Could a common diabetes drug shield your brain after a stroke?
NCT ID NCT07241897
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a diabetes drug called sentagliptin (a DPP4 inhibitor) can improve thinking and memory in people who have had a mild stroke and also have type 2 diabetes. About 312 participants will receive either the drug or a placebo daily for 180 days. Researchers will measure changes in cognitive tests to see if the drug reduces the risk of post-stroke cognitive impairment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Sentagliptin Phosphate (a DPP4 inhibitor diabetes drug)
- What this could lead to
- If it works, this could point toward a new way to protect brain function after a stroke in people with diabetes.
- What could go wrong
- This is a Phase 3 trial, but it hasn't started yet. The drug may not improve cognition, and side effects from the medication are possible.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 312 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2025
An estimate. Start dates often move.
- Expected to finish
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Apr 2028
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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40 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: 1. Mild ischemic stroke, defined as a National Institutes of Health Stroke Scale (NIHSS) score ≤ 5. 2. Coexisting type 2 diabetes with a disease duration of less than 5 years. 3. Ability to complete the MoCA, MMSE, and the NINDS-CSN-recommended 1-hour standardized neuropsychological test for VCI. 4. Age between 40 and 75 years. 5. Onset of stroke within the last 2 weeks. 6. Glycated hemoglobin (HbA1c) between 6.5% and 8.5%. 7. More than 9 years of education. 8. Informed consent signed by the patient or their family. Exclusion Criteria: 1. Coexisting dementia or severe cognitive impairment (MoCA \< 17). 2. Coexisting severe depression, defined as a Hamilton Depression Rating Scale (HAMD) score ≥ 20. 3. Prior use of cognitive-enhancing drugs, such as donepezil or memantine. 4. Allergy to DPP4 inhibitors. 5. Past or current use of DPP4 inhibitors. 6. Past or current use of GLP-1 agonists. 7. Type 1 diabetes, latent autoimmune diabetes in adults, secondary diabetes, malignant tumors, autoimmune diseases, or other endocrine-related diseases. 8. Moderate or severe liver or kidney dysfunction. 9. Chronic or acute pancreatitis. 10. Pregnancy or lactation. 11. Severe infection or severely impaired immune response. 12. Participation in other clinical trials. 13. Past or current use of insulin 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
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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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Department of Neurology, Second Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215004, China
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Other studies related to the condition(s) this trial covers.
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- Gene therapy shots aim to save legs from amputation in diabetes
- Heart hole or stroke trigger? global registry tracks who gets closure and what happens next