A Phase 2 Trial of ALN-APP in Patients With Cerebral Amyloid Angiopathy

Last updated: March 30, 2026
Sponsor: Alnylam Pharmaceuticals
Overall Status: Active - Recruiting

Phase

2

Condition

Amyloidosis

Alzheimer's Disease

Treatment

Placebo

ALN-APP

Clinical Study ID

NCT06393712
ALN-APP-002
2023-510137-29-00
  • Ages > 30
  • All Genders

Study Summary

The purpose of the study is to evaluate the effect of ALN-APP on measures of CAA disease progression and to characterize the safety, tolerability, and pharmacodynamics (PD) of ALN-APP in adult patients with sporadic CAA (sCAA) and Dutch-type CAA (D-CAA). The study will be conducted over 2 periods: a 24-month double-blind treatment period and an optional 18-month open-label extension (OLE) period. The estimated duration of study participation, inclusive of screening, treatment, and additional safety follow-up, is up to 50 months.

Eligibility Criteria

Inclusion

Inclusion Criteria (sporadic CAA patients):

  • Is 50 years or older

  • Has probable CAA per the Boston Criteria Version 2.0

Inclusion Criteria (Dutch-type CAA patients):

  • Is 30 years or older

  • Has known E693Q amyloid precursor protein (APP) gene mutation for Dutch-type CAA

Exclusion

Exclusion Criteria:

  • Moderate or severe stage Alzheimer's disease (AD) or significant cognitiveimpairment (CI)

  • Has a history of previous clinical intracerebral hemorrhage (ICH) with onset lessthan 90 days prior to anticipated randomization in the study

  • Has alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >3×upperlimit of normal (ULN) at Screening

  • Has estimated glomerular filtration rate (eGFR) <30 mL/min/1.73m^2 at Screening

  • Has recently received an investigational agent

  • Has had treatment with amyloid-targeting antibody

Note: other protocol defined inclusion / exclusion criteria apply

Study Design

Total Participants: 200
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 2
Study Start date:
May 17, 2024
Estimated Completion Date:
December 14, 2029

