RecruitingPhase 3NCT07062198

Combined Metabolic Activator Supplementation in Subjects Diagnosed With Alzheimer's Disease

A Phase 3, Randomised, Double-blinded, Placebo-controlled Study to Evaluate the Efficacy, Tolerability, and Safety of Combined Metabolic Activator Supplementation in Subjects Diagnosed With Alzheimer's Disease


Sponsor

ScandiBio Therapeutics AB

Enrollment

845 participants

Start Date

Sep 12, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This randomised, double-blinded, placebo-controlled study aims to establish metabolic improvements in subjects diagnosed with Alzheimer's Disease (AD) by treatment with CMA2 including N-acetyl-L-cysteine (NAC), L-carnitine-L-tartrate (LCAT), nicotinamide (niacinamide), and L-serine. Participants will take the drug CMA2 or a placebo twice a day for 26 weeks. They will visit the clinic 4 times for checkups and tests.


Eligibility

Min Age: 50 Years

Inclusion Criteria5

  • Men and women of non-childbearing potential ≥ 50 years of age.
  • Diagnosed with AD and at the Screening visit having the scores of ADAS-Cog ≥ 12 and GDS≥ 4.
  • Stable AD treatments and clinical course for at least 1 month.
  • Females of childbearing potential must have documented tubal ligation or hysterectomy; or be post-menopausal (defined as 12 months of amenorrhoea \[in questionable cases a blood sample with simultaneous follicle stimulating hormone (FSH) 25-140 IE/L and oestradiol \<200 pmol/Lis confirmatory\]).
  • Able to give written informed consent for participation in the study by the patient and/or legal representatives.

Exclusion Criteria17

  • History of stroke.
  • History of brain trauma \< 14 days.
  • Uncontrolled diagnosed depression.
  • Uncontrolled (HbA1C \> 8) type 1 or type 2 diabetes.
  • Severe swallowing problems.
  • PEG-feeding.
  • Chronic diarrhoea.
  • Chronic kidney disease with S-Creatinin \> 1,30 mg/dl.
  • Active bronchial asthma at the time of screening.
  • History of phenylketonuria (contraindicated for NAC).
  • Known allergy for substances used in the study.
  • Known malignancies.
  • Use of dietary supplements such as vitamins, omega-3 products, or plant stanol/sterol products later than one (1) week prior to inclusion.
  • Use of anti-microbial agents later than one (1) week prior to inclusion.
  • Drug and/or alcohol abuse.
  • Subjects considered as inappropriate for this study for any reason (noncompliance etc.) per investigator assessment.
  • Administration of another new chemical entity (defined as a compound that has not been approved for marketing) or has participated in any other clinical study that included drug treatment with the last administration within 3 months prior to administration of IMP in this study.

Interventions

DRUGCombined metabolic activators

A total of 20g of CMA2 with strawberry aroma and colouring agent will be given. The IMP will be provided as a soluble powder packed as individual dosages in identical sachets. The powder should be dissolved in 200 ml preferably cold water before use. The powder can also be used on yoghurt or other food. The subjects will take two daily oral doses of the IMP, one dose just after breakfast and one dose just after dinner. Subjects who cannot tolerate (e.g., diarrhoea) taking full dose will be withdrawn from the study.

OTHERCollagen and maltodextrin

As placebo, a total of 20g of compound primarily containing collagen and maltodextrin will be administered. Placebo contains strawberry aroma flavouring and colouring agent.


Locations(8)

Department of Neurology and Neuroscience, Faculty of Medicine, Alaaddin Keykubat University

Alanya, Turkey (Türkiye)

Ataturk University, Faculty of Medicine, Department of Neurology, Erzurum, Turkey; Movement Disorders and Neuromodulation Center, Ataturk University

Erzurum, Turkey (Türkiye)

Behavioural Neurology and Movement Disorders Unit, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University

Istanbul, Turkey (Türkiye)

Haydarpaşa Numune Training and Research Hospital, University of Health Sciences Istanbul

Istanbul, Turkey (Türkiye)

Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, University of Health Sciences Istanbul

Istanbul, Turkey (Türkiye)

SB Haseki Training and Research Hospital, Istanbul, University of Health Sciences Istanbul

Istanbul, Turkey (Türkiye)

Sultan Abdülhamid Han Training and Research Hospital, University of Health Sciences Istanbul

Istanbul, Turkey (Türkiye)

Umraniye Training and Research Hospital, University of Health Sciences Istanbul

Istanbul, Turkey (Türkiye)

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NCT07062198


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