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A Study to Assess Safety and Tolerability and to Explore Efficacy of NSC001 in Mild to Moderate Alzheimer's Disease
A Phase 2a, Multi-Center, Randomized, Parallel Group, Double Blind and Placebo-controlled Clinical Trial to Assess Safety and Tolerability as Well as Explorative Efficacy of the Orthosteric Selective Muscarinic M1 Agonist NSC001 in Mild to Moderate Alzheimer's Disease
Lead sponsor
Asset
NSC001
Listed sites
10
Recruiting sites
9
Enrollment
90
estimated
Study population
Alzheimer’s disease
Key I/E criteria
•mild-to-moderate AD•Amyloid biomarker required (PET/CSF/plasma)•MMSE 18-26•AD symptomatic therapy: stable ≥3 months•MRI contraindications excluded
Primary endpoints
•Safety and tolerability of NSC001•Safety during the treatment period
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
1. Long-acting benzodiazepines (e.g., valium), except for sedation prior to screening MRI scans for those participants requiring sedation and should not be administered within 24 hours prior to cognitive testing.
2. Short/medium-acting benzodiazepines (e.g., alprazolam, lorazepam, oxazepam, temazepam) except if used chronically for sleep and on a stable dose for ≥4 weeks prior to screening and throughout the trial. May not be taken within 12 hours prior to cognitive testing.
3. Sedating antihistamines if taken within 12 hours prior to cognitive testing (Non-sedating antihistamines [e.g., fexofenadine, cetirizine] are allowed).
4. Anticonvulsants that have significant effects on cognition per the Investigator's opinion and/or anticonvulsants used for treatment of seizures. Anticonvulsants with limited cognitive effects, such as lamotrigine, pregabalin, levetiracetam for the treatment of pain, and other non-epilepsy indications are allowed if, in the opinion of the Investigator, they are not producing sedation or contributing to cognitive impairment. The participant must have been on a stable dose for ≥4 weeks prior to screening and throughout the trial.
5. Antidepressants that may, in the Investigator's opinion, affect the participant's cognition (e.g., tricyclic antidepressants). Mild depression or depressive mood arising in the context of AD are not criteria for exclusion. Use of antidepressants is allowed if at stable doses for ≥4 weeks prior to screening and throughout the trial.
6. Antipsychotics used regularly, except for low doses of atypical antipsychotics (e.g., risperidone, aripiprazole, or quetiapine) if used on an as-needed basis or if used at a stable dose for ≥4 weeks prior to screening and throughout the duration of the trial. The definition of "low doses" should be judged by the Investigator, and the Medical Monitor can be consulted if needed.
7. Prior use of levodopa or anti-Parkinsonian medications including dopaminergic agents, amantadine, selegiline, benztropine, and monoamine oxidase (MAO) inhibitors prescribed for the treatment of Parkinsonism or Parkinson's disease.
8. Use of prescription narcotic medications within 4 weeks prior to screening. After randomization, short-term use of prescription narcotics is allowed for specific situations (e.g., after surgical procedures) and if administered at least 24 hours prior to cognitive testing.
9. Use of drugs with known QT-prolonging effects36, unless used at a stable dose for ≥12 weeks prior to screening and throughout the duration of the trial, and with demonstrated stable QT interval on treatment.
10. Use of any drug of abuse, including but not limited to, amphetamine, cannabis, cocaine, opiate, propoxyphene, methadone, methaqualone, phencyclidine, or barbiturates.
11. Centrally active anti-hypertensive drugs (clonidine, l-methyl DOPA, guanidine, guanfacine, etc.).
1. Other primary degenerative dementia, (e.g., dementia with Lewy bodies, fronto temporal dementia, Parkinson's disease, Huntington's disease, Creutzfeldt-Jakob's disease, Down's syndrome, etc.).
2. Other neurodegenerative condition (e.g., Parkinson's disease, Amyotrophic Lateral Sclerosis, etc.).
3. Cerebrovascular disease (major infarct, 1 strategic or multiple lacunar infarcts, extensive white matter lesions >one quarter of the total white matter) based on historical or current CT or MRI.
