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A Phase 2, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacodynamics of Intrathecally Administered ALN-APP in Patients with Cerebral Amyloid Angiopathy (CAA)

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2023-510137-29-01
Acronym
ALN-APP-002
Enrollment
50
Registered
2025-03-24
Start date
2025-04-09
Completion date
Unknown
Last updated
2025-08-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

causing problems such as bleeding into the brain, Cerebral Amyloid Angiopathy (CAA) is a neurological condition in which amyloid proteins build up in the walls of blood vessels in the brain

Brief summary

Annualized rate of new lobar Cerebral Microbleeds as detected by MRI in patients with Cerebral Amyloid Angiopathy (sCAA)

Detailed description

Global rank of patients based on clinical or MRI imaging outcomes by severity, count, presence of symptoms, and timing of: ­ New ICH ­ New cSS or cSAH ­ New lobar CMBs, Change from baseline over time in BOLD slope (amplitude over time-to-peak), amplitude, and time-to-peak detected, in a subset of enrolled patients, by visual-evoked fMRI, • Total number of new lobar CMBs over time detected by MRI • New ICH over time as detected by MRI or clinical diagnosis • Time to first ICH recurrence • New/extended cSS or new cSAH over time as detected by MRI or clinical diagnosis • Proportion of patients with hemorrhagic disease progression over time detected by MRI or clinical diagnosis where appropriate. • Total number of new symptomatic hemorrhages over time • Change from baseline over time in WMH volume, Change from baseline over time in total CAA SVD score as detected by MRI based on: ­ Lobar CMBs ­ CSO PVS ­ WMH ­ cSS, Change from baseline over time in sAPPα and in sAPPβ concentration in CSF

Interventions

DRUGPlacebo

Sponsors

Alnylam Pharmaceuticals Inc.
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Annualized rate of new lobar Cerebral Microbleeds as detected by MRI in patients with Cerebral Amyloid Angiopathy (sCAA)

Secondary

MeasureTime frame
Global rank of patients based on clinical or MRI imaging outcomes by severity, count, presence of symptoms, and timing of: ­ New ICH ­ New cSS or cSAH ­ New lobar CMBs, Change from baseline over time in BOLD slope (amplitude over time-to-peak), amplitude, and time-to-peak detected, in a subset of enrolled patients, by visual-evoked fMRI, • Total number of new lobar CMBs over time detected by MRI • New ICH over time as detected by MRI or clinical diagnosis • Time to first ICH recurrence • New/extended cSS or new cSAH over time as detected by MRI or clinical diagnosis • Proportion of patients with hemorrhagic disease progression over time detected by MRI or clinical diagnosis where appropriate. • Total number of new symptomatic hemorrhages over time • Change from baseline over time in WMH volume, Change from baseline over time in total CAA SVD score as detected by MRI based on: ­ Lobar CMBs ­ CSO PVS ­ WMH ­ cSS, Change from baseline over time in sAPPα and in sAPPβ concentration in CS

Countries

Netherlands

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026