Study to Assess Safety and Efficacy of PRI-002 in Patients With MCI to Mild Dementia Due to Alzheimer's Disease (AD)

Last updated: April 16, 2026
Sponsor: PRInnovation GmbH
Overall Status: Active - Not Recruiting

Phase

2

Condition

Dementia

Memory Loss

Memory Problems

Treatment

Placebo

PRI-002

Clinical Study ID

NCT06182085
PRI-002-004
  • Ages 55-80
  • All Genders

Study Summary

Alzheimer's disease (AD) is the most common form of dementia. In the brains of people with AD, certain small substances stick together. This leads to changes in thinking and behaviour. The company PRInnovation is developing a new treatment for Alzheimer's disease, called PRI-002. It is thought that PRI-002 can cut the sticked substances back into small pieces. That would reduce the effects of Alzheimer's disease. In the current study the investigators examine whether PRI-002 is safe and effective in participants with mild cognitive impairment (MCI) or mild dementia due to AD.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Signed and dated written informed consent obtained from the subject and studycompanion in accordance with applicable regulations.

  2. Male or female, aged 55 to 80 years, inclusive.

  3. For female subjects: not being of child-bearing potential. This is defined as eitherpermanently sterilised (via hysterectomy, bilateral salpingectomy, or bilateraloophorectomy) or postmenopausal (defined as no menses for 12 months without analternative medical cause). For male subjects who are sexually active with women of child-bearing potential:agreeing to use acceptable contraception (using a condom or having demonstratedsuccessful vasectomy) and not donate sperm from Screening until 12 weeks after thelast dose of study treatment.

  4. Body mass index (BMI) between 18.5 and 30.0 kg/m2, inclusive.

  5. Diagnosed with MCI due to AD or mild dementia due to AD, according to the NIA-AAcriteria.

  6. MMSE score of 22 to 30, inclusive.

  7. Repeatable battery for the assessment of neuropsychological status - delayed memoryindex (RBANS-DMI) score ≤85.

  8. CDR global score of 0.5 or 1 with a memory score ≥0.5.

  9. Confirmation of AD diagnosis, by

  • CSF biomarker profile reflecting AD, according to NIA-AA, or

  • existing positive amyloid positron emission tomography (PET) evidence.

  1. Fluency in local language and evidence of adequate intellectual functioning in theopinion of the investigator.

  2. Having a reliable informant or caregiver who is willing and able to act as the studycompanion throughout the duration of the subject's participation. The subject andthe study companion must have frequent interaction (defined as a minimum of 6hours/week on average) according to subject's report.

Exclusion

Exclusion Criteria:

  1. Unable to give informed consent in accordance with applicable regulations.

  2. Diagnosed with moderate or severe dementia due to AD according to NIA-AA.

  3. History or evidence of any other central nervous system (CNS) disorder(s) that couldbe interpreted as a cause of cognitive impairment or dementia.

  4. History of known or suspected seizures, loss of consciousness, or significant headtrauma within 2 years before Screening.

  5. History of known or suspected stroke or transient ischaemic attack (TIA) within 2years before Screening.

  6. Evidence of other clinically significant lesions on brain MRI (Fazekas score 3).

  7. History or presence of clinically evident cerebrovascular disease (diagnosis ofpossible, probable, or definite vascular dementia).

  8. Other significant pathological findings on brain MRI (for example more than 10microhaemorrhages or a single macrohaemorrhage >10 mm at the greatest diameter).

  9. Unstable medical, neurological, or psychiatric condition, or presence of majordepressive episode at Screening.

  10. Life-time history of schizophrenia or history of uncontrolled bipolar disorderwithin 5 years before Screening.

  11. Having a bleeding disorder that is not under adequate control (defined as a plateletcount <50000 or international normalised ratio [INR] >1.5). Participants who are onanticoagulant therapy (for example, warfarin), should have their anticoagulantstatus optimised and be on a stable dose for 30 days before Screening. Anticoagulanttherapy (e.g., clopidogrel bisulfate, carbasalate calcium 100 mg/day, or aspirin 325mg/day or less) is permitted provided this therapy does not represent acontraindication for a lumbar puncture and CSF sampling (if CSF sampling is requiredin the absence of historical PET evidence).

  12. Having significant kidney disease as indicated by either of the following:

  • Creatinine clearance (eGFR) ≤30 mL/min/1.73m2) as estimated using themodification of diet in renal disease (MDRD) method, or

  • Creatinine ≥2 mg/dL.

  1. Having impaired hepatic function as indicated by aspartate amino transferase (AST)or alanine amino transferase (ALT) >3-fold the upper limit of normal (ULN), or totalbilirubin >2-fold ULN, at Screening.

