•Exposure to an experimental drug, experimental biologic or experimental medical device within 2 months (60 days) before screening
•Prior participation in an amyloid vaccination clinical study at any time in the past or completion of a passive amyloid vaccination study within 6 months before screening
•Inability to swallow a tablet
•In the judgment of the investigator, inability of the subject to complete a 24-week study
•Residence in a skilled nursing facility
•Inability to be ≥75% compliant with single-blind study drug
•Clinically significant (in the judgment of the investigator) abnormal serum electrolytes (sodium, potassium, magnesium) after repeat testing
•Clinically significant untreated hypothyroidism (if treated, thyroid-stimulating hormone level and thyroid supplementation dose must be stable for at least 6 months before screening)
•Insufficiently controlled diabetes mellitus (in the judgment of the investigator) or requiring insulin
•Renal insufficiency (serum creatinine >2.0 mg/dL)
•Malignant tumor within 3 years before screening (except squamous and basal cell carcinoma or cervical carcinoma in situ or localized prostate cancer)
•History of ischemic colitis or ischemic enterocolitis
•Unstable medical condition that is clinically significant in the judgment of the investigator
•Female subjects who are pregnant, nursing, or planning to become pregnant during the study
•Alanine transaminase (ALT) or aspartate transaminase (AST) >2.5 times the upper limit of normal
•History of myocardial infarction or unstable angina within 6 months before screening
•History of more than 1 myocardial infarction within 5 years before screening
•Clinically significant (in the judgment of the investigator) cardiac arrhythmia (including atrial fibrillation), cardiomyopathy, or cardiac conduction defect (subjects with a pacemaker are acceptable)
•Symptomatic hypotension, or uncontrolled hypertension (in the judgment of the investigator)
•Clinically significant abnormality on screening electrocardiogram (ECG), including but not necessarily limited to a confirmed QTc value ≥450 msec for males or ≥470 msec for females. In subjects with a QRS value >120msec, those with a QTc value <500 msec may be eligible following discussion with the Medical Monitor.
•Stroke within 18 months before screening, or history of a stroke concomitant with onset of dementia
•History of brain tumor, subdural hematoma, or other clinically significant (in the judgment of the investigator) space-occupying lesion on CT or MRI
•Head trauma with clinically significant (in the judgment of the investigator) loss of consciousness within 12 months before screening or concurrent with the onset of dementia
•Onset of dementia secondary (in the judgment of the investigator) to cardiac arrest, surgery with general anesthesia, or resuscitation
•Specific degenerative CNS disease diagnosis other than AD (eg, Huntington's disease, Creutzfeld-Jacob disease, Down's syndrome, Fronto-Temporal Dementia, Parkinson's disease)
•Wernicke's encephalopathy
•Active acute or chronic CNS infection
•Donepezil 23 mg QD currently or within 3 months prior to randomization
•Discontinued AChEI <30 days prior to randomization
•Antipsychotics; low doses (in the judgment of the investigator, except clozapine) are allowed only if given for sleep disturbances, agitation and/or aggression, and only if the subject has received a stable dose for at least 3 months before randomization
•Tricyclic antidepressants and monoamine oxidase inhibitors; all other antidepressants are allowed only if the subject has received a stable dose for at least 3 months before randomization
•Anxiolytics or sedative-hypnotics, including barbiturates (unless given in low doses for benign tremor); low doses of benzodiazepines and zolpidem (in the judgment of the investigator) are allowed only if given for insomnia/sleep disturbance, and only if the subject has received a stable dose for at least 3 months before randomization
•Peripherally acting drugs with effects on cholinergic transmission
•Immunosuppressants, including systemic corticosteroids, if taken in clinically immunosuppressive doses in the judgment of the investigator (Note: steroid use for allergy or other inflammation is permitted)
•Antiepileptic medications if taken for control of seizures
•Chronic intake of opioid-containing analgesics
•Sedating H1 antihistamines
•Nicotine therapy (all dosage forms including a patch), varenicline (Chantix), or similar therapeutic agent within 30 days before screening
•Clinically significant urine drug screen (UDS) or serum alcohol test result in the judgment of the investigator (including medical marijuana)