Actively Recruiting

Phase 2
Age: 55Years - 89Years
All Genders
NCT04629495

Rapamycin - Effects on Alzheimer's and Cognitive Health

Led by The University of Texas Health Science Center at San Antonio · Updated on 2025-09-03

40

Participants Needed

1

Research Sites

237 weeks

Total Duration

On this page

Sponsors

T

The University of Texas Health Science Center at San Antonio

Lead Sponsor

A

Alzheimer's Association

Collaborating Sponsor

AI-Summary

What this Trial Is About

This study will evaluate the safety, tolerability, and feasibility of 12 month oral rapamycin treatment in older adults with amnestic mild cognitive impairment (aMCI) and early stage Alzheimer's disease (AD).

CONDITIONS

Official Title

Rapamycin - Effects on Alzheimer's and Cognitive Health

Who Can Participate

Age: 55Years - 89Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Both genders and all ethnic groups
  • Age between 55 and 89 years
  • Diagnosis of mild cognitive impairment or Alzheimer's disease with MMSE 18-30, CDR 0.5-1, and CVLT-III delayed recall ≤16% based on age norms with clinician approval
  • Amyloid positivity confirmed by amyloid PET imaging
  • Normal blood cell counts and liver, kidney function; glucose control with HbA1c < 6.5%; normal fasting lipid panel and coagulation tests
  • Legally authorized representative available to provide consent and attend visits if needed
  • Stable dose of Alzheimer's medications for at least 3 months allowed
Not Eligible

You will not qualify if you...

  • Diabetes with HbA1c ≥ 6.5% or use of antidiabetic medications
  • History of skin ulcers or poor wound healing
  • Current tobacco, illicit drug use, or alcohol abuse
  • Use of antiplatelet or anticoagulant drugs other than aspirin
  • Use of medications affecting CYP3A4 enzyme
  • Immunosuppressant therapy in the past year
  • Chemotherapy or radiation therapy in the past year
  • Current or chronic liver or kidney disease or known biliary abnormalities
  • Untreated high triglycerides (fasting triglycerides ≥ 250 mg/dl)
  • Current or chronic lung disease or pulse oximetry < 90%
  • Chronic heart failure
  • Pregnancy or breastfeeding
  • Recent (past 6 months) heart attack, coronary artery disease, intestinal disorders, stroke, or transient ischemic attack
  • Significant neurological conditions other than AD or MCI
  • Poorly controlled blood pressure (systolic >160 or diastolic >90 mmHg)
  • Active inflammatory, COVID-19, autoimmune, infectious, hepatic, gastrointestinal, malignant, or severe mental illness
  • History or imaging evidence of brain lesions contraindicating lumbar puncture
  • Organ transplant recipients

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Glenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases

San Antonio, Texas, United States, 78229

Actively Recruiting

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Research Team

S

Sudha Seshadri, MD

CONTACT

F

Floyd A Jones

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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