A Trial to Evaluate the Safety and Efficacy of Benfotiamine in Patients With Early Alzheimer's Disease (BenfoTeam)
A Seamless Phase 2A-Phase 2B Randomized Double-Blind Placebo- Controlled Trial to Evaluate the Safety and Efficacy of Benfotiamine in Patients With Early Alzheimer's Disease (BenfoTeam)
2 other identifiers
interventional
406
1 country
47
Brief Summary
The purpose of this study is to learn more about the safety, effectiveness and tolerability of the study drug called Benfotiamine which may delay or slow the progression of the symptoms of early Alzheimer's disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 alzheimer-disease
Started Mar 2024
Typical duration for phase_2 alzheimer-disease
47 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 20, 2023
CompletedFirst Posted
Study publicly available on registry
January 25, 2024
CompletedStudy Start
First participant enrolled
March 28, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2027
February 23, 2026
February 1, 2026
3.7 years
December 20, 2023
February 20, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Phase 2A: The rate of tolerability events (TEs).
The primary safety outcome in phase 2A is the rate of tolerability events (TEs) compared between active arms (benfotiamine) and placebo arms, at each dose. A TE is counted when either a participant discontinues study drug due to intolerability or experiences a moderate or severe adverse event (AE) that is determined to be possibly, probably or definitely related to study drug.
Up to 72 weeks
Phase 2B: The primary cognitive endpoint is the within-participant change from baseline to 72 weeks compared between active arms (benfotiamine) and placebo on the Alzheimer's Disease Assessment Scale - Cognitive Subscale 13 (ADAS-Cog13).
ADAS-Cog13 is a structured psychometric scale that evaluates memory (immediate and delayed word recall; immediate word recognition), receptive and expressive language, orientation, ideational praxis (preparing a letter for mailing), constructional praxis (copying figures), and attention (number cancellation). Ratings of spoken language, language comprehension, word finding difficulty, and ability to remember test instructions also are obtained. ADAS-Cog13 total score has a range of 0-85; with higher scores indicating greater impairment.
72 weeks
Phase 2B: The primary functional endpoint is the within-participant change from baseline to 72 weeks compared between active arm (benfotiamine) and placebo on the Clinical Dementia Rating - Sum of Boxes (CDR-SB).
CDR-SB is a composite rating of cognition and everyday function which incorporates both informant input and direct assessment of performance. It assesses through semi-structured interview three cognitive domains (memory, orientation, and judgement/problem solving) and three everyday functional domains (community affairs, home and hobbies, personal care). Level of impairment in each of the six domains is rated from none (score=0) to severe (score=3). The six domain scores are then summed to create the CDR-SB. Range 0-18; higher scores indicate greater impairment.
72 weeks
Secondary Outcomes (9)
Number of Participants With Adverse Events (AEs) and Serious AEs.
72 weeks
Number of Participant Withdrawals from the study.
72 weeks
Number of Participant Drug Discontinuations.
72 weeks
Mean and Median Thiamine levels (nmol/L).
Baseline, week 72
Mean and Median Thiamine Diphosphate (ThDP) levels (nmol/L).
Baseline, week 72
- +4 more secondary outcomes
Study Arms (3)
Low Dose Benfotiamine
EXPERIMENTALParticipants will take 300mg benfotiamine capsules twice a day (BID; once in the morning and once in the evening).
High Dose Benfotiamine
EXPERIMENTALParticipants will take 600mg benfotiamine capsules twice a day (BID; once in the morning and once in the evening).
Placebo
PLACEBO COMPARATORParticipants will take placebo capsules twice a day (BID; once in the morning and once in the evening). In the placebo group, capsules will be filled with inactive microcrystalline cellulose. The other capsule components, shape and color are identical between benfotiamine and placebo arms.
