Actively Recruiting

Phase 2
Age: 55Years - 80Years
All Genders
ID04838301

Safety and Efficacy of Allopregnanolone as a Regenerative Therapeutic for Alzheimer's Disease in a Multicenter, Double-Blind, Randomized, Placebo-Controlled Phase 2 Trial

Led by University of Arizona · Updated on 2026-03-13

100

Participants Needed

10

Research Sites

17 weeks

Total Duration

On this page

Sponsors

U

University of Arizona

Lead Sponsor

N

National Institute on Aging (NIA)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating Allopregnanolone as a potential regenerative treatment for people with mild Alzheimer's disease dementia. This phase 2 clinical trial aims to assess the long-term safety and effectiveness of Allopregnanolone in restoring brain structure and improving cognitive function in participants aged 55 to 80 who have probable Alzheimer's disease and a Mini-Mental State Exam score between 20 and 26. Participants will undergo a 2 to 4-week screening period before being randomly assigned to receive either 4 mg of Allopregnanolone or a matching placebo. Both treatments are given as intravenous infusions over 30 minutes once a week for 6 months in a clinical setting. After this period, those initially given placebo will switch to receive Allopregnanolone for an additional 3 months in an open-label phase. Brain imaging scans will be performed at the start, and at 3 and 6 months to evaluate treatment effects. During the study, participants will have regular assessments including cognitive tests like the Alzheimer's Disease Assessment Scale-Cognitive Subscale and brain scans to measure hippocampal volume, which is the main outcome. Safety and tolerability will also be monitored throughout the 6-month blinded period. The study lasts for about 9 months in total, including the open-label extension, with close monitoring to understand how the treatment affects brain health and daily function.

CONDITIONS

Brief Title

Allopregnanolone Regenerative Therapeutic for Mild Alzheimer's Disease

Who Can Participate

Age: 55Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Men and postmenopausal women
  • Age 55 to 80 years old
  • Meets NIA-AA criteria for probable Alzheimer's disease dementia
  • Mini-Mental State Exam (MMSE) score between 20 and 26
  • Positive plasma p-Tau217
  • Geriatric Depression Scale short form score of 6 or less
  • No medical contraindications to participation
  • Capacity to provide informed consent at screening
Not Eligible

You will not qualify if you...

  • Dementia other than probable Alzheimer's disease
  • Use of benzodiazepines, anticonvulsants, antipsychotics, or drugs interacting with GABA-A receptor
  • History of stroke with modified Hachinski Ischemic Scale score greater than 4
  • History of seizure disorder, focal brain lesion, or traumatic brain injury
  • History of primary or recurrent malignant disease within last 5 years
  • Unstable or significant cardiovascular, kidney, or liver disease
  • MRI showing significant abnormalities such as ARIA-E, multiple microhemorrhages, encephalomalacia, aneurysms, vascular malformations, subdural hematoma, or space-occupying lesions
  • Conditions contraindicating MRI studies
  • No evidence of Alzheimer's disease-like brain atrophy pattern

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

screening and enrollment visit

Treatment

Duration - 6 months

Participants receive weekly intravenous infusions of Allopregnanolone or placebo for 6 months to evaluate safety and efficacy in mild Alzheimer's disease.

Weekly visits for up to 6 months

Treatment

Duration - 3 months

Participants originally receiving placebo cross over to receive Allopregnanolone infusions for an additional 3 months in an open-label phase.

Weekly visits for up to 3 months

Trial Site Locations

Total: 10 locations

1

Perseverance Research Center

Scottsdale, Arizona, United States, 85253

Actively Recruiting

2

University of Arizona / Clinical & Translational Sciences Research Center

Tucson, Arizona, United States, 85721

Actively Recruiting

3

ATP Clinical Research

Costa Mesa, California, United States, 92626

Actively Recruiting

4

Wake Research-PRI, LLC

Los Alamitos, California, United States, 90720

Withdrawn

5

Syrentis Clinical Research

Santa Ana, California, United States, 92705

Terminated

6

Optimus U Corporation

Miami, Florida, United States, 33135

Actively Recruiting

7

Miami Jewish Health

Miami, Florida, United States, 33137

Actively Recruiting

8

Combined Research Orlando

Orlando, Florida, United States, 32807

Terminated

9

Conquest Research

Winter Park, Florida, United States, 32789

Actively Recruiting

10

MedVadis Research

Waltham, Massachusetts, United States, 02451

Actively Recruiting

Loading map...

Research Team

C

Claudia M Lopez, BS

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

Similar Trials

A Low-Cost Balance Training Platform Using Augmented Reality...

Postural Balance

Actively Recruiting

1 location

MAGNITUDE-2: A Phase 3, Multinational, Randomized, Double-Bl...

Neuromuscular Disease

Actively Recruiting

14 locations

Adherence to Long-term Exoskeleton Rehabilitation to Treat L...

Motor Disorders

Actively Recruiting

1 location

Frequently Asked Questions

Have more questions? Get in touch with our team for quick support

Not the Right Trial for You?

Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.

Already have an account? Log in here

Published Research Related To This Trial

Exploratory imaging outcomes of a phase 1b/2a clinical trial of allopregnanolone as a regenerative therapeutic for Alzheimer's disease: Structural effects and functional connectivity outcomes.

Adam C Raikes, Gerson D Hernandez, Dawn C Matthews...

https://pubmed.ncbi.nlm.nih.gov/35310526

Safety, tolerability, and pharmacokinetics of allopregnanolone as a regenerative therapeutic for Alzheimer's disease: A single and multiple ascending dose phase 1b/2a clinical trial.

Gerson D Hernandez, Christine M Solinsky, Wendy J Mack...

https://pubmed.ncbi.nlm.nih.gov/33344752

Therapeutic potential of neurogenesis for prevention and recovery from Alzheimer's disease: allopregnanolone as a proof of concept neurogenic agent.

Roberta Diaz Brinton, Jun Ming Wang

https://pubmed.ncbi.nlm.nih.gov/16842093