Annovis Bio completes enrollment of 850 patients in Phase 3 Alzheimer's trial
Annovis Bio, Inc. completed enrollment of 850 patients in its Phase 3 trial of buntanetap for early Alzheimer's disease across 83 US sites. The trial features a dual design with symptomatic data readout expected in Q1 2027 and disease-modifying data in Q1 2028. The company is preparing for NDA submissions to the FDA following these milestones.

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Annovis Bio, Inc. has achieved full enrollment of 850 patients in its pivotal Phase 3 trial evaluating buntanetap for early Alzheimer's disease. The trial, conducted across 83 clinical sites in the US, exceeded its original enrollment goal and targets patients with pTau217-confirmed AD pathology. This milestone sets the stage for two distinct data readouts intended to support separate regulatory submissions for a New Drug Application (NDA).
The randomized, placebo-controlled, double-blind trial is designed with a dual analysis structure. It will assess symptomatic effects at 6 months and disease-modifying effects at 18 months using a daily oral dose of buntanetap (30mg). Patients diagnosed with early AD (MMSE 20-28) and positive for the blood biomarker pTau217 were recruited. Primary endpoints focus on changes in cognition via ADAS-Cog13 and function via ADCS-iADL.
Maria Maccecchini, Ph.D., Founder, President and CEO of Annovis, attributed the enrollment success to the trust of patients and families. She highlighted the trial design and execution led by Cheng Fang, Ph.D., CSO, and Sarah MacCallum, VP, Clinical Operations. The team emphasized adherence to high standards throughout the study.
Key Milestones
With the last patient expected to finish the 6-month treatment period in January 2027, Annovis has outlined the following timeline:
| Milestone | Timing |
|---|---|
| 6-month symptomatic top-line data readout | Q1 2027 |
| 18-month disease-modifying top-line data readout | Q1 2028 |
| Regulatory submissions | Shortly after respective readouts |
Preparations for NDA submissions to the U.S. Food and Drug Administration (FDA) are already underway, leveraging prior regulatory guidance. Cheng Fang noted that high enrollment strengthens the statistical power of the dataset, while Sarah MacCallum reflected on the rapid progress from 50 patients a year ago to 850 today.
How will the FDA view the dual analysis structure for potential accelerated approval based on the 6-month symptomatic data?
What competitive landscape will Annovis face by 2027 regarding other disease-modifying Alzheimer's treatments?
Could the high enrollment rate lead to an expansion of the trial into other geographic regions or patient populations?
























