← Trials/Trial dossier/NCT04200911
CARPE_DIEM
CompletedPhase EARLY_1Results postedCognition, Age, and RaPamycin Effectiveness - DownregulatIon of thE mTor Pathway
Cognition, Age, and RaPamycin Effectiveness - DownregulatIon of thE mTor Pathway (CARPE DIEM)
Asset
Sirolimus
Listed sites
1
Recruiting sites
-
Enrollment
10
actual
Study population
Alzheimer’s disease
Key I/E criteria
•Alzheimer's disease•AD symptomatic therapy: stable ≥3 months
Primary endpoint
•Blood Brain Barrier Penetration of RAPA
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
Exclusion criteria
Endpoints (84)
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 endpointsCognition/Functional Status - Change in Montreal Cognitive Assessment (MoCA)
Time frame:8 weeks
Montreal Cognitive Assessment (MoCA)
change from baseline, improvement
Cognition/Functional Status - Change in Montreal Cognitive Assessment (MoCA)
Time frame:8 weeks
Montreal Cognitive Assessment (MoCA)
change from baseline, improvement
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | -1.30 | 2.45 |
Memory
12 endpointsCognition/Functional Status - Change on the Hopkins Verbal Learning Test - Revised Immediate Recall
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on the Hopkins Verbal Learning Test - Revised Delayed Recall
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on the Craft Story Immediate Recall Verbatim
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on the Craft Story Delayed Recall Verbatim
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on the Benson Figure Delayed Recall
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on the Number Span Backward
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on the Hopkins Verbal Learning Test - Revised Immediate Recall
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 0.40 | 3.37 |
Cognition/Functional Status - Change on the Hopkins Verbal Learning Test - Revised Delayed Recall
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | -1.00 | 2.54 |
Cognition/Functional Status - Change on the Craft Story Immediate Recall Verbatim
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 0.20 | 4.29 |
Cognition/Functional Status - Change on the Craft Story Delayed Recall Verbatim
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | -1.40 | 2.95 |
Cognition/Functional Status - Change on the Benson Figure Delayed Recall
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | -0.80 | 2.04 |
Cognition/Functional Status - Change on the Number Span Backward
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | -0.60 | 0.84 |
Executive function / language
10 endpointsCognition/Functional Status - Change on the Number Span Forward
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on the Trail Making Test Part A, Time to Completion
Time frame:8 weeks
time to event, event
Cognition/Functional Status - Change Trail Making Test Part B, Time to Completion
Time frame:8 weeks
time to event, event
Cognition/Functional Status - Change on Semantic Fluency
Time frame:8 weeks
ratio, descriptive
Cognition/Functional Status - Change on the Multilingual Naming Test
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on the Number Span Forward
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 0.20 | 1.62 |
Cognition/Functional Status - Change on the Trail Making Test Part A, Time to Completion
Time frame:8 weeks
time to event, event
Posted result
| Group | Value (mean), seconds to complete | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 3.09 | 3.15 |
Cognition/Functional Status - Change Trail Making Test Part B, Time to Completion
Time frame:8 weeks
time to event, event
Posted result
| Group | Value (mean), seconds to complete | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 26.69 | 14.97 |
Cognition/Functional Status - Change on Semantic Fluency
Time frame:8 weeks
ratio, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 1.10 | 4.18 |
Cognition/Functional Status - Change on the Multilingual Naming Test
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 1.50 | 4.67 |
Function / daily living
2 endpointsCognition/Functional Status - Change on the Functional Activities Questionnaire
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on the Functional Activities Questionnaire
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | -0.10 | 4.36 |
Behavior / neuropsychiatric
4 endpointsCognition/Functional Status - Change on the Geriatric Depression Scale 15-item
