Asset profile

Valiltramiprosate · ALZ-801

Small molecule

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Negativelead readout

Evidence outlook · lead readout

APOLLOE4 (NCT04770220) · Early Alzheimer's Disease

The lead readout missed its primary endpoint. The grade and rationale below record what the trial was designed to show and what it found.

APOLLOE4 (NCT04770220): This was a randomized, quadruple-blind, placebo-controlled trial with 325 participants, providing a strong study design. However, the primary cognitive endpoint was not met: the adjusted ADAS-Cog13 difference between ALZ-801 and placebo was -0.51 points, with p=0.6058; favorable MRI findings were exploratory and did not establish a significant benefit on the primary endpoint.

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Competitive landscape

60 competitors in this universe: 0 direct rivals (same mechanism and indication), 0 same-class, 60 same-indication; 6 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Valiltramiprosate (ALZ-801): this drugPhase 3Small moleculeAmyloid-beta oligomerization
Benzgalantamine (Zunveyl)ApprovedSmall moleculeAcetylcholinesterase/nicotinic receptor (prodrug)
Brexpiprazole (Rexulti)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Dextromethorphan / Bupropion (Auvelity)ApprovedSmall moleculesigma-1/NMDA
Donanemab (Kisunla)ApprovedMonoclonal antibodyAmyloid-beta (monoclonal antibody)
Lecanemab (Leqembi)ApprovedMonoclonal antibodyAmyloid-beta (monoclonal antibody)
Xanomeline / Trospium Chloride (Cobenfy)ApprovedSmall moleculeMuscarinic M1/M4 receptor (agonist/antagonist combination)
ACP-204Phase 3Small moleculeSerotonin 5-HT2A receptor (antagonist / inverse agonist)
AR1001Phase 3Small moleculePDE5
BezisterimPhase 3Small moleculeERK/NF-kB inflammatory
BlarcamesinePhase 3Small moleculeSigma-1 receptor / muscarinic receptor (dual)
BuntanetapPhase 3Small moleculeAPP/tau/alpha-synuclein/TDP-43 (translation)
CerebrolysinPhase 3PeptideMulti-target (ginsenoside)
GV1001Phase 3PeptideTelomerase (hTERT)
Hydromethylthionine MesylatePhase 3Small moleculeTau aggregation; Acetylcholine
Lemborexant (Dayvigo)Phase 3Small moleculeOrexin receptor (repositioned)

…and 45 more. Research shows the complete landscape.

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Upcoming events

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All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.