A Study of NTRX-07 in Participants With Alzheimer's Disease

NCT07058688 | Recruiting Phase 2 DMC FDA Drug

• 2 other identifiers: NTRX-07-C2012024-517957-29-00
• Study Type: interventional
• Target: 48
• Locations: 3 countries
• Sites: 6

Brief Summary

• To assess the safety and tolerability of NTRX-07 in patients with AD.
• Safety and tolerability will be measured by monitoring any side effects or adverse events in participants during and after the treatment period. Secondary Objective:
• To study how NTRX-07 is processed by the body, including how it is absorbed, distributed, metabolized, and eliminated.
• This includes measuring the drug levels in the blood and cerebrospinal fluid (CSF) over time.
• Study Design • Type of Study:
• Participants:
• 48 individuals with MCI or mild to moderate AD.
• Treatment Groups:
• Participants will be split into two groups: 24 will receive NTRX-07, and 24 will receive a placebo.
• Duration:
• The study will last up to 7-10 weeks for each participant, including a 28-day period during which they take the drug or placebo daily.
• Study Procedures
• Screening Period:
• Before starting the treatment, participants will undergo a screening period of up to 45 days. During this time, they will have tests to confirm their eligibility, including physical exams, blood tests, cognitive assessments, and brain imaging (MRI).
• Treatment Period (28 days):
• Participants will take the study drug or placebo daily for 28 days. During this period, they will visit the study center for evaluations, including safety checks, cognitive tests, blood and CSF sampling, and EEG tests (to measure brain activity).
• Follow-Up:
• After the treatment period, participants will have a follow-up visit 7 days later for final safety assessments.
• Safety Monitoring and Assessments
• The study's primary focus is on safety. Researchers will monitor participants closely for any adverse events, such as side effects, throughout the study.
• Safety assessments will include monitoring vital signs (blood pressure, heart rate, temperature), conducting laboratory tests (blood and urine analysis), performing physical examinations, and using electrocardiograms (ECGs) to monitor heart health.
• Exploratory Assessments
• Although this study primarily focuses on safety, researchers will also conduct exploratory assessments to observe any potential positive effects of NTRX-07 on brain function and symptoms of AD. These will include: o Cognitive Testing:
• Standard tests like the AD Assessment Scale-Cognitive Subscale (ADAS-cog) and the Mini-Mental State Examination (MMSE) will be used to evaluate any changes in cognitive function. o Brain Imaging:
• MRI scans will help assess changes in brain structure and inflammation. o Biomarkers:
• Blood and CSF samples will be analyzed for specific biomarkers related to inflammation, brain health, and AD progression.
• Eligibility Criteria
• Inclusion Criteria:
• Individuals aged 65-88 with a confirmed diagnosis of MCI or mild to moderate AD.
• Must have a caregiver who can assist with the study requirements.
• Must be able to undergo specific procedures like MRI scans and CSF sampling.
• Exclusion Criteria:
• Individuals with other significant health conditions or history of neurological disorders other than AD.
• Those currently participating in another clinical trial or have certain medication restrictions.
• Importance of the Study AD is a progressive condition that affects memory, thinking, and behavior. Current treatments only manage symptoms temporarily, and there is an need for new therapies. NTRX-07 is a novel drug that has shown promise in animal studies, potentially reducing brain inflammation, clearing harmful proteins, and improving memory and learning. This study is an essential step toward understanding if NTRX-07 can offer a safe and effective treatment option for people with AD.
• Summary This clinical trial is designed to test the safety and processing of a new drug, NTRX-07, in people with MCI or mild to moderate AD. Participants will be carefully monitored for any side effects while researchers also gather data on the drug's impact on brain function. If successful, this study could lead to more advanced trials and, ultimately, a new treatment option for those affected by AD.

Conditions

Alzheimer Disease; Mild Cognitive Impairment

Keywords

clinical pharmacology; neuroinflammation

Outcome Measures

Primary Outcomes (1)

• Adverse event incidence in NTRX-07 treated participants

  Incidence of adverse events during the trial, compared between the active treatment and placebo groups, through study completion, about 6 weeks.

  From date of randomization through final study visit, up to 6 weeks.

Secondary Outcomes (11)

• Plasma Pharmacokinetics of NTRX-07 - Area under the curve

  First day of dosing and Day 28

• Plasma Pharmacokinetics of NTRX-07 - Maximum concentration

  First day of dosing and Day 28

• Cerebrospinal fluid Pharmacokinetics of NTRX-07 - concentration compared to simultaneous plasma levels

  Day 28

• Change in ADAS-cog in treated participants from baseline

  Baseline and Day 28

• Change in MMSE in treated participants from baseline

  Baseline and day 28.

Study Arms (2)

