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Safety Study of a Glycogen Synthase Kinase 3 (GSK3) Inhibitor in Patients With Alzheimer´s Disease
Phase IIa 20 Week Double-blind, Placebo-controlled, Randomized, Escalating Dose Study to Evaluate the Safety and Tolerability of Four Oral Doses of NP031112, a Novel GSK3 Inhibitor, in Mild to Moderate Alzheimer's Disease Patients With Stable Anticholinesterasic Treatment.
Lead sponsor
Asset
Tideglusib
Listed sites
3
Recruiting sites
-
Enrollment
30
actual
Study population
Alzheimer’s disease
Key I/E criteria
•Alzheimer's disease•MMSE 16-26
Primary endpoint
•Incidence rates and severity of clinical adverse events
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
Timeline
Milestones
Assets
Drug assets
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
1. Men and women (non-childbearing potential) with a diagnosis of probable Alzheimer's disease according to the NINCDS-ADRDA clinical criteria.
2. Age 60 - 85 years (patients over 85 years could be included after a previous assessment by the investigator and in agreement with the sponsor)
3. MRI or CT-scan assessment within 12 months before baseline corroborating the clinical diagnosis (diffuse brain atrophy predominating in medial temporal regions) and excluding other potential causes of dementia, especially cerebrovascular lesions (see exclusion criteria, number 3).
4. Mild to moderate stage of Alzheimer's disease according to MMSE 16-26.
5. Modified Hachinski ischemic score equal to or below 4.
6. Geriatric Depression Scale below or equal 7.
7. Female patients must be either surgically sterilized or at least 1 year postmenopausal (confirmed by FSH >20, for women not surgically sterilized).
8. A caregiver/nurse is available and is living in the same household, or interacts with the patient to assure the correct preparation and administration of the study drug to the patient.
9. Patients living at home or old people's home.
10. General health status acceptable for a participation in a 6 months clinical trial.
11. Ability to swallow 100 -150 ml of water suspension.
12. No daily-regular/chronic intake of medications acting on central nervous system, immunosuppressants, steroids or non-steroid anti-inflammatory agents except the following allowed treatments:
13. No history of treatment with Warfarin, Digitoxin or Coumarin (including its derivatives) within 1 month prior to baseline. Chronic treatment with heparin s.c. as anticoagulant or digoxin for the treatment of heart disease are allowed.
14. Other drugs metabolized by the CYP3A4 with wide therapeutic window are permitted if their dose and regimen are stable and well tolerated for at least 1 month prior to baseline.
15. Stable pharmacological treatment of any other chronic condition for at least one month prior to screening.
16. Treatment with a stable and well tolerated dose of one of the approved Acetylcholinesterase-Inhibitors (Donepezil, Galantamine or Rivastigmine) for at least 2 months prior to baseline evaluations. Dosage of Acetylcholine-esterase inhibitors should not be increased during the ongoing study.
17. No history of treatment with Memantine within 3 months prior to baseline evaluation. Patients with a stable and well tolerated dose of Memantine are not allowed to be included in the study.
18. Signed informed consent by patient prior to the initiation of any study specific procedure
Exclusion criteria
1. Failure to perform screening or baseline examinations.
2. Hospitalization or change of chronic concomitant medication within 1 month prior to screening period.
3. Clinical, laboratory or neuroimaging findings consistent with:
4. A current DSM-IV diagnosis of active major depression, schizophrenia or bipolar disorder.
5. Clinically significant, advanced or unstable disease that may interfere with evaluations that may bias the assessment of the clinical or mental status of the patient or put the patient at special risk, such as:
6. Disability that may prevent the subject from completing all study requirements (e.g., blindness, deafness, severe language difficulty, etc.)
7. Women who are fertile and of child bearing potential.
8. Anticoagulant treatment with heparin i.v.
9. Chronic drug intake of:
10. Suspected or known drug or alcohol abuse.
11. Suspected or known allergy to any components of the study treatments.
12. Enrolment in another investigational study or intake of investigational drug within the previous 3 months.
13. Any condition which in the opinion of the investigator makes the patient unsuitable for inclusion.
Endpoints (2)
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
Behavior / neuropsychiatric
1 endpointEffect of treatment with four doses of NP031112 on cognition and depressive mood
Time frame:20 weeks
descriptive
Safety / tolerability / PK
1 endpointIncidence rates and severity of clinical adverse events and lab abnormalities for each dose level and placebo
Time frame:20 weeks
event count, event
Provenance
Sources
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.