  2. Known to be human immunodeficiency virus (HIV) positive.

  3. Known to be hepatitis C or chronic hepatitis B positive.

  4. Having any other clinically significant abnormalities in physical examination, vitalsigns, laboratory tests, MRI, or ECG at Screening or Baseline which in the opinionof the investigator requires further investigation or treatment or which mayinterfere with study procedures or safety.

  5. Use of licensed symptomatic AD medication for less than 90 days or at a non-stabledose over the past 90 days at Baseline (for example acetylcholinesterase inhibitors,memantine, ginkgo).

  6. Use of anti-Aβ monoclonal antibody therapy at Baseline.

  7. Treatment with one of the following substances:

  8. Typical antipsychotic or neuroleptic medication within 90 days before Screening (except for ≤1 mg risperidon, and ≤300 mg quetiapin).

  9. Chronic use of opiates or opioids (including long-acting opioid medication)within 90 days before Screening.

  10. Stimulant medications (amphetamine, methylphenidate preparations, or modafinil)within 30 days before Screening.

  11. Chronic use of benzodiazepines, barbiturates, or hypnotics within 90 daysbefore Screening.

  12. Contraindication to MRI. Patients with MRI compatible pacemakers may be allowed toenter the study.

  13. Prior or current participation in a clinical trial testing active immunisationagainst Aβ or tau.

  14. Participation in a clinical trial and having taken at least 1 dose of theinvestigational medicinal product (IMP), within 5 times the IMP half-life timebefore Baseline, unless confirmed as having been on placebo.

Study Design

Total Participants: 304
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 2
Study Start date:
December 01, 2023
Estimated Completion Date:
June 30, 2026

Study Description

Alzheimer's disease (AD) is a progressive neurodegenerative disorder and the most common form of dementia. The post-mortem pathology of AD is mainly characterised by neurodegeneration as well as extracellular amyloid plaques and intracellular neurofibrillary tangles. Research suggests that the amyloid-β-peptide (Aβ) aggregation plays a major role in the development of AD, while Aβ oligomers are thought to be the most toxic species. Therefore, various strategies to develop AD therapeutics address Aβ and some examples include trying to reduce its formation, inhibit its aggregation to fibrils or enhancing its clearance.

PRI-002 is being investigated as a possible treatment for cognitive impairment due to AD. PRI-002 is an all D-amino acid peptide (all-D-peptide) consisting of a rationally designed primary structure, resulting in efficient removal of Aβ oligomers. PRI-002 specifically aims to eliminate neurotoxic Aβ oligomers by disassembling prion-like behaving Aβ oligomers into non-toxic Aβ monomer units. This therapeutic principle is new and unique and differs from that of other amyloid related drug candidates currently in clinical development, which aim to increase the degradation rate of different Aβ species.

The current trial is a Phase 2 proof-of-concept study to further investigate the safety and efficacy of PRI-002 in patients with mild cognitive impairment (MCI) or mild dementia due to AD.

Connect with a study center

  • Neuro Health Centrum ltd.

    Brno, 62800
    Czechia

    Site Not Available

  • Neuro Health Centrum ltd.

    Brno 3078610, 62800
    Czechia

    Site Not Available

  • NeuropsychiatrieHK, s.r.o.

    Hradec Králové, 50341
    Czechia

    Site Not Available

  • NeuropsychiatrieHK, s.r.o.

    Hradec Králové 3074967, 50341
    Czechia

    Site Not Available

  • A-Shine, s.r.o.

    Pilsen, 30100
    Czechia

    Site Not Available

  • A-Shine, s.r.o.

    Pilsen 3068160, 30100
    Czechia

    Site Not Available

  • A-Shine, s.r.o.

    Plzen, 30100
    Czechia

    Site Not Available

  • CLINTRIAL, s.r.o.

    Prague, 10000
    Czechia

    Site Not Available

  • FORBELI s.r.o.

    Prague, 14800
    Czechia

    Site Not Available

  • INEP Medical s.r.o.

    Prague, 18600
    Czechia

    Site Not Available

  • Neuropsychiatrie s.r.o.

    Prague, 16000
    Czechia

    Site Not Available

  • CLINTRIAL, s.r.o.

    Prague 3067696, 10000
    Czechia

    Site Not Available

  • FORBELI s.r.o.

    Prague 3067696, 14800
    Czechia

    Site Not Available

  • INEP Medical s.r.o.

    Prague 3067696, 18600
    Czechia

    Site Not Available

  • Neuropsychiatrie s.r.o.

