Actively Recruiting

Phase 1
Phase 2
Age: 60Years - 85Years
All Genders
NCT06582706

Nicotinic Acid for the Treatment of Alzheimer's Disease

Led by Indiana University · Updated on 2026-03-05

30

Participants Needed

1

Research Sites

101 weeks

Total Duration

On this page

Sponsors

I

Indiana University

Lead Sponsor

A

Alzheimer's Association

Collaborating Sponsor

AI-Summary

What this Trial Is About

Increased dietary intake of niacin is correlated with reduced risk of Alzheimer's Disease and age-associated cognitive decline. The goal of this study is to collect data on the penetration of commercially available, FDA approved, extended-release niacin into the spinal fluid. One dose of 500 mg nicotinic acid will be used (in addition to placebo) to build a dose response curve for this compound in human cerebrospinal fluid. This objective will demonstrate target engagement of HCAR2 in the central nervous system, after oral treatment with niacin. The primary endpoints are to show increased nicotinic acid levels in blood and cerebrospinal fluid. A secondary endpoint is to collect safety and tolerability data of niacin in this particular population.

CONDITIONS

Official Title

Nicotinic Acid for the Treatment of Alzheimer's Disease

Who Can Participate

Age: 60Years - 85Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 60-85 years, male or female
  • Clinically diagnosed with mild to moderate Alzheimer's disease (MMSE between 14 and 24 inclusive)
  • On a stable dose of cholinesterase inhibitor and/or memantine for at least 30 days, or not taking these medications
  • Have a reliable co-participant with at least 3 days of face-to-face contact per week to ensure medication compliance
  • Have a brain MRI or CT scan from within 1 year before screening
Not Eligible

You will not qualify if you...

  • Any contraindication to lumbar puncture such as increased intracranial pressure, posterior fossa mass, bleeding disorders, use of anticoagulants (except aspirin)
  • Severe cerebrovascular disease
  • History of large territory stroke
  • Allergy or sensitivity to B-vitamins or nicotinic acid
  • History of elevated liver enzymes (ALT/AST > 2x upper limit) or known liver disease
  • Current use of vitamin B3 supplements, including multivitamins or energy drinks, without a 4-week washout before screening
  • Renal impairment stage 2 or higher

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

Trial Site Locations

Total: 1 location

1

IU Health Neuroscience Center

Indianapolis, Indiana, United States, 46202

Actively Recruiting

Loading map...

Research Team

J

Jared R Brosch, MD

CONTACT

S

Sheryl E Lynch, RN

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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