Inclusion criteria
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Membership in PSEN1 E280A mutation carrier kindred
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PSEN1 E280A mutation carrier or noncarrier status has been confirmed by separate laboratory
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Men and women, age ≥30 years and ≤60 years
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MMSE ≥ 26 (changed to MMSE of ≥24 for participants with <9 years of education, or MMSE of ≥26 for those with ≥9 years of education)
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Does not meet criteria for dementia due to AD [34]
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Does not meet criteria for MCI due to AD [33] as defined by cutoff scores on the Subjective Memory Checklist, CERAD Word List Recall, and FAST
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If female, and not documented to be surgically sterile, willing to undergo pregnancy tests per protocol
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For women who are not surgically sterile, agreement to remain abstinent or use two methods of contraception
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For men with partners of childbearing potential, agreement to remain abstinent or use a condom
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Study partner who agrees to participate in the study and is capable of and willing to accompany the participant to all visits
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Serum TSH and B12 within normal range (changed to also allow values out of range if judged not to be clinically significant)
Exclusion criteria
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Has significant medical, psychiatric, or neurological condition or disorder
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History of stroke
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Body weight <40 or >120 kg (lower limit changed to 45 kg)
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Clinically significant depression
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History of seizures (excluding febrile seizures of childhood or other isolated seizure episodes that were not due to epilepsy)
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Brain MRI results at baseline showing
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evidence of amyloid-related imaging abnormality–edema, infection, significant cerebral vascular pathology, clinically significant lacunar infarct, multiple lacunes, cortical infarct, or focal lesions
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more than four cerebral microhemorrhages
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single area of superficial siderosis or prior cerebral macrohemorrhage
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Clinically significant screening blood laboratory abnormalities
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Positive urine test for drugs of abuse at screening (changed to allow for one additional screening; a second positive test [except for cannabinoids] would result in exclusion)
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Use of any other medications with the potential to significantly affect cognition
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