19
Infections and infestations
—
—
—
—
Upper respiratory tract infection
Infections and infestations
—
—
—
—
Bundle branch block left
Cardiac disorders
—
—
—
—
Vertigo
Ear and labyrinth disorders
—
—
—
—
Diarrhoea
Gastrointestinal disorders
—
—
—
—
Vomiting
Gastrointestinal disorders
—
—
—
—
Gait disturbance
General disorders
—
—
—
—
Non-cardiac chest pain
General disorders
—
—
—
—
Peripheral swelling
General disorders
—
—
—
—
Fungal infection
Infections and infestations
—
—
—
—
Fungal skin infection
Infections and infestations
—
—
—
—
Genital herpes
Infections and infestations
—
—
—
—
Hordeolum
Infections and infestations
—
—
—
—
Nasopharyngitis
Infections and infestations
—
—
—
—
Otitis media
Infections and infestations
—
—
—
—
Clavicle fracture
Injury, poisoning and procedural complications
—
—
—
—
Eye injury
Injury, poisoning and procedural complications
—
—
—
—
Fall
Injury, poisoning and procedural complications
—
—
—
—
Rib fracture
Injury, poisoning and procedural complications
—
—
—
—
Skin laceration
Injury, poisoning and procedural complications
—
—
—
—
Arthralgia
Musculoskeletal and connective tissue disorders
—
—
—
—
Neck pain
Musculoskeletal and connective tissue disorders
—
—
—
—
Pain in extremity
Musculoskeletal and connective tissue disorders
—
—
—
—
Chronic lymphocytic leukaemia recurrent
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
—
—
—
—
Skin papilloma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
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):
NCT06602258 — A Study of E2814 With Concurrent Lecanemab Treatment in Participants With Early Alzheimer's Disease
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NCT04231513 — A Study to Assess Safety, Tolerability, Pharmacokinetics (PK), Immunogenicity, and Pharmacodynamics (PD) of Intravenous
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Eisai Inc.
Last refreshed: 10 June 2025
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.