Interventions
Eligibility Criteria
You may qualify if:
- Aged 50 to 89 (inclusive) at screening
- Mild Cognitive Impairment (MCI) due to AD or Mild dementia due to AD according to workgroups of the Diagnostic Guidelines of the National Institute on Aging and Alzheimer's Association (NIA-AA)
- Mini-Mental State Examination (MMSE) score 20-30 inclusive at screening-. Montreal Cognitive Assessment score (MoCA) \< 26 at screening
- Clinical Dementia Rating (CDR) global score of 0.5 or 1 with memory score of greater or equal to 0.5 at screening
- Positive plasma AD biomarker signature
- Participants who are treated with FDA-approved acetylcholinesterase inhibitors (AchEI)and/or memantine will have to be on a stable dosage regimen for at least 3 months prior to screening.
- Participants must have a study partner who has frequent interaction with them (approximately \>3-4 times per week), will be available for all clinic visits in person or remotely, and can assist in compliance with study procedures.
- Female participants must be post-menopausal for at least one year or surgically sterile(bilateral tubal ligation, hysterectomy, or bilateral oophorectomy) for at least 6 months prior to screening.
- Fluent in English or Spanish to ensure compliance with cognitive testing and study visit procedures.
- Ambulatory, or able to walk with an assistive device.
- Provision of informed consent from the participant (or the participant's legally authorized representative (LAR) if unable to provide consent) and the study partner.
You may not qualify if:
- Significant neurological disorder other than AD (e.g. hypoxia, stroke, traumatic brain injury
- Significant neurodegenerative diseases, other than AD, and causes of dementias, Parkinson's disease and Huntington's disease, vascular dementia, CJD (Creutzfeldt-Jakob disease), LBD (Lewy Body dementia), PSP (Progressive Supranuclear Palsy), AIDS (Acquired Immunodeficiency Syndrome), or NPH (normal pressure hydrocephalus).
- Meeting Diagnostic Criteria for Possible AD according to workgroups of the Diagnostic Guidelines of the NIA-AA.
- A current diagnosis of uncontrolled Type I or Type II diabetes mellitus, as defined by Hemoglobin A1C (Hb A1C ≥ 8).
- A current active, uncontrolled seizure disorder.
- Diagnosis of cancer, except for those participants who have undergone potentially curative therapy with no evidence of recurrence for \> 5 years.
- History of alcoholism or substance abuse, current or within past 5 years.
- Previous exposure to Benfotiamine within past 3 months.
- Contraindication to MRI.
- Participation in another clinical trial for an investigational agent and having taken at least one dose of study drug, unless confirmed as having been on placebo, within 4 weeks prior to the baseline visit. The end of a previous investigational trial is defined as the date of the last dose of an investigational agent.
- Initiation of a monoclonal antibody treatment targeting brain amyloid within 6 months prior to the baseline visit.
- A disability that may prevent the patient from completing all study requirements e.g.,blindness, deafness, severe language difficulty).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- National Institute on Aging (NIA)collaborator
- Alzheimer's Disease Cooperative Study (ADCS)lead
- Burke Medical Research Institutecollaborator
Study Sites (47)
St. Joseph's Hospital and Medical Center/Barrow Neurological Institute
Phoenix, Arizona, 85013, United States
Perseverance Research Center, LLC
Scottsdale, Arizona, 85253, United States
Banner Sun Health Research Institute
Sun City, Arizona, 85351, United States
The Neuron Clinic
Chula Vista, California, 91910, United States
University of California, Irvine
Irvine, California, 92697, United States
Pacific Research Network
Lemon Grove, California, 91945, United States
University of Southern California
Los Angeles, California, 90033, United States
Cedars Sinai, Los Angeles
Los Angeles, California, 90048, United States
Syrentis Clinical Research
Santa Ana, California, 92705, United States
JEM Research Institute
Atlantis, Florida, 33462, United States
Brain Matters Research
Delray Beach, Florida, 33445, United States
Neuropsychiatric Research Center of Southwest Florida
Fort Myers, Florida, 33912, United States
CCM Clinical Research Group, LLC
Miami, Florida, 33133, United States
Gonzalez MD & Aswad MD Health Services
Miami, Florida, 33135, United States
Miami Jewish Health
Miami, Florida, 33137, United States
Blue Medical Research Inc.
