A Phase 2, Randomized, Prospective Double-Blind, Single-Center, Placebo-controlled Study to Evaluate Safety, Tolerability, Target Engagement, and Efficacy of PrimeC in Patients With Mild to Moderate Alzheimer's Disease.

Inclusion Criteria:

1. Able to comprehend and willing to sign an informed consent form (ICF) and theirability to consent was estimated by an independent Neurologist or Geriatrist.

2. Males or females between the ages of 55 and 85 years of age, inclusive

3. Diagnosis of probable AD with evidence of the AD pathophysiological processaccording to the diagnostic criteria of the National Institute on Aging andAlzheimer's Association

4. AD patients with a score of 18 to 24 on MMSE at screening.

5. Subjects may be treated in parallel with rivastigmine, donepezil, galantamine,memantine, donezepil, aducanumab, and lecanemab or their combination. Forrivastigmine, donepezil, galantamine, memantine, donezepil - 30 days of stable useprior to enrollment is required. For aducanumab and lecanemab - 3 months of stableuse prior to enrollment is required.

6. 18 < BMI < 30

7. Patients who have a caregiver - the caregiver shall be in contact with the patientat least 10 hours per week, and can attend all visits with the patient, report onthe subject's status and verify compliance with all study requirements.

8. CT or MRI available within 12 months before the enrolment to the study devoid of anystructural finding which could explain the cognitive impairment, except for brainatrophy or white matter hyperintensities which can be observed in AD patients.

9. CT or MRI available within 3 months before the lumbar puncture.

10. Presence of pTau 181 in CSF at screening

11. Female with no childbearing potential (at least 1 year postmenopausal or surgicalcontraception)

Exclusion Criteria:

1. Any significant neurologic or medical disorders other than AD, which might be thecause of the existing cognitive deficit, such as: other neurodegenerative disease,Hydrocephalus including NPH, seizures, Huntington's disease, Amyotrophic lateralsclerosis, multiple sclerosis, systemic lupus erythematosus, progressivesupranuclear palsy, neurosyphilis, HIV, learning disability, intellectualdisability, hypoxic cerebral damage, relevant neoplasm, toxic exposure, or anysignificant medical conditions that, in the opinion of the PI would endanger thehealth and wellbeing of the participant.

2. Stroke or Transient Ischemic Attack (TIA) within 6 months of screening visit.

3. History of severe head trauma with documented loss of consciousness or withradiological findings associated with the injury, leading to other neurologicaldeficits.

4. Any contraindication to conduct lumber puncture.

5. Major depressive disorder according to DSM-V criteria requiring hospitalizationwithin the previous 90 days before screening.

6. Suicidal ideation and behavior assessed by C-SSRS.

7. Serum B12 clinically significantly below the lower limit of normal at screening

8. Patients with history or current evidence of clinical significant peripheralneuropathy. The severity of the peripheral neuropathy will be determined by theinvestigator.

9. Patients who take tizanidine

10. Patients with history or current clinically significant of psychiatric disorders (e.g., anxiety, depression, delirium) occurring within the last two years, whichrequired the subject to be hospitalized.

11. Patients with known history of myasthenia gravis or myasthenic syndrome

12. No psychotropics can be started during the trial except for short acting hypnoticsfor sleep and or low potency neuroleptics for agitation.

13. If the patient is taking antipsychotic, antidepressant, antianxiety or any otherpsychotropic before enrollment to the study there was no dose change 30 days beforeenrollment.

14. A past history of adverse reaction/hypersensitivity to either NSAIDs, celecoxib orfluoroquinolones, ciprofloxacin and / or to the non-active components of PrimeC:Microcrystalline cellulose Avicel, Povidone K-30, Sodium lauryl sulphate, Hydroxypropyl methyl cellulose, Microcrystalline cellulose, Colloidal Silicon Dioxide,Magnesium Stearate, and Opadry Blue.

15. Any known clinically significant abnormal gastric mucosal erosion, ulcer or tumoror/and GI disorder and/or bariatric surgery

16. Known history of clinically significant impairment of renal function (eGFR < 60)

17. Known or suspected symptomatic congestive heart and/or coronary heart disease,previous history of myocardial infarction, CABG, uncontrolled arterial hypertension,or rhythm abnormalities requiring permanent treatment

18. Known history of QT/QTc prolongation, Torsade de pointes (TdP) (e.g. heart failure,hypokalemia, family history of Long QT syndrome) and the use of concomitantmedications that prolong the QT/QTc interval.

19. Patients with known aortic aneurysms and heart valve regurgitation/incompetence.

20. Known or suspected diagnosis or family history of epilepsy in first degreerelatives.

21. Known predisposition to tendinitis.

22. Known Impaired hepatic function.

23. Known or suspected to be a poor CYP2C9 metabolizer who also uses pharmacologicagents (prescription or over-the-counter) or herbal products known or suspected toinduce or inhibit CYP2C9 within 30 days before enrollment.

24. Presence at screening of any medically significant cardiac, pulmonary,musculoskeletal, or psychiatric illness that might interfere with the subject'sability to comply with study procedures or that might confound the interpretation ofclinical safety data, including, but not limited to:

25. Mean systolic blood pressure >160 mm Hg and/or mean diastolic blood pressure >100 mm Hg (measurements taken after a few minutes rest) that persist on 3successive measurements taken at least 2 minutes apart

26. NYHA Class II or greater congestive heart failure

27. Chronic obstructive pulmonary disease or asthma requiring daily use ofbronchodilator medications

28. Uncontrolled diabetes mellitus

29. Subject who is treated with chronic aspirin or NSAIDs and is at risk if stopped.Clopidogrel is allowed and can replace Aspirin.

30. Any contraindication for ciprofloxacin and celecoxib according to the currentprescribing information.

31. Any impairment or social circumstance that, in the opinion of the Investigator,would render the subject not suitable to participate in the study.

32. Subject, or subject's legal guardian(s) is/are unable to understand the nature,scope, and possible consequences of the study.

33. Subject is participating in (or plans to participate in) any other investigationaldrug trial or plans to be exposed to any other investigational agent, device and/orprocedure, from 30 days prior to Screening through study completion.