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on the Neuropsychiatric Inventory Questionnaire
Time frame:8 weeks
Neuropsychiatric Inventory (NPI)
categorical status, descriptive
Cognition/Functional Status - Change on the Geriatric Depression Scale 15-item
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 0.10 | 1.73 |
Cognition/Functional Status - Change on the Neuropsychiatric Inventory Questionnaire
Time frame:8 weeks
Neuropsychiatric Inventory (NPI)
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 0.70 | 2.83 |
Fluid / digital biomarkers
6 endpointsBlood Brain Barrier Penetration of RAPA
Time frame:Change from Baseline to 8 weeks
ratio, descriptive
Blood Brain Barrier Penetration of RAPA
Time frame:Change from Baseline to 8 weeks
ratio, descriptive
Posted result
| Group | Value (mean), ng/ml | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 0 | 0 |
Change in CSF AD Biomarkers From Baseline to 8 Weeks
Time frame:Baseline to 8 weeks
change from baseline, improvement
Change in CSF Inflammatory Markers From Baseline to 8 Weeks
Time frame:Baseline to 8 weeks
change from baseline, improvement
Change in CSF AD Biomarkers From Baseline to 8 Weeks
Time frame:Baseline to 8 weeks
change from baseline, improvement
Posted result
| Group | Value (mean), ng/ml | Standard deviation |
|---|---|---|
| RAPA InterventionCSF ptau-181n=10 Participants | 2.64 | 2.72 |
| CSF abeta 40n=10 Participants | 615.57 | 1210.06 |
| CSF Abeta42n=10 Participants | 21.52 | 62.12 |
| CSF GFAPn=10 Participants | 6262.21 | 4928.96 |
| CSF NFLn=10 Participants | 367.18 | 310.71 |
Change in CSF Inflammatory Markers From Baseline to 8 Weeks
Time frame:Baseline to 8 weeks
change from baseline, improvement
Posted result
| Group | Value (mean), pg/ml | Standard deviation |
|---|---|---|
| RAPA InterventionIL-10n=10 Participants | 0.02 | 0.02 |
| IL-6n=10 Participants | -0.02 | 0.25 |
| IL-8n=10 Participants | 5.76 | 9.10 |
| TNF-αn=10 Participants | 0.03 | 0.07 |
| IL-12n=10 Participants | 0.35 | 0.53 |
| IL-15n=10 Participants | 0.29 | 0.28 |
| IL-16n=10 Participants | 0.63 | 3.40 |
| IL-17an=10 Participants | 0.03 | 0.09 |
| IL-1an=10 Participants | -0.15 | 0.33 |
| IL-5n=10 Participants | 0.07 | 0.07 |
| IL-7n=10 Participants | 0.004 | 0.10 |
| VEGF-An=10 Participants | 0.95 | 2.37 |
| VEGF-Cn=10 Participants | 266.60 | 575.93 |
| VEGF-Dn=10 Participants | 109.64 | 117.23 |
| Eotaxinn=10 Participants | -5.05 | 32.40 |
| Eotaxin-3n=10 Participants | -0.20 | 2.20 |
| IP-10n=10 Participants | -12.93 | 143.87 |
| MCP-1n=10 Participants | -22.56 | 78.00 |
| MIP1-αn=10 Participants | 0.83 | 2.90 |
| sFLT-1n=10 Participants | 41.18 | 253.61 |
| PIGFn=10 Participants | 2.84 | 40.66 |
| bFGFn=10 Participants | -0.69 | 20.85 |
| sVCAM1n=10 Participants | 21202.57 | 24439.62 |
| sICAM1n=10 Participants | 6701.21 | 13402.98 |
| SAAn=10 Participants | -73762.91 | 375497.74 |
| CRPn=10 Participants | -98910.45 | 27540.81 |
| IFN-γn=10 Participants | 0.14 | 0.17 |
Safety / tolerability / PK
26 endpointsAdverse Events
Time frame:Baseline to 8 weeks
event count, event
Safety Labs - Change in White Blood Cell and Platelet Counts From Baseline to 8 Weeks
Time frame:Baseline to 8 weeks
change from baseline, event
Safety Labs - Change in Red Blood Cell Count
Time frame:Baseline to 8 weeks
change from baseline, event
Safety Labs - Change in Mean Corpuscular Volume
Time frame:8 weeks
change from baseline, event
Safety Labs - Change in Mean Corpuscular Hemoglobin
Time frame:8-weeks
change from baseline, event
Safety Labs - Change in Metabolic Parameters (g/dl)
Time frame:8 weeks
change from baseline, event
Safety Labs - Change in Hematocrit
Time frame:8 weeks
change from baseline, event
Safety Labs - Change in Monocytes
Time frame:8 weeks
change from baseline, event
Safety Labs - Change in Red Cell Distribution Width
Time frame:8 weeks
change from baseline, event
Safety Labs - Change in Hemoglobin A1c
Time frame:8 weeks
change from baseline, event
Safety Labs - Change in Metabolic and Lipid Parameters (mg/dl)
Time frame:8 weeks
change from baseline, event
Safety Labs - Change in Sodium and Potassium (mmol/L)
Time frame:8 weeks
change from baseline, event
Safety Labs - Change in Liver Panel (iU/L)
Time frame:8 weeks
change from baseline, event
Adverse Events
Time frame:Baseline to 8 weeks
event count, event
Posted result
| Group | Value (number), Events | Reported bounds |
|---|---|---|
| RAPA Interventionn=10 Participants | 20 | - |
