Seeking optimal repeated fluid biomarker assessments to enhance precision and statistical power in clinical trials: SLIM method.
Hiroko H Dodge, Liu Chen, Chao-Yi Wu...
https://pubmed.ncbi.nlm.nih.gov/41122812/Actively Recruiting
Led by Massachusetts General Hospital · Updated on 2026-06-08
40
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating the safety, tolerability, and effects of a natural product combination called NPC1, which includes parthenolide and ipriflavone, on blood biomarkers related to Alzheimers disease in adults. The trial focuses on people aged 55 and older who have subjective cognitive decline, mild cognitive impairment, or Alzheimers disease with evidence of disease-related changes in their blood. This early phase, open-label, single-arm study aims to understand how NPC1 impacts key indicators of Alzheimers pathology. During the trial, participants will undergo a lead-in observational period without intervention, followed by an active treatment phase where they receive NPC1. Researchers will collect blood samples before and after treatment to measure several Alzheimers-related biomarkers such as plasma p-tau217, glial fibrillary acidic protein, neurofilament light chain, and abeta42abeta40 ratios. The study also monitors safety and tolerability of the NPC1 treatment over six months. Participants will be involved for at least six months, during which they will provide serial blood samples for biomarker analysis and have their health and cognitive status monitored. A study partner who interacts regularly with the participant will help provide information on cognition and daily functioning. The main outcomes include changes in blood biomarkers and assessment of NPC1s safety. The study includes regular clinical assessments and screening for depression and other health conditions to ensure participant well-being throughout the trial.
CONDITIONS
Biomarker-based Trial of NPC-1 for Alzheimer's Pathology
G
Gene Bowman, N.D., M.P.H.
B
Brianna Wang
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Massachusetts General Hospital
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Investigational NPC1 regimen | Current symptomatic Alzheimer care |
|---|---|---|
| What it is | A single‑group early‑phase trial testing a natural product combination of parthenolide and ipriflavone (NPC1) in adults with subjective cognitive decline, mild cognitive impairment, or Alzheimer disease with blood‑based biomarker evidence of amyloid or tau pathology. | Standard symptomatic Alzheimer care often involves acetylcholinesterase inhibitors or memantine to address cognitive symptoms. |
| Role in trial | Participants in the trial receive NPC1 during the active interventional period following a lead‑in observational segment. | Not part of this study, included here for external context on typical care. |
| Primary use or purpose | To assess safety, tolerability and effects on blood‑based Alzheimer pathology biomarkers over six months. | Used to manage cognitive decline symptoms in people with Alzheimer disease during mild to moderate stages. |
| Administration or use | Participants take a combination of parthenolide and ipriflavone orally during the active interventional period. | Typically prescribed orally as daily medication under clinical care guidelines. |
| Evidence status | Effects on Alzheimer‑related biomarkers and tolerability are under investigation in this trial; no established efficacy yet. | These medications have demonstrated symptomatic benefit in clinical practice and trials for mild to moderate Alzheimer disease. |
| Important risks | Safety and tolerability are being assessed in the study; unknown risk profile at this stage. | Known risks include gastrointestinal side effects, bradycardia (for acetylcholinesterase inhibitors), and dizziness or confusion (for memantine); more details in clinical guidelines. |
| Important limitations | Single‑group design without control limits comparison; biomarker changes may not predict clinical benefit. | Provide only symptomatic relief and do not alter Alzheimer disease pathology or progression. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to baseline before treatment
Participants undergo serial blood-based biomarker collection without receiving the investigational product.
Multiple visits for biomarker collection prior to treatment
Duration - 6 months
Participants receive the natural product combination-1 (NPC1) consisting of parthenolide plus ipriflavone and have serial post treatment blood-based biomarkers collected.
Regular visits for treatment and biomarker assessments over 6 months
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
NON_RANDOMIZED
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
2
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Hiroko H Dodge, Liu Chen, Chao-Yi Wu...
https://pubmed.ncbi.nlm.nih.gov/41122812/Massachusetts General Hospital
Lead Sponsor