Miami, Florida, 33144, United States
Brainstorm Research
Miami, Florida, 33176, United States
Brain Matters Research (Kane Center)
Stuart, Florida, 34997, United States
Conquest Research
Winter Park, Florida, 32789, United States
Emory University Goizueta Alzheimer's Disease Research Center(GADRC)
Atlanta, Georgia, 30329, United States
Sandhill Research, LLC d/b/a Accel Research Sites
Decatur, Georgia, 30030, United States
Northwestern University Feinberg School of Medicine
Chicago, Illinois, 60611, United States
Rush University Medical Center
Chicago, Illinois, 60612, United States
Southern Illinois University
Springfield, Illinois, 62702, United States
University of Iowa
Iowa City, Iowa, 52242, United States
University of Kentucky
Lexington, Kentucky, 40504, United States
MedVadis Research
Waltham, Massachusetts, 02451, United States
University of Michigan, Ann Arbor
Ann Arbor, Michigan, 48109, United States
Rutgers, Robert Wood Johnson Medical School
New Brunswick, New Jersey, 08901, United States
Albany Medical College
Albany, New York, 12208, United States
Dent Neurologic Institute
Amherst, New York, 14226, United States
Integrative Clinical Trials
Brooklyn, New York, 11229, United States
Weill Cornell Medical College
New York, New York, 10021, United States
Mount Sinai School of Medicine
New York, New York, 10029, United States
Columbia University Irving Medical Center
New York, New York, 10032, United States
Nathan Kline Institute for Psychiatric Research
New York, New York, 10962, United States
SUNY Upstate Medical University
Syracuse, New York, 13210, United States
AMC Research LLC, dba Flourish Research
Matthews, North Carolina, 28105, United States
Case Western Reserve University
Cleveland, Ohio, 44106, United States
Ohio State University
Columbus, Ohio, 43221, United States
Oregon Health & Science University (OHSU)
Portland, Oregon, 97239, United States
Geisinger Memory and Cognition Center
Wilkes-Barre, Pennsylvania, 18711, United States
Rhode Island Hospital
Providence, Rhode Island, 02903, United States
Ralph H. Johnson VA Health Care System
Charleston, South Carolina, 29401, United States
KCA Neurology
Tennessee City, Tennessee, 37067, United States
University of North Texas Health Science Center
Fort Worth, Texas, 76107, United States
Froedtert and Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
Related Publications (31)
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BACKGROUNDFeldman HH, Luchsinger JA, Leger GC, Taylor C, Jacobs DM, Salmon DP, Edland SD, Messer K, Revta C, Flowers SA, Jones KS, Koulman A, Yarasheski KE, Verghese PB, Venkatesh V, Zetterberg H, Durant J, Lupo JL, Gibson GE; ADCS BenfoTeam Study Group. Protocol for a seamless phase 2A-phase 2B randomized double-blind placebo-controlled trial to evaluate the safety and efficacy of benfotiamine in patients with early Alzheimer's disease (BenfoTeam). PLoS One. 2024 May 29;19(5):e0302998. doi: 10.1371/journal.pone.0302998. eCollection 2024.
PMID: 38809849DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Howard Feldman, MDCM
Alzheimer's Disease Cooperative Study (ADCS)
- STUDY DIRECTOR
Gary E. Gibson, PhD
Burke Neurological Institute
- STUDY DIRECTOR
Jose A. Luchsinger, MD MPH
Columbia University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 20, 2023
First Posted
January 25, 2024
Study Start
March 28, 2024
Primary Completion (Estimated)
December 1, 2027
Study Completion (Estimated)
December 1, 2027
Last Updated
February 23, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF
- Time Frame
- 6 months after publication.
- Access Criteria
- Data requestors must complete an ADCS data and sample sharing request form. Upon approval, requestors must complete a data use agreement prior to accessing the data.
Data sharing is integral to the ADCS's mission to develop and execute innovative clinical trials focused on interventions that may prevent, delay, or treat the expression of Alzheimer's disease and related dementias. The ADCS is committed to sharing resources and tools, including data, biospecimens, trial designs, outcome and analysis measures following NIH guidelines.