Safety Labs - Change in White Blood Cell and Platelet Counts From Baseline to 8 Weeks
Time frame:Baseline to 8 weeks
change from baseline, event
Posted result
| Group | Value (mean), x10^3 cells/μL | Standard deviation |
|---|---|---|
| RAPA InterventionWhite Blood Cell Countn=10 Participants | 0.42 | 1.92 |
| Immature Granulocytesn=10 Participants | -0.21 | 1.19 |
| Eosinophilsn=10 Participants | 0.10 | 2.5 |
| Basophilsn=10 Participants | -0.19 | 0.40 |
| Plateletsn=10 Participants | 20.60 | 35.19 |
Safety Labs - Change in Red Blood Cell Count
Time frame:Baseline to 8 weeks
change from baseline, event
Posted result
| Group | Value (mean), x10^6 cells/μL | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | -0.01 | 0.27 |
Safety Labs - Change in Mean Corpuscular Volume
Time frame:8 weeks
change from baseline, event
Posted result
| Group | Value (mean), fL | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | -2.70 | 2.16 |
Safety Labs - Change in Mean Corpuscular Hemoglobin
Time frame:8-weeks
change from baseline, event
Posted result
| Group | Value (mean), pg | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | -0.81 | 0.69 |
Safety Labs - Change in Metabolic Parameters (g/dl)
Time frame:8 weeks
change from baseline, event
Posted result
| Group | Value (mean), g/dl | Standard deviation |
|---|---|---|
| RAPA InterventionHemoglobinn=10 Participants | -0.27 | 0.57 |
| Proteinn=10 Participants | -1.77 | 5.85 |
| Albuminn=10 Participants | -0.13 | 0.19 |
| Mean Corpuscular Hemoglobin Concentrationn=10 Participants | 0.08 | 0.85 |
Safety Labs - Change in Hematocrit
Time frame:8 weeks
change from baseline, event
Posted result
| Group | Value (mean), percentage of red blood cells | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | -0.86 | 2.09 |
Safety Labs - Change in Monocytes
Time frame:8 weeks
change from baseline, event
Posted result
| Group | Value (mean), percentage of white blood cell count | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | -0.19 | 4.08 |
Safety Labs - Change in Red Cell Distribution Width
Time frame:8 weeks
change from baseline, event
Posted result
| Group | Value (mean), Percentage | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | -0.65 | 0.24 |
Safety Labs - Change in Hemoglobin A1c
Time frame:8 weeks
change from baseline, event
Posted result
| Group | Value (mean), % of hemoglobin covered w/ glucose | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 0.17 | 0.22 |
Safety Labs - Change in Metabolic and Lipid Parameters (mg/dl)
Time frame:8 weeks
change from baseline, event
Posted result
| Group | Value (mean), mg/dl | Standard deviation |
|---|---|---|
| RAPA Interventionglucosen=10 Participants | 2.70 | 6.67 |
| blood urea nitrogenn=10 Participants | -1.80 | 4.13 |
| Creatininen=10 Participants | -0.001 | 0.09 |
| Bilirubinn=10 Participants | -0.09 | 0.34 |
| Cholesteroln=10 Participants | -0.30 | 26.08 |
| High-Density Lipoprotein Cholesteroln=10 Participants | 2.90 | 7.22 |
| Low-Density Lipoprotein Cholesteroln=10 Participants | -2.70 | 20.38 |
| Very Low-Density Lipoprotein Cholesteroln=10 Participants | -0.50 | 4.25 |
Safety Labs - Change in Sodium and Potassium (mmol/L)
Time frame:8 weeks
change from baseline, event
Posted result
| Group | Value (mean), mmol/L | Standard deviation |
|---|---|---|
| RAPA InterventionSodiumn=10 Participants | -5.40 | 18.90 |
| Potassiumn=10 Participants | -0.19 | 0.44 |
Safety Labs - Change in Liver Panel (iU/L)
Time frame:8 weeks
change from baseline, event
Posted result
| Group | Value (mean), IU/L | Standard deviation |
|---|---|---|
| RAPA InterventionAspartate Aminotransferasen=10 Participants | 1.00 | 4.06 |
| Alanine Transaminasen=10 Participants | 0.001 | 6.20 |
| Alkaline Phosphatasen=10 Participants | 4.10 | 10.90 |
Other clinical outcomes
4 endpointsCognition/Functional Status - Change on Grip Strength, Dominant Hand
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on Grip Strength, Non-dominant Hand
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on Grip Strength, Dominant Hand
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), kilograms | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 0.30 | 2.10 |
Cognition/Functional Status - Change on Grip Strength, Non-dominant Hand
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), kilograms | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | -0.25 | 3.30 |
Other (unclassified)
18 endpointsChange in Vitals From Baseline to 8 Weeks
