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ACTIVE NOT RECRUITINGPhase1

A Study to Assess THN391 in Subjects With Alzheimer's Disease

Sponsor: Therini Bio, Inc.

NCT ID: NCT06814730

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
THN391 (drug), Placebo (drug), THN391 (drug), Placebo (drug)
How long the study runs
Study runs about 22 months (dates as stated)
About the drug or intervention
THN391 — drug: THN391, IV infusion, 3\*Q4W (every 4 weeks) · Placebo — drug: Placebo for comparison with THN391, IV infusion, 3\*Q4W · THN391 — drug: THN391, IV infusion, 6\*Q4W (every 4 weeks) · Placebo — drug: Placebo for comparison with THN391, IV infusion, 6\*Q4W
Patient visit burden
"11 months, with 19 clinic visits and 5 telephone calls with the site." (as stated by sponsor)
Type of study
Testing a treatment
Ages
60 Years to 85 Years
Who
All
Number of participants
19
Started
2025-07-17
Last checked
2026-07

Plain English Summary

What is this study?

  • • Testing a new treatment for alzheimer disease, early onset
  • • Phase1 - 19 participants
  • • This is a Phase 1b study to evaluate different doses of the drug and see whether a drug is safe and how it behaves in the body

Who can take part?

  • • Ages 60 Years to 85 Years
  • • Diagnosed with alzheimer disease, early onset

Where?

  • • Edinburgh - Scottish Brain Sciences
  • • London - University College London Hospitals

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

This is a Phase 1b study to evaluate different doses of the drug and see whether a drug is safe and how it behaves in the body. THN391 has already been assessed in healthy people without Alzheimer's disease. This is the first study of THN391 in patients with Early Alzheimer's disease. Later studies will evaluate THN391 to see if it is effective for the treatment of Alzheimer's disease. In this study, THN391 will be compared with a placebo (a look-alike substance that contains no drug). The study duration depends on the number of dose administrations: for the 3 doses administration, the duration is approx. 8 months, in which the participants will visit the clinic approximately 13 times and have 2 telephone calls with the site. For the 6 doses administration group (starting in Jan 2026), the duration is approx. 11 months, with 19 clinic visits and 5 telephone calls with the site. Patients who fulfill all criteria to participate in the study, will receive 3 or 6 times a monthly dose of THN391 or placebo in the clinic. Assessments that will be done at several timepoints during the study will be blood collection, physical examinations and neurological examinations, 5-7x an MRI-scan of the head, 3x a spinal tap and some testing of the memory and thinking skills.

More detail

This is a Phase 1b, randomized, double-blind, multi-center, placebo-controlled, multiple ascending dose trial in male and female participants, aged 60 to 85 years with Early Alzheimer's disease and cSVD. For the 3 dose administration group, the study duration is approximately 8 months: first screening to assess eligibility, then 2 months' treatment period (3 monthly doses), followed by a 6 month follow-up period. For the 6 dose administration group (starting in January 2026), the study duration is approximately 11 months: first screening to assess eligibility, then 5 months' treatment period (6 monthly doses), followed by a 6 month follow-up period. The trial will investigate THN391 in at least 3 dose cohorts, Depending on preliminary, blinded results of the first two cohorts, the sample sizes of the following dose cohort may be increased and/or additional dose cohorts may be added. Eligible participants will be randomized to receive either THN391 or placebo. Three or six dose administrations will be provided monthly. Participants will undergo clinical and laboratory-based safety-related assessments, as well as Pharmacodynamics (PD), immunogenicity, and blood Pharmacokinetic (PK) collections at different time points. Assessments will include 5-7 brain MRIs (Magnetic Resonance Imaging), 3 spinal taps, electrocardiograms (ECGs), vital signs, physical and neurological examinations, adverse event recordings, monitoring of mental health, and tests to determine the severity of Alzheimer's disease.

Alzheimer Disease, Early Onset

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 60 Years - 85 Years
  • Who can join: All genders

What the study is looking for

  • ✓Be willing and able to understand the study procedures and the risks involved and provide written agreement to take part...
  • ✓60 to 85 years of age (inclusive at the time of agreement to take part).
  • ✓Diagnosis of Early Alzheimer's Disease (AD)
  • ✓Diagnosis of cerebral Small Vessel Disease (cSVD), and having at least one of the following vascular risk factors:...

Who cannot take part

  • ✗Diagnosis of moderate or severe dementia
  • ✗Any other medical condition except for early AD (e.g. any clinically significant neurological, psychiatric or large...
  • ✗Use of anticoagulant, except for either clopidogrel or low dose aspirin, unless taken simultaneously
See the full criteria
Inclusion Criteria: * Be willing and able to understand the study procedures and the risks involved and provide written informed consent before the first study-related activity * 60 to 85 years of age (inclusive at the time of informed consent). * Diagnosis of Early Alzheimer's Disease (AD) * Diagnosis of cerebral Small Vessel Disease (cSVD), and having at least one of the following vascular risk factors: hypertension, Type 2 diabetes mellitus, or hyperlipidemia Exclusion criteria: * Diagnosis of moderate or severe dementia * Any other medical condition except for early AD (e.g. any clinically significant neurological, psychiatric or large vessel disease) that could affect interpretation of study assessments * Use of anticoagulant, except for either clopidogrel or low dose aspirin, unless taken simultaneously

Where Is This Study? (2 UK sites)

Scottish Brain Sciences

Edinburgh EH12 9DQ, United Kingdom

University College London Hospitals

London WC1N 3BG, United Kingdom

Hospital R&D contact (matched)

Rajinder Sidhu - Associate Director, Research Governance and Operations

uclh.jro-communications@nhs.net020 3447 9825
Data sourced from ClinicalTrials.gov · Last verified: 2026-07