    Prague 3067696, 16000
    Czechia

    Site Not Available

  • Hospices Civils de Lyon

    Lyon, Auvergne Rhône-Alpes 69002
    France

    Site Not Available

  • University Hospital - Pitié-Salpêtrière Hospital/ Charles Foix

    Paris, Ile De France 75013
    France

    Site Not Available

  • CHU Bordeaux CMRR - IMNc

    Bordeaux, Nouvelle Aquitaine 30000
    France

    Site Not Available

  • CHU de Toulouse - Hopital la Grave

    Toulouse, Occitanie 31059
    France

    Site Not Available

  • Centre Mémoire Institut Claude Pompidou

    Nice, Provence-Alpes-Côte d'Azur 06100
    France

    Site Not Available

  • Uniklinik RWTH Aachen

    Aachen, 52074
    Germany

    Site Not Available

  • Uniklinik RWTH Aachen

    Aachen 3247449, 52074
    Germany

    Site Not Available

  • Charité - Universitätsmedizin

    Berlin, 13125
    Germany

    Site Not Available

  • Charité - Universitätsmedizin

    Berlin 2950159, 13125
    Germany

    Site Not Available

  • Universitätsklinikum Düsseldorf

    Düsseldorf, 40225
    Germany

    Site Not Available

  • Universitätsklinikum Düsseldorf

    Düsseldorf 2934246, 40225
    Germany

    Site Not Available

  • Universitätsklinikum Schlesweig-Holstein - Klinik für Neurologie

    Kiel, 24105
    Germany

    Site Not Available

  • Universitätsklinikum Magdeburg

    Magdeburg, 39120
    Germany

    Site Not Available

  • Universitätsklinikum Magdeburg

    Magdeburg 2874545, 39120
    Germany

    Site Not Available

  • ISPG - Institut für Studien zur Psychischen Gesundheit

    Mannheim, 68165
    Germany

    Site Not Available

  • ISPG - Institut für Studien zur Psychischen Gesundheit

    Mannheim 2873891, 68165
    Germany

    Site Not Available

  • Technische Universität München

    München, 81675
    Germany

    Site Not Available

  • Technische Universität München

    München 2867711, 81675
    Germany

    Site Not Available

  • Universitätsklinikum Münster - Klinik für Allgemeine Neurologie

    Münster, 48149
    Germany

    Site Not Available

  • Universitätsklinikum Münster - Klinik für Allgemeine Neurologie

    Münster 2867543, 48149
    Germany

    Site Not Available

  • University Medical Center Rostock

    Rostock, 18147
    Germany

    Site Not Available

  • University Medical Center Rostock

    Rostock 2844588, 18147
    Germany

    Site Not Available

  • Universitätsklinikum Ulm

    Ulm, 89081
    Germany

    Site Not Available

  • Universitätsklinikum Ulm

    Ulm 2820256, 89081
    Germany

    Site Not Available

  • Ospedale Bellaria - IRCCS Istituto delle Scienze Neurologiche

    Bologna, 40139
    Italy

    Site Not Available

  • Ospedale Bellaria - IRCCS Istituto delle Scienze Neurologiche

    Bologna 3181928, 40139
    Italy

    Site Not Available

  • ASST Spedali Civili di Brescia

    Brescia, 25123
    Italy

    Site Not Available

  • ASST Spedali Civili di Brescia

    Brescia 3181554, 25123
    Italy

    Site Not Available

  • Clinica Neurologica Dipartimento di Neuroscienze e Imaging (CAST)

    Chieti, 66013
    Italy

    Site Not Available

  • Clinica Neurologica Dipartimento di Neuroscienze e Imaging (CAST)

    Chieti 3178796, 66013
    Italy

    Site Not Available

  • Fondazione IRCCS.Istituto Neurologico Carlo Besta

    Milan, 20133
    Italy

    Site Not Available

  • IRCCS Ospedale San Raffaele

    Milan, 20132
    Italy

    Site Not Available

  • Fondazione IRCCS.Istituto Neurologico Carlo Besta

    Milan 3173435, 20133
    Italy

    Site Not Available

  • IRCCS Ospedale San Raffaele

    Milan 3173435, 20132
    Italy

    Site Not Available

  • ICS Maugeri Milano Camadoli

    Milano,
    Italy

    Site Not Available

  • Ospedale Civile di Baggiovara - AOU di Modena

    Modena, 41124
    Italy

    Site Not Available

  • Ospedale Santa Maria della Misericordia

    Perugia, 06129
    Italy

    Site Not Available

  • Ospedale Santa Maria della Misericordia

    Perugia 3171180, 06129
    Italy

    Site Not Available

  • AOU Policlinico Umberto I

    Rome, 00161
    Italy

    Site Not Available

  • Fondazione Policlinico Universitario A. Gemelli IRCCS

    Rome, 00168
    Italy

    Site Not Available

  • AOU Policlinico Umberto I

    Rome 3169070, 00161
    Italy

    Site Not Available

  • Fondazione Policlinico Universitario A. Gemelli IRCCS

    Rome 3169070, 00168
    Italy

    Site Not Available

  • Brain Research Center Den Bosch B.V.

    's-Hertogenbosch, 5223 LA
    Netherlands

    Site Not Available

  • Brain Research Center Den Bosch B.V.

    's-Hertogenbosch 2747351, 5223 LA
    Netherlands

    Site Not Available

  • Brain Research Center Amsterdam B.V.

    Amsterdam, 1081 GN
    Netherlands

    Site Not Available

  • Brain Research Center Amsterdam B.V.

    Amsterdam 2759794, 1081 GN
    Netherlands

    Site Not Available

  • Brain Research Center Den Bosch B.V.

    Den Bosch, 5223 LA
    Netherlands

    Site Not Available

  • Brain Research Center Zwolle B.V.

    Zwolle, 8025 AZ
    Netherlands

    Site Not Available

  • Brain Research Center Zwolle B.V.

    Zwolle 2743477, 8025 AZ
    Netherlands

    Site Not Available

  • Revit Sp. z o.o., Podlaskie Centrum Psychogeriatrii

    Bialystok, 15-756
    Poland

    Site Not Available

  • Revit Sp. z o.o., Podlaskie Centrum Psychogeriatrii

    Bialystok 776069, 15-756
    Poland

    Site Not Available

  • Krakowska Akademia Neurologii Sp. z o.o., Centrum Neurologii Klinicznej

    Krakow, 30-505
    Poland

    Site Not Available

  • NeuroCor, ul. Medweciego 7/U12

    Krakow, 31-870
    Poland

    Site Not Available

  • Krakowska Akademia Neurologii Sp. z o.o., Centrum Neurologii Klinicznej

    Krakow 3094802, 30-505
    Poland

    Site Not Available

  • NeuroCor, ul. Medweciego 7/U12

    Krakow 3094802, 31-870
    Poland

    Site Not Available

  • Krakowska Akademia Neurologii Sp. z o.o., Centrum Neurologii Klinicznej

    Kraków, 30-505
    Poland

    Site Not Available

  • NeuroCor, ul. Medweciego 7/U12

    Kraków, 31-870
    Poland

    Site Not Available

  • Euromedis Sp. z o.o., Centrum Medyczne EUROMEDIS

    Szczecin, 70-111
    Poland

    Site Not Available

  • Euromedis Sp. z o.o., Centrum Medyczne EUROMEDIS

    Szczecin 3083829, 70-111
    Poland

    Site Not Available

  • Neuroprotect Sp. z o.o., Centrum Medyczne NeuroProtect

    Warsaw, 01-684
    Poland

    Site Not Available

  • Neuroprotect Sp. z o.o., Centrum Medyczne NeuroProtect

    Warsaw 756135, 01-684
    Poland

    Site Not Available

  • Wielospecjalistyczne Centrum Medyczne "Ibismed" s.c.

    Zabrze, 41-800
    Poland

    Site Not Available

  • Wielospecjalistyczne Centrum Medyczne "Ibismed" s.c.

    Zabrze 3080985, 41-800
    Poland

    Site Not Available

  • Hospital Clínico Universitario Virgen de la Arrixaca

    El Palmar, Murcia 30120
    Spain

    Site Not Available

  • Hospital Clínico Universitario Virgen de la Arrixaca

    El Palmar 2518294, Murcia 2513413 30120
    Spain

    Site Not Available

  • Cae Oroitu

    Algorta, Vizcaya 48993
    Spain

    Site Not Available

  • Fundació ACE - Institut Català de Neurociències Aplicades

    Barcelona, 08028
    Spain

    Site Not Available

  • Fundació ACE - Institut Català de Neurociències Aplicades

    Barcelona 3128760, 08028
    Spain

    Site Not Available

  • Hospital Universitario Virgen Macarena,

    Sevilla, 41003
    Spain

    Site Not Available

  • Hospital Universitario Virgen Macarena,

    Seville, 41003
    Spain

    Site Not Available

  • Hospital Universitario Virgen Macarena,

    Seville 2510911, 41003
    Spain

    Site Not Available

  • Hospital Universitario Doctor Peset

    Valencia, 46017
    Spain

    Site Not Available

  • Hospital Universitario Doctor Peset

    Valencia 2509954, 46017
    Spain

    Site Not Available

  • Hospital Viamed Montecanal

    Zaragoza, 50012
    Spain

    Site Not Available

  • Hospital Viamed Montecanal

    Zaragoza 3104324, 50012
    Spain

    Site Not Available

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