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First-in-human study of RO7812653

A Phase I, randomized, double-blind, placebo-controlled, parallel group, single ascending dose study to investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of RO7812653 following intrathecal administration in participants with early symptomatic Alzheimer’s disease

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN10651912
Enrollment
45
Registered
2025-12-11
Start date
2025-11-28
Completion date
Unknown
Last updated
2026-02-02

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

Conditions

Early symptomatic Alzheimer’s disease (eAD) Nervous System Diseases

Interventions

1. RO7812653: Participants will receive a dose of RO7812653 as per the schedule in the protocol. 2. Placebo: Participants will receive a dose of placebo as per the schedule in the protocol.

Sponsors

F. Hoffmann-La Roche AG
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Screening Clinical Dementia Rating Global Score (CDR-GS) of 0.5 or 1.0 2. Evidence of AD pathological process, as confirmed by the p-tau 181/Aß1-42 ratio CSF test or amyloid beta positron emission tomography (Aß PET) 3. Fluency in the language of the tests used at the study site 4. Adequate visual and auditory acuity, in the investigator’s judgment, sufficient to perform the neuropsychological testing (eyewear and hearing aids are permitted) 5. If the participant is receiving symptomatic AD medications, a stable dosing regimen for at least 8 weeks prior to screening and until randomisation is required 6. Agreement not to participate in other research studies for the duration of this study

Exclusion criteria

Exclusion criteria: 1. Any evidence of a condition other than AD that may affect cognition (at the time of screening) 2. Presence of any significant cerebral abnormalities that would contraindicate lumbar puncture, as assessed on MRI 3. Any other significant cerebral abnormalities that the Investigator considers clinically significant 4. History of schizophrenia, schizoaffective disorder, major depression or bipolar disorder 5. Impaired coagulation (international normalized ratio [INR] > 1.3 that remains abnormal on retest) 6. Uncontrolled hypertension

Design outcomes

Primary

MeasureTime frame
1. Percentage of participants with adverse events assessed using NCI CTCAE v5.0 up to approximately 40 weeks 2. Suicidal ideation and behaviours measured using the Columbia-Suicide Severity Rating Scale (C-SSRS) from baseline up to approximately 40 weeks

Secondary

MeasureTime frame
1. Plasma concentration of RO7812653 measured using validated assays at multiple timepoints up to approximately 40 weeks 2. Cerebral spinal fluid (CSF) concentration of RO7812653 measured using validated assays at multiple timepoints up to approximately 40 weeks 3. Percentage of participants with anti-drug antibodies (ADAs) to RO7812653 measured using validated assays at multiple timepoints up to approximately 40 weeks

Countries

Canada, England, Netherlands, Poland, Scotland, Spain, Sweden, United Kingdom

Contacts

Public ContactClinical Trials
global.trial_information@roche.com+41 (0)616878333

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 7, 2026