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Alzheimer's trial to test drug on people without symptoms to see if it can be prevented

Created at 5 Sep · 11:46 AM1 source↑ Market-relevant
IN SHORT

A new clinical trial, PrevenTRON, is investigating whether Roche's drug Trontinemab can prevent Alzheimer's disease before symptoms emerge. The trial will enroll individuals aged 55-80 with elevated biomarkers for cognitive decline but no memory loss.

Key Numbers

1,600people to be recruited globally for the trial
55 to 80age range for participants
78%estimated chance of cognitive impairment within 10 years for those with highest
95%accuracy of blood tests measuring p-tau217 in identifying Alzheimer's
9 out of 10people with early-stage Alzheimer's cleared amyloid plaques with Trontinemab in
28 weekstimeframe for plaque clearance in early research
4 to 6 yearsexpected duration of the trial
10 yearstime before symptoms typically appear when Alzheimer's develops
1 in 14people over 65 affected by Alzheimer's
1 in 6people over 80 affected by Alzheimer's

Who's Involved

Surrey and Borders Partnership NHS foundation trust
running the first European screening for the PrevenTRON trial
Prof Ramin Nilforooshan
consultant psychiatrist and chief investigator for the PrevenTRON trial
Roche
Swiss pharmaceutical company that developed Trontinemab

↳ Why This Matters

This trial represents a significant shift in Alzheimer's research, moving from treatment to prevention by targeting individuals before symptoms emerge. If successful, it could offer a way to halt the progression of dementia for millions worldwide.

Key facts

  • A new clinical trial, PrevenTRON, is testing the drug Trontinemab to prevent Alzheimer's disease.
  • The trial will enroll healthy middle-aged individuals (55-80) with elevated p-tau217 biomarkers but no memory loss.
  • Trontinemab, developed by Roche, targets and clears amyloid plaques in the brain.
  • Previous research indicated Trontinemab cleared amyloid plaques in 90% of early-stage Alzheimer's patients.
  • The trial is international, recruiting approximately 1,600 people globally.
  • The Surrey and Borders Partnership NHS foundation trust is leading recruitment in the UK.

A new clinical trial, named PrevenTRON, is set to investigate whether an experimental drug can prevent Alzheimer's disease before symptoms manifest. The trial, led by the Surrey and Borders Partnership NHS foundation trust as part of an international effort, will recruit approximately 1,600 individuals aged 55 to 80 globally. Participants will be screened to ensure they have no memory problems but possess elevated levels of p-tau217, a biomarker indicating a higher risk of cognitive decline.

The drug being tested, Trontinemab, developed by Roche, targets and aims to clear amyloid plaques in the brain, a key characteristic of Alzheimer's. Early research suggested Trontinemab was effective in clearing these plaques in a significant majority of patients with early-stage Alzheimer's or mild cognitive impairment.

Professor Ramin Nilforooshan, the chief investigator, highlighted the shift in research focus from treating the disease after symptoms appear to preventing it. He emphasized that Trontinemab is an investigational medicine and its efficacy in prevention is yet to be determined.

The trial is expected to last four to six years, with participants randomly assigned to receive either Trontinemab or a placebo. Alzheimer's disease is known to develop in the brain up to a decade before memory problems become apparent, affecting a substantial portion of the elderly population.

Frequently asked questions

PrevenTRON is a phase III clinical trial investigating whether the drug Trontinemab can prevent the development of Alzheimer's disease in individuals without symptoms but with elevated risk biomarkers.

Healthy middle-aged people aged 55 to 80 who have no memory problems but have elevated levels of the p-tau217 biomarker are eligible.

Trontinemab is designed to attack amyloid plaques, a toxic protein that builds up in the brain and contributes to the development of Alzheimer's disease.

The trial is expected to last for four to six years.

What Happens Next

01First European participants to be screened by Surrey and Borders Partnership NHS foundation trust.
02At least 15 hospitals and clinics across the UK are expected to join the study by year-end.
03Trial recruitment is led by the Surrey and Borders Partnership Trust.
CME Headlines
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How It Developed

A new Alzheimer's prevention trial, PrevenTRON, has begun in Europe.
The trial aims to test Roche's drug Trontinemab on individuals without symptoms.
Participants will be screened for elevated p-tau217 biomarkers.
The drug Trontinemab targets amyloid plaques in the brain.
The study is expected to last four to six years.
The Surrey and Borders Partnership NHS foundation trust is leading recruitment in the UK.

Sources

T1
Alzheimer’s trial to test drug on people without symptoms to see if it can be preventedThe Guardian

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