QD Dosing

EXPERIMENTAL

NTRX-07 90 mg as two 45 mg tablets administered orally once per day

Drug: NTRX-07

Placebo

PLACEBO COMPARATOR

Two tablets matching the Experimental treatment administered orally once per day

Drug: Placebo

Interventions

NTRX-07 DRUG

Orally administered CB2 agonist

Also known as: MDA7

QD Dosing

Placebo DRUG

Inactive matched comparator

Placebo

Eligibility Criteria

• Age: 65 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Participants must be 65-80 years of age inclusive, at the time of signing the informed consent.
• Clinical Dementia Rating (CDR) of 0.5 - 2.0; and education-adjusted Logical Memory II scores consistent with MCI or mild to moderate AD (\<1.5 SD below mean cutoff). MMSE 12-26
• pTau 217 consistent with AD, or recent amyloid test panel within 2 years. The test must be after any previous participation in an anti-amyloid MAB trial.
• Participants who have been in a previous amyloid-directed MAB study must have a negative ARIA report after the study.
• Confirmed medical documentation of AD symptoms onset at age 60 or later.
• No active depression and a Geriatric Depression Score of \< 6.
• No change in acetylcholinesterase inhibitors or memantine for the previous six months and is not expected to start an acetylcholinesterase inhibitor during the duration of the study.
• Living at home, with a reliable caregiver who sees them at least 3 times/week for 10 hours or more and can oversee the administration of the study drug.
• Provide written informed consent and willingness as documented by a signed informed consent form; responsible caregiver must also provide written consent.
• Body weight within 55-110 kg and body mass index (BMI) within the range 18-35 kg/m2 (inclusive)
• Male or Female • Male participants: Male participants are eligible to participate if they agree to the following during the intervention period and for at least 90 days, after the last dose of study intervention:
• Refrain from donating sperm PLUS, either:
• Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent ba sis) and agree to remain abstinent.
• Agree to use a male condom and should also be advised of the benefit for a female partner to use a highly effective method of contraception as a condom may break or leak when having sexual intercourse with a woman of childbearing potential who is not currently pregnant.
• Agree to use a male condom when engaging in any activity that allows for passage of ejaculate to another person.

You may not qualify if:

• Reported history or presence of clinically significant history of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrinological, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention; or interfering with the interpretation of data. Participants with stable, well-controlled conditions may be accepted upon review by the investigator and sponsor.
• Change of more than 2 points from screening MMSE to baseline MMSE, or discrepancy in disease classification between MMSE, and Trail Making test.
• Diagnosis of a dementia-related CNS disease other than AD (eg, Parkinson's Disease, Huntington's Disease, frontotemporal dementia, multi-infarct dementia, dementia with Lewy bodies, normal pressure hydrocephalus)
• Cannot tolerate spinal puncture procedure for cerebral spinal fluid (CSF).
• Anticoagulation therapy that would contraindicate spinal puncture procedure for cerebral spinal fluid (CSF).
• Any contraindication to MRI (per facility standard of care).
• Major structural brain disease by reported history or chart review (e.g., ischemic infarcts, subdural hematoma, hemorrhage, hydrocephalus, brain tumors, multiple subcortical ischemic lesions, severe mi- microangiopathic disease, volume loss disproportionate for age or a single lesion in a critical region e.g., thalamus, hippocampus).
• Findings on MRI demonstrating intracranial pathology as an alternative cause for cognitive impairment
• Any other reported history of central nervous system (CNS) trauma (e.g., contusion), or infections (e.g., human immunodeficiency virus \[HIV\], syphilis), that present active or residual effects on cognitive function.
• Reported history of seizures, with the exception of childhood febrile seizures or metabolic seizures where the underlying etiology has resolved, and the participant has been seizure-free without treatment for at least 2 years.
• Autoimmune disorders, active infections or other disorders, including the use of immunosuppressants, that may affect the subject's immune system.
• Reported current or chronic history of clinically significant liver disease. This includes but is not limited to hepatitis virus infections, drug- or alcohol-related liver disease, nonalcoholic steatohepatitis, autoimmune hepatitis, hemochromatosis, Wilson's disease, α-1 antitrypsin deficiency, primary biliary cholangitis, primary sclerosing cholangitis, or any other liver disease considered clinically significant by the investigator.
• Reported hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones) that are deemed clinically significant by the PI or medical monitor.
• Abnormal TSH, fT3 or fT4 at baseline screening. Subjects with known hypothyroidism or hyperthyroidism should be stable on treatment for 6 months prior to starting study and not anticipated to require any type of dose adjustment during the course of the study.
• Reside in a nursing home or assisted care facility with the need for direct continuous medical care and nursing supervision. Participant may reside in such facilities provided continuous direct medical care is not required.

Sponsors & Collaborators

• NeuroTherapia, Inc.: lead
• Cruint Global Consulting Pte Ltd: collaborator
• Firalis SA: collaborator
• Pharma-Regist Kft.: collaborator

Study Sites (6)

Neuro Health Centrum s.r.o.

Brno, 628 00, Czechia

RECRUITING

Neuropsychiatrie s.r.o.

Prague, 160 00, Czechia

RECRUITING

Semmelweis University

Budapest, 1083, Hungary

NOT YET RECRUITING

Semmelweis University

Budapest, 1145, Hungary

NOT YET RECRUITING

Szpital Uniwersytecki W Krakowie

Krakow, 30-688, Poland

RECRUITING

Wrocławskie Centrum Alzheimerowskie

Wroclaw, 53-659, Poland

RECRUITING

MeSH Terms

Conditions

Alzheimer Disease; Cognitive Dysfunction; Neuroinflammatory Diseases

Condition Hierarchy (Ancestors)

Dementia; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Tauopathies; Neurodegenerative Diseases; Neurocognitive Disorders; Mental Disorders; Cognition Disorders; Inflammation; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Joseph F Foss, MD

  NeuroTherapia, Inc.

  STUDY DIRECTOR

Central Study Contacts

Joseph Foss, MD

CONTACT

4402539266; joseph.foss@neurotherapia.com

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Model Details: A randomized, double-masked, placebo-controlled study.

Study Record Dates

• First Submitted: April 15, 2025
• First Posted: July 10, 2025
• Study Start: March 1, 2025
• Primary Completion: December 31, 2025
• Study Completion (Estimated): June 30, 2026
• Last Updated: July 10, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, CSR
• Time Frame: 12 months after study closure and publication in a peer-reviewed journal. Information will be maintained for at least 3 years.
• Access Criteria: A central publically available repository will be used. The repository will manage data access and permissions. Individual data points with a limited set of patient identifiers will be provided. GDPR regulations will be observed.

Locations

HU (2); PL (2); CZ (2)