A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of DNL593 in Healthy Participants and Participants With Frontotemporal Dementia (FTD-GRN)

Last updated: January 31, 2025
Sponsor: Denali Therapeutics Inc.
Overall Status: Active - Recruiting

Phase

1/2

Condition

Dementia

Frontotemporal Dementia

Memory Loss

Treatment

DNL593

Placebo

Clinical Study ID

NCT05262023
DNLI-H-0001
2021-005733-16
2023-508697-28-00
  • Ages 18-80
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

This is a Phase 1/2, multicenter, randomized, placebo-controlled, double-blind study to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of single and multiple doses of DNL593 in two parts followed by an optional open-label extension (OLE) period.

Part A will evaluate the safety, tolerability, PK, and PD of single doses of DNL593 in healthy male and healthy female participants of nonchildbearing potential. Part B will evaluate the safety, tolerability, PK, and PD of multiple doses of DNL593 in participants with frontotemporal dementia (FTD) over 25 weeks. Part B will be followed by Part C, an optional 18-month OLE period available for all participants who complete Part B.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

Part A:

  • Women of non-childbearing potential (surgically sterilized or post menopausal) ormen, aged ≥18 to ≤ 55 years

  • BMI of ≥ 18 to ≤ 32 kg/m²

  • When engaging in sex with a woman of child bearing potential, two forms of birthcontrol are required

Part B:

  • Women of non-childbearing potential (surgically sterilized or post menopausal) ormen, aged ≥18 to ≤ 80 years. Women who are of childbearing potential but on highlyeffective, low user dependent contraceptive methods will be allowed.

  • BMI of ≥ 18 to ≤ 32 kg/m²

  • Have a Clinical Dementia Rating® plus National Alzheimer's Coordinating Centerfrontotemporal lobar degeneration global score ≥ 0.5

  • Have confirmed granulin (GRN) mutation via genetic testing or historical recordsavailable for review by investigator

  • When engaging in sex with a woman of child bearing potential, both the maleparticipant and his female partner must use highly effective contraception

Part C:

  • All participants who completed Part B of this trial are eligible for an 18-month OLEif the participant has no unresolved clinically significant TEAEs, where continueddosing may represent a risk to participant safety.

Exclusion

Key Exclusion Criteria:

  • Have any history of clinically significant neurologic, psychiatric, endocrine,pulmonary, cardiovascular, gastrointestinal, hepatic, pancreatic, renal, metabolic,hematologic, immunologic, or allergic disease, or other major disorders

  • Have a history of malignancy, except fully resected basal cell carcinoma or othermalignancies at low risk of recurrence

  • Have a clinically significant history of stroke, cognitive impairment due to causesother than FTD, seizure within 5 years of screening, or head trauma with loss ofconsciousness within 2 years of screening

  • Have a positive serum pregnancy test or are currently lactating or breastfeeding

Study Design

Total Participants: 106
Treatment Group(s): 2
Primary Treatment: DNL593
Phase: 1/2
Study Start date:
February 01, 2022
Estimated Completion Date:
November 30, 2025

Connect with a study center

  • University of Antwerp

    Antwerp,
    Belgium

    Active - Recruiting

  • UZ Leuven

    Leuven,
    Belgium

    Site Not Available

  • L2IP - Instituto de Pesquisas Clinicas LTDA

    Brasília,
    Brazil

    Site Not Available

  • Hospital de Clinicas de Porto Alegre (HCPA) - PPDS

    Porto Alegre,
    Brazil

    Active - Recruiting

  • Faculdade de Medicina Da Universidade de São Paulo

    São Paulo,
    Brazil

    Site Not Available

  • Hospital Universitario San Ignacio

    Bogotá,
    Colombia

    Site Not Available

  • Fakultni nemocnice v Motole

    Prague,
    Czechia

    Site Not Available

  • CHU de Nantes

    Nantes,
    France

    Active - Recruiting

  • CHU Rouen

    Rouen,
    France

    Active - Recruiting

  • CHU Toulouse

    Toulouse,
    France

    Active - Recruiting

  • ASST degli Spedali Civili di Brescia

    Brescia,
    Italy

    Site Not Available

  • Azienda Ospedaliera Universitaria Careggi

    Firenze,
    Italy

    Active - Recruiting

  • IRCCS Istituto Auxologico Italiano

    Milano,
    Italy

    Active - Recruiting

  • Azienda Ospedaliera Cardinale G Panico

    Tricase,
    Italy

    Site Not Available

  • Erasmus University Medical Center

    Rotterdam,
    Netherlands

    Active - Recruiting

  • Hospital de Braga

    Braga,
    Portugal

    Active - Recruiting

  • Hospital Pedro Hispano

    Matosinhos,
    Portugal

    Site Not Available

  • Campus Neurológico Sénior

    Torres Vedras,
    Portugal

    Site Not Available

  • University Clinical Center Nis

    Niš,
    Serbia

    Site Not Available

  • Hospital Universitario de Donostia

    Donostia-San Sebastian, Guipúzcoa 20014
    Spain

    Active - Recruiting

  • Hospital Universitario de Donostia

    San Sebastian-Donosia, Guipúzcoa 20014
    Spain

    Site Not Available

  • Hospital Clinic de Barcelona

    Barcelona, 8036
    Spain

    Site Not Available

  • Hospital Universitario La Paz

    Madrid, 28046
    Spain

    Site Not Available

  • Hospital Universitario Virgen del Rocio

    Sevilla, 41013
    Spain

    Active - Recruiting

  • Hacettepe University

    Ankara,
    Turkey

    Site Not Available

  • Istanbul University Istanbul Medical Faculty

    Istanbul,
    Turkey

    Active - Recruiting

  • Ondokuz Mayis University Hospital

    Samsun,
    Turkey

    Active - Recruiting

  • Dokuz Eylul University Medical Faculty

    İzmir,
    Turkey

    Site Not Available

  • Simbec Orion

    Merthyr Tydfil, Wales CF48 4DR
    United Kingdom

    Completed

  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Active - Recruiting

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