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ESPRIT

CompletedPhase 2Results posted

Evaluating Simvastatin's Potential Role in Therapy

Effect of Statins on Pathobiology of Alzheimer's Disease

Asset

Simvastatin

Listed sites

1

Recruiting sites

-

Enrollment

103

actual

Study population

Alzheimer’s disease

Key I/E criteria

Age 35-69MRI contraindications excluded

Primary endpoint

Cerebrospinal Fluid (CSF) Beta-amyloid-42

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

Nih1K23AG026752-01
Org study IDIA0116
NCT IDNCT00486044

Timeline

Milestones

Study start2005-02 (month precision)
Study first posted2007-06-13estimated
Primary completion2009-06actual (month precision)
Study completion2009-06actual (month precision)
Results first posted2015-11-05estimated
Last update posted2019-03-05actual

Assets

Drug assets

Study populations

Who this study enrolls

Alzheimer’s disease

Eligibility

Who can enroll

Minimum age35 Years
Maximum age69 Years
SexAll
Healthy volunteersAccepted

Inclusion criteria

Age 35 to 69
Parent with Alzheimer's disease

Exclusion criteria

Current use of cholesterol-lowering medication
Active liver disease
History of adverse reaction to statins
Contraindication to lumbar puncture
Elevated lab values (creatine kinase and creatinine)
Use of medications known to interact with statins
History of dementia
Currently pregnant or planning to become pregnant
Use of large quantities of grapefruit juice (more than 1 quart per day)
Current involvement in another investigational drug study
Contraindications to MRI (for MRI sub-study)
Ethical contraindication to placebo (persons with high vascular risk)

Endpoints (8)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Global cognition
2
Amyloid biomarkers
2
Neuroimaging
2
Other (unclassified)
2

Global cognition

2 endpoints
Secondary/protocol endpoint

Changes in Cognitive Performance

Time frame:Baseline and 9 months

change from baseline, improvement

Secondary/registry result

Changes in Cognitive Performance

Time frame:Baseline and 9 months

change from baseline, improvement

Posted result

GroupValue (mean), adjusted words recalledStandard deviation
Simvastatinn=48 Participants0.401.38
Placebon=46 Participants0.261.54
p0.210Kruskal-Wallis

Amyloid biomarkers

2 endpoints
Primary/protocol endpoint

Change in Cerebrospinal Fluid (CSF) Beta-amyloid-42

Time frame:baseline and 9 months

change from baseline, improvement

Primary/registry result

Change in Cerebrospinal Fluid (CSF) Beta-amyloid-42

Time frame:baseline and 9 months

change from baseline, improvement

Posted result

GroupValue (mean), ng/LStandard deviation
Simvastatinn=48 Participants-5.244.1
Placebon=45 Participants-3.138.2
p0.966Kruskal-Wallis

Neuroimaging

2 endpoints
Secondary/protocol endpoint

Changes in Regional Cerebral Blood Flow on MRI

Time frame:baseline and 9 months

descriptive

Secondary/registry result

Changes in Regional Cerebral Blood Flow on MRI

Time frame:baseline and 9 months

descriptive

Posted result

GroupValue (mean), mL/100 g/minStandard deviation
Simvastatinn=24 Participants4.096.69
Placebon=17 Participants-5.088.28
p0.015ANCOVA

Other (unclassified)

2 endpoints
Secondary/protocol endpoint/low confidence

Change in Inflammatory Markers

Time frame:baseline and 9 months

change from baseline, improvement

Secondary/registry result/low confidence

Change in Inflammatory Markers

Time frame:baseline and 9 months

change from baseline, improvement

Posted result

GroupValue (mean), mg/LStandard deviation
Simvastatinn=47 Participants-1.163.55
Placebon=43 Participants-0.311.83
p0.113Kruskal-Wallis

Publications (3)

Bibliography

Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 21, 2026
Endpoint classificationDelfa ADRD endpoint taxonomy
Results tableClinicalTrials.gov results section

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 21, 2026 snapshot.