Connect with a study center

  • Clinical Trial Site

    Adelaide, 5000
    Australia

    Active - Recruiting

  • Clinical Trial Site

    Adelaide 2078025, 5000
    Australia

    Site Not Available

  • Clinical Trial Site

    Brisbane, 4029
    Australia

    Active - Recruiting

  • Clinical Trial Site

    Brisbane 2174003, 4029
    Australia

    Site Not Available

  • Clinical Trial Site

    Heidelberg, 3084
    Australia

    Active - Recruiting

  • Clinical Trial Site

    Heidelberg 2163654, 3084
    Australia

    Site Not Available

  • Clinical Trial Site

    Herston,
    Australia

    Site Not Available

  • Clinical Trial Site

    Herston 6931014,
    Australia

    Site Not Available

  • Clinical Trial Site

    Nedlands, 6009
    Australia

    Active - Recruiting

  • Clinical Trial Site

    Nedlands 2064874, 6009
    Australia

    Site Not Available

  • Clinical Trial Site

    Parkville, 3050
    Australia

    Active - Recruiting

  • Clinical Trial Site

    Parkville 2153770, 3050
    Australia

    Site Not Available

  • Clinical Trial Site

    Calgary, T2N 4Z6
    Canada

    Active - Recruiting

  • Clinical Trial Site

    Calgary 5913490, T2N 4Z6
    Canada

    Site Not Available

  • Clinical Trial Site

    Hamilton, L8L 2X2
    Canada

    Active - Recruiting

  • Clinical Trial Site

    Hamilton 5969782, L8L 2X2
    Canada

    Site Not Available

  • Clinical Trial Site

    Kelowna, V1Y 1Z9
    Canada

    Active - Recruiting

  • Clinical Trial Site

    Kelowna 5990579, V1Y 1Z9
    Canada

    Site Not Available

  • Clinical Trial Site

    Moncton, E1C 2Z3
    Canada

    Active - Recruiting

  • Clinical Trial Site

    Moncton 6076211, E1C 2Z3
    Canada

    Site Not Available

  • Clinical Trial Site

    Montreal, H3G 1H9
    Canada

    Active - Recruiting

  • Clinical Trial Site

    Montreal 6077243, H3A 2B4
    Canada

    Site Not Available

  • Clinical Trial Site

    Ottawa, K1Z 1G3
    Canada

    Active - Recruiting

  • Clinical Trial Site

    Ottawa 6094817, K1Z 1G3
    Canada

    Site Not Available

  • Clinical Trial Site

    Richmond,
    Canada

    Site Not Available

  • Clinical Trial Site

    Richmond 6122085,
    Canada

    Site Not Available

  • Clinical Trial Site

    Toronto, M3B 2S7
    Canada

    Active - Recruiting

  • Clinical Trial Site

    Toronto 6167865, M3B 2S7
    Canada

    Site Not Available

  • Clinical Trial Site

    Victoria, V8R 1J8
    Canada

    Active - Recruiting

  • Clinical Trial Site

    Victoria 6174041, V8R 1J8
    Canada

    Site Not Available

  • Clinical Trial Site

    Amsterdam, 1081 GN
    Netherlands

    Active - Recruiting

  • Clinical Trial Site

    Amsterdam 2759794, 1081 GN
    Netherlands

    Site Not Available

  • Clinical Trial Site

    Leiden, 2333ZA
    Netherlands

    Active - Recruiting

  • Clinical Trial Site

    Leiden 2751773, 2333ZA
    Netherlands

    Site Not Available

  • Clinical Trial Site

    Nijmegen, 6525 GA
    Netherlands

    Active - Recruiting

  • Clinical Trial Site

    Nijmegen 2750053, 6525 GA
    Netherlands

    Site Not Available

  • Clinical Trial Site

    Bern, 3010
    Switzerland

    Active - Recruiting

  • Clinical Trial Site

    Bern 2661552, 3010
    Switzerland

    Site Not Available

  • Clinical Trial Site

    Geneva, 1205
    Switzerland

    Active - Recruiting

  • Clinical Trial Site

    Geneva 2660646, 1205
    Switzerland

    Site Not Available

  • Clinical Trial Site

    Geneve,
    Switzerland

    Site Not Available

  • Clinical Trial Site

    Sankt Gallen, 9007
    Switzerland

    Terminated

  • Clinical Trial Site

    Sankt Gallen 2658822, 9007
    Switzerland

    Site Not Available

  • Clinical Trial Site

    Denmark Hill,
    United Kingdom

    Site Not Available

  • Clinical Trial Site

    Glasgow, G51 4TF
    United Kingdom

    Active - Recruiting

  • Clinical Trial Site

    Glasgow 2648579, G51 4TF
    United Kingdom

    Site Not Available

  • Clinical Trial Site

    London, SE5 8AF
    United Kingdom

    Active - Recruiting

  • Clinical Trial Site

    London 2643743, SE5 8AF
    United Kingdom

    Site Not Available

  • Clinical Trial Site

    Los Angeles, California 90095
    United States

    Active - Recruiting

  • Clinical Trial Site

    Orange, California 92868
    United States

    Active - Recruiting

  • Clinical Trial Site

    Palo Alto, California 94304
    United States

    Active - Recruiting

  • Clinical Trial Site

    Sacramento, California 95816
    United States

    Active - Recruiting

  • Clinical Trial Site

    San Francisco, California 94114
    United States

    Active - Recruiting

  • Clinical Trial Site

    Los Angeles 5368361, California 5332921 90095
    United States

    Site Not Available

  • Clinical Trial Site

    Orange 5379513, California 5332921 92868
    United States

    Site Not Available

  • Clinical Trial Site

    Palo Alto 5380748, California 5332921 94304
    United States

    Site Not Available

  • Clinical Trial Site

    Sacramento 5389489, California 5332921 95816
    United States

    Site Not Available

  • Clinical Trial Site

    San Francisco 5391959, California 5332921 94114
    United States

    Site Not Available

  • Clinical Trial Site

    Aurora, Colorado 80045
    United States

