Actively Recruiting

Phase 2
Age: 50Years - 100Years
All Genders
NCT06362707

Fasudil Trial for Treatment of Early Alzheimer's Disease (FEAD)

Led by Helse Stavanger HF · Updated on 2026-05-04

200

Participants Needed

6

Research Sites

178 weeks

Total Duration

On this page

Sponsors

H

Helse Stavanger HF

Lead Sponsor

U

University of Exeter

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this placebo-controlled double-blind Phase 2 clinical trial is to test in people with early Alzheimer's Disease. The main questions it aims to answer are: * Does treatment with fasudil, a ROCK-inhibitor, lead to significant improvement in working memory (based on computer-based working memory composite scores) compared to placebo in individuals with early Alzheimer's disease (AD) over 12 months? * What is the effect of fasudil treatment for 12 months on other cognitive functions, brain metabolism measured by Fluorodeoxyglucose Positron Emission Tomography (FDG-PET), and other relevant clinical functions and biomarkers in individuals with early Alzheimer's disease (AD)? * Treatment will be escalated to a maintenance dose of 120 mg total daily dose for up to 50 weeks, with regular clinic visits for efficacy and safety evaluations. * Assessments will include cognitive tests, FDG-PET scans, and biomarker analyses, with follow-up by the Data and Safety Monitoring Board for ongoing safety review. The study will compare participants receiving fasudil with those receiving placebo to see if fasudil treatment leads to improvements in cognitive functions, brain metabolism measured by FDG-PET.

CONDITIONS

Official Title

Fasudil Trial for Treatment of Early Alzheimer's Disease (FEAD)

Who Can Participate

Age: 50Years - 100Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosed with early Alzheimer's disease, such as Stage 3 mild cognitive impairment or Stage 4 mild dementia, as defined by FDA guidance
  • Significant change on a validated Alzheimer's biomarker, such as amyloid PET scan or CSF/blood markers
  • Clinical Dementia Rating (CDR) Global score of 0.5 or 1.0
  • MRI scan within the past two years with no findings inconsistent with Alzheimer's disease
  • Ability to give informed consent as determined by an experienced clinician
  • Having a reliable study partner with regular contact who can provide meaningful input
  • Age between 50 and 100 years
  • Fluency in Norwegian with adequate premorbid intellectual functioning
  • Capable of completing all scheduled evaluations and tests
  • Female participants must be of non-childbearing potential or have a negative pregnancy test within 14 days before baseline and agree to use effective birth control during the study
Not Eligible

You will not qualify if you...

  • Significant cerebrovascular disease indicated by clinical history, neurological exam, or MRI
  • History of cerebrovascular bleeding or severe bleeding in digestive tract, lungs, nose, or skin
  • Severe kidney impairment or abnormal kidney-related lab values
  • Moderate to severe liver impairment or elevated liver enzyme levels
  • Poorly controlled diabetes with HbA1c over 9
  • Low white blood cell count below 3.5 K/µl
  • History of paralytic ileus or severe chronic constipation
  • Known allergy to fasudil or systemic inflammatory/autoimmune diseases
  • Clinically significant low blood pressure with symptoms
  • Current significant depression or mental disorder affecting cognition or participation
  • Recent medication changes within 3 months; must be stable on dementia or antidepressant meds
  • Use of sedating drugs unless stable short-acting sleep medications used appropriately
  • Participation in other drug trials
  • Ongoing life-threatening diseases such as metastatic cancer, advanced cardiovascular, respiratory, or kidney disease, or advanced infections
  • Other neurological diseases unrelated to Alzheimer's with cognitive effects
  • Abnormal ECG with corrected QT interval ≥460 ms for males or ≥470 ms for females

AI-Screening

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Trial Site Locations

Total: 6 locations

1

University Hospital of North Norway

Tromsø, Nordland, Norway

Not Yet Recruiting

2

Akershus Hospital:

Oslo, Oslo, Norway

Not Yet Recruiting

3

Haugesund Hospital

Haugesund, Rogaland, Norway

Not Yet Recruiting

4

Stavanger University Hospital

Stavanger, Rogaland, Norway

Actively Recruiting

5

St. Olavs Hospital:

Trondheim, Trøndelag, Norway

Not Yet Recruiting

6

Haraldsplass Deaconess Hospital

Bergen, Vestland, Norway

Enrolling by Invitation

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Research Team

D

Dag Aarsland, PhD

CONTACT

N

Nicolas Castellanos Perilla, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

2

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