Can a pill boost brain blood flow in Alzheimer's? new trial aims to find out
NCT ID NCT07191821
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial tests whether an experimental drug called XBD173 can improve blood flow in the brains of people with Alzheimer's disease. About 51 participants will take the drug or a placebo for 28 days. Researchers will use MRI scans and blood tests to measure changes in brain blood flow and other markers.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- XBD173 (an experimental drug taken orally)
- What this could lead to
- If it works, this could point toward a new way to improve blood flow in the brain for people with Alzheimer's, potentially slowing memory decline.
- What could go wrong
- This is a small, early-phase trial testing a short-term effect on a biomarker (blood flow), not on memory or daily function. The drug may not show benefit or could have side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 51 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 90 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria for AD: * Subjects aged between 60-90 years old * Male or postmenopausal female * Fertile men are eligible to participate if they are willing to use the contraception methods listed in the PIS, during treatment and for 90 days after the last dose of treatment * Able to provide written informed consent prior to any study-mandated procedures * AA genotype at rs6971 (TSPO) locus * Clinical diagnosis of AD by dementia specialist, fulfilling NIA-AA criteria * Mild - moderate cognitive impairment (MMSE = 20-27 ) * AD biomarker positive MCI patients Inclusion criteria for HV: * Subjects aged 18 years or older * Male or Female * Female subjects of childbearing potential must be willing to have a pregnancy test before scanning * Able to provide written informed consent prior to any study-mandated procedures * Subjects willing to have blood samples collected for genotyping (ApoE and TSPO rs6971) * AD biomarker positive Exclusion criteria for AD: * History of migraine (with attack frequency greater than 1 per month) * Clinical history of suggestive of dementia with Lewy Bodies such as REM Sleep Behaviour Disorder * Conditions affecting safe engagement in the intervention * Conditions preventing completion of study procedures, e.g. severe loss of vision or hearing * Clinically significant renal disease (eGFR \<60 ml/min per 1.73m2) * Clinically significant liver disease (abnormal serum transaminases) * Contraindications to MRI scanning or exposure to gadolinium-based contrast agents * Change of medications approved for AD (eg. Galantamine, rivastigmine, and donepezil) or antihypertensives within the last 28 days or planned during the timeframe of the study * Severe respiratory disease with chronic hypoxia (sats \<92%), known CO2 retention or need for home oxygen therapy * Use of the following medications or therapies: * Severe and moderate P450 CY3A4 inhibitors: Boceprevir, Clarithromycin, Cobicistat, Idelalisib, Itraconazole, Ketoconazole, Nelfinavir, Ritonavir, Saquinavir, Telaprevir, Telithromycin, Voriconazoleb, Aprepitant, Conivaptan, Crizotinib, Diltiazem, Dronedarone, Erythromycin, Fluconazole, Imatinib, Isavuconazole, Nefazodone, Netupitant, Nilotinib, Posaconazolee, Tofisopam, Verapamil, Delavirdine * Severe and moderate P450 CY3A4 inducers: Carbamazepine, Enzalutamide, Fosphenytoin, Mitotane, Phenytoin, Rifampicin, Bosentan, Efavirenz, St John's wort, Barbiturates, Nevirapine, Primidone, Rifabutin, Rifapentine * Oral contraceptives Exclusion criteria for HV * Contraindications to MRI scanning or exposure to gadolinium-based contrast agents * Pregnancy in WOCBP * eGFR\<60 ml/min per 1.73 m2 * Severe respiratory disease with chronic hypoxia (sats \<92%), known CO2 retention or need for home oxygen therapy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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NIHR Imperial CRF
London, W12 0HS, United Kingdom
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