4. Other CNS diseases (e.g., severe head trauma, tumors, subdural hematoma, or other space-occupying processes, etc.).
5. Seizure disorder, except history of febrile seizures in childhood.
6. Other infectious, metabolic, or systemic diseases affecting the CNS (e.g., syphilis, present hypothyroidism, present vitamin B12 or folate deficiency, serum electrolytes out of normal range, juvenile-onset diabetes mellitus, etc.).
1. Suicide attempt within the past 12 months prior to screening.
2. Suicidal ideation as defined by a positive response to questions 4 and 5 on the C-SSRS within 60 days of screening.
1. Respiratory insufficiency.
2. Heart disease (myocardial infarction, unstable angina, heart failure, cardiomyopathy within 6 months before screening).
3. Bradycardia (heartbeat <50/min) or tachycardia (heartbeat >100/min), confirmed by repeat measurement.
4. Higher degree AV block (Mobitz type II and III), congenital long QT syndrome, sinus node dysfunction or prolonged QTcF-interval (males >450 msec and females >470 msec).
5. Uncontrolled hypertension (>180/95 mm Hg) or hypotension (<90/60 mm Hg or higher if symptomatic), confirmed by repeat measurement.
1. Participants with cancers in remission ≥5 years prior to screening.
2. Participants with a history of excised or treated basal cell or squamous carcinoma of the skin.
3. Participants with localized prostate cancer with treatment cycles that were completed at least 6 months prior to screening.
Endpoints (16)
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 endpointsADAS-cog as exploratory outcome on cognitive function and neuropsychiatric symptoms
Time frame:At week 0, 4, 16
ADAS-Cog
descriptive
MMSE as exploratory outcome on cognitive function and neuropsychiatric symptoms
Time frame:At week 0, 1, 2, 3, 4, 16
Mini-Mental State Examination (MMSE)
descriptive
Amyloid biomarkers
2 endpointsConcentration of Amyloid Beta (AB42) as exploratory outcome on blood-based AD-related biomarkers
Time frame:At week 0,4,16
concentration, descriptive
Concentration of Amyloid Beta (AB40) as exploratory outcome on blood-based AD-related biomarkers
Time frame:At week 0,4,16
concentration, descriptive
Tau biomarkers
2 endpointsTau concentration as blood-based AD-related biomarker
Time frame:At week 0,4,16
concentration, descriptive
p-Tau217 concentration as blood-based AD-related biomarker
Time frame:At week 0,4,16
Phosphorylated tau 217 (p-tau217)
concentration, descriptive
Neurodegeneration biomarkers
1 endpointConcentration of NFL as exploratory outcome on blood-based AD-related biomarkers
Time frame:At week 0,4,16
Neurofilament light (NfL)
concentration, descriptive
Fluid / digital biomarkers
1 endpointExploratory outcome on oscillatory brain activity
Time frame:At week 0 and 12
event count, event
Safety / tolerability / PK
3 endpointsSafety and tolerability of NSC001
Time frame:Week 0 and week16
event count, event
Safety during the treatment period
Time frame:Week 0 and week16
event count, event
Half Life of NSC001 in plasma
Time frame:At week 0, 1, 2, 3, 4, 16 at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4 and 6 hours)
concentration, descriptive
Other (unclassified)
5 endpointsMaximum concentration in plasma
Time frame:At week 0, 1, 2, 3, 4, 16 at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4 and 6 hours)
concentration, descriptive
Time at maximum concentration in plasma
Time frame:At week 0, 1, 2, 3, 4, 16 at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4 and 6 hours)
concentration, descriptive
Area under the curve
Time frame:At week 0, 1, 2, 3, 4, 16 at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4 and 6 hours)
concentration, descriptive
p-Tau181 concentration as blood-based AD-related biomarker
Time frame:At week 0,4,16
Phosphorylated tau 181 (p-tau181)
concentration, descriptive
Exploratory outcome on QTc interval
Time frame:16 weeks
descriptive
Publications (2)
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
- PMID18625455via BACKGROUND
- PMID22122190via BACKGROUND
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.