Phase 2 Estimation Study of Fixed Dose Drugs Combination Type of Polypill

Last updated: April 7, 2026
Sponsor: Noah Pharmaceuticals, Inc.
Overall Status: Completed

Phase

2

Condition

Mild Cognitive Impairment

Dementia

Nerve Injury

Treatment

MAR

Clinical Study ID

NCT06597058
T000439
  • Ages 50-85
  • All Genders

Study Summary

This is an estimation-focused Phase 2 study designed to explore and quantify treatment-related changes across multiple clinical outcomes in patients with Alzheimer's disease over a 210-day period. The anticipated study population are males and females aged 50-85 years with very mild to severe Alzheimer's Disease. The duration of individual patient participation will be approximately 224 Days: up to 14 days for Screening, 180 days for study drug administration, and a final follow-up visit at 210 days. The planned study duration is 12-18 months from Screening of the first patient until the last follow-up of the last patients.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Prior diagnosis of mild-to-severe cognitive impairment or probable AD according tothe National Institute on Aging and the Alzheimer's Association guidelines by aqualified health practitioner;

  2. History of cognitive and functional decline over at least 1 year that is eitherdocumented in medical records or by history from an informant who knows the patientwell;

  3. Male or female, age 50 to 85 years (inclusive) at the Screening Visit;

  4. Patient must be ambulatory and reside with a reliable, competent adult (studypartner) who may or may not also be the patient's legally authorized representative (LAR) for informed consent;

  5. Patient must be able to swallow the study medication (without any alteration to thetablet like crushing, cutting in half, or dissolving in a liquid);

  6. Body weight at screening is ≥40kg;

  7. CDR-SB of 3.0 or higher at Screening Visit;

  8. MMSE-2 ≥8 and≤24 at the Screening Visit;

  9. Patient must be able to understand the nature of the study and have the opportunityto have any questions answered and provide their consent. In the absence ofpatient's ability to provide informed consent, the informed consent must be obtainedfrom the patient's Legally Authorized Representative (LAR);

  10. For patients receiving an anticholinesterase inhibitor, memantine, or herbalmedication for AD, the dose must have been stable for at least 3 months prior to theScreening Visit, and patient must agree to maintain this dose for the duration ofthe study;

  11. Patients currently treated with a statin must agree to stop their statin therapy forthe duration of treatment (180 days);

  12. Creatinine Clearance >30 mL/min at Screening;

  13. Negative HIV and HCV test at Screening;

  14. Complete blood count (CBC), blood chemistry, serum cholesterol, triglycerides,thyroid-stimulating hormone (TSH), and urinalysis, within normal reference ranges ornot clinically significant as assessed by the Investigator at Screening;

  15. Physical examination, vital signs, and ECG within normal ranges or not clinicallysignificant as assessed by the Investigator at Screening;

  16. Female patients may participate if they meet 1 of the following criteria:

  17. Surgically sterile (e.g., hysterectomy, bilateral salpingectomy, bilateraloophorectomy), or

  18. Post-menopausal, defined as

  19. Permanent cessation of menstruation for ≥12 months without an alternativemedical cause (regardless of follicle-stimulating hormone [FSH] value) at theScreening Visit, or

  20. Cessation of menstruation for <12 months and FSH >40 mIU/mL at theScreening Visit. Note: Patients with persistent menses due to hormonal therapy may participate if aurine pregnancy test (UPT) at the Screening Visit is negative and they agree tocontinued testing at every study visit.

  21. Male patients must agree to use a barrier method of contraception and refrain fromdonating sperm for the duration of their participation in the study and for 2 monthsthereafter.

Exclusion

Exclusion Criteria:

  1. Patient has had a myocardial infarction, unstable angina, stroke, transient ischemicattack or required intervention for any of these conditions (e.g., coronary arterybypass graft, percutaneous coronary intervention via cardiac catheterization,thrombolytic therapy) within 6 months of the Screening Visit;

  2. Has other neurological disorders, including vascular dementia, Parkinson's disease,frontotemporal dementia, Huntington's disease, amyotrophic lateral sclerosis,multiple sclerosis, progressive supranuclear palsy, neurosyphilis, dementia withLewy bodies, other types of dementia, mental retardation, hypoxic cerebral damage,and cognitive impairment from head trauma;

  3. Scheduled or anticipates vaccination with a live vaccine during the study;

  4. Current use of a cannabidiol or derivative;

  5. Current use of digoxin;

  6. Acute or chronic liver disease;

  7. AST >1.5 times the Upper Limit of Normal

  8. ALT > 1.5 times the Upper Limit of Normal

  9. Schizophrenia, bipolar disorder, suicidal ideation, major depression, or delirium;Note: Stable (>2 years) treated depression without suicidal ideation isacceptable;

  10. Current therapy with a tetracycline;

  11. Current therapy with sirolimus or a rapalog macrolide antibiotic;

  12. Known allergies to any of the active drugs: tetracycline antibiotics, rapalogmacrolide antibiotics, or statin therapies;

  13. Treatment with another investigational drug, device, or intervention within 30 daysprior to the Screening Visit;

Study Design

Total Participants: 121
Treatment Group(s): 1
Primary Treatment: MAR
Phase: 2
Study Start date:
October 16, 2024
Estimated Completion Date:
December 15, 2025

Connect with a study center

  • Noah Clinical Site 017

    Scottsdale, Arizona 85260
    United States

    Site Not Available

  • Scottsdale Clinical Trials (Noah Clinical Site 017)

    Scottsdale, Arizona 85260
    United States

    Site Not Available

  • Marvel Clinical Research (Noah Clinical Site 010)

    Huntington Beach, California 92647
    United States

    Site Not Available

  • Noah Clinical Site 010

    Huntington Beach, California 92647
    United States

    Site Not Available

  • Noah Clinical Site 011

    Clermont, Florida 34711
    United States

    Site Not Available

  • Vertex Clinical Research (Noah Clinical Site 011)

    Clermont, Florida 34711
    United States

    Site Not Available

  • Accel Research Sites (Noah Clinical Site 019)

    DeLand, Florida 32720
    United States

    Site Not Available

  • Noah Clinical Site 019

    Deland, Florida 32720
    United States

    Site Not Available

  • Health Awareness (Noah Clinical Site 020)

    Jupiter, Florida 33458
    United States

    Site Not Available

  • Noah Clinical Site 020

    Jupiter, Florida 33458
    United States

    Site Not Available

  • Life Well Research Center (Noah Clinical Site 008)

    Miami, Florida 33134
    United States

    Site Not Available

  • Miami Jewish Health (Noah Clinical Site 023)

    Miami, Florida 33137
    United States

    Site Not Available

  • Noah Clinical Site 003

    Miami, Florida 33134
    United States

    Site Not Available

  • Noah Clinical Site 008

    Miami, Florida 33134
    United States

    Site Not Available

  • Regenerate Primary Medical Research (Noah Clinical Site 003)

    Miami, Florida 33134
    United States

    Site Not Available

  • Combined Research Orlando Phase I-IV (Noah Clinical Site 007)

    Orlando, Florida 32807
    United States

    Site Not Available

  • Noah Clinical Site 007

    Orlando, Florida 32807
    United States

    Site Not Available

  • Neurology Associates of Ormond Beach (Noah Clinical Site 015)

    Ormond Beach, Florida 32174
    United States

    Site Not Available

  • Noah Clinical Site 015

    Ormond Beach, Florida 32174
    United States

    Site Not Available

  • Innovation Medical Research Center (Noah Clinical Site 016)

    Palmetto Bay, Florida 33157
    United States

    Site Not Available

  • International Medical Investigational Centers (Noah Clinical Site 001)

    Palmetto Bay, Florida 33176
    United States

    Site Not Available

  • Noah Clinical Site 001

    Palmetto Bay, Florida 33176
    United States

    Site Not Available

  • Noah Clinical Site 016

    Palmetto Bay, Florida 33157
    United States

    Site Not Available

  • Best Choice Medical and Research Service (Noah Clinical Site 025)

    Pembroke Pines, Florida 33024
    United States

    Site Not Available

  • Denali Health Plant City, LLC (Noah Clinical Site 024)

    Plant City, Florida 33563
    United States

    Site Not Available

  • NOLA Brain and Behavior (Noah Clinical Site 021)

    New Orleans, Louisiana 70115
    United States

    Site Not Available

  • Noah Clinical Site 021

    New Orleans, Louisiana 70115
    United States

    Site Not Available

  • Boston Clinical Trials (Noah Clinical Site 006)

    Boston, Massachusetts 02131
    United States

    Site Not Available

  • Noah Clinical Site 006

    Boston, Massachusetts 02131
    United States

    Site Not Available

  • Noah Clinical Site 012

    Las Vegas, Nevada 89121
    United States

    Site Not Available

  • Oasis Clinical Research (Noah Clinical Site 012)

    Las Vegas, Nevada 89121
    United States

    Site Not Available

  • ActivMed Research (Noah Clinical Site 013)

    Portsmouth, New Hampshire 03801
    United States

    Site Not Available

  • Noah Clinical Site 013

    Portsmouth, New Hampshire 03801
    United States

    Site Not Available

  • IMA Clinical Research (Noah Clinical Site 004)

    Albuquerque, New Mexico 87109
    United States

    Site Not Available

  • Noah Clinical Site 004

    Albuquerque, New Mexico 87109
    United States

    Site Not Available

  • Eximia Research (Noah Clinical Site 018)

    Raleigh, North Carolina 27607
    United States

    Site Not Available

  • Noah Clinical Site 018

    Raleigh, North Carolina 27607
    United States

    Site Not Available

  • Carolina Research Center, Inc. (Noah Clinical Site 009)

    Shelby, North Carolina 28150
    United States

    Site Not Available

  • Noah Clinical Site 009

    Shelby, North Carolina 28150
    United States

    Site Not Available

  • Noah Clinical Site 002

    Yukon, Oklahoma 73099
    United States

    Site Not Available

  • Tekton Research (Noah Clinical Site 002)

    Yukon, Oklahoma 73099
    United States

    Site Not Available

  • Noah Clinical Site 014

    Katy, Texas 77450
    United States

    Site Not Available

  • Olympus Clinical Research (Noah Clinical Site 014)

    Katy, Texas 77450
    United States

    Site Not Available

  • Noah Clinical Site 022

    Norfolk, Virginia 23507
    United States

    Site Not Available

  • Neurological Associates of Washington (Noah Clinical Site 005)

    Kirkland, Washington 98034
    United States

    Site Not Available

  • Noah Clinical Site 005

    Kirkland, Washington 98034
    United States

    Site Not Available

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