A phase 1/2a study of ARO-MAPT-SC in people with early Alzheimer’s disease

Last updated 05 October 2026

Status

Open
Phase 1
Phase 2

Contact

The Clinical Trial Finder is for information only. To join a clinical trial you must meet the eligibility criteria set by the study and the research team will discuss this with you.

Full title
A phase 1/2a placebo-controlled dose-escalating study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of aro-mapt-sc in healthy subjects and subjects with early Alzheimer’s disease

Trial description

What is the aim of the study?

This study is done to test an experimental drug for the treatment of Alzheimer’s disease. ARO-MAPT-SC is an experimental drug which means that it has not yet been approved by a drug regulatory authority.

Alzheimer’s disease is the most common type of dementia, a condition that affects how people think, remember, and learn. People with Alzheimer’s disease gradually find it harder to remember things, solve problems, and do everyday activities on their own. Scientists have found that in people with Alzheimer’s disease, certain proteins build up in the brain. One of these proteins is called tau. The tau forms twisted tangles.

These tangles damage the brain’s nerve cells, called neurons, making it harder for the brain to work properly. People who have more tau protein in their brains often have more serious Alzheimer’s disease symptoms.

There is currently no cure for Alzheimer’s disease and no approved treatments that directly target tau, highlighting the need for further research. Your participation could help advance better treatment options for early Alzheimer’s disease.

ARO-MAPT-SC (the study drug) is being developed to try to prevent, or potentially reverse tau protein build up in patients with early Alzheimer’s. This study compares the study drug (ARO-MAPT-SC) to a placebo (dummy drug).

The aim of this study is to test how safe the study drug is, and also to find which dose is most tolerated in people with early  Alzheimer’s disease.
 

What will participants be asked to do during the study?

People in the study will be put into their treatment groups by chance, like flipping a coin. This is a process called randomisation. There are 2 treatment options that a person could be given. These are the study drug (ARO-MAPT-SC) or a placebo (a dummy treatment that has no medicine in it).

In this study you have a 75% chance of getting the study drug and a 25% chance of getting the placebo. In other words, you are 3 times more likely to get the study drug than the placebo.

Find more information about why studies use blinding, randomisation and placebo controls.

The study medication will be given by injection under the skin (subcutaneous) as decided by the Study Doctor, usually the tummy.

During the study you will:

  • have some laboratory tests, such as blood, urine or spinal fluid tests. These tests help doctors check for any new side effects, such as symptoms or health changes that might happen after receiving the study medicines or placebo
  • have heart scans called ECG traces
  • complete tests that look at memory, thinking, and emotional wellbeing.

Your total participation will be approximately 46 weeks and will include 14 clinic visits. One of the visits may include an overnight stay. Visits are broken down into:

  • screening period (before treatment): 8 weeks
  • treatment period: 38 weeks

If participants would like more details about the tests, procedures, or number of visits, the study team can provide full information.

Eligibility criteria

Who can take part

You will need:

  • a confirmed diagnosis of Alzheimer's disease. Early Alzheimer’s disease is defined as mild cognitive impairment (MCI) due to Alzheimer’s disease
  • a carer or study partner who has daily contact you and can attend all clinic visits with you.

Who cannot take part

You cannot take part if you have:

  • been previously treated or currently receiving anti-amyloid therapies for Alzheimer's disease, including lecanemab and donanemab
  • a heart or cardiovascular condition such as high blood pressure, ventricular tachycardia or atrial fibrillation. 

If you are unsure if you meet the eligibility criteria, but you are interested in the study, please submit an enquiry and the research team can discuss whether you are eligible with you.

Clinical trial team

Sponsor
Arrowhead
Chief investigator
Professor Cath Mummery, National Hospital for Neurology and Neurosurgery, London

Age range

50-80 years old

Recruitment start

September 2026

Disease type

Alzheimer's disease
Other dementia

Mechanism of action

Disease modifying therapy

Trial locations

Cambridge
London - Charing Cross Hospital
London - South London and Maudsley Hospital
London - University College London Hospitals NHS Trust (not currently accepting new referrals)
Oxford
Southampton
Bath
Sheffield

Length of participation

11 months

Eligibility criteria

Who can take part

You will need:

  • a confirmed diagnosis of Alzheimer's disease. Early Alzheimer’s disease is defined as mild cognitive impairment (MCI) due to Alzheimer’s disease
  • a carer or study partner who has daily contact you and can attend all clinic visits with you.

Who cannot take part

You cannot take part if you have:

  • been previously treated or currently receiving anti-amyloid therapies for Alzheimer's disease, including lecanemab and donanemab
  • a heart or cardiovascular condition such as high blood pressure, ventricular tachycardia or atrial fibrillation. 

If you are unsure if you meet the eligibility criteria, but you are interested in the study, please submit an enquiry and the research team can discuss whether you are eligible with you.

Clinical trial team

Sponsor
Arrowhead
Chief investigator
Professor Cath Mummery, National Hospital for Neurology and Neurosurgery, London