Alzheimer's polypill shows promise in early trial
NCT ID NCT06597058
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This Phase 2 study tested a once-daily combination pill (polypill) in 121 adults aged 50–85 with very mild to severe Alzheimer's disease. Over 180 days, researchers measured changes in thinking, memory, and daily function using standard dementia scales. The goal was to estimate whether the polypill could slow decline compared to a placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a combination of multiple drugs in a single once-daily tablet (polypill)
- What this could lead to
- If this polypill shows benefit, it could point toward a new way to slow cognitive decline in Alzheimer's disease.
- What could go wrong
- This is an early Phase 2 study with only 121 participants, so results may not be conclusive. The polypill's effects are still uncertain, and side effects 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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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121 people
The number who actually took part.
- Started
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Oct 2024
- Finished
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Dec 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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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50 to 85 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. Prior diagnosis of mild-to-severe cognitive impairment or probable AD according to the National Institute on Aging and the Alzheimer's Association guidelines by a qualified health practitioner; 2. History of cognitive and functional decline over at least 1 year that is either documented in medical records or by history from an informant who knows the patient well; 3. Male or female, age 50 to 85 years (inclusive) at the Screening Visit; 4. Patient must be ambulatory and reside with a reliable, competent adult (study partner) who may or may not also be the patient's legally authorized representative (LAR) for informed consent; 5. Patient must be able to swallow the study medication (without any alteration to the tablet like crushing, cutting in half, or dissolving in a liquid); 6. Body weight at screening is ≥40kg; 7. CDR-SB of 3.0 or higher at Screening Visit; 8. MMSE-2 ≥8 and≤24 at the Screening Visit; 9. Patient must be able to understand the nature of the study and have the opportunity to have any questions answered and provide their consent. In the absence of patient's ability to provide informed consent, the informed consent must be obtained from the patient's Legally Authorized Representative (LAR); 10. For patients receiving an anticholinesterase inhibitor, memantine, or herbal medication for AD, the dose must have been stable for at least 3 months prior to the Screening Visit, and patient must agree to maintain this dose for the duration of the study; 11. Patients currently treated with a statin must agree to stop their statin therapy for the duration of treatment (180 days); 12. Creatinine Clearance \>30 mL/min at Screening; 13. Negative HIV and HCV test at Screening; 14. Complete blood count (CBC), blood chemistry, serum cholesterol, triglycerides, thyroid-stimulating hormone (TSH), and urinalysis, within normal reference ranges or not clinically significant as assessed by the Investigator at Screening; 15. Physical examination, vital signs, and ECG within normal ranges or not clinically significant as assessed by the Investigator at Screening; 16. Female patients may participate if they meet 1 of the following criteria: 1. Surgically sterile (e.g., hysterectomy, bilateral salpingectomy, bilateral oophorectomy), or 2. Post-menopausal, defined as 3. Permanent cessation of menstruation for ≥12 months without an alternative medical cause (regardless of follicle-stimulating hormone \[FSH\] value) at the Screening Visit, or 4. Cessation of menstruation for \<12 months and FSH \>40 mIU/mL at the Screening Visit. Note: Patients with persistent menses due to hormonal therapy may participate if a urine pregnancy test (UPT) at the Screening Visit is negative and they agree to continued testing at every study visit. 17. Male patients must agree to use a barrier method of contraception and refrain from donating sperm for the duration of their participation in the study and for 2 months thereafter. Exclusion Criteria: 1. Patient has had a myocardial infarction, unstable angina, stroke, transient ischemic attack or required intervention for any of these conditions (e.g., coronary artery bypass graft, percutaneous coronary intervention via cardiac catheterization, thrombolytic therapy) within 6 months of the Screening Visit; 2. Has other neurological disorders, including vascular dementia, Parkinson's disease, frontotemporal dementia, Huntington's disease, amyotrophic lateral sclerosis, multiple sclerosis, progressive supranuclear palsy, neurosyphilis, dementia with Lewy bodies, other types of dementia, mental retardation, hypoxic cerebral damage, and cognitive impairment from head trauma; 3. Scheduled or anticipates vaccination with a live vaccine during the study; 4. Current use of a cannabidiol or derivative; 5. Current use of digoxin; 6. Acute or chronic liver disease; 7. AST \>1.5 times the Upper Limit of Normal 8. ALT \> 1.5 times the Upper Limit of Normal 9. Schizophrenia, bipolar disorder, suicidal ideation, major depression, or delirium; Note: Stable (\>2 years) treated depression without suicidal ideation is acceptable; 10. Current therapy with a tetracycline; 11. Current therapy with sirolimus or a rapalog macrolide antibiotic; 12. Known allergies to any of the active drugs: tetracycline antibiotics, rapalog macrolide antibiotics, or statin therapies; 13. Treatment with another investigational drug, device, or intervention within 30 days prior to the Screening Visit;
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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
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Accel Research Sites (Noah Clinical Site 019)
DeLand, Florida, 32720, United States
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Best Choice Medical and Research Service (Noah Clinical Site 025)
Pembroke Pines, Florida, 33024, United States
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Boston Clinical Trials (Noah Clinical Site 006)
Boston, Massachusetts, 02131, United States
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Carolina Research Center, Inc. (Noah Clinical Site 009)
Shelby, North Carolina, 28150, United States
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Denali Health Plant City, LLC (Noah Clinical Site 024)
Plant City, Florida, 33563, United States
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Health Awareness (Noah Clinical Site 020)
Jupiter, Florida, 33458, United States
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IMA Clinical Research (Noah Clinical Site 004)
Albuquerque, New Mexico, 87109, United States
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International Medical Investigational Centers (Noah Clinical Site 001)
Palmetto Bay, Florida, 33176, United States
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Life Well Research Center (Noah Clinical Site 008)
Miami, Florida, 33134, United States
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Marvel Clinical Research (Noah Clinical Site 010)
Huntington Beach, California, 92647, United States
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Miami Jewish Health (Noah Clinical Site 023)
Miami, Florida, 33137, United States
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Neurology Associates of Ormond Beach (Noah Clinical Site 015)
Ormond Beach, Florida, 32174, United States
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Olympus Clinical Research (Noah Clinical Site 014)
Katy, Texas, 77450, United States
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Regenerate Primary Medical Research (Noah Clinical Site 003)
Miami, Florida, 33134, United States
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Scottsdale Clinical Trials (Noah Clinical Site 017)
Scottsdale, Arizona, 85260, United States
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Tekton Research (Noah Clinical Site 002)
Yukon, Oklahoma, 73099, United States
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