    Active - Recruiting

  • Clinical Trial Site

    Aurora 5412347, Colorado 5417618 80045
    United States

    Site Not Available

  • Clinical Trial Site

    New Haven, Connecticut 06510
    United States

    Active - Recruiting

  • Clinical Trial Site

    New Haven 4839366, Connecticut 4831725 06510
    United States

    Site Not Available

  • Clinical Trial Site

    Gainesville, Florida 32608
    United States

    Active - Recruiting

  • Clinical Trial Site

    Jacksonville, Florida 32224
    United States

    Active - Recruiting

  • Clinical Trial Site

    Maitland, Florida 32751
    United States

    Active - Recruiting

  • Clinical Trial Site

    Naples, Florida 34105
    United States

    Active - Recruiting

  • Clinical Trial Site

    Gainesville 4156404, Florida 4155751 32608
    United States

    Site Not Available

  • Clinical Trial Site

    Jacksonville 4160021, Florida 4155751 32224
    United States

    Site Not Available

  • Clinical Trial Site

    Maitland 4163220, Florida 4155751 32751
    United States

    Site Not Available

  • Clinical Trial Site

    Naples 4165565, Florida 4155751 34105
    United States

    Site Not Available

  • Clinical Trial Site

    Chicago, Illinois 60612
    United States

    Active - Recruiting

  • Clinical Trial Site

    Chicago 4887398, Illinois 4896861 60612
    United States

    Site Not Available

  • Clinical Trial Site

    Lexington, Kentucky 40504
    United States

    Active - Recruiting

  • Clinical Trial Site

    Lexington 4297983, Kentucky 6254925 40504
    United States

    Site Not Available

  • Clinical Trial Site

    New Orleans, Louisiana 70121
    United States

    Active - Recruiting

  • Clinical Trial Site

    New Orleans 4335045, Louisiana 4331987 70121
    United States

    Site Not Available

  • Clinical Trial Site

    Boston, Massachusetts 02114
    United States

    Active - Recruiting

  • Clinical Trial Site

    Plymouth, Massachusetts 02360
    United States

    Active - Recruiting

  • Clinical Trial Site

    Boston 4930956, Massachusetts 6254926 02114
    United States

    Site Not Available

  • Clinical Trial Site

    Plymouth 4947597, Massachusetts 6254926 02360
    United States

    Site Not Available

  • Clinical Trial Site

    Rochester, Minnesota 55905
    United States

    Active - Recruiting

  • Clinical Trial Site

    Rochester 5043473, Minnesota 5037779 55905
    United States

    Site Not Available

  • Clinical Trial Site

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Clinical Trial Site

    St Louis, Missouri 63110
    United States

    Active - Recruiting

  • Clinical Trial Site

    St Louis 4407066, Missouri 4398678 63110
    United States

    Site Not Available

  • Clinical Trial Site

    Hackensack, New Jersey 07601
    United States

    Active - Recruiting

  • Clinical Trial Site

    Hackensack 5098706, New Jersey 5101760 07601
    United States

    Site Not Available

  • Clinical Trial Site

    New York, New York 10029
    United States

    Active - Recruiting

  • Clinical Trial Site

    New York 5128581, New York 5128638 10016
    United States

    Site Not Available

  • Clinical Trial Site

    Durham, North Carolina 27705
    United States

    Active - Recruiting

  • Clinical Trial Site

    Durham 4464368, North Carolina 4482348 27705
    United States

    Site Not Available

  • Clinical Trial Site

    Canton, Ohio 44718
    United States

    Active - Recruiting

  • Clinical Trial Site

    Cleveland, Ohio 44195
    United States

    Active - Recruiting

  • Clinical Trial Site

    Canton 5149222, Ohio 5165418 44718
    United States

    Site Not Available

  • Clinical Trial Site

    Cleveland 5150529, Ohio 5165418 44195
    United States

    Site Not Available

  • Clinical Trial Site

    Abington, Pennsylvania 19001
    United States

    Active - Recruiting

  • Clinical Trial Site

    Philadelphia, Pennsylvania 19104
    United States

    Active - Recruiting

  • Clinical Trial Site

    Pittsburgh, Pennsylvania 15213
    United States

    Active - Recruiting

  • Clinical Trial Site

    Abington 5177773, Pennsylvania 6254927 19001
    United States

    Site Not Available

  • Clinical Trial Site

    Philadelphia 4560349, Pennsylvania 6254927 19104
    United States

    Site Not Available

  • Clinical Trial Site

    Pittsburgh 5206379, Pennsylvania 6254927 15213
    United States

    Site Not Available

  • Clinical Trial Site

    Dallas, Texas 75243
    United States

    Active - Recruiting

  • Clinical Trial Site

    Houston, Texas 77030
    United States

    Active - Recruiting

  • Clinical Trial Site

    San Antonio, Texas 78229
    United States

    Active - Recruiting

  • Clinical Trial Site

    Dallas 4684888, Texas 4736286 75390
    United States

    Site Not Available

  • Clinical Trial Site

    Houston 4699066, Texas 4736286 77030
    United States

    Site Not Available

  • Clinical Trial Site

    San Antonio 4726206, Texas 4736286 78229
    United States

    Site Not Available

  • Clinical Trial Site

    Seattle, Washington 98104
    United States

    Active - Recruiting

  • Clinical Trial Site

    Seattle 5809844, Washington 5815135 98104
    United States

    Site Not Available

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