Can a nasal spray and diabetes pill boost brain power?
NCT ID NCT05081219
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a nasal insulin spray and a diabetes pill called empagliflozin, alone or together, could improve memory and brain function in 47 adults aged 55-85 with mild cognitive impairment or early Alzheimer's disease. The goal was to see if these treatments are safe and help correct energy problems in the brain. Participants were already showing signs of Alzheimer's-related brain changes.
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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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47 people
The number who actually took part.
- Started
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Sep 2021
- Finished
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Sep 2024
- Lead sponsor
-
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
-
55 to 85 years
- Sex
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Anyone
- Healthy volunteers
-
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: 1. Age 55 to 85 (inclusive) 2. Fluent in English 3. Cognitively normal or diagnosis of amnestic mild cognitive impairment (aMCI) or mild Alzheimer's disease (AD) 4. Amyloid positive by positron emission tomography (PET) or cerebrospinal fluid (CSF) criteria 5. Stable medical condition for 3 months prior to screening visit 6. Stable medications for 4 weeks prior to the screening and study visits (exceptions may be made on a case by case basis by the study physician) 7. Clinical laboratory values must be within normal limits or, if abnormal, must be judged to be clinically insignificant by the study physician Exclusion Criteria: 1. A diagnosis of dementia other than Alzheimer's disease (AD) 2. History of a clinically significant stroke 3. Current evidence or history in past two years of epilepsy, head injury with loss of consciousness, any major psychiatric disorder including psychosis, major depression, bipolar disorder 4. Diabetes (type I or type II) insulin-dependent and non-insulin-dependent diabetes mellitus 5. Current or past regular use of insulin or any other anti-diabetic medication within 2 months of screening visit 6. History of seizure within past five years 7. Pregnancy or possible pregnancy 8. Use of anticoagulants, unless documentation received from prescribing clinician that anticoagulant medication can be held before lumbar puncture, and approved by study clinician 9. Residence in a skilled nursing facility at screening 10. Use of an investigational agent within two months of screening visit 11. Regular use of alcohol, narcotics, anticonvulsants, anti-parkinsonian medications, or any other exclusionary medications (exceptions may be made on a case by case basis by the study physician)
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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.
Contacts and locations
Locations
-
Wake Forest University Health Sciences / Wake Forest School of Medicine
Winston-Salem, North Carolina, 27157, United States
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