Time frame:Baseline to 8 weeks
change from baseline, improvement
Percentage of Study Drug Pills Taken
Time frame:Baseline to 8 weeks
threshold achievement, improvement
Change in Plasma AD Biomarkers From Baseline to 8 Weeks
Time frame:Baseline to 8 weeks
change from baseline, improvement
Change in Plasma Inflammatory Markers From Baseline to 8 Weeks
Time frame:Baseline to 8 weeks
change from baseline, improvement
Cognition/Functional Status - Change on the Clinical Rating Scale Global Score
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on the Clinical Rating Scale Sum of Boxes Score
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on the Benson Figure Copy
Time frame:8 weeks
categorical status, descriptive
Cognition/Functional Status - Change on Phonemic Fluency
Time frame:8 weeks
ratio, descriptive
Cognition/Functional Status - Change on the Hayling, Total Errors
Time frame:8 weeks
categorical status, descriptive
Change in Vitals From Baseline to 8 Weeks
Time frame:Baseline to 8 weeks
change from baseline, improvement
Posted result
| Group | Value (mean), mmHg | Standard deviation |
|---|---|---|
| RAPA Interventionsystolic blood pressuren=10 Participants | 10.45 | 7.82 |
| diastolic blood pressuren=10 Participants | 1.7 | 5.87 |
Percentage of Study Drug Pills Taken
Time frame:Baseline to 8 weeks
threshold achievement, improvement
Posted result
| Group | Value (mean), percentage of study drug pills taken | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 92 | 5 |
Change in Plasma AD Biomarkers From Baseline to 8 Weeks
Time frame:Baseline to 8 weeks
change from baseline, improvement
Posted result
| Group | Value (mean), ng/ml | Standard deviation |
|---|---|---|
| RAPA Interventionplasma ptau-181n=10 Participants | -0.22 | 0.47 |
| plasma abeta 40n=10 Participants | -8.86 | 12.28 |
| Plasma Abeta42n=10 Participants | -0.67 | 0.69 |
| Plasma GFAPn=10 Participants | -27.70 | 64.78 |
| Plasma NFLn=10 Participants | 0.84 | 4.64 |
Change in Plasma Inflammatory Markers From Baseline to 8 Weeks
Time frame:Baseline to 8 weeks
change from baseline, improvement
Posted result
| Group | Value (mean), pg/ml | Standard deviation |
|---|---|---|
| RAPA InterventionIL-10n=10 Participants | -0.18 | 0.53 |
| IL-6n=10 Participants | 0.29 | 0.54 |
| IL-8n=10 Participants | 0.16 | 1.57 |
| TNF-αn=10 Participants | 0.06 | 0.44 |
| IL-12n=10 Participants | -16.56 | 38.52 |
| IL-15n=10 Participants | 0.12 | 0.31 |
| IL-16n=10 Participants | 16.18 | 42.70 |
| IL-17an=10 Participants | 0.36 | 1.68 |
| IL-1an=10 Participants | -0.20 | 0.36 |
| IL-5n=10 Participants | 0.34 | 0.46 |
| IL-7n=10 Participants | -0.14 | 1.63 |
| VEGF-An=10 Participants | -0.05 | 7.98 |
| VEGF-Cn=10 Participants | 2000.38 | 6648.40 |
| VEGF-Dn=10 Participants | 3741.02 | 3124.38 |
| Eotaxinn=10 Participants | 22.07 | 36.04 |
| Eotaxin-3n=10 Participants | -3.60 | 6.19 |
| IP-10n=10 Participants | 18.26 | 80.08 |
| MCP-1n=10 Participants | -4.80 | 10.74 |
| MIP1-αn=10 Participants | -0.83 | 3.64 |
| sFLT-1n=10 Participants | 258.88 | 237.44 |
| PIGFn=10 Participants | 20.81 | 11.81 |
| bFGFn=10 Participants | -143.67 | 174.71 |
| sVCAM1n=10 Participants | 97456.61 | 1400309.82 |
| sICAM1n=10 Participants | 91844.33 | 1329185.57 |
| SAAn=10 Participants | 190090000 | 936172849.0 |
| CRPn=10 Participants | 36165816.2 | 111516450.7 |
| IFN-γn=10 Participants | 4.37 | 1.91 |
Cognition/Functional Status - Change on the Clinical Rating Scale Global Score
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 0.15 | 0.16 |
Cognition/Functional Status - Change on the Clinical Rating Scale Sum of Boxes Score
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 0.55 | 0.86 |
Cognition/Functional Status - Change on the Benson Figure Copy
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 0.70 | 1.83 |
Cognition/Functional Status - Change on Phonemic Fluency
Time frame:8 weeks
ratio, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 1.80 | 3.71 |
Cognition/Functional Status - Change on the Hayling, Total Errors
Time frame:8 weeks
categorical status, descriptive
Posted result
| Group | Value (mean), score on a scale | Standard deviation |
|---|---|---|
| RAPA Interventionn=10 Participants | 0.001 | 0.78 |
Publications (1)
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.
Registry references + supporting bibliography
- PMID40394335via DERIVED
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.