Biomarker-based Trial of NPC-1 for Alzheimer's Pathology

Recruiting now · Phase 2

Conditions studied: Alzheimer Disease, Mild Cognitive Impairment (MCI), Subjective Cognitive Decline (SCD)

In brief

This early phase, open label, single arm clinical trial will determine the intraindividual safety, tolerability and effects of NPC1 (parthenolide and ipriflavone) on blood-based biomarkers of Alzheimer's disease (AD) pathology among adults with subjective cognitive decline, mild cognitive impairment, or Alzheimer's disease and objective indicators of seeding AD pathology

Key facts

Study ID: NCT07236190
Run by: Massachusetts General Hospital
People needed: 40
Starts: 2026-04-01
Expected to finish: 2027-06-01
Last updated by the study team: 2026-06-08

Who can join

Age: 55 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Age 55 and older, male and female;
Subjective Cognitive Impairment or MCI or AD dementia per NIA-AA 2011 criteria;
Clinical Dementia Rating < or = to 2 and Mini Mental Status Exam > or = to 16;
Modified Hachinski Ischemic Score < or = to 4
Geriatric Depression Scale - 15 < 6 documenting absence from significant depressive syndromes
Other medications including non-disease modifying for MCI and AD (e.g., acetylcholine esterase inhibitor, N-methyl D-aspartate receptor antagonist) stable > or = to 3-months ;
Biomarker evidence of AD pathology: Plasma abeta42/40 ratio < or = to 0.12 AND Plasma p-tau217 > or = to 0.25 OR Amyloid PET positive (centiloid > or = to 20) as part of routine clinical care.
Sufficient vision and hearing to complete all tests
Study partner available with frequent (at least 1 hour/day or 1 day/week) contact with participant to provide collateral information about cognition, daily functioning, adverse events reporting, and support for study drug intake
General health status that will not interfere with the ability to complete the prospective study (these conditions are listed below in the study exclusion list)

You may not qualify if…

CDR > 2 MMSE < 16;
Significant CNS disease within the last 2 years (i.e., brain tumor, seizure disorder, subdural hematoma, cranial arteritis, cortical stroke);
Alcohol or substance abuse according to DSM-IV criteria within the last 2 years
Major depressive disorder or anxiety within the last year; Schizophrenia, bipolar disorder or other major psychiatric disorder defined by DSM-IV criteria
Abnormal labs indicating potential reversible causes of dementing illness such as vitamin B12 deficiency, thyroid disease, or UTI (documented bacterial colonization is acceptable)
Unstable or significantly symptomatic CVD (e.g. CAD with frequent angina, CHF with dyspnea at rest)
Hypertension: defined as uncontrolled BP > 160/100
Clinical symptomatic orthostatic hypotension
Diabetes mellitus that requires insulin injections
Hachinski ischemic score > or = to 4
Cancer within the last 5 years, apart from localized prostate cancer (Gleason Grade < 3) and non-metastatic skin cancers (melanoma).
Illness that requires >1 visit /month to a clinician
Medications and dietary supplements:
a. AD disease modifying monoclonal antibody treatment e.g., aducanumab or lecanemab
b. Dietary supplements containing parthenolide or ipriflavone (1-month wash out period prior to enrollment is permitted)
c. CNS active meds that have not been on stable doses for at least 2 months e.g., cimetidine, beta-blockers, and SSRIs
d. Neuroleptics, antiparkinsonian agents, systemic corticosteroids, and narcotic analgesics; in the case where these were used for a self-limited time they must have been discounted for a period of five half-lives prior to baseline visit
e. Over the counter supplements are not by themselves exclusionary, however, participants are asked not to change the dosing regimen over the course of the trial unless medically indicated; the presence and dose of these product are recorded
Participation in any Alzheimer's Disease interventional trial. Participation in other non-AD related trials will be evaluated at the discretion of the investigator
Currently pregnant. Positive pregnancy tests during the course of the trial will be evaluated at the discretion of the investigator.
Women of Child Bearing Potential (WOCBP)
For the purposes of this study, women of childbearing potential are defined as all women who are capable of becoming pregnant, unless they meet one of the following criteria:
12-months post-menopausal
Post-hysterectomy/surgically sterile
If a female Participant does not meet either of these criteria they will be considered of childbearing potential and will have a serum pregnancy test performed at Screening, Visit 3 (2 months), Visit 6 (5 months), and Visit 10 (8 months).

Where it is running

Massachusetts General Hospital — Boston, Massachusetts, United States (enrolling)

Full record on ClinicalTrials.gov

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