J&J Scraps Alzheimer’s Trial After Disappointing Data
Johnson & Johnson has decided to discontinue its Auτonomy Phase 2b Alzheimer’s study after interim data showed its experimental antibody posdinemab failed to produce a statistically significant benefit in slowing the clinical decline of early-stage Alzheimer’s disease. The company described the trial — which it billed as a “first-of-its-kind precision approach” — as an important learning exercise. Analysts say the outcome highlights how difficult it remains to develop effective therapies that target tau, a key protein implicated in Alzheimer’s pathology.
The Auτonomy trial reportedly used a blood-based biomarker (phosphorylated tau) to select patients, aiming to enroll individuals with a level of tau pathology that was high enough to show disease progression but not so advanced that it could not be modified. The drug was designed to target phosphorylated tau (p-tau), particularly a mid-domain region believed to drive the spread of toxic tau aggregates between neurons.
According to J&J, a scheduled interim analysis found that posdinemab did not meaningfully outperform placebo in slowing decline on clinical measures. Given the data review, the company decided to terminate the trial early — a signal that the treatment was unlikely to meet its primary endpoint.
J&J says it will share detailed findings with